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U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE I OMB No. 1660 -0008 <br /> Expires February 28. 2009 I <br /> Fed.rai Emergency Management Agency <br /> 'National Flood Insurance Program Important Read the instructions on pages 1-8. <br /> SECTION A - PROPERTY INFORMATION For Insurance Company Use: <br /> Al. Building Owner's Name James Mudgett Policy Number <br /> A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number <br /> 166 Beachcomber Lane <br /> City Ocean City State MD ZIP Code21842 <br /> A3. Property Description (Lot and Blodc Numbers, Tax Parcel Number, Legal Description, etc.) <br /> Montego Bay Mobile Home Park, Lot 1028 , Section 3, <br /> A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential <br /> A5. Latitude/Longitude: Lat. Long. Horizontal Datum: ® NAD 1927 ❑ NAD 1983 <br /> A6. Attach at bast 2 photographs of the building if the Certificate is being used to obtain flood insurance. <br /> A7. Building Diagram Number <br /> AS. Fora building with a crawl space or endosure(s), provide A9. For a building with an attached garage, provide: <br /> a) Square footage of crawl space or enclosures) jsq ft a) Square footage of attached garage I sq ft <br /> b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage <br /> enclosure(s) waft within 1.0 foot above adjacent grade ]Q walls within 1.0 foot above adjacent grade f <br /> c) Total net area of flood openings in A8.b 2240 aq in c) Total net area of flood openings in A9.b NIA sq in <br /> 1 <br /> SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br /> 131. NFIP Community Name & Community Number 82. County Name 83. State <br /> 245207 0003 Ocean City Worcester MD <br /> 64. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone <br /> Date Effective/Revised Date Zone(s) AO, use base flood depth) <br /> 245207 0003 F 2/4/88 3/4/86 A-8 6 <br /> B10. Indicate the source of the Base Flood Elevation (BFE) data or base food depth entered in item B9. <br /> ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) <br /> B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) <br /> B12. Is the budding 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 /> C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction <br /> `A new Elevation Certificate will be required when construction of the budding 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/A1-A30, AR/AH, AR/AO. Complete Items C2.a -g <br /> below according to the building diagram specified In Item A7. <br /> Benchmark Utilized RM10Verticcai Datum NGVD <br /> Conversion /Comments None • <br /> Check the measurement used. <br /> a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ 2.2 (81 feet ❑ meters (Puerto Rico only) <br /> b) Top of the next higher floor 9.§ ❑ feet ❑ meters (Puerto Rico only) <br /> c) Bottom of the lowest horizontal structural member (V Zones only) 1Y49 ❑ feet ❑ meters (Puerto Rico only) <br /> d) Attached garage (top of slab) y.9 ❑ feet ❑ meters (Puerto Rico only) <br /> e) Lowest elevation of machinery or equipment servicing the budding 9.Q ® feet ❑ meters (Puerto Rico only) <br /> (Describe type of equipment in Comments) <br /> f) Lowest adjacent (finished) grade (LAG) ¢.11 ® feet ❑ meters (Puerto Rico only) <br /> g) Highest adjacent (finished) grade (HAG) 11.12 ® 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 /> infonnation. 1 certify that the inlbnnation on this Certificate represents my best ellb.ts to interpret the data available. <br /> I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. �l i fel 7 <br /> ® Check here if comments are provided on bads of form. I l ► a • '• F' <br /> Certifiers s Name Douglas Lamer Number PLS 10897 <br /> Title Company Name . f <br /> Address 10144 Greenbrier Drive City Berlin D ZI@, ,2) L ; . • <br /> Signature _ -- -- Bats 5/11/07 Telephone 410-641-4040 <br /> r: : A Form 81 -31, February 2005 See reverse side for continuation. Replaces all previous editions <br />