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Home My WebLink AboutFEMA Application 1999-6-2 F~OAGE EI~GINEERING ...1.........--~~~ ~ tl<;!. ~ F3X 541-485-:,624 , Apr 1? '0.:::' 8 59 P 03 FEDERAL EMERGENCY MANAGE=MENT AGENCY NATlcPNAl FLOOD INSURANce PROGRAM ELtVATION CERTIFICATE lmporta~t Read the iOliitNct.ons on pages 1 - 7 SECT1~ A - PROPERTY OWNER INFORMATION o M.3 No 3067..0077 expires July 31, 2002 BUll.OING oWNE~ S NAME 10M \d'~ c..oi'::"y ~AAe:-c;, ,- aUIL01NG s-rREE: ~!s.s (lncludlnll Apt, Umt, Sillle. anQ/or Bldg.l>.Io) OR P 0 ~oUTeAND sex NO Ct(pqS ....)~"'=' L~E-__ .. ' STAT! CITY 00- "i='P\lL4~) fi:-\~, P- _ PROPERTY CeSCRIPTION It.-ot ana 610;)<. Nllmbef$, T* Parcel Number, l.e{;al De$Cl1ption, etc.) lIJ"t" I tI'-~..)ot' (....'.n..U)lo.J.(~"l.~ ~CI1'.(4.?_~ 1C:::! ,~I..a:~~ f:{~,?-~~\~~ "'~ '-O.>~~ _ BUILDING USE (e 9., R~ldenm,l, NOn-rli!5lClenttll, ...~ ~$ory, et~ U$l!- CQmments sadlon II necessary ) C;l.e..?l D~ Tl A.-<..- -UTrruOE!l.ONGI'ruoe (OPTIONAL.) , w -.. . #11- ti#' or #N~) pl.J'f'l ~~!;. HOFllZQN'TAL CA TUM U NAO 19,,7 LJ NAD 19B3 SOURCE U GPS (1'yper_ U USGS Quad Map W Other" SECTION e _ F400C lI~:SURANCE AATEMAP (F'lRM) !NFOR.~rlON - S1 I;iFtPCOMMUN1TY NAM!!& COMMUNITY NUMBi~ ~-B::z. COUNT'( NAME 63STATT: .o;.o~~\l'L~~i!=~_ 4l SS""t"2.- >- ~M~ _o~o""'~ &4 MAP AND PANEL --,. as SUFFiX 56 Fl"tM PNOe:x 67 FIRM ?lANE!. SIl Fl.OOO as eASE'FC050 EI...EVA TlON<S) NUMBeR DATE eFFECilVElREVlsec DATE ZONE($) (Zone AO, IIse depth 01f1oodl/lg) 410~ ~ ~\~... F ft;;I k.T ~''(/9'" Y- -=>IO,~ 310 lndlc.lle the source-Cf the Sdse Flood Elevation (BFE) data or tla$e flood jt>pth entered In B9. L..I FIS Profile W flR.M i1::J Con'jmurmy Determined U Other (DesC(lte): 311. IndIcate the elevation datum u$.8d 'or the SFE I~ El9 ~NC;VD 1929 U NAVD 1985 U Other (DesCf1be):_ 312. Is th~ bu.ldlr'lg lo~t&'d ,n, CoaSl....i Barr"er ~e5iburces System (C6~S) area or OthelWlse ?roteat!(j Area (OPA)? LJ Yes Lf'l No De$lgnatlon Date I SECTICN C _ eUIL~tNG ELEVATION INFORMATION (SURVEY ~EOU1REO) Bulidin9 elevations are !;lased on- l.....JConstrJc:tI~n Orawlngs~ [l:;JBulldlng Under ConstruC1Jon" UFlnlshed ConstnJc..'llon "A new Elevation Cerllficate will be r8q\wed wl'ler eonstructJon ot 1he budding IS complete :2 8ulldlng Diagram ~ufl'lbef ...:?:- (Select the bwJ4IIl'lg dlsgram most :SImilar to the butlomg for which !I'IlS certlfiCClte 1$ bell"lg completed - see pages 6 and 7 If nO dlag,.m accurately repres~tli the buddIng, provIde a sketch or photograph) . '3 E:levatJons -Zones A1.A30. AE:, AH, A (With BFtp. VE. V1-V30. V (With 6FE), AR, ARIA, ARIA:, ARJA1-A30, ARlAH. ARlAO Complett!l ltem'S C3a-r below aCJ:OrdJng to the bu*dlng diagram specified 10 Item C2 State the datum used If !he datum-IS dlfferent from the datum Jsed for tr.e BFE In Sectlon B. converi the datu/'TI te that usee for the 6FE Show field meas~remf,trtts and datum c:on\ler:310n calcu!atJo'1 Lise t"e spac@ prOVIded or the Comments area of SectIon 0 or Sed1an G. as appropnate, to document the dattlm COr"VEl"SlOrt Datum~ _ Conv&rSlC"nlComlTlenfs ~"'" o.~' 't9~ ~'7V,,^ ~ a.~l'\ F JlW" A. .D.4n"UM......... - Eleva'bol'1 reference marl< used ~. (,.>QkM~ Does the elevatton reference mark l.IS00 apPeiil(~~ ~o a a) Top of bottom floor (including b.$emen~ or endo&ure) 4j; ~2~ ..!.. ft. (-> .. - ~2"" 1 ' Q b)Topofnexttllgherfloor '51'-" ...z.Jt(IIa): ',""""., '.'. .". ,EV.oft 4 I Q e) Bottom of lowest /'tanzor:tal structuralrrH!fTl~er (1/ ;tOnN only) _ W.l A - ft (m) ! j , ,,', "n, /1.". ~ :: ~::7:!:::~~ ~~~~~:~~ and/or eql.lrP'nent S\~.-L It (JJI) ;! ~~~,','.' If,,,,,,...., &"'~,',", '",'','")''''''' servlc.ng the bUIlding CS\'" ...2.... 1'I~) e f ; NJ.."( 1). '81M o 1) Lowest adJseem grade (LAG) ....\~ .1- t'l.(m) ~ '! '- JONATHAN. A. OAKES Q g) r<llj/hest adjacent grade (HAG) ~1;0 in (m) ~ ",,"'" , """t'J?1'I. ' Q h) No of permanent openrngs (flood vents) wdhn 1 ft above adjacent grade ~S ~ t>U ....('" ~~:::' o i) Total area of aU pennane"t openings (flood ~ents) In C3h _ I~ ~ sq In (~ .... . ~" '. ~'2.- , SECTION 0 .SUR-kYOR. ENGINEER, OR A~CHITECT CERTIFICATION' . .' 'nl$ cel1ltic:atlon rs l~ be sIgned and ;~a(ed by a land s"'u,:;,eyOl', M9/f1eer. or architect authonzed by law to certify elevatloninformatlon certtfy fhar the II1fQrmatlOt! In Sec:tJon~ A. S, and C dn tfllS certJficste ~p~sent:; my best effort:s to II1terpret the drtts avaiable. understand that any false statement may be o(Jnj,S/l~ble by fin. <:If Impn$onment iJnder 18 US Code. Secf1ol1 1001. ERTIFIER'S NAME ' J ,,^ rF'LL~~~ UCfNSE NUMBER " ,~.f'r:. L.'~ ~ L.-"""'''' 2-lOS 1Tl...E COMPANY NAME l P~I!_~\O~~O ~2.J.if&.~1t.- ~~ i04.l.s;.O...Le~~ ~l.:HZ,"~~,!p...'4 IloJ.c::... RESS em STAl..... L'PCOce Po 1!bo"'1-" Z~'-, . euQ~L.- OQ..... ~(40~ GNA1"URE ::- ~ 4;... ~ 0Jk..4 ~~ ~o 'Z,. Th~~~'5'" ~ , F GAGE E,'~'3 I NEEF mG F- "" t:; ,11-4 ,~5-C:: f: '4 , .. /. _ -:;;~ "": _!<j '.... _,)", Apr 12 '02 .~~ 01) P "14 ~PORT ANT' In these space's, copy the eOlTe~PO~GIng InforrnaClor: from Section k jjCOll'lG S.'(PE'E'r AODFteSS (InclUding A.pt, Jnll, SUI~:I'lO/ofBld9 No) OR P 0 ROUTE AND BOX NO ... r_(_,a~ .L-~-~.a.- ... ._~ ~.::~...:= ...........~_ _ STArE - ZIP CODe ,,!t iY ' 00- ~1~'1 t'(r;;" .;4'... ~,l2.~ ~l e(,-L ~ ,~I NUeO) secTl0N O. SURVf!YOR, NGINEER. OR. ARCH1TE<:T CERT1FICATI,:!!1CO"Tl - 0'; both ..... of tin. E1:""""" C"""",. 'or (1) """",",,,ty oio....:(2) '''''.~.. ,._",mo''''' on. (3) bu;d'"9 ~n", ~~ ........~F;"'-L~ ~ "#y> ...." e ""..'~ ,qu.......... ,... -...e -roP ~ -M-E ",,",c..b f!.rr \"tt"'1L- M.IDpOl~"" OF"~ ~ (l.e.-~/>c"'I -~ ~ 'Ie.> <<'~ e>oF-n+E- ~~,~o..... Oll Io-Ji!:.,.. -4- lltVfl.i.:J-ro~~ <:-n-f ~iI\ 5\'1.. 'b\ ~~ ~j\I\ Sf? 1\ l.f-1I11 TtOlo> <, '7""""-' .......i?- -... ?....,~"W 'fOlio.... A "........ '^ I." I CheCk here ~ atta."hmen1S S eeTION 1;_ BUILDING ELEVATiON INFORMA~16N (SURVEY NOT REQUIRED) FOR ZONE AO ANO ZONE A (WITHOUT SF!;). ;(Zone AO and Zone A (WlthO.rt 8FE), complete Itells E1 U'l~h E4. lithe ElevatJcJn .C$~ate IS /11tended for (lse as supporllng 'armotlOn for a LOMA or LOMR.t=, SectJon C mll$t bf r;omp/sted I BUlldll'\g Diagram Number (Select the buildIng diagram most SHntlar tc the bUilding for which t/'lIS certficate 15 being completed- see pages 6 and 7. It no dll.gram &CCt.rately reprQSerrts the b\JIldlng, provIde a sketch or photograph) ~ The top Of the b<;ltlcrn floor, (Including baseme<'lt or enclosure) of tn81 bUilding IS LLJ ft.(m) U-Jtn (em) U ..hove of U below (eheck one) the rughest adJacent grade. ~ For BUIldIng Diagram:;; 5-8 With openmgs (see pa!l~ 7), the next higher floor or elevated flcor (elevation b) ofthe bUIlding IS , I I ft em) I I Ii" (em) abovetl1e i'llghest adJ;jcent grade. For Zone AO only, If no flocd depth numbfll' IS aV~jlable, IS the lOP of the bottom floor eh!!\lated m accordance WIth the Cl:)mml.lmty's floodplam manage'1'lent orti~ee? 1-1 Yes L.,j No LI Unlmown The I~ offiCIal must certify thIS Inron'l'latIO,", In Section G . ' SECT10~ . ~OPERTY O/NNER (OR OWNER'S REPRESENTATIVE) CERTifiCATION 'he proper"ty owner or ownerr. authonzed represenladvl! who completes SedlollS A, 8, and E for Zone A (wrthout a FEMA.I$sued or ommun!ty-issued BFE) or ZOr'!e AO must sign here :ROPERTY OWNER'S OR OWNER S Auf..jUK'LJ:!;;l ~t;;;SESENTATlVE'"S NAME em DATE STATE TE:L.EPHONE ZIP COO! DORESS ~-Wa. TURE ,ME:NTS I_I Check here If attachlT1el1ts _ ~ _ SECTION (;1. COMMUNIIY INFORMATION (OPTmNAL) -.. ~ local offioal Nho IS aut"lonzed ht law or ordinance lo';dmlnlsler the community's fl~odplam management ordinance; compietl! :tIOMS A, B, C (or E). and G o1th/$ Eievatlon Certffic::iUe. Complete: the apphcable Item(s) and sIgn below. U The Information in SectIOn C was taken from ether doctJmentatlon that has been signed and embossed by a hcensed sl.llveyor, ergmeer. or arctutect whe II author1%ed by $tald or locallew to eerbfy elevatIon rnformat.on (InclIcate the scurce and dat~ of the ,levahoQ.,a'ata In tn. COrTlments SIll2 below) U ~ cornmumty-'OffiClII completed Section E rer a building loc:ated In Zone A (wIthout a FEMA-lsSued or a;lmmunlty-1l5sued BFE) or Z'oneAO. ' ,,- << U The follOWIng Information (Item:i 13+G9) I' pl'QVlded for oommun1ty floodplaIn management purposes .-PER~,'IJ r NUMi!l~ G5. DAn; P!RMfTilssueo I G6 OATECeP.T1FICATE. OF COMPUANCE/OCCUPANC:Y I ISSUEO 1"'115 permit halO, 6ee1'\ ISSl.lf!O for' U New Constlllct!on U SucstantJallmpro'Jement EleviiltJon of as-built Ic~e.st floor (including basemef1t) of the bUilding IS BFE or (In Lcr.e AO) dePth Of flooding at the bUIlding site IS lCAl OFFICIAL'S NAME _ item) Datum: _ _ fl.(rn) Dat,'M. TITLE )MMUNlTY NAM~ TE1.EPHONE: DATE :;NA TURE l/t1MENTS . r Cheek here It attad1ments ::!~1 Ar~ct AI f PRFVlnl J..~ FnmnN~ IA ~nrvn i'l1_'\"l AII~::lA