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212 Olympia • U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB N0, 1660 -0008 Federal Emergency Management Agency Exbires February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1 -8. SECTION A - PROPERTY INFORMATION Forinsurance Company Use Al. Building Owner's Name Polrcy Number A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Company NAIL Nturiibet 212 Olympia Lane. - City State ZIP Code Co e 1 1 TeXA R _ A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 75n 19 Lot 15. Block A, ALEXANDER COURT A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Resident i al _ _ A5. Latitude /Longitude: Lat. Long. _- _ Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number A8. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide; a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq ft b) No, of permanent flood openings in the crawl space or 8) No of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION ( B1. NFIP Community Name & Community Number B2. County Name �Y 83. State Coppell, Tx. 480170 _ Dallas Texas B4. Map /Panel Number 85. Suffix 136. FIRM Index B7. FIRM Panel _IT 88. Flood ' B9. Base Flood Elevation(s) (Zone Date Effective /Revised Date Zone(s) AO, use base flood depth) 48113C0155 J Aug23, 2001 Apr'24, 2008 AE X(shadel) 489 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9, FIS Profile Q FIRM LI Community Determined El Other (Describe) LOMB Case No . 07- 0 6 -2203P B11. Indicate elevation datum used Ter BFE in Item 89: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) - B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or.Otherwise Protected Area (OPA)? Q n Yes NI NO Designation Date fl CBRS D OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings" ® Building Under Construction* [] Finished Construction "A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1-A30, AE, Ali, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR /A, AR/AE, AR /A1 -A30, AR /AH, AR /AO. Complete Items C2.a -g below according to the building diagram specified in Item A7. Benchmark Utilized Ci ty of Goppe11 Mon. # � Vertical Datum - Conversion/Comments C heck the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) _ 49 7 • J feet L�I meters (Puerto Rico only) b) Top of the next higher floor _ feet f u meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) _ L7 feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) - - _ jJ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building ___u feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) _ ^__ - feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) _ ❑ feet [0 meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. /certify that the information on this Certificate represents my best efforts to ir.(e(pret the data available. - /understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ' 0 • T-- � S T F • • 'r9 ri y . �G 9 .s Check here if comments are provided on back of form. O .* 1.:‘:,, . Certifier's -N-m- - - License Number GLENN it MILLER ^ Glenn W Miller State of Texas No. 4223 is {' Title Company Name - , 4 . R•P•L 1 0. .S. - Geodata Surveying, Inc. �4 ;..iE SS 4 Q D Address City State ZIP Code ti •. -1 • 15 0 Gina Drive Arlington Texas 76013 Signatur , Date Telephone - -" -- 12- ot_ OS 817 -261 -2878 FEMA Form 81 -31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. 1.1110.0):SdfanCO:goimostiyivozgiligiudii Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No ;Polir.y Number City - -- - State ZIP Code Co NAIL Nflmber 7501 Coppell Texas 9 wpahy ; ;;�_: ' l , ;;,; ;;;;;;;;, SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, arid (3) building owner. Comments BFE Elevations taken from LOMR dated April 24, .2008 Case No. 07- 06 -2203P • • Signature Date • ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without !WE), complete Items E1 -E5. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used, In Puerto Ricci wily, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (1 -IAG) and the lowest adjacent grade (LAG). _ a) Top of bottom floor.(including basement, crawl space, or enclosure) is ❑ feet L� meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG_ E2. For Building Diagrams 6.8 with permanent flood openings provided in Sectior1A Items 8 arid/Or 9 (see 'age 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is [D feet U meters ❑ above or A below the I -IAG, E3. Attached garage (top of slab) is ❑ feet ❑ meters 0 above or ❑ below the HAG. E4. Top of platform of machinery and /or equipment servicing the building is ❑ feet C meters [ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? [] Yes © No ❑ Unknown. The local official must wilily this information in Section G. ' SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who cermpletes Sections A, B, and 5 for Zone A (without a FEMA- issued or community- issued BFE) or Zone AO must sign here. The statements in Sections /t, 13, and E am correct to the best of my knowledge. Properly Owner's Or Owner's Authorized Representative's Name Address City State 71h Code Signature Dale Telephone Comments : - - ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain rmanagerierd ordinance can complete Sedions A, 9, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. 01. [l The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who 02. Ll _ is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below:) G3. Li A community official completed' Section E for a building located in Zone A (without. a FEMA- issued gr community-issued BFE) or 7one AO. The following information (Items G4. -G9.) is provided for community floodplain management purposes. LIG_ Permit Number 1 05. Date Permit Issued D ate Cerl.ificale Of Compliance /Occupassued G7- This permit has been issued for: 1] New Construction ❑ Substanti ivn t G�De � — al I mprovement 08. Elevation of as -built lowest floor (including basement) of the building: zone AO) depth of flooding 09. BFE yr tint at the buildin — --- _--- 0 feet 0 meters (PR) Dalurtt_ - - - _ _ 9 q site: — — --- [1 feet 0 meters (P5) Datum Local Official's Name --- - — —____ _ � — — -rifle -- — — -- Community Name — T — _____ felephone� Signature Dale - -__ — - - - - -- ---- Comments _-_- --_ -- FEMA Form 81-31, February 2OOg `i - - - - -- T— -� -_ -- Check here if attachments R eplaces all previous editions t