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' I.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 -0008 <br /> 'ederal Emergency Management Agency Exoires February 28. 2009 <br /> lational Flood Insurance Program , „iportant: Read the instructions on pages 1 -0. <br /> SECTION A - PROPERTY INFORMATION For Insurance Company Use: <br /> Al. Building Owners Name Mary E. Broderick 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 /> 1921 Marlin Drive <br /> City Ocean City State MD ZIP Code 21842 <br /> A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br /> Tax Map 111, Parcel 3294 <br /> A4. Building Use (e.g., Residential, Non - Residential. Addition, Accessory. etc.) Residential <br /> A5. Latitude/Longitude: Lat. N 38' 21.018 Long. W 075 04.824 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 <br /> AS. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. <br /> A7. Building Diagram Number ¢ <br /> A8. 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(s) ¢,?I sq ft a) Square footage of attached garage Q 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) walls within 1.0 foot above adjacent grade 2 walls within 1.0 foot above adjacent grade if <br /> c) Total net area of flood openings in A8.b ?,QQ sq In c) Total net area of flood openings in A9.b Agg sq in i <br /> SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br /> 81. NFIP Community Name & Community Number 82. County Name 83. State <br /> Town of Ocean City 245207 Worcester MD <br /> B4. 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 0001 G 2/4/88 2/4/88 A6 6.0 <br /> 310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. <br /> ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) <br /> 311. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) <br /> 312. 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 /> ;1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction' ® Finished Construction <br /> 'A new Elevation Certificate will be required when construction of the building is complete. <br /> :2. 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/A0. Complete Items C2.a -g <br /> below according to the building diagram specified in Item A7. <br /> Benchmark Utilized RM3 USCGS Disk C104 Reset Vertical Datum NGVD 1929 <br /> Conversion/Comments None <br /> Check the measurement used. <br /> ) Top of bottom floor (including basement, crawl space, or enclosure Moor)_ ¢.1 ❑ feet ❑ meters (Puerto Rico only) <br /> b) Top of the next higher floor 9.Q ❑ feet ❑ meters (Puerto Rico only) <br /> c) Bottom of the lowest horizontal structural member (V Zones only) j j/,8,. ❑ feet ❑ meters (Puerto Rico only) <br /> d) Attached garage (top of slab) Al ❑ feet ❑ meters (Puerto Rico only) <br /> e) Lowest elevation of machinery or equipment servicing the building j).1 ❑ feet ❑ meters (Puerto Rico only) <br /> (Describe type of equipment in Comments) <br /> 1) Lowest adjacent (finished) grade (LAG) 4.¢ ❑ feet ❑ meters (Puerto Rico only) <br /> g) Highest adjacent (finished) grade (HAG) ti ❑ 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 /> intonation. 1 certify that the information on this Certificate represents my best efforts to Interpret the date evadable. .ui-rf. <br /> I understand that any false statement may be punishable by fine or imprisonment under 1811S. Code, Section 1001. -4° OF , � ;; , 6 <br /> ® Check here if comments are provided on back of form. .� ~� �� 7 ' r { {; <br /> • , <br /> Certifier's Name William Bruce Wagner License Number 470 ;;, i i. <br /> Title Professional Land Surveyor Company Name Soule b Associates, P.C. S&A 05-235 = 'a : s r <br /> yea 1 7 0 ' t,. ' <br /> Address 122 Arlington Road City Salisbury State MD ZIP Code 21801 '�� . ,��S TE•�` Q . y "; <br /> Sig r Date 7/26/06 Telephone 410. 742 -7797 � jaril� ° %% <br /> ' y ..p <br /> EM Form 81 -31, February 2006 See reverse side for continuation. Replaces all previous editions <br />