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HomeMy WebLinkAbout20190774 Ver 1_Riparian Buffer Authorization_20190611DWR State of North Carolina Department of Environmental Quality Division of Water Resources Division of Water Resources 15A NCAC 02B .0233 (8)(b), .0243 (8)(b), .0250 (11)(b), .0259 (8)(b), .0267 (11)(c), .0607 (e)(2) - Buffer Authorization FORM: BA 10-2013 Riparian Buffer Authorization Form A. 1. Applicant Information C i Project Information 1a. Name of project: Silver Residence ' 1 b. County: Johnston 1 c. Nearest municipality: Clayton 1d. Subdivision name: Glen Laurel 1e. Is the project located in any of North Carolina's twenty coastal counties? If yes, answer 1 f below. ❑ Yes ® No 1f. Is the project located within a NC Division of Coastal Management Area of Environmental Concern AEC ? ❑ Yes ® No 2. Owner Information 2a. Name on Recorded Deed: Harry and Carla Silver 2b. Deed Book and Page No. DB 1310 PG 946 2c. Map Book and Page No. (include a copy of the recorded map that indicates when the lot was created): Plat Book 66, Page 419, Lot 1122 0 1 9 0 T l Q 2d. Responsible Party for Corporations): 2e. Street address: 305 Hein Drive 2f. City, state, zip: Clayton, NC 27527 2g. Telephone no.: (919) 270-6427 2h. Fax no.: 2i. Email address: harrysilver7@gmail.com 3. Applicant Information (if different from owner) 3a. Applicant is: ❑ Agent ❑ Other, specify: 3b. Name: 3c. Business name (if applicable): 3d. Street address: 3e. City, state, zip: 3f. Telephone no.: 3g. Fax no.: 3h. Email address: 4. Agent/Consultant Information (if applicable) 4a. Name: 4b. Business name if a licable 4c. Street address: 4d. City, state, zip: 4e. Telephone no.: 4f. Fax no.: 4g. Email address: FORM: BA 10-2013 Page 1 of 4 B. Project Information and Prior Project History 1. Property Identification 1a. Property identification no. (tax PIN or parcel ID): 1688-47-3935 1 b. Site coordinates (in decimal degrees): Latitude: 35 38' 18" Longitude: 78 22'46" 1c. Property size: 0.602 acres 2. Surface Waters 2a. Name of nearest body of water to proposed project: stream 2b. Water Quality Classification of nearest receiving water: 2c. River basin: Neuse 3. Project Description 3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application: Current use is residential. Current conditions are soil erosion at front porch building column and in front yard. 3b. Attach an 8 % x 11 excerpt from the most recent version of the USGS topographic map indicating the location of the site 3c. Attach an 8'/2 x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map depicting the project site 3d. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 286 feet 3e. Explain the purpose of the proposed project: The soil was built up, in 2007, in attempt to eliminate the possible soil erosion. The 2007 attempt was too steep of a slope and the soil at the front porch column and in the front yard began to erode. This project will eliminate soil erosion from front yard and at front porch building column. 3f. Describe the overall project in detail, including the type of equipment to be used: Backhoe will be used to create a stacked boulder rock retaining wall then backfill with soil to a level that eliminates the soil erosion. The backfilled area will be covered with sod and other vegetation to the rock retaining wall. 4. Jurisdictional Determinations 4a. Have jurisdictional wetland or stream determinations by ® Yes ❑ No ❑ Unknown the Corps or State been requested or obtained for this Comments: Project does not impact jurisdictional property/ project (including all prior phases) in the past? waters or wetlands 4b. If yes, who delineated the jurisdictional areas? Agency/ Consultant Company: US Army Corp of Name (if known): Thomas Brown Engineers Other. 4c. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation. Action ID: SAW-2007-732-251 5. Project History 5a. Have permits or certifications been requested or obtained ® Yes ❑ No ❑ Unknown for this project(including all priorphases) in thepast? 5b. If yes, explain and detail according to "help file" instructions. Permits and approvals were obtained in order to building house in 2007, see attached Dept of Water Quality and Army Corp of Engineers 6. Future Project Plans 6a. Is this a phased project? ❑ Yes ® No 6b. If yes, explain. FORM: BA 10-2013 Page 2 of 4 C. Proposed Impacts Inventory 1. Buffer Impacts 1a. Project is in which protected basin? ® Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Jordan ❑ Goose Creek 1 b. Individually list all buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of this form. Buffer impact number — Permanent (P) or Temporary Reason for impact Type of impact (exempt, allowable, allowable w/ mitigation) Stream name Buffer mitigation required? Zone 1 impact (sq ft) Zone 2 impact (sq ft) 131 ® P ❑ T Property damage to house allowable UT ❑ Yes ® No 956 sq ft B2 ❑ P ❑ T 2c. If buffer mitigation is required, is payment to a mitigation bank or NC DMS proposed? ❑ Yes ❑ No 2d. If yes, attach the acceptance letter from the mitigation bank or NC DMS. ❑ Yes ❑ No 2f. Comments: B3 ❑ P ❑ T ❑ Yes ❑ No B4 ❑ P ❑ T ❑ Yes ❑ No B5 ❑ P ❑ T ❑ Yes ❑ No B6 ❑ P ❑ T ❑ Yes ❑ No Total buffer impacts 1c. Comments: D. Impact Justification and Mitigation 1. Avoidance and Minimization la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project. A rock retaining wall will be used to retain the backfilled soil and eliminate erosion from the house and soil erosion. There will not be any concrete within the rock retaining wall allowing water to flow through and vegetation to grow within the rocks. The remaining disturbed area will be sodded and vegetation planted. 1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques. Erosion fencing will be installed until the project is complete then removed. 2. Buffer Mitigation 2a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? ❑ Yes ❑ No 2b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation and calculate the amount of mitigation required in the table below. Zone Reason for impact Total impact Multiplier (square feet Required mitigation square feet Zone 1 3 (2 for Catawba) Zone 2 To eliminate soil erosion and property 956 1.5 damage 1434 Total buffer mitigation required: 1434 2c. If buffer mitigation is required, is payment to a mitigation bank or NC DMS proposed? ❑ Yes ❑ No 2d. If yes, attach the acceptance letter from the mitigation bank or NC DMS. 2e. If no, then discuss what type of mitigation is proposed. 2f. Comments: FORM: BA 10-2013 Page 3 of 4 E. Diffuse Flow Plan All buffer impacts and high ground impacts require diffuse flow or other form of ❑ Diffuse flow stormwater treatment. Include a plan that fully documents how diffuse flow will be ❑ Other BMP maintained. If a Level Spreader is proposed, attach a Level Spreader Supplement Form. 1 b. If you answered "yes" to the above, does the project require preparation of an If due to site constraints, a BMP other than a level spreader is proposed, please provide a environmental document pursuant to the requirements of the National or State (North plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP Carolina) Environmental Policy Act NEPA/SEPA ? Manual and attach a BMP Supplement Form. 1c. If you answered "yes" to the above, has the document been finalized by the State F. Supplementary Information 1. Environmental Documentation la. Does the project involve an expenditure of public (federal/state/local) funds or the ❑ Yes ® No use of public federal/state land? 1 b. If you answered "yes" to the above, does the project require preparation of an ❑ Yes ❑ No environmental document pursuant to the requirements of the National or State (North Carolina) Environmental Policy Act NEPA/SEPA ? 1c. If you answered "yes" to the above, has the document been finalized by the State ❑ Yes ❑ No Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.) Comments: 2. Violations 2a. Is the site in violation of DWR Wetland Rules (15A NCAC 02H.0500), Isolated ❑ Yes ® No Wetland Rules (15A NCAC 02H .1300), DWR Surface Water or Wetland Standards, or Riparian Buffer Rules 15A NCAC 02B .0200)? 2b. Is this an after -the -fact permit application? ❑ Yes ❑ No 2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s): Applicant/Agent's Printed Name Applicant/Agenfs Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) Send 3 complete sets of this form and accompanying documents to the following: For government transportation projects sent by First Class Mail via the US Postal Service: NC DWR, Transportation Permitting Unit 1617 Mail Service Center Raleigh, NC 27699 - 1617 For all other projects sent by First Class Mail via the US Postal Service For government transportation projects sent by delivery service (UPS, FedEx, etc.): OR NC DWR, Transportation Permitting Unit 512 N. Salisbury Street Raleigh, NC 27604 For all other projects sent by delivery service (UPS, FedEx, etc.): Karen Higgins Karen Higgins NCDWR — 401 & Buffer Permitting Branch OR NCDWR — 401 & Buffer Permitting Branch 1617 Mail Service Center 512 N. Salisbury Street Raleigh, NC 27699 - 1617 Raleigh, NC 27604 FORM: BA 10-2013 Page 4 of 4 /Vg�-s9 ,3 7E CL OF CREEK 50' RIP BUFFER ROCK RETAINING WALL-956SF �05�'5 I �0.61' IPF IPF S63 IPF W 00 e Qo cil r� N N Cri 00 -. G' IPF LIMITS OF FEMA 100 YR FLOOD - O c/ 6W z_ 120' 30' J STREAM N STREAM BUFFER 00 BUFFR (ZONE 1) :V'(ZONE 2) CL OF CREEK 50' RIP BUFFER ROCK RETAINING WALL-956SF �05�'5 I �0.61' IPF IPF S63 IPF W 00 e Qo cil r� N N Cri 00 -. G' IPF LIMITS OF FEMA 100 YR FLOOD - O c/ 6W NOW OR FORMERLY CLUBCORP GOLF OF NC LLC 111, $613-364 PIN 1688-37-4679 fT'1 ✓jam j PLA BOOK 64 AGE 125 jj �i ® t(Ypq•RO', � � � � r�, •Jj0 jj jj I 6• y � N Zpg2 .9 1 tP I �j I a� I S �• oG ✓✓N r NC GRID 1OROINATESI (NAD 83) I A, ITS BoM 48-242 OTE 1. .1 –..IS ABC CENTERED OR STRUCTURCS UNLESS OT. -I.. NGTED, E=2,183,741.6806 DREF, SEE NOTES 'r (f NT PROPERTY CER IS REFERENCED BY AY POINTS,FIBW OI TS, EACM qN IN AG5G GITIION TO RIGHT OF MAP BY RAGSDALE - SEE NGTES B. AREAS ARE COMPUTED BY COORBINATE METHOD LL DISTANCES ARE HORIZORrA GROUND DISTANCES. I. PETER 4 WRIGNINAR, A., CERTIFY THAT TMS PLAT WAS — IWDER MY SUPERVISION FROM AN ACTUAL _'NA06 UNDER MY SIIPMVISMH (DEED ➢E6YROTNN RECONS. IN _NU10, IA. 946J, m IALL LOTS ARE SUBJECT TO RESTRICTIVE CUVENANTE AND SETBACK REGULATIONS. SUBDIVISION DATA, THAT THE BOUNDARIES HOT SURVEYED AIE CLEARLY IHOICATED AS DRAWN FROM BAF TION FOND N PLAT BOOR 64, PAGE I.AND PLAT SOD( 54 PAGE 299, THAT THE RAT10 10' N 70' SITE TRIANGLE AT EACH INTERSECTION. TITLED SURVEY FOR GLEN IN MAP Y1997S➢RAVINGORME. TO HWY 80.07' B7 ]CPA, LNFELGPARINRS, DTS ATED MARCH Il,,ED & STREET LIGHTS VILL BE PROVIDED AT EACH INTERSECTION AND APPROOMATELY 3.D APART. 42 l� 9 90100' E 1�4r < 90.00' 90. 1 3.31' h 105 ' 93.71' tIlOi 17t1A o • \� i OWNER, H ✓,r iy Q`���ygP IS GLEN LAUREL LIMITED PARTNERSHIP SEAL C P.O. HO% 728 a p. a Z HOLLY SPRINGS, NC 27540 D,B. 1310-946 'Q A Aqq � PINI 1688-47-0433 R[GISTMiION NBnO➢ 3713 9/ 1\0 H 1\0 aoat t�, VINSON ROAD ASG. IcENTOY, A THAT THE SURVEY CREATES A SUBDIVISION OF LAND WITHIN THE AREA OF A CONST OR LEGEND N 7J RRED. OF 1.1UYTON MMMN SEIMCMS • BAD N PIPE FOUND QPF) p BIDSIABD 1v' SSOE G IRON PIPE SET (IPS) d CORNER YANG. m' ► NAIL FOUND (NF) VICINITY MAP -NOT TO SCALE REFERENCES, D.B. 1310-946 D NAIL SET (NS) 4 D H 742-77 000 INDICATES ADDRESS NOW OR FORMERLY CLUBCORP GOLF OF NC LLC 111, $613-364 PIN 1688-37-4679 fT'1 ✓jam j PLA BOOK 64 AGE 125 jj �i ® t(Ypq•RO', � � � � r�, •Jj0 jj jj I 6• y � N Zpg2 .9 1 tP I �j I a� I S �• oG ✓✓N r NC GRID 1OROINATESI (NAD 83) I A, ITS BoM 48-242 N=690, E=2,183,741.6806 DREF, SEE NOTES 'r (f REF,IS CONTR MAP BY RAGSDALE - SEE NGTES •1149" W I. PETER 4 WRIGNINAR, A., CERTIFY THAT TMS PLAT WAS — IWDER MY SUPERVISION FROM AN ACTUAL _'NA06 UNDER MY SIIPMVISMH (DEED ➢E6YROTNN RECONS. IN _NU10, IA. 946J, m N m � o ��jj ZZ (NOn N SUBDIVISION DATA, THAT THE BOUNDARIES HOT SURVEYED AIE CLEARLY IHOICATED AS DRAWN FROM BAF TION FOND N PLAT BOOR 64, PAGE I.AND PLAT SOD( 54 PAGE 299, THAT THE RAT10 '(H CARO 80.05' 80.07' 2 a OF PRECISION AS CACULATED IS 149U)4A1 THAT THIS PLAT WAS PBEPNED IN ACCORDANCE WITN AS AMID, WITNESS NY ORIGINAL SIGNATURE, RENSTRATION NUMBER, AND SEA l� 9 90100' J J < 90.00' 90. 1 3.31' h 105 ' 93.71' tIlOi 17t1A o • \� i 2 H ✓,r iy Q`���ygP IS r "i A� -"5 V'Vy SEAL a ✓ W,�V YBg�{aRE( a p. a �J W N In L-3743 c 'Q A Aqq . d .B. 1310-94 45- SE 1688-25-1 0 v R[GISTMiION NBnO➢ 3713 v 1\0 H 1\0 aoat t�, ASG. IcENTOY, A THAT THE SURVEY CREATES A SUBDIVISION OF LAND WITHIN THE AREA OF A CONST OR BRENN lop C MUNICIPALITY THAT HAS AN ORDINANCE THAT REGULATES PARCELS OP LAID a. THAT TTHE SURVEY IS LOCATED N A PORTION OF A COUNTY OR HUNttGRALITT THAT IS yNME➢ AS TO AN ORDINANCE TINT REGULATES PARCEL OF LAND CjJ RNY ONE 0: THE TEL I.. TEE SURVEY IS OF AN EMSTOAN BI PARCEL OR PARCELS OF LD AND DOES NOT CREATE / j✓j j ✓j 4 T A NEV SSTREET OR CHANGE AN EXISTING STREET. GWTHAT THE SURVEY IS OF All EXISTING WR.DINO OR OTHER STRUCTURE, ON NATURAL A �], j ✓j I I S j -� / TINT TI]�TETN.RAS�V,ES TTIS AOICRDNCiP0. SURKY. PARC–.,HDAT TAA IiW�I! INGRED ANOTHER . OTHER EXCEv1IRNT TO THHIS INFII OT'.. oFErimNiS1OL j TO ILEE. A MRCIAKTERMNNAAVAILABLE IONI TO TELAE ICS OR THEYER $UPVEYORST�EBS101S4UARLVABi ABILITY AS/ TO PROVIBIORS TNAGI cmT— N W ID7 3 GLE LAUREL ASE I1D I QN NOW OR FORMERLY CLUBCORP GOLF OF NC LLC 111, $613-364 PIN 1688-37-4679 fT'1 ✓jam j PLA BOOK 64 AGE 125 jj �i ® t(Ypq•RO', � � � � r�, •Jj0 jj jj I 6• y � N Zpg2 .9 1 tP I �j I a� I S �• oG ✓✓N r NC GRID 1OROINATESI (NAD 83) I A, ITS NC GRID COORDINATES (NAD 8 N=689,958.7193 N=690, E=2,183,741.6806 DREF, SEE NOTES 'r (f REF,IS CONTR CONTROL CDRNER Z � V9 •1149" W 10. 8.07'14" N m N m � o ��jj ZZ (NOn N SUBDIVISION DATA, 8.DO' A 4 43' 80.05' 80.07' 2 a T j� Z P 90100' J J < 90.00' 90. 1 3.31' h 105 ' 93.71' yoV1, n 167.42' • \� i 2 H ✓,r iy Q`���ygP IS r "i A� -"5 V'Vy ✓ •`Y Pg4V�.p+`Q A'S.0 a ✓ W,�V YBg�{aRE( a p. a �J W N In OR FORMERLY J 6S LIMITED PAgRTNERSHIP O� 'Q A Aqq . d .B. 1310-94 45- SE 1688-25-1 0 v v 1\0 H 1\0 aoat t�, GR�9 lop C [ G GOAD' 6 80.00' ob 80100' 80.00' EASEMENT jo, ®FLA - Li � A3 - P 6 In p STATE OF NORTH CAROLINA, JOHNSTON CONTY FILED F EGISTRATIONPm- S 30.11'49'— D6, KENSINGTON COURT 2000/05', IN THE r►1 `•/ ���p REGISTER F DEED FFICE. RECORDED IN BOdCf� , PAGE2L/ . 9.00' ® _ REGISTER OF DEEDS ZOO, By rT1 J W N m � o ��jj ZZ (NOn N SUBDIVISION DATA, Fy J n TOTAL AREA IN PHASE • 18.2039 ACRES ulmi N TOTAL AREA IN R/W L6874 ACRE 27 LOTS TOTALING = 12.2172 ACRES 2 a OPEN SPACE • 4 993 ACRES Z P 90100' J J < 90.00' 90. 1 3.31' h 105 ' 93.71' yoV1, n 167.42' • \� i � � H yc zJ 0 5 0 O F U a p. a �J W N In OR FORMERLY J 6S LIMITED PAgRTNERSHIP O� L ni m IIF•_y�JY W PCS . d .B. 1310-94 45- SE 1688-25-1 0 v v 1\0 H 1\0 aoat GR�9 lop a � Ar7y W [_+ W � w $� N 1'x'4 I.y IS 00 . �- NUMBER BEARING DISTANCE 4. L1 N 59.42'20" W 143.90' ✓✓ d L2 S 33.20'31" W 53.17' L3 N 16'06'57" E 112,23' �• ✓ UJ6, L4 S 3050'19^w 4459• r y L5 N 10.40'29' E 180.55' IT, Z r✓N��-7jJ�gx N 18'57'58" E 63,3 ' z t�4, L7 N 62.81'22' E 59.00' A� (� P� U C6' ® r• 092 g Edi d�'1',�L� s •11,49" W I S 30.11'49'— D6, KENSINGTON COURT 50' R/W 27'8/8 (PUBLIC)�- W/4' SIDEWALK CLg ✓ ® N'O .^N. 9.00' ® 90.00' "AD, 90100' 90.00' ® ® .00' 86.70' Ct6 Q ✓ 5 ® ®Cl7 ➢ N g '� % �y q . vg- 1 Q � ' ✓ r Q Q �N� 4 w �� ✓r �'�✓N •-" ate �� ty �`Q N I, am + .-H 90100' 90.00' 90.00' 90.00' < 90.00' 90. 1 3.31' h 105 ' 93.71' yoV1, n 167.42' � a CL Ib N 30.11'49" E 1606.51' ~ J NOW OR FORMERLY JOYCE V. LIPSCOMB DB. 911-262 PIN 1608-46-8646 SEE PLAT BOOK 66 PAGE 374 FOR ORIGINAL CERTIFICATIONS RECORDED IN JOHNSTON COUNTY PLAT BOOK -------- PAGE ------ Z(IiA� �r N'O p$ P ) a q ti S 3154. •-" 154.76' �2Q�RL 0. 1.87' (TOT Ll ��R.'„L_ �� W a �l ►•"1 N I, am + .-H 12 902 a..."q d W Z = a g � a CL Ib ^ THIS PLAT IS BEING RE-RECORDED TO SHOW THE WETLANDS IN THE CORRECT AREA H- Li w = o ~ J ON LOTS. 1161 AND 1162, v Ac At Lb, st 6bt Amy Chapman Department of Water Quality 2321 Crabtree Blvd. Suite 250 Raleigh, NC 27604 25 January 2007 Ms. Chapman, As per or telephone conversation I am writing to obtain the appropriate approval to backfill in a fifty foot stream buffer in Clayton. The backfilling is to level our lot and will occur in the first twenty feet of the fifty foot stream buffer, Zone 2. We will also re -vegetate the backfilled area. If there are any questions or additional request please contact me at (919) 270-6427. Sincerely, Harry Silver 4812 Forest Highland Drive Raleigh, NC 27604 Mr. Harry Silver 4812 Forest Highland Drive Raleigh, NC 27604 Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources February 12, 2007 Subject Property: Harry Silver Property in Clayton, NC NO WRITTEN CONCURRENCE NEEDED Dear Mr. Silver: Alan W. Klimek, P.E. Director Division of Water Quality DWQ Project # 07-0153 County: Wake You have our approval, in accordance with the attached conditions, to grade and revegetate Zone 2 of the protected riparian buffer provided that diffuse flow and the health of existing vegetation in Zone I is not compromised and all disturbed areas are stabilized as you described in your letter dated January 26, 2007. After reviewing your letter, we have decided this impact is exempt in accordance with the Neuse River Buffer Rules [ISA NCAC 02B .0233] and does not require written authorization. This approval is only valid for the purpose and design that you described in your letter. If you change your project, you must notify us and you may be required to send us a new application. If the property is sold, the new owner must be given a copy of this approval letter and is thereby responsible for complying with all conditions. Requests for appeals of this decision shall be made to the Office of Administrative Hearings. If you do not accept any of the conditions of this approval, you may ask for and adjudicatory hearing. You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition which conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. This approval and its conditions are final and binding unless you ask for a hearing. This letter completes the review of the Division of Water Quality under the Neuse River Riparian Buffer Nah° Caro 'na Jaatural))y 401 Oversight/Express Review Permitting Unit 1650 Mail Service Center, Raleigh, North Carolina 27699-1650 2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604 Phone (919) 733-1786 / Fax (919) 733-6893 Internet: http://www.ncwatcrquality.org An Equal OpportunitylAifinnative Action Employer — 50% Recycled/10% Post Consumer Paper Mr. Harry Silver Page 2 of 2 February I2, 2007 Protection Rules [15A NCAC 2B.0233]. Please call Ms. Amy Chapman at (919) 715-6823 if you have any questions or require copies of our rules or procedural materials. Sincerely, Alan W. Klimek, P.E., Director AWK/cbk/asc cc: Mike Horan, DWQ Raleigh Regional Office File copy Central Files File Name: 070I53HarrySilver(Wake)NBR U.S. ARMY CORPS OF ENGINEERS Wilmington District Action ID: SAW -2007-732-251 County: Johnston NO DEPARTMENT OF THE ARMY AUTHORIZATION REQUIRED Property Authorized Owner Harry Silver Agent Address 4812 Forest Highland Dr. Raleigh, NC 27604 Telephone Number 919-852-5426 Address Telephone Number Size and Location of Property (waterbodv, Highway name/number, town, etc.):The property is located at 305 Hein Drive, Lot No. 1122 Glen Laurel Subdivision, Johnston County, NC. Description of Activity: The property owner plans to build a single family residential home on this lot. Fill will be placed within the 100 year floodplain, but will have no impact to jurisdictional waters of the US or wetlands. Your work as proposed does not require Department of the Army authorization for the following reason(s): X There are no jurisdictional waters or wetlands within the boundaries of the property. The proposed project does not impact jurisdictional waters or wetlands. The proposed project is exempt from Department of the Army regulation. (Specify) This Department of the Army determination does not relieve the permittee of the responsibility to obtain any other required Federal, State, or local approvals/permits. The permittee may need to contact appropriate State and local agencies before beginning work. Any changes in the above described work must be coordinated with the Corps of Engineers prior to commencement. If you have any questions regarding the Corps of Engineers regulatory program, please contact Thomas Brown at telephoa_p-4umber (91,% 876 - 8441 extension 22 Regulatory Project Manager Signature Date February 26, 2007 SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE ATTACHED TO THE YELLOW (FILE) COPY OF THIS FORM, IF REQUIRED OR AVAILABLE. CF: O�4A/1�q. y � J O� IVD 5* FEMA NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE A" INSTRUCTIONS NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE PAPERWORK REDUCTION ACT NOTICE Public reporting burden for the Elevation Certificate is estimated to average 3.5 hours per response. Burden means the time, effort, or financial resources expended by persons to generate, maintain, retain, disclose, or provide information to the Federal Emergency Management Agency (FEMA). You are not required to respond to the collection of information unless a valid OMB control number is displayed in the upper right corner of the form. You may send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: U.S. Department of Homeland Security, Federal Emergency Management Agency, Mitigation Division, 500 C Street SW, Washington DC 20472, bb Paperwork Reduction Project (1660 -Mg). NOTE: Do not send your completed form to taddress. To obtain or retain benefits under the National Flood Insurance Program (NFIP), you must respond to this collection of information. PURPOSE OF THE ELEVATION CERTIFICATE The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). It is to be used to provide elevation information necessary to ensure compliance with community floodplain management ordinances, to determine the proper insurance premium rate, and to support a request for a Letter of Map Amendment (LOMA) or Letter of Map Revision based on fill (LAMR-F). The Elevation Certificate is required in order to properly rate post -FIRM buildings, which are buildings constructed after publication of the Flood Insurance Rate Map (FIRM), located in flood insurance Zones Al A30, AE, AH, A (with BFE), VE, VI -V30, V (with BFE), AR, AR/A, ARAE, AR/Al-A30, AR/AH, and AR/AO. The Elevation Certificate is not required for pre -FIRM buildings unless the building is being rated under the optional post -FIRM flood insurance rules. As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt a floodplain management ordinance that specifies minimum requirements for reducing flood losses. One such requirement is for the community to obtain the elevation of the lowest floor (including basement) of all new and substantially improved buildings, and maintain a record of such information. The Elevation Certificate provides a way for a community to document compliance with the community's floodplain management ordinance. Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMB F from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove the Federal mandate for a lending institution to require the purchase of flood insurance. However, the lending institution has the option of requiring flood insurance even if a LOMA/LOMR F has been issued by FEMA. The Elevation Certificate may be used to support a LOMA or LOMR-F request. Lowest floor and lowest adjacent grade elevations certified by a surveyor or engineer will be required if the certificate is used to support a LOMA or LOMB -F request. A LOMA or LOMR-F request must be submitted with either a completed FEMA MT -EZ or MT -1 package, whichever is appropriate. This certificate is used only to certify building elevations. A separate certificate is required for floodproofing. Under the NFIP, non-residential buildings can be floodproofed up to or above the Base Flood Elevation (BFE). A floodproofed building is a building that has been designed and constructed to be watertight (substantially impermeable to floodwaters) below the BFE. Floodproofing of residential buildings is not permitted under the NFIP unless FEMA has granted the community an exception for residential floodproofed basements. The community must adopt standards for design and construction of floodproofed basements before FEMA will grant a basement exception. For both floodproofed non- residential buildings and residential floodproofed basements in communities that have been granted an exception by FEMA, a floodproofing certificate is required Additional guidance can be found in the FEMA Floodplain Management Bulletin about using the Elevation Certificate, available on FEMA's website at www.fema.pov/fima/fnmbul.shtm. Click on "FEMA 467-1 Elevation Certificate Cover___. and Bulletin." U.s.*DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660.0008 2009 Federal Emergency Management Agency Expires February 28. National Flood Insurance Program important Read the Instnlcft s 011 pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: or P.O. Route and Box No. A4. Bu'Idag Use (e.g., Residential, Non- sidemial. Addition, etc) G A5. Latibrdellongitude: L.at 3-e 1, tong. �P � 4t Horizontal Datum: ❑ NAD 1927 [ja NAD 1983 A8. Attach at least 2 of the biding iF the CerKmb is being used to obtain flood kMF8noe. A7. Building Diagram A8. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl apace or anclosure(s) sq ft a) Square footage of attac ad garage • sq It b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage endosungs) wags within 1.0 bot above adjaoeM grade 4 waft wit hin 1.0 toot above adjacent grade 0 Q Total net area of flood openings in A&b sq in c) Trial net area of flood openings in A9.b 99 sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Na1 1 me B3. State 5,�..�..,,. ����1, 37 013 84. Ma ftW Number . SwAlbk 88. FIRM Index B7. FIRM Panty B8. Hood B9. Base Flood Elevation(s) (Zone Dale EtGedivelFbeviaed Date Zone(s) flood depth) AO, abase B10. Indicate the source of the Base Flood E'Wolofh (BFE) dials o base Hood depth entered te Mem B9. ❑ FIS Profile ;& FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Mem B9: ❑ NGVD 1929 NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date ❑ CBRS ❑ OPA ❑ Yes C&No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction- Finished Construction 'A new Elevation Cerdtiicalle will be required when construction of the building is complete. C2. Elevations - Zones Al -A80, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA. ARAE, ARIA1-A30. ARIAH, ARAAO. Complete Items C2.a-g below according to the building diagram m Item A7. Benchmark Utilized PS - U/ < Vertical Datura A ✓ID 19849 C Check the measurement used. a) Top of bottom floor "*Wing basement. CrWA space. or end=" floor) _�./3t0� feet ❑ meters (Puerto Rico only) b) Top of the rod higher floor � ��I feet ❑ melers (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones arty) U feet ❑ maters (Puerto Rico only) d) Attached garage (top of slab) /�D� be ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building .1�[ LJ fee ❑ meters (Puerto Rico only) (Describe type of equipment in Corn mends) 1) Lowest a0wert (finished) grade (LAG) feet ❑meters (Puerto Rico only) g) High add (flrh d*M grade (HAG) _ �2�=gp7-L7 luk ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCWMCT CERTIFICATION ,well This certllicalion is to be signed and sealed by a butt surveyor, engineer, or architect authorized bylaw to cegtiy elevation N% information. I certify that the l ftmaiwn on f►is Cwtifxale represents my beat aftfs to interpret the date available. � •. I understand that any /else statement maybe pwishable by fire orknprisoarrmW wrier 18 U.S Co*, Section 1001. �2.••�QO ry ❑ Check here if comments are provided an bait of form. Certifiers 'r .A[ 7 Lone. License'' L-3990 our r�o RK T. FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IIMaORTANT: In H a a a spaces, cols/ tithe conospondNg Nlfoffeathm from Section A. For Insurance Company Use: Building Street Address (Including Apt. Unit, Su ft ardfor Bldg. No.) or P.O. Roule and Box No. Po" Number CRY State ZIP Code Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certiioete for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Signature Dale ❑ Check two if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REGUNtED) FOR ZONE AO AND ZONE A MMIOUT BFE) For Zones AO and A (without BFB, complete Items EI -E5. If the Certificate is intended to support a LOMA or LOMB -F request, complete Sections A, B, and C. For Items E1-154, use mural grade, it available. Check the measurement used. in Puerto Rico only, enter meters. E1. Provide elevation ink metion for the following and check the appropriate boxes to show whether the elevation is above or Below the highest adjacent grade (WAG) and the lowest adjacent grade (LAG). _❑ feet ❑ meters ❑ above or B below the WAG. a) Top of bottom floor (ndudng basement. crawl space, or enclosure) is b) Top of bottom floor (Including basement. crawl space, or enclosure) is _ ❑Leet ❑meters ❑ above a below the LAG. E2. For Building Diagrams 6-8 with permanent Hood openings provided In Seth A hems 8MDr 9 (see Rjge 8 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the building is _ C]feet u dur eu above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery andfor equipment servidrg the bkrMV is — ❑feet ❑ meters ❑ above or ❑ below the WAG. E5. Zone AO only: H no food depth number Is available, is the top of the bottom floor elevated In accordance with the community's floodplain management ordinanoe? ❑ Yes ❑ No ❑ Wmawn. The local official must certify this in1brmation in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A. B, and E fir Zone A (without a FEMA-asued or community -Issued BFE) or Zone AO must sign here. The stMarnants in Sections A, B, and E are correct to the best of my knowledge. Property Owneu's or Owner's Aulhorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ gIMS here if attachments SECTION G - (O1■MUNITY INFORMATION (OPTIONAL) - The local oflicial who is authorized by law or ordinance to administer the community's floodplain management ordnance can complete Sections A, B. C (or Q, and G of this Elevation Certificate. Cormplete the applicable iiem(s) rod sgn below. Check the MOSSkuenrent used in Mems G8. and G9. G1. ❑ The Mmmration in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or ancrod who is authorized by law to oertify elevation irrorrnabon. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community of el completed Section E for a building located In Zone A (wilhoud a FEMA -Issued or conrmmily-issued BFB or Zone AO. G3. ❑ The MowkV information (Mems G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compl anoe/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of wrbult lowest floor ('Including basement) of the building: ❑ feet ❑ meters (PR) Dahm G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Dalian Local Official's Name Tide Coammity Name Telephone Signature Date Comments ❑ Check here If attachments FEMA Form 81-31, February 2006 Replaces all previous editions Building Photographs See Irmfti=tions for Item A6. --- ----- - - For Irmum oe Company Use: Buiklin9 Street/4ftm (ffdLdM Apt, Unit, Suite, andlor Bldg. No.) or P.O_ Route and Box No. Poky Nwnber city State ZIP Code ywucwr+�er If using the Elevation Certificate to obtain WIP flood insrxanoe, affix at least two binding Photographs below according to the instructions for Item A6. Identify aq Photographs with: date taken; 'Front ViieW and 'Rear Yield; and, if required, 'Right Side VleW and `Left Side Vow' If submitting more photographs fhan will fit on this page, use the Continuation Page, following. Building Photographs Continuation Pane - For Insurance Company Use: Building Street Address (inducting Apt, UmL Supe, andlor Bldg. No) or P.O. Route and Bar No. Pobw Number City State ZIP Code Cayp"WICNm4w If submitting more photographs than will fid on the preceding page, affix the additimW photographs below. Identify all photographs with: date taken; 'Front View' and 'Rear VIeW ; and, if rewired, 'Right Side YrW and `Left Side View.' INSTRUCTIONS FOR COMPLETING THE ELEVATION CERTIFICATE The Elevation Certificate is to be completed by a land surveyor, engineer, or architect who is authorized by law to certify elevation information when elevation information is required for Zones Al -A30, AE, AH, A (with BFE), VE, VI -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, or AR/AO. Community officials who are authorized by law or ordinance to provide floodplain management information may also complete this form. For Zones AO and A (without BFE), a community official, a property owner, or an owner's representative may provide information on this certificate, unless the elevations are intended for use in supporting a request for a LOMA or LOMR-F. Certified elevations must be included if the purpose of completing the Elevation Certificate is to obtain a LOMA or LOMB F. The property owner, the owner's representative, or local official who is authorized by law to administer the community floodplain ordinance can complete Section A and Section B. The partially completed form can then be given to the land surveyor, engineer, or architect to complete Section C. The land surveyor, engineer, or architect should verify the information provided by the property owner or owner's representative to ensure that this certificate is complete. In Puerto Rico only, elevations for building information and flood hazard information may be entered in meters. SECTION A — PROPERTY INFORMATION Items Al: A4. This section identifies the building, its location, and its owner. Enter the name(s) of the building owner(s), the building's complete street address, and the lot and block numbers. If the building's address is different from the owner's address, enter the address of the building being certified If the address is a rural route or a Post Office box number, enter the lot and block numbers, the tax parcel number, the legal description, or an abbreviated location description based on distance and direction from a fixed point of reference. For the purposes of this certificate, "building" means both a building and a manufactured (mobile) home. A map may be attached to this certificate to show the location of the building on the property. A tax map, FIRM, or detailed community map is appropriate. If no map is available, provide a sketch of the property location, and the location of the building on the property. Include appropriate landmarks such as nearby roads, intersections, and bodies of water. For building use, indicate whether the building is residential, non-residential, an addition to an existing residential or non-residential building, an accessory building (e.g., garage), or other type of structure. Use the Comments area of the appropriate section if needed, or attach additional comments. Item A5. Provide latitude and longitude coordinates for the center of the front of the building. Use either decimal degrees (e.g., 39.5043°, -110.7585°) or degrees, minutes, seconds (e.g., 39° 30' 15.5", -110° 45' 30.7') format. If decimal degrees are used, provide coordinates to at least 4 decimal places or better. When using degrees, minutes, seconds, provide seconds to at least 1 decimal place or better. The latitude and longitude coordinates must be accurate within 66 feet. If the Elevation Certificate is being certified by other than a licensed surveyor, engineer, or architect, this information is not required. Provide the type of datum used to obtain the latitude and longitude. FEMA prefers the use of NAD 1983. Item A6. If the Elevation Certificate is being used to obtain flood insurance through the NFIP, the certifier must provide at least two photographs showing the front and rear of the building taken within 90 days from the date of certification. The photographs must be taken with views confirming the building description and diagram number provided in Section A. If the building has split-level or multi-level areas, provide at least two additional photographs showing side views of the building. All photographs must be in color and measure at least 3"x3". Digital photographs are acceptable. Item A7. Select the diagram on pages 7-8 that best represents the building. Then enter the diagram number and use the diagram to identify and determine the appropriate elevations requested in Items C2.a -g. If you are unsure of the correct diagram, select the diagram that most closely resembles the building being certified. Item A8at Provide the square footage of the crawl space or enclosure(s) below the lowest elevated floor of an elevated building with or without permanent flood openings. Take the measurement from the outside of the crawl space or enclosure(s). Examples of elevated buildings constructed with crawl space and enclosure(s) are shown in Diagrams 6-8 on page 8. Diagram 2 or 4 should be used for a building constructed with a crawl space floor that is below the exterior grade on all sides. Items A&b-c Enter in Item A8.b the number of permanent flood openings in the crawl space or enclosure(s) walls that are no higher than 1.0 foot above the adjacent grade. Estimate the total net area of all such permanent flood openings in square inches, excluding any bars, louvers, or other covers of the permanent flood openings, and enter the total in Item A8.c. If the net Instructions — Page 1 area cannot be reasonably estimated, provide the size of the flood openings without consideration of any covers and indicate in the Comments area the type of cover that exists in the flood openings. If the crawl space or enclosures) walls have no permanent openings within 1.0 foot above adjacent grade, enter "0" (zero) in Items A8.b-c. Item A9.a Provide the square footage of the attached garage with or without permanent flood openings. Take the measurement from the outside of the garage. Items A9.b-c Enter in Item A9.b the number of permanent flood openings in the attached garage that are no higher than 1.0 foot above the adjacent grade. This includes any openings that are in the garage door that are no higher than 1.0 foot above the adjacent grade. Estimate the total net area of all such permanent flood openings in square inches and enter the total in Item A9.c. If the garage has no permanent flood openings within 1.0 foot above adjacent grade, enter'V (zero) in Items A9.b-c. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Complete the Elevation Certificate on the basis of the FIRM in effect at the time of the certification. The information for Section B is obtained by reviewing the FIRM panel that includes the building's location. Information about the current FIRM is available from the Federal Emergency Management Agency (FEMA) by calling 1-800-358-9616. If a Letter of Map Amendment (LOMA) or Letter of Map Revision (LOMR-F) has been issued by FEMA, please provide the letter date and case number in the Comments area of Section D or Section G, as appropriate. For a building in an area that has been annexed by one community but is shown on another community's FIRM, enter the community name and 64igit number of the annexing community in Item B1, the name of the new county in Item B2, and the FIRM index date for the annexing community in Item B6. Enter information from the actual FIRM panel that shows the building location, even if it is the FIRM for the previous jurisdiction, in Items B4, B5, B7, B8, and B9. Item Bl. NFIP Community Name & Community Number. Enter the complete name of the community in which the building is located and the associated 6 -digit community number. For a newly incorporated community, use the name and 6 -digit number of the new community. Under the NFIP, a "community" is any State or area or political subdivision thereof, or any Indian tribe or authorized native organization, that has authority to adopt and enforce floodplain management regulations for the areas within its jurisdiction. To determine the current community number, see the NFIP Community Status Boob available on FEMA's web site at http://www.fema.gov/fema/csb.shtm, or call 1-800-358-9616. Item B2. County Name. Enter the name of the county or counties in which the community is located. For an unincorporated area of a county, enter "unincorporated area." For an independent city, enter "independent city." Item B3. State. Enter the 2 -letter state abbreviation (for example, VA, TX, CA). Items B4. -B5. Map/Panel Number and Suffix. Enter the 10 -character "Map Number" or "Community Panel Number" shown on the FIRM where the building or manufactured (mobile) home is looted. For maps in a county -wide format, the sixth character of the "Map Number" is the letter "C" followed by a four -digit map number. For maps not in a county -wide format, enter the "Community Panel Number" shown on the FIRM. Item B6. FIRM Index Date. Enter the effective date or the map revised date shown on the FIRM Index. Item B7. FIRM Panel Effective/Revised Date. Enter the map effective date or the map revised date shown on the FIRM panel. This will be the latest of all dates shown on the map. The current FIRM panel effective date on be determined by calling 1-800-358-9616. Item B& Flood Zone(s). Enter the flood zone, or flood zones, in which the building is looted All flood zones containing the letter "A" or "V" are considered Special Flood Hazard Areas. The flood zones are A, AE, Al -A30, V, VE, VI -V30, AH, AO, AR, AR/A, AR/AE, AR/AI-A30, AR/AH, and AR/AO. Each flood zone is defined in the legend of the FIRM panel on which it appears. Instructions — Page 2 Item B9. Base Flood Elevation(s). Using the appropriate Flood Insurance Study (FIS) Profile, Floodway Data Table, or FIRM panel, locate the property and enter the BFE (or base flood depth) of the building site. If the building is located in more than one flood zone in Item B8, list all appropriate BFEs in Item B9. BFEs are shown on a FIRM or FIS Profile for Zones Al - A30, AE, AH, VI -V30, VE, AR, AR/A, ARAE, AR/Al-A30, AR/AH, and AR/AO; flood depth numbers are shown for Zone AO. Use the AR BFE if the building is located in any of Zones AR/A, ARAE, AR/Al-A30, AR/AH, or AR/AO. In A or V zones where BFEs are not provided on the FIRM, BFEs may be available from another source. For example, the community may have established BFEs or obtained BFE data from other sources for the building site. For subdivisions and other developments of more than 50 lots or 5 acres, establishment of BFEs is required by the community's floodplain management ordinance. If a BFE is obtained from another source, enter the BFE in Item B9. In an A Zone where BFEs are not available, complete Section E and enter N/A for Section B, Item B9. Enter the BFE to the nearest tenth of a foot (nearest tenth of a meter, in Puerto Rico). Item B10. Indicate the source of the BFE that you entered in Item B9. If the BFE is from a source other than FIS Profile, FIRM, or community, describe the source of the BFE. Item Bll. Indicate the elevation datum to which the elevations on the applicable FIRM are referenced as shown on the map legend. The vertical datum is shown in the Map Legend and/or the Notes to Users on the FIRM. Item B12. Indicate whether the building is located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA). (OPAs are portions of coastal barriers that are owned by Federal, State, or local governments or by certain non- profit organizations and used primarily for natural resources protection.) Federal flood insurance is prohibited in designated CBRS areas or OPAs for buildings or manufactured (mobile) homes built or substantially improved after the date of the CBRS or OPA designation. For the first CBRS designations, that date is October 1, 1983. An information sheet explaining CBRS areas and OPAs may be obtained on FEMA's web site at htty://www.fema.pov/flmVfmc cbrs.shtm. SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Complete Section C if the building is located in any of Zones Al -A30, AE, AH, A (with BFE), VE, VI -V30, V (with BFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH, or AR/AO, or if this certificate is being used to support a request for a LOMA or LOMB F. If the building is located in Zone AO or Zone A (without BFE), complete Section E instead. To ensure that all required elevations are obtained, it may be necessary to enter the building (for instance, if the building has a basement or sunken living room, split-level construction, or machinery and equipment). Surveyors may not be able to gain access to some crawl spaces to shoot the elevation of the crawl space floor. If access to the crawl space is limited or cannot be gained, follow one of these procedures. • Use a yardstick or tape measure to measure the height from the floor of the crawl space to the "next higher floor," and then subtract the crawl space height from the elevation of the "next higher floor." If there is no access to the crawl space, use the exterior grade next to the structure to measure the height of the crawl space to the `next higher floor." • Contact the local floodplain administrator of the community in which the building is located. The community may have documentation of the elevation of the crawl space floor as part of the permit issued for the building. • If the property owner has documentation or knows the height of the crawl space floor to the next higher floor, try to verify this by looking inside the crawl space through any openings or vents. In all three cases, provide the elevation in the Comments area of Section D on the back of the form and a brief description of how the elevation was obtained. Item C1. Indicate whether the elevations to be entered in this section are based on construction drawings, a building under construction, or finished construction. For either of the first two choices, a post -construction Elevation Certificate will be required when construction is complete. If the building is under construction, include only those elevations that can be surveyed in Items C2.a-g. Use the Comments area of Section D to provide elevations obtained from the construction plans or drawings. Select "Finished Construction" only when all machinery and/or equipment such as furnaces, hot water heaters, heat pumps, air conditioners, and elevators and their associated equipment have been installed and the grading around the building is completed. Item C2. A field survey is required for Items C2.a-g. Provide the benchmark utilized, the vertical datum for that benchmark, and any datum conversion necessary. Most control networks will assign a unique identifier for each benchmark. For example, the National Geodetic Survey uses the Permanent Identifier (PID). For the benchmark utilized, provide the PID or other hw uctiow — Page 3 unique identifier assigned by the maintainer of the benchmark. Also provide the vertical datum for the benchmark elevation. Show the conversion from the field survey datum used if it differs from the datum used for the BFE entered in Item B9 and indicate the conversion software used All elevations for the certificate, including the elevations for Items C2.a-g, must be referenced to the datum on which the BFE is based. Show the datum conversion, if applicable, in this section or in the Comments area of Section D. For property experiencing ground subsidence, the most recent reference mark elevations must be used for determining building elevations. However, when subsidence is involved, the BFE should not be adjusted Enter elevations in Items C2.a g to the nearest tenth of a foot (nearest tenth of a meter, in Puerto Rico). Items C2.a-d Enter the building elevations (excluding the attached garage) indicated by the selected building diagram (Item A7.) in Items C2.a-c. If there is an attached garage, enter the elevation for top of attached garage slab in Item C2.d (Because elevation for top of attached garage slab is self-explanatory, attached garages are not illustrated in the diagrams.) If the building is located in a V zone on the FIRM, complete Item C2.c. If the flood zone cannot be determined, enter elevations for all of Items C2.a-g. For buildings in A zones, elevations a, b, d, and a should be measured at the top of the floor. For buildings in V zones, elevation c must be measured at the bottom of the lowest horizontal structural member of the floor (see drawing below). For buildings elevated on a crawl space, Diagram 8, enter the elevation of the top of the crawl space floor in Item C2.a, whether or not the crawl space has permanent flood openings (flood vents). If any item does not apply to the building, enter "NIA "for not applicable. Item C2.e Enter the lowest platform elevation of at least one of the following machinery and equipment items: elevators and their associated equipment, furnaces, hot water heaters, heat pumps, and air conditioners in an attached garage or enclosure or on an open utility platform that provides utility services for the building. Note that elevations for these specific machinery and equipment items are required in order to rate the building for flood insurance. Local floodplain management officials are required to ensure that all machinery and equipment servicing the building are protected from flooding. Thus, local officials may require that elevation information for all machinery and equipment, including ductwork, be documented on the Elevation Certificate. If the machinery and/or equipment is mounted to a wall, pile, etc., enter the platform elevation of the machinery and/or equipment. Indicate machinery/equipment type in the Comments area of Section D or Section G, as appropriate. If this item does not apply to the building enter 'NIA "for not applicable. Items C24 -g Adjacent grade is defined as the elevation of the ground, sidewalk, patio slab, or deck support immediately next to the building. If the certificate is to be used to support a request for a LOMA or LOMB F, provide in the Comments area the lowest adjacent grade elevation measured at the deck support or stairs if that elevation is lower than the building's lowest adjacent grade. For Zone AO, use the natural grade elevation, if available. This measurement must be to the nearest tenth of a foot (nearest tenth of a meter, in Puerto Rico) if this certificate is being used to support a request for a LOMA or LOMB F. SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION Complete as indicated. This section of the Elevation Certificate may be signed by only a land surveyor, engineer, or architect who is authorized by law to certify elevation information. Place your license number, your seal (as allowed by the State licensing board), your signature, and the date in the box in Section D. You are certifying that the information on this certificate represents your best efforts to interpret the data available and that you understand that any false statement may be punishable Instructions — Page 4 by fine or imprisonment under 18 U.S. Code, Section 1001. Use the Continents area of Section D, on the back of the certificate, to provide datum, elevation, or other relevant information not specified on the front. SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO & ZONE A (WITHOUT BFE) Complete Section E if the building is located in Zone AO or Zone A (without BFE). Otherwise, complete Section C instead. Explain in the Section F Comments area if the measurement provided under Items El.- E4. is based on the "natural grade." Items El.a and b Enter in Item El .a the height to the nearest tenth of a foot (tenth of a meter in Puerto Rico) of the top of the bottom floor (as indicated in the applicable diagram) above or below the highest adjacent grade (HAG). Enter in Item El.b the height to the nearest tenth of a foot (tenth of a meter in Puerto Rico) of the top of the bottom floor (as indicated in the applicable diagram) above or below the lowest adjacent grade (LAG). For buildings in Zone AO, the community's floodplain management ordinance requires the lowest floor of the building be elevated above the highest adjacent grade at least as high as the depth number on the FIRM. Buildings in Zone A (without BFE) may qualify for a lower insurance rate if an engineered BFE is developed at the site. Item E2. For Building Diagrams 6-8 with permanent flood openings (see page 8), enter the height to the nearest tenth of a foot (tenth of a meter in Puerto Rico) of the next higher floor or elevated floor (as indicated in the applicable diagram) above or below the highest adjacent grade (HAG). Item E3. Enter the height to the nearest tenth of a foot (tenth of a meter in Puerto Rico), in relation to the highest adjacent grade next to the building, for the top of attached garage slab. (Because elevation for top of attached garage slab is self- explanatory, attached garages are not illustrated in the diagrams.) If this item does not apply to the building, enter "N/A" for not applicable. Item E4. Enter the height to the nearest tenth of a foot (tenth of a meter in Puerto Rico), in relation to the highest adjacent grade next to the building, of the platform elevation that supports the machinery and/or equipment servicing the building. Indicate machinery/equipment type in the Comments area of Section F. If this item does not apply to the building, enter "NIA "for not applicable. Item ES. For those communities where this base flood depth is not available, the community will need to determine whether the top of the bottom floor is elevated in accordance with the community's floodplain management ordinance. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION Complete as indicated. This section is provided for certification of measurements taken by a properly owner or property owner's representative when responding to Sections A, B, and E. The address entered in this section must be the actual mailing address of the property owner or property owner's representative who provided the information on the certificate. SECTION G - COMMUNITY INFORMATION (OPTIONAL) Complete as indicated. The community official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Section C may be filled in by the local official as provided in the instructions below for Item GI. If the authorized community official completes Sections C, E, or G, complete the appropriate item(s) and sign this section. Check Item G1. if Section C is completed with elevation data from other documentation, including elevations obtained from the Community Rating System Elevation Software, that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. Indicate the source of the elevation data and the date obtained in the Comments area of Section G. If you are both a community official and a licensed land surveyor, engineer, or architect authorized by law to certify elevation information, and you performed the actual survey for a building in Zones Al - A30, AE, AH, A (with BFE), VE, Vl-V30, V (with BFE), AR, AR/A, AR/Al-A30, ARAE, AR/AH, or AR/AO, you must also complete Section D. Check Item G2. if information is entered in Section E by the community for a building in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. MsWw ions — Page 5 Check Item G3. if the information in Items G4. -G9. has been completed for community floodplain management purposes to document the as -built lowest floor elevation of the building. Section C of the Elevation Certificate records the elevation of various building components but does not determine the lowest floor of the building or whether the building, as constructed, complies with the community's floodplain management ordinance. This must be done by the community. Items G4. -G9. provide a way to document these determinations. Item G4. Permit Number. Enter the permit number or other identifier to key the Elevation Certificate to the permit issued for the building. Item G5. Date Permit Issued Enter the date the permit was issued for the building. Item G6. Date Certificate of Compliance/Occupancy Issued Enter the date that the Certificate of Compliance or Occupancy or similar written official documentation of as -built lowest floor elevation was issued by the community as evidence that all work authorized by the floodplain development permit has been completed in accordance with the community's floodplain management laws or ordinances. Item G7. New Construction or Substantial Improvement. Check the applicable box. "Substantial Improvement" means any reconstruction, rehabilitation, addition, or other improvement of a building, the cost of which equals or exceeds 50 percent of the market value of the building before the start of construction of the improvement. The term includes buildings that have incurred substantial damage, regardless of the actual repair work performed. Item G8. As -built lowest floor elevation. Enter the elevation of the lowest floor (including basement) when the construction of the building is completed and a final inspection has been made to confirm that the building is built in accordance with the permit, the approved plans, and the community's floodplain management laws or ordinances. Indicate the elevation datum used Item G9. BFE. Using the appropriate FIRM panel, FIS Profile, or other data source, locate the property and enter the BFE (or base flood depth) of the building site. Indicate the elevation datum used Enter your name, title, and telephone number, and the name of the community. Sign and enter the date in the appropriate blanks. fix, uc*im — Page 6 WELDING DIAGRAMS The following eight diagrams illustrate various types of buildings. Compare the features of the building being certified with the features shown in the diagrams and select the diagram most applicable. Enter the diagram number in Item A7., the square footage of crawl space or enclosure(s) and the area of flood openings in square inches in Items Aga -c, the square footage of attached garage and the area of flood openings in square inches in Items A9.a-c, and the elevations in Items C2.a g. In A zones, the floor elevation is taken at the top finished surface of the floor indicated; in V zones, the floor elevation is taken at the bottom of the lowest horizontal structural member (see drawing in instructions for Section Q. DIAGRAM 1 All slab -on -grade single- and multiple -floor buildings (other than splltasvel) and high-rise buildings, either detached or row type (eg., townhouses); with or without attached Dheagatahiag Foam— Tire bottom floor is at or above ground level (grade) on at lent one side. C2.b C2.a FLOOR r —]GRADE BOTTOM oOR yt AN spNt-levsl buildings that are slab -0n -grade, either detached or row type (a*. townhouses); with or without attached garage. DkVnVutdrae F@whw — The boflan floor(wMkWhrg garage) h at a above grand hvel (grade) an at WW ars aide 'k—IFLOORS C2.b racE r r NEXT tflcsltat SPADE L BOTTOM FLOOR OOR �:� ,t I::. ,;:�:~:.jti:r?t`�e��:1i~; -j:::rl�v --, y::il�-•YA.� ;.,a?f�' - 'CJG.�"�'• •��asoL+ws SPI .. .. .. ... .i. � _ �. ... �'i DIAGRAM 2 AN single- and muldple-Aoor buildings with basement (other than split-level) and high-rise buildings with basement, either detached or row type (e.g., towntyxiseek with or without attached olatlrgahW me Fashm — The bottom door (e.ena 1 or urdwgraard gangs) is below ground hvel (grade) on an sides. Buftw oaatruaad above cra W spaces flm are below grade on ar aides should sho use this dirgrarn• B ' ' C2.b NEXT Mcg FLOOR GRADE BOTTOM FLOOR (BASEMUM ' A floor that is below ground level (grade) on all sides is considered a basement even if the floor is used for living purposes, or as an office, garage, workshop, etc. Instructions - Page 7 DIAGRAMS All buildings elevated on piers, posts, piles, columns, or parallel shear waft. No obstructions below the elevated floor. DkdmgWdd" Fashm — Fm SO MOMM In ares I 010' VW drialed for is qm, wo m abskudw to 11aw of lmd wafers (Open ImMIM work W Kft Is Phi (C 2. b Ma NM HIGHER I FLOOR 11A ELEVATED FLOOR 9 eAs" grade) C2.0 (Fm v Hones a*) DIAGRAM 7 AN buildings elevated on full -story foundation walls with a partially or fully enclosed area below In elevated floor. This includes walkout levels, where at least one We Is at or above grade. The principal use of this building Is located In the elevated floors of the building. Dk*%FdW*e Feslure — For al zones Vw arae below ire develed foris ', I , millim pw5*orfoAy. InAZDne*,are pm%*arfly enclosed area bdow ft aWAM ftm Is w1h or watrorrI CP81*199- prosect n to wets dtmercWmjm 1 1, -e irifteoft► about endommeebb and opm*WinSeddon A—Property C2 -a) NEXTHIGHER FLOOR 102J)�WALXOUT LEVEL (ENCLOSURE) UFS G AN buildings elevated an plus, posts, plies, coluinns, or parallel shear walls with full or partial enclosure below the elevated floor. DhWmgL*dftFWftm—Far ;dtortes ftarea below the eleveletiMoor is enclosed, eitimparliallyortufty. InAZones, the PmiWY0rA*enclosed ares below the elevolmitoot iswith orw1hod OPer*O— present in the webs d the emimm. Weals iforrrrfon about andoure size and opwMp in Seclion A — Property h*mmlion. a I MA i MWIM FLOOR Ma 111t C2.b EUEVATM FLOOR A8. a encbm"alas & 0PW*V5. If my - egg graft) C2.0 (r -W V zonas arty) DIAGRAM 8 AN buildings elevated on a crawl space with the floor of the crawl space at or above grade on at least one side, with or without an attached garage. DbUmembdMeFeeftmo—For alzones the oras bedew the fiat floor is enclosed by said orpmW pmknmWwd& 1nerr Azones. the awl apace iswbhorwiMmdopw*gs�"present inAha wale ofthe awA apace. hrdieale I f imlion @bad anal specs aloe and opwings in Seddon A— P"" b*mwdm (C 2. b) (C2.a A I NEXF HIGHER FLOOR C2.g ss An "opening" is defined as a permanent opening in a wall that allows for the free passage of water automatically in both dhu;tions without Inrom intervention. Under the NFEP, a minimum of two openings is rewired for enclosures or crawl spaces with a total not area of not less than we square inch for every square foot of area enclosed. Each opening must be on diffievent sides of the enclosed area. If a building has more than one enclosed area, each area must have openings on extenor walls to allow floodwater to directly enter. The bottom of the openings mug be no higher than one foot above the grade underneath the flood vents. Alternatively, you may submit a certification by a registered professional engineer or airchited that the design will allow for the automatic equalization of hydrostatic flood forces on exterior walls. A window, a door, or a gone door is not considered an opening. Instructions — Page 8