DeForest Ct-RS040511
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FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PR0C3RAM
ELEVATION CERTIFICATE
1m !tant: Read the Innu~on. on e.1 "7.
SECTION A" PROPERTY OWNER INFORMATION
BUILDING OW R'S NAME
J & M STREET INC,
BUILDING STREET ADDRESS (Including ApL, UnlL Suite, and/or Bldg. No.) OR P,O, ROUTE AND BOx NO, Company
626 DEFOREST COURT
CITY STAT IP CO E
COPPELL TX
PROPERTY DESCRiPTION (Lot and Block Numbal8, Tax Parcel Numbar, Lagal De8crlptlon, etc.)
LOT 12 OF DEFOREST COURT
BUIlDING USE (e.g., Resldentlal, Non-resldential, Addition, AccessoIy, ete. Use a Commen18 area, If necessary.)
RESIDENTIAL
LATITUDElLONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type):_
(I/IIP-II#,,##.. or ##._) X NAD1927 NAD1983 USGS Quad Map
SECTION B "FLOOD INSURANCE RATE MAP (FIRM)INFORMATIOH,
B1, NFiP COMMUNrrY NAME & COMMUNiTY 2. UNTY ME 3. S TE
NUMBER DALLAS TEXAS
COPPELL
A)
84, MAP AND B7, FIRM P~EL B9. """t: FLC
PANEL NUMBER 85. SUFFIX B6. FIRM INDEX EFFECTIVElREVISeD DATE B6. FLOOD ELEVATION(S) (Zl
4811300155 J DATE ZONE(S) uae depth of noc
08-23-01 "At:" 452
B10. Indlcalethe source of the Baae Flood Etevatlon (BFE) data or baae flood depth entered in B9.
FIS Proflle X FIRM Community Determined Other (Describe): _
B11.lndlcatetheelevation datum used for the BFE In 89: NGVD 1929 X NAVD 1968 Other (Deacribe):
B12. lathe building located In a Coaalal Banfer Resources System (CBRS) area or Otherwlae Protected
Area (OPA)? Yes No Designation Date
SECTION C - BUILDING ELEVATION IN"ORMATION (SURVEY REQUIRED)
C1. Building elevatlona are based on: Construcllon Drawlngs. X Building Under Construcllon.
Finished Construction X
. A new Elevation Cerliflcate will be required when construction of the building Is complete.
C2, Building Diagram Number _ (Select the bulldlng diagram most similar to the building for which this
certificate Is being completed - see pages 6 and 7. If no diagram accurately represents the
building, provide a sketch or photograph.)
C3. Elevations - Zones A1-A30, AE, AH, A (wtth BFE), VE, V1-V30, V (wtth BFE), AR, ARIA, ARlAE,
ARlA1-A30, ARlAH, ARlAO
Complete Items C3.-a-1 below according to the building diagram speclfIed In Item C2, State the
datum used. If the datum Is different from the datum 'used for the BFE In SectIon B, convert the
datum to that used for the BFE. Show fleld measurements and datum convsralon calculation. Uae
the space provided or the Comments area of SectIon D or SectIon G, as appropriate, to document
the datum converaton.
Datum ConveralonlComments
Elevation reference mark used _Does the elevation reference mark used appaar on, the FIRM
Ves XNo ~t;.OF7'~~
[J a) Top of bottom IIoor (Including baaement or enclosure) 456.12.11.(11')) ~ST~~ 1
o b)Topofnexthlgherfloor _._ft.(m) L:Jr. _'-
[J c) Bottom 01 lowest horizontal structural member fY zones only) -' _ft,(m) ....HARRy J~ROWEU. .
[J d) Attached garage (top of slab) -' _ft.(m) ....~..........:2...... ....
o e) Lowest elevation of machinery and/or equipment "59, '"
aervlclng the building (Deacribe In a Comments area) _' _ft.(m) <.., ~~!m~'" Oillr-
[J fl Lowest edJacent (flnlshed) grede (LAG) ft.(m) , % SUR~
o g) Highest edjacent (flnlshed) grade (HAG) fl(m)
[J h) No. of pennanent openings (flood vents) wtthln 1 ft. above adjacent grade_
[J I) Total area 01 elt pennanentopanlngs (flood VBl1ts) In Q3.h ~sq.Jn, (sq. em)
SIiC'tlON b " sUlttttYt1R.~lfif!ER, qR ~CHlJeCT CE,RTIFICATION
This certification Is to be signed and sealed by el8nd SUtv8yor, engineer, or archnect authorized by law to certify elevation
tnfonnation.
/ cerlify thaI the Infomlatlon In SectIons A, B, and C on this certificate represents my best effOlts 10 Interpret the data avalla,
/ understand that any false stBtemenf mllY be punishable by fine or ImprlSOflment under 18 V,S. Cod~ Section 1001.
CERTIFIER'S NAME HARRY ROWELL LICENS NUMBER 4597
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TITLE SURVEYOR
ADDRESS
1301 ELM STREET
SIGNATURE
COMPANY NAME HARRYROWELL COMPANY
ZIP CO
75006