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NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
a.M.B, No. 3067-0077
Expires December 31, 2005
.
ImDOrtant: ead the instructions on DaIIes " ,
SECTION A. PROPERTY OWNER INFORMATION Foc Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
BUILDING STREET ADDRESS (Indueling Apt., Unli, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
628 INGLENOOK COURT
R
1 7
CITY STATE
COPPElL TX
PROPERTY DESCRIPTION (lot and Block Numbers, Tax Parcel Number, Legal Description. etc.)
LOT 7 BLOCK A Sf. ANDREWS ESTATES
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LA TITUDElLONGITUDE (OPTIONAL)
(#If-##'-##.#I/!' or ##.#IIIIIIIf)
ZIP CODE
75019
HORIZONTAL DATUM:
~ NAD 1927 D NAD 1983
SOURCE: D GPS (Type):_
D USGS Quad Map
~ Other: FIRM
SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
8t NFIP COMI>IIJNITY NAME & COMI>IIJNITY NUMBER 82. CClJNTY NAME
COPPEll 480170 DAllAS
B3 STATE
TEXAS
64. MIIP AND PANEL B7. FIRM PANEL 69, BASE FLOOD ELEVATION(S)
NU~ER 65. SUFFIX 66. FIRM INDEX DATE EFFECTlVE.REVISED DATE 88. FLOOD ZONE(S) (ZooeAO, use depth ofloodirg)
48113C0155 J Q8.04-2004 1M1-2004 X,AE 452.9
810. Indicate the source of the 8ase Flood Elevalon (8FE) data or base lood depth entered in 89.
D FIS Profile r8J FIRM D Coml1'lJnity Determined 0 Other (Desaibe):_
B1tlndicatethe"evaloo datum used for the BFEin 69: r8J NGVD 1929 0 NAVD 1988 0 Other (Describe): -
812. Is the building located in a Coastal 8anier Resouroes System (CBRS) area or OtherMse Protected Area (OPA)? 0 Yes r8J No Designation Date
SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Ct Building "evations are based 00: 0 Constructioo Drav.<ngs" r8J 8uilding Under Coostructioo' 0 Rnished Construction
'A new Elevation Certi1icate will be required when oonstructioo of tile building is complete.
C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certi1icate is being comJJeted - see pages 6 and 7. If no diagram
accurat"y represents the building, provide a sketch or photogreph.)
C3. E1evaloos-ZonesA1-A30, AE, AH, A (with BFE), VE, V1.V30, V (with BFE), AR, ARiA, ARiAE, ARiA1-A30, ARiAH, ARiAO
ComJJete Items C3.-a< below aa:ording to the building diagram spocified in Item C2, Stale the datum used. W the datum is dITferent from the datum used for the BFE in
Section B, convert the datum to that used for tile BFE. SI10w field measurements and datum conversion calculalon. Use the space pro~ded or the Comments area of
Section D or Section G, as appropriate, to document the datum oonveffiion.
Datum NGVD1929 Conversion/Comments 8M PROVIDED ON RECORD PLAT DEFOREST COURT BY HALF AND ASSOC.
Elevation relerence mark used _Does the "evalon reference mark used appear on the FIRM? D Yes r8J No
Q a) Top 01 bottom f\oor (induding basement or enclosure) 456. ~ft.(m)
Q b)Topofnexthigherloor NA._ft,(m)
Q c) Bottom 01 lowest horizootal structural member (V zones ooly) NA . _ft.(m)
Q d) Attached garage (top of slab) NA. _ft.(m)
Q e) Lowest "evatioo 01 machinSf)' and/or equipment
servidng tile building (Describe in a Comments area) NA . _ft.(m)
Q n Lowest adjacent (finished) grade (LAG) 455 . 65 ft.(m)
Q g) Highest adjacent (finished) grade (HAG) 456. Q.ft.(m)
Q h) No. 01 pennanent openings (Iood vents) witllin 1 ft. above adjacent grade NA
Q i) Total area 01 all pennanent openings (Iood vents) in C3.ht!ll.sq. in. (sq. om)
SECTION D " SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I cerllfy that the information in Sections A, S, and C on this cerlificate represents my best efforls to interprat the data available.
I understand that any false statement may be punishable by flna or imprlsonmant under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME BARRY RHODES LICENSE NUMBER 3691
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TITLE OWNER
COMPANY NAME BARRY RHODES
ADDRESS
?509 PENNRIDGE CIRC
SIGNA TUR
CITY
ROWLETT
DATE
04-19-2005
STATE
TX
TELEPHONE
97247&8940
ZIP CODE
75088
FEMA Form
See reverse side for continuation.
Replaces all previous editions
LI.IJ.. .l .
,
IMPoRT ANT: In these spaces, copy the corresponding information from Section A.
BUILDING STREET ADDRESS (Indudirg Apt, Un~ Suite, ardkrBkIg, No,) OR P,O, ROUTE AND BOX NO.
628 INGLENOOK CO!.lRT
CITY STATE
COPPELL TX
For Insurance Company Use:
f'<jk:y Number
ZIP CODE
75019
Company NAIC Nurrber
SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both ~des of this Elevation Certi1icate for (1) communny offidal, (2) insurance agenUcompany, and (3) building owner.
COMMENTS
o Check here if attad1ments
SECTION E. BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (",thout BFE), romplete Items E1 through E4. ~ the Elevalioo Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1. Building Diagram Number _(8aect the building diagram rrost similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurat"y
represents the building, pro~de a sketch or photograph.)
E2 The top of the bottom flOOf (induding basement or endosure) of the building ~ _ ft.(m) _in,(em) 0 above or 0 bEJow (check one) the highest adjacent grade (Use
natural grade, ~ avaJlable).
E3. For Building Diagrams !Xl ",th openings (see page 7), the next higher floor or elevated flror (elevation b) of the building is _ ft.(m) _in.(ern) above the highest adjacent
grade. Complete ~ems C3.h and C3.i on front of form.
E4. The top of the platform of machinery andlor equipment servicing the building is _ ft,(m) _in,(ern) D above or D beiow (check one) the highest adjacent grade. (Use
natural grade, ~ avaJlable).
E5. For Zone AO only: If no flood depth number is availalJe, is the top of the bottom flOOf elevated in acrordanc:e.nth the rommunity's floodplain management ordinance?
Dyes D No D Unknown. The local official must certify this information in Section G,
SECTION F. PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (.nthout a FEMA<ssued or rommunity-
issued BFE) or Zone AO must sign here. The statements in Sectians A, e, C, and E alll CXJnect to the best of my knowtedge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS
CITY
STATE
ZIP CODE
SIGNATURE
DATE
TELEPHONE
COMMENTS
o Check here ~ attad1ments
SECTION G. COMMUNITY INFORMATION (OPTIONAL)
The local offidal who is autholized by law or ordinance to adrJjnister the community's floodplan management ordinance can romplete Sections A, B, C (or E), and G of this Elevation
Certi1icate. Complete the applicable item(s) and ~gn below.
G1. 0 The information in Section C was taken from other documentation that has been signed and embossed by a I~nsed surveyor, engineer, or archITect who is authorized by slate
orlocat law to certify "evation information. (Indicate the source and date of the "evation data in the Comments area bEJow.)
G2. D A community official completed Section E for a building located in Zone A (",thout a FEMA-issued or community~ssued BFE) or Zone AO.
G3. 0 The f<>lowing information (Items G4-Gg) is pro~ded for rommunity ftoodplain management purposes.
G4PERMIT NUMBER GS. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COIIPlIANCEIOCCUPANCY ISSUED
G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement
GB. Elevation of as.1Juilt lowest floor (induding basement) of the building is:
Gg. BFE or (in Zone AO) depth of flooding at the building site ~:
LOCAL OFFICIA~S NAME
COMMUNITY NAME
SIGNATURE
COMMENTS
_._ft.(m)
_,_ft.(m)
Datum
Datum:
TITLE
TELEPHONE
DATE
o Check here if attachments
FEMA Form 81.31, January 2003
Replaces all previous editions
SURVEY
PLAT
BARRY S. RHODES Registered Professional Land Surveyor (972) 475-8940
on the ground of property
COPPELL Texas.
This is to certify that I have, this date, made a careful and accurate survey
located at No. 628 INGLENOOK COURT in the city of
Lot No.7, Block No. A
of ST. ANDREWS ESTATES
COPPELL. DALLAS COUNTY Texas according to the
VOLUME 150 at PAGE 78 of the MAP
in
, an addition to the City of
PLAT THEREOF RECORDED
records of DALLAS COUNTY, TEXAS.
INGLENOOK
COURT
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1025.00'
95.17'
1/2" IRS
--
10' UTILITY ESMT
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EXISTING PLOODPLAIN TO BE FILLED
30' BL
'1-55.83
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9.5'
8.2'
455.66
16.5'
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/FORMS ONLY
( NO. 628 )
T.O.F. 456.81
8.2' 2.~'
f- :':>~
(f)
W 455.99
S
10.8'
455.75
16.3'
455.65
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20' BL
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1/2" YC IRF
5' HOME OWNERS ASSOCIATION DRNG & WALL A1NTENANCE ESMT
THIS CERTIFICATION OOES NOT
TAKE INTO CONSIDERATION
ADDmONAl FACTS THAT AN
ACCURATE T1Tl.E SEARCH AND OR
EXAMINATION MIGHT DISCLOSE.
95.00'
~
SOUTH
ST. ANDREWS MANOR
ANDREW SPEAR
VOLUME 4397, PAGE 1075
VOLUME 2001044, PAGE 3714
The plat hereon is true. correct, and accurate representation of the property as determined by
survey, the lines and dimensions of said property being as indicated by the plat: the size, location
and type of building and improvements are as shown. all improvements being within the boundaries
of the property, set back from property lines the distance indicated.
THERE ARE NO ENCROACHMENTS. CONFLICTS, OR PROTRUSIONS,EXCEPT AS SHOWN.
THIS SURVEY WAS PERFORMED EXCLUSIVELY FOR
HOLMES BUILDERS
USE OF THIS SURVEY FOR ANY OTHER PURPOSE
OR OTHER PARTIES SHALL BE AT THEIR RISK AND
UNDERSIGNED IS NOT RESPONSIBLE TO OTHERS
FOR ANY LOSS RESULTING THEREFROM.
Scale: 1" = 20'
Date: 4-19-2005
G. F. No.:
Job no.:
Drawn by:
80072
CM
1/2" IRF
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