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Flood Control - Elevation Certificate - 116 S 2nd Street - Paddy Row Sub - 7/8/2005 11/03/2005 02:13 323220'3 ROTH HOMES FEDERAL EMERGENCY MANAGEMENT NJBl;Y NAT10NAl FlOOD INSURANCE PROGRAM ELEVATION CERTIFICATE PAGE 12 32C1 C.M.B. No. 3067-0071 I Expires December 31, 2005 I . .. Read the Instructions on pages 1 - 7. SECTION A. PROPERTY OWNER lNFaWATION Fer lnmnoo Company Use: BUIlDING QWNER'S NAME PoIlcy Number ROTH HOMES BUILDING STREET .ADDRESS (Including /1{1r... UnlI. Suite. and/or Bldg. No.) OR P.O. ROllTE AND BOX NO. Company NAle Nurrtler 116 S. 2Nll STREET CITY STATE ZIP CODE EAGLE 10 63616 PROPERTY ~5CR1PllON (Let and 8IOdt N\lI"nb9I!l. Tax Pam NUmber. Legal ~. etc.) LOT 3. Pta:f'( RON stJBDMStON BUILDING USE (e.g.. Resiclentiel, Non-/MidenIIdI. Add.lon. ~. fJtc. Use a CommenIs area, If neoesll8ty.) RESIDENTIAl. LA1TTUOEIL0NGITUDE (0PT10NAL) HORIZONTAL DATUM: SOURCE: 0 GPS (1)pB):_ (t#f-iW-#I#:INr or ..tIIIM#f) ONAD1927 ONAD1983 OUSGSOUadMElP SECTION B. R.OOD NIJRANCE RATE MAP (FIRM) WORMATION I ~~NAME&~~ I ~CCA.MYt-WoE I ~TE o othe1: _ 84. tMP AND PANEL 87. FR' PAN3.. 89. BASE A...OOO ELEVAT~) tut3ER B5. SUffiX 136. FIRM fIIOEX oe.TE ~OAlE 88. R.OOO ZONE(S) (Zone H'J, U8e dept1 rJ bxi'Q) 16001 C0153 H 2-19-03 2-1~ AH 2S)2 B10. nicale !he SOUt'e d lie Base Fbxl EJevalloo (8fE) d<ia a blI3e Wood ~ enUed in 89. o AS Profile 181 FIRM 0 Con'Indy DeIemlned 0 Othef ~):_ B11.lodlcatelheelevm1daumUgedfcttheBFEIn B9: 0 NGVD 1929 181 NAVD 1968 0 Ofg(tJesate):_ 612. Is 1l1e buikflng kx3ed In a Coa6t:i ~ Resouroes System (CBRS) 1l'E!9a' OIherMgeProlB::ledArea ((:!fA]? 0 Yes 0 No QesglI8tion Dale SECTION C - BUIl..DIfG aEVATION INFORMATlON (SlJFNEY REWRED) C1. 8uIIdIng eIevalloos are beB1 on: 0 Ccmrudiat ~. 0 Blting lAm Con!\nJdIon" I8J F1nIshed ConsbtJdion "A new Ekw3tlon CErificaI8 will be ~ \\ten lXJlSIIu1loo ct\he ~ ~~. C2. 8uildng ~ tulter ~ (Seled !he IuWlg dBITcITI roost sim.lo {he boidi~ b''IW1ict11tis cerft;cie is being lmIple1ed -!lee pages 6 end 7. If no cIagrmn OOJJraleIy repl e!lE!nl9lhe buIcfng, po'JIde a sketch CI ~.) C3. 8eYatioos - Zones A 1-A.1l, AE, ,6,H, A (MIl BFE), VE, V1-~. V (wW18FE), AR, AWA, APJAE., MIIA1-A:ll, ARIAH, AAlAO ConlJ/efe Items C3.+i bebY ilCOOIdng to the buIcIng Ifqcm speciIied... 6em C2. SI:*t the dWn used. 1ft. daum III dtfenri from f1e dlium used forf1e 8FE in Sec1loo 8, ca1Vel1lhe ~ 10 !hat used foc1he BFE. SIlCM' IeId meestJ1t!Il1eI' and lWtJm cxnesion c;alculallon. Use 1he space ~ a' Ile CorM1ents see d Sedlon D or Sadlon G, as ~.Io doomlnllledabJm cooYOO!lon. D<ium_~_ Ek!vaIioo mferetl;:e rrstc Uged _Does !he Ber.ml referenoo IT18Ik Uged appw on !he RRM? D Yes ~ No o a)TopotIrltom1lcxtfll'ldudngbasementorendosul9) 2559. Q.ft.(m) o b) Tq> d next 1Igher11oor ~. Q..fl(m) ('I c) Bdttwn d ~ lxxlzontal s/Ju:ImII rnenm (V zones my) NlA . _fl(m) C) d) Attached ~ (Iq> a sIl'b) 2001. ~1I.(m) o e) ~ eleYatIoo d mac:I'Wlery and'lY~ seM;lng the buIdilg (De9cIiJe in a Commenfs aJW) m. Q.fl(m) o n Lowest ~t (Iri9hed) gra1e (tAG) ~. I-ft.(m) o g) Hlglest ~ (flnish9d) ~ (HAG) 25EKl. !ft(m) o h) No. d perm~ qJQnlngs (ftood veots) wltm 1 It ~ ~ p:le 22 o 0 T o/aI area d eI pem'lMent qJElIilys (1kxxl venl'l) In C3.h .1@sq. in. (sq. em) SECTkJN D. SURVEYOR, ENGINEER, OR ARCHITECT CERTFICATION This certffIcaIIon \$ to be signed and sealed by a lood surveyor, engineer, or an;t1itsct authorized by law to certify elevalleo lnfonnallon. I certify fhBl the information in Sections A. B. BrKi C on this cettJtic8t9l'8p1'9$enfs my btlst 9ffwts to Inlerpmt the dI1l8 sVSI'I8/){8. I understand that 8nyfaIBe stslement may be punishabfe by, tine or (~ment under 18 U.S. QQde, Section 1001. CCRT1flER'S NAME DARREN R lEAVITT, P.LS. UCENSE NUMBER 7323 ! i~ .D-a aBfi .it ei .... j~ lTTlE PROfES$lONAl LAND smvE'r'OR COMPANY NAJ.E AfRJNLANOSURVEYING, INC. ADDRESS ~lE, """" 105 s ~ R- ~QiJ) FEMA Form 81-31. January 2003 CITY EAGLE MTE 7.a.m STATE ID TS..EPHONE ~7373 ZIP CODE 83616 See nMlTII8 side for continuation. Replaces all previous editions