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Home My WebLink AboutE-ELEVATION CERTIFICATE - 920 EAST MULBERRY STREET - POUDRE RIVER (22)U-S DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important Read the instructions on pages 1-9 SECTION A - PROPERTY INFORMATION At Budding Owners Name City of Fort Collins - Utilities Department A2 Budding Street Address (including Apt.. Unit. Suite and/or Bldg No ) or P O Route and Box No 920 East Mulberry Street (Operations Building) City Fort Collins State CO ZIP Code 80524 A3 Property Description (Lot and Block Numbers. Tax Parcel Number Legal Description. etc I Subdivision 1651 -Wastewater Treatment Plant No 1. Parcel No 97124-10-901 A4 Building Use (e g.. Residential. Non -Residential, Addition. Accessory etc ) Non Residenti OMB No 1660-0008 Expires March 31 2012 For Insurance Company Use Policy Number Company NAIC Number A5 Latnude/Longitude Lat N40 34' % 91" Long. W105 3' 40 72" Horizontal Datum ❑ NAD 1927 NAD 1983 A6 Attach at least 2 photographs of the budding if the Certificate is being used to obtain flood insurance A7 Building Diagram Number Not A8 For a building with a crawlspace or enclosures) A9 For a budding with an attached garage a) Square footage of crawtspace or enclosure(s) 9 sq ft a) Square footage of attached garage 254 sq ft b) No of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1 0 foot above adjacent grade Q within 1 0 foot above adjacent grade 0 c) Total net area of flood openings in A8 b 0 sq in c) Total net area of flood openings in A9 b 0 sq it d Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION G! NFIP Community Name 8 Community Number B2 County Name 63 State City of Fort Collins / 080102 _ Larimer _ _ Colorado B4 Map/Panel Number 65 Suffix B6 FIRM Index B7 FIRM Panel B8 Flood 9 se Flood Etevation(s) (Zone 08069CO983 G Date Effective/Revised Date Zone(s) AO use base flood depth) June 17, 2008 June 17. 2008 AE 493800 B10 Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69 ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) 811 Indicate elevation datum used for BFE in Item 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 ❑ CBRS ❑ OPA 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, AH. A (with BFE), VE. V1430. 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 Use the same datum as the BFE Benchmark Utilized COFC GPS BM #7 = 4961 77 Vertical Datum NGVD 29 Conversion/Comments NGVD 29 + 3 0 feet = NAVD 88 Check the measurement used a) Top of bottom floor (including basement, crawlspace. or enclosure floor) 44932 1� ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 494258 ® feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) nLa ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 4439 7§ ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 49420 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to budding (LAG) 4939 Z ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to budding (HAG) 4941 a ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 4939 Z ® feet ❑ meters (Puerto Rico only) structural support 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 I certify that the information on this Certificate represents my best efforts to interpret the data available 1 Q REGI understand that any false statement may be punishable by fine or impnsonment under 18 U S Code Section 1001 ® �`�� Q� •••••• , ff Check here if comments are provided on back of form Were latitude and longitude in Section A provided by a 0�.�'• M Slicensed land surveyor) ❑ Yes ® No V;OrC Certifier's Name Keith Meyer. P E. Title Owner Company Name Ditesco License Number 32976 Address 1315 Oakridge Drive, Suite 120 City Fort Collins State CO ZIP Code 80525 Signature iRmil 329 6 q- ll - 'UNAV FEMA Form 81-31 Mar See reverse side for continuation Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. Budding Street Address (including Apt Unit. Suite and/or Bldg No) or P O Route and Box No 920 East Mulberry Street City Fort Collins State CO ZIP Code 80524 For Insurance Company Use Policy Number Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official (2) insurance agenUcompany. and (3) building owner Comments Machinery and equipment servicing building are located in the main level mechanical room and include one MAU, UPS and transformer This certificate is for the Operations Building at this address COFC GPS BM #7 - Elev 4964 77 (NAVD 88) NGVD 29 - Elev = 4961 77 Signature.-"'` irate 7rg i heck here if attachments SECTION L - BOLDIN ELEVATION 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 ❑ feet El meters ❑above or El 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 budding 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 budding 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 communrtys 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 owners 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 Representatives Name Address City Signature Comments Date State ZIP Code Telephone ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community 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 and G9 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 8" The following information (Items G4-G9) is provided for community floodplain management purposes G4 Permit Number G5. Date Permit Issued G6 Date Certificate Of ComphancelOccupancy 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 [I meters (PR) Datum �� g G9 BFE or (in Zone AO) depth of flooding at the building site 4_qffL ce-3 0feet ❑ meters (PR) Datum let,99 G10 Community's design flood elevation qq ,to cc R feet ❑ meters (PR) Datum 10, VIA 1 1 I . 1 - - i% I , w. r 1 A A 1 - - - . �- .« I - � M WAR %._'_. P lAWWN Signature Comments -%ZiiS I S �'o: 424 P.1t f&f fi'425 Sfi''ic L Date i 4 sulwac e Check here If attachments Building Photographs See Instructions for Item A6 For Insurance Company Use: Building Street Address (including Apt., Unit. Suite, and/or Bldg. No) or P O Route and Box No. Policy Number 920 East Mulberry Street City Fort Collins State Co ZIP Code 80524 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance. affix at least two building photograDhs 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." If submitting more photographs than will fit on this page, use the Continuation Page. following. East and North Elevation of Operations Building O 1 NF i `arc io O OLLry �§y aW � Z p UdW dw h 20 4 hWA La O O iFB� Jgy H 1 �Q! N11 N O<h w U W p1m / OS C.1 Z 9 't W ~ <m�W � OU P, a: > W Zi�:n W .w-b' �, �o.•� w� vZ2 i O� o n id$� a� zm$ Vie,' c o �o� l 19 1!1 Wh 88qq Fh Z J my JW 1110 yEy��yWy�� w�¢� cOlph W W >mW h1�iLL6 riU hU :2 �LL 7 ? Y " n . 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