FEMA-EC120711U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
A2. Building Street Address (Including
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -9.
INFORMATION
No.) or P.O. Route and Box
OMB No. 1660 -0006
Expires March 31, 2012
Cdy COPPELL State TEXAS ZIP Code 75019
A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Let. Long. Horizontal Datum: [] NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Cerlificete Is being used to obtain flood insurance. BY GOOGLE EARTH
A7. Building Diagram Number
A8. For a building with a crawlspace, or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) sq ft a) Square footage of attached garage sq ft
b) No of permanent good openings In the crawlspace or b) No. of permanent flood openings in the attached garage
enclosure(s) within 1.0 foot above adjacent grade within 1.0 toot above adjacent grade
c) Total net area of flood openings In A8.b sq in c) Total net area of flood openings in A9.b sq in
d) Engineered flood openings? Yes No d) Engineered flood openings? Yes No
SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B4. Map/Panel Number 85. Suffix B6. FIRM Index B7. FIRM Panel BB. Flood B9. Base Flood Elevafion(s) (Zone
Date Effective/Revised DateIAPR.23,'08
Zone(sj AO, use base flood depth)
48113CO155 J AUG. 23,01 LOMB) AE 488
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
FIS Profile ® FIRM Community Determined Other (Describe)
B11. Indicate elevation datum used for BFE in Item 139: ® NGVD 1929 NAVD 1980 Other (Describe)
B12. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes 0 No
Designation Date CBRS OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: Construction Drawings' @ Building Under Construction* Finished Construction
A new Elevation Certificate will be required when construction of the building Is complete.
C2. Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, AR/AE, AR/Al -A30, ARIAH, AR/AO. Complete hems C2.a -h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized CITY OF COPPELL GEODETIC 05 Vertical Datum NAVD 88
ConversionlComments DATUM SHIFT — 0.026' PER VERTCON
Check the measurement used.
a) Top of bottom floor (Including basement crawlspace, or enclosure floor) 492 . 8 ® feet meters (Puerto Rico only)
b) Top of the next higher floor feet meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only) _ feet meters (Puerto Rico only)
d) Attached garage (top of slab) _ feet meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building _ feet meters (Puerto Rico only)
Describe type of equipment and location in Comments)
0 Lowest adjacent (finished) grade next to building (LAG) _ feet meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG) _ feet meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including _ feet meters (Puerto Rico only)
StGI FUN D -
information. I cerbfy that the Information on this Certificate represents my best efforts to interpret the data avalleble.
I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Check here if comments are provided on back of form.
FEMA Form 81 -31, Mar 09
Were latitude and longitude in Section A provided by a
licensed land surveyor? Yes No
INC.
11, 2012
See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces copy the corresponding Information from Section A. 1 A0 I , r Ncg Ab i[sa) y used'
MAW;— ear e,r,r.a« ti.Hi dim Ant_ Unit. Suite. and/or Bide. No.) or P.O. Route and Box No.
City State ZIP
9
Code ,)pny N . N V
COPPELL TEXAS 7501 i51
SECTION SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company. and (3) building owner.
SECTION E -BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate Is intended to support a LOMA or LOMR -F request, complete Sections A, B,
and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
Et. Provide elevation Information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawlspace, or enclosure) is . _ feet meters above or [--]below the HAG.
b) Top of bottom floor (including basement, crawispace, or enclosure) is _ Feet []meters above or below the LAG.
E2. For Building Diagrams 6.9 with permanent flood openings provided in SectiriLik Items 8 air /or 9 (see pages 8-9 of Instructions), the next higher floor
elevation C2.b in the diagrams) of the building is _ El feet LJ meters u above or LJ below the HAG.
E3. Attached garage (top of slab) is _ feet meters above or below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building Is __. _ feet meters above or below the HAG.
E5. Zone AO only. If no flood depth number is available, Is the top of the bottom floor elevated In accordance with the community's floodplain management
ordinance? Yes No Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA - Issued or community- issued BFE)
or Zone AO must sign here. The statements In Sections A, B, and E are correct to the best ofmy knowledge.
Authorized
Address City State ZIP Code
Signature Date Telephone
Check here If attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E),
and G of this Elevation Certificate. Complete the applicable Rem(s) and sign below. Check the measurement used in Items G8 and G9.
Gt. The information In Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- Issued BFE) or Zone AO.
G3. The following information (Items G4 -G9) is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been Issued for. New Construction Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building feet meters (PR) Datum
G9. BFE or (In Zone AO) depth of flooding at the building site feet meters (PR) Datum
G10. Community's design flood elevation feet meters (PR) Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
Check here If attachments
FEMA Form 81 -31, Mar 09 Replaces all previous editions
a n mreMrs clml ,"Oiw ieia,°"v, .1°riA"ery
rin, xrw,
wbnv1°'
te m onw.m w.n7x.
pMNpXgY.
L•!INIMY Ip110 6 ie M
1,W im.
an
1I0,
Y1x y1p0l
XL MYyVpW Na M OXCII
N4Y@ MLYIS MaCR'1 XCgW!'OIN1111V!
Ii 10' ELECTRICAL/
I iGAS EASEMENT
U nc ,um wrX weX,a,A tt,m nw M w s
rlmm ,ear r< aaw woad Xw ea lot uo ro sa
RdG X.VI 11[ M mVlm M IR 1®® XN O IYYVmI
yW
lf /tlY101 (apt nL la. Wef]1MIL IMGiJ
OK/.1® XYY 11[ F}I KO WYBIWA IXMX MOIO
a'w r,%w°i,: r O,nemijµ' ru In AaolwXi .,ocrJ
0
LOT 18
N 23'39'44" E 394.
LOT 19
BLOCK A
S 21'32'35" W 361.45'
LOT 20
PLAT SNOWING
Lot 19, in Block A, of ALEXANDER COURT, an Addition to the City
of Coppell, Dallas CounlyI Texas according to the Map or PlatthereofrecordedInClerrkksPh, No. 211080199412, Plot Records,
Dallas County. Texas.
Commonly known as 118 Olympia Lone.
rntit
NCn
O
ac
m
C'
lb v g
C
4a
GEODATA SURVEYING, INC.
ea. Wm MJm IMOM IG
79094-0536
BU,IJt 1' -00' PHONE 817 -281 -2878 WPr
ttom I I,w.M wNfy bd. b M a bX Xtl aemet
A
LV
Ai 11
O
O O/ I
P it
wn9 ewX a M u1e
i"
aee`
0ir exo
ro l evi FORM BOARDS
I
mA C
alp° w i tlY
igoI
II
6
see.,....
1
i
0
LOT 18
N 23'39'44" E 394.
LOT 19
BLOCK A
S 21'32'35" W 361.45'
LOT 20
PLAT SNOWING
Lot 19, in Block A, of ALEXANDER COURT, an Addition to the City
of Coppell, Dallas CounlyI Texas according to the Map or PlatthereofrecordedInClerrkksPh, No. 211080199412, Plot Records,
Dallas County. Texas.
Commonly known as 118 Olympia Lone.
rntit
NCn
O
ac
m
C'
lb v g
C
4a
GEODATA SURVEYING, INC.
ea. Wm MJm IMOM IG
79094-0536
BU,IJt 1' -00' PHONE 817 -281 -2878 WPr
ttom I I,w.M wNfy bd. b M a bX Xtl aemet
pwnblbn el a Xrry mel. m ee pXetl.
M craw
o won ten aa
iTl1[E PCLn
c —c- amsM unnr rH
wn9 ewX a M u1e
i"
aee`
0ir exo
anwl w. ,10 0114 -S1Arz OF rzus N0.422J
1JULY11. 2012
Mrz