Levee-RS020313
. FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM'
ELEVATION 'CERTIFICATE
a.M.B. No, 3067-0077
Expires JuLy 31,2002'
lmoortant: Read the instructions on oaoes 1 - 7. ~: ~ '
SECTION A. PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
BUILDI~l.STREET ADDRESS (In~~, Su~e, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
1"3 L.eIlEE
CITY STATE
c.o"Pl'a...L- T~AS
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
B~ U~ (e.g~~~, NonC:;sidenti~~~s~~, eI~mmenls section it necessary.)
12e51 DffiJT1A1._
LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: LI GPS (Type):
( ##' - ##' - ##.##" or ##._') ~D 1927 I_I NAD 1983 LI USGS Quad Map
ZIP CODE
750'-'
~her: F/e.v\..
84. MAP AND PANEL B8. FLOOD
NUMBER __ ZONE(S)
~OllO 0010 e. Pi IS- I Melt... \S \"1 A
Bl0. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
I_I FIS Profile ~IRM L.J Community Detennined I_I Other (Describe):
B11.lndicate the elevation datum used for the BFE in B9: ~NGVD 1929 1-1 NAVD 19B8 U Other (Describe):
B12. Is the building located in a Coastal. Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Designation Date:
B9. BASE FLOOD ELEVATION(S)
(Zone AO, use depth at flooding)
4V .5l'
I_I Yes IllQ.No
! SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: LIConstruction Drawings" l}geuilding Under Construction" I-1Finished Construction
"A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number -!-- (Select the building 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 (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARlAE, ARlA1-A30, ARlAH, ARlAO
Complete Items C3a-i below according to the building diagram specified in Item C2, State the datum used. If the datum is different from
the datum used tor the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion,
Datum ~ Conversion/Comments
Elevation reterence mark used 17M I "!G" Does the elevation reference mark used appear on the FIRM? ~ Yes I_I No
o a) Top ot bottom floor (including basement or enclosure) ~ . ~ ft.(_) m OF
o b) Top of next higher floor 1014- ._ft.(m) ~ ~'\ "......!t-t
o c) Bottom of lowest horizontal structural member!y zones only) ti*. _ ft.(m) ~ ~ '~"~(;'~,<;i~6'
o d) Attached garage (top of slab) wAr- . _ ft.(m) ~];> J... Q' ,P.:!. .... \
o e) Lowest elevation of machinery and/orequipment ~_: j............. u......... oil:
.. th b 'Id' tJJr ft ( ) 1l ~ . BARRY S. RHODE '
servicing e UI Ing . _ . m E 11 ~.............. .....,..
o f) Lowest adjacent grade (LAG) 4Ir7 . ~ft.(... ~ ~ ,('*":0 36 1 .
o g) Highest adjacent grade (HAG) 4("p, . ~ ft.(.) ~ ;'lI'9o.f>ES 0."
o h) No. of pennanent openings (flood vents) within 1 ft. above adjacent grade tJ~ ~ ~ 'tJ 'S'U "
o i) Total area of all pennanent openings (flood vents) in C3h JJ A,. sq, in, (sq, em)
SECTION 0 - 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 inlonnation,
I certify that the informa60n in Sec60ns A, B, and C on this certificete represents my best efforts to interpret the data available.
I understand Ihat any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER~ ~MJ; LICENSE NUMBER::z,_
'P.A-e~~I<~~ ,=",='
TITLE COMPA.NY ~ME . .__
~~~ ~~K~
ADDRESS CJr(O' ,.,.. ,.....,.- STAT
t)6E> ~IIU.J ~ I<~~I'
DATE
"2--02....
SEE REVERSE SIDE FOR CONTINUATION
ZIP CODE 75ol!Jb
SIGNATU
TELEPHONE
REPLACES ALL PREVIOUS EDITIONS
~,
IMPORTANT: In these spaces, copy the corresponding infonnatio') fro'1' Section A.
BUILDING STREE ADDRESS (Including Apt., Un~, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
"'P~ '
For ,Insurance Company Use:
Policy Number
CITY
c.o?P~
ZIP CODE
Company NAIC Number
STATE
~A5 OJ
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ( ONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenVcompany, and (3) building owner.
COMMENTS
i.,
.' . 1-' Check here if ~ttachmEmts
SECTION E. BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND Z'!NE A (WITHOUT BFE)
For Zone AO and Zore A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting
information for a lOMA or lOMR-F, Section C must be completed.
El. Building Diagram Number _ (Select the building 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,)
E2. The top of the bottom floor (including basement or enclosure) of the building is LI_I ft..(m) LLlin.(cm) LI above or LI below
(check one) the highest l\djacent grade. . \ ,
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is
LLI ft..(m) I_Llin.(cm) above the highest adjacent grade,
E4. For Zone Ad only: If no flood depth-.nwnber is available; it the top of the bottomllbor elevateq in accordance with the communitY.s
floodplain management ordinance? I I Yes I I No I I 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, and E for Zone A (without a FEMA-issued or
community-issued BFE) or Zone AO must sign here.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS
SIGNATURE
COMMENTS
CITY
STATE
ZIP CODE
DATE
TELEPHONE
I_I Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance CjIn comp'lete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) end sign below. .
Gl, LI The information in Section C was ta~en from other documentation that has been signed and embossed by a licensed surveyor,
engineer, or architect who is authorized by state or lopallaw to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.)
G2. LI 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. I_I The following information (Items G4-G9) is provided for community floodplain management purposes.
G4. PERMIT NUMBER G5. DAl'E PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY
ISSUED
G7. This permit has been issued for: LI New Construction LI Substantial Improvement
G8. Elevation of as-built lowest floor (including basement) of the building is:
Gg, BFE or (in Zone AO) depth of flooding at the building site is:
LOCAL OFFICIAL'S NAME TITLE
. _ ft.,(m) Datum:
. _ ft..(m) Datum:
COMMUNITY NAME
TELEPHONE
SIGNATURE
DATE
COMMENTS
,',"
'., .
",", .
FEMA Form 81-31, AUG 99
I Check here if attachments
REPLACES ALL PREVIOUS EDITIONS
~
SURVEY
PLAT
"
BARRY S. RHODES Registered Professional Lond Surveyor (972) 475-8940
on the ground of property
COPPELL Texas.
in
certify that I hove, this dote. mode 0 co'eful and accurate survey
No, 136 LEVEE PLACE , in the city of
3 , Block No. C
IA~GNOLlA PARK _n' ...___'P
COPPELL. DALlAS COUNlY Texas according to the_u __ PLAT
VOLUME 98145 at PAGE 0506 of the_~~_.records of
This is to
located 01
Lot No.
of
"____~I
lHIS ct:RT1F1CATlllN DOES NOT
TAIeE INTO COn:llOERATlIlN
ADOnlONAl FACTS THAT AND
IICCIJM~ mu: SEAIlCH AHll OR
~l1llN lIIGHT llISC~.
'I 2.5' lfTlUTY
Y EASElIOIT
;/
~,
5'
'"
1~l25'
'5' AllEY
[
2
0-
1/)0
'0
N.
I/)N
vN
/I /I
ac-'
S 52'1,3'46" [
5' lJT1UTY EASO'fNT
-
-
2 "IRS
Iv 0.3'
JO'
<SS Q..'
<16 .,
. ,. /fI
..
0;
~----~
'0.1'1 3U'! \
I \ '/2~Rr
'~i
25~ ~II
I wi
~\ 'I ~I
I ~. 1S0L-1i1o,
~ .~. ~l~ 1
FORMS ONLY ..I I'~
.5,1 (136) ~I
I . . =-1d
.' 050'0
,0.,'1. ,>4' ':;:'~7~ 1J5'-~.c 17." _ 31.0'
I
III
~
a
I
~
m
Z
::>
III
3
\
WOOD
FENCE
o
o
~.
~o
.."1
t.i
w
'"
~
o
W
I
III
Z
'"
::>
.....
""
'"
o
~
L'>
Z
~
~
~
4
~w
o
"
o
,.:
'"
--it-
z
JO' IlJIlOIHG UHf
..
sl
I
o
z
-<
W
..J
I-
~
'/2~Rf
'/2iRF
N 57"54'03" W
90.00'
LEVEE
PLACE
THERE. ARE NO ENCROACHMENTS. CONFUC,S, OR PROmUSIONS, EXCEPT AS
Scale: l' - 30'
Dote: 3-20-2002
G, F, No.:
Job no.:
Drown by:
THiS SURVEY WAS PERFORMED EXCLUSIVELY FOR
SUNBAY HOIAES
USE' OF THIS SURVEY FOR ANY OTHER PURPOSE
OR 01 HER PARTIES SHALL BE AT THERE RISK AND
UNDERSIGNED is NOT RESPONSiBLE TO OTHERS
FOR Atoff LOSS RESULTING THEREFROM.
71791
lAC
on addition to the City of
RECORDED
DALLAS ._ COUNlY, TEXAS.
I
I
~
\
O.
1 2"IRF 0 v
.,-;-
N
1")1")
/I /I
0::-'
w
If) ~
III a..
N
0
W
?:: W
Gj
"
If) ....J
If)
0
N
"1
Vl
1 /2~Rf
w