DeForest Rd-RS040115
FEDERAl. EMERGENCY MANAGEMENT AGENCY
NATIONAl. FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
ImpOrtant: Read the instructions on pages 1 . 7,
SECTtON A. PROPERTY OWNER INFORMATION For Insulan'" Company Use:
BUILDING OWNER'S NAME Policy Number
STREET CUSTOM HOMES
BUILDING STREET ADDRESS (Induding Apt, Uni, Suite, and/(J( Bldg, No,) OR P,O, ROUTE AND BOX NO, Company NAlC Number
933 Deforest Road
CITY STATE
cePPELL TX
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Desaiption, ete,)
LOT 13 BLOCK A OF WINDSOR ESTATES ADDITION
BUILDING USE (e,g,. Residential, Non-residential, Addition,~, ete. Use a Commenls area, if necessary,)
RESIDENTIAL
LA TITUDElLONGITUDE (OPfIONAL)
(#/f-#lr-##.#If' or ##,_)
ZIP ceDE
75119
HORIZONTAL DATUM:
o NAD 1927 181 NAD 1983
SOURCE: 0 GPS (Type):_
o USGS Quad Map
o 0Iher._
SECTION B" FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP CDMMUNITY NME & COMMUNI1Y NUMBER
COPP8.L480170
B2, coumv NAME
DENTON
83, STATE
TJ(
84, M'J' AND PANEL 85, SUFFIX B7. FIRM PANEL I 88, FLOOD ZONE(S) 89, BASE FLOOD ELEVATION(S)
NUMBER 86, FIRM INDEX DATE EFFECTIVEiREVISED DATE (ZoneAO, usedep1tloflood'lll
0155 J 1J8.23<J1 I AE 452
L
B10, Indicate the soorce at the Base Fload E"vation (BFE) data or basefload depth entered in B9,
o FIS Profile [Zl FIRM 0 Community Determined 0 OtMr (Descnbe):_
BIt Mcatetheelevation datum used fortheBFE in 89: 0 NGVD 1929 [Zl NAVD 1988 0 Other (Descnbe): _
812, Is the building located in a Coastlj Barner Resources System (C8RS) area or OtherMse Protected Area (OPA)? 0 Yes 0 No Designation Date
SECTION C" BUILDiNG ELEVATION INFORMATION (SURVEY REQUIRED)
C1. 8uUding elevations are based on: 0 Construction Drawings' [Zl8uilding Under Constructioo' 0 Finished Construction
'A new Elevation Certfficate wiil be required when COIlstruclion of the buiiding is comp"te,
C2, Building Dagrnm Number 1 (Select the build,ng diagram most ~milar to the buildin9 for W"'eIl this a;rtiticate IS bemg competed - see pages 6 and 7, If no diagram
accural,;y represents the bcildlPJ, provide a sketch or photo!: 2p/1,)
C3, Elevatioos-ZonesAl-A30, AE, AH,A (with BFE), VE, Vl-V30, V (with BFE),AR, APJA, APJAE, APJA1-A30, APJAH,APJAO
Compete Items C3,-<>< below according to the building diagram specified in Item C2, State the datum used, If the datum is different from the datum used for the 8FE in
Section B, co/wert the datum to that used for the BFE, Show field measurements and datum conver.;ion calculation, Use the space pro~ded or the Comments area of
Section D or Section G, as appropnate, to document the datum corwer.;ioo,
Datum eonver.;ioniComments
Elevation referena; mark used _Does the ,;evation reference mark used appear on the FIRM? 0 Yes [Zl ~o
o alT op of bottom floor (induding basement or endosure) 458, 60 ft,(m)
o b) Top ofnex1 higher floor _,_ft,(m)
o c) Bottom of lowest horizontal structural member (V zones oniy) _' _ft,(m)
o d) Atta:hed garage (top of slab) _' _ft,(m)
o e) Lowest elevation at machmy and/or Equipment
servidng the bUIlding (Descnbe in a Comments area) _' _ft,(m)
o ~ Lowesfadiacent(finished) grade (LAG) _' _ft,(m)
o g) Highest adjacent (finished) grade (HAG) _' _fl(m)
o h) No, of pennanent openings (load vents) within 1 ft, above adjacent grade_
o i) T olal area at all permarlent openings (load vents) in C3,h _sq, in, (sq, an)
SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by iaw to certify elevation information.
I certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret /he data aveilable,
I understand that any false statement may be punishable by fine or imprisonment under 18 US, Code, Ser;l,on 1001.
CERTIFIER'S NAME HARRY ROWEll. liCENSE NUMBER4597
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TiTlESURVEYOR
COMPANY NAME HARRY ROWELL COMPANY
ADDRESS
1301 ELM STRE
SIGNATURE
ClfY
CARROLL TON
DATE
01-1504
STATE
TX
TELEPHONE
(972) 242-5679
ZIP CODE
75006
FEMA Form 81-31, JUL
SEE REVERSE SIDE FOR CONTINUATION
REPLACES ALL PREVIOUS EDITIONS