FEMA-EC940902ELEVATION CERTIFICATE ' Orae No May 31, 10071
993
• , f>rptres May 37, 1993
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
BUILDING OWNER'S NAME
__AM)LEDVARDS CUSTOM HOMFS
STREET ADDRESS (Including Apt.. Unit. Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
934. LAGUNA M I V_l .
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
FOR INSURANCE COMPANY USE
POLICY NUMBER
COMPANY NAIC NUMBER
- LOT !7. BLOCK A WATER"S EDGE PH If
CITY
STATE ZIP CODE
_ COPPELL TX
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
(in AO Zones, use depth)
480170
0010
E
4-15-94
X
N/A j
r. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD '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:.._. !-1,
_.J.(J feet NGVD (or other FIRM datum -see Section B, Item 7),
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level Forms
2(a). The top of the ^r^ ^ 1-_I rinnr [rnm fhn c I A .4:, -,,—
of
' of ..__._ '454_..! .6! 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 LLl__LJ U 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 L_ J.LJ 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 L_.IJ .0 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 r] No ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ 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: ❑ Yes ❑ No (See Instructions on Page 4) un k-,7ou/r1 o -P
5. The reference level elevation is based on: ❑ actual construction ❑ 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: I I I I I I.LJ 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: 1-1 1 1 1 LJ 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 90 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 Al—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), then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C. Item 1, must still be entered.
I certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
W.R. LEE
2038
CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal)
REGISTERED PROFESSIONAL LAND'SURVEYOR SHIELD & LEE LAND SURVEYORS
TITLE -- —
1421 FERNDALE AVE.
ADDRESS
COMPANY NAME
DLS. TX. 75224
EITY ST
9-2-94 (214) 94211496
NATURE/. / (DATE l.DriONE
Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS:
_ NOTE:
This "Elevation Certificate" Is valid for item 2(a) only and in so much as changes made on the
face of this document. This is a certification of elevation of form boards only.
The property referenced hereon is not located in a FEMA 100 year flood hazard as per referenced
panel
The elevations shown were taken from grading plan of Waters Edge Addition.
ZIP
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A v A A v
ZONES ZONES ZONES ZONES ZONES
AEFERENCE
REFERENCE BASE LEVEL
REFERENCE
IEVEI FLOOD
LEVEL
ELEVATION
.'.., ..: a.;l'''�•'•' ,..
••:•. •• •:.
BASE. .,. _ REFERENCE
.. a; •:: ADJACENT :i•: aft.
SASE
FLOOD
FLOOD
GRADE LEVEL
EIE VATgN. REFERENCE ADJACENT -�z
ELEVATION
IEVEI GRAX_
r :
'
'.ADJACENT
...
GRADE
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for aII.A Zones should ba 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.
Pc.
ELEVATION CERTIFICATEor.l No30670077
, -
FEDERAL EMERGENCY MANAGEMENT AGENCY rApiresMay3r, 1993
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
BUILDING OWNER'S NAME
_Av_e_r—Edwards Custom Homes
STREET ADDRESS (Including Apt.. Unit. Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
934 Laguna Drive
OTHER DESCRIPTION (Lot and Block Numbers, eta)
Lot 17, Block A, Waters Edge Phase II
FOR INSURANCE COMPANY USE
POLICY NUMBER
COMPANY NAIC NUMBER
CITY
Coppe 1 1 , Texas 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 ZONEJ_T7SE FLOOD ELEVATION
480170 0010 E 4-15-94 X (in AOoges. use depin)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD '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._.).0 feet NGVD (or other FIRM datum—see Section B, Item 7),
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate file diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level .
2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of .-.-- �4-5�• 4i.!.� 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 l_U__UJ.0 feet NGVD (or other FIRM datum—see Section B, Item 7).
(c)*PIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is LJJ.0 feet above ❑ or
below'_J (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 LJ_).0 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? 0 Yes D No El Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ 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: ❑ Yes El No (See Instructions on Page 4)
5. The reference level elevation is based on: EJ actual construction ❑ construction drawings
(NOTE. Use of construction drawings is only valid it 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 elevalioli of the lowest grade immediately adjacent to the building is: L_L_LL._U.0 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: LLI I I .0 feet NGVD (or other FIRM datum -see Section B, Item 7).
2. Date of the start of construction or substantial improvement
tMA rorm UI-JIJ MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
r '
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 Al -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 SFE), 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), then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C. Item 1, must still be entered.
I certify that the information in Sections B and C on this certificate represents my
I understand that any false statement may be punishable by line or imprisonm9,3
W. R. Lee
CERTIFIER'S NAME
Registered Proffessional
TITLE
1421 Fernadal Avenue
ADo s
SIGNATURE
A,
Land Surveyor Sh lA
wlr
COMPANY NAME
Dallas q
EITY
9-1
DATE
o interpret the data available.
Q 118 de, Section 1001.
� s�T_E q�.+q
rs
ssMY Texas 75224
.....
942-8499ME ZIP
PHONE
Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS:
_ NOTE:
This "Elevation CertJffcate" is valid for item 2(a) only and in so much as changes made on the
face of this document. This is a certification of elevation of form boards only.
The property referenced hereon Is not located in a FEMA 100 year flood hazard as per referenced
panel
The elevations shown were taken from grading plan of Waters Edge Addition.
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A v A A v
ZONES ZONES ZONES ZONES ZONES
REFEf1ENCE
REFERENCE LEVEE
BASE
11EFEREAICE
LEVEL
FLOOD
LEVEL
ELEVATION
BASE r::: :';: ,.. f•: :: t
, •'• REFERENCE
BASE
FLOOD ADJACENT.:'+
"':�+i`t
FLOOD
ELEVATION REFERENCE ADJACENT GRA pf LEVEL
UEWIiON
IEVEI GRADE
, iFE
ADJACENT
;. .. ..
•
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
.8.12'
lRow
16.44'
i 20' B.L. `
20' MAI NITENANCE - - `
ESMT
i
Fc* -M BOARD
o , tJr , , RF)QUjaED
"-45 0 '
4921N t ,E. ,A. LETTER RE UTT.
(V i a �tl �Jll+i fdf.
zo 10'911 55'0" 8'21
04o NEW RESIDENCE
J
'— FP — 454.41 6' HIGH
0 FF = 455.15 , m WD. FENCE
i
Zo' e:L------' 453,3
N CONC WALK 10'X10' T.U.E.
_ _ TRANSFORMER
r - - - - - N - - - - 10' UTILffY ESMT. i ESMT.
CONC +453.q ----� '
456. i DRIVE � 69.34'
- --4.70' +�45 CITY OF COPPELL
CITY SIDE WALK
I REVIEWED
8�.m
L A G U NA DRIVE
SITE
PLAN
NTT
SCALE: 1 " =
20'0"
LOT —
17,
BLOCK —A.
u
IX DATE
)roval of the 4kns and specifications Shall not
construed to mean construction in direct con-
t with the City of Coppeil Building Codes and
ling Ordinances.
SURVEY PLAT
ADDRESS: 934 LAGUNA DRIVE, COPPELL, TEXAS.
LOT 17, BLOCK A, WATER'S EDGE PHASE 11, COPPELL, TEXAS.
08°35'26"W NO°38'56"W z - I
8.12 14.33 N 05°5829 "E
oti
13.70'
20'
c0
18
i
BLOCK
o,, fit„ wA �� N 12 017'54" E
10 o.� �r� 25.69'
M,9/A/7- . ESM T. 0.Z
VOL . 85"5(,P PG. ►(Q7p \ 1A.-
\r
17
N 19°47'39"E
19.22'
W
25' B.L. c PCR r)
"l0' UTIL. ESMT.
CPCAr)
/Z-rtr S1005 1'19"E 69.34' '196 ';5 � reF
(Reference Bearing) R=0. Q
L= 4.70
LACUNA wrDE> DR IV E
Bearing Source: Recorded Plat
T0: THE PROPERTY SHOWN HEREON IS NOT LOCATED IN A DESIGINATED
ZONE A (100 YEAR Avery Edwards PROPERTY IS LOCATED ON ZONE: HAZARD AR A) ACCORDING TO FEMA MAP:
PANEL : 480170 DOIOE DATED: 4 -t5 -9d,
I do hereby cartlty that the pkt shown hereon represents the results of a survey made on the ground by
me or under my direction and supervlelon. Visible and apparent Improvements to the property found on the OF
pound are shown hereon. Except as shown hereon there were no visible and apparent encroachments or ...•••..� F
protrusions of Ynprovsments found on the ground.
This survey b subject to all easements of record Q S T F f
This survey wu performed exclusively for the above mentioned parties. Use of this survey for any other
purpose or by others shall bs at their risk. Q '.
SHIELDS AND LEE SURVEYORS..............................
2038 �
$GALE
DATE 8-25-94 �-Fcv-M5 60'wd, 1421 FERNDALE AVENUE \ SU��
JOB N0. 99¢09 5' 1-94) DALLAS, TEXAS 752'24
(214) 942-8496
DRAWN BY NF�
W.R. Lee, R.P.L.8 2038
1+ `
SURVEY PLAT
ADDRESS: 934 LAGUNA DRIVE, COPPELL, TEXAS.
LOT 17, BLOCK A, WATER'S EDGE PHASE Il, COPPELL, TEXAS.
08035'26"W N 0°38'56"W z-
8.12
8.12 1433 N0505829"E
_._'rx" Fid' °' _ 13.70
0.1 1 F o,, 4C 69-r wAI.C. N 12 017'54" E
_ 10 0•L I ��F ` 25.69'
n'1AJIV T. LSM
02
VOC . 8518(,PG, 1(,70 \ 1A.-
1�
0.1
r-3
17
8,0
10.3
N 19°47'39"E
19.22'
w
O
3o
z
25' B.L. C P[Ar)
10' Ur/L. ESMT.
_ 6PLAr)
S10'05 I' 19" E 69.34' �i�s 2- IP—F
R=350.Q
(Reference Bearing) L= 4.70
LAGUNA WIDE) DRIVE
Bearing Source : Recorded Plat
TO: THE PROPERTY SHOWN HEREON IS NOT LOCATED IN A DESIGINATED
ZONE A (100 YEAR FLOOD HAZARD AR A) ACCORDING TO FEMA MAP:
Avery Edwards PROPERTY IS LOCATED IN ZONE: A —
PANEL : 480170 0010E DATED' 4-15-9_4
do hereby cottfly, that the plat shown hereon represents the results of a survey mads on the ground by 0 F
ms or urxW my direction and supervision. Visible and apparent Improvements to the property found on the
ground ars Mown hereon. Except as shown hereon there were no visible and apparent encroachments or •�S E•�'
protrusions of YnprovemsMe found on the ground. TWO survey Is sub)sct to al easements of record Qt '� RF •• 9
TWO survey was performed exclusively for the above mentioned parties. Use of this survey for any other /� O •�
purpose or by others Mal be at their risk. v1 a int
R. LEE
SHIELDS AND LEE SURVEYOR......�"::..20......
• ••2038
SCALE 1"=20' c.o
yam•.:, E S S t• • �� A r
DATE 8-25-94 (fOrM5 &Wr'5ec( 1421 FERNDALE AVENUE O •SU V
Z2-1-94) DALLAS, TEXAS 75224
JOB NO. 99¢09 (214) 942-8496
DRAWN BY NF W.R. Lee, R.P.L.S 2038