FEMA-EC080804US DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No 1680 0008
Federal Emergency Management Agency Extlires February 28 2009
National Flood Insurance Program Important Read the instructions on pages 1 8
SECTION A PROPERTY INFORMATION For neutartoe Company tUsp
Al Building Owners Name Folf hiipllII y
A2 Building Street Address including Apt Unit Suite andor Bldg No or PO Route and Box No Cgm NAt Nu mber
f1ST T Place I a is3
City State ZIPrr 91C
r c N c
Coppe Texas 75019
A3 Property Description Lot and Block Numbers Tax Parcel Number Legal Description etc
V y
Lot 4 Block A WINDSOR ESTATES ADDITION
A4 Building Use eg Residential Non Residential Addition Acoassory etc Res i len t t a 1
A5 LatitudeLongitude Lat Long Horizontal Datum NAD 1927 C NAD 1983
A6 Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood insurance
A7 Building Diagram Number
A8 For a buNding with a crawl space or endosures provide A9 For a building with an attached garage provide
a Square footage of crawl space or enclosures sq ft a Square footage of attached garage sq ft
b No of permanent flood openings in the crawl space or b No of permanent flood openings in the attached garage
enclosures walls within 10 foot above adjacent grade walls within 10 foot above adjacent grade
c Total net area of flood openings in A8b sq in c Total net area of flood openings in A9b sq in
SECTION 8 FLOOD INSURANCE RATE MAP FIRM INFORMATION
81 NFIP Community Name b Community NumberrCtrppell4801Z0 I 82 County Name
T
B3 State
1 Dallas I Texas 1
B4 MapPanel Number 85 Suffix 66 FIRM Index 17 FIRM Panel 88 Flood 89 Base Flood Elevations Zone 1DateEffedieaRevisedDateZonesAOuse base flood depth
4811300155 J 8 23 01 10 01 2003 x 452
810 indicate the source of the Base Flood Elevation BFE data or base flood depth entered in Item 139
FIS Profile X FIRM 0 Community Determined Other Describe
811 Indicate elevation datum used ter BFE in Item 89 NGVD 1929 l NAVD 1988 CI Describe
812 Is the building located in a Coastal Barrier Resources System CBRS area or Otherwise Protected Area OPA7 0 Yes 0 NoDesignationDateCBRSJOPA
SECTION C BUILDING ELEVATION INFORMATION SURVEY REQUIRED
Cl Building elevations are based or Construction Drawings Building Under Construction 0 Finished Construction
A new Elevation Certificate will be required when construction of the building is complete
C2 Elevations Zones Al A30 AE AH A with BFE VE V1 V30 V with BFE AR ARA ARAE ARAI A30 ARAH AR AO Complete items C2agbelowaccordingtothebuddingdiagramspeditedinItemA7
Benchmark City of Coppell Geodetic Mon 49 Vertical Datum
ConversionComments
Check the measurement used
a Top of bottom floor including basement crawl space or enclosure floor 45R 0 feet 0f11 meters Puerto Rico only
0hTopofthenexthigherfloorfeet meters Puerto Rico only
c Bottom of the lowest horizontal structural member V Zones only feet meters Puerto Rico only
d Attached garage top of slab 0 feet meters Puerto Rico only
e Lowest elevation of machinery or equipment servicing the building e T
feet meters Puerto Rico onlyDescribetypeofequipmentinComments
1 Lowest adjacent finished grade LAG feel 0 meters Puerto Rios onlygHighestadjacentfinishedgradeHAG0feetmetersPuertoRicoonly
SECTION D SURVEYOR ENGINEER OR ARCHITECT CERTIFICATION
This certification is to be signed and seated by a land surveyor engineer or architect authorized by law to certify elevationinformationicertifythattheinformationonthisCertificaterepresentsmybest efforts to interpret the data availableIunderstandthatanyfalsestatementmaybepunishablebyfineorimprisonmentunder18USCodeSection1001 A 4
0 Check here if comments are provided on back of form 6 rr 0
Q l
Certifiers Nsme DER
Glenn W MIIIer Texas Non 223
Title
R
CompanNam
EL S Geodata 5urvirgInc
e
OAddressCityStateZCQeIrGinaDriveArlingtonTexas7bi
Signal Date Telephone
A 4 200 8 Z 261 2878
I
FEMA Form 81 31 February 2006 See reverse side for continuation Replaces all previous editions