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1 - 1 0 1 6 , <br /> FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No 3067 -0077 <br /> NATIONAL FLOOD INSURANCE PROGRAM Expires Decernber 31, 2005 <br /> ELEVATION CERTIFICATE <br /> Important: Read the instructions on pages I - 7. <br /> SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: <br /> BUILDING OWNER'S NAME Policy Number <br /> William H. & Joan B. Roache <br /> BUILDING STREET ADDRESS (Including Apt., Unit, Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number <br /> 402 14th Street <br /> CITY STATE ZIP CODE <br /> Ocean City MD 21842 <br /> PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br /> Lot 6A - Block 51 - Sinepuxent Beach Co. Plat <br /> B (e.g., Residential, Non - residential, Addition, Accessory, etc. Use Comm section if necessary.) <br /> LATITUDE /LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 11 GPS (Type): <br /> (# - tip' - #10.141" or 88.81/41/6 ) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other <br /> SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br /> 111. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3.STATE <br /> Town of Ocean City 245207 Worcester Maryland <br /> B4. MAP AND PANEL B5. SUFFIX B8. FIRM INDEX B7. FIRM PANEL B8. FLOOD BO. BASE FLOOD ELEVATION(S) <br /> NUMBER DATE EFFECTIVE /REVISED DATE ZONE(S) (Zone AO, use depth of flooding) <br /> 245207 0001 G 02-04 -1988 02-04 -1988 A6 7 <br /> 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. <br /> ❑ FIS Profile ® FIRM ❑ Community Determined ❑Other (Describe <br /> B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 Other (Describe): <br /> B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No <br /> Designation Date: <br /> SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br /> Cl. Building elevations are based on: 11 Construction Drawings* ❑ Building Under Construction* ® Finished Construction <br /> *A new Elevation Certificate will be required when construction of the building is complete. <br /> C2. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed - see <br /> pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) <br /> C3. Elevations - Zones Al - A30, AE, AH, A (with BFE), VE,V1 -V430, V (with BFE), AR, AR /A, AR /AE, AR/A1 -A30, AR /AH, AR/AO <br /> Complete Items C3a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from <br /> the datum used for the BFE in Section 8, convert the datum to that = = , for the BFE. Show field measurements and datum conversion <br /> calculation. Use the space provided or the Comments area of Sect o document the datum conversion. <br /> Datum N.G.VD. Conversion /Comments <br /> Elevation reference mark used C 104 Does the ear on the FIRM? ❑ Yes ® No <br /> ❑ a) Top of bottom floor (including basement or enclosure) ` ,"`1 0 F a1nx1a111140 <br /> ❑ b) Top of next higher floor a�`\�, YAP Y ''' <br /> ❑ c) Bottom of lowest horizontal structural member (V zones only aa ��t- z el are• <br /> ❑ d) Attached garage (top of slab) r �' am p 4 <br /> 0 e) Lowest elevation of machinery and/or equipment ;z -� 7 �'" -� • <br /> servicing the building( Descrle in a Comments area.) I o <br /> ❑ f) Lowest adjacent (finished) grade (LAG) 1011 • , p `I' o . � o,% J 1 <br /> ❑ g) Highest adjacent (finished) grade (HAG) j ` • <br /> ❑ h) No. of permanent openings (flood vents) within 1 ft. above - A L AN 4. <br /> ❑ i) Total area of all permanent openings (flood vents) in C3.h 2 ' sq. m. sq.. . 114111unel /a -1 - <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 Information. <br /> I certify that the inforrnaflon in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available. <br /> 1 understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. <br /> CERTIFIER'S NAME LICENSE NUMBER <br /> Frank G. Lynch, Jr. Maryland - #10782 Delaware - # 502 <br /> TITLE COMPANY NAM <br /> President F rank G. Lynch, Jr. & Associates, Inc. <br /> ADDRESS ZIP CODE <br /> 10535 Racetrack CITY Berlin STATE Maryland 21811 <br /> SiGNATU DATE TELEPHONE <br /> • 12 -07 -2006 410-041 -5353 <br /> FFIJA FnrmR1_31 .Innotary 9f1f13 RFF RFVFRCF AMP er114TINIIOTI( hJ RPPI Af CC Al 1 PPM/1(111C FMTIMAIC <br />