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HomeMy WebLinkAboutE-ELEVATION CERTIFICATE - 1937 WALLENBERG DRIVE - SPRING CREEK (3) 7/01/94 09:52 ALLSTATE INSURANCE CO. 002 ELEVATION CERTIFICATE o.M.e. tie Jos7.o J:r FEDERAL EMERGENCY MANAGEMENT AGENCY s"r"mrMayJr, r993 NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this ion certificate does not provide a waiver of the good Insurance purchase requirement. This form Is used only to determine e the Information necessary to ensure compliance with applicable community floodplain 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. SECTION A PROPERTY INFORMATION UMLaull9lndwpWg Number) CITY nd SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provlde the -following from the proper FIRM (See Instrurrinnty r.CommuNITYNUMaER 2.PANELNUM8En 7.eUFinX( 4. DATE OF FIRM INDEX S. t'sc7�j172 Q�¢ /61 BTU' Ifi�fq FIMq ZONE �� A07:enee M%I6plh}N r A 1 "19.7 Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 1. the 7,.— A -. v ...a.-•- ®NGVD'2g ❑Other (descdbe an back) - - - -- '------ • • -• •• ••••"•- •� •+• •+ •� Y•`•v,unu un um rimm, Eno me community has established a BFE for this building she, indicate the commur>Ity's BFE: f j ) 1 • • -11 feet NGVO for other FIRM datum -see soLMlon e, Item 9), SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that beat describes the subject building's reference level.$_ . 2(a), FIRM Zones At•A39, AE, AH, and A (with BFE), The top of the reference level floor from the selected diagram Is at an elevation of t gffD I6 -W feet NGVD (or other FIRM datum -see Secoon 8, item 7). (b). FIRM Zones VI430, VE, and V (with SFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of 1_ i I) 1 I.0 feet NGVD (or other FIRM datum -see Section B, Item 7} FIRM Zone A (without BFE), The floor used as the reference level from the selected diagram is w.0 fast above ❑ or below© (check one) the highest grade adjacent to the building. j,;. (d), FIRM Zone AO. The floor used as the reference level from the selected diagram is L I J.L) feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. it no flood depth number is available, Is the building's lowest floor (reference . level) elevated In accordance with the communitye goodpialn management ordinance? ❑ Yes ❑ No © Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: M NOVD 2e ❑ Other (describe under Comments on Page 2). {NOTE: If the elevation datum used /n measuring the elevations is carerant than that used oil the FiRM (see Section B, Item 71, than 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: ❑ Yes ® No (Sea Instructions on Page 4) A. Tire reference level elevation Is based on: ® actual construction [J construction drawings (NOTE: Use of construction drawings is only valid It the building does not yet have the reference level floor In place, In whkh 0880 this certificate will only be valid for the building durinng the course of construction. Apost-construdkn Elevation CerdNesle f.--'; wfilbsfegrA'redoncecorrafnrcNonlscomp/ate.) 1-, e. The elevation of the lowest grade Immediately adjacent to the building is: I W01011 I.UO lest NGVD (or other FIRM datum -see Sectlo B`I in SECTION D COMMUNITY INFORMATION fiat responsible Idx verifying building elevations specifies that the relerertce level indbated to Secgon C, Ilem.1';' tor" es defined IflIh(( communitys goodplain management ordinance, the elevation of the building -slowest + the ordinance is: l ' I l '.1 I I,Ll feet NGVD (or other FIRM datum -see Section B, Item 7). `'° : I "` ' s l" " l' :onarructbnorsubsfentiafimprovem�nt�' .I+:.Ik'1' 07/01/94 09:54 ALLSTRTE INSURANCE CO. M 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 cenfiy elevation Information when the elevation Information for Zones At-A30, AE. AH, A (with SFE),V1 V30,VE, and V (with SFE) is required. Community officials who are authorized by local law or ordinance to provide Ibodptaln management inlormaNar, may also sign the certification. In the case of Zones AO and A (without a FEMA or community Issued SFE), a building official, a property owner, or an owner's repreeentadve may also sign the certification. Reference level diagrams 6, 7 and 0 . Distinguishing Fealures-If the certifier is unable to certify to breakawaytnon-breakaway wag. enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list th Included in the certification under Comments below. The diagram number, Section C, Item 1, must styli be enleta Q • a�8 •1., t codify that the information in Sections 8 and C on this certificate rep resente my best shams to Interpret the�a� • • Is. �•. �": t understand that any false statement may be punishable by tine or imprisonment under 18 U.S. Code, Secfrpn Q1. ' €*1 4502*� e.a Copies sh&ld be made of this COMllicate f0r:1) community official, 2) Insurance agentlootripany; end 3) building owner. .COMMENTS- i N ,..: � ........ . .... sOus arm sAseMeNr a ' ON FILM PIRA&ON COL11MNa A v elevation$ should be measured in A Zones and V Zones. top of the reference level floor. o Of the lowest horizontal structural member.