FEMA-EC950221' !Aff
IL- �ERTIFICA7"'°,''t%�:»a"``
Job No. 'Z03 0
i
DEl3Al. EMERGENCY MANAQEMENTAGENCY =
COrCC9( ) �C3i8'Ll( ��� A�R1L
NATIONAL FLOOD INSURANCE piiOGRAM
ATTENT'ib usi c 1 !'1 1! 11, 1 d003TMtPMM9 a waiver of the flood Insurance purchase requirement. 7him form t8 used duly to ;_ .. ` `"
provide elevation information necessary to ensure compliance with applicable community Aoodplaln management ordinances, to
determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMB)
instructions for completing this form can be Lound on the foitowina penes.
SECTION A PROPERTY INFORMATION
BUtt. M OWNF.R.'s NAME
STAFET ADDRESS (Imdu6q; Apt.. Urn@. Suits andlor Vwg. M mb+r) OR P.O. ROUTE AND BOX WMSSR
_-9 nA
OTHER 0E3ORIMON (Lot"Block Numbers, lto.I .
- ?tON
FOR IN$URANctt COMPANY we
Otdc
PY NW18EA
COMPANY NATO NUMBER • •• • • •
I_ gT I Q�
f._.,�. p 1 .........- --- ...............—�
�� STATE -ZIP 0009
CO20e, TQC 50
SEOTiON B FLOOD INSURANCE RATE MAP (FIRM) INFORMA11ON
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
L wit NUMsEA
8. BUF'F19
i. oAM U MM INOEX
L Fi W ZONE
e' BZuOE�� AO nwe
0010
4 —15 - q 4-
(}ns -wiled X
4 �o • oo
7. Indicate the elevation datum system used on the FiRM for Base Flood Elevatl64 (8FE): NGVD 129 U Other (describe on Dads)
8. For Zones A or V, where no OFE Is provided on the FIRM, and the community has established a BFE for this building site, indicate
the communitys BFE: LL i!.J.0 feet NGVD (or other FIRM datum -ase Secllon B,*Item 7),
SECTION C 6UILDINO ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, Indicate the diagram number from the diagrams found on Pages 5 and 6 that best .,.
describes the subject building's reference level.--_.. .
2(a). FIRM Zones Ai -A30, AS, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of LJ_I I J.0 feet NGVD (or other FIRM datum -see Section B, Item 7).
(b). FIRM Zonas Vi -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 LJ-LU.0 fast NGVD (or other FIRM datum -see Section 8, Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram !s L1J.0 feet above ❑ or
below J1 (check one) the highest grade adjacent to the building.
(d). FIRM Zone A0. The floor used as the reference level from the selected diagram Is LJJ•U 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 0 No 0 Unknown
3. Indicate the elevation datum system used In determining Lha above reference level elevations. ❑ NGVD'29 n other (describe
under Comments on Page 2). (NOTE., if the elevzilW datum used In measuring the elevations Is different than that used on
the FIRM [see Section B, Item 71, 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: ❑ Yes 0 No (Sea Instructions on Page 4)
8. The reference level olevallon Is based on: C1 actual construction i._I construction drawings
(NOTE: Use of construction drawlnos /s only valid If the building does not yet have the raferoi lce level floor /it pltioe, tit 1vhkh
case this ceiVricafe will only be valld for the bulldlnp durkV the course of construction. A post -construction E'lsvatton 080 0840
w/11 be requlrod once consLvctlon Is complefe.)
6. The elevation of the lowest grade immediately adjacent to the building is: U J-1— J.LJ.foot NGVD (or other FIRM datum -sae
Section 13, Item 7).
StEOTION d COMMUNITY INFORMATION
-4. It the community ofilde.) responsible for verifying 60ding elevations specifies that the reference level Ind)cated In Suction C, hem 1
is not the -lowest floor' as deflned In the community's floodplain management ordinance, the elevation of tho buildings "lowest
floor' as dermed by the ordinance is: L_L.11JJ,U feet NGVD (or other FIRM datum -sac Section B, Item 7).
2. Date of the start of construction or substantial Improvement
FEMA Form 0i•31, KkY 93 AERACES At1PREVlOtl3 EDii10N3bt- Rte stOE FOR �
Oyt878-93 01:90Y U
• SJUMON r5 CERTIFICATION
This certiftation is to be signed by a land auneyor, engineer, or "fteo( who It authorized by state or local law to certify elevation
Information when the elevation Information for Zones A1 -A30, AE, AH, A (with 8FE),Vt V30.VE, and V (with HFE) Is required.
Community officlals who are authorized by local law or ordinance to provide floodplain management Information, may also sign the
certification. In the Case of zones AO and A (without a FEMA or community issued 8FE), a building official, a properly owner, at en
owner's representative may also sign the certiffostfon.
Reference level diagrams 8, 7 and 8 - Distinguishing Features–if the certiffer Is unable to certify to breakaway
lnon-breakaway wall,
enclosure size, IocatLQn of servtcir� equipment, area use, wall openings, or unfinished ama Feature{e), then fist th " 8j not
Inaiuded in the eenlf i-aflokunder Comments below. The (tram number, Section C, item 1, must still be an e, of r
1 ce ghat the lnformaHon !rt Sections B and 0 on We cerrlW le +
rtlry r�pwaonts my best etlorfa to interpret t�,eta ss
I understand that any false sfatoMent maybe punishable by fine ortmpditonmenf under fp U.a Code, 3 ••• •DO .,•
F. E. M i Jd 1c4ort Sr. &1449 P• E. F. i
C MVIER'9 NAME fEx UCWE MAWR (orASia!
GE P1c6;Jtn1.!. 1 mann _Ana A;6or, enc . t'K'�
_l'Z500 W i i GtG s'f' 96160200 _ _ IZA ii a5
cnY
A
STATE VP
v�r�nrvnc DATE PI'1CPit:
Copies should be made of this Certificate for: i) community official, Z) Insurance sgew company, and 3) building owner.
COMMENTS: F/RM shows SFE 7; be 450.00. fitl,,Owlon �Orrn
,.�
1c ri-h rJ of ¢5! .78 . Da-lvm vbcd was 0{ Qe'eC/%
r,-
bcnchrnarK 131 rt ,—wv in orb rcfurn a� nof-Jhcas1 Confer of
Alen Road and Watren Grossing r1cva4ion = 454.09
tLAR
1.31 � on_
A v A A v
ZONts ZONES 2" 2048 Zom
rr� L/VIL AVWNQ!
UY1L �pQ, .
al 1UrfJUlq( ApltW .. Lw LML tK[YRf10k
_SLIM 0��
Tho diaorams above Iqustrals the r otros at which the elevailons shauid ba MfWW rAA to A 7An&4L &M V 70~W.
Eievallons for all A Zones should be measured at the top of the reference level poor.
tclevations for el! V Zones should be measured at ft bottom of the lowest horizontal structural member.
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SCALE 1"=30'
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Scale : 1'-30' Date : 9-22-94 SHM
Design : SUN VALLEY CUSTOM HOMES LOT 1 1
Drawn : LJ.L 2608 BELMEAD WARREN ADDITION
Dwg. File : 203LOT1.DWO CARROLLTON, TEXAS 75006 FORM SURVEY � OF
Project No.: 20301.02 7
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PU13U 'PAL -K AS REM'
' = 908 WARREN OR055IN6
car P. -LOT PLAN SCALZ 1"-2010"
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�\VIL.L.A6ES OF COPPEL.1— PHASE S—A
11-Y OF COPPELL 00PPEI..l , TEXAS
REVIEWED
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