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Home My WebLink AboutBLD1995-00561 Flood Certificate ELEVATION CERTIFICATE 1res c 31, 6 FEDERAL EMERGENCY MANAGEMENT AGENCY ` NATIONAL FLOOD INSURANCE 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 the proper insurance premium rate,and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION BUILDING OWNER'S NAME FOR INSURANCE COMPANY USE cc A o Ale cs POLICY NUMBER STREET ADDRESS(Including Apt.,Unit,Suite and'cr Bt ..Number)OR P.O.ROUTE AND BOX NUMBER [ / tC) COMPANY NAIC NUMBER OTHER DESCRIPTION(Lot and Block Numbers,etc.) P t.f SO 2.-15 3_ CW2- i NICov' rr Loy 8 Sec fs i CITY zS�r. 2. Zvy/ c I i- p STATE ZIP CODE SECTION B FLOOD INSURANCE RATE MAP(FIRM)INFORMATION U Provide the following from the proper FiRM(See Instructions): 1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 4.DATE OF FIRM INDEX 5.F.RM ZONE 5 3 0 0 `3 2 4 S 6.SAS(n FLOOD ELE depth) 7-- f 9 - 8 Z v I (in AO.Zones.use depth) 7.indicate the elevation datum system used on the FiRM for Base Flood Elevations(BFE): ! O o 8. For Zones A or V,where no 8FE is provided on the FIRM,and the community has establisheda 8FE for this building site,indicate ID (describe on back) the community's BFE:. 1 0 .0 feet NGVD(or other FIRM datum-see Section B. item 7). SECTION C BUILDING ELEVATION INFORMATION 1. 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 levelrks _ _ -ToA 31-A6= 12. II 2(a). FIRM Zones A1-A30,AE,AH,and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation of► ► ► 1.►.0 feet NGVD(or other FIRM datum-see Section 8, [tern 7). (b). FIRM Zones V1-V30,VE,and V(with 8FE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of allf t . !(,�feet NGVD(or other FiRM datum-see Section B, Item 7). (c). FIRM Zone A(without BFE). The floor used as the reference level from the selected diagram is LLJ.!;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 LL j.0 feet above LI -1 belowor (check one)the highest grade adjacent to the building. If no flood depth number is available,is the building's lowest floor(reference t._.., level) elevated in accordance with the community's floodplain management ordinance? 0 Yes ❑ No 0 Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:1: NGVD'29 0 Other(describe under Comments on Page 2). (NOTEIf the elevation datum used in 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 El No (See Instructions on Page 4) 5.The reference level elevation is based on: RI actual construction drawings (NOTE: Use of construction drawings is only valid if the building does noot yet have cnstruction reference level floor in place,in which case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate will be required once construction is complete.) 6.The elevation of the lowest grade immediately adjacent to the building is: I I .0.feet NGVD(or other FIRM datum-see Section B,Item 7). SECTION 0 COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the lowest floor as defined in the community's floodplain management ordinance,the elevation of the building's lowest tloor as defined by the ordinance is: I i 2. Date of the start of construction or substantial improvement.0 feet NG 1 (or Zot°er FIRM datum-see Section 8, Item 7). • FEMA Form 81-31,MAY 93 REPLACES All PREVIOUS EDMONS SEE REVERSE SEE FOR CCNi1NUA71QN October 1993 CERT 3 SECTION E CERTIFICATION This certification is to be signed by a lard surveyor,engineer,or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones A1—A30,AE,AH,A(with EFE),V1—V30,VE,and V(with EFE)is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A(without a FEMA or community issued EFE),a building official, a property owner,cr an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8- Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size,location of servicing equipment,area use,wall openings,or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number;-Section C, Item 1,must still be entered- /certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. /Lr.torn.ID, C, `&foot� VI, P CERTIFIER'S NAME A 1'. L. S. Z '�9 f J s LICENSE NUMBER(or Mix Seal) 00 S TITLE v 2,y F Y r N c, --I--n., C. , / COMPANY NAME D se. ovEre_y 12 , v2T- ADDRESS S/ J oW,.,5Gti IGCr� , /A 58_Ge W / /lam/�T STATE ZIP SIGNATURE •� 3�p.. 3 e 5 -- -G CATE PHONE Copies should be made of this Certificate for: 1)community official,2) insurance agent/company,and 3)building owner. COMMENTS: No Lon., c2 zit_ E C.7-S . Z v Z.. -i Ni —FE+t= E E _O 2 r.., 61 2 CotiVE(zrED F '.c NC.I/► P rc..,�v of 2 f. O .ol4s ..i�x.prey„ ii t r.•et it Z. �r=,h f t. 1 • o�U..0 1 O glINIMINg_ ON 1 .r•.,•,Q. 2�a,, c� Slag Fs :`ti(.yw !' o p A !�--�-�,\ /f)r s/ '8,esiteft• � 1 I3— /3 ON PILES, (�! f f PIERS,OR COLUMNS ZONES ZONES \� 1 EXPI1 t:. AnS ZONES ZONES REFERENCE ��''4rrnnr•.rnnr re,««n- rrttnmt MO' LEVEL I 1 _ REFER cNCE II BLASE t`v_L �'' FLOW REFERENCE ELE VA TqN IA IEVEi ?4: fff ii1 irr.).1 .:A.:,1..::. ---- " Ifi SASE ,: ELEV•FON FLCOO AC,ACENi lrk REFERENCEI SASE REFERENCE AWACENi GRACE ,',.i IEVE FLCCC LEVEL GRACE 'S ELEVAnCN ,,....,.&: !.- ,M:;,...:f!'.,i',,? .;,.-L.,:„,.,.:. - -ACJACE NT.. The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. CERT 4 October 1990