FEMA-EC961016 (2)ELEVATION CERTIFICATE 3'' ,996
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does no! 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
delermine 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 FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER
STREET ADDRESS (Including Apt,, Unit, Suite end/or Bldg. Number) OR P.O. ROUTE At. JO BOX NUMeER COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
Lot z% , Block ~ , EAGLE POINT VILLAGE AT RIVERCHASE =
CITY STATE
Coppell Texas
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
ZIP CODE
Provide the following from lhe proper FIRM (See Instructions):
II. AD Zoner, uae del~lh)
480170' 0010. E Apr. 15, 1994 AE,X (shader)
7. Indicate lhe 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 Ihe community has established a BFE for Ihis building sile, indicate
the community's BFE:! i I I [ l.LJ leer NGVD (or other FIRM datum-see Section B, Item 7).
SECTION C BUILDING EL,EVA~ION INFORMATION
1, Using the Elevation Certificate Instructions, indicate lhe diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject bullding's reference level !
2Ia). FIRM Zones Al-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selecled diagram is at an elevation
oft ! !a'l~'!'~l.l~J feet NGVD (or other FIRM datum'-'see Sectinn R, Item 7).
b). FIRM Zones V1-V30, VE, and V (with BFE). The boffom ol the lowest horizontal structural member of the reference level trom
the selected diagram, is at an elevation (~fi ! ' ! I 1.1_~ feet HGVD (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 t ! ,! .La feet above ~ or
below ~ (check one) the highesl grade adjacent to the buildino
Id). FIRM Zone AD. The floor used as the reference level from the .~elected. diagram is" ' !.~_1 feet above [] or below ~ (check
one) the highest grade adiacent 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 [] No ~ Unknown
3. Indicate !he 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 R, 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)
5. The reference level elevation is based on'. I~ 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 Cerfificate
will be re'quired once construction is complete.)
6. The elevation of the lowest grade Immediately adjacent Io the building is:[ ~ ~ ~l~i. ~ .feet NGVD (or other FIRM datum-see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the communily official responsible for verifying building elevatior~,~ ;pecifi~s that the reference level indicated in Section C, llem 1
is not the "lowest floor" as defined in the community's floodplain r,;n.agemenl ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: L , '~ i___[_J .LJ feet NGVD ~'or other FIRM datum-see Section B, Item 7),
2. Date of the start of construction or substantial improvemen! _