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Home My Public Portal AboutFirst St_725U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program Important: Read the instructions on pages 1 -9. tLtVA I IUN L tK I IMUATE SECTION A- PROPERTY INFORMATION OMB No. 1660 -0008 Expiration Date: July 31, 2015 FOR INSURANCE COMPANY USE Al. Building Owner's Name RMG Tybee LLC Policy Number. A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 3 N Campbell Street Company NAIC Number: City Tybee Island State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lots 17, 18, 19, 38, 39, 40 and 41, Fort Ward, Tybee; Tax Parcel Number 4- 0003 -02 -012 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Retail A5. Latitude /Longitude: Lat. 32 °00'58.2 "N Long. 80 °50'53.2'W A6. Attach at least 2 photographs of the building tithe Certificate is being used to obta A7_ Building Diagram Number 1B A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) n a sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade n/a c) Total net area of flood openings in A8.b n(a sq in d) Engineered flood openings? ❑ Yes ❑ No Horizontal Datum: ❑ NAD 1927 El NAD 1983 in flood insurance. A9. For a building with an attached garage: a) Square footage of attached garage nta sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade n/a c) Total net area of flood openings in A9.b n/a sq in d) Engineered flood openings? ❑ Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number City of Tybee Island 135164 B2. County Name Chatham B3. State Georgia B4. Map/Panel Number 13051C/0213 B5. Suffix F 86. FIRM Index Date 09/26/2008 B7. FIRM Panel Effective /Revised Date 09/26/2008 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 11 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139. ❑ FIS Profile 0 FIRM ❑ Community Determined 811. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: ❑ CBRS ❑ OPA ❑ Other /Source: NAVD 1988 ❑ Other/Source: ❑ Yes 0 No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction `A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al A30, AE, All, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a -h below according to the building diagram specified in Item A7. in Puerto Rico only, enter meters. Benchmark Utilized: NGS Monument E 56 Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 0 NAVD 1988 ❑ Other /Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) $.08 ® feet ❑ meters b) Top of the next higher floor n/a. ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) ❑ feet ❑ meters d) Attached garage (top of slab) Na. ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 5.84 ® feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 5.8 g) Highest adjacent (finished) grade next to building (HAG) 8.0 h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support f. ® feet ❑ meters ® feet ❑ meters ❑ feet ❑ meters SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. / certify that the information on this Certificate represents my best efforts to interpret the data availlable. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. licensed land surveyor? 0 Yes ❑ No Certifier's Name Robert K. Morgan, III License Number Ga. RLS#3087 Title Principal Company Name Morgan Land Surveying, LLC Address 04 Regal, ourt -r Signature, ferf%�% � City Savannah State GA ZIP Code 31410 Date �-q 1013 Telephone 912 - 658 -4302 FEMA Form 086 -0 -33 (7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 3 N Campbell Street FOR INSURANCE COMPANY USE Policy Number. City Tybee Island State GA ZIP Code 31328 Company NAIC Number. SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments The elevation shown in item C2.e is for top of concrete A/C equipment pad located in the rear of the building. Signature , 1 .1 , ._ Date /„ • iq 2.o i3 SECTION E — BUILDING ELEVA ION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet 0 meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and /or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA - issued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZiP Code Signature Date Telephone Comments ❑ Check here if attachments. SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G+ of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 —G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA - issued or community- issued BFE) or Zone AO. G3. ❑ The following information (Items 04 —G10) is provided for community floodplain management purposes. G4. Permit Number 05. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Community Name Signature Comments ❑ Check here if attachments. Title Telephone Date FEMA Form 086 -0 -33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 3 N Campbell Street Policy Number: City Tybee Island State GA ZIP Code 31328 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. FRONT VIEW (06/29/2013) REAR VIEW (06/29/2013) FEMA Form 086 -0 -33 (7/12) Replaces all previous editions.