Waverly-RS020514
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
rta t R dth . st ct'
1 7
C.M.B. No. 3067-0677
Expires July 31,2002
mpo n: ea e In ru Ions on pages .
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
BUILDING STREET ADDRESS (Induding Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
717 WAVERLY LANE
CITY STATE ZIP CODE
COPPELL TX 75019
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 2 BLOCK D OF MAGNOLIA PARK ADDN.
BUILDING USE (e.g., Residential, Non-residential, Addition, Acressory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDElLONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type):_
( #If' - #If - ##.##' or ##.####If) 181 NAD 1927 0 NAD 1983 0 USGS Quad Map
SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
181 Other:_
B1. NFIP COWMJNrTY NAME & eot.M.JNrTY NUWBER
COPPELL480170
B2. COUNIY NAAE
DALLAS
B3.STATE
TEXAS
84. MAP AND PANEL 85. SUFFIX B7. FIRM PANEL 89. BASE FLOOD ELEVATION(S)
NUMBER 86. FIRM INDEX DATE EFFECTIVEJREV\SED DATE 88. FLOOD ZONE(S) (Zone AO, use depth ci ftoodi1g)
0155 J 08-23-01 X N/A
B10. Indicate the source of the Base Fkxxl Elevation (BFE) data or base flood depth entered in B9.
o FIS Profile ~ FIRM 0 Community Determined 0 Other (Describe):_
B11.lndicatetheelevationdatumusedfortheBFEin 89: ~ NGVD 1929 0 NAVD 1988 0 Other(Describe):_
B12. Is the building located in a Coastal Bamer Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes ~ No Designation Date
SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 0 Construction Drawings" ~ Building Under Construction" 0 Rnished Construction
"A new Elevation Certificate will be required when construction d the building is complete.
C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram
oo::urately represents the building, provide a sketch or photograph.)
C3. Bevations-ZonesA1-A3O, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARJA,ARJAE, ARJA1-A3O, ARJAH, ARJAO
Complete Items C3.-a-i below according to the buildng diagram specified in Item C2. Stcie the d<ium 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 field measurements and d<ium conversion calculation. Use the spoce provided or the Comments area d
Section D or Section G, as appropriate, to document the datum conversion.
Datum Conversion/Comments ,
Elevation referenre ma1< used _Does the elevation reference marl< used appea- on the FIRM? 0 Yes ~ No
o a) Top of bottom floor (induding basement or enclosure) 467.. 08ft.(m)
o b) Top of next higher floor _._ft.(m)
o c) Bottom of lowest horizontal structural member (V zones only) _' _ft.(m)
o d) Attcd1ed garage (top of slab) _' _ft.(m)
o e) Lowest elevation ct machinery and/or equipment
servicing the building (Describe in a Comments area) _' _ft.(m)
o ~ Lowest adjocent (finished) grCKle (LAG) _' _ft.(m)
o g) Highest adjocent (finished) grade (HAG) _' _ft.(m)
o h) No. d pennanent openings (flood vents) within 1 ft. above adjocent grade_
o i) Total area ct all pennanent openings (flood 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 law to certify elevation information.
I certify that the information in Sections A, e, and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME HARRY ROWELL UCENSE NUMBER 4597
fti
GI
CIl
. "C
GIGI
m-
m<U
00
.~-g
w<u
......ai
GI~
.Q::I
Em
::I<=:
Z.2' .
GI CIl .
m
<=:
8
::;
TITLESURVEYOR
COMPANY NAME HARRY ROWEll COMPANY
ADDRESS
1301 ELM STREET STE. 201
SIGNATURE
CITY
CARROLL TON
DATE
05-29-D2
FEMA Form 81-31, JUL 00
SEE REVERSE SIDE FOR CONTINUATION
ZIP CODE
75006
STATE
TX
TELEPHONE
(972) 242-6679
REPLACES ALL PREVIOUS EDITIONS
I. 9o,~71
I
1\ '
--
-"",
I
. ,E,M.A. 1$1 (Eltffi~
e;-I · r.r.
~
-\
~
. 4'-,,\...-1' . '.'
. f'e\...1..O fl~f$H
-~
\t'
N
e)-III
~
\J\
\"(
,
I
--
; " .,L:;
CITY ()~ ~ur~m:~
REVIEWED-
. ,
MA-.L On ~ (Jot:; 1,., I ()L- III
BY! ~ DATE
Approval of the plans and specifications shall not be
construed to mean construction in direct con~t ~ n · \ .;If ~, I ..., I" -"J I II
withtheCityofCoppellBuildingCo~e.s~~ IlJ>....fi ~l - ~D-O
Ordinances. Lor- :2 ! ~Lo61L 'D
Y1A~ NoL-{A 'PA{2 ~
CI1Y eX CiJf~LL
pALLAS c'C)lA}rr(
. (!AgMt:J1 LM9rvl1 ~Me$ ~ ~LJ::ct2
I
n ~..,,~
. I
I. (.) SI'R.EEr CtJT .
. WAVe12Lj W~. FORM BOARD
SURVEY REQUIRED
'7.' . "
~
" (
* 45'~"2-
qij gt{
1 f)f {f/