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FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
a.M.B. No. 3067-0077
Expires December 31, 2005
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mpo n: ea I e In ructions on Dages .7.
SECTION A. PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILAING OW1'jER'S NAME 1> Policy Number
C At> a S,~.e.. L<-~AS
BUilDING STREET ADDRESS (Including Apt., Un<<, Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NA1C Number
120 TRINITY COURT
rlaIRdh's!
CITY STATE ZIP CODE
COPPEll TX 75019
PROPERTY DESCRIPTION (lot and Block Numbers, Tax Parcel Number, legal Description, etc.)
LOT 15 BLOCK A TRINITY SHORES ADDITION LOTS 1-19 BLOCK A
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: D GPS (Type):_
( II#" - ##' - ##.##" or ##.-"l 121 NAD 1927 D NAD 1983 D USGS Quad Map
121 Other: FIRM
SECTION B . FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
I Bl. NFIP COMMUNITY NAME & COMMUNITY NUMBER I B2. CCYJNTY NAME I B3.STATE
COPPELL 480170 DAllAS TEXAS
84. MAP AND PANEL B7. FIRM PANEL 69. BASE FLOOD ELEVA TION(S)
NUMBER 85. SUFFIX 86. FIRM INDEX DATE EFFECTIVElREVISED DATE 88. FLOOD ZONE(S) (lore AO, use depth of lIoodif!l)
48113C0155 J 06-11Hl5 08-23-01 X 500 443.50
BlO.lndicatethe source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
D FIS Proflle ~ FIRM D Community Detennined D Other (Describe):_
B11.lndicatethe,;evalondatum usedfortheBFEin B9: ~ NGVD1929 D NAVD 1988 0 Other(Describe):_
B12. Is the building located in a Coastal Banier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes IZI No Designation Date
SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Ct. Building ,;evalons are based on: 0 Construction Dra.vings" IZI Building Under Construction" 0 Finished Construction
"A new Elevation Cerlflcate will be required when construction of the building is complete.
C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this ce(uficate is being ro-npieicd. S68 pages 6 and 7. If no diagram
accurately represents the building, proVide a sketd1 or photot:lraph.)
C3. Bevations-ZOnesAl.A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARlAE, ARlA1-A30, ARlAH, ARlAO
Complete Items C3.-a~ below according to the building diagram specffied in Item C2. Slate the datum used. If the dalum is dnterenl from the dalum used for the BFE in
Section S, 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 approp11ate, to document the datum conversion.
Datum NGVD1929 Conversion/Comments BM PROVIDED BY DONALD PEEBLES RPLS 2437 AND ON GRADING PLAN
Elevalon reference mark used _Does the elevalon reference mark used appear on the FIRM? 0 Yes IZI No
o a) Top of bottom floor (induding basement or endosure) 451.. 83 ft.(m)
o b) Top of next higher floor NA._ft.(m)
o c) Bottom of lowest horizontal structural member (V zones only) NA _ft.(m)
o d) Attached garage (top of slab) 451.. llft.(m)
o e) Lowest elevation of machinery and/or equipment
selViang the building (Describe in a Comments area) NA. _ft.(m)
o n Lowest adjacent (flnished) grade (LAG) 450. 83 ft.(m)
o g) Highest a:!jacent (flnished) grade (HAG) 450.. 98 ft.(m)
o h) No. of penn,.,ent openings (flood vents) within 1 ft. above adjacent grade NA
o i) Total area of all pem1anentopenings (flood vents) in C3.h!'JA...sq. in. (sq. em)
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 cenily Ihat the information in Sections A, e, and C on this cenilicate represents my best effons to interpret the data available.
I understand that any lalse statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001.
CERTIFIERS NAME BARRY RHODES LICENSE NUMBER 3691
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TITLE OWNER
COMPANY NAME BARRY RHODES
ADDRESS
7509 PENNRlDGE CIRC
SIGNATURE
CITY
ROWLETT
DATE
06.()6-2005
STATE
TX
TELEPHONE
972-475-8940
ZIP CODE
75088
FEMA Form 81
See reverse side for continuation.
Replaces alt previous editions
IMPORT ANT: In these spaces, copy the corresponding information from Section A. For Insumnce Company Use:
BUILDI~ STREE'lADDRESS (Indudo-g Apt" Un~ Suite, and/or BkIg. No.) OR P.O. ROUTE AND BOX NO. Polk;yNumber
. 120 TRINITY COURT
CITY STATE ZIP CODE Company NAIC Number
COPPEll TX 75019
SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both ~des of this Elevation Certificate for (1) commun~y offidal, (2) insurance agenUoompany, and (3) building owner.
COMMENTS
D Check here if attachments
SECTION E . BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (..;thout BFE), oomplete Items El through E4. W the Elevation Certfficate is intended for use as supporting information tor a LOMA or LOMR-F,
Section C must be oompleted.
E1. Building Di"Jram Number _(Select the building diagram roost similar to the building for which this certilcate is being completed - see pages 6 and 7. If no diagram accurately
represents the buikJing, pro~de a sketch or photograph.)
E2. The top of the bottom floor (induding basement or endosure) of the building is _ ft.(m) _in.(cm) 0 above or 0 lJEjow (check one) the highest adjacent grade. (Use
natural grade, IT availa~e).
E3. For Building [);agrams IXI with openings (see page 7), the next higher Ioar or elevated loar (elevation b) of the building is _ ft.(m) _in.(em) above the highest adjacent
grade. Complete ~ems C3.h and C3.i on front of foon.
E4. The top of the platlorm of machinery andlor equipment servidng the building is _ ft.(m) _in.(em) 0 above or 0 below (check one) the highest adjacent grade. (Use
natural grade, if availa~e).
E5. For Zone AO only: If no lood depth number is avaiia~e, is the top of the bottom loar elevated in acrordance ..;th the oommunitYs floodplain man"Jement ordinance?
Dyes 0 No 0 Unknown. The local official must certify this information in Section G.
SECTION F . PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The properly owner or owners authoozed representative who completes Sections A, B, C (Items C3.h ald C3.i only), and E for Zone A (..;thout a FEMAissued or community.
issued BFE) or Zone AO must sign here. The statements in Sections A, S, C, and E are cooect to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS
CITY
STATE
ZIP CODE
SIGNATURE
DATE
TELEPHONE
COMMENTS
D Check here if attachments
SECTION G. COMMUNITY INFORMATION (OPTIONAL)
The local offidaJ who is authorized by law or ordinance to oominister the oommunity's floodplain management ordinance can complete Sections A, B, C (or E), and G of thiS Elevation
Cer1ilica1e. Complete the applica~e item(s) and ~gn below.
G1. D The information in Section C was taken from other documentation that has been signed and emOOssed by a licensed surveyor, engineer, or architect who is authonzed by state
or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. 0 A oommunity offidal oompleted Section E for a building located in Zone A (..;thout a FEMA-issued or oommunityissued BFE) or Zone AO.
G3. D The 1oIOOng information (Items G4-G9) is pro~ded for oommunity loodplain management purposes.
G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLlANCEIOCCUPANCY ISSUED
G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement
G8. Elevation of as.built lowest floor (induding basement) of the building is:
G9. BFE or (in Zone AO) depth of loading at the building s~e is:
LOCAL OFFICIAL'S NAME
_._ft.(m)
__ft.(m)
Datum:
Datum:
COMMUNITY NAME
SIGNATURE
TITLE
TELEPHONE
DATE
COMMENTS
D Check here if attachments
FEMA Form 81-31, January 2003
Replaces all previOUS editions
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SURVEY
PLAT
BARRY S. RHODES Registered Professional Land Surveyor (972) 475-8940
This is to certify that I have, this date, made a careful and accurate survey on the ground of property
located at No. 120 TRINIlY COURT , in the city of COPPELL Texas.
Lot No. 15 , Block No. A
of TRINIlY SHORES ADDmON, LOTS 1 19, BLOCK A
COPPELL DALlAS COUNlY Texas according to the
in VOLUME 2002083 at PAGE 28 of the MAP
, an addition
MAP THEREOF
records of DALLAS
to the City of
RECORDED
COUNlY, TEXAS.
BRYINE M. GRAHAM
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VOLUME 99224, PAGE 784
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TRINITY
COURT
THIS CERflFlCATJON DOES NOT
TAKE INTO CONSIDERATION
ADDITIONAl FACTS THAT NoKJ
ACCURATE TITI.E SEARCH AND OR
EXAIlINATKlN MIGHT DISClOSE.
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 plot: the size, location
and type of building ond improvements are as shown. 011 improvements being within the boundaries
of the property, set back from property lines the distance indicated.
Scale: 1. - 20'
Date: 6-6-2005
G. F. No.:
Job no.:
Drawn by:
THERE ARE NO ENCROACHMENTS, CONFLICTS, OR PROTRUSIONS,EXCEPT I>S SHOWN.
THIS SURVEY WI>S PERFORMED EXCLUSIVELY FOR
HAROLD FLANNERY CUSTOM HOMES
USE OF THIS SURVEY FOR ANY OTHER PURPOSE
OR OTHER PARTIES SHALL BE AT THEIR RISK AND
UNDERSIGNED IS NOT RESPONSIBLE TO OTHERS
FOR AtN LOSS RESULTING THEREFROM.
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