FEMA-EC961231ELEVATION CERTIFICATe
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain 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 LOMR).
Instructions for completing this form can be found on the following pages.
O.M.B. NO. 306,~"0077
E~ires Moy 31,1<2<26
SECTION A PROPERTY INFORMATION
IFOR
INSURANCE COMPANY USE
POLICY NUMBER
COMPANY NAIc NUMBER
BUILDING OWNER'S NAME
Pierce Homes, Inc.
STREET ADDRESS dnduding Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
22 Winding Hollow ~
OTHER DESCRIPTION (Lot and Block Numbers, otc,)
Lot #4, Block A, of Woodlands of,Coppell
CITY STATE ZIP CODE
Coppel], Da, llas County, Texas
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
480170.~ 0010 13
c.t. 16, 1991 (clear) 482.7 Interpolated
7. Indicate the elevation datum system used on the FIRM for BaSe Flood Elevations (BFE): NGVD 29 [] Other (descnbe on back)
8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BFE:I ! ] I I [.[_.] feet/NGVD (or other FIRM datum-see Section B, Item 7).
SECTION C BUILDING ELEVATION INFOR,,MATION
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 Top Of ~orms for slab
2(a). FIRM Zones Al-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of ~ t 4JF[R I.b_~ feet NGVD (or other FIRM datum-see Section B, Item 7).
b). FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level.flora _
the selected diagram, is at an elevation ofi I ! i I I.bd feet NGVD (or other FIRM datum-see Section B, Item 7).
c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is ! I L_J feet above ~ or
below l i (check one) the highest grade adjacent to the building.
l.L_! feet above ~ or below ~ (checkd). FIRM Zone AC. The floor used as the reference level from the selected diagram is I ! ' ~
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 _r-~ No . ~ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations:,t~ NGVD '29 .I--] Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM [see Section B, Item 7], 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 r---i No (See Instructions on Page 4)
5. The reference level elevat,on is based on: ,1~TaOc~;lOco~ns~uOc~omn [] construction drawings
NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate
wflf be required once construction is complete.)
6. The elevation of the lowest grade immediately adjacent to the building is:t i i 418 ~.~.feet NGVD (or other FIRM datum-see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the "lowest floor" as defined in the Community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance i~b~ feet NGVD (or other FIRM datum-see Section B, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-31, MAY 93 REPLACES ALL PREVIC~JS EDITIONS ~E REVERSE SIDE F(~ CONTINUATICN