4
J3-266E P 13 CP 04425 "'\.1..:.0. DEPARTMENT OF HOMELAND SECURJTY FEDERAL EMERGENCY MANAGEMENT AGENCY NotiCln4l P lood llllll nmct Proglum ELEVATION CERTIRCATE $- OMB No. 1660-0008 IMPORTANT: Follow the Instructions on pages 1-9. '( q;) Expiration Date: July 31, 2015 ' SECTION A- PROPERTY INFORMATION roR . INSUllANCE. COMPJUVY USE A1. Building Owner's Name D.R. Horton Homes, Inc. Polley Number; A2. Building Street Address Sincluding Apt., Unit. Suite, and/ or Bldg. No.) or P.O. Route and Boll No. •··· 13013 W. Sandhill .. City Tucson State AZ ZIP Code 85743 A3. Property Description (lot and Block Numbers, TSll Parcel Number, Legal Description, etc.) Tax Code 215-29-1130 Township 12S Range lJE Secdon 29 A4. Building Use (e.g., J'f<ID:Residentlal, Addition, etc.]_Residendal: Si02le Familv Residence A5. Latitude/ Longitude: Lat. J2.36054 4 Long. -•11.242427 Horizontal Datum: 0 NAD 1927 llJ NAD 1963 A6. Attach at least 2 photographs of ,St:e building If the Certlflcate Is being used to obtain ftood Insurance. A 7. Building Diagram Number _ AS. For a building with a crawlspace or 1 /A A9. Fm a building with an attached garage: a) Square footage of cl'liWispace or enclosure(s) _ sq tt a) Square footage of attached garage ...... - sqft b) No. of pennanent flood openings In the crawlspace or N. /.A b) Number of pennanent flood openings In the garage enclosure(s) within 1.0 foot above adjacent grade _ within 1.0 foot above adjacent grade c) Total net area of flood openings in AB.b l"l/A sq in c) Total net area of flood openings In A9.b N /A sq in d) Engineered ftood openings? 0 Yes d) Engineered ftood openings? 0 Yes r.;a No SECTION 8- FLOOD INSURANCE RATE MAP (ARM) INFORMA110N Bt. NFIP CommunitY Name & CommunitY Number Pima Co••tv I O.C0073 82. County Name Pima County 1 B3. State AZ B7. ARM Panel Effective; 1 88. Rood Zone(s) 1 89. Base Flood Elevatlon(s) (Zone Revised Date AO, use base 11ood depth) B4. Map/ Panel Number 85. Suffix 86. ARM Index Date 04019C 1650 L 9-28-12 06-16-2011 X 100.5 B10. 1ndlcate the source of the Base Rood Elevation (BFE) data or base flood depth entered in Item 89: 0 AS Profile 0 ARM lilf Community Detennlned 0 Other/ Source:------------------- ---- BU. Indicate elevation datum used for BFE In Item 89: 0 NGVD 1929 0 NAVD 1988 Other; Source· Ril(hest Adj Nat Grade (-100ft) B12. 1s the building located In a Coastal Barner Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes [X No Designation Date: --I N/ A I -- 0 CBRS 0 OPA SECTION C - BUILDING ELEVATION INFORMA110N (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings• 0 Building Under Construction• •A new Elevation Certificate will be required when construction of the building is complete. 1;21 Finished Construction C2. 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/ AO. Complete Items C2.a-h below according to the building diagram spectfled In Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: N N - 9. \ ? c... 0 0 r- Vertical Datum: N A" I) e t c:..t- 7P '\. l Indicate elevation datum used tor the elevations in Items a) through h) below. 0 NGVD 1929 litNAVD 1988 0 Other/ Source:------ Datum used for building elevations must be the same as that used for the 8FE. a) Top of bottom floor (Including basement, crawlspace, or enclosure floor) LP SO . Check the measurement used. 00 feet 0 meters b) Top of the nellt higher floor - - - feet 0 meters c) Bottom of the lowest horizontal structural member f:'J Zones only) N/A z..os-o : _ 3..(.__ feet 0 meters d) Attached garage (top of slab) 00 feet 0 meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 00 feet 0 meters f) LOwest adjacent (finished) grade nellt to building (LAG) g) Highest adjacent (finished) grade nellt to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, Including (, '\ Z£>44 : 14- lXI feet lXI feet lXI feet structural support Wht tii8.9 ts dquh a bove crade. lt i:i rt-qulrecl to iedkatt tli&btst 1ad lowest NATURAL &nu:tt-ln S«tlott 0 Col'lltMnts SECTION D - SURV£YOR, ENGINEER, OR ARCHITECT CERTIRCATION This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the Information on this Certificate represents my best efforts to Interpret the data available. 1 understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001. here If comments are provided on back of fonn. Were latitude and longitude in Section A pryvided by a CY<:heck here if attachments. licensed land surveyor? 0 Yes [i!t'Ao Certifie(s Name M l FEMA Form 086-0-33 (7/ 12) See reverse side for continuation. Ometers Ometers Ometers Replaces all previous editions.

ELEVATION CERTIRCATE · 2014. 1. 27. · 13-266E ELEVATION CERTIFICATE, page 3 BUILDING PHOTOGRAPHS See Instructions for Item A6. IMPORTANT: In these apeces, copy the corresponding

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Page 1: ELEVATION CERTIRCATE · 2014. 1. 27. · 13-266E ELEVATION CERTIFICATE, page 3 BUILDING PHOTOGRAPHS See Instructions for Item A6. IMPORTANT: In these apeces, copy the corresponding

~PUP# J3-266E P 13 CP 04425 "'\.1..:.0. DEPARTMENT OF HOMELAND SECURJTY FEDERAL EMERGENCY MANAGEMENT AGENCY NotiCln4l Plood llllllnmct Proglum

ELEVATION CERTIRCATE $- ,~ OMB No. 1660-0008 IMPORTANT: Follow the Instructions on pages 1-9. '( ,~ q;) Expiration Date: July 31, 2015

' ~'

SECTION A- PROPERTY INFORMATION roR .INSUllANCE.COMPJUVY USE

A1. Building Owner's Name D.R. Horton Homes, Inc. Polley Number;

A2. Building Street Address Sincluding Apt. , Unit. Suite, and/ or Bldg. No.) or P.O. Route and Boll No. C~C"NlJinbel": •···

13013 W. Sandhill ·~Place UtT~ .. City Tucson State AZ ZIP Code 85743

A3. Property Description (lot and Block Numbers, TSll Parcel Number, Legal Description, etc.) Tax Code 215-29-1130 Township 12S Range lJE Secdon 29

A4. Building Use (e.g., Resldet~tial, J'f<ID:Residentlal, Addition, Accessory~ etc.]_Residendal: Si02le Familv Residence A5. Latitude/ Longitude: Lat. J2.360544 Long. -•11.242427 Horizontal Datum: 0 NAD 1927 llJ NAD 1963 A6. Attach at least 2 photographs of ,St:e building If the Certlflcate Is being used to obtain ftood Insurance. A 7. Building Diagram Number _ __....\ ~~...._-AS. For a building with a crawlspace or enclosure(s): ~ 1 /A A9. Fm a building with an attached garage:

a) Square footage of cl'liWispace or enclosure(s) ~ _ sq tt a) Square footage of attached garage ...... - 4~ 0 sqft

b) No. of pennanent flood openings In the crawlspace or N. /.A b) Number of pennanent flood openings In the a~~!!d garage enclosure(s) within 1.0 foot above adjacent grade _ within 1.0 foot above adjacent grade ~A

c) Total net area of flood openings in AB.b l"l/A sq in c) Total net area of flood openings In A9.b N /A sq in d) Engineered ftood openings? 0 Yes ~No d) Engineered ftood openings? 0 Yes r.;a No

SECTION 8- FLOOD INSURANCE RATE MAP (ARM) INFORMA110N Bt. NFIP CommunitY Name & CommunitY Number Pima Co••tv I O.C0073

82. County Name Pima County 1 B3. State AZ

B7. ARM Panel Effective; 1 88. Rood Zone(s) 1 89. Base Flood Elevatlon(s) (Zone Revised Date AO, use base 11ood depth)

B4. Map/ Panel Number 85. Suffix 86. ARM Index Date

04019C 1650 L 9-28-12 06-16-2011 X 100.5 B10.1ndlcate the source of the Base Rood Elevation (BFE) data or base flood depth entered in Item 89:

0 AS Profile 0 ARM lilf Community Detennlned 0 Other/ Source:-----------------------

BU. Indicate elevation datum used for BFE In Item 89: 0 NGVD 1929 0 NAVD 1988 ~ Other; Source·Ril(hest Adj Nat Grade (-100ft) B12.1s the building located In a Coastal Barner Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes [X No

Designation Date: --IN/ A I -- 0 CBRS 0 OPA

SECTION C - BUILDING ELEVATION INFORMA110N (SURVEY REQUIRED)

C1. Building elevations are based on: 0 Construction Drawings• 0 Building Under Construction• •A new Elevation Certificate will be required when construction of the building is complete.

1;21 Finished Construction

C2. 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/ AO. Complete Items C2.a-h below according to the building diagram spectfled In Item A7. In Puerto Rico only, enter meters.

Benchmark Utilized: N N - 9. \ ? c... 0 0 r- Vertical Datum: N A" I) e t c:..t- ~ 7P '\. ~.-, l Indicate elevation datum used tor the elevations in Items a) through h) below. 0 NGVD 1929 litNAVD 1988 0 Other/ Source:-----­Datum used for building elevations must be the same as that used for the 8FE.

a) Top of bottom floor (Including basement, crawlspace, or enclosure floor) LP SO . ~ Check the measurement used.

00 feet 0 meters

b) Top of the nellt higher floor ~ - - ­ ~ feet 0 meters

c) Bottom of the lowest horizontal structural member f:'J Zones only) N/A z..os-o: o~ z..u~o _3..(.__

~ feet 0 meters

d) Attached garage (top of slab) 00 feet 0 meters

e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments)

00 feet 0 meters

f) LOwest adjacent (finished) grade nellt to building (LAG)

g) Highest adjacent (finished) grade nellt to building (HAG)

h) Lowest adjacent grade at lowest elevation of deck or stairs, Including

z..o~ (, '\ Z£>44 : 14-~---

lXI feet

lXI feet

lXI feet structural support

Whttii8.9 ts • dquh a bove crade. lt i:i rt-qulrecl to iedkatt tl i&btst 1ad lowest NATURAL &nu:tt-ln S«tlott 0 Col'lltMnts

SECTION D - SURV£YOR, ENGINEER, OR ARCHITECT CERTIRCATION This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the Information on this Certificate represents my best efforts to Interpret the data available. 1 understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001.

O(c;J:~eck here If comments are provided on back of fonn. Were latitude and longitude in Section A pryvided by a CY<:heck here if attachments. licensed land surveyor? 0 Yes [i!t'Ao

Certifie(s Name M l

FEMA Form 086-0-33 (7/ 12) See reverse side for continuation.

Ometers

Ometers

Ometers

Replaces all previous editions.

Page 2: ELEVATION CERTIRCATE · 2014. 1. 27. · 13-266E ELEVATION CERTIFICATE, page 3 BUILDING PHOTOGRAPHS See Instructions for Item A6. IMPORTANT: In these apeces, copy the corresponding

FPUP# 13-266E P 13 C P 04425

ELEVATION CERTIRCATE, pa,e 2

IMPORTANT: In theM spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE

Buildln\ Street Address gncludlng A~t. , Unit. Suite, and/or Bldg. No.) or P.O. Route and Box No. 1 013 W. Sand IJJ Sage lace

Policy Number:

City State ZIP Code Company NA!c Number: ..

Tucson AZ 85743

SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIRCATION (CONTINUED)

Comments Tlte lowest servtc:e eqalpmeat (CJ.e) Is the and tbe o..,l-..,.t -iftre above lbll elevatloa.

Hl&hest adjacent natural grade Is "7....0 ""r ~ , .o\-(, Lowest adjaceat natural grade 11 --=-=-----1---'-=---~

Signature Date l- l 'S- "'Z...0\4-SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)

For Zones AO and A (without BFE), complete Items E1-£5. If the Certificate is Intended to support a LOMA or LOMR.f request. complete Sections A, B,and C. For Items E1-£4. use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters.

E1. Provide elevation lnfonnation for the following and the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG).

b) Top of bottom floor (Including basement. crawlspace,

E2. For Building Diagrams ~9 with pennanent f lood

the next higher floor (elevation C2.b In the diagrams)

E3. Attached garage (top of slab) is

E4. Top of platfonn of machinery and/or equipment servicing the building Is

D feet D meters D above or D below the HAG.

feet D meters 0 above or 0 below the LAG.

(see pages 8-9 of Instructions),

D meters D above or 0 below the HAG.

0 meters 0 above or 0 below the HAG.

0 feet 0 meters 0 above or 0 below the HAG.

E5. Zone AO only: If no flood depth number is available. Is the top of the bottom floor elevated In accordance with the community's floodplain management ordinance? DYes D No D Unknown. The local official must certify this lnfonnatlon In Section G.

SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION

Address State ZIP Code

Signature Telephone

Comments

------- ----------------------------------- 0 Check here if attachments.

SECTION G- COMMUNITY INFORMATION (OPTIONAL)

The local official who is authorized by law or ordlnanca to administer the community's floodplain mana&ement ordinance can complete Sections A, B. C (or E), and G of this Elevation Certificate. Complete the applicable ltem(s) and sign below. Check the measurement used In Items G8-G10. In Puerto Rico only, enter meters.

Gl. D The infonnatlon In Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer. or architect who Is authorized by law to certify elevation lnfonnatlon. (Indicate the source and date of the elevation data In the Comments area below.)

G2. D A community official completed Section E for a building located In Zone A (without a FEMA-Issued or community-Issued BFE) or Zone AO.

G3. 0 The following infonnation (Items G4-G9) Is provided for community floodplain management purposes.

G4. Permit Number 13-266E G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued

G7. This pennit has been issued for: 0 New Construction 0 Substantial Improvement

GB. Elevation of a~llt lowest floor (including basement) of the building: _ __ . ___ 0 feet 0 meters Datum ---------

G9. BFE or (in Zone AO) depth of flooding at the building site: D feet D meters Datum---------

G10. Communlty's design flood elevation: 0 feet 0 meters Datum---------

Local Official's Name Title

Community Name Telephone

Signature Date

Comments

------------------------------------------ 0 Check here If attachments.

FEMA Form 081Hl-33 (7/ 12) Replaces all previous editions.

Page 3: ELEVATION CERTIRCATE · 2014. 1. 27. · 13-266E ELEVATION CERTIFICATE, page 3 BUILDING PHOTOGRAPHS See Instructions for Item A6. IMPORTANT: In these apeces, copy the corresponding

13-266E

ELEVATION CERTIFICATE, page 3 BUILDING PHOTOGRAPHS See Instructions for Item A6.

IMPORTANT: In these apeces, copy the corresponding lnformetlon from Section A.

Building Street Address (Including Apt., Unit , Suite, and/or Bldg. No.) or P.O. Route and Box No. 13013 W. SandbiU Sage Place

City 85743

State AZ

ZIP Code Tucson

FOR INSURANCE COMPANY USE

Polley Number:

Company NAIC Number:

If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section AS. If submitting more photographs than will fit on this page, use the Continuation Page.

FEMA Form 086-().33 (7/12) Replaces all previous editions.

Page 4: ELEVATION CERTIRCATE · 2014. 1. 27. · 13-266E ELEVATION CERTIFICATE, page 3 BUILDING PHOTOGRAPHS See Instructions for Item A6. IMPORTANT: In these apeces, copy the corresponding

,. 13·266E ELEVATION CERTIACATE, paife 4 BUILDING PHOTOGRAPHS

Continuation Page

IMPORTANT: In theM spaces, copy ttle correspondlnc Information from Section A.

Building Street Address (including Apt., Unit. Suite. and/ or Bldg. No.) or P.O. Route and Box No. 13013 W. Sandbill Sage Place

State AZ 85743

ZIP Code City Tucson

FOR INSURANCE COMPANY USE

Polley Number.

Company NAIC Number:

If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View• and "Rear View•; and, if required, "Right Side View• and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as Indicated in Section A8.

FEMA Form 086-0-33 (7/12) Replaces all previous editions.