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Home My WebLink AboutE-ELEVATION CERTIFICATE - 1650 ROBERTSON STREET - SPRING CREEK (3)FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE O.M.B. No. 3067-0077 Expires December 31, 200? Read the instructions on pages 1 -7. SECTION A- PROPERTY OWNER INFORMATION I For InsurdrxeCompariyUse: I Policy Number John Walz Enterprises. Inc. BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Company NAIC Number 1650 Robertson Street CITY STATE ZIP CODE FM Collins CO 80525 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lots 48.51, Pinnacle Townhomes P.D.P. BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc Use a Comments area, d neoessary.) Residential LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type),.— ( ##-#W-##.##" or ##. ) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION FonCoPm:080102 I Lames 100 I B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATIONS) NUfv1BER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVEIREMSED DATE B8, FLOOD ZONE(S) (Zone AO, use depth of flooding) 080102-0012 C 03.18A6 03-189611031-01 ;X 100yr 4952.8 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Bg. ❑ HIS Profile ❑ FIRM ❑ Community Determined ® Other (Describe): Spring Creek Master Plan Update B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):_ B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date_ 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. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed -see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations —Zones Al-A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, ARIAH, AR/AD Compete Items C3.-a i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show, field measurements and datum conversion calculation. Use the space pi Section D or Section G, as appropdate, to document the datum conversion. Datum NGVD 1929 Conversion/Comments none Elevation reference mark used TT-402 Does the elevation reference mark used appear on the FIRM? []Yes ®No o a) Top of bottom floor (including basement or enclosure) 4956. 34 ft.(m) o b) Top of next higher floor 4965.49 ft.(m) 0 o c) Bottom of lowest horizontal structural member (V zones only) nda . _Nrn) S o o d) Attached garage (top of slab) 4954. 97 ft(m) E o e) Lowest elevation of machinery and/or equipment w d servicing the building (Describe in a Comments area) 4956.34 fl.(m) g E m o f) Lowest adjacent (finished) grade (LAG) 4955. 9fL(m) z' m o g) Highest adjacent (finished) grade (HAG) 4955. 96 fL(m) v, o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 0 o t) Total area of all permanent openings (flood vents) in C3.h 0 sq. in. (sq. cm) 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. 1 certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or Imprisonment under 18 U. S. Code Section 1001. NAME Shear Engineering Corporation FEMA Folm 81-31, January 21iO3 / See reverse side for continuation. Replaces all /previousrdi8ons IMPORTANT: In these spaces, copy the corresponding information from Section A. I For Insurance Company use: I CITY STATE ZIP CODE I Company NAIC Number Fcni Wlins CO M25 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenticompany, and (3) building owner. COMMENTS Roodplan determined by Northern Engineering per 10/31/01 report. Elevation of Benchmark T-402 = 4979.76 Lowest HVAC Elevation: Elevation of electric water heater= 4956.34 ❑ Check here attachments SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (withou(BFE), complete Items E1 through E4. If the Elevation Certificate's intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. El. Building Diagram Number —(Select the building diagram most similar to the building for which this certificate is being completed —see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2, The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(=) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, I available). E3. For Building Diagrams 68 with openings (seepage 7), the next higher Poor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent grade. Compete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top or the bottom floor elevated in accordance with the community's floodplain management ordnance? ❑ Yes ❑ No ❑ Unknown. The local office must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sections A, B. C (Items C3.h and C3.i only), and E for Zane A (without a FEMA4ssued or community - issued BFE) or Zane AO must sign here. The statements in Sections A, B, C, and E are coned to the best ofmy knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE ❑ 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 compete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable ilem(s) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by stale or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community otfida completed Section E for a building located in Zone A (withoul a FEMA-issued or communityissued BFE) or Zone AD. G3. 59 The following information (Items G4-39) is provided for community floodplain management purposes. G7. This permit has been issued for. New Construcio7n ❑ Substantial Improvement . ' G8. Elevation of as -built lowest floor Inds ding basement) of the building is: `/%,'lM4(m) Datum: _A2vr vD1f G9. BFE or (in Zone AO) depth of flooding at the building site is: W LLZI .(m) Datum: ✓Day FEMA Form 81-31, January 2003