FEMA-EC150109U.S. IJEPARTMENT OF -HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY
National Flood Insurance Program
ELEVATION CERTIFICATE
:Important: Read the instructions on pages 1-9.
SECTION A -
OMB No. 1fi60-000$
Expiration Date: July 31, 2015
A1. Building Owner's Name. Toll Brothers Policy Number. ''
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 'Company NAIL Number:
556 Heritage Oak Court
City Coppell State Tx ZIP Code 75019
Hs. rroperty uescnpnon (Lot and block Numbers, Tax Parcel Number; Legal Description, et
c.)
Lot13R, BlockA,:Amending Plat Carter Addition, Ph.3, Doc.No. 201400161595 Dallas County Texas.
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessary, eta) Residenti
al
A5. Latitude/l.ongitude:Lat 32.5721.77 Long. 96.5fi5834 Horizcntal Datum: ❑ NAD X927 ®NAD 1983
A6. Attach atleast 2 photographs of the building if the Certificate is being, used to obtain flood insurance.
A7. Building Diagram Number lb
A8. For a building with.a crawlspace or enclosure($): 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 ® No
SECTION B'- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community -Name &Community Number
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile; ®.FIRM ❑ Community Determined
62. County Name
63. State
City of Coppell-480170
Dallas
Tx
84. Map/Panel Number
48113CO155
B5. Suffix
K,
B6. FIRM Index Date
7-7-14
B7. FIRM Panel
Effective/Revised Date
9-15-2014
B8-. Flood
Zone(s)
X -AE
B9. Base Flood Elevation(s) (Zone
AO, use base flood depth)
471.00
❑Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source:
B12. Is the building located in Coastal Barrier Resources; System (CBRS) area or Otherwise Protected Area..(OPA)? ❑ Yes ® No
Designation Date: ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl: 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 AlA30,, AE, AH, A (with BFE), VE, VI -V30, V'(with BFE), AR, ARIA, ARAE, ARIA1 A30, AR/AH, AR/AO. Complete Items C2.a-h
below according to the building diagram, specified in Item A7. 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. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/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) 478.55 j1 feet ❑ meters
b) Top of the next higher floor ❑ feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) ❑ feet ❑ meters
d) Attached garage (top of slab) ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building ❑ feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) ❑ feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 477:58 feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support ❑ feet ❑ meters'
SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized bylaw to certify elevation
information. 1 certify that the information on this Ce�cate represents my best efforts to interpret the data available.
1 understand thatany false sfatement may be punishable byline or imprisonment: under 78U.S. Code,. Section 1001.
❑ Check here if comments are provided on back of four. Were latitude and longitude in Section:A provided by a
❑ Check here if attachments. licensed land surveyor? ❑ Yes 0 No
Certifier's Name Roland Rodriguez License Number 4987
Title R.P.L.S.
Company Name Dowdy Land Surveyors Inc.
Address 6850anhattan Blvd. #310 City Fort Worth State Tx ZIP Code 76120
Signature
FEMA Form 086-0-33 (7112)
Date 1r9-2015
Telephone 817-429-9898.
See reverse side for continuation..
c3 �tO�
u4 ti ,.._.rte'
us editions.
Replaces all
ELEVATION CERTIFICATE, page 2
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:
556 Heritaqe Oak Court
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 Monument #'14. Aluminum marker set in the North side of an inlet on the west side of Moore Road in front of
Barbara Austing Elementary School. Approximately 73 feet North of Pheasant lane. Elevation: 506.48 feet
Please see Letter of Map Revision Case No:13-06-3463P Dated 9-15-2014
SECTION E —BUILDING ELEVATION INFORMATION: (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to supporta LOMA or LOMB -F request;. complete Sections A, B,
and C. l=or Items E1 -E4, use natural grade, if available. Check.the measurement used. -In Puerto Rico only; entermeters.
Et. 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 El meters ❑ above or [Ibelow the HAG.
b) Top of bottom floor (including basement. crawlspace, or enclosure) is ❑ feet Elmeters ❑ above or El 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 Elabove or Elbelow the HAG.
E3. Attached' garage (top of slab) is E]feet ❑ meters ❑ above or C1below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑above or [3below 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 ElNo ❑ 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, Bt and E for Zone A_(without a FEMA4ssued 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, Authori
zed Representative's Name
.Address City State ZIP Code
Signature Date Telephone
Comments
SECTION G —COMMUNITY INFORMATION: (OPTIONAL)
Check here if attachments.
Theiocal o ficial who is authorized by laworordinance to administer the crommunity's floodplain management ordinance can complete Sections A, B, C(or E), and G
of thisElevation Certificate.. Complete the applicable items) and'sign below: Checkthe measurementused in Items G8 -G10. In Puerto Rico only, enter meters.
G7. ❑ The'informatian inSection C was taken from other documentation that has been signed and sealed' by a licensed surveyor, engineer, orarchitect 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. E]The following information (Items G4mmmG10) is provided for community floodplain management purposes,
G. Permit.Number G5. Date Permit Issued G6. Date Certificate OfCompliance
/Occupancylssued
G7. This permithas been issued -for:. ❑New Construction ❑'Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: ❑feet ❑meters Datum
G9: BFE or (in Zone A0) -depth of flooding at the building site: ❑'.feet ❑meters Datum
G10. Community's design flood elevation: El feet ❑ meters Datum
Local, Official's Name
Title
Community Name Telephone
Signature Dake
Comments
Check here if attachments.
FEMA Form 086-0-33 {7112)'. Replaces all previous;editions.
Title
Community Name Telephone
Signature Dake
Comments
Check here if attachments.
FEMA Form 086-0-33 {7112)'. Replaces all previous;editions.
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