FEMA-EC960806O.M.B. NO. 3067..0077
ELEVATION CERTIFICATE 3t, ,996
FEDEFIAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PFIOGFIAM
A'rl'ENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form Js 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 ol Map Amendment or Revision (LOMA or LOMR).
InetruetJons for completing this form can be found on the following pages.
FOR INSURANCE COMPANY USE '
SECTION A PROPERTY INFORMATION
I NUMSER
BUILDING OWNER'S NAME .
I COMPANY NAIC NUMBER
STREET ADDRESS (Including Apt., Unit. Sulle and/or Side. Number) OR P.O. ROUTE AND BOX NUMSER
OTHER DESCRIPTION (Lot and Block Numbers.
Lot ~ , Block ~k , EAGLE POINT VILLAGE AT RIVERCHASE
STATE ZIP CODE
ciTY Texas
Coppell
SECTION B FtOOD INSURANCE RATE MAP {FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
in AO Zo~Jl. ul, e ~lefllh)
480170' 0010 E Ap~. 1.5, 1994 AF_,,X (shader)
7. Indicate Ihe elevation datum system used on the FIRM for Base Flood Elevations (BFE): ~ NGVD '2g J-'q Other (describe on back)
8. For Zones A or V. where no SFE is provided on the FIRM, and the community has established a BFE for this building site, Indicate
the community's BFE:! i I I J J.L_J feet NGVD (or other FIRM datum-see Section B, Item 7).
SECTION C BUILDING EL.IEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 Ihat best
describes the subject buildlng'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 l ! ~ t41~'!~!.J .IG._J feet NGVD (or other FIRM datum-see Section B, Item 7).
b). FIRM Zones V1-V30, yE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
I .
the selected diagram, is at an elevation of l , , I I L_J 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 I ! ~ .L_J feet above [] or
below ~ (check one) the highest grade adjacent to the building. .
d). FIRM Zone AD. The floor used as the reference level from the selected diagram is" ' ! I { feet above [] or below J-'J (check
one) lhe 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 Ihs community's floodplain management ordinance? [] Yes [] No [] Unknown
3. Indicate the elevation datum system used In determining the above reference level elevations: ~ NGVD '2g [] Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used irt 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 cortversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: ~-q_ Yes [] No (See Instructions on Page 4)
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:J ! ~A ~ J~i .l~.~J .feet NGVD (or other FIRM datum-see
Section B. Item 7).'
SECTION D COMMUNITY INFORMATION
1. It the communily official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item
is not the "lowest floor" as defined in Ihs community's floodplain management ordinance, the elevation ot the building's "lowest
floor" as defined by the ordinance is: L~_L._j ! I.L_J feet NGVD (or other FIRM datum-see Section B, Item 7).
2. Date of the start of construction or. substantial improvement