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Home My WebLink About959400317 - 262 HIDDENDALE DR - FLOODELEVATIt'aN CERTIFICATE ~~~ No3U670077 ~ xl>~rt's May 37, 1993 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD {NSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine tf~e proper insurance premium rate, andJor to support a request for a letter of Map Amendment or Revision (COMA or LOMR), instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION BUILDING OWNER'S NAME Rra~. Woh 1Alan STREET ADDRESS pr•ctuding Apt„ Und. Suite andtor 8tdg. Number) OR P.O. ROUTE ANO BOX NUMBER nassigned number on_Riverdale Drive ---- - OTNER DESCRIPTION {lot and BtoCk Numbers. etc.) Lot 17, Hiddendale Tracts cITY _. _... -- ------- _ - --- SPATE FOR INSURANCE COMPANY USE POLtCYNUMBEA ^~~ COMPANY NAIC NUMBER z1P coDE ilcene A SEC710N B FLOOD INSURANCE RATE MAP {FIRM) INFORMATION Provide the following Irom the proper FIRM {See Instructions): 1. CQMMUNtTY NUMBER i 2. PANEL. NUMBER ~ 3. SUFFIX 4. DATE OF FIRM INDEX ~ 5. FIRM ZON£ { 6. BASE FI.OOp ELEVATION (rn AO Zones. use dgplh) 530069 ~ 0845 ) B 7/19/$2 I A2 ___ 1 7 _ 7, Indicate the elevation datum system used on the FIRM for Base Flood Elevations {BFE): (xi NGVD '29 ^ Other (de~ribe vn back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: ~ I 1 I I ; , L,j feet NGVD (or other FIRM datum see Section 8, Item 7}, SECTION C BUILDING ELEVATION INFORMATION i. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level ~_ . 2{a). FIRM Zones Al-A30, AE, AH, and A (with BFE}. The top of the reference level floor from the selected diagram is ai an elevation of ~-Uj34~.U5 feet NGVD (or other FIRM datum-see Section B, Item 7}. (b). FIRM Zones Vi-V30, VE, and V (wfth BFE). The bottom of the lowest horizontal structural member of ttte reference level from the selected diagram, is at an elevation of I I I l I I ,Lf feet NGVD (or other FfRM datum-see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is U.U feet above ~ or below ^ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is L1J . _J feet above ^ ar below U (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? (_ Yes ~ Ne ~ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ~ NGVD '29 ^ Other (describe under Comments on Page 2). (NOTE: tf the elevation datum used !n measuring the elevations is different than that used on the FIRM (see Section B, Item 7j, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ~ Yes ^ No (See Instructions on Page 4} 5. The reference level elevation is based on: I ~ actual construction ®construction drawings (NOTE: Use of construction drawings is only valid it the building does not yet have the reference Jevel floor in place, in which case this certificate will only be valid for the building during the course of construction. Apost-construction Elevation Certificate wit! be required once construction is complete. J ti. The elevation of the lowest grade immediately adjacent to the building is: ~..~`=~1.~.L.131410~ feet NGVD (or other FIRM datum-see Section B, item 7). SECTION O COMMUNITY INFORMATION t. If the community oflicial responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "IOwesl floor" as defined in the community's Iloodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: ;. j .j. ~ i ..-. _~ tact NGVD far other FIRM datum-see Section B, Item 7?. 2. Date of the start of construction ar substantial improvement --~ust , -~-9 9 7 FEMA Fprm 81-31r MAY 90 -" Rf P~ errs ni ~ nor inns is rr~n,n~.~ SI=G ocvcoc~ cinr rl.n,,.,.,,~.~„ar,n.~ Jul-16-97 Q?:33r~ Clark Land 01=mice 360-683-5310 P_02 ---- ---- -------------- _ _ ___ _ _ SECTION E CERTfF1';AFIOt~! Thrs ceRilicaGon Is to be signea by a land surveyor, enginoer, gr architect who is authorized by stale or local law to certit information when the elevation information for Zones Al-A30, AE, A{~, A (with 8FE),Vt-V3C,VE, and V (with BFE} is requirevdafion C4rnmunity officials who are authorized by 94cai law or ordinance tg provide floodplain management information, may also sign the cart;ficalion. In the case of Zones AO and A (without a FEMA or community issued 8FE), a building official, a property owner, or an owner's representative may also sign the certification. Reference ieve9 diagrams 6, 7 and 8 -Distinguishing Features-If the certifier is unable to certify to breakawaymon-breakaway wall, enclosure size, location of servicing equipment, area use, wat! openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below The diagram norther, Section C, Item 1, must still be entered /certify brat the irtlprrrlaripn in Sections 8 and C on this certificate represents n7y best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under f8 U. S Carle, Section T DO r CERTIFIEA'S NAME '- ____4 Kenneth A. Clark TITLF __,_ Owner ADDRESS -- ---- ------ - -------- P- Oo fox _2199 SIGNATURE ~ ~ ----- I.iCENSE NUMBER (a --- ---- ----- 1 2 2 2 3 CQA4PAN~' NAr.1E -- _C.lark La?-ic} Office CITY --------------------- Sequim DATE CU~Ii@S -------- - - ~TATE ZIP CIA 98382 r'Hord~ made of this Certificate for: ~) community officia9, 2) irtsurance agent/company, and 3) building owner. COi~tMENTS: oh St_A8 The diagrams above illustrate the points at which the elevations should be measured in A Zones and v 7ore~, Elevat;ons for all A Zones should be measured at the top of the roterer,ce level (loot. Elevation; for aU v Zones should be measured at the bottom of the tovaest horizontal structural member _~ wnTi BASEMENT A PIERS, OR COLUMNS A V 20NES ZCwvES