HomeMy WebLinkAbout932200801 - 1030 BECKETT POINT RD - FLOOD okU _ 6S -o -- aoclocoy
U.S DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
Federal Emergency Management Agency Expires March 31, 2012
National Flood Insurance Program Important: Read the instructions on pages 1-9.
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
Al. Building Owner's Name Susan Bumgarner Policy Number
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number
Beckett Point Road across from 1030
City Port Townsend State WA ZIP Code 98368-5717
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Tr."A"Beckett Pt.So.Beach,Beckett Pt.Fisherman's Club Assessor's Plat,Gov.Lot 1,Sec 23,T3ON,R2W,WM.,TP#932200801
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Garage-Recreational usel
A5. Latitude/Longitude: Lat.48 04 40.4 Long. 122 53 18.1 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 1
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 624 sq ft a) Square footage of attached garage 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 7 within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b 630 sq in c) Total net area of flood openings in A9.b sq in
d) Engineered flood openings? ® Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number B2.County Name B3.State
Jefferson Co.530069 Unincorporated area WA
B4.Map/Panel Number B5.Suffix B6.FIRM Index B7. FIRM Panel B8.Flood B9 Base Flood Elevation(s)(Zone
530069 0135 B Date Effective/Revised Date Zone(s) AO,use base flood depth)
July 19, 1982 Al 9.0
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)
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 ® 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 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-h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized GP16101-2Vertical Datum NAVD 1988
Conversion/Comments NAVD 1988-3.51'=NGVD 1929
Check the measurement used.
a) Top of bottom floor(including basement,crawlspace,or enclosure floor)6.48 ®feet ❑meters(Puerto Rico only)
b) Top of the next higher floor ❑feet ❑meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) ❑feet ❑meters(Puerto Rico only)
d) Attached garage(top of slab) ❑feet ❑meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building El feet ❑meters(Puerto Rico only)
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 6.4 ®feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade next to building(HAG) 6.4 ®feet ❑meters(Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs,including ❑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 `' �- v,.
information. /certify that the information on this Certificate represents my best efforts to interpret the data available. l,. R OB/A\, I
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. � OF WASH4. sO
0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ti
o
licensed land surveyor? 0 Yes ❑ No
Certifier's Name Kent L.Robinson License Number 19583 -0
Title Surveyor Company Name Northwestern Territories Inc.(NTI) '<, 19583
`�S REC;ISTERF� t-
Address 717 South Peabody City Port Angeles State WA ZIP Code 98362 0A,4L LANO�
■ F
Signature / trOPrOP- Date 2/24/2010 Telephone 360)452-8491 /it
i11�,• -1.1. "1/411A,"0:1% ,F F/1It
IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use:
•
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number
Beckett Point Road across from 1030
City Port TownsendState WA ZIP Code 98368-5717 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 This certificate is for finished construction of a detached garage located in Tract"A"Common Area across the road from and serving the existing
recreational cabin on Lot 34 of Beckett Point South Beach.The elevation of the top of the foundation stem-wall is 7.93.The wall is constructed of treated
material for 4 feet above this elev. .= •e the•ntractor Dave Johnson.
Sign ure Date 2/24/110
❑ Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AIki±ONE 14(Wt HOUT 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.
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,crawlspace,or enclosure)is . ❑feet ❑meters ❑above or❑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 building 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 building 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 community's floodplain management
ordinance? 0 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 City State ZIP Code
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.
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.❑ The following information(Items G4-G9)is provided for community floodplain management purposes.
G4.Permit Number G5. Date Pe it Is ued G6. Date Certificate Of Compliance/Occupancy Issued
t1 CA pq-�2� fl3Lb0'-�213 107i 5?cog
G7. This permit has been issued for: "New Construction ❑Substantial Improvement b
G8. Elevation of as-built lowest floor(including basement)of the building: `p .-4 9 Meet ❑meters(PR)Datum
G9. BEE or(in Zone AO)depth of flooding at the building site: 9 . 0 feet ❑meters(PR)Datum
G10.Community's design flood elevation ❑feet ❑meters(PR)Datum
Local Official's Name e_ 1,/0sl/ I n S Title ■`-r`a n nine, t.a via e c cc
Community Name [_t f_ Telephone
"(WO • 3l OV 3 79, W
Signature C / Date
Comments
r--I/Ma i,tiara ti offn■itmanb
IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use:
Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Policy Number
Beckett Point Road across from 1030
City Port TownsendState WA ZIP Code 98368-5717 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 This certificate is for finished construction of a detached garage located in Tract"A"Common Area across the road from and serving the existing
recreational cabin on Lot 34 of Beckett Point South Beach.The elevation of the top of the foundation stem-wall is 7.93.The wall is constructed of treated
material for 4 feet above this eleva •er the .ontractor Dave Johnson.
Sign: ure Date 2/24/110
❑ 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 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 ❑meters El above or❑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 building 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 building 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 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 City State ZIP Code
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.
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. ❑ 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
G10.Community's design flood elevation ❑feet ❑meters(PR)Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
1--I Phcn4 hcrn if offnrhmcnfc
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
Beckett Point Road across from 1030
City Port Townsend State WA ZIP Code 98368-5717 Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below accordng to
the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, i i
f required, Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the
reverse.
r.
Front View South Side of Garage
•
—-f- —
S. ..
,;,A,, H .
Right View East Side of Garage
MAR - 1 2010
Building Photographs
Continuation Page
For Insurance Company Use:
Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number
Becket Point Road across from 1030
City Port Townsend State WA ZIP Code 98368-5717 Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all
photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View."
':3/44,'" ,,,.,„
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Rear View North Side of Garage
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Left View West Side of Garage
MAR - 1 2010
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ZONE A.
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MAR 1 2010
fl NATIONAL FLOOD INSURANCE PROGRAM\ ,
-- KEY TO MAP
500-Year Flood Boundary N �-----]i
FIRM 100-Year Flood Boundary
Zone Designations*
FLOOD INSURANCE RATE MAP
100-Year Flood Boundary 1 '
500-Year Flood Boundary
Base Flood Elevation Line ------513
JEFFERSON COUNTY, With Elevation In Feet**
WASHINGTON Base Flood Elevation in Feet (EL 987)
�+Il t�1 rr��v AREAS) Where Uniform Within Zone**
(UNINCORPORATED AREAS) Elevation Reference Mark RM7X
Zone 0 Boundary
River Mile •M1.5
k*Referenced to the National Geodetic Vertical Datum of 1929
PANEL 135 OF 1625 °*EXPLANATION OF ZONE DESIGNATIONS
(SEE MAP INDEX FOR PANELS NOT PRINTED)
ZONE EXPLANATION
A Areas of 100-year flood; base flood elevations and
flood hazard factors not determined.
AU Areas of 100-year shallow flooding where depths
are between one (1) and three(3)feet;average depths
of inundation are shown, but no flood hazard factors
are determined.
AH Areas of 100-year shallow flooding where depths
are between one (1) and three (3) feet; base flood
elevations are shown, but no flood hazard factors
are determined.
Al A30 Areas of 100-year flood; base flood elevations and
flood hazard factors determined.
A99
COMMUNITY-PANEL NUMBER Areas of 100-year flood to be protected by flood
530069 0135 B protection system under construction; base flood
elevations and flood hazard factors not determined.
8 Areas between limits of the 100 year flood and 500-
EFFECTIVE BATE. year flood; or certain areas uthim t 100 year flood-
ing ing with average depth lca- than nit (I) foot or where
or�N N � �/ 1982 the contributing d air t t a,e is less than one square
w� OA `3V
JULY 19, 199L
mil(-; or ,+rca, prutccr..d by Ic i�e�Iron) the base flood.
yl (Pdlcrhum shading)
6 /: a
ry b, I n. C A■^<is of minimal flooding. (No shading)
n,�
'"\ ,h�.o% 0 Areas of undetermined, but possible, flood hazards,
�_ V Areas of 100-year coastal flood with velocity (wave
action); base flood elevations and flood hazard factors
Federal Emergency Management Agency not determined.
V1 V30 Areas of 100-year coastal flood with velocity (wave
action); base flood elevations and flood hazard factors
determined.
2010
MAR — 1
NOTES TO USER
Certain areas not in the special flood hazard areas(zones A and V)
may be protected by flood control structures.
This map is for flood insurance purposes only; it does not neces-
sarily show all areas subject to flooding in the community or
all planimetric features outside special flood hazard areas.
For adjoining map panels, see separately printed Index To Map
Panels.
INITIAL IDENTIFICATION:
JUNE 21, 1977
FLOOD HAZARD BOUNDARY MAP REVISIONS:
FLOOD INSURANCE RATE MAP EFFECTIVE:
JULY 19, 1982
FLOOD INSURANCE RATE MAP REVISIONS:
Refer to the F Loot) INSURANCE RATE MAP EFFECTIVE date
shown on this nap to determine when actuarial rates apply to
structures in the cones where elevations or depths have been estab-
lished.
To determine it flood insurance is available in this community,
contact your inunance agent,or call the National Flood Insurance
Program,at(800) 618-6620.
N
APPROXIMATE SCALE
1000 0 1000 FEET
(- __x111:17 -
---
MAR - 1 2010