FEMA-EC09111712222009 1352 8172612879 GEODATA u
v uvva
US DEPARTMENT OF HOMELAND StrtUKIT ELEVATION CER 1111cA l t vaa
u IrvMato X12012
Federal Emergency Management Agency
National Flood Insurance Program Important Read the instructions on pages 1 9 r
SECftON A PROPERTY INFORMATION 4 I
s
Al Budding Owners Name
A2 Building Street Address including Apt Unit Suite andor Bldg No or PO Route and Box No
204 OLYMPIA LANE Z trade 75019
City COPPELL
Stets TEXAS
Ny DesarlpUon and t3loek Numbers Tax Parts Number Legal Deetxipdon etc
r
LOT 17 BLOCK X ALEXANDER COUR
RESIDENTIAL
A4 Building Use eg Rea NonResidential Addition Ae cg f3 12 Horizontal Datum Q NAD 1927 NAD 1983
A5 LatI udeLors9itude Lat 572096N Long
A6 Attach at leapt 2 photographs of the building if the Certificate B being used to obtain flood kuurenoe BY GOGGLE EARTH
AT Building Diagram Number A9 Fa a building with an attached garage
Aa For a building
re
with a
of crawispa
or
r ancloaure q ft a 8q footage of unedited garage set
a Square footage of txarMapace or enclosures b No of permanent flood openings In the attached garage
b
en
n
of permanent Rood openings In da ant wade
or withkn 10 loot above adjacent grade
Engineered
eetalnal area
within
of gffl ood
neered flood openkt90
flood
foot above adjacent gradde
aq In c Total net area of flood openings in A94 sq In
d E
d
ln
d Engkseered flood openings 0 Yes 0 No
ge 0LJ Yea
n ABb
No
SECTION B FLOOD INSURANCE RATE MAP FIRM INFORMATION
g2 County Name 83 State
61 NFIP Community Name Community Number
A
COPFELL 40170 Be 89 Base Flood evations Zone
TX
84 apPanel umber B5 Suffix B6 Fl index Bevised Date Zones AO use base flood depth
48113C0155 J AUG 23 01 APR 23 r 08 LONR AE 489
810 indicate the source of the Base Flood Elevation BEE data or base flood depth entered M item 99
0 FIS Profile DO FIRM Community Determined Q Other Describe
811 Indicate elevation datum used for BFE In Item B9 NGVD 192 0 NAVD 1988 Q Other Describe
912 is the building located M a Coastal Barrier Resources system algal area cEpthervAse Protected Area OPA 0 Yes E No
Designation Date l CARS 101 OPA
SECTION C BUILDING ELEVATION INFORMATION S REQUIRED
Building Under Construction Q Finished Construction
C1 Building elevations are based on 0 Cpnsiruotton Orawksgs fig
A new Elevation Certificate will be required when contdruetion of the building is completeC2Elevetions Zones MA30 AE Ali A WI h BFE VE V1 V30 V with BFE AR ARA ARAE ARA1 A30 ARfAH ARAO Complete items C2a h
Wow according to the building diagram spedfled In Item A7 Use the sane datum es the BEE
NAVD 88
Benchmark Utilized CITY OF COPPELL GEODETIC 5 vessels Datum
ConversionComments DATUM SHIFT 00261 PER VERTCON
measurement usedChedcthe
492 4 feet 8 meters Puerto Rico only
e Top of bottom floor inoludksg basement crawtspsce or enclosure boor pi meters Puerto Rico only
c Bottom
Top of the next
west horizontal
feel meters Puerto Rico only
of the lowest structure member V Zones only
feet 0 meters Puerto Rico only
d Attached garage top of slab feet 0 meters Puerto Rico only
e Lowest elevation of machinery or equipment Servicing the building 0J
Describe type of equipment and location In Comments n rem 0 meters Paella Rico only
t Lowest adjacent finished grade next tb budding LAG f
meters Puerto Rico only
g Highest adjacent flntshed grade next to building HAG feet
feet Puerto Rico only
h Low
AIRSadjacentgradeetlowestelevationofdeckorkS Including t r
structural sir J SECTION D SURVEYOR ENGINEER OR ARCHITECT CERTIFICATION
This oertrficallon Is to be signed and sealed by a land auawy0r engineer or architect authorized by law to certify elevationInformetkmlcertifythat the information on this Cetl8eete represents my beet efforts to interpret the data aveilebta
1 understand that any false statement may be punishable bylVms orknprlsonment tinder 18 US Code Section 1001 tE OFD f r
IM Check here it comments are provided on back of form Were Imltude end longitude in Section A by a t 1S T q
licensed land surveyor Dyes LJ No
9
O
p
A
Ce eP Name L ZImbar GLENN W MILLER
GLENN W MILL I
p rr Ii 4 h4Tim
gds GEODAa XSURVEINGINC
Code
address TEXAS 76
9FStjv4O
1510 GINA DRI ARL
Signature
Date Telephone
7 2ts1 28781t17ZOO
See reverse side for continuation Replaces all previous editions
FEMA Form 8131 Mar 09
12222889 13 52 8172612874 GEODATA rPAnam cry
th0 6oRPndM9 information froiM SWIM A a
IMPORTANT M aro SIgs
andor Bldg No or PO Route end Sax No t
9ulkHn StreeI Address Indudht0 Apt Unit err
204 OLYMPIA LAME ZIP Bode
Stele 7 5019 t
City
COPPELL
TEXAS
SECTION D SURVEYOR ENGINEER OR ARCHITECT CERTIFICATION CONTINUED
Copy both sides of this Elevation Certificate for 1 oommtmlly official 2 Insurance agenVcompenY and 3 building owner
ommMts
um
tscr a AJUS C r r c r r r r A1 a
OF
beta Check here If attachments
Signature OUT t3F
SECTION E BUILDING ELEVATION INFORMATION SURVEY NOT REQUIRED FOR ZONE AO AND ZONJE A
Se
OUT l
and For
E
to Items E1E5 H the Garble Is intended to support a LOMA or LOMR F request coring
For
C Fo r tIt
arts A without n
ems E1 E4 use nreturral grade if available Check the measurement used In P Rico only enter meters eat
E1 Provide elevation Information for the following and check the appropriate boxes to show whether the elevation i9 above or below the hi gin adjacente
grade HAG and the lowest adJnt grade LAG
or enclosure is feet meters eve or below the HAG
a Top 01 bottom floor Including basement ctmve or below the LAG
b Top of bottom Roos Qncludktg basement ice or enclosure is g9 of Instructions the next higher floor
rmanent flood openings p In Sed1gi Kerns 8 or 9 see pages
E2 For
elevation
Building
b In the l
9 hank pe test Li s above or balm the HAG
elevation Crb In the diagrams al the buNding is
a0 In above or 0 below the HAG
Attached garage top of slab Is feet Meters above or below the HAG
E4 Top of platform of machinery andor equipment servicing the building IsIf no flood depth number Is available Is the top of the bottom floor sleuthed M accordance with the communitys floodplain managementE5ZoneAOonlyTheloom0IIdimustcertifythislnfonroleSectionG
ordinance Vas No unr CERTIFlCA110N
SECTION F IsROPERTY OWNER OR OWNES REPRESENTATIVE M or eorrxnurhttyissued BFE
The
Zone
property owner or owners authorized representative who completes Sections A B and E for Zone A without a FE
or Zone AO roust sign Moro The statements In Sections A 8 sod 8 acs to the asst of my
Property Owners ar Owners Authorized Representatives Neme
City
State ZIP Code
Addrees TelephoneDate
Signature
Comments
eIta 1h
SECTION G COMMUNITY fNFORMATIONThelocaloftkialwAhoisauthorizedbylaw or ordinance to admWstar the uommunKys floodplaln management ordinance can complete Sections A B C or EsandsighbelowCheekthemeasurontentusedInItemsG8 end De
and G of this Elevatlah Certificate Complete the applicable and sealed by a licensed surveyor en ghheer or architect who
G t The Information In Section C was taken iron other documentation that has been signed areae ineeIsauthorizedby law to certify elavalkin Information Indicate the source end date of the elevation dela In the Comments
G2 A community ofMM ei completed Sedion E for a building located In Zane A without a FEMMasued or community Issued BFE or Zone AO
G3 The following Informetla Items 134G9 Is provided for con nunMY floodpieln management purposesCertificate Of ComplianceOccupancy Issued
134 Permit Number 133 Date Permit issued
G7 This permit has been Issued for New Construction Substantial improvement
feet hmeters pft Datum
08 Elevation of esbulit lowest floor Including basement of the building
feet
0
m ers PR Datum
09 BFE br In Zone AO depth of flooding at the building sits
feel meters PR Datum
G10 Communitys design flood elevation
Tide
Local Officials Name
Telephone
Community Name
Dais
Signature
Comments
s 1 is
Replaces all previous editions
FEMA Form 81 31 Mar 09
d 4 Fl
u oCiii
to
455S
arcco
E N fs in6V
O
d M m 3
u
C hn i
A GIW
e 5
a tea
C7 14V
4 OF OWEVINE CREEK
W
SEE NOTE 110 1 j
n1
w
w r
07 J I I 1
C 1 C
i c
W in 1
e1
inn
g
i p L
S
9 C p p
4 ov
5 ySb va7
pi 054 473
a
243 97 Q
i n p y 0
iS 4 FORM BOARDS 12 g
bll
TOP FORM 4924 22ir W v ED g
4 PAD ELEV 4909 O O v
w NilibL1ur3r
o
Z p Q1
2
y
itG
1 d 9X 173 Z d l T
E
F4 kS 091 1 0
I24
d W 1
N272i7
114114 7 TY dQ
MT C0 y
1i7 p 7 V
1 93 0 N
C Xp pgQ
o
F 1 Y p
O
oZ m p Y9v
cc rw1
PA 471 R22500 N
41
v OC
A t 1 000 E
1s2zg 204 OLYMPIA LANE aJ o r o v
5
iEiS