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HomeMy WebLinkAbout05100104-Elevation Certificate'"'~0T~DI N G OWNER'S ~ Huston _ FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE I.mportant: Read theinstructJons on pag~ 1- 7. SECTION A- PROPERTY OWNER INFORMATION BUILDING STREET ADDRESS (Including Apt., Unit Suite. and/or Bldg. No,] OR P.O. ROUTE AND BOX NO, 13723 Ooldwater Ddve STATE IN ~TY DESCRIPTION (Lot and Block Numbers 'fax ~amei Number, Legal Desonpl]on, etc.) Lot #37 in The Replat of the Woods At Williams Creek. Hamilton County, ndiana ~., Residential. Nomresidential. Addilion. Accessory, etc. Use a Commen[s area if necessary.) Residen~al ZIP CODE 46032 O.M.B. No. 3067~0077-- Expires December_ 31. 200~_J ~TITUDE/LONG TUDE (OPTIONAL) ( ~-#¢-~.#f¢' or ~.###~,¢) -iORIZONTAL DATUM: D NAD 1927 BI NAD 1983 SOURCE:~ []USGS Quad Map SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION [] Othe~ B1, NFIPCOf,~UNITYNAME&CON'MUNITYNUMBER ~ME I B,3. STATE -- CityofCam'e¢ 180081 ~_ Ham~ [ i~ana ~---~'MAP AND PANEL--~ ~M PANEL ~ B9. BASE FLOOD ELEVATION(S) NUMBER ~ B5. SUFFIX BG. FJRMINDEXDATE I EFFECTIVE/REVISEDDATE I B&FLOODZONE(S) I (ZoneAO, usedepflof~x~ding) 2-1983 _ ~ 872,9~ el0. Indicatelhesoures ofthe BaseFlcod Eleva/Jon BFE)dataerbaseflooddepthenteredthBg, [] FIS Profi e [] FIRM [] Community Determined [] Olher (Describe :IDNR REC-GN-15 666 Btl. Inclicate tbe eleva'~co datum usedtor the BFEin Bg: [] NGVD 1929 [] NAVE) 1988 [] Other Describe): B12.1s hebdildng ocatedinaCoestel rfierResourcesSystam(CBRS)areaorOthe~seProtededAresfOPA? []Yes []No Designation Bate. N/A SECTION C · BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl, Building elevations are Building Under Construdion* [] Finished Construction 'A now Elevation Cede will be meu~red when constn~c~en of the building is compete, C2, Building Diagram Nu tuber Z (Select the building diagram most similar to the building for which this esrtfica[e s being corn pe[ed - see pages 6 and 7. If ne diagram accurately represents the building, provide a sketch or photograph,) C3. Eleva~ons - Zones A1~,30, AE, AH, A (with BFE), VE, V1N30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, APJAO Complete Items C3.~.i bebw according to the building dbgram spedfied in I em C2, State the datum used. If the datum is different from the datum used for ft~ BFE in Sec~on B, convert the datum to that used for the BFE. Show field meesurements end datum conversion calculation. Use the seese Drevided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD 1929 Conversico/Comments N/A Bevationreferecoemarkused~Doestheetevationre[erenesmerKusedappearontheFIRM? []Yes []No D a)Tepofbottomfioor(indudldgbesamentsrendesure) 87_5. 6ft.(m) DI b) Top of next higher flcor 885,6 ft.(m) D c) Bof~om of tow~ no.cora s'cucural member { v zones on~y) . ft.(m) El d) At~ached garage (top of elabll 883__. 3_ft(m) D e/Lowest elev¢on of machinery en~,or equ esrvidng the building llDesedbe in a Comments arsa~ . ft,(m) E] 0 Lowest adjacent (finishep) grade (LAG) 875. 2_fL(m) DI g)HighestadjacentCdished)grade(HAG) 8~ 9_ft,(m) El h) No. of ~ermanent openings (tided vents) within I ft. above adlacent grade N/A El il Total area of all ~erTnanem openings (flood vents in C3,h N/A sq, in. (sq, c~- SECTION D · SURVEYOR, ENGINEER, OR ARCHiTECT CERTIFICATION This certification is to be signed and sealed by a land sun/eyor, engineer, or architect authorized by law to certify elevation informanon / certify that the information in Sections A. B. and C on this certificate represents my best effofls to intemret the data available. ~/ understand that any false statement may De puniahab/e b- ~ne or /Tn, fisenment under 18 U. S. Code Section CERTIFIER'S NAME David A York. Peg LS LICENSE NUMBER 20200053 ~ Ragistemd Land Sun~eyor- Projeof Manager --~-N AT U RE COMPANY NAME Wethe EnDnesrs, ~nc. SI'FY STATE ZIP CODE IndianaPolis ,N 46280 TELEPHONE 10-17~)5 317~ 846-8611 ;EMA Form 81-31, .January 2003 See reverse side for continua[ion, Reoiaces all previous editions ~the corresponding information from Section A. BUILDING STREETADDRESS (Ir~du~d.i~ AoL Un~. Suite. ar~or Bldg. NO.) OR P.O. ROUTEAND BOX NO 13723 Coldwater Ddve CITY STATE ZIP CODE Carmel IN 48032 -- -SECTION D- SURVEYOR. ENGINEER~CERTIFICATIO~ (CONTINUED) te for (1) community o~del, (2) ins~building owner The permanent benchmark used for ell of the elevation design work for The Woods At Williams Creek is designated as '-~'M-NAM 60. Said monument is an Inoiena Deeartment of Natural Resources CeeTml Station Tablet stamoed "HAM 601989" ~r~eas~ cor~re~e w~ngwelI of the bddge on 136th Street which crosses Williams Creek. [] Check here ~f attachments SECTION E- BUILDING ELEVATION INFORMATION [SURVEY NOT REQUIRED) FORZONE AO AND ZONE A (WITHOUT BFE) . For Zone AO and Zone A (~thout BFE), complete Items E1 through E4. If the Beva~on co~cateis intended for use ~s supPorling information for a LOMA or LOMR-F SedJee C must be comdeted. . El. Building Diagram Number _(Seiscdhe building diagrem mus~ elmitar to the building fer which mis eertiflcatu is being oump~e[e~- see pages 6 and 7. If ee diagram acourate~y represents the building, Fovide a sketch or ~agraph.) E2. Thetopofthebet[emfloor(indudingbasemeetorendasure)ofthebelldingis ft.(m) in.fcm)r-labeveor r-lbeldw(checkeee)tbehighestaejacemgrase. IUse natural grade, If aval~e). E3. For Building D~agrems F>8 with openings (see page 7), the next higher floor or elevated floor (elevation b} of the building ~s _ fL(m) __]n.tcml a~ove [ne n~ghest adjacent grade. Complete items C3,h and C3.i on front of form E4. The ap of the platfo, m of machinery and/or equipment servidng the building is _ ft.(m) ~in. cm} [] above or [] below ~check one) the highest adjacent graoe, ruse natural grade, If available), E5. FOr Zooe AO only: If aa flood depth number is avellet~le, is the top of the boftem ~Iour eleva ed in acourdance ~ the community's 'iloodplain msnagement ordinanee? [] Yes [] No [] Unknown. The local ol~el must eedify this informut~ in SedA~ G. __ __ SECTION F- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The properly owner or owne 'ens A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4sseeTor community--- issued BFE}erZoneAOmustelg,~ here Tneatatement~inSeofieesA B. C. eedEereeerrecttothebe~tofmYknowledge. --PROPERTY OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME -- ADDRESS CITY STATE ZiP CODE TELEPHONE SIGNATURE DATE COMMENTS [] Check here if attachments Tchee~l caOcaCalteOfli~oalrnpWhle~haeUathpOpi?caeqbl~t~f~;nee~o~vad, m ns er theoummunity's fioudpan managemen ordinaneeceeeempleeSectionsA ~ Gl. [] Theinferm~on in Semee C was taken from other deeumemaenn ma~ nas enen s~gned and embossed ~y a licensee surveyor, engineer or amnl[eC[ weo is aC, horized by sra~e or local law to cedify elevatio~ information. (Indicate the source end date of the e evatiee data in the Comments area below.) G2. [] A community aerial completed SectJen E for a building located in Zone A (without a FEMA4ssued or oummsntty4ssued BFE) or Zone Aa G3, [] The following informa~on (Items G4.G9) is provided for community floodplain management purposes. G4 PERMITNUMBER ~ G5. DATE PERMITISSUED ~ G7. This permithas been issueqfo~ [] New Construction [] Substantia mproverren GS. Elevation of us~buiif lowest floor (induding basement) at the building is: G9. BFE or (in Zone Aa) depth ofifooding et the building site is: LOCAL OFFICIAL'S NAME TITLE G6, DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED _ft~m~ Datum: _ ft.(m) Datum: ~MUNITY NAME ~URE TELEPHONE DATE COMMENTS [] Check here if attachments