FEMA-EC01101906/11/2002 13:30 9723043514 COPPELL FIRE DEPT PAGE 05
FEDERAL EMERGENCY MANAGEMENT AGENCY 0.M.B. NO.3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Empires July 31, 2002
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATION Fair. itR i l
BUILDING OWNER'S NAME gM4 c o•li r :1!iii•"l
BUILDING STREET ADDRESS(Muting Apt,Unit 9Uit>q,andCrBldg.NO.)OR P.O.ROUTE AND BOX NO. NtUS l,:,....i,,,,.,.....:40.;
945 DEFOREST ROAD
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ir' /iii ";`.
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CITY STATE ZIP CODE
COPPELL TX
PROPERTY DESCRIPTION lLctald Block M.ntles,Tax Pamel Mlrt]e;Legal Desorptm,etc)
LOT 10 BLOCK A OF WINDSOR ESTATES
BUILDING USE le.g.,Resider,-Ncr resdettaa,AdclUon,Accessary,sic Use a Carrneris arm,If necessary.)
RESIDENTIAL
LATITUDE/LONGITUbE(t)Pf16MAU HORIZONTAL DATUM: SOURCE:-GPS(Type
t it•if•i#i./,#'or #P.I f#1 f NAD 1927 0 NAD 1983 0 USGS Ouacl Map ®COW.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1,NFIP GOA/MUNN NAME 8 COMdUNIUY NUMBER 132 COUNTY AWE B3,STATE
COPPELL 4801701 DALLAS TEXAS
04,MAP AND PANEL 05,SUFFIX B7,FIRM PANEL' 139.BASE FLOOD ELEVATION(S) '
NUMBER 86,FIRM INDEX DATE EFFECT1VVREVISED DATE BB,FLOOD ZONE(S) (Zane AO,use depth of'bodding)
0010; D 03-08-74 04-1594 AE 452
1310.Indicate the source cite Base Rood Elevation(BFE)data or base good depth entered In B9.
FIS Profile FIRM Community Determined Other(Describe):
B11.Indicate the elevation datum used for the BFE ii B9:®NGVD 1929 0 NAVD 1988 Other(Desate):
B12.Is the buidng located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes ®No Designation Dale
SECTION C•BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building'elevations are based on:Construction Drawings* El Building Under Contrition• Finished Construdion
A new Elevation Certificate will be required when construction of the building is complete.
C2.Building Diagram Number 1(Select the building diagram most similar to the bunking for which this certificate is being completed-see pages 6 and 7. If no dagiwn
accurately represents the bullring,provide a sketch or photograph.)
C3.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(w1h BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,ARIAO
Complete Items C3:a-I below according to the bulking dagram speciled 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 oonversion calculation. Use the space provided or the Comments area of
Section D or Section G,as appropriate,to dominant the datum conversion.
Datum Conversion/Commenls_ n,O1F T
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? Yes ®No aersr
o a)Top of bottom floor(inducing basement or endosue) 057,. 1 ft(m) . 1e•
I
e" .
o b)Top of next higher floor it(m)
01
o c)Bottom of lowest haiza tai structural member(V zones only) 1(m) HARRY J.Ro1NELL
garb(top ) o d)Attached of slab ft(m)K.:597....../.. i
o e)Lowest elevation of machinery and/or equipment.
servicing the building(Desaibe in a Comments area) it(m) y at e>A`
o f)Lowest adjacent(finished)grade(LAG) ft.(m)
S j`
o g)Highest adjacent(finished)grade(HAG) it(m)
o h)Na of permanent openings(Rood vents)within 1 ft above aciacent grade__,_,
o i)Total area of all permanent openings(Rood vents)in C3.h sq.in.(sq.an)
SECTION 0•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 information.
I certify that the information in Sections A,8,and Con this certificate represents my best efforts to Interpret the date available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001,
CERTIFIERS NAME HARRY ROWEL.. UCENSE NUMBER 4597
TITLESURVEYOR COMPANY NAME HARRY ROWELL COMPANY
ADDRESS•CITY STATE ZIP CODE
1301 ELM STREET STE.201 CARROLLTON TX 75006
SIGNATURE
DATE TELEPHONE
j 10-19.01 972)242,5679
tt...-4247FEMAForm81-31,JU SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS