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HomeMy WebLinkAboutBLD2008-00187 Flood Certificate 0 • U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE. `oMB No. 1660-0008 Federal Emergency Management Agency expires February 28,2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Ai/,� Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number Sf :YI , i / ��Life/ City State ZIP Code A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) ;�3 / � � e ,26<, At'./6'/ t�i A-TJ 72( �"�� a �g5-400a9. A4. BuildingUse e. Residential,Non-Residential,Addition,Accessory, _ P ?'-J 7AL_ ( 9•, etc.)_ / A5. Latitude/Longitude:Lat. Long. Horizontal Datum: ❑NAD 1927 ,NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 6 A8. For a building with a crawl space or endosure(s),provide: // A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) 4- sq ft a) Square footage of attached garage sq ft b) No.of permanent flood openings in the crawl space or �A/// b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade � walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b /4 sq in c) Total net area of flood openings in A9.b sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State •/ f �A/ COCJ rl//cfe.7:5 62A/ p614 4///V47:ati E34.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) a069CV/0 e ✓v-Y/9//2 ✓/4r/9 79g2. . As. ' s if)B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ', 0 FIS Profile 0 FIRM ❑Community Determined Other(Describe) f/4i� �/gve-T B11. Indicate elevation datum used for BFE in Item B9: NGVD 1929 ' . L_!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. i,. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE);AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-g Beow to the building diagram specified in Item A7.below according / k Utilized -.: ✓ F .l,7 �P " 627 Vertical_ Datum-..,:.:NAP. /��.3/g/ >w�: Conversion/Comments . .. Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor) G200-- feet ❑meters(Puerto Rico only) b) Top of the next higher floor _/t,/4 ._❑feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) - _A//�_._❑feet 0 meters(Puerto Rico only) , d) Attached garage(top of slab) et"04- ._❑feet ❑meters(Puerto Rico only) - e) Lowest elevation of machinery or equipment servicing the building ,42L_,.,, _._❑feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) i :,} f). Lowest adjacent(finished)grade(LAG) s%OZ- .a t ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) _ 7i.C' 'eet ❑meters(Puerto Rico only) • 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 elevation1fl////////////^� MI!, information.information. /certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine o-imprisonment under 18 U.S. Code,Section 1001. ; 1 ^ 0,� Check here if comments are provided on back of form. �Q QF-W rAisy/yC n - Certifiers Name /V/iNst L_ ,/:. }' A/Dc72.50 / Licenses pD5 �?,6,� \ N z o j Title Commny Name E Address._ City te. IPCode, PLS. CERT/27665 \' EGG(/ t/t/0 .•i. R2i2� T 11U/ - WA- ger<g % J + ' oism0 Signature Date Telephone �//� 1'i �.-�_ ;I -A-44-sli ___ 4/22��b_ pi- �;./-/;:-1/ , l LAt�O EXPIRES 05 / 05 / 10 FEMA Form 81-31,February 2006 See reverse side for continuation. F/41Vs.`\"\`��NV, Zik� • • For Insurance Company Use: IMPORTANT: In these spaces,copy the corresponding information from Section A. PolicyNumber Building Street Address(including Apt. Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. � State. ZIP Code Company NAIC Number City A211/GG ----A 1'+/ 1-1-1 7)/J 46 -7.6 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. �,Comments i / (e) G- E-�� = ,%z i(> 3 ,3 J /q7 3 3 2 x/ pc . . l a) =/742 G/55 - Gi t'i2 / Pfr7A- Signature Date ❑Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For items El-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. El. 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).. ❑feet El meters El above or El below the HAG. a)Top of bottom floor(including basement,crawl space,or enclosure)is — El feet El meters El above or El below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is E2. For'Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see eg.ge 8 of Instructions),the next higher floor (elevation C2b in the diagrams)of the building is _0 feet El meters El above orbelow the HAG. E3. Attached garage(top of slab)is 0 feet 0 meters 0 above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is •_❑ feet ❑meters 0 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 community's flood plain 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 owner's 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,13,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name State ,ZIP.Code. sag Address _. ,. _ _ City . , F 4r 8. Signature Date Telephone Comments ❑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 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. GI. ❑ 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. ❑ The following information(Items G4.-G9.)is provided for community floodplain management purposes. G4.Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued I G7.This permit has been issued for: ❑ New Construction. ❑Substantial Improvement - G8.Elevation of as-built lowest floor(including basement)of the building: - ❑feet ❑meters(PR) Datum ~- G9.BFE-or(iri Zone AO)depth of flooding at the building site: feet El meters(PR) Datum .4r r-a Local Official's Name Title Community Name Telephone Signature Date t�_ Comments ,,ti ❑Check here if attachments` - Replaces all previous editions, FEMA Form 81-31,February 2006 I • U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE. OMB No. 1660-0008 Federal Emergency Management Agency Expires February 28,2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. r,, .. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number S 'Y"VV/,G/1/ e2?./1T .. City State . ZIP Code A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) E.�/!% iJ 7AL, A5. Latitude/Longitude:Lat. Long. .:.,""'.` Horizontal Datum: ❑NAD 1927 XNAD 1983 M. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number A8. For a building with a crawl space or enclosure(s),provide: , A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq ft b) No.of permanent flood openings in the crawl space or // b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade � walls within 1.0 foot above adjacent grade c) Total net area of flood openings in AB.b a sq in c) Total net area of flood openings in A9.b sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name • . B3.State ✓ ffi©A./ 40e) ."1-/Cf ei2.5-0A/ PO -te/// . 7-22itl B4.Map/Panel Number 85.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date ` Zone(s) AO,use base flood depth) o,o 9 /o e ✓u1 Y/?,/ i / /992•.- A 5.3' 7"'1� '' B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. . ❑FIS Profile ❑FIRM ❑Community Determined Other(Describe) �/ i--� �[/21/G-- B11. Indicate elevation datum used for BFE in Item B9:MNGVD 1929 . L_.!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) Cl. 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,V1 V30,V(with BFE);AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7.Benchm U ark tilized ✓E/ t 22 6.**. 622/7 Vertical Datum A%A". /' 3/q� Conversion/Comments �.. .......`';.'. ,: Check the measurement used. ,; ::tin a) `Top of bottom floor(including basement,crawl space,or enclosure floor) VOZ, 3,0 L"J feet ❑meters(Puerto Rico only) 'is b) Top of the next higher floor _ N!4 ._❑feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only), - /l//A _❑feet ❑meters(Puerto Rico only)" , d) Attached garage(top of slab) ttlJ/4 ._❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building Am- .-_❑feet ❑meters(Puerto Rico only) ` (Describe type of equipment in Comments) rya f). Lowest adjacent(finished)grade(LAG) ZOZ' [eet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) ---- •7?i.D 6p, eet ❑meters(Puerto Rico only) -_..- -- :ri SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION Y" This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation `tf7�///////�///^\\\\����\\\k�it information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine o-,mprisonment under 18 U.S.Code,Section 1001. J A/vO Check here if comments are provided on back of form_ ` N.- �F WA sy� ,O -Z'1c, ;lit Certifiers Name /1441/A Li__.. . F' Pcense Nu r 1- ✓, q�/1a�YZ viV l`S 276.e -N Z oz Title Co ny Name �' T ;, [� G/I/!L G/ %/l/t 6�- ���l y� t2��i YO/<� I P Co e2 I "PLS. CERT p27665 I Address �e(/G411L)citY . .%• /�/2% 7-141ZYte (i�/ 4CJ 3�g 0 ;' ,,, lsi ji Signature kiia a.,i 4.1,:t.14,6 ) } f 46/2 4,.t ._Telephone ....-lrir-/�:.>/, 4"r( LA� FEMA Form 81-31,February 2006 See reverse side for continuation. F EXPIRES 05 / 05 / 10 • • Insurance Company Use: IMPORTANT: In these spaces,copy the corresponding information from Section A. For PolicyNumber Building Street Address(including Apt. Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Y G'tG'/ Gc7r1/L City State ZIP Code Company NAIC Number SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance-? agent/company,and(3)building owner. Comments G / (el /�- = l�Cr:� �1 T �, //7 33 l=rgz j9 /2& ' OAS Signature Date ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items EI-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items El-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. El. 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). ❑feet meters above or ❑below the HAG. a)Top of bottom floor(including basement,crawl space,or enclosure)is --❑feet ❑meters ❑above or below the LAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),the next higher floor (elevation C2b in the diagrams)of the building is ._❑feet ❑meters ❑above or u below the HAG. E3.: Attached garage(top of slab)is . ❑feet 0 meters ❑above or ❑belowthe HAG. E4: Top of platform of machinery and/or equipment servicing the building is ._❑ feet ❑meters 0 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 community's 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 owner's 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 Representative's Name Address Cy State eICode G x „—. Signature. ... ..... ..._ Date .M. • Telephone Comments ❑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 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. GI. ❑ 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. ❑ The following information(Items G4.-G9.)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued I G7.This permit has been issued for: ❑ New Construction Improvement G8.Elevation of as buiIt lowest floor(including basement)of the building: • • ❑feet ❑meters(PR) Datum • • G9.BFE or(in Zone AO)depth of flooding at the building site: 0 feet ❑meters(PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31,February 2006 Replaces all previous editions i . • IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: Building Street Address(including A t. Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number Y V/d-/ Gvrl,r City State. ZIP Code Company NAIC Number t (4,- /- 7A/ 2-PAJ Gt ' 77 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments GL / /%z O J z /% 7:33 �j(/ Tr71/14 cf' -/7 Gf5 d_ Signature Att7/ Date -CX /®/q ❑ Check here if attachments SECTION,/-BUILDING ELEVAT INFORMATION(SURVEY NOT REQU ED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items El-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. El. 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,crawl space,or enclosure)is !/ feet El meters above or ❑below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is /VA.. ❑feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-8 with permanent flood openin s provided in Section A Items 8 and/or 9(see a e 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is /l/A ._❑feet ❑meters ❑above or Lbelow the HAG. 5-/il/66_6r E3. Attached garage(top of slab)is / . 7.0 eat[]meters ®above or ❑ bel wthe HAG. E4. Top of platform of machinery and/or equipment servicing the building is / .767 t feet ❑meters Zabove or ❑below the HAG. E5. Zone AO only f no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? [JYes ❑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 owner's 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,8,and E are correct to the best of my knowledge. Property Owner's or is Authorized Representative's Name /✓// 4A-�1_ / A/V067? Address _ _ City � State /� ZIP Code J 7vIVN5 �/T Signature le . Date. ... Telephone L�t' r1 7/�,/ r- 3 U—.ter" /O// ,. Comments j / ❑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 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. GI. ❑ 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. ❑ The following information(Items G4.-G9.)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy 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 ❑meters(PR) Datum G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments RE C f,1f- 1y. 'D RECEIVED JUL2 4 Lli v ❑Check here if attachments FEMA Form 81-31, February 2006 JUL 2 4 2M3 Replaces all previous editions JF. r CDJ�JIYDCD U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICAJ 2 4 2008 OMB No. s February. 1660-0008 2009 Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFQ� I, N } pc(I tsurance Company Use: Al. Building Owner's Name I•%a,/PO' � � Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number .-/ S,C}--1,'/z64/ L rlic, state ZIP Code ����� City G'e,/�-C" � wk A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) -TA pG6 r q 40o oW A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) /Zg"5 /l-,&n'i77,4Z---- A5. Latitude/Longitude:Lat. 47 e 5 6 r .f 'i Long. /ZZ o" 53' /7' • Horizontal Datum: ❑NAD 1927 ONAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number A8. For a building with a crawl space or endosure(s),provide: A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade c) Total net area of flood openings in AB.b /4 sq in c) Total net area of flood openings in A9.b sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State G A/ Oel/ti l •,i -i=fWi25-E9A/ iiili/A/ ? it1 B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM,Panel B8.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date " Zone(s) AO,use base flood depth) 300 .9 /o e ✓at_Yel/= ✓eiz,Yi-9.. /982... A 5.3-= -sC in B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. . ❑FIS Profile ❑FIRM ❑Community Determined Other(Describe) /4�• /2��� B11. 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 �o Designation Date ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. 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 A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. ��� `�� / i Benchmark Utilized � Ff� �{9 ' �ZZ7 Vertical Datum Conversion/Comments '. - ., (Chh{ecckk the measurement used. a) 'Top of bottom floor(including basement,crawl space,or enclosure floor) VC/3_7U E reet 0 meters(Puerto Rico only) b) Top of the next higher floor wj4 ❑feet 0 meters(Puerto Rico only) , c) Bottom of the lowest horizontal structural member(VZones only) /WA. ❑feet El meters(Puerto Rico only,, d) Attached garage(top of slab) /t.)/4- _❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building Am... ._❑feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) f). Lowest adjacent(finished)grade(LAG) 7U/ .© t ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) V, ?—._L et ❑meters(Puerto Rico only) 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 f�%�///�����/Z^�����������N�1j? information. I certify that the information on this Certificate represents my best efforts to interpret the data available. t ^NO / I understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. r1 F Ash,, , i Check here if .mments are ovided o ba off \ �Q�0 W A yic� Certifier's Na / A5L, / , A-/v4e72- Licens d \ \ U Q 1 • p Title Co pang Name ,;i i . , y / _� /v 6 /.v7 z- 4A�v P �v�i/ .t'o2_ /,�I P ce e 4�1"' #22Qs� li Address `-e C _ / . /�l2/ c?1�� 4 v �!f/�"T 4 gCity •� v" j Signature Z. /� Dv"' 7/! " x'`7 hone ��'C2 / " - 7/74 O LAB S i EXPI'ES 05 / 05 / 10 FEMA Form 81-31, February 2 6' See reverse side for continuation. kw. Ne , ,,, //TI k� ^R • • MICHAEL 1.ANDERSON CMI Wear a Lad Sower 330 Cleveland Street Port Townsend,WA 98368 July 24, 2008 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 ATTENTION: Michelle Farfan SUBJECT: Revised Flood Elevation Certificate APN 995 400 094;Lot 99, Snow Creek Ranch Plat Jefferson County, Washington Attached is a revised Flood Elevation Certificate for the subject site that has been changed in response to your letter of July 7, 2008. As previously indicated, it has been determined that Lot 99 is not within the flood way of the creek. The flood way elevation has been re-calculated to 197.33. As previously noted,the low point for Lot 99 is at the northwest corner of the lot at elevation 200.3. In addition, a hub has been placed near the center of the lot at an elevation of 202.2 for future residential construction reference. The first floor elevation shall be established at one foot above the hub for a final floor elevation of 203.20. Please indicate if you need any additional information at this time. Very truly, Michael J. derson ECEIVi � PE&PLS No. 27665 } 1 '-.1 State of Washington JUL 2 4 2OO JEFFERSON COUNTY DO c: Robert Van de Weghe, Owner