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ELEVATION CERTIFICATE <br />OMB No. 1860-0008 <br />Expiration Date: November 30, 2018 <br />IMPORTANT: In these spaces, copy the corresponding Information from Section A. FOR INSURAN <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number. <br />City State ZIP Code Company NAIL <br />SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* g] Finished Construction <br />*A new Elevation Certificate will be required when construction of the building Is complete. <br />C2. Elevations — Zones Al A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, ARIAS, AR/Al-A30, AR/AH, AR/AO. <br />Complete Items C2.o—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. <br />Benchmark Utilized: RM 53 Vertical Datum: NGVD 29 <br />Indicate elevation datum used for -the elevations in Items a) through h) below. <br />r NGVD 1929 ❑ NAVD 4988 ❑ Other/Source, <br />Datum used for building elevations must be the same as that used for the BFE. <br />a) Top of bottom floor (including basement, crawispace, or enclosure floor) <br />b) Top of the next higher floor <br />c) Bottom of the lowest horizontal structural member (V Zones only) <br />d) Attached garage (top of slab) <br />e) Lowest elevation of machinery or equipment servicing the building <br />(Describe type of equipment and location in Comments) <br />f) Lowest adjacent (finished) grade next to building (LAG) <br />g) Highest adjacent (finished) grade next to building (HAG) <br />h) Lowest adjacent grade at lowest elevation of deck or stairs, including <br />structural support <br />Check the measurement used. <br />2006.2 (X feet ❑ meters <br />2009.2 [X feet ❑ meters <br />IIA <br />❑ feet <br />❑ meters <br />NIA <br />❑ feet <br />❑ meters <br />2007.0 <br />0 feet <br />❑ meters <br />:2006.4 <br />AXI feet <br />❑ meters <br />;2006.9 <br />Z feet <br />❑ meters <br />2006.8 X❑ feet ❑ meters <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 Information on this Cw0cate represents my best efforts to Interpret the data avallable. 1 understand that any false <br />statement maybe punishable by fine or imprisonment under 'l8 u S. Cade, Section 9001. <br />Were latitude and longitude In Section A provided by a licensed [and surveyor? © Yes ❑ No ❑ Check here If attachments. <br />'ertifiers Name <br />Daniel K Llerman, PLS <br />Professional Land Surveyor <br />Company Name <br />Cypher Land Surveying <br />502 N. 40th Avenue, Suite 3 <br />Yakima <br />45790 <br />state ZIP Code <br />Washington 98901 <br />Signature � 1 � Date Telephone Ext. <br />11-05-2019 509-571-1150 <br />Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenticompany, and (3) <br />Comments (including type of equipment and location, per C2(e), If applicable) <br />Equipment measurement is for elevation of pad for AC unit on left side of building. <br />owner. <br />FEMA Form 086-0-33 (7115) Replaces all previous editions, Form Page 2 of 9 <br />