HomeMy WebLinkAbout502142003 - 45 PLEASANT PL - FLOOD
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ELEVATION CERTIFICATE
OMS No. 1660-0008
Exoires Februarv 28. 2009
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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
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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
,
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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
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5 0 0 0
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_ __".!_ ___~._"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
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LEGEND:
. DeNOTES FOUND 3/4H IRON PIPE. (5/18/07)
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. DeNOTES FOUND ,H IRON PIPE. (5/18/07)
A DeNOTE:S FOUND ReBAR WITH PLASTIC SURVEY CAP
STAMPeD: HLINDGReN 12309". (5/18/07)
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DeNOTES 30' INGRESS, eGRESS AND DRAINAGe
EASEMeNT PeR AUDITOR'S FILe NUMBeR 521926.
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SCALe IN Fea
VERTICAL DATUM: NAVD 88
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GOVERNMeNT LOT 1
CALCULATE:D POSITION
(NOT VISITED THIS SURVEY)
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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.
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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)