HomeMy WebLinkAbout06040002 Site Plan & Elevation Certificate
PROPERTY ELEVATION EXHIBIT
N 00'36'31" W 103.23'
x 754.20
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GENERAL NOTES:
1. PREPARED FOR: DEREK & AMY PENNANT-JONES
2. LEGAL DESC: LOT 15 IF QUAIL RUN @ HAVERSTICK
PLA T CABINET 1. SLIDE 565, OFFICE OF THE
HAMILTON COUNTY RECORDER
3. PROPERTY ADDRESS: 13400 GROUSE POINT TRAIL
4, RLS JOB NO. 2006_074
5, REFERENCE BENCHMARK = USC&GS B.M. STAMPED 1951 752, LOCATED 50'
W. OF RIVER RD, & 19 N. OF 131 st ST. VERTICAL DATUM = NGVD 1929
PUBLISHED ELEVATION=751.42 (VERTICAL DATUM=NGVD 1929)
REFERENCE FLOOD MAP: 18057 C 0235 F, DATED 02-19-2003
6. THIS EXHIBIT DOES REPRESENT A BOUNDARY SURVEY
7. ELEVATIONS SHOWN HEREON ARE ACCURATE TO
TO THE NEAREST 0,1 FT.
8. HORIZONTAL DIMENSIONS SHOWN HEREON ARE ACCURATE
ARE APPROXIMATE TO THE NEAREST 2 FT.
DIMENSIONS ARE SHOWN TO THE NEAREST 0.01 TO
ALLOW FOR MATHEMATICAL CLOSURE.
RECOMMENDED LAND SURVEYING, INC.
MICHAEL L HUTER, PLS.
4332 LUCKY CT.
INDIANAPOLIS, IN. 46203
Ph. 317.440.5709 Fox 317.784.0255
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CERTIFIED THIS 5th DAY OF APRIL, 2006
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SHEET 1 OF 1
MICHAEL L. HUTER, PLS
PROFESSIONAL LAND SURVEYOR NO,
STATE OF INDIANA
9500007
'\
U~ DEPARTMENT OF HOMELAND SECURITY ELEVATioN CERTIFICATE
Federal Emergency Management Agency
National Flood Insurance Program Important: Read the instructions on pages 1-8.
OMB No. 1660-0008
Exoires Februarv 28. 2009
SECTION A - PROPERTY INFORMATION For Insurance Company Use:
A1. Building Owner's Name Derek & Amy Pennant-Jones Policy Number
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company.NAIC Number
13400 Grouse Point Trail
City Cannel State IN ZIP Code 46033
A3_ Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 15 in Quail Run @ Haverstick
A4. Building Use (e.g., Residential, Non.Residential, Addition, Accessory, etc.) Residential
AS, Latitude/Longitu<:le: Lat. W0860300 Long. N395845 Horizontal Datum: [8] NAD 1927 0 NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1
A8. For a building with a crawl space or enc1osure(s), provide A9. For a building with an attached garage, provide:
a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage 400 sq ft
b) No. of pennanent flood openings in the crawl space or b) No. of.pennanent flood openings in the attached garage
enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade Q .
c) Total net area of flood openings in A8.b sq in c) Total net area offload openings in A9.b Q sq in
SECTION B _ FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
Carmel 180081
82. County Name
Hamilton
83. State
IN
84. MaplPanel Number 85. Suffix B6. FIRM Index B7. FIRM Panel 88. Flood 89. Base Flood Elevation(s) (Zone
Date Effective/Revised Date Zone(s) AO, use base flood depth)
18057 C 0235 F 02-1 9-2003 02-19-2003 X Shaded 754.0
B 1 0 Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
o FIS Profile [8J FIRM 0 Community Detennined 0 Other (Describe)_
B11. Indicate elevation datum used for BFE in Item 89: [8J NGVD 1929 0 NAVD 1988 0 Other (Describe)_
812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? DYes [8] No
Designation Date _ 0 C8RS DOPA
SECTION C _ BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
CL Building elevations are based on: 0 Construction Drawings* D Building Under Construction. [8] Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete. .
C2. Elevations _ Zones A l-A30. AE. AH. A (with 8FE). VE. Vl-V30. V (with 8FE). AR, ARIA, AR/AE. ARlA1-A30, AR/AH, AR/AO. Complete Items C2.a-g
below according to the building diagram specified in Item A7 .
Benchmark Utilized RM 235.1 Vertical Datum NGVD 1929
Conversion/Comments
Check the measurement used.
a) Top of bottom floor (including basement, crawl space, or enclosure floorL
b) Top of the next higher floor
c) Bottom of the lowest horizontal structural member (V Zones only)
d) Attached garage (top of slab)
e) Lowest elevation of machin~_ry or equipment selVicing the building
(Describe type of equipment in Comments)
f) Lowest adjacent (finished) grade (LAG)
g) Highest adjacent (finished) grade (HAG)
759.53 [8J feet D meters (Puerto Rico only)
_ _ 0 feet 0 meters (Puerto Rico only)
_ _ 0 feet 0 meters (Puerto Rico only)
758.85 [8] feet 0 meters (Puerto Rico only)
_ _ 0 feet 0 meters (Puerto Rico only)
758.~
758.99
[8] feet 0 meters (Puerto Rico only)-
[8] feet 0 meters (Puerto Rico only)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, eng(neer, or architect authorized by law to certify elevation
infonnation. I certify that tile infomJation on this Certificate represents my best efforts to interpret the data available.
I understand tllat any false statement may be punishable by fine or imprisonment under 18 U.S Code, Section 1001.
Address 1520 Fox Cross Drive
City Martinsville
State IN
ZIP Code 46151
o Check here if comments are provided on back of fonn.
Certifier's Name MiChael L. Huter
License Number 9500007
Title President
Company Name RLS Corporation
Signature
~
Date April 5, 2006
Telephone 317.440.5709
FEMA Form 81-31, February 2006
See reverse side for continuation.
Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding infonnation from Section A. For.lnsuraneeCo.mpany Use:
Building Street Address (including Apt.. Unit; Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
13400 Grouse Point Trail .
City Carmel State IN ZIP Code 46033 Company'NAIC'NLimber
SECTION D _ SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments
Signature
o Check here if attachments
SECTION E _ BUilDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
Date April 5, 2
For Zones AO and A (without BFE), complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
E 1. Provide elevation infonnation for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement. crawl space, or enclosure) is _'_ 0 feet 0 meters 0 above or 0 below the HAG.
b) Top of bottom floor (including basement, crawl space, or enclosure) is _'_ 0 feet 0 meters 0 above or 0 below the LAG.
E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page a of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is _'_ D feet D meters D above or D below the HAG.
E3. Attached garage (top of stab) is _'_ D feet D meters D above or D below the HAG.
E4. Top of platfonn of machinery and/or equipment servicing the building is _'_ D feet D meters D above or D below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? DYes D No 0 Unknown. The local officiat must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community-issued BFE)
or Zone AO must sign here. The statements in Sections A. e, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Michael L. Huter
Address 1520 Fox Cross Drive City Martinsville State IN ZIP Code 46151
Signature
Date April 5, 2
Telephone 317.440,5709
Comments
o Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E),
and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items Ga. and G9.
G1. [8'J The infonnation in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to certify elevation information, (Indicate the so,-!rce and date of the elevation data in the Comments area below.)
A community official completed Section E for a building located-mZone A-(without.a-FEMA-issued or community-i~~ed BFE) or Zone AO.
The fonowing information (Items G4.-G9.) is provided for community floodplain management purposes.
G2.0
G3.0
G4. Permit Number
G5, Date Permit Issued
G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: 0 New Construction D Substantial Improvement
G8. Elevation of as-built lowest floor (including basement) of the building: _'_ _D feet D meters (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: _'_ 0 feet D meters (PR) Datum _
Local Official's Name
Title
Community Name
Telephone
Signature
Date
Comments
D Check here if attachments
FEMA Form 81-31, February 2006
Replaces all previous editions