FEMA-EC950220 (2)ELEVATION CERTIFICATE 31,1.6
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
A'n'KNTION.. Use of this certificate does not provide a waiver of lhe flood insurance purchase requirement. This form Is used only to
provide elevalion information necessary to ensure compliance with applicable community floodplain management ordinances, to
delermtna 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 I FOR INSURANCE COMPANY USE"
IPOLICY
NUMBER
ICOMPANY
NAIO NUMBER
RtJILDING OWNERS NAME
TREET ADOREg~ (Ineludlng Apt., Unit, ~ulte end/or BI~. Number) OR P.O, ROUTE AND BOX NUMBER
OTHER DESCRIPTION (Lot and elo~ Numbers, etc. I
Lot q , BLock A ,__EAGLE POINT
CITY
Coppell
VILLAGE AT RIVERCHASE
STME ZIPCODE
Texas
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
lin AD 2ofleL ule del)Ih)
480170' 0010 E Apr. 15, 1994 AE,X (shade~)
7. Indicate the 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 the community has established a BFE for this building site, IndiCate
the community's BFE:! i I ] I ].L_J feet NGVD (or other FIRM datum-see Section B, Item 7).
SECTION C BUILDING Ei~EVATION INFORMATION
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 1
2(a). FIRM Zones At-A30, AB, AH, and A (with BFE). The top of the reference level floor from the selected diagram Is at an elevation
of L_L_-I~ !'~1.1~'.~1 feet NGVD (or other FIRM datum-see Section B, Item 7).
bi. FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of L I ~ ! I I.L_~ feet NGVD (or other FIRM datum-see Section B, Item 7).
c). FIRM Zone A (without BFE). The floor used as lhe reference level from the selected diagram is I ! .! .[_] leer above [] or
below i..._-~. (check one) the highest grade adiacent to the building. ..
d). FIRM Zone AD. The floor used as the reference level from the selected diagram is: ~ ! I I feet above [] or below ~ (check
one) the highest grade adiacent to the building. If no Ilood depth number is available, is the buildlng'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 delermlning the above tolerance level elevations: [] NGVD '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 ~, Item 7~, then convert the elevations to the datum system used on the FIRM and show the conversio~
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: [] 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:[ ~. ~4!~'~ol .~ .feet NGVD (or other FIRM datum-see
Section B. Item 7): .......
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verllylng building elevations specifies that the reterenco level Indicated In Section C, Item 1
is not the "lowest floor" as detlned in the community's tloodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: t.___t_ ! ! J .L~ feet NGVD (or other FIRM datum-see Section B, Item 7).
2. Date of lhe start of construction or substantial improvement
e ..... m~,~'., ,e ~,*.,-n,'-,,.,c cr~ ~,l:Wl~.~ ~IDE rOl~ CONTINUATION