FEMA-EC040625FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
O.M,B, No, 3067-0077
Expires December 31,2005
Imoortant: Read the instructions on pooes 1 " 7.
SECTION A. PROPERTY OWNER INFORMATION Forll1Sllll/1reCoirjlanyUse:
BUILDING OWNER'S NAME Policy Number
BUILDING STREET ADDRESS (Induding Apt, Unit Suite, and/or Bidg, No,) OR P,O, ROUTE AND BOX NO, Company NAlC Number
622 DEFOREST COURT
CITY STATE ZIP CODE
COPPELL TX 75019
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parrel Number, Legal Description, ete,)
LOT 13 OF DEFOREST COURT ADDITION
BUILDING USE (e,g" Residential, Non-residential, Addition, f>a:sssory, etc, Use a Comments area, if necessary,)
RESIDENTAlL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (fype):_
If -#If -##,#If' or ##,##II#If) I:8J NAD 1927 0 NAD 1983 0 USGS Quad Map o Other._
SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81, NFIP COMMUNITY NME & ~UNITY NUr.t3ER
COPPELi 480170
82, COUNTY NAME
DENTON
83, STATE
TEXAS
84, MAP AND PANEL 87, FIRM PANEL 89, BASE FLOOD ELEVATION(S)
NUMBER 85, SUFFIX B6,FIRMINIlEXDATE EFFECTJVE.REVlSED DATE 88, FLOOD ZONE(S) (ZoneAO, usedeplh ofloodi"l)
48113C0155 J 1JIl.z:>j)1 N1A AE 452
B10, Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9,
o FISProflle 0 FIRM 0 Community Deterrnined 0 Other(Describe):_
B11.lndicatetheelevation datum used for the BFE in 89: 0 NGVD 1929 i:8l NAVD 1988 0 Other (Describe): -
B12, Is the buiiding located in a coasta Banier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes 0 No Designation Date
SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1, Building elevations n based on: 0 Construction Drawings' i:8l Building Under Construction" 0 Rnished Construction
A new Elevation Certificate will be required when construction of the building ~ complete,
C2. Building Diagram Number 1 (Select the buiiding diagram most ~milarto the buiiding for whicl1 th~ certificate is oong competed - see pages 6 and 7. If no diagram
axurataly represents the buikfing, provide a sketch or photograph,)
C3. Elevations - Zones A l-A3O, AE, AH, A (with BFE), VE, V1-V3O, V (with BFE), AR, ARiA, ARiAE, ARiA 1-A3O, ARiAH, ARiAO
Compete Items C3,-aj beklw according to the building diagram specified in Item C2. Slate 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 fleld measurements and datum CXlIlve~on calculation, Use the SpOOl provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conve.son,
Datum Conversion/Comments
Elevation reference ma1< used _Does the elevation reference maIk used appear on the FIRM? 0 Yes i:8l No
o a) Top of bottom floor (induding basement or endosure) 456, .1ift,(m)
o b) Top of next higher floor _,_ft,(m)
o c) Bottom of lowest horizontal structural member (V zones only) _' _ft,(m)
o d) Attached garage (top of slab) _' _ft.(m)
o e) LoNest elevation of machinery andlor equipment
S8l\Iiong the building (Describe in a Comments area) _' _ ft,(m)
o Q LoNest adjacent (finished) grade (LAG) _' _ft,(m)
o g) Highest adjOOlnt(flnished) grade (HAG) _ _ft,(m)
o h) No, of permanent openings (flood vents) within 1 ft, above adjacent grade_
o i) T olal area of all permanent openings (flood vents) in C3,h _sq, in, (sq, em)
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 elevation informafion,
I certify that the information in Sections A, B, and C on this certiffcate represents my best efforts to interpret the data available,
understand that any fa/sa statement may be punishable by fine or imprisonment under 18 U,S. Code, Section 1001.
CERTIFIERS NAME HARRY ROWELL LICENSE NUMBER4597
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TITLE SURVEYOR COMPANY NAME HARRY ROWELL COMPANY
ADDRESS
1301 ELM STREET
SIGNATURE
CITY
COPPEll.
DATE
06-2504
STATE
TX
TELEPHONE
972) 242.s679
ZIP CODE
75006
See reverse side for continuation.Replaces all previous editions