FEMA-EC960104FPMC - 1 (4/94)
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FORM BOkRD
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NORTH
(_.OT 2, BLOCK C SCALE r a�-o-
IHE ESTATES OF
fTELL, TEXAS
O.M.B. NO. 3067-D077
ELEVATION CERTIFICATE Expires May 31, 1996
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER
STREET A DRE (Including Apt., Unit, Suite and/or Bldg. Nu er) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
UE
OTH R DESCRIPTION (Lot pFo Block Numbers, et .)
OF0,4naI2�E
CITY STATE ZIP CODE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
05ouo
onto
E
' IS - 94
Ac
(in AO Zones, use depth)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): XNGVD '29 ❑ Other (describe on back)
8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BFE: I I I I I . U feet NGVD (or other FIRM datum–see Section B, Item 7).
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicat the diagram number from the diagrams found on Pages 5 and 6 that best
nce
describes the subject building's referelevel 7r .
2(a). FIRMS �
Zones A1 -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of �.51 feet NGVD (or other FIRM datum–see Section B, Item 7).
(b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of � I I I .0 feet NGVD (or other FIRM datum–see Section B, Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is LUL L feet above ❑ or
below ❑ (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is ❑. ❑ feet above ❑ or below ❑ (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: f � NGVD '29 ❑ Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM [see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: Q❑ Yes N1No(See Instructions on Page 4)
5. The reference level elevation is based on: % O ua' al ongructibn ❑ construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate
will be required once construction is complete.)
6. The elevation of the lowest grade immediately adjacent to the building is: feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: I I I I I .—I feet NGVD (or other FIRM datum–see Section B, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-31, MAY 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones Ai—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s),,#Ien list the Feature(s) not
included in the certification under Comments below. The diagram number, Section ust still hJe entered.
I certify that the information in Sections B and C on this certificate represen ret the data available.
I understand that any false statement may be punishable by fine or impriso ph �ISection 1001.
ER'S
OKA(- COMPANY NAME
ADDRESS
STATE ZIP
SIGNATURE /J n ( / fDATE ,) t to / �� f / �/ -D67(o6--)
Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A V A A V
ZONES ZONES ZONES ZONES ZONES
REFERENCE
LEVEL
REFERENCE
REFERENCE BASE
LEVEL
LEVEL FLOOD
ELETATION
4:Si:titii:t.i. rk rl*: •.... i
"�
BASE
�• REFERENCE
BASE+".':':: ADDJACENT:::;,
FLOOD
FLOODGRADE } LEVEL
ELEVATION
ELEVATION REFERENCE ADJACENT `•%x
LEVEL GRADE�`Fk
::`;.:::'':.:::::?i�.':::.:':•.':.';::'. ::
�:.f: ADJACENT:"
- m
.....: :ITS / `�''.::' �:.`.:: �':::::':.:::::�:.',•:;�:''�::.:
GRADE.
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
SURVEY PLAT
JIMMY W. POGUE, INC.
This is to certify that I have, this date, made a careful and accurate survey on the ground of property located at
No. 704 CASTLE CREEK DRIVE inthecityof, COPPELL, Texas
Lot No. 2 _ , Block No. C City Block No.
of THE, ESTATES OF CAMBRIDGE MANOR, an additiontothe
City of COPPELL , DALLAS COUNTY, Texas, according to the MAP
thereof
recorded in Volume 94250 Page 346 , MAP Records DALLAS County, Texa,s1_.
S 00'23' 45" W (REFERENCE BEARING nc Am �1.ffi
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SURVEYOR'S NOTE: I DID NOT SEARCH THE COUNTY
RECORDS TO DETERMINE EASEMENTS OR RECORD TITLE.
ALL INTERESTED PARTIEa SHOULD EMPLOY A TITLE &
ABSTRACT COMPANY TO DETERMINE EASEMENTS AND STATE
OF TITLE AND OWNERSHIP TO THIS PROPERTY. r
1f2.�a�
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The PW bareon is a true represent ion of the property, ss determined by on the ground survey, the lino
and dhmensionz of said property being as indicated by the plat: the zinc Ines" and type of bnildinp am
improvemesus are AS eiowac all improveseew being within the boundaries of the property, set back from PAUL A . H I A - n
Property tins the distance indicated, and that the distaaces from the ■carat iamrzecting street. or road. REGISTERED PROFESSIONAL LAND
is as shown on said Plate all corner monuments aro as shown. SURVEYOR NO . �-- 4 9 0
THERE ARE NO ENCROACMAENTS OR PROTRUSIONS.
1"=20' Tis survey was Performed in e000wdoa with the transaction
�e10 described ie tF. No. FOR- JIMMY W. POGUE, INC.
BRENTWOOD BUILDERS 3510 MARVIN D. LOVE FREEWAY
nye 1-10-96 rine Company. Use of d6 survey for nay other purpose or by any DALLAS, TEXAS 75224
other parties "be sax* prohibited as this rtevey a a copyright PHONE (214) 371-0666
61281 o+'ned by Ay W. *Ne. Iar, and all other'uses are forbidden,
!OB No: witboat prior wrinen consent of Jimmy W. Pbgw, Gia.