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HomeMy WebLinkAbout902253012 - 1785 WEST UNCAS RD - FLOOD FEDERAL EMERGENCY MANAGEMENT AGENCY -7' 'il II tI:LEVATIONCERTIFICATE !it / !i .,.,, . I1 or ar ~ UJ NU v ~ u 4u~ t~1 [~ON A- PROPE~ OWN~ INFOR~ON t BUILDIF IG OWNER'S ~ME BUILDIF[~~~0~I~'~~ ire, an~or Bldg. No.) OR P.O. RO~E AND BOX NO. O.M.B. No. 3067-0077 Expires December 31,200[ Policy Number Company NAIC Number CITY STATE ZIP CODE Port Townsend WA 98368 PROPERTY DESCRIPTION (Lot and Bloc~ Numbers, Tax Parcel Number, Legal DescripUon, etc.) Portions of the SW¼ SEN of Section 25 and the SEN SE',4 of Sec~on 26, T 29 N, R 2 W, W.M. Assessor's Tax Parcel No. 902 253 012 BUILDING USE (e.g., Residential, Non-residential, Addi§on, A~, etc. Use a Comments ama, if necessary,.) ResidenUal LATITUDE/LONGITUDE (OPTIONAL) ( ¢~¢ - ¢~ - ##.#C or ##.~) 47°58'14"+ N & 122°53'06"+ W HORIZONTAL DATUM: SOURCE: [] GPS (Type):StalJc [-1 NAD 1927 [] NAD 1983 [] USGS Quad Map [] Othen SECTION B- FLOOD INSURANCE RATE MAP (FIRM)INFORMATION B2. COUNTY NAME B1. NFIP COMMUNITY NAME &COMMUNITY NUMBER Jefferson County 530069 tB3. STATE Washhgt:~n 84. MAP AND PANEL I J I 87. RRM PANEL NUMBER I B,5. SUFFIX I 86. FIRM INDEX DATEI EFE~D DATE i 88. FLOODZONE(S) 5.30069 0410 j @ ~ 711911982 i 711911982 ~ A 810. indicate the source of the Base Flood Bevation (BFE) data or base flood depth entered in B9. !'-] FIS Profile [] FIRM [] Community Determined [] Other (Describe): 811. Indicate the elevation datum usedfor the BFE in B9:1~ NGVD 1929 I--] NAVD 1988 [] Other(Describe): 812.~sthebuilding~catedinaC~asta~BarderRes~urce~System(cBRS~ama~r~therwisePr~tectedArea(~PA)? I--lYes [~No B9. BASE FLOOD ELEVATION(S) (Zone AC. use dec of ,'toodir,:j) No BF"E Designation Date SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. CZ C3. Building elevations are based on: I~ Construction Drawings* i'--I Building Under Construction* BI Rnished Construction *A new Elevation CerlJficate will be required when construction of the building is complete. Building Diagram Number 1 (Seted the buil~ilar to the building for which this certificate is being completed - ~ pages 6 and 7. If no diagram accurately represents the b~~h Devations- ~ ,,-~,.AH~(w~ B~~,~ BFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH, AR/AO ¢Comptete Iter~~the. ~i~_ing _dia~. !:~dti~ in Item C2. State the datum used. If the datum is different from the datum used for the BE in Section B, con~~J~m to that used f~the_~Sho~~u~en~ and datum conversion calculation. Use' Section D or ~,~s app~e, tedJcur~,~De dat~ (~v~ion. Datum ~ (~ersiCt/'C. gmments ~ \ Eleva~on referen~ark ~¢ed ~~ ~'~on ~.,.~; mark used appear on the FIRM?. i-'J Yes j~ No Bottom of Iow al stn..dural Q a) Top of Ci b) Top of next h .'::21 c) member (V zones only) Q d) Attached garage (top of slab) Q e) Lowest elevation of rnachine~ and/or equipment servidng the building (Describe in a Comments area) ~3 f) Lowest adjacent (finished) grade (LAG) ~! g) Highest adjacent (finished) grade (HAG) Q h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade Q i) Total area of all permanent openings (flood vents) in C3.h ~ 55. Oft.(m) ~. __ft(m) ~. __fl.(m) · __ft.(m) 54.3 ft.(m) 55. 7 ft.(m) sq. in. (sq. cra) jr/ SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by taw to certify elevation information. i certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available· ! understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code. Section 1001. CERTIFIER'S NAME Mich~J. Coker, PLS UCENSE NUMBER 21410 (Washington) TITLE Survey Manager COMPANr¢ NAME Tiilman Engineering, Inc. ADDRESS CITY STATE ZIP CODE P.O. Box 1375 Port Hadloc~ WA SIGNATURE 7~7,~/~/~" ~fJ"0~ DATE TELEPHONE _ 11/7/200~ (360)379--9661 FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: in these spaces, copy the corr~ ~~ from Section A. BUll_DING STREET ADDRESS (Induding Apt., Unit, Sub~, and/or Bldg. ~'OR P.O. ROtJTE AND BOX NO. 1785 Uncas Road CiTY STATE ZiP CODE Port Townsend WA 98388 SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community of'tidal, (2)insurance agent/company, and (3) building owner. COMMENTS Elevations were established by static GPS observations and differential leveling meth&:ls. The benchmark used to establish the elevation reference marks for this certification is WSDOT monument"SM16104-2" with a published elev~on of 607.79 feet as referenced to the ~,VD 88 datum. Conversion fador used: NAVD 88 datum minus 3.65 feet equals NGVD 1929 datum. See attached letter for addi~onal information recjardin~l this certification. [] Check here if attachments SEOTION E. BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AD ANB ZONE A (WrfHOUT BFE) For Zone AD and Zone A (without BFID complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Secdon..."" must be completed. E!. Building Diagram Number_(Setect the building diagram most similar to the -building for which this cede is being completed- see pages 6 and 7. ff no diagram accurately represents the building, provide a sketch or photograph.) -22. The top of the bottom floor (induding basement or endosure) of the building is _ ft.(m)_in.(crn) i'--] above or r-] below (check one) Be highest adjacent grade. (Use natural grade, if available). 53. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) min.(cm) above Be highest adjace~ gm=de. Complete items C3.h and C3.i on front of form. ;'_4. The top of the platform of machinery, and/or equipmeflt servidng Be building is _ ft.(m)_in.(crn) r-] above or I-'1 below (check one) Be highest adjacent gr"=de. (Use natural grade, ff available). E5. For Zone AO only: If no flood depth number is available, is Be top. of the bottom floor elevated in accordance with the community's f,:x)dptain management ordinance? ~ '(es I'--] No F-i,' Unknown. The local offidal must certify this information in Section G. SECTION F- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The pro~/owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4ssued or community- issued BFE) or Zone AD must sign here. Tne statements in Sec~bns A, B, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S ,NAME ~ilman Enaineering, inc. ADDRESS CITY STATE ZiP CODE P.O. Rox !375 Port Hadlcck WA 9&339 11/?/2003 (360) 379-9661 COMMEhFFS attached letter ar additional information regarding this certification. [] Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The lccal offidal who is authorized by law or ordinance to administe~ the community's fo:x:lplaln management ordinance can complete Sections A, B, C (or E), and G of this Elevation Ce~cate. Complete the applicable item(s) and sign below. I Gt. I-1 The information in Section C was taken from other documentation that has been signed and embossed by a ,icensed surveyor, engineer, or architect who is authorized by state or iocal law to ~ elevation information. (Indicate the source and date of the elevalJon data in the Comments area below.) G2. ~ A community oftidal comdeted Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AD. -33. ~ The following informalon (Items G,4-G9) is provided for community floodplain management purposes. :%. PERMIT NUMBER i GS. DATE PERMIT ISSUED i G6. OATE CERTIFICATE OF CC$/IPUANCE/OCCUP424CY I%UED i G7. This permit has been issued for:. E] New Construction [--I Substantial Improvement G8. Bevation of as-built lowest floor (induding basement) of the building is: Gg. BFE or (in Zone AD) depth of ftc<ding at the building site is: LC'CAL OFFiCIAL"S NAME j~ COMMUNITY, NAME oIGNATURE COMMENTS _ff.(m) Datum: ft.(m) Datum: .- ' 7 2003 :. JEFFERSON COUNTY ~-'~,iT~eck here if attachments FEMA Form 81-31, Januaw 2003 Replaces all previous editions ENGINEERING, INC. PORT HADLOcK~WASHIN~TON 98339 E~ail: tilleng~o~pen.com 360-379-9~1 36~7~0150 F~ II November 7, 2003 RE' FEMA ELEVATION CERTIFICATE for Dennis and Susan Brandt To WhOm It may Concern: This certification was prepared prior to proposed site grading and construction of a new residence to be located on a parcel of land, currently owned by Dennis and Susan Brandt, that is situated within the Southwest quarter of the Southwest quarter of Section 25 and the Southeast quarter of the Southeast quarter of Section 26, Township 29 North, Range 2 West, W.M., in Jefferson County, Washington. Said parcel is located at 1785 West Uncas Road and is currently identified as Assessor's Tax Parcel No. 902 253 012. Said parcel also lies within a flood plain area situated southwesterly and southerly of Snow Creek where no base flood elevation has been determined. The elevation reference marks used for Section C3 of the attached Elevation Certificate, were established on October 21, 2003, on top of two (2) rebars, with red plastic caps stamped "TILLMAN CONTROL". The elevation established on top of the rebar for Point #1, located in the proximity of the proposed drainfield area, is 55.73 feet as referenced to the NGVD 1929 datum. The elevation established on top of the rebar for Point #2, located South 60° West approximately 390 feet from Point #1, is 54.31 feet as referenced to the NGVD 1929 datum. The owner (Susan Brandt) has personally acknowledged to me that subsequent to any minor site grading that the intended finished top of bottom floor elevation for the proposed new residence (FEMA Diagram 1) will be set at an approximate elevation of 55.0 feet (NGVD 1929) which is mean elevation of the two reference marks established for this certification. Michael J. Coker, PLS Certificate No. 21410 November 7, 2003 jE~"--'--FFERSON COUNTY ENVIRO.NrCENTAL HEALT"