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FEMA-EC01072006/11/2002 13:30 9723043514 COPPELL FIRE DEPT PAGE 04 mill PalI I—rl.vvv1 m I ExpiresJuly31,2002 ELEVATIONCERTIFICATE Important:Readthainstructloneonpagesl-7. SECTIONA-PROPERTYOWNERINFORMATION 1010404:0046.1 pan's `'` , j BUILDINGOWNF1{'SNAME aj yr'"• a•:.ioi ,: r ir::;:S, :;,: 4 BUILDINGST- ETAD.RESS(I d , _•Apt., LSuite,and/orBldg.No.)ORP.O,ROUTEANDBOXNO. c.•-•''.,:•• i13 ;;•; ;;.?`i i•,u: B ikiugi°rh.rpy,::• 'iF,:S.,.Sy:::.•:: a.1;; i g:31..„•;:i1 a.x.:s,:u4:•1'13 Ii. p,n,,:iri!:;r.2ifiii::.A:ii.i:...:•:,<;ti i'P;.,w:"..e,r,a:,l:;is:;l:;.:ri CI r ATEIPCODE PROPERTYDESCRIPTION(LotandBloc kNumbers,TexPercelNumtr'er,LegalDescriptIon,etc.) i r AP ES BUILDIN ' e.g.,-esidential,Non-residential,AdditlonAccessory,etc.Isea • menlsaread _ =wary. LATITU DE/LONG ITUDE(OPTIONAL RIZONTALDATUM: SOURCE LI GPS-(Type) ft"or##.# 1#1 1CNA01927 1.__INAD1983 1_IUSGSQuadMap LiOther: S ECTIONB-FLOODINSURANC ERATEMAP(F IRM)IN FORMATION 91.NFIPCOMMUNITYNAME BCOMMUNRYNUMBER 92,COUNTYNAME B3.STATE L'oPP&GG 4RD/70 1 441-" S 7/ B4.MAPANDPANEL - B&$UFRX B6,FIRMINDEX B7.FIRMPANEL B8.FLOOD ' B9.BASEFLOODELEVATION(S) v NUMBER DATE EFFECTIVE/REVISEDDATE . ZONE(S)ZoneAO,usedepthof 1oodIng) 00/0 03.08.74 .04-'5--q¢ y.4152 B 10.1 ndicatethesourceoftheBaseFloodElevation(BFE)dataorbasetlooddepthenteredlnB9. I—IFISProflle J (FIRM I_ICommunityDetermined LIOther(Descrlbe): B11.IndicatetheelevationdatumusedfortheBFElnB9:KNGVD1929 I__INAVD1988 L_I0ther(Desc 1be):___—_ B12.IsthebuiIdInglocatedinaCoestalBarrierResourcesSystem(CBRS)areaorOtherwiseProtectedArea(OPA)? I_IYes IINo DeslgnatlonDate: SECTIONC-BUILDINGELEVATION INFORMATION(SURVEYREQUIRED) C1,BulidIngelevetlonsarebesedon:i-,^IConstructionDrawings* I4 BuildingUnderConstruction*. I_IFinishedCanstruction An ewElevationCertificatewillberequiredwhe nconstructlonofthebulldingisoomplete. C2.BuildingDiagramNumber 1 (Selectthebuildingdlagrammostsimllartothebulldingfolwhlchthlscertlflcatelsbeingcompleted-see pages6a nd7.ifnod Iagramaccuratelyrepresentsthebuildi ng,provideasketchorphotograp h,) C3.Elevations-ZonesAl-A30,AE,AH,A(wIthBFE),VE,V1-V30,V(wIthBFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO CompleteltemsC3.a-ibelowaccordingtothebuiidingdiagramspeclfledlnitemC2,Statethed atumused.Ifthedatumisdifferentfrom thedatumusedfortheB FEinSectionB,eonventhedatumtothatusedfortheBFE.Showfieldmeasurementsanddatumoonverslon calculation.UsethespaeeprovldedortheCom mentsa reaofSectionDorSectionG,asappropriate,todocumentthedatumconversion. Datum_ Elevationreferencemarkused DoestheelevationreferencamarkusedappearontheFlRM?I_IYe- 09)Topot bottomfloor(includingbasementorendosure) 41.54_, .Et(m) , I Ob)Topofnexthigherfloor ft.(m) ' I-- 1- OF r Cb Bottomollowesthorizontalstructuralmembe uT8 . r(Vzonesonly)tt,(m) s 6 `T° 'fp d) Attachedgarage(topofslab) ftr(m) . A •M *ON es iii e) Lowestelevationormachineryand/orequlpment HARRY J.ROWELL servicingthebullding(DescrlbeineCommentsarea.) ft.(m) E ' \ """"4597:;. 6m. c1)LowestadJacent(finished)grade(LAG) ft.(m) z' 81 \ il,,y_ _. / Cla)HIghestadjacent(finished)grade(HAG) ft.(m)elly 0h)No. ofpermanentopeninga(floodvents)withinlft.aboveadjacentgrade,____,-_ SU J• i)TotalareaofellpermenentopenIngs(floodvents)inC3.h__ sq.in.(sq.cm) i S ECTION D-SURVEYOR,ENGINEER,ORARC HITECTCERTIFICATION Thiscertlficationistobeslgnedendseeledbyalandsurveyor,engineer,orarchitectauthorizedbylawtoce rtifyelevationinformation. 1cert6thattheinformationinSectionsA,B,andConthl ecerft llcaterepresentemybestefforfstolnterpretthedateavallable. l understandthatanyfalsestetementmsybepunishablebyfineorimprisonmen tunderlbU.S.Code Section1001. CERTIFIER'SNAME UCENgENUMBER ez sts ITL COMPANYNAME AD'RE C iP TATS 7fOOi,3oi .EGns'rA?P.E SIGNATURE ATE EPHON FFRAA Fnrm ft -;t .1111 RFF RFl/FRCP CIr1F FOP(r1NTIN1 IATIr1N ItFPI 4r KC Al I pRFVIr11 IA rnITIr1NC