FEMA-EC040527FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Read the instructions on Dsaes 1 - 7.
SECTION A -PROPERTY OWNER INFORMATION
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type):_
( ft#^ - #q' - ##.fl#' or 0.1110000) X NAD 1927 NAD 1983 USGS Quad Map
A) SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
NUMBER
DALLAS
TEXAS
B4. MAP AND
❑ a) Top of bottom floor (including basement or enclosure)
B7. FIRM PANEL
❑ b) Top of next higher floor
B9. BASE FLC
PANEL NUMBER
B5. SUFFIX
B6. FIRM INDEX
EFFECTIVE/REVISED DATE
B8. FLOOD
ELEVATION(S) (Z:
4811300155
J
DATE
fL(m)
ZONE(S)
use depth of floc
❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade _
❑ i) Total area of all permanent openings (flood vents) in C3.h ... sq. in. (sq. cm)
08.23-01
M.
452
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
FIS Profile X FIRM Community Determined Other (Describe): _
B11. Indicate the elevation datum used for the BFE in B9: NGVD 1929 X NAVD 1988 Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected
Area (OPA)? Yes No Designation Date_
C1. Building elevations are based on: Construction Drawings' X Building Under Construction`
Finished Construction X
`A new Elevation Certificate will be required when construction of the building Is complete.
C2. Building Diagram Number - (Select the building diagram most similar to the building for which this
certificate is being completed - see pages 6 and 7. If no diagram accurately represents the
building, provide a sketch or photograph.)
C3. Elevations —Zones At -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, ARAE,
AR/A1-A30, AR/AH, AR/AO
Complete Items C3: a -I below according to the building diagram specified in Item C2. State the
datum used. If the datum is different from the datum used for the BFE in Section B, convert the
datum to that used for the BFE. Show field measurements and datum conversion calculation. Use
the space provided or the Comments area of Section D or Section G, as appropriate, to document
the datum conversion.
Datum _ Conversion/Comments _
Elevation reference mark used _Does the elevation reference mark used appear on the FIRM?
Yes X No .
❑ a) Top of bottom floor (including basement or enclosure)
455.78 R.(m)
❑ b) Top of next higher floor
_. _ft.(m)
❑ c) Bottom of lowest horizontal structural member (V zones only)
_ _ft.(m)
❑ d) Attached garage (top of slab)
❑ e) Lowest elevation of machinery and/or equipment
servicing the building (Describe in a Comments area)
_. --X(m)
❑ f) Lowest adjacent (finished) grade (LAG)
fL(m)
❑ g) Highest adjacent (finished) grade (HAG)
ft.(m)
❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade _
❑ i) Total area of all permanent openings (flood vents) in C3.h ... sq. in. (sq. cm)
%OaE OF rF"�
C��P.nF,G15TfR��f
HARRY I. ROWELL
f FSSIo?:' ¢
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This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information.
1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data availa,
I understand that anv false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001.
CERTIFIER'S NAME HARRY ROWELL LICENSE NUMBER 4597
TITLE SURVEYOR COMPANY NAME HARRYROWELL COMPANY
ADDRESS CITY STATE ZIP CO
1301 ELM STREET Vt.201 CARROLLTON TX 75006
IMPORTANY: In thesehfaces, copy the corresponding information from Section A- Iuse ... ..... ""
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HR SURVEYPLAT HR
LOT 3, OF DEFOREST COURTA REPLAT OF LOT 3 & LOT 2 NETTIE LONG ADDITION,
AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS, RECORDED IN
VOLUME 241, PAGE 00066.
BRUCE BIRDSONG
ZONED 'A"
VOL. 74206, PG. 03252
SET x" 92.52 SET 'X"
N
O
20' B.L.
o o o
LOT
FORMBOARD
N,
J
Iri FF.ELEV.455.78LOT
4
LOT 2
30' B.L.
d
O?
h�90j9
`5 0
112"I.R.F.92 52
REFERENCE BEARING
112"I.R.F.
NORTH
607 DEFOREST COURT ROAD
I hereby cerdfy that on thei 17TH day of MAY , 2004 this survey being a copyright protected product was made on the ground and this survey
plat has been prepared as per the field notes thereby produced and It properly represents the facts as found On the ground. This survey Mat has been prepared
/n aecoNnwe with, and M substantial cornMMnee with, all nubs and regulators promulgated by the Tawas Board of Professional Land Sur ying
Unless otherwise noted, the surveyor has rolled solely on the record date prov/ded In the We commkment for the determinedon of the boundaries
of the Mrd parcel amvayod and forany easements of record which may be shown or addressed on the survey. The survey shows Viable ""Monte, conflicts,
encroachments or protrusions apperant on the ground.
OF
Date : MAY 27, 2004 JOB #. 04-2203
gR`�
GF No. CRY J. ROWELL
4597
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