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FEMA-EC150401U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY Ap'wional Flood Insurance Program A1. Building Owner's Name T011 Brothers Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION A2. Building Street Address (including Apt., Unit, Suite, and/or Bfdg. No.) or P.O. Route and Sox No, 445 Columbus Drive City Coppell State Tx ZIP Code 75019 FOR INSURANCE CONIPANY USE Policy Number. Company NAIC Number: A3. Property Description (lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 5, Block C Easthaven (Eastlake) recorded in Doc. No. 201400158783 Map Rea Dallas County Texas, A4. Building Use (e.g„ Residential, Non -Residential, Addition, Accessory, etc.} Residential depth entered in Item B9. A5. Latitude/Longitude: Lat. 32.591357 Long. -97.0276 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1b Effective/Revised Date 3-19-2015 Zone(s) X A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) sq ft a) Square footage of attached garage sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes 0 No SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name &Community Number B2. County Name 6 City of Coppell-480170 Dallas 3. Stake Tx depth entered in Item B9. ❑ FIS Profile B4. Map/Panel Number B5. Suffix B6, FIRM Index Date B7. FIRM Panel B8, Flood B9, Base Flood Elevation(s) (Zone 48113CO135 K 7-7-14 Effective/Revised Date 3-19-2015 Zone(s) X AO, use base flood depth) N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑meters ❑ Other/Source: B11. Indicate elevation datum B12. Is the building located used for BFE in Item B9: ❑ NGVD in a Coastal Barrier Resources System 1929 ® NAVD 1988 ❑ Other/Source; (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: [Ifeet ❑CBRS ❑ OPA SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item AT in Puerto Rico only, enter meters. Benchmark Utilized: See notes Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. 11 NGVD 1929 0 NAVD 1988 0 Other/Source.- Datum ther/Source:Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b} Top of the next higher floor 471.63 ®feet c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) ❑ feet El meters g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support [I meters ❑ feet ❑meters [Ifeet Elmeters meters [Ifeet Elmeters Elfeet Elmeters SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is ko be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation ��;u-;;. information. I certify that the information on this Certificate represents my best efforts to interpret the data available. f �_ I understand that an false statement may be punishable b fine or imprisonment under 18 U.S. Cade, Section 9001. 1? )IF °� <^=a Y Y P Y P xu,. .!','lid ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ° ,v°> E' ' ;`, rt I� F1 Check here if attachments. licensed land surveyor? El Yes ®No Certifier's Name Roland Rodriguez License Number 4987 Title R.P.L.S. Company Name Dowdy Land Surveyors Inc. City Fort Worth ZIP Code 76120 817-429-9898 FEMA Form 086-0-33 (7J12) See reverse side for continuation. Replaces all previous editions. 470.91 ®feet ❑meters Lifeet ❑ meters SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is ko be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation ��;u-;;. information. I certify that the information on this Certificate represents my best efforts to interpret the data available. f �_ I understand that an false statement may be punishable b fine or imprisonment under 18 U.S. Cade, Section 9001. 1? )IF °� <^=a Y Y P Y P xu,. .!','lid ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ° ,v°> E' ' ;`, rt I� F1 Check here if attachments. licensed land surveyor? El Yes ®No Certifier's Name Roland Rodriguez License Number 4987 Title R.P.L.S. Company Name Dowdy Land Surveyors Inc. City Fort Worth ZIP Code 76120 817-429-9898 FEMA Form 086-0-33 (7J12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 11V1POR1ANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including ApL, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No, Policy Number: 445 Columbus Drive City Coppell State Tx� ZIP Code 75019 Company NAIC Number: SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Benchmark used: City of Coppell BM# 15 Elevation -465.56' Minimum Finished Floor per plat -466.12' Refer to LOMB 14-06-2759P Dated March 19, ?015 Date 4-1-15 SECTION E —BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FQR ZONE AQ AND ZONE A (WITHOUT BFE) For Zones AO and A (without 8FE), complete Items E1—E5. If the Certificate is intended to support a LOIviA or LOMR-F request, complete Sections A, B, and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters, E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8--9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3, Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: if no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B. and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Comments Date Telephone SECTION G —COMMUNITY INFORMATION (QPTIONAL} The local official who is authorized by law or ordinance to administer the commwiity's floodplain management ordinance can complete Sections A, B, C (or E}, and G of this Elevation Certificate. Complete the applicable item(s) Check here if attachments. and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6, Date Certificate Of Compliance/Occupancy G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Dale Comments Issued G7. This permit has been issued for: El New Construction [I Substantial improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑feet El meters Datum Cheek here if attachments, FEMA Form 086-0-33 (7112) Replaces all previous editions. Local Official's Name Title Community Name Telephone Signature Dale Comments Issued G7. This permit has been issued for: El New Construction [I Substantial improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑feet El meters Datum Cheek here if attachments, FEMA Form 086-0-33 (7112) Replaces all previous editions. ELEVATION CERTIFICATE, page 3ull IN ing Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No,) or P.O. Route and Box No. Policy Number: 445 Columbus Drive City Coppell State Tx ZIP Code 75019 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Leff Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page, ,A r 'nT�A A AAA J, gMA- A3 AACCAC�4X s* air. �"� '� se -P A's, '��s�" ( _z t o AAll .; r m11 ys _. d e�tk ere. SQA, �< ` ¢.• e- d AI A CIA lr" A At 5A A A, y A AAA I !A VON Ill .r._ AAAA "M max, "� ��,W.. ` w.�....� ..*�. : s A A AAA 11 Iv A- -' _-- -arc„ AAA 61 CC a - g - J It �*}� +-�+a,.`-�AaJAAI AAA ��`- AA 1" R�C— A, 1119AA �� a sJi�'"' 4, C,A. .�. _ - IAAA 77mo."' A CA A AAA J a� „-: —... .� rf.: ,..f ,w . ..v.:� . fCA S FEMA Form 086-0-33 (7112) Replaces all previous editions, ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: City State ZIP Code Company NAIC Number: (f submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and 'Rear View"; and, if required, 'Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. FEMA Form 086-0-33 (7/12} Replaces all previous editions. iREFERENCE NO: 141231001 :TOLL BROTHERS FORM SURVEY PATE: 3-28-15 O� S 67P18'31" E RESHOT: 4-1-15 20.00' 5(CAPPED KNA) )� PK FNpa i (CAPPED KHA) In ROUGHT IRON FENCE NE ENTERED 5 6' I.R. FND. ON RETAINING �APPED KHA) «C` WALL 400 \iA i' I N G I ' —127� 5 1 ;� I 4 20' BUILDING—// UILDING ( ( t LINE I fir; Z �z o x a I a � FORM a o TOP OF FORM - 471.63' o I mr I LITMIN. F.F. = 466.12 cn 0 v m n Z LO 201400158783 �) m j ^n"' M I m 5v0* L96-7jp it 0" MCI Nft I 17.9'.. 52 �1=f LOT 5 } - y+ I I 10' B.L I- I I S 89'54'41" W 50.00' 5 14R, FNDo.//(CAPPEO KNA) I /APPPEDED 8FND. CKHA) UTILITY LEGEND 7 6 GAS METER: CABLE BOX: TEL PED: Ili ELEC. BOX: EQ 201400158783 201400158783 SC,aE• I'=ZO• PROPERTY DESCRIPTION: Lot 5, Block C, £asthaven (Eastlake), an Addition to the City of Coppeil, Doillas County, Texas, according to the plat thereof recorded in Document No. 201400158783, Map Records, Dallas County, Texas. iSURYEYDR'S STATEMENT: The unCarsiCaad Rogi.forsd froiav5lonot Lana 5wvayors catitflos ihai; this plot of servay una Dto property drserlpifnrt sot inrth horoon are a iruo roprosunfofion of forte found at tho lima an octuoi on-iha-giound survssy; juoh sur,'ay woa conduotad by (hs sur4eyar, or undar h13 suparvfsian; oil monumenfs shown horeon "W and the location, etaa, and t+pe of moiariai are corrb0ly Showa; il)o I0cnlion of forms or club ora oo shawr. haraon. CF Tf srp ft�./7 I ALLEN t.zs rS:z wee ALLEN L. BREWSTER, L.S. No. 4054 r t DOWDY LAND SURVEYORS, INC. _ 6850 MANHATTAN BLVD. SUITE 310 rte!) FORT WORTH, TEXAS 76120 (817) 429-9898 T.B.P.LS, FIRM N0. 100463-00 c%r �:a,. by: SS. COPYRIGHT 02013 DOWDY LAND SURVEYORS, INC. ALL RIGHTS RESERVED. FIRE HYDRANTcbP : TRANSFORMER: �] LIGHT OLE: � sicN: 1�i