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Flood Control - Elevation Certificate - 1350 S Willow Wood Way - N/A - 8/16/1999Aug -16 -99 03:59P Avvc Land Surveying 208 "19 -7321 P_01 0-M.B. NO. 3067-0077 ELEVATION CERTIFICATE E>*sMay31,1996 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate doos not provide a waiver of the flood insurance purchase roquiroment- 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 Revlslon (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION BUILDING OWNERS NAME Al i&.4f l/ 1, art - - STREET ADDRESS udigg Apt. YM. Suite 29WoJ q�,NUmbrlt OH P.O ROUTE 4ND BOX NUMBER OTHER DESCRIPTION (Lot and Blodr Nwn*ers. otc.) I(vW ,V /M/ CITY I SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): FOR INSURANCE COMPANY USE POLICY NUMBER COMPANY Nmc wmaEn ZIP CODE t. COMMUN" NUMetR 2 PANEL NUMBER 3. SUFFIX 4. OAT E OF FIRM INOLX 5. FIRM LONE 6. BASE FLOOD EL VATION jbo�o0 © /r05 C /2- 17 -9/ �E ma, m (in AO Zae aevthl 2560 7. Indicate the elevation datum system used on tiie FIRM for Base Flood Elevations (BFE): XNGVD '29 ❑ Other (describe on 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 ._ _1J .LJ fact 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 level -6- . 2(a). FIRM Zones Al -A30. AE. AH, and A (with'BFE). The top of the reference level floor from the selected diagram is at an elevation of 1 121510 ZI.LT feet NGVD (or other FIRM datum -see Section B, Item 7). (b). FIRM Zones V1 430, VE, and V (with 13FE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I ! I '• 1 1.I. I feet NEVI) (or other FIRM datum -see Section B, Item 7). (c). FiRM Zone A (without BFE). The Iloor used as the reference level from the selected diagram is I 1 I .I I feet above I i 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 UJ . U feet above ❑ or below ❑ (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? I1 Yes 1_� No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: IV NGVD '29 ❑ Other (describe under Comments on Page 2). (NOTE=: It the elevation datum used in measuring the elevations is different than that used on the FiRM (sae Section A Item 71, then convert the elevations to the datum system used on the FiRM and show the conversion equation under Comments on Page ?. ,) a. Elevation reference mark used appears on FIRM: 1 1 Yes ;:1 No (See Instructions on Page a) 5 The reference level elevation is based on: De actual construction i I construction drawings (NOTE. Use of construction drawings is only valid It the buikfir>_q does not yet have Tile reference level floor in place, in which Case this certificate writ only bn valid for the building during the course of construction. A post construction Elevation Certificate will be required once construction is complera -) 6. The elevation of the lowest gradn immediately adjacent to the building is: L.J21' kill I .5, toot NGVD (or other FIRM datum -Sao Section B. item 7). SECTION D COMMUNITY INFORMATION 1 It the community official responsible for verifying building elevations specifies that the reforence level indicated in Section G. item 1 is not the'lowest floor as defined iii tite community's floodpiain management ordinance, the elevation of the building's'lowast floor" as defined by the ordinance is: I I I I ) J .0 feet NGVD (or other FIRM datum see Section (3, Item 7)- 2. Date of the start of construction or substantial improvement FEMA Earn, a 1 -31, MAY 93 REPLACES All PREVIOUS EDITIONS SEE REVERSE SiDE FOR CONTINUATION Aug -16 -99 03 :59P Arrow Land Surveying 20B 939 -7321 P.02 SECTION E CERTIFICATION This certification is to be soled by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones At -,A30. AE, AH. A (with BFE),V1— V30.VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certif"tion. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also Sign the certification. Reference level diagrams 6.7 and 8 - Distinguishing Features it the certifier is unable to certify to breakaway /non- breakaway wan, enclosure size. Ivcation of servicing equipment. area use, wait 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. I earthy that the information In Sections 8 and C on this cedificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by Tne or imprisonment under 18 U.S. Code, Section 1001. CIEWIREIM NAME MENSE NUMBER ar AMx Seal) r ! r - 303 TITLE COMPANY NAME -- i�clT -- ADDRESS u CRY ST TE [Ih PHONE Copies should be made of this Certificate for. 1) community official, 2) Insurance agent/company, and 3) building owner. COMMEWTS: *'- c fix' 8M_../s'._. & bhxsS Ca men —S (_.hy 170 tea_ �tloY -{ �!?zr►h�I bridle- ON over flee. _ _ ilse- eve -, -- -- — SLAB A V ZONts ZCINFS IIFfFRFSU7 LEVEL MST. ^� K000 LLLVATON REFERENCE ADJA42N( uv., MADE �— WITH BASEMENT f�RNJ,, ON PILES, PIERS, OR COLUMNS A A V ZONES ZONES ZONCS 11,�4F tFVfl _ N, JfIfNl:f FLOOD rlA•:f MLILMLNriI FLOOD 1 f vl l LLLyA 1■ w ,= Ks�ALEM 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 tho reference level floor. Elevations for all V Zones should be measured at the bottom of the lowost horizontal structural member.