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Home My WebLink AboutElevation Certificate NOV, -03' OO(FRI) 14:31 . PROBE ENGINEERING CO TEL:612 432 3723 P. 002 o.It\.L NO. 3061.(J077 ELEVATION CERTIFICATE E:lpn.May31,1996 FEDERAL: EMERGENCY MANAGEMENT AGENCY . NA"nONAL FLOOD INSURANCE PROGRAM . ATrEN110N: Use of this certlficate daBs not provide a waiver of the fIoad Insurance purchase requirement. This farm Is used only la, o providEt elevation Information necltssary to ensure campll81'C8 wilh applicable community floodplain management ordinances. to . deten:n1ne the proper insurance premium rate, and/or to suppan a request for a Latter of Map Amendment or' Revision (LOMA or LeMR). Instructions for complellng 'his fann can be found on the following' pagllS. F' 8UllDING OWNER'S NAME secnoN A PROPERlY INFORMAT10N POA INSURANCE CDMPN<< use PQUcY "UMIIER COMPANY NAIC foIlJhIBER :re Au- FLOOD INSURANCe RAT.E MAP (FIRM) INFORMATION Provide the falloWing fram'the proper FIRM (See.lnstNctions): ,. CCMMUNITV N\JMB~ L PIoIllEL NUMEIER :L SUFFIX '- DATIi OF FIR'" INOEX 5. FIlii" ZON!! &. IlII'SE f'LlXlD E\.EVAT1ON (In AQ %an-. II1II CIIIplnI . t 10 'i}l.. OOD"l.. c.-. I (- ,C{ -Cf 1 1.lndlcate the elavallon datUm system. used on the FlRM for Basa Flood E1evatlans (BFE): GVD '29 OOlher (describe on bact<} B. For Zon~s A' or V, where no BFE Is provided an the ARM. and'the community has establ! had a BFE for this building site, Indlcate the c:::ommunlty's BPI!: I I I I I I.U feet NGVD (or ather FlRM datU~e SedlCln B, Item n. SECTION C BUILDING ELEVAT10N IN~RMATlQN 1.l:!sing.the 8evation CertifICate Ins1nJctionli, indicate the diagram oumbtlr fl"Clm 'the dl,grams found on Pages 5 and s that blilSl desaibBS the subject building's rererence level-L . 2(a). FIRM Zones A 1 -A30. Ac.. AH, and A (with BFE). The top af me reference level floor from the sel~Bd diagram is at an elevation 0,1 I 1!IOI'l.ltkBstNGVD~Or~erFlAMdatu~eeSedianB"I~m7). (C'fOCf.. qt ~Q.~"'cae floo~ (b). FIRM Zones V1-V30. VE, II1d V (with BFE)~ The boftcm of the lowest horiZontal struCtUral memb r of the reference level from the.selected diagram, is at an elevation af I I I I I J ,U feet NGVD (or other FIRM daWm-5.ee Section B. Item 7), (e). FIRM Zone A (without BFE). The floor used u the r.efarllnClillevel from the selected diagram is LLJ.U feet above 0 or below 0 (check one) the highest grade adjscent to the building. (d). FIRM Zone A.O. "'e floor used as the referenca level from the selected diagram is W.U feet above 0 or below 0 (check one) tho .highest grade adjacent to the building. If no tlaod depth numbar is available, is the building'S lowest floor (reference level) elevated in accon:llU1~ with the community's floDdplain management ordinance? 0 Yes 0 No 0 Unknown 3. Indicate the elevation datum system used in detennlning the above reference level elevations: M'" NGVO '29 0 Other (dascribe under Comments on Page 2). (NOTE: If rfle s's"lnlon datum used in measuring the e/eifationfi;' different than that used on ths FIRM [see StlCtion S. Item 7J, then ctJnWlft ths elevafio"s 10 the daTUm system used on Ihs FIRM and show the CtlnvslSicn equatIon under Comments on Page 2.J . 4. Elevation reference mark used appears on ARM: 0 Yes ~o (Sea Instructions an Page 4) . 5. The reference level ell!Yiiltion is basad on: ~:lctual ccns1ltJctian 0 ccnstI"Uc:tion drawings (NOTE.: Use of ccnstTuction drawings is o&;:;uid if the bUIlding dDss not yst have the rsfs",nes levsl noo, In place, in whl~ .:ass this carrlficatlil will only be valid ro, rhe building during the t:Durse or CQnstrUcrion. A post-construdio" e"varlO" Certificate wiU be requif!ld once construction is CDmplste.J . . 6. The elevati~n of the loweSt grade immeclla\ely adja~nt to lnlll building is: LL.fIJQ..dI.t21 feat NGVD (or other FlAM datum-se. '. Section e, Item 7). .' . . SECTION D. ~MMUNIlY INFORMAnON . ,. If the c:::ommunity official re~ponslble far verifying building elervatians_specifies that the refer.nCB level indic:a\ed In Sec::tlan C, Ilem , is not the 'owest ~ot" as defined In the eommu"ity's floodplain management ordinance. the alavatlon of thlil ~iJdlng's 'owest floor" as defined by the ordinance is; I 1 I I I I.U feel NGVD (or other ARM da1Um-G8e SecrJon B. Ilern n. 2. Date of the start 01 constNc:don or substa"tial improvement . FEM.t. Fonn 91.31, MA.T 93 REfUCES ...r.LPREYlOUS ~ SEE REVEI2SE SIDE FOR CONTIt'oIUAl1QoI ~- PROBE ENGINEERING CO TEL:612 432 3723 P. 003 NOV, -03' OO(FRI) 14:32 ~ . SEC110N E CERnFlCAll0N This cenincatlan is 10 be signed by a land surveyor, engineer, or ..-chitBCl who Is aulhoriDd by stale ar I~ law to ~rtjfy ~Ievatian informadon when the elevatlDn information fOf Zones A1-A3C, AE, AH. A (with BFE),V1-V30,VE. and.V (with BFE)IS rBqulred. Community affic:iEd' who we aulhorimcl by local law Dr onflnanea to pl'ClYide floodplain managsmerrt in'ormatlon, may also sign the certification. In the case of Zane$ AO and A (WIthout a FEMA or community issued BFE), a bu~cfll19 official, a prapeny owner, ar an owner's rBpresenla1lve may also sign the certification; . ' 'ReferenCe Ilwel diagrams 6, 7 and 8 . Distinguishing Featu~1f me certifier is unable to cenJfy 10 brealcaway/nan-brealcaway wall, enclosum size, Itx:alion of servicing equipment, area use, wall openings, or unfinished arBa Feawre(s), then list the Featul'8(s) not includEKI in the certification under Comments below. The diagram number, Ser::tian C, Item " must still be entered. I r::artffy thaz rns informatiCl" in Sst::tions B 8I'Id C art this csrtificatll represents my best efrons to interpret ths data avallablfl. I understand that BIIY false Slarement may be punishable by "nil QI' lmprlsClnment.under 18 U.S. Cods. SfJdion 10D7. K.u s.S<LLl D~ CERTlPlEA'S NAMS . ~ ~ TITUi --z.,oo SIGNATURE DATE CaPI~ sh~uld be made of this Certlfll;:8'lB for:: 1) community official, Z) Insurance a!iJ~ntlcompany, and 3) building owner. COMMENTS: lM."d.r~"i!J ~ .. ~ ,'. ON Mm su.B IIASEMEMT ,. v ZONES ZONES _ ...a. PIERS. OR COLUIIfiIS ~.co' I 110ft JIIJllX; uv..,... .......- .. zoNU ~B diagrams abClvelllusual8 the paints at which the elevallClns shCluld be measured In A.~nes and V ZonllS. Elevations for all A ZClnes should be measured at the top'of the feference level floor. . ElevadDns for all V Zones should be measured at the bottom Clf the lowest horizontal stNcNraI member. Page 2 ~O".