FEMA-EC020211NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE '
Important: R_~d__ the instruclions on pa~es 1.7.
SECTION A- PROPERTY OWNER INFORMATION
O.M.B. No. 3067-0077
Expires July 31,2002
BUILDING OWNER'S NAME
BRENTWOOD BUILDERS
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
606 PRESTWICK COURT
CITY STATE
COPPELL TX
PROPERTY DESCRIPTION (Lot and Block Numbem, Tax Parcel Number, Legal Description, etc.)
LOT 2, BLOCK B, PRES'T'WICK ADDITION
ZIP CODE
75019
BUILDING USE (e.g., Residential, Non-residen'~ial, Addition, Accessoy, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: [] GPS (Type):
AC-C~'-~W¢.¢~' or ~.;/;//;/"./?) •NAD1927 E]NAD1983 I-I USGS Quad Map
SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
BI. NFIP COMMUNITY NAME & COMMUNITY NUMBER I B2. COUNTY NAME B3. STATE
COPPELL - 480170 I DALLAS TEXAS
Other:__
B4. MAP AND PANEL B5. SUFFIX B7. FIRM PANEL
NUMBER B6. FIRM INDEX DATE EFFECTIVE/REVISED DATE B8. FLOOO ZONE(S)
0155 J 8-23-01 N/A X
B10. Indicate the source of the Base Flood Elevation (BI:E) data or base flood depth entered in BD.
FIS Profile I~ FIRM [] Community Determined [] Other (Describe):__
B11. Indicate the elevation datum used for the BFE in BD: C~3 NGVD 1929 [-1 NAVD 1988 [] Other (Describe):
B12~sthebui~din~catedinaC~asta~BarrierRes~urcesS¥stem~cBRS~areaor~therwisePr~tectedArea~PA)? []Yes [-'lNo
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
BD. BASE FLOOD ELEVATION(S)
Zone AO, use depth ~ ~x)ding)
N/A
Des~nation Date__
C1. Building elevations are based on: [] Construction Drawings* I~ Building Under Constn.~on* [] Finished Construction
A new Elevation Certificate will be required when construction of the building is complete.
C2 Building Diagram Number 1_ (Select the building diagram most similar to the building for which this cerlificate is being completed - see pages 6 and 7. If no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH, AR/AO
Complete Items C3.-a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in
Section B, conved the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum Conversion/Comments__
Elevation reference mark used Does the elevafien reference mark used appear on the FIRM? []Yes ['-]No
o a) Top of bottom floor (induding basement or enclosure)
o b) Top of next higher floor
o c) Bottom of lowest horizontal structural member (V zones only)
o d) Attached garage (top of slab)
o e) Lowest elevation of machine~7 and/or equipment
servidng the building (Describe in a Comments area)
f) Lowest adjacent (finished) grade (LAG)
g) Highest adjacent (finished) grade (HAG)
458. 6 ft.(m)
N/A. __~.(m)
N/A.._~.(m)
N/A. __ff.(m)
N/A. __ff.(m)
o 457.5 ft.(m)
o 458. 0 ft.(m)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A
o i) Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. cra)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or amhitect authorized by law to certify elevation information.
I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine orimprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME ROBERT C. MYERS LICENSE NUMBER 3963
TITLE PRESIDENT COMPANY NAME ANALYTICAL SURVEYS, INC.
ADDRE,SS .... ~ITY STATE ZIP CODE
707 EASY STREET GARLAND ,,, ~ TX 75042 ,
2-11-02 (972) 272-6287
FEMA Form'81-31, JL~L O0 SEE REVERSE SIDE FOR CONTINUATION · REPLACES ALL PREVIOUS EDITIONS
IMPORTANT: In these space, copy the corresponding information from Section A.
BUILDING STREET ADDRESS (Induding ApL, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
CITY STATE ZIP CODE
SECTION D - SURVEYOR, ENGINEER, OR ARCHITEC'r Cu.~.¥iFICATION (CONTINUED)
Copy both sides of this Elevation CerlJt]cate for (1) community official, (2) insurance agent/company, and (3) building owner.
COMMENTS
Check here if attachments
SECTION E- BUILDING FI FVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A 0NITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Cer~e is intended for use as supposing information for a LOMA or LOMR-F,
Section C must be completed.
El. Building Diagram Number_(Select the building diagram moa similar to the building for which this cartif~e is being completed - see pages 6 and 7. If no diagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or endceure) of the building is _ ft(m)_in.(cm) [] above or [] below (check one) the highest adjacent grade. (Use
natural grade, if available).
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4. For Zone AO only: If no flood depth number is available, is the top of the bo{tom floor elevated in accordance with the community's floodplain management ordinance?
Yes [] No [] Unknown. The local offidal must certif,/this informaJon in Section G.
SECTION F- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) C~-t(~ iFICATION
The property owner or owner's authorized representatJve who completes SedJons A, B, C (Items C3.h and C3.i only,), and E for Zone A (without a FEMA-issued or community-
issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
Check here if attachments
SECTION G- COMMUNITY INFORMATION (OPTIONAL)
The iocat o~dal who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this ElevatJun
Certificate. Complete the applicable item(s) and sign below.
Gl. [] The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by
state or iocal law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. [] A community official completed Section E for a building located in Zone A (without a FEUA-issued or community-issued BFE) or Zone AO.
G3. [] The following information (Items G4-G9) is provided for community floodplain management puq:x:)ses.
G4. PERMFF NUMBER GS. DATE PERMIT ISSUED I G6. DATE CE~TiFiCATE OF CO~LIANCE/OCCUPANCY ISSUED
I
GT. This permit has been issued for: [] New Construction [] Substantial Improvement
GS, Elevation of as-built iowest floor (induding basement) of the building is: . _fl.(m) Datum: __
Gg. BFE or (in Zone AO) depth of flooding at the building site is: . _ ft.(m) Datum: __
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS , ,
Check here if attachments
FEMA Form 81-31, JUL O0 REPLACES ALL PREVIOUS EDITIONS