FEMA-EC950106O'.M.B. Nc~. 3O67-OO77
ELEVATION CERTIFICATE
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 OWNERS NAME IFOR
INSURANCE COMPANY USE"
POLICY NUMBER
COMPANY NAIC NUMBER
r I
STREET ADDRESS (Including Apt., Untt, Sutle end/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
1425 Pebble Creek Drive
OTHER DESCRIPTION ILot .nd eto~ Numbere. ele.t
Lot 7 , Block A , EAGLE POINT VILLAGE AT RIVERCHASE
CI~
Coppell Texas
SECTIO~ B FLOODINSURANCE RATE MAP(FIRM) INFORMATION
STATE ZIP CODE
Provide the following from the proper FIRM (See Instructions):
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ~ NGVD '~g ~ Other (delaHbt on hick)
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:~ J ~ ~ I ~.~ 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 bulldlng's reference level ].
2(at. FIRM Zones At-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram Is at an elevation
cfi ! !~,!'~!~1 .l ~._1 feet NGVD (or other FIRM datum-see Section B, Item 7).
bt. FIRM Zones V1-V30, VE, and V (with BFE). The boffom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of I ! ~ ! I I.L_~ feet NGVD (or other FIRM datum-see Section B, Item 7).
ct. FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram Is I I !.L_] feet above [] or
below ~ (check one) the highest grade adiacent to the building.
d). FIRM Zone AC. The floor used as the reference level from the selected diagram is ! ' I I I feet above [] or below [~ (check
one) the highest grade adlacent 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 the elevation datum system used in determining the above reference level elevations: ~ i~IGVD '2g [] 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: C Yes [] No (See Instructions on Page 4)
5. The reference level elevation ts 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. ,4 post-construction Elevation Certificate
will be required once construction is complete.)
6. The elevation of the lowest grade Immediately adlacent to the building Is:l ~ ~ [ I 1.1.1 .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 f
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: I :~ i i. I.[__1 feet NGVD (or other FIRM datum-see Section B, Item 7).
2. Dale of the staff of construction or substantial improvement
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