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U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
OMB No. 1660-0008
Exoires Februarv 28. 2009
A 1. Building Owner's Name
Important: Read the instructions on pages 1-8.
SECTION A. PROPERTY INFORMATION
PUL TE HOMES OF INDIANA
For Ihsurance Company Use:
Policy Number.
A2. Building Street Address (including Apt., Unit. Suite, andlor Bldg. No.) or P.O. Route and Box No.
14084 SALMON DR
---
City CARMEL Stale IN ZIP Gode 46033
Company NAIC Number
A3. Property Description (Lol and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 167 CHERRY CREEK ESTATES SECTION 4
A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL I
A5. Latitude/Longitude: Lat. N 39-59-45 Long. W 86-03-45 Horizontal Datum: D NAD 1927 0 NAD 1983
A6. Attach alleast 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 2-
A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide:
a) Square footage of crawl space or enclosure(s) 2084sq fl a) Square footage of attached garage 721 ,sq ft
b) No. of permanent flood openings in the crawl space or b) No. of permanent 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 2160 sq in c} Total net area of flood openings in A9.b Q sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP Community Name i.- Community Number 82. County Name
CITY OF CARMEL. CID. 180081 HAMILTON
L:4. Map/Panel Number 85. Suffix 86. FIRM Index 87. FIRM Panel
Date Effective/Revised Date
18057C0235 F' FE6 19, 2003 FE6 19. 2003
810 Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89.
o FIS Profile 0 FIRM 0 Community Determined [gJ Other (Describe) LOMR CASE #05~05~1194A
811 Indicate elevation datum used for BFE in Item B9: D 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
Designation Date _"~ 0 C8RS DOPA
63.
IN
Slate
~
89 Base Flood~ Elevation(s) (zonej
AO, use base flood depth)
763.5 .
-. --
B8. Flood
Zone(s)
AE & X
[8JNo
SECTION C . BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C2.
C1 Building elevations are based on: C'8J Construction Drawings. 0 Building Under Construction.
'A new Elevation Certificate will be required when construction of the building is complete.
Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO.
below according to the building diagram specified in Item A7.
8~nchmark Utilized CONSTRUCTION PLANS Vertical Datum NGVD 1929
Conversion/Comments
o Finished Construction
Complete Items C2.a~g
I
Check the measurement used.
#. of bottom floor (including basement, crawl s.pace, or enclosure floorL
~) I 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 machinery or equipment servicing the building
(Describe type of equipment in Comments)
f) Lowest adjacent (finished) grade (LAG)
g) Highest adjacent (finished) grade (HAG)
lli.2 (8J feet 0 meters (Puerto Rico only)
769.~ ~ feet. 0 meters (Puerto Rico only)
_ ~ 0 feet D meters (Puerto Rico only)
767.9, (8J feet 0 meters (Puerto Rico only)
768.1 (8J feet 0 meters (Puerto Rico only)
767.2 t:SI feet 0 meters (Puerto Rico only)
767.2, t8J feet D meters (Puerto Rico onry)
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 on this Certificate represents my best efforts to interpret the data available.
I understand that any false stc1tement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001
&gnalu
City KN1GHTSTOWN
State IN
ZIP Code 46148
t8l Check here if comments are provided on back of form.
Certifier's Name STEPHEN M. COOPER
License Number S0557
Title LAND SURVEYOR
Company Name COOR CONSULTING -
Date 10\24\2006
Telephone 765-345-5943
FEMA Form 81-31. February 2006
See reverse side for continuation.
Replaces all previous editions
. -..,,~,
IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use:!
Building Street Address (Including Apt., Unit. Suite, and/or Bldg, No,) or P,O. Route and Box No Policy Number
14084 SALMON DR
Cily CARMEL State IN ZIP COde 46033 Company NAIC Number
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 BASE FLOOD ELEVATION PER LONlR CASE #05-05-1194A DATED JAN 27, 2005
BENCHMARK AND ELEVATIONS PER CONSTRUCTION PLANS FOR CHERRY CREEK SECTION 4
ART OF THE SUBJECT IN ZONE AE, HOWEVER THE PROPOSED RESIDENCE IS IN ZONE X
,
o Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
I
For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For !tems E1-E4, use natural grade. if available. Check the measurement used. In Puerto Rico only. enter meters.
E 1 Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and !he lowest adjacent grade (LAG). I
a) Too 01 bottom floor (Including basement, crawl space, or enclosure) is _'_ 0 feet 0 meters 0 above or 0 below Ihe HAG. I
b) Top of bottom floor (including basement, crawl space, or enclosure) is _'_ 0 feel 0 meters 0 above or 0 below the LAG I
E2. For BUilding Diagrams 6.8 with permanent flood openings provided 111 Section A Items 8 and/or 9 (see page 8 of Instructions). the next higher floo\
(elevation C2.b in the diagrams) of the building is _'_ 0 feet 0 meters 0 above or 0 below the HAG. '
E3. Allached garage (top of slab) is _'_ 0 feet 0 meters 0 above or 0 below the HAG,
E4. Top of platform of machinery and/or equipment servicing the building is _.._'_ 0 feel 0 meters 0 above or D below Ihe HAG.
E5. Zone AO only: 11 no flood depth number is avaHable, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? 0 Yes 0 No 0 Unknown. The local official must certify this information in Section G,
Date 10\24\06
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 ~FE)
or Zone AQ must sign here. The statements in Sections A, 8, and E are correct to the best of my knowledge.
--.- - --
Property Owner's or Owner's Authorized Representative's Name
Address.
City
State
ZIP Code
Signature
Date
Telephone
Comments
i
o Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local oHicial who is authorized by law or ordinance to administer the community's floodplnin management ordinance can complete Sections A. S, C (qr E),
and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items Ga. f:lnd G9.
G1 0 The information 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 source and dale of the elevation data in the Comments area below.)
32. 0 A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone "',0.
33 0 The following information (Ilems G4.-G9.) is provided for community floodplain management purposes.
-G4~iii~ber G6. Date Permit Issued "TG6. Date_ CertificaleOfcomPlian"Cei(k;~:~~:y ISS~~~~~_-_~_ --_= 1
37, This permit has been issued for: 0 New Construction 0 Substantial Improvement
G8 Elevation of as~b\Jilt lowest floor (including basement) of the building: _'_ ~D feet 0 meters (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: _'_ 0 feet 0 meters (PR) Datum
Local Official's Name
Title
Telephone
Community Name
Signature
Date
Comments
FEMA Form 81-31, February 2006
o Check here if alla~
Replaces all previous editions