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HomeMy WebLinkAbout502142003 - 45 PLEASANT PL - FLOOD \","" .' -;. .. HL-A DB - ~;).I .... , , ELEVATION CERTIFICATE OMS No. 1660-0008 Exoires Februarv 28. 2009 .. U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program A1. Important: Read the insfructions on pages 1-8. A2. C~,JJoJ vJ:te A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) ,. ZIP Code e::;Z1J A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) '\2.. ~, D t=: .J..~I AL- AS. Latitude/Longitude: Lat.~; .(Q(~;;{,," "'"" Long.lz..Z. .<1^ t.1 \ 6 vJ, Horizontal Datum: 0 NAD 1927 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 enclosure(s), provide: a) Square footage of crawl space or enclosure(s) 0.02.. sq ft b) No. of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade. c) Total net area of flood openings in A8.b _ sq in rsa NAD 1983 A9. For a building with an attached garage, provide: a) Square footage of attached garage sq ft b) No. of permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b sqin SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B4. Map/Panel Number BS. Suffix B6. FIRM Index Date 53oo~~ ~ \~ \~~ B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. o FIS Profile ~FIRM 0 Community Determined 0 Other (Describe) B 11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ~NAVD 1988 0 Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date 0 CBRS DOPA B9. Base Flood Elevation(s) (Zone AO, use base flood depth) ~ DYes J8I No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) /7 o.J~ A. C1. Building elevations are based on: IS7l Construction Drawings' 0 Building Under Construction' 0 Finished Construction 'A new Elevation Certificate will be r~ired when construction of the building is complete. C2. Elevations -Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARlAE, ARlA1-A30, ARlAH, ARlAO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized Vertical Datum Conversion/Comments Check the measurement used. ._0 feet 0 meters (Puerto Rico only) .~O feet 0 meters (Puerto Rico only) ._0 feet 0 meters (Puerto Rico only) ._0 feet 0 meters (Puerto Rico only) .-0 feet 0 meters (Puerto Rico only) a) Top of bottom floor (including basement, crawl space, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member 01 Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) ._0 feet .-0 feet o meters (Puerto Rico only) o 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 information. / certify that the information on this Certificate represents my best efforts to interpret the data availab/e. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. o Check here if COmments are provided on back of form. Certifier's Name License Number Title Company Name Address City State ZIP Code Signature Date Telephone FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions , 'f!' " , City State ZIP Code IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 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 Signature o Check here if attachments SECTION E . BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) Date 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. E 1. 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). I It a) Top of bottom floor (including basement, crawl space, or enclosure) is -0-. fi-IKI feet 0 meters ~ above or 0 below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is _' _ 0 feet 0 meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-8 with perm anent flood op~ni s provided in Section A Items 8 and/or 9 (see ~e 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) Of::/!J\ding is . _ 0 feet 0 meters 0 above or U below the HAG. E3. Attached garage (top of slab) is _ 0 feet meters 0 above or P below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is~. fL.- ~ feet 0 meters 0 above or 0 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 cOrpo1-Y~.f100dplain'[11ana!:leii1~iiT ordinance? 0 Yes 0 No 0 Unknown. The local official must certify this information in Section G. \ \ '.' ", \ . .',U '.' SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFIC~;IC::JNr'-" The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-is\>ueddr com~'k)i:y-iSS~d m or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Pr Owner's or Owner's Authorized Re resentative's Name \..... ~ 5 0 0 0 ~~ ~ ~ ~' :t~~.:-: ~-:::; ~~.1 ::~. :..(~~~~~~:;;~. --r' ~. F. · VA-r.<>-l ~""'>1~>E'-1 _ __".!_ ___~._"C:\__\A :~ _==__~ _=~ f=\~\J"\\rJ. ~1l.\fE.~heCkherelfattachments 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. 0 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. 0 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. 0 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: 0 New Construction 0 Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building: G9. BFE or (in Zone AO) depth of flooding at the building site: o feet 0 meters (PR) o feet 0 meters (PR) Datum Datum Local Official's Name Title Community Name Telephone Signature Date Comments o Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions TOPOGRAPHIC SURVEY FOR: PAUL GALENO IN SECTION 14, TOWNSHIP 25 NORTH, RANGE 2 WES~ W.M. JEFFERSON COUNTY, WASHINGTON ,..--" ,..--" ,..--" / -.-/ ,..--" ,..--" ,..--" ,..--" ,..--" ,..--" ,..--" ,..--" ,..--" -.-/ ,..--" ,..--" ,..--" ,..--" ,..--" ,..--" ,..--" ,..--" ,..--" / LEGEND: . DeNOTES FOUND 3/4H IRON PIPE. (5/18/07) -.-/ ,..--" ./ ,..--" .-/ ,..--" ./ ,..--" . DeNOTES FOUND ,H IRON PIPE. (5/18/07) A DeNOTE:S FOUND ReBAR WITH PLASTIC SURVEY CAP STAMPeD: HLINDGReN 12309". (5/18/07) ~ ~ DeNOTES 30' INGRESS, eGRESS AND DRAINAGe EASEMeNT PeR AUDITOR'S FILe NUMBeR 521926. ~ ~~ t5l!: ~ ~!.J ~i~ r I 30 i-"" 15 0 I 30 ../ ,..--" ~ .-/ ,..--" ,..--" ,..--" ,..--" r- SCALe IN Fea VERTICAL DATUM: NAVD 88 ,..--" ,..--" ,..--" .../ ,..--" ,..--" ,..--" ,..--" ,..--" .../ ,..--" ,..--" ,..--" ,..--" r ,..--" r- ,..--" r ,..--" ,..--" r--+--... - I S?l:; ,___ , 1t?::_ , I ~ oil ~ -, I l'J1 ~ ~I ~ ~I ~ SOUTHWeST CORNER OF GOVERNMeNT LOT 1 CALCULATE:D POSITION (NOT VISITED THIS SURVEY) r- ,..--" ,..--" ,..--" / - -----' ,..--" ,..--" - <1t,~, _ - F-:-:-:-:':-:-' /........ .... .'.fo;. ...... ;.. . . .. .. . . . . . . . . . . or ~\~ \ \ G. \jO'Bs, 9 sv'(-.-.J . lv l~ ~'/I~' lit! '<0.<0' J' ?6:1t<, 0'\ :I :\\O~~G \,.: sP-~ r v 19 9\-t.~ ~ 0 9G. -.Jo~if:\S' FINAL CHECK: PLAT CHECK: DRAWN BY: SER#: NOTES: 1. THIS SURVEY WAS PERFORMED BY FieLD TRAVeRSe METHODS USING A 5 SECOND TOPCON GPT-800SA TOTAL STATION AND STE:EL TAPE. 2. FOR SECTION SUBDIVISION DATA. srr VOL. 5 OF PLATS, PAGES 79-81, RECORDS OF JeFFERSON COUNTY. WASHINGTON. 3. VERTICAL CONTROL WAS ESTABLISHED FROM TIES TO NGS MONUMENT W-409. (5/21/07) N.T.S. rB DESCRIPTION: FOR LEGAL DESCRIPTION SEE INSTRUMENT RECORDEi UNDER AUDITOR'S FILE NUMBER 521926, RECORDS F JEFFERSON COUNTY. WASHINGTON. LAND SU MAPPING DEVELOPMENT CONSULTING CONSTRUCTION MANAGEMENT JUNE 22, 2007 14(25N-2W)