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Home My WebLink AboutE-ELEVATION CERTIFICATE - 804 MARTINEZ STREET - DRY CREEK (3)IC0ku,0 ELEVATION CERTIFICATE 0M.B.vo106,rCr- „ E10'res May 31. 1992 FEDERAL EMERGENCY MANAGEMENT AGENCY 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 floodplain management ordinances, to Cetermine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LCMR). Instructions for completing this form can be found an the following pages. SECTION PROPERTY INFORMATION I PCR INSUPANCE COMPANY USE I BUILDING CWNER'S NAME PCL'CYNUMBER r�� - r ivl 19RCA u STREET, AGGRESS ilndualag I.L. urn. Suns anaar Slag. Numcerl OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER �o A r OTHER OESCRIPTION fLat and Slcuz Numcers, Sidi L or ;2 1 A L r O tit r r 4 ` u 6 D/ V/ ,f / D .V CITY STATE ZIP CODE i Foley i'01LIV9 /-ARimeR COUNrY GO Aos;-rt SECTIONS FLOOD INSURANCE RATE MAP (FIRM) INFORMATION. " Provide the following from the proper FIRM (See Instructions): .9 1. COMMUNITY NUMBER 2. PANEL NUMBER 3, SUFFIX A. GATE OF FIRM INDEX S. FIRM ZONE S. BASE P_Co0 ELEVATION a fin AO Zonn, use doom) 08 o[o z_ 0007— 8 FBe. fs,f+s9- I A 49s0 7. Indicate the elevation datum system used an the FIRM for Base Flood Elevations (BFE): ❑ NGVO'29 Xi Other (describe on back) > -' 8. For Zones A or V, wherenop is provided on the FIRM, and the community has established a BFE for this building site. indicate the community's BFE: .5 feet NGVD (or other FIRM datum -see Section B. Item 7). - 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 best describes the subject building's reference level Z. . 2(a). FIRM Zones A1430. AE, AH, and A (with BFE)., The top of the reference level floor tram the selected diagram is at an elevation of 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 of I 116 .l1P feet NGVD (or other FIRM datum -see Sedan B, Item 7). (c). FIRM Zone A (withal: 3FE). The floor used as the reference level from the selected diagram is U.1! feet above ❑ or below (check one) the highest grade adjacent to the building. pp, (d). FIRM Zone AC. The floor used as the reference level from the selected diagram is i .p feet above❑ 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? ❑ Yes ❑ No 99 Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: 2 NGVD'29 ❑ 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 B, Item 77, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 6,� 4. Elevation reference mark used appears on FIRM: 1Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: -N actual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid if 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.) ��,� q 6. The elevation of the lowest grade immediately adjacent to the building is: i IT_:1iJ i3.L 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 'lowest floor" as defined in the c/�ommynity'ss floodplain management ordinance, the elevation of the building's *lowest floor' as defined by the ordinance is: ' ;R?.5 feet NGVD (qr ger FIRM datum -see Section B. Item 7). 2. Date 0t the start of construction or substan--tiiaalimprovement f} V FEMA Form 81-31, MAY 90 REPLACES ALL PREVIOUS EDI rIONS SEE REVERSE SIDE FOR CONTINUATION \1' j 1 SECTION E CERT7F1CATICN i his certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or kcal law to certify ele, information when the elevation information for Zones Al-A20, AE, AH, A (with BFE),V1-V30,VE. and `/ (with SFE) is recur - Community officials who are authorized by kcal law or ordinance to provide flocdclain management information, may also : certification. In the case of Zones AO and A (without a FEUA or community issued BFE), a building official, a property Owl :n owner's representative may also sign the certification. Reference level diagrams 6. 7 and 8 - oistinguishing Features -If the certifier is unable to cerify 10 breakawayincn-treakaway wall. enc!csure size, location of servicing ecuicment, area use, wail openings, or unfinished area Feature(s), then list the Features tt11110 included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. &M I terrify that the information in Sections 8 and C on this certificate recresents my best eifcrts to interpret the data ava I understand that any false statement may to cunisnacle by fine or imphsdnment under 12 U.S. Code, Section 1001, v COMPANY LICENSE NUMSEa (or AM. Seal) 5uool.-/dlee.J F7-e4o//t/LS E'O/a oL�.) .;ITY STATE LIP sls:u -c CATE PHONE Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. ON WITH ON PILES, SLAB BASEMENT PIERS. OR COLUMNS A v A A v ZONES ZONES ZONES ZONES ZONES PEf EPENCE B�.SE LEVEL ROOO PEfEPE."CE .EVft P7_=E1 IEVEI. ELE'unON J p� 1 AOJ CENr AEEEE RCCO GRACE LEVEL PEPEIfl. OJ ^OTCe - E 5E `LOCO EIEV�nCN LEL *ACE 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. C/ '6fL 'l I / ZONE B�ZCNE B ..: ..:T� .. -'.. SC4 MAr2T1NEZ 4 5AN ZONE$ [:r.F Kscry i r °„STTO. LOCIT/ ON or- StiBJECT 'RROVE1ZTui sr �9hrY �. i'>s+^ r-•«a, FORT CGLL. IA(5�,C0 Jo./ ,i'i EB LLO kk