<br /> at. OFPARTll'ENT of HOMELAND sECUWTY ELEVATION CERTIFICATE I OMB No. 1880-0008
<br /> Federal EmaOMwY Management Agency
<br /> Ermines February 28. 2009 I
<br /> National Flood insurance Program Important Read the instructions on pages 1
<br /> SECTION A - PROPERTY INFORMATION For lrreun nc Company yaw
<br /> Al. Building Owner's Name Anna Lyons Po1llc.ylNtxnber .
<br /> Address (fig Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Banc No. Con. patgt NA 4 Nwftmdr ,
<br /> City Ocean City State MD ZIP Code21842
<br /> Al. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
<br /> Lot 299, Section 6A, Montego Bay Mobile Home Park
<br /> A4. Budding Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) B
<br /> A6. Latitude/Longitude: Let. __,__Long. Horizontal Datum: RI HAD 1927 ❑ NAD 1983
<br /> A8. Attach at least 2 photographs of the building if the Cortifthals is being used to obtain hood insurance.
<br /> A7. Building Dtspmm Numbed
<br /> A8. For a building with a crawl spans or enclosure(s), provide A9. For a building with an attached garage, provide:
<br /> a) Square footage of crawl space orendoow's(s) jjsq ft a) Square footage of attached garage lYe so ft
<br /> b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage
<br /> endosu e(s) walls within 1.0 foot above adjacent grade le wale within 1.0 foot above adjacent grads Nf6
<br /> e) Tate net area otibod apenkigs In Mt b lQQQ so in I a) Tate net area of food mantas in A9.b lyf6 sq in
<br /> SECTION 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
<br /> 1 2 2 1 45207 0003 Name o Number Worcester Name MD State
<br /> B4. Map/Panel Nmanber B6. Sudlbc B8. FIRM Index B7. FIRM Panel B8. Flood 89. Bass Flood Elevations) (Zone
<br /> Date E(Isdhd lRsvised Date Zones) AO, use base flood depth)
<br /> 246207 0003 F 214!88 3/4/88 A8 8
<br /> 810. Indicate the sows of the Bass Flood Elevation (BFE) data or base flood depth entered in item 89.
<br /> ❑ FIS Profile INFIRM ❑ Community Dete mined ❑ Other (Describe)
<br /> 811. Indicate elevation datum used for BFE in item B9: ® NOVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
<br /> B12. � in a Coastal Bar er Resources System (urea or Otherwise Protected Area (OPA)? ❑Yes ®No OPA
<br /> SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
<br /> C1. A Elevation Certificate will be required when construction the building is coom p Under Construction* IN Finished Construction
<br /> C2. Elevations —Zones Al-A30, AE, Ail, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A14430, AR/AH, AR/AO. Complete. Items Mai;
<br /> below according to the building diagram specisd In Item A7.
<br /> Bandwidth Utilized 8112Nettical Datum um .
<br /> Ma
<br /> Check the measurement used.
<br /> a) Top of bottom floor (including basement, crawl space, or enclosure floor) 5.8 ® feet 0 meters (Puerto Rico only)
<br /> b) Top of the next higher floor 1f.Q ® test ❑ meters (Puerto Rico only)
<br /> c) Bottom of the lowest horizontal structural member (V Zones only) N.6 0 feet ❑ meters (Puerto Rico only)
<br /> d) Attached garage (fop of slab) ii6 ❑ feet ❑ meters (Puerto Rico only)
<br /> e) Lowest elevation of machinery or equipment servIing the building lent ® feet ❑ meters (Puerto Rico only)
<br /> (Describe type of equipment In Comments)
<br /> f) Lowest adjacent (finished) grade (LAG) Q ® feet CI maters (Puerto Rico only)
<br /> g) Highest adjacent (finished) glade (HAG) 5.5 ISI fest ❑ meters (Puerto Rico only)
<br /> SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
<br /> This certlloition tab be signed and sealed by a land sweyor, engineer, or architect authorized by taw to artily elevation
<br /> intonation. I owl & Iliac the htbanaaBon on Si Ude Coital* unopresente my best Nona to lea rprat the data swiabla , „ @v V HU mucr
<br /> 1 understand that any *lee atstamant may be punfidl►ablls by Eno or k dprlsonrnant under 18 U.& Code, Section 1001. ,' j . tai 1 ,
<br /> IR Check here if commentate are provided on beck of form. r' T,' ' „ A &=
<br /> co a % Nara Douglas Lower License Number PLS 10897 a . I ,, .a
<br /> I
<br /> Title Name . e e b, :. , I, .
<br /> Address 10144 Greenbrier Drive City Bain State MD ZIP Code 21811 - g;Hlt
<br /> Signature Date 8/11A8 Telephone 410.641 -4040
<br /> FEMA Form 81 -31, February 2008 See reverse side for continuation. -
<br /> ontinuation. RePMxtea `j . ?4edEons