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008 <br /> ELEVATION CERTIFICATE OMB No. 1 ate'. Nov <br /> Expiration Date: November 30, 2018 <br /> IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE <br /> Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: <br /> 7504 Lagoon Lane <br /> City State ZIP Code Company NAIC Number <br /> Webster Wisconsin 54893 <br /> SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br /> C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction <br /> *A new Elevation Certificate will be required when construction of the building is complete. <br /> C2. Elevations—Zones Al—A30,AE,AH,A(with BFE), VE, V1—V30, V(with BFE),AR, AR/A,AR/AE,AR/Al—A30, AR/AH,AR/AO. <br /> Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. <br /> Benchmark Utilized: BCBM 10, Elev 931.54' Vertical Datum: NAVD 88 <br /> Indicate elevation datum used for the elevations in items a)through h)below. <br /> ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: <br /> Datum used for building elevations must be the same as that used for the BFE. <br /> Check the measurement used. <br /> a) Top of bottom floor(including basement, crawlspace, or enclosure floor) 932.5 ❑x feet ❑ meters <br /> b) Top of the next higher floor 936.2 ❑x feet ❑ meters <br /> c) Bottom of the lowest horizontal structural member(V Zones only) ❑ feet ❑meters <br /> d) Attached garage(top of slab) ❑ feet ❑ meters <br /> e) Lowest elevation of machinery or equipment servicing the building 932.8 x feet meters <br /> (Describe type of equipment and location in Comments) ❑ ❑ <br /> f) Lowest adjacent(finished)grade next to building (LAG) 932.2 ❑x feet ❑ meters <br /> g) Highest adjacent(finished)grade next to building(HAG) 934.2 ❑x feet ❑ meters <br /> h) Lowest adjacent grade at lowest elevation of deck or stairs, including <br /> structural support 932.0 ❑x feet ❑ meters <br /> SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br /> This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. <br /> i certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false <br /> statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. <br /> Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑No ❑Check here if attachments. <br /> Certifier's Name License Number <br /> Mark E. Krause PLS-1808 <br /> Q <br /> Title <br /> President <br /> Company Name <br /> Wagner Surveying Associates, Inc. E <br /> Address <br /> 26745 Lakeland Ave N, PO Box 89 <br /> City State ZIP Code S�JRv <br /> Webster Wisconsin 54893 <br /> Signature Date Telephone Ext. <br /> 6120119 (715)866-4295 <br /> Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company, and(3) building owner. <br /> Comments(including type of equipment and location, per C2(e), if applicable) <br /> 4 separate structures exist on the property: house(elevations listed above), bunkhouse, shed, and detached garage. The main house <br /> was constructed in 2008, prior to the RFE change from 931'to 933'(map adopted 8/19/08). All house mechanical located in crawl space <br /> and consists of:water heater(elev: 932.8'), pressure tank(elev: 933.6'), and furnace(elev: 931.9'). <br /> Bunkhouse measures 30'x24': 1 st floor(elev: 931.3'), LAG (elev: 931.T), lowest mechanical-water heater(elev: 931.5), furnace(elev. <br /> 931.8'). Shed(sits on ground)elev: 932.4'. Detached garage(across road from other structures)measures 34'x64', elev: 934.2'. Septic <br /> tank lids elevations are 932.3'. <br /> FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 <br />