613 St James U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1680 -0008 _
Federal Emergency Management Agency Extlires February 28, 2009
National Flood Insurance Program Important: Read the instructions on pages 1 -8.
SECTION A - PROPERTY INFORMATION For neutartoe Company tUsp
Al . Building Owner's Name F'olf h `
$ i i� p ll II y �� °
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No Cgm � NAt¢ Nu mber
_-- f1_ST• .T Place __ __ I a • is
3--
City - - - -- - -- -- - State ZIP r�r°" 91 C !. � ;, 'r c; .. , N�, • c.
Coppe - _ _ _. _ Texas 75019
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) V y -
Lot 4, Block A WINDSOR ESTATES ADDITION � _�
A4. Building Use (e.g., Residential, Non - Residential, Addition, Acoassory, etc.) Res i (len t t a 1 _
A5. Latitude/Longitude: Lat, Long. . Horizontal Datum: ❑ NAD 1927 C] 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 buNding with a crawl space or endosure(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 b) 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 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP Community Name b Community Number
r _Ctrppell 4801Z0_ I 82. County Name T B3. State
_ 1 Dallas I Texas
- _ _1
B4. Map/Panel Number 85. Suffix 66. FIRM Index £17. FIRM Panel 88. Flood 89. Base Flood Elevation(s) (Zone 1
Date Effediea/Revised Date Zone(s) AO, use base flood depth)
481.1300155 J 8 -23 -01 10 =01- 2003__ _ x 452
810. indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139.
FIS Profile [X) FIRM 0 Community Determined ❑ Other (Describe)
811. Indicate elevation datum used ter BFE in Item 89. ® NGVD 1929 [l NAVD 1988 CI (Describe) '
812• Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 0 Yes 0 No�
Designation Date _�. _ [] CBRS J OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based or ❑ Construction Drawings* ® Building Under Construction' 0 Finished Construction
°A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/AI -A30, AR/AH, AR /AO. Complete items C2.a•g
below according to the budding diagram spedited in Item A7.
Benchmark City of .Coppell Geodetic Mon 49 Vertical Datum - - �_-
Conversion/Comments
- Check the measurement used. - -
a) Top of bottom floor (including basement, crawl space, or enclosure floor) _ 45R 0 feet 0 f-11 meters (Puerto Rico only)
0
h) Top of the next higher floor _ feet meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only) ________-____ ❑ feet ❑ meters (Puerto Rico only)
d) Attached garage (top of slab) - - __ 0 feet ❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building e - -T - ❑ feet ❑ meters (Puerto Rico only)
(Describe type of equipment in Comments)
1) Lowest adjacent (finished) grade (LAG) _ - feel 0 meters (Puerto Rios only)
g) Highest adjacent (finished) grade (HAG) -� 0 feet ❑ meters (Puerto Rico only)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and seated 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 fine or imprisonment under 18 U.S. Code, Section 1001. A • • 4
0 Check here if comments are provided on back of form. 6,.. r(r 0'•
Q• l .
Certifier's Nsme -- -- - _ - - - - -- __ - - -._ _- -- - -- -.- _ - ( ; DER
Glenn W. MIIIer _ Te xas N o . n' 2 23
Title R Compan Nam - - -- - - - -_- - --_ ` •° �,
�E..L_. -S . _ Geodata 5 urv_�irg, Inc._ _ ' ••. ,�,�
�e O
Address City State _ -._ .Z CQ e'- -- -- • • Ir -
' _Gina Drive Arlington _ Texas 7b i�
Signal Date Telephone -- -_____ ,
-�_ _-___A 4. 200} 8 Z; 261- 2878_ -__.___.- I.
FEMA Form 81 -31, February 2006 See reverse side for continuation. Replaces all previous editions