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0~t/28/95 11:00 '~ 583 581091! LAND MARKERS INC ~ e2 ELEVATION CERTIFICATE FEDERAL EME"GENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM AI'FEN'rION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement, This form is used only to provide elevation information necessary to ensure compllence wlfh applicable community floodplain management ordinances, fo determine the I~roper Insurance premium rate, end/or to support a requesl for e Letter of Map Amendment or Revision (LOMA or LOMR), Instructions for ocmp{etln~l this form can be found on the following pages. SECTION A PROPERTY INFORMATION ~ ..............1 ~o~¥ ..... ~, ~ ~ECTiON ~ FLOOD INS~RANO~ ~ATE ~AP (FI~) INFORMATION Provide the toJlowlng fr~m the~roper FIRM ~ee [ns~uc~: Indlcat~ the elevation d~lum system used on the FIRM for Bess F~od Elavatlons (BFE): ~ NGVD '29 ~ O/he? (describe ~n back) 8, For Zones A or V, where no BFE is provided on the FIRM, and the community has eslabHshed a BFE for this buitding site, indicate the community's BFE: ...... ~_~._ .L~ feet NGVD (or othe~ FIRM dAtum-see Section ~, rtem 7). SECTION C BUILDING ELEVATION iNFORMATION 1. Using ihs Elevation Certi~cate, lnstructlons, Indlcat~the diagram number from the 01agtAms found on Pages 5 a~d 6 that best describes the subject building S reference level ~, Z(A). FiRM Zone~ Al-A30, Ad, AH, and A (with BFE). The top of the re~ere~e level flo~t from the selected diagram is at an elevation of ~ ~ 50~.~ feet NGVD (or other FIRM da[u~see Section B, Item 7). (b). FIRM Zones V1-V30. VE. snd V (with BFE), The bottom 0~ the lOWest horizontal structural ~e~ber of [~e relerence level from the selected d~agram, is at an elevation of ~] ~ ],~ feet NGVD {Or Other FIRM datum-see Se~lon ~, Ite~ 7). (~). FiRM Zone...~ A (without BFE). The floor used as the reference level from the selecled diagram ts ~ i ~.~ fee[ above below ._ (check one) the h~ghest grade adjacen~ to the building. (d). FI~M Zofle Ag. The fleor used as the reference level [tom the selected diagram Is ~ .[~ leer a~ove ~ or below ~ (cheek one) the highest grede adjacent to the b~ilding. If no floo~ ~epth number is evaliable, is the bui~dtng's lowest floor (reference level) elevated in accedence with the ~ommunl[y's fl~dplaln management Ordinance? ~ Yes ~ No ~ Unknown 3. InOlc~te the eleveflon datum system used In determlnlno the above reference level elev~flons: _~ NGVD '29 ~ Other under Comments on Pegs 2). (NOTE: If ~he elevat]~ ~tum used in measuring ~O elevations is different ~a~ t~at used the FIRM [see ~ectlon B, Item 7J, t~en ¢onve~ the elevations ~ the ~a~um ~ystem ueed on the FIRM and show the ~uaflon unde~ Comments on Page 4. Elevetion reference ma~ used appears on FIRM: ~ Yes ~ No (See Instruc~ons on Pa~e 4) 5. The re~erence level e~evetlon Is bssed eh: ~aclual constru~ion ~ ~ns[ructJon (NOTE: USe of oonstruction drawings Is on~ valid iHha ~]ldlng does not yet have the refe~e ]evel fl~ f~ place, In whl~ case this ~ificat~ will only ~e vafid for the building during the course of consEuction. A poSt.construction Elevet/on Ce~fficate will be required once ~nslr~io~ Is complete.) 6. The elevatl~ of the lowest grade immediately ad)scent to ihs bu~ldlng is: ~ ~ i~l,~ .feet NGVD (o~ Giber FIRM datum-see Section B, Item 7). SECTION D COMMUNITY INFORMA~ON 1. II the community official res~nsible for Verifying bul~d~ng eievetions spe~,e~ that ~e reference lev~dtc;/ed tn Section G, Item 1 is not Ihs "lowest f~Oo~" as defined in the ~mmun~ly's floodplain management ordtnan~, the elevetlon o~ th9 building'S "lowest flood as defined by the ordlnence Is: ~ ,~ feet NGV0 {or other FIRM datum-see ~e~t~on B, Item 7)- FE~ F~ 8~ ,31, ~Y ~3 RE~E$ AE PRE~S EDI~ ~E RE~R~ $10[ ~ CO~NUA~