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Bethel- CS160223u.S.uEPARTMENTOFHOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood hrsraance Program OMB No. 1660-0008 Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Founders' Crossing, LLC Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 525 W. Bethel Road Company MAIC Number: City Coppell State TX ZIP Code 75019 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 2, Block A, Founders' Crossing Addition A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Commercial A5. Latitude/Longitude: Lat. 32.57.15N Long. 97.00.28W Horizontal Datum: ❑ NAD 1927 Z NAD A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. 1983 A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 2700 s ft A9. For a building with an attached garage: b) Number of permanent flood openings in the crawlspace q a) Square footage of attached garage 0 sq ft or enclosure(s) within 1.0 foot above adjacent grade 0 b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? El Yes ®No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Community Name & Community Number B2. County Name Coppell (Community #480170) Dallas B3. State TX B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel 48113CO135K B8. Flood B9. Base Flood Elevation(s) (Zone Effective/Revised Date Zone(s) AO, use base flood depth) July 7, 2014 A 508.90 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ❑ FIRM ® Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area r(OPA� Designation Date: ElCBRS El❑Yes OPA ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings' Building Under Construction' "A new Elevation Certificate will be required when construction of the building is complete. Finished Construction C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: Vertical Datum: Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) Check the measurement used. b) Top of the next higher floor 511.25 ® feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) ❑ feet ❑ meters d) Attached garage (top of slab) ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building ❑ feet ❑ meters (Describe type of equipment and location in Comments) ❑ feet ❑ meters f) Lowest adjacent (finished) grade next to building (LAG) 510.50 g) Highest adjacent (finished) grade next to building ® feet [I meters (HAG) 511.00 h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support ®feet El meters ❑ feet ❑ meters 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 elevat information. I certify that the information on this Certificate represents my best efforts to interpret the data availableion . 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. rm ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a (ASG OF ����'le 1 171 Check here if attachments. licensed land surveyor? ❑ Yes 40 +� * ® No lfJ� Certifier's Name Wm. Bennett Ratliff, P.E. License Number 63322 Title President Company Name The Ratliff Group, LLC Address P.O. Box 949 City Coppell State TX ZIP Code 75019 Signatur Date 02/22/2016 Telephone 972-304-8800 o■.t ■.eqe ♦o. qMq eoq q.gaY'n ,,, WM. BENNETT RATLIFF gefp>nqq aq. n............. 63322 /sTE� G�F�'-0 oxS�ONAL�� EMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT. In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. FOR INSURANCE COMPANY USE 525 W. Bethel Road Policy Number: City Coppell State TX ZIP Code 75019 Company NAIC Number. SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments All elevations based on construction plans, determination of floodplain limits from letter provided by City of Coppell Floodplain Administrator and related flood study on file with the City of Coppell Engineering Department / A �� E��'v47�G•LS our. �rft7c'!� G✓� SiIPdc� Date 02/22/2016 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. E1. 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, crawispace, or enclosure) is 0.25 N feet ❑ meters N above or ❑ below the HAG. b) Top of bottom floor (including basement, crawispace, or enclosure) is 0.75 N feet ❑ meters N above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or E4. Top of platform of machinery and/or equipment servicing the building is El below the HAG. [I feet EJ meters ❑above or E] 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, B, and E are correct to the best of my knowledge. Property Owner s or Owner s Authorized Representative's Name Rebecca P. Ratliff Address 531 W. Bethel Rd. City�0222 l State TX ZIP Code�75019 Signature , �? efl � ��.� / Dat2016 Telephone 214-668-7355 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 of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 -G10. In Puerto Rico only, enter meters. G1. N 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 information (Items G4 -G10) is provided for community floodplain management purposes. [G:4. Pernit NumberG5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issue15-1319 09/23/2015 G7. This permit has been issued for: N New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: 511.25 N feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet • El meters Datum G10. Community's design flood elevation: 508.90 N feet ❑ meters Datum Local Official's Name Kenneth Griffin,,P.E Community Name Cly of Copp Signature Comments BfE per Flood aV1 rt. by Freese & Nichols, Inc. Title Floodplain Administrator telephone 972-462-0022 Date 02/22/2016 Check here if attachments FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 525 W. Bethel Road City Coppell State TX ZIP Code 75019 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View' and 'Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. =EMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 525 W. Bethel Road Policy Number: City Coppell State TX ZIP Code 75019 Company NAIC Number: If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and 'Rear View; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Front — Left Side View (Looking SW) EMA Form 086-0-33 (7/12) Replaces all previous editions.