|
<br />~...-. ..-..
<br />
<br />. 'Il.... ;..~-__..... ~~.....'~
<br />
<br />,u
<br />
<br />ELE"ATION CERTIFICATE \""'//'J. 0.M.B.No306NKJ71. i,'
<br />..,? Y "" · "" · Y' E1Cpir.~ M.y J 1,1"31..\
<br />f;-' :. FEDERAL EMERGENCY MANAGEMENT AGENCY \ .. ,_ _ _ .~._ -:-:-~
<br />". . . NATIONAL FLOOD INSURANCE PROGRAM . .....)"' ~ .~: i r . i,:
<br />ATTENTION: Use ollhis cert!ficate does not provide a waiver of the flood Insurance purchase requlrerTlfnL': This ~orm'ls ~ ~ll, let'~:r .:(
<br />provld~ elevation information necessary to ensure compliance with applicable community floodplain managel)1ent ordl~8fIC88,:\O.~-.f.J:ilt! " ;:~
<br />determine the proper Insurance premium rate, and/or to support a request for a LeUer of Map Amendment or,ae".~1~~9r.t.()~R~.""/~.'
<br />',: . . .Inatructlona for completing this form can be found on the following P8ge!o"', ",: :.~ .. ~~::.:~ ..l~:::~~ . :~.:
<br />
<br />. ~ _;'. t..
<br />SECnON A PROPERTY INFORMATION FORINSUAAHCECOUPAN'fueE.. ::.. ~.: ,;
<br />
<br />~!~:~~.~;::f~t~,yi~~:~t; t. :~~
<br />
<br />COMPANY NAlC NUMBER ; . ... ~";_
<br />~.. -' \ , ~ .;-; -"( ~~"l.("l. ~. t.*\'i iF ;l1.~~k X,;.:
<br />
<br />. . -~ '""\: :.' '....:! ..... "J,'~,;'.'~"II""/~: '. ::~;.
<br />
<br />BUILDING OWNER'S
<br />
<br />
<br />STREET ADDRESS (~Apt.
<br />3~"?J
<br />OTHER DESCRIPTION (LoIl111d ElIoch . .Ie.)
<br />/ CJ -;;;"'6 -;)J - f9 / d.- tJ - t5 () 00 0 - CJ /0 0
<br />CITY ~ A"l f '1\ Jl. it \ -/I STATE'
<br />
<br />---01~' I SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
<br />
<br />....._ .- i"
<br />.- - ZIP .coo~-:-:-+~' ,"
<br />j ~lf:-/~ ",,~:,r;~:; :~..
<br />c: t. ."_' rt
<br />
<br />.. "-: ':' "::,'lrir :,.
<br />
<br />Provide the following from the proper FIRM (See Instructions):
<br />
<br />. ..
<br />;-~.1~. i.:":::;~~~":l~
<br />
<br />i<;',
<br />
<br />1, COMMUNITY NUMBeR 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE .. BASE FlOOO ELEVATION' ;.
<br />I J- () (D. .s- - A- E .' . (InNJZor-....~
<br />o oo..s c. /~ -/?-71 ~S-' s--"j1 ::1~:,';;~
<br /> :. :.~' --., \
<br />
<br />1-'10:
<br />
<br />,'f..' ~~!.,
<br />
<br />~... ~{-t-
<br />7. Indicate the elevation datum system used on the FIRM for Base Flood E1ey~tions (BFE): .ONGVD '29..0.Other',(~,C?Jl'~~~;'Jr~t;
<br />8. For Zones A or V, where no BFE Is provided on the FIRM, and the commuOItyhas established a BfE fQl' ttJi$.bulldlng site, .~..:~..;;.:': ;;~.
<br />
<br />the community's BFE: I I I 1Kl.<;T,U feet NGVD (or other FIRM datum-see Section B,ltem 7),. . ~ -.i';.~:.J~~::r~
<br />. j.... -'. ?~ '.
<br />
<br />SECTION C BUILDING ELEVATION INFORMATION
<br />
<br />~ ~ ~ ;~~,', ':~.f~; .
<br />. .. -. -. .. -:-~-.~-;-"~-!:_.:~'7~'::7)-,.,,~~....~_-
<br />1. Using the Elevation Certificate Instructions, Indicate the diagram number from the diagrams found on Pages 5 and 61hat best ; '.;.;," r;;;
<br />describes the subject building's reference level-L . : . _. ._. .... .:,... -,,~;.+.. ~ ";"~'~~~:~r
<br />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 "":f~')~:
<br />of I I I 181 ~.l2Jreet NGVO (or other FIRM datum-see Section B,ltem 7). . .'~- . ..... ..''- ;-::~ ~,.::..t--::::'L~';"
<br />(b). FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of thereference leveUrom.-:.:....~;'" )r:. .
<br />the selected diagram, Is at an elevation of I I I I I I.U feet NGVD (or other FIRM datum-see Section B, Item 7). .... _, , .' .. ..:;L
<br />(c). FIRM Zone A (without BFE). The ftoar used as the reference level from the selected diagram Is W.U feet above [:lor ~ ...;_."?':::>
<br />below 0 (check one) the highest grade adjacent to the building. _ .. _ . ." _ _.~__~_.........;_ . ;
<br />
<br />(d). FIRM Zone AO. The ftoar used as the reference level from the selected diagram Is W.U feet above 0 or be~ 0 (check.. :.1'~.
<br />one) the highest grade adjacent to the building. If no ftood depth number Is available, Is the building's Iowestfloor (reference . .'. .' f to
<br />4__.., ~, .' " 'i ':
<br />level) elevated In acc:ordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown.' .. '" i h
<br />3. Indicate the elevation "datum system used in determining the above reference level elevations: 0"NGVD '29: 0 ou18/(d~be .. ~ ~~":
<br />under Con:Jmenta on Page 2). (NOTE: If the elevation datum used In measuring the elevations Is different than that USed9!lt_v:' , .,.
<br />the FIRM [SB9 SectIon S,/tem 7), then convert the elevations to the datum system used on the F/RM and sIJow the conversion-i. " '. L. ~
<br />~uation under Comments on Page 2.) . . .!-~~.~:1 ! ~i'':/;r-::~; -. . ':: I ~'f.,,~ "
<br />4. ~Ievation reference mark used appears on FIRM: 0 Yes B"No CSee Instructions on Page 4) .". ~}'~:~.i'l ~..~t-.;)r~4'""1"'" ,
<br />' ,. .~ . .... ; t..
<br />5. The reference level elevation Is based on: U5' actual construction 0 construction drawings 1. .' t ~'f: '
<br />(NOTE: Use of construction drawings Is only valid If the building does not yet have the reference /evellloorln place, In which :!.::.;::.t :
<br />case this certificate wiD only be valid for the building during the course of construction. A post-constructJon Elevation Certificate
<br />WIll be required once construction is complete.)
<br />I .
<br />6. The elevation of the lowest grade Immediately adjacent to the building Is: I I I 181.31.~ feet NGVD (or other FIRM datum-see
<br />~on B, Item 7).
<br />
<br />:. t., ;-:.
<br />,. f .~.-
<br />.! i,,::
<br />. J :.
<br />~T
<br />. ~'.
<br />.j
<br />
<br />
<br />,:- :\
<br />
<br />SECTION D COMMUNITY INFORMATION
<br />
<br />'. .-.J-': "
<br />
<br />FEMA Form 81-31, MAY 10
<br />
<br />REPLACES All PREVIOUS EDITIONS
<br />
<br />SEE REVERSE SIDE FOR COHllNUATION
<br />
|