FEMA-EC950608 (2)O.M.B. NO. 3067-0077
ELEVATION CERTIFICATE ExplresMay 3t, t99~
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTEI'ITION: Use ot this c~.rtificate does not provide a waiver of tile 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 lire proper insurance premium rate, and/or to supporl a requesl 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
RtJILDIHG OWNER ~ NAME POLICY NUMBER
STF~EET ADDRESS (Including Apt., Unit, Suite end/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAtC NUMBER
OTtlER DESCRIPTION (Lot and ~lock Numbers, etc.)
t__~ .... ~l~ck._~ ..... EAGL~OINT VZLLAGE AT RZVERC~SE
CITY STATE ZIP CODE
Coppe~[Texas
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
t COMMt.~NII'Y NUMRER ~' PANEL NUMBER 3 SUFFIX 4 DA3'E OF FIRM INDEX J $. FIRM ZONE J 6. SASE FLOOD ELEVATION
I
In AD Zones, uae deDlh)
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)
el. I'/ar ~a~a, ~ ne V, whmr~l nm I~IFI~ Ia, pre3vi~dle{ ~n thru FIRM, and the eemmunllv h~a e, ltmbllah,~e~ m lilFrlE for trite bulldlflg fill, Inellelte
the community's BFE: ~_i ?___l._J__J .~J feet NGVD (or other,FIRM datum-see Section B, Item 7). .
SECTION C BUILDING ELJEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 lhat best
describes the subject building's reference level _[_.__.
2(a). 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
of ~.__!~ 1~.~ I__~. I.~_~ feet NGVD (or other FIRM datum-see Section B, Item 7).
b). 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 1.~_: .... !__L_J .[~1 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. ! !.{_J feet above ~J or
below ~ ('Check one) the highest grade adjacenl to the building.
d). FIRM Zor~e AD. The floor used as the reference level from the selected diagram is" ' ! i I feet above ~ or below ~ (check
one) the 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 the community's floodplain management ordinance? ~ Yes [] No ~ Unknown
3. Indicate tire 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 ~, 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: i--~ .... 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 va/id if the building does not yet have the reference level floor in place, in which
case this certificate will on/)/be va/id for the building during the course of construction. A post-construction Elevation Certificate
will be required once constructiorr is complete.)
6. The elevation of the lowest grade immediately adjacent to the building is:l ~. "~1,14~ 13 i.~ .feet NGVD (or other FIRM datum-see
Section B. Item 7). ...
SECTION D COMMUNITY INFORMATION
I. If the community official responsible for verifying building elevations specifies that the reference level indicated In Section C, Item 1
is ,ut the "lowest floor" Rs defined in the community's floodplain management ordinance, the elevation of the building's "lowest
fleor" as derided by lhe ordirmnce is: i .~ _;_~.!_.. !~._~ .J__J feet NGVD (or other FIRM datum-see Section B, Item 7).
2. Date of the start of construction or substantial improvement