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HomeMy WebLinkAboutE-ELEVATION CERTIFICATE - 1916 WALLENBERG DRIVE - SPRING CREEK (3)ELEVATION CERTIFICATE O.M 9. No 306700 FEDERAL EMERGENCY MANAGEMENT AGENCY EAprres May 31. 19 NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to Provide elevation information necessary to ensure compliance with applicable community tioodptain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. BUILDING OWNER'S NAME Gr,e STREET ADDRESS (Includin M(P in/al')en OTHER DESCRIPTION (tot: L.of- it G alla, CITY SECTION A PROPERTY INFORMATION API., Unit. Suite and/or Bldg. Number) OR P.O. ROUTE AND SOX NUMBER Block r•un INaururlCE COMPANY USE POLICY NUMBER COMPANY NAIC NUMBER na STATE SECTIONS FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): ZIP ZIP CODE I. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE CF FIRM INDEX S. FIRM ZONE 6. BASE FLOOD ELEVATION 000102 r' � ¢ A SJl f l I P71 (n AO Zeros. M daidth) Li �"'� So01. 1 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ® NGVD'29 OOther (describe on back) 8. For Zones A or V, where no BFE is provided an the FIRM, and the community has established a BFE for this building site, Indicate the community's BFE: I I 1 1 L! feet NGVD (or other FIRM datum -see Section S. Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicall the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level 2(a). FIRM Zones At-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram Is at an elevation oil 1441 1T1 JJ feet NGVD (or other FIRM datum -see Section B. Item 7). (b). FIRM Zones V1430, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation OIL I I I I I J feet NGVD (or other FIRM datum -see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is LU.0 feet above 0 or below 0 (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram Is L _J.L I feet above 0 or below (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ® NGVD'29 0 Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section 8, Item 77, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: 0 Yes R No (See Instructions on Page 4) 5. The reference level elevation is based on: X actual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid it the building does not yet have the reference level floor In place, In which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: L E9_9_ZJ.6J; feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the aowest floor' as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor' as defined by the ordinance is: 1 1 ' 1 I I L II feet NGVD (or other FIRM datum -see Section B, Item 7). 2. Date Of the Start nr rnnevnr,i.......-..�_.... ... SECTION E CERTIFICATION This certification, is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certtfy elevation information wnen the elevation information for Zones A5—A30, AE, AH, A (whh 8FE),VI—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 . Distinguishing Features-11 the certifier is unable to certify to breakawa enclosure size, location of servicing eguioment, area use, wall openings, or unfinished area Feature(s), then included in the certification under Comments below. The diagram number, Section C, Item 1, must stiff beg, I certify that the information in Sections B and C on this certificate represents my best efforts to interpret.Ae j'dt available". I understand that any false statement may be punishable by line or imprisonment under 18 U.S. Code, Sect IQp 0 *q' (� CERTIFIER'S NAME (or Affix Seal) TITLE / COMPANY NAME ,AEFIIIIII II/EEEAN, ,4ssoc _ AGGRESS _ CITY STATE Zip Copies shodYd be made of this Certificate for: 1) community official, 2) Insurance agenticompany, and 3) building owner. COMMENTS: ON WITH ON PILES. SLAB BASEMENT PIERS. OR COLUMNS A v A A V ZONES ZONES ZONES ZONES ZONES REFERENCE EASE REFERENCE LEVEL REFERENCE LErE� R4.e LEVEL ELEVAi • n.:. :., d:.p. BASF _ ryry 1 FLroe AWACENT :S: 'dl� RE/ERENT;E REVAT" GRAOF M LEVEL REFERENCE AG C +1. B R0000 0 ELEVANCN LEVEL O�[�E - E 1 W. t....:_lii::'i6m{fp(`.i °^�"E . The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.