Laserfiche WebLink
U 3. DE PARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 -0008 <br /> Fedefa Emer Management Agency Expires February 28, 2009 <br /> National Flood Insurance Program Important: Read the instructions on pages 1-8. <br /> SECTION A - PROPERTY INFORMATION For Insurance Company User <br /> Al. Building Owni's Name EILEEN P. RUARK Policy Number :. <br /> A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAM Number <br /> USOXISOKNOVN <br /> City OCEAN CITY State MD ZIP Code 21842 <br /> A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br /> MAP 111 GRID 4 PARCEL 3429 (LOT 26) <br /> A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) J2ESIDf<NTIAI. <br /> A5. Latitude/Longitude: Lat. N 38 -21 -01 Long. Wragligii Horizontal Datum: ❑ NAD 1927 ® NAD 1983 <br /> A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. <br /> A7. Building Diagram Number $ <br /> AS. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: <br /> a) Square footage of crawl space or enclosure(*) 2 sq It a) Square footage of attached garage 4§4 sq ft <br /> b) No. of permanent flood aperhigs in the crawl space or b) No of permanent flood openings In the attached garage <br /> enclosures) walls within 1.0 foot above adjacent grade 17 wale wllhin 1.0 foot above adjacent grade ¢ <br /> c) Total net area of flood openings in AB.b 211 sq in c) Total net area of flood openings in A9.b ¢4Q rag in <br /> SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br /> B1. NAP Community Name & Community Number B2. County Name B3. State <br /> 246207 WORCESTER/OCEAN CITY MARYLAND <br /> - 134. Map/Panel Number B5. Suffix 66. FIRM Index 87. FIRM Panel 68. Flood 89. Base Flood Elevation(s) (Zone <br /> Date Effective/Revised Date Zone(s) AO, use base flood depth) <br /> 0001 G 2/4/88 A6 6.0 <br /> B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in item 139. <br /> ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe) <br /> B11. Indicate elevation datum used for BFE in Item 89: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) <br /> 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ®No <br /> Designation Date ❑ CBRS ❑ OPA <br /> SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br /> Cl. Building elevations are based on: ❑ Canstructton Drawings* ❑ Building Under Construction* 0 Finished Construction <br /> *A new Elevation Certificate will be required when construction of the building is complete. <br /> C2. Elevations -Zones A1-A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR/AE, AR/Al -A30, AR/AH, AR/AO. Complete Items C2a-g <br /> below according to the building diagram specified in Item A7. <br /> Benchmark Utilized Vertical Datum 1929 <br /> Conversion/Comments JyA <br /> Check the measurement used. <br /> a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ Jj.j. 0 feet ❑ meters (Puerto Rico only) <br /> b) Top of the next higher floor 9.2 0 feet ❑ meters (Puerto Rico only) <br /> c) Bottom of the lowest horizontal structural member (V Zones only) f4(A. ❑ feet ❑ meters (Puerto Rico only) <br /> d) Attached garage (top of slab) 82 0 feet ❑ maters (Puerto Rico only) <br /> e) Lowest elevation of machinery or equipment servicing the building NU ® feet ❑ meters (Puerto Rico only) <br /> (Describe type of equipment in Comments) <br /> f) Lowest adjacent (finished) grade (LAG) IA ® feet 0 meters (Puerto Rico only) <br /> 9) Highest adjacent (finished) grade (HAG) 51 0 feet ❑ meters (Puerto Rico only) <br /> SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br /> This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation <br /> information. I civilly that the information on trite Cattiest* represents my best eAbrts to interpret the data avNable. r.•r'• A" <br /> I understand that any /alas statement maybe punishable byline a imprisonment under 18 U.S. gods, Section 1001. .••' "' F M q ••. • <br /> , • . . 0 .� • � .. • <br /> ❑ Check here If comments are provided on beck of form. es • A 4 >F ' '4' <br /> • . <br /> Certifiers Name CHRIS D. CUSTIS License Number 599 g "' u>' . <br /> Title SURVEYOR Company Name CHRIS D. CUSTIS SURVEYING -.° <br /> A c <br /> Address PO : - .. City PRINCESS ANNE State MD ZIP Code 21853 •, 0:1 <br /> 9 C <br /> Sign , , `` Date 06/01/07 Telephone 410.726.3576 ''' ;u. ' <br />