HomeMy WebLinkAbout8-2-006:033Project No. 15455.3 FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
O.M.B. No. 3067-0077
Expires Juty 31, 2002
or WAIM"n W NAD 1827 u HAD 1903 t-1 USGS Ouse tap u O#W.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
810. Indicate the source o1 the Base Flood Elevation (BFE) date orbase Rood dsplh entered In 08.
L_I FIS Profile LAI FIRM L_I Community Determined L -I Obw (Describe):
811. Indicate the elevation datum used for tine BFE in B9: IXI NGVD 1926 I_I NAV01968 L -I Omer (Desc be): _
B12. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)1 "Yes (iii No
Designation Date:_
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
• C1. Building elevations are based on: I—IConsbuction Druw1age L_ISullding Under Construction* "inisRed Construcllon,
'A new Elevation Certificate will be required when construction of the budding M complete.
C2. Building Diagram Number 5 (Soled Bre building diagram most eYrhtiar tc the building for which Oils cartltkete is being completed -sae
pages 8 and 7. If no diagram accurately represents the budding, provide a sketch or photograph.)
C3. Elevations—Zones Al -A30, AE, AH, A (with BFE), VE, VI -V30, V (with BFE). AR, ARIA, ARIAS, ARIA1-A30, ARIAH, ARIAO
Complete Tema C3.a4 below according to the budding diagram spedW In Item C2. State the datum used. If the dawn Is different from
the datum used for the BFE M Section B, convert the datum to Bust used for tie BFE. Show Heid measurements arra datum converebn
calculation. Use the space provided or the Comments am of Section D or Section 0, as appropriate. to document the datum convey rica.
Datum ConverebrYComments
Elevation reference mark usedU-SGS BM -MSL Does ilea elevation reference mark used appear on IW LX 1 No
O a) Top of bottom Boo (Including basement or enclosure) 24.E fL(m) i
0 b) Top of next higher tow 'AA 9; ft.(m) 7 Q LICENSED
O C) Bolan of lowest horizontal structural member (V zonas oily) Nom_ . _ f4m) V PROF
O d) Attached garage (top of slab) 1 A
0 e) Lowest elevation of machinery and/or equipment ft.(m)19 LAN
servicing the building (Describe in a Comments area.) 245-tt(m)
O f) Lowest adjacent (finished) grade (LAG) 13A- IL(m) .4331
O g) Highest adjacent (finished) grade (HAG) 14 4 fum) WAN, u s -
O h) No. of permanent openings (flood vents) within 1 8. aboveed1acant grade NIA
O 1) Total area of ad permanent openings (good verde) in C3.h NIA sq. in. (sq. cm) S ptember 6, 2000
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This Certification is to be signed and sealed by a land surveyor, engineer, or arWted authorized by low to certify elevation information.
I carliy (hat the information in Section A. B. and C on tib cer88cate represents my best efforts to Interpret the date evellable.
1 understand that any fake statement may be punishable by tine or imprisonment under 18 U.S. Code Section 1001.
Chrystal Thomas Yamasaki 1- -- 3 TIK
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