HomeMy WebLinkAbout030067-Elevation CertificateNATIONAL FLOOD INSUEANCE PROGEAM
ELEVATION CERTIFICATE
O.M.B. No. 3067-0077
Expires December 3", 200,~ I
SECTION A - PROPERTY OWNER INFORMATION
BUILDING OWNER S NAME
Oanmel STATE
IN
~ BESORIPTION (L~ Number Lega Desc~pl~on, etc.) --
Lo t ~ in The Woods At Williams Creek Subd vis, on
~g. Residential
Resider~at Net'H~esidentiaL .~tdi~on. Accessory, etc. Use a Commems area. if necessary.)
ZiP CODE
46032
LATITUDE/LONGITU DE (OPTI~ HORIZONTAL DATUM~ (Type):
(¢~¢-¢ffi'-Cff~.t~Cor #~.¢h~#¢) [~INAD'.927 F-iNAD1983
39 59'00" N 86 IO'00"W
[] USGS Quad Map [] Other:
~FiY NU~,~ER B2. COUNTCNAI~
~ __~LHamitt~
~D PANEL ~ B ~
t 9. ~ FL~ E~VAT ~ S)
I
B10._nd~e Be s~ ¢ ~ B~ F~ B~on ( BF ~ d~aor ~ .
~ FIS Pmfite ~FI~ ~ ~mmun~ ~ ~ ~: ~AR. Le~er ~inabn
B11. Indite ~ ~v~ d~m u~ ~ ~ BFE in Bg: ~ NGVB 19~ ~ ~ 1 ~ ~ ~er ~):
B12.1s~eburl~ I~ma~Ba?r~S t~(CBRS)~~ OPAl? ~Y~ ~No ~i n~nD~A ~CTION C- BUILDING ELBATI~ INFO~TDN (~R~ ~I~D)
*A n~ B~ C~e w~l ~ ~¢~ ~n ~s~ ~ ~ ~di~ is ~e.
C2. Buil~ B~mm Num~ Z (~ ~e b~l~ng di~mm m~t ~milar to ~e ~ilding ~ ~ich Bis ~te is ~ng ~¢et~ - s~ ~ 6 ~d 7. If ~o di~Bm
~y ~r~ ~e ~lding, ~ a sket~ or ¢~.)
03. ~s - ~n~ A1A~, AE, AH, A f~h BFE), ~, VlN~, ~ (~ BFE), AR, A~A, A~, A~A1 ~, ABAH, A~AO
'~ id It~ C2. ~e ~ d~um u~, If ~e d~m B d~t ~ Be d~m u~ f~ ~ BFE in
-~ a)Topl
mark used appear on the FIRM? [-]Yes
876. 1ft.(m)
887,0_ft,(m~
on~y/ __~,(m/
881_, 6fqm)
876. 4_ft(m)
Th s ced fica oN s to on
I cefli~y that the informatio~ in Sections A, B and C on this certificate represents mybest efforts to interpret the data available
U,S, Code,
~ UCEN§E NUMBER ~00053
ADDEESS
COMPANY NAME Weihe Engineers, Inc.
CITY -- STAT~ ZiP COD~-------
Indianauolis IN 46280
DATE TELE~
08/24¢04 317~ 846-8611
Replaces all previous edition.'
IMPOErANT: In these spaces, copy the corresponding information from Section A~
~ STATE-- ZIP CODE
N 46032
Copy both s~des of this BevalJon ~e for (1) community oflidal, (2) insurance age~cempany, and (31 buitding owner.
OMMENTS
Permane~ Benchmark - thd~ana Department of Netural Resources Control S~on Tablet Stameed 'HAM 60 1989'
leva~ce-870,51 (NGVD 29 DATUM) -- --
~n C3 were the air--units for lhe existing ~se. --
]a~ed 12111/2080, Case No. REC-GN4~ 666
INFORMATION
3ertificete is intended for use as suppomng ~nform~on for a LOMA or LOMR-F.
p~etogragh.)
similar tothe building for whichthis ~is being cempteted_see :~ges 6 and 7, If nodiagram acasratety
)ftheballdthgis _ft.tm~ in~lcm) [] abuveor [] ~owfched(one)thehighestadjacentgrade, tO,se
), the next higher floor or elevated floor tele~ b of the building is _ fl.(m) _in.(cm ) a~ove the highest adjacent
~fmachtheryand/orequipmentsev~dngthe~alldiegis _fi(m) ~e,(cm) i-']abuveor F']~ow(checkoneithehighestadjacentgraae. (Use
if available),
ES, For Zone AO only: if no ~ dep~ numt:er s aval ait~e, s the top of he boltem floor eleveted in accordance wifh the communes floodpla n management ordinance?
I-lYes i'"JNo C']Unkn~, Thelccalofldalmuetcedifythisir~orma~ninSec~on~.
SECTION F- PROPERTY ~WNER (OR OWNER S REPRESENTATIVE) CERTIFICATION
~ pr?__~_? owner or. ~owner's, a. ath?zed representative wh.o, completes Sec~ons A, B, C (,ems C3.h and C3.i onty), and E for Zone A (without a FEMA4ssued or commur~ty-
ssuea~-Jor~oneAumusts~gn here. The stetements ~n Sec~ens A, B. C end E are ootmct to the best of my knowiedge,
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME -- --
ADDRESS --
3ITY
3ATE
ENTS
-~-OMMENTS~
STATE ZIP CODE
TELEPHONE
[] Check here if attachments
The local ~ who is authorized by law or ordinance to adminis~ the community's fl(x:~dplaln management ord hence can complete Sections A, B, C or E and G of th s Elevetio~
Cer~te, Complete the apCcabteitem(s) and sign below.
Gl. [] The information in Sec~ce C was taken from other dceuman~ce that has been signed and embossed by a licensed Surveyor engineer, or architect who is authorized by s~e
__ orlseallawtoce¢~/etevetion nforrna~n, Indicatethesouroeanddeteofthee~va'dandatainffeCemmantsa,-eabeinw,)
G2, II A commun~ official completed Section E for a building located in Zone A (without a FEMA4sseed or community-issued BFE or Zone AO
G3. [] The fallowing information (Items G4.G9) is provided for community floOdPlain management purposes
C OM L NC OCCU. C¥
G7 This petit has ;~;i -
GS, BevalJon of se-built lowest floor (including baserr~mt) of the building is: ~t tm) Datum'
Gg. aFB or (in Zone AO) deC1 of l~:x)ding at the building site is: --.-- ~. m) Batu ml
LOCAL OFFICIAL'S NAM~ -- T~ -- --
TELEPHONE
DATE
[] Check here if altachment~