FEMA-EC020715NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
O.M.B. No. 3067-0077
Expires July,31, 2002
Important: Read the instructions on pages 1.7.
SECTION A- PROPERTY OWNER INFORMATION For insurance CanpanyUse:
BRENTWOOD BUILDERS
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
619 PRESTWICK COURT
CITY STATE ZIP CODE
COPPELL TX 75019
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 5, BLOCK A, PRESTWICK ADDITION
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITILDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):
or ##.#tri#!°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map []Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER
B2. COUNTY NAME
B3. STATE
480170
DALLAS
TX
84. MAP AND PANEL
B5. SUFFIXB7.
FIRM PANEL
39. BASE FLOOD ELEVATION(S)
NUMBER
B6. FIRM INDEX DATE
EFFECTIVEIREVISED DATE
BS. FLOOD ZONE(S)
(Zone AQ use depth of flooding)
0155
J
8-2301
X
N/A
B10, Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): _
B11. Indicate the elevation datum used for the BFE in 39: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12 Is the building located in a Coastal Banner Resources System (CBRS) area or Otherwise Protected Area (OPi ❑ Yes ® No Designation Date_
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl Building elevations are based on: ❑ Construction Drawings* ® Building Under Construction* ❑ 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 certificate 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, ARIA, ARAE, APJA1-A30, ARAH, AR/AD
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, convert 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
onversion/Comments_Elevation reference mark used -Does the elevation reference mark used appear on the FIRM? [I Yes ® No
o a) Top of bottom floor (including basement or enclosure) 458. 611(m)r t}F n
o b) Top of next higher floor N/A._ft.(m)
o c) Bottom of lowest horizontal structural member (V zones only) WA
o d) Attached garage (top of slab) WA. _fl(m) E g
o e) Lowest elevation of machinery and/or equipment w v
servicing the building (Describe in a Comments area) N/A. _It.(m)E 2
o f) Lowest adjacent (finished) grade (LAG) 457.2 ft.(m) Z'
o g) Highest adjacent (finished) grade (HAG) 457. U(m)
o h) Noof permanent openings (flood vents) within 1 ft. above adjacent grade NA
J
o i) Total area of all permanent openings (flood vents) in C3.h NIA sq. in. (sq. cm)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
ROFIE.717 0. Nb1YERS
This certification is to be signed and sealed by a land surveyor, engineer, or architect 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 or imprisonment under 18 U.S. Code Section 1001.
CERTIFIERS NAME -ROBERT C. MYERS LICENSE NUMBER 3963
TITLE- VICE PRESIDENT COMPANY NAME -ANALYTICAL SURVEYS, INC.
ADDRESS
707 EASY STRE
CITY
GARLAND
STATE ZIP CODE
TX 75042
i1` r�7S
DATE
7/15-02
TELEPHONE
972-272F287
81-31, JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS