219 Olympia U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 -0008
F ederal Emergency Management Agency Expires March 31, 2012
National Flood Insurance Program . Important: Read the instructions on pages 1 -9.
SECTION A - PROPERTY INFORMATION . 1 ' Er f''' ;�
9 '
,�4
Al . Building Owner's Name
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. r, `
,�. ..�
219 OLYMPIA LANE
City COPPELL State TEXAS ZIP Code 75019
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 8, BLOCK A, ALEXANDER COURT
A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL
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. BY GOOGLE EARTH
A7. Building Diagram Number
A8. For a building with a crawtspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or endosure(s) sq ft a) Square footage of attached garage sq ft
b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage
endosure(s) within 1.0 foot above adjacent grade 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
d) Engineered flood openings? ❑ Yes 0 No d) Engineered flood openings? 0 Yes 0 No
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
COPPELL 480170 DALLAS TX
84. Map/Panel Number B5. Suffix 86. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone
Date Effective/Revised Date Zone(s) AO, use base flood depth)
48113C0155 , J AUG.23,01 APR.23,'08 (LOMR) AE 493
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM Community Determined ❑ Other (Describe)
B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes X No
Designation Date D CBRS JJ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. 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, AH, 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 -h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized CITY OF COPPELL GEODETIC #5 Vertical Datum NAVD 88
Conversion/Comments DATUM SHIFT - 0.026' PER VERTCON
Check the measurement used.
a) Top of bottom floor (including basement, crawtspace, or enclosure floor) 49 9 - 5 M feet ❑ meters (Puerto Rico only)
b) Top of the next higher floor feet Q meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only) 0 feet ❑ meters (Puerto Rico only)
d) Attached garage (top of slab) _ feet ❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building _0 feet 0 meters (Puerto Rico only)
( Descnbe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) � feet 0 meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG) . 0 feet [3 meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including Q feet 0 meters (Puerto Rico only)
structural support
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. I certify that the information on this Certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by The or imprisonment under 18 U.S. Code, Section 1001.
0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a . 0P � 's ji.,4'
licensed land surveyor? ❑Yes ❑ No c G F 4';O tlt
Certifier's Name License Number GLENN W. MILLER
GLENN W. MILLER TEXAS N0.4223
Title ' Com ny Name 4223
RPLS GEODATA SURVEYING, INC. ..,:.%. .
Address City State zIP ode ti 99A)k -k0
151 GINA DRIVE ARLINGTON '' GTON TEXAS 7601 0 cam fpi-
Signa _ Date ` • 817 -261 -2878
FEMA Form 81 - 31, Mar 09 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding information from Section A. f4 lie
L uii ding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
219 OLYMPIA LANE '.
City State ZIP Code ' 7t' `_
COPPELL TEXAS 75019
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both skies of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments
BENCH MARK – CITY OF COPPELL GEODETIC; CONTROT, POTYT NO.5 FJ,F,V.= 513.24
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 BFE), 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 Rico only, 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 (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑feet ❑meters (above or ❑below the HAG.
b) Top of bottom floor (including basement, crawlspace, or endosure) is — ❑Feet ❑meters ['above or ['below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Secti9044 Items 8 and/or 9 (see es 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is ❑ feet U meters ❑ above or below the HAG.
E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ 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 certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA - issued or community- issued BFE)
or Zone AO must sign here. The statements in Sections A, 8, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date 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 management ordinance can complete Sections A, B, 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.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA - issued or community- issued BFE) or Zone AO.
G3. ❑ The following infommation (Items G4-G9) is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance /Occupancy Issued
G7. This permit has been issued for ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building ❑ feet ❑ meters (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site ❑ feet ❑ meters (PR) Datum
G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum
Local Official's Name Title
Community Name Telephone
Signature . Date
Comments
❑ Check here if attachments
FEMA Form 81 -31, Mar 09 Replaces all previous editions
219 OLYMPIA LANE /
i t" - -.../..._ 10' ELECTRICAL/
\ 1 GAS EASEMENT
L.49. 3 ; 3 E� 6 c.IL)/
R = 0 00'
= 0 00
N She' I.R.F. • '� / ,
/ K \
\ / s` LOT 7
A5. .7ar -. 117 .
/ 157 ' ,x w 1 .6' u
/ J 3
LOT 9 � 6.5 "` / ss�-4
h / b 8 \ Q,,fl' �.
to / F
i / 25 5: 81.A 1:114.•4er \ swops t�
A, / P10 �L -. '9,
j { B G `l\
60 1 e,
z. (1 6-• • 1 d
A / w us . S" 32' 4 ' t LOT 8,
g / 16.02 BLOCK A \
5 / \ . 20' BUILDING UNE °
--r r''
- ,— 5 MWNTENNICE M
/ EASEM y,,,
57011E REUYIWG WALL "
..cu. !T. Tr.. + S 89'29'11 W 141.18 STONE SCREENING WALL
S 89'29 11 W 68.31 LOT 1 —X
S 00'30'49" E
3.00'
PLAT SHOWING
Lot 8, in Block A, of ALEXANDER COURT, an Addition to the City
of Coppell, Dallas County, Texas, according to the Map or Plat
thereof recorded in Clerk's File No. 20080199412, Plat Records,
Dallas County, Texas.
Commonly known as 219 Olympia Lane.
GEODATA SURVEYING, INC.
P.O. BOX 13556 LAND SURVEYING
ARLINGTON, TEXAS
76094 -0556 TOPOGRAPHIC
SCALE
1" = 30' PHONE 817- 261 -2878 MAPPING
OF
LEGEND ,,v 1 hereby certify this to be a true and correct
* ° \ representation of a survey made on the ground.
- "F DRAINAGE FLOW GLENN W. MILLER
0 IRON 4223 I —X —X— FENCE LINE �o ,o+ e
—E —E— OVERHEAD UTILITY LINE '4*. sung {�
NOTE: BEARINGS BASED ON PLAT UNLESS GLENN W. MILLER, R.P.L.S. —STATE OF TEXAS NO.4223
OTHERWISE NOTED
NOTE: SIDE AND REAR BUILDING LINES ARE JULY 26, 2010
AS SHOWN ON TIE PLOT PLAN PREPARED DATE
BY DAM WEEKLEY HOMES
AND WERE NOT VERIFIED BY THE SURVEYOR -