FEMA-EC060103 (2)III
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
a.M.B. No. 3067-0077
Expires December 31. 200!
ImDOlfant: Read the instructions on Dalles 1 .7.
SECTION A. PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
BUILDING STREET ADDRESS (Including Apt, Unit, Suite. and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
Bethel School Court
CITY STATE
Cappell TX
PROPERTY DESCRIPTION (Lot and Bloc/( Numbers, Tax Parcel Number, Legal Description, etc.)
Lots g, 10, 11 & 12 01 Riverchase TatlnhomeAddition
BUILDING USE (e.g.. Residential. Non-residenlial, Addition. Accessory, etc. Use a Comments area, W necessary.)
Residential
LATlTUDElLONGITUDE (OPTIONAL)
o.II#'.##.##' or ##.~
ZIP CODE
75019
HORIZONTAL DATUM:
181 NAD 1927 0 NAD 1983
SOURCE: 0 GPS (Type):_
o USGS Quad Map 18IOther.~
SECTION B. FlOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER
Coppell 480170
B2. COUNTY NAME
Dallas
83. STATE
Texas
84. MAP ANO PANEL B7. FIRM PANEL 69. BASE FLOOD ELEVATION(S)
NUM6ER 65. SUFFIX 66. FIRM INDEX DATE EFFECTIVElREVlSED DATE 88. FLOOD ZONE(S) (Zone AO, use depth of floodln9)
48113C0155 J 0611612005 0BI23I2001 X n.a.
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
o FIS Profile [8J FIRM 0 Community Oetennined 0 Other (Describe): _
Bl1.lndicate the e/evation datum usedforthe BFE in B9: [8J NGVD 1929 0 NAVD 1988 0 Other (Describe): _
Bl2. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?O Yes [8J No Designation Oate
SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 0 Construction Drawings' [8J Building Under Construction' 0 Finished Construclion
A new Elevation Certificate will be required v.I1en construction of the building is complete.
C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certfficate is being completed. see pages 6 and 7. If no diagram
accurately represenis the building, provide a sketch or photograph.)
C3. Elevations - Zones A 1-A30, AE, AH, A (with BFE), VE, V1.V30, V (with BFE), AR, ARiA, ARiAE, ARiA 1-A30, ARiAH, ARiAO
Complete Items C3.-a-i below acconling to the building diagmm specffied in Item C2. Stale the datum used. If the datum is lfdferenl from the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Show field measuremenis and datum conversion calculation. Use the space provided or the Commenis area of
Section 0 or Section G, as appropriate. to document the datum conversion.
Datum NGVD 1988 Conversion/Comments
Elevation reference mark used::Does the elevation reference mark used appear on the FIRM? 0 Yes [8J No
o a) Tap of bottom floor (including basement or enclosure) 447. 91 ft.(m)
o b) Top of next higher floor n.a._ft.(m)
o c) Bottom of lowest horizontal slruclural member (V zones only) ~. _fl.(m)
o d)Attachedgarage(topofslab) n.a.. _fl.(m)
o e) Lowest elevation of machinery andlor equipment
selVicin9 the building (Describe in a Commenis area) !J&.. _ft.(m)
o nLowestadjacent(finished)grade(LAG) !J&.._fL(m)
o 9) Highest adjacent (finished) grade (HAG) n.a.. _fl.(m)
o h) No. of permanent openings (flood venis) within 1 fL above adjacent grade n.a.
o 0 T oIal area of all permanent openings (flood venis) In C3.h n.a. sq. in. (sq. em)
SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIACATION
This certification is to be signed and seaied by a land surveyor, en9lneer, or architect authorized by iaw to certify elevation information.
I certify that the Information in Sections A, S, and C on this certificate rapresents 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.
CERTIFIER'S NAME C. Robertson Heath UCENSE NUMBER 5447
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TITLE R.P.LS.COMPANY NAME Arthur Surveying Co., Inc.
AODRESS
220 Eim Street Suite 200
SIGNATURE
CITY
Lewisville
DATE
01103/2006
STATE
TX
TELEPHONE
972-221-9439
ZIP CODE
75057
IMPORT ANT: In these spaces, copy the colT8Sponding infonnation from Section A. For Insurance Company Use:
BUILDING STREET ADDRESS (Indudng Apl, Un!, Sulfe, and/or B~. No.) OR P.O. ROUTE AND BOX NO. por"" Number
Bethel School Court
CITY STATE ZIP CODE Company NAIC Number
CoppeU TX 75019
SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIRCATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community offICial, (2) insurance agenVcompany, and (3) building owner.
COMMENTS
FEMA MAP (seated)
City of Coppell benchmar1<.the Intersection of Beltfine Road and MacArthur Boulevard. 447.10'
D Check here if attachments
SECTION E. BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1. Building Diagmm Number _(Seleclthe building diagram most simBarto the building forwhich this certfficate is being completed -see pages 6 and 7. If no diagram accurately
represenis the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enciosure) 01 the building is_ ft.(m) _in.(cm) 0 above or 0 below (check one) the highest adjacent grade. (Use
natura/ grade, Wavailable).
E3. For Building Diagrams IHl with openings (see page 7), the next higher floor or elevated floor (elevation b) 01 the building is _ ft.(m) _in.(ern) above the highest adjacent
9rade. Complete items C3.h and C3.i on front of form.
E4. The top of the platform of machinery and/or equipment servicing the building is_ ft.(mLin.(cm) 0 above or 0 below (check one) the highest adjacent grade. (Use
natura/9rade, Wavallable).
ES. For 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?
o Yes 0 No 0 Unknown. The local ofIiciaI must certify this information In Section G.
SECTION F . PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for ZoneA (without a FEMA-issued orcommunity-
issued BFE) or Zone AO must sign here. The s/8/ements in Sections A, B, C, and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZEO REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SiGNATURE DATE TELEPHONE
COMMENTS
D Check here IT attachments
SECTION G . COMMUNITY INFORMATION (OPTIONAL)
The Iocai 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 appflCable ~em(s) and sign below.
G1. 0 The intonnation in Seclicn C was taken from olherdocumentaJion that has been signed and embossed by a licensed surveyor, engineer, orarcMectwho ~ authorizedbystale
or local law to certify elevation information. (Indicate the source and date of the eievation data In the Cornmenis area below.)
G2. 0 A community otIIciaI completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO.
G3. 0 The following information (Items G4-G9) is provided for community floodplain management purposes.
G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPUANCEIOCCUPANCY ISSUED
G7. This perm~ has been issued for. 0 New Construction 0 Substantial improvement
GB. Elevation of as-bultt lowest floor (including basement) of the building is:
G9. BFE or (in Zone AO) depth of flooding at the building site is:
LOCAL OFFICIAL'S NAME
COMMUNITY NAME
SiGNATURE
COMMENTS
ft.(m)
ft.(m)
Oatum:
Datum:
TITLE
TELEPHONE
OATE
D Cheal< here if attachments