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