FEMA-EC020814BRENTWOOD BUILDERS
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION. CERTIFICATE
on pages 1 -7.
O.M.B. NO. 3067-0077
Expires July 31, 2002
SECTION A- PROPERTY OWNER INFORMATION -I ForinsunanaCompanyUse: (
Apt., Unit, Suite, and/or Bldg.
ROUTE
622 PRESTWICK COURT
CITY STATE ZIP CODE
COPPELL TX _ _ _ 75019
LOT 10, BLOCK A, PRESTWICK AQUI I IUN
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):__
( #9 - ##' - ##.##' or ##.#M##°) ❑ NAD 1927 ❑NAD 1983 ❑ USGS Quad Map ❑ Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3,
480170 DALLAS TX
B4. MAP ANDPANEL B5.SUFFIX B7.FIRM PANEL o(ZonA r�wvphwni.ng)
NUMBER B6. FIRM INDEX DATE EFFECTIVEfftEVISED DATE BB, FLOOD ZONES) (Zone AO, use depth of flooding)
0155 1 8.2301
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile N FIRM ❑ Community Delermned ❑ Other (Describe):
811. Indicate the elevation datum used for the BFE in B9: E NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12. Is the buildinq located in a Coastal Banner Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes E No Designation Dale_
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on ❑ Construction Drawings" E 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 At -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARIAE, AR/Al-A30, ARIAH, ARIAO
Complete Items C3. -ami 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 reference mark used _Does the elevation reference mark used appear on the FIRM? ❑ Yes N No
CITY
o a) Top of bottom floor (ind uding basement or enclosure) 457. U(m)
707 EASY STREET
o b) Top of nett higher floor NA .
TX 75042
o c) Bottom of lowest horizontal structural member (V zones only) NA . _8.(m)
00
o d) Attached garage (top of slab) WA. _ft.(m)
E
o e) Lowest elevation of machinery and/or equipment22
j
servidng the building (Describe in a Comments area) Ni _ft.(m)
E
o 0 Lowest adjacent (finished) grade (LAG) 456. 3Ito)
Z
o g) Highest adjacent (finished) grade (HAG) 456. 7 ft.(m)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade NIA
o i) Total area of all permanent openings (flood vents) In C3.h WA sq. m. (sq. cm)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
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.
TITLE— VICE PRESIDENT COMPANY NAME —ANALYTICAL SURVEYS, INC.
ADDRESS
CITY
STATE ZIP CODE
707 EASY STREET
GARLAND
TX 75042
SIG
DATE
TELEPHONE
8-14-02
972-272-6287
Form 81-31, JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL