FEDERAL EMERGENCY MANAGEMENT AGENCYNATIONAL FLOOD INSURANCE PROGRAM

ELEVATION CERTIFICATEImportant: Read the instructions on pages 1 . 7,

O.M.B. No. 3067-0077Expires December 31, 2005

SECTION A· PROPERTY OWNER INFORMATIONPolicy NumberBUILDING OWNER'S NAME

Steve and Stac Me eri

For InsuranceCompanyUse:

BUILDING STREET ADDRESS (Including Apt., Un~, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.10385 Ute Pass Avlenue

Company NAIC Number m

CITY STATEGreen Mountain Falls CO

ZIP CODE80819

PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)EI Paso County Assessors Parcel No. 830840-10-064, Part of N1/2, SE1/4 SEction 8, T.13S., R,68W of the 6tn P.M.BUILDING USE (e.q., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)RedidentialLATITUDEILONGITUDE (OPTIONAL)( ##0 _##' _##.##" or ##.#####~38°55'55"N, 105"00'44'W

HORIZONTAL DATUM:D NAD 1927 181 NAD 1983 DOther.

SOURCE: D GPS (Type): __181 USGS Quad Map

SECTION B· FLOOD INSURANCE RATE MAP (FIRM) INFORMATION

B1.NFIPCOMMUNITYNAME & COMMUNITYNUMBERGreenMountainFalls,Colorado,080062

B2.COUNTYNAMEEIPaso

B3.STATEColorado

84. MAPAND PANEL B7.FIRM PANELNUMBER B5.SUFFIX 86. FIRM INDEXDATE EFFECTIVEIREVISEDDATE

08041C0467 F 3-17-97 8-23·9988. FLOODZONE(S)

A

B9. BASE FLOOD ELEVATION(S)(ZoneAO, use depthof flooding)

7709.5

B10.lndicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.D FIS Profile D FIRM [gI Community Determined D Other (Describe): __

B11.lndicatetheelevation datum used for the BFE in B9: [gI NGVD 1929 D NAVD 1988 D Other(Describe): __B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? D Yes [gI No Designation Date__

SECTION C • BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)C1. Building elevations are based on: D Construction Drawings' D Building Under Construction' [gI Finished Construction

*A new Elevation Certificate will be required when construction of the building is complete.C2. Building Diagram Number ~ (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram

accurately represents the building, provide a sketch or photograph.)C3. Elevations-ZonesA1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARIAE. ARlA1-A30, ARlAH, ARIAO

Complete Items C3.-a~ below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE inSection B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Connments area ofSection D or Section G, as appropriate, to document the datum conversion.Datum Conversion/CommentsElevation reference mark used F135 Does the elevation reference mark used appear on the FIRM? DYes [gI Noo a) Top of bottom floor (induding basement or endosure) 7710. 99 ft.(m)o b) Top of next higher floor 7718. 99 ft.(m)o c) Bottom of lowest horizontal structural member (V zones only) _. _ ft.(m)o d) Attached garage (top of slab) 7708. 28 ft.(m)o e) Lowest elevation of machinery and/or equipment

servicing the building (Describe in a Comments area)o q Lowest adjacent (finished) grade (LAG)o g) Highest adjacent (finished) grade (HAG)o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade Qo i) Total area of all permanent openings (flood vents) in C3.h Q.sq. in. (sq. cm)

7708 . 28 ft.(m)7707 .~ft.(m)

7719. §..ft.(m)

SECTION D • SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATIONThis 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 in Sections A. B, and C on this certificate represents my best efforts to interpret the data available.I understand that any false statement may be punishable by fine or imprisonment under 18 US. Code, Section 1001.CERTIFIER'S NAME Oliver E. Watts LICENSE NUMBER Colo PE PLS 9853

TITLE Consulting Egineer COMPANY NAME Oliver E. Watts, Consulting Engineer, Inc

CITYColorado Springs

TELEPHONE(719) 593-0173

ADDRESS614 Elkton DriveSIGNATURE DATE

3-10-D5

See reverse side for continuation.FEMA Form 81-31, January 2003

STATECO

ZIP CODE80907

Replaces all previous editions

IMPORT ANT: In these spaces, copy the corresponding infonnation from Section A For Insurance Company Use:BUILDING STREET ADDRESS (Induding Apl, Unt, Suite, and/or Bklg. No.) OR P.O. ROUTE AND BOX NO. Policy Number10385 Ute Pass AvenueCITY STATE ZIP CODE Company NAIC NumberGreen Mountain Falls CO 80819

SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)

Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenVcompany, and (3) building owner.

COMMENTSFlood Elevation W(13determined by the Regional Flood Plain Administrator at the time of builkding permit, based on a site planprepared by the owner, and based on the Flood Plain Study for the Hardie - Bandy Property (the same property) dated October

14.1999, Prepared by Oliver E. Watts, Consulting Engineer, Inc., Colorado Springs.

Flood Elevation at garage IS 7706.5, where the equipment is located. D Check here if attachmentsSECTION E . BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)

For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,Section C must be connpleted.E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being connpleted - see pages 6 and 7. If no diagram accurately

represents the building, provide a sketch or photograph.)E2. The top of the bottom floor (induding basement or endosure) of the building is _ ft.(m) _in.(cm) 0 above or 0 below (check one) the highest adjacent grade. (Use

natural grade, if available).E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(ern) above the highest adjacent

grade. Complete items C3.h and C3.i on front of form.E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) ~in.(ern) 0 above or 0 below (check one) the highest adjacent grade. (Use

natural grade, if available).E5. For 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 0 No 0 Unknown. The local official must certify this information in Section G.

SECTION F· PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATIONThe property owner or owner's authorized representative who connpletes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA~ssued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge.

PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAMESteve and Stacy MegyeriADDRESS10385 Ute Pass Avenue

CITYGreen Mountain Falls

STATECO

ZIP CODE80819

SIGNATURE DATE TELEPHONE(719) 684-9664

COMMENTS

D Check here jf attachments

SECTION G . COMMUNITY INFORMATION (OPTIONAL)The local 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 ElevationCertificate. Complete the applicable item(s) and sign below.G1. 0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state

or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area belOW.)G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA-issued or community~ssued BFE) or Zone AO.G3. 0 The following information (Items G4-G9) is provided for connmunity floodplain management purposes.

G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED

G7. This permit has been issued for: 0 New Construction 0 Substantial ImprovementG8. Elevation of as-built lowest floor (induding basernerf of the building is:G9. BFE or (in Zone AO) depth of flooding at the building site is:

_._ft.(m)_._ft.(m)

Datum:Datum:

LOCAL OFFICIAL'S NAME TITLE

COMMUNITY NAME TELEPHONE

SIGNATURE DATE

COMMENTS

D Check here jf attachments

FEMA Fomn 81-31, January 2003 Replaces all previous editions