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FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No 3067-0077 <br /> NATIONALFLOODINSURANCEPROGRAM Expires December 37, 2005 <br /> ELEVATION CERTIFICATE <br /> <br /> Im rtant: Read the insWctibns on a es 1 •7. <br /> SECTIONA-PROPERTYOVYNERINFORMATION FalnsuraaaCaryanyUse <br />BUILDING OWNER'S NAME Pdicy Number <br />Lafar a West, Inc. _ <br />BUILDING STREET ADDRESS (Includi ng Apt . Und. SuAe, and/w Bldg No J OR P O ROUTE AND eOX NO Company NAIC Number <br />CITY <br />(Lot and <br />and <br />( a1P - #q' - qfl ##' d mJ uueuru°) ^ NAD 1927 ~ NAD 1983 <br />Mine <br />($ other Aerial <br />~tlfVey <br />SECTION B • FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />01 rfIPCOMMUMTY NAMEd COMMUNITY fUMBER 02 CWNfY NAME 83 STATE <br />Unincorporated Weld County 080266 Weld County Colorado <br /> <br />B4 MAP AND PPNEL B7 FIRM PPA£L 09 BASE FLOOD ELEVATION(S) ~ <br /> <br />NUMBER <br />B5 SUFFIX <br />B8 FIRM WOEX DATE <br />EFFECfIVE?tENSEO MTE <br />08 FL000 ZONE(S) I <br />(Zone AO. usedepNdM1~odug) <br />850 C March 21, 1978 Sept. 28, 1982 A 4871 <br />B10 Indicate the source of the Base Flood Elevation (BFE) data a base Rood depU1 entered m 89 <br />^FIS Pmfde ^FIRM ^Carmunay Determined ®olher(Desrnbe) See references in report <br />B111ndratetheelevationdatumusedtorBieBFEin89^NGVD1929 ^NAVD1988 ~Other(Desrnbe) Aerial survey/See report <br />812. Is me buuduq located in a Coasel Gamer Resources Svstem (CBRS) area a OV1Lrwlse Protected Area (OPA)L ^ Yes ®No Designator Date. <br />SECTION C • BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />C7 Bulldrtg devatbre are based on ®ConsWCtan Dratwrgs' ^Budding Under Consbucsm' ^F,nished ConshucWn <br />'A new Elevator CerbfcatevnY be requited vfien constntwon d the buJding is compete <br />C2 Bwldirg Diagram Number _ (Baled the Wddirg diagram most Sinnlar to the butldeig fa whrch illis ce14rlCale a being canpls4ed -see pages 6 and 7 Itra diagram <br />acarateryregesemstllebuudirg,provdeasketchapMlograph) See sketch in report <br />C3 ElevaGorlS - Zones Al-A30, AE. AH. A (vMr BFE). VE. Vt-V30, V (vWh BFE), AR, ARIA ARlAE, AR/At-A30, AfLAN, ARlAO <br />Conpele oars q a, bebw aocomng b the building diagram speafied n Item C2 State the datum used I(Ure datum is dMerent hen the datum used ra the BFE in <br />Section B, convert the datum b that used fx tl1e BFE Show field measurertlenls and datum oanverslon calatlahon Use Rte space provided a the Garments area of <br />Sedan D a Sedan G, as approprete, b document the datum oarversron <br />Dawm_ ConversioNCommerlLs____ <br />Efevahat tekrerae rtad: used _Ooes the efevutan reference mark used appearon me FIRM'r ^ Yes ^ No <br />Oa)TopofbottomAoa(ndudugbasememaendosure) _ _ft(m) <br />O b)TOpofrwclhgherfioor _ _R(m) a <br />O c)BotlomotlawetMnwnMalslnaWralrtierCer{VzonesorYy) _ _tl(m) „ q <br />~ d) Atladied garage (top dslab) _ _ft (m) B <br />^ e) Lowest ele7atan of madunery anNa eWipment w d <br />smrangttlebuldng(DesatLenaCor*rrentsarea) _ _R(m) g= <br />U rl Lw+est agaoem (firlistxvi) grade (lAG) _ _ft (m) i h <br />J g) Hghest ad)acent (finshed) grade (HAG) _ _ft (m) v <br />U h) No d pemranem openugs (flood vents) vnlMn t R abase ao)acent g2de _ <br />O i) Tdtal area of ad pemvnent opemrgs (Food vents) m q h_sa m (sq an) <br />SECTION D • SURVEYOR, ENGWEER OR ARCHITECT CERTIFICATION <br />This ceNbcaGOn rs to be slg~ed and sealed by a Wnd surveys ergmeer. or architect auNOnzed by law to cenify elevation infamabon <br />I cattily that the rnformatan m Sections A, B, and C on fha certdrcafe represents my best efforts fo interpret the data avalab/e. <br />1 understand that env (else statement may be oumshade by 6ne or rmonsonmenf under 18 U S Caoe, Secnon 1001 <br />tOtRHt:o <br />ua[ wnvrrvvr nnrv~ <br />f}Ssoc:A•rt EntGrvF~(~ Qt},uKS ,duo G.~tro. (-~c <br />701o K;Vc:uG Sr. ¢ <br />c1TY <br />cv <br />FEMA Form 8t-3t, January 2003 See reverse side for cononuabon Replaces all previous edd~pns <br />