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OMB No. 1660'0008 <br />Exprratlon Date November 30 2018 <br />U,S, DEPARTMENT OF HOMELAND SECURITY <br />Federal Emerg€ncy Managemenl Agency <br />National Fl@d lnsurance Program <br />ELEVATION CERTIFICATE AND INSTRUCTIONS <br />Paporwork Reduction Act Notice <br />Publrc roportng burden for this data collecllon rs sslrmated to alerage 3 75 hours per responss The burcleo estmate rncludes the <br />tme fo(.evEwing rnstmctions, searching existrng data sources, gathenng and maintainrng the data needed, and cDrnpleting and <br />submrftng thrs iorm. You aae not requred to respond to thLs coll€cion of information unless a vald OMB conrol number is <br />drsplayed on this form Send comments regarding the 6ccuracy of tf€ burden eslimale and any suggestions tor reduong the <br />burden to lnformatron Collectrons Manag€ment. Department of Homeland Security, Feder8l Emergency Management Agsncy, <br />'1800 Sodh Bell Street. Arlrngton. VA 2059&3005. Paperwork Reduction Prqect (166GO008) NOTE: Oo not lood your <br />complot€d lo.m to thia.ddra6!. <br />PrlYacy Act Stateanent <br />Authorlty: Trtle 44 CFR S 61 7 and 61 I <br />Prln lpal Purpo!e(s): This rnfrcmation is berng collscted for the pnmary purpose of estimatrng the nsk premrum rates nec€ssary <br />to provrde flood rnsurance br new or sutrstantially rmpro\€d stru.lures in designated Speoal Flood Hazard Areas. <br />Routlno Ug.(s): Th€ information on this lorm may be disclosed as generally perm(led under 5 U S C S 552a(b) of the Pnvacy Acl <br />of 1974 as amended This includes using this inficrmatron as necessary and authonzed by the routjDe uses pubhshed In DHS/ <br />FEMA{o3 - Natronal Flood lnsurance Program Frles System or Records Notice 73 F€d Reg 77747 (December 19. 2008), DHS/ <br />FEMpJNFIP/LOMA-1 - National Flood lnsu.ance Program (NFIP) Letter of Map Amendment (LOMA) System of Records Notrce 71 <br />Fed Reg.7990 (February 15,2006). and upon wntten request wrinen consent by agreom€nt or as requrred by law <br />Dllcloaure: The drsclosure of inhrmation cn this form rs voluntary, how€vet farluae to providg the r6fuamaton requested may <br />result rn the inability to obtarn flood insurance through ihe National Flood lnsurance Program or the applicant may be suqsd to <br />h€her premium rates for fiood insurance. lntormaton will only be rcleasgd as permined by la$, <br />Purpose of the Eleyation Csrtiticats <br />The Elevatbn Cerlifcate is an rmpo.tant administrawe lool of the NatJonal Flood lnsuranc€ Program (NFIP) lt is to be usd to <br />provid€ elevation rnfomation necassary to ensure complianco with community f,oodplarn managemenl oadinances, to dstermine <br />the proper insu.ance premium rat6, and to support a request icr a Letter of Map Amendmeol (LOMA) or Letter of Map Revisron <br />bas6d on fill (LOMR-F). <br />The Elovation C€diicat6 is €qurrcd |n orcbr to prop€rly rate Post-FIRM burldings. which are burldrngs construc,ted afrer publrcatron <br />of the Flood lnsurance Ralo Map (FIRM), localed in flood insurance Zones A1-A30 AE, AH, A (wth BFE) VE, V1-V30, V (with <br />BFE), AR, AR./A. AR./AE. AR/A1-{30. AR/AH. and AR/AO. The Elevatlon Certifcale is not required for Pre-FIRM burldings unless <br />the buildrng is being rated under the optonal PoSIFIRM flood rnsuranca rules <br />As part ofthe agreement for makrng ffood insuranca available rn a community, the NFIP requrres the communty to adopt foodplarn <br />management regulalions thal specity mrnimum r€quiroments for reducirE ffood loss€s One such requirement rs for lhe community <br />lo obtain the elev8tion of thE lo$/est ioor (including basernent) of all n6w and substantrally improved buildrngs, and marntain a <br />record of such informaton. The Ele\€ton Co.tificate provides a way for a communrty to document compliance with the commun(y's <br />fl oodplain managament odinanc! <br />Use of this certiicate does not pmvide a war\er of th€ food rnsurance purchase requrEment Only a LOMA or LOMR-F lrom the <br />Federal Emergency Management Agency (FEMA) can amend the FIRM and remove lhe FedBral mandate for a lending inslitution <br />to requrre the purchase of llood insuBnce However, the lending hstrtufuon has the opbon of requiring ffood insurance even tf a <br />LOMAr'LOMR-F has been isgued by FEMA. The Elevation Certificats may b€ used to support a LOMA or LOMR-F request Lowest <br />foor and lot{sst adjacant grade slevatons certfied by a surveyor or engrleor will be requiGd if the cartrficate is used lo support a <br />LOMA or LOMR-F lequost- A LOMA or LOMR-F requ€st must be submitled wilh erther a comploted FEMA MT-EZ or MT-l <br />packago. whrchever ls appfopriate <br />This c€rtficate is used only to c€rtify burlding elevairons A separate certrficate is required for lloodprooing. Und€r the NFIP non- <br />Gsidential buihings can be toodproofed up to or above the Base Flood Elevatron (BFE) A floodproobd burldrrE ls a burldrng thal <br />has been dssignsd and conslrucled to be watertight (substanilally impermeabl€ to floodwatec) b€,ow the BFE Flmdproofng of <br />residentiat buildtngs E not permitted under the NFIP unless FEMA has granted the commun(y an exceptron for resdentral <br />floodproofed basemonts. The commun y must adopt standards br deign and constructon of floodproofud basemenB before <br />FEMA will grgnt a base{tr€nl excoption For both fioodproofgd non-residentEl buildrrEs and resadential ffoodproofgd basements rn <br />communitres that havo b€en granled an excepton by FEMA. a foodproofing certificate is required <br />Additronal guklance can be found m FEMA Publication 467-,l, Floodplarn Manag€ment Bulletin. Elevahon Cartric€te. avarlable on <br />FEMAs \,t/ebsite at https / rww.Cma.gavfiediaJibrary/assets/doqments/353g?id=172 <br />FEMA Form 086+33 (Revised 7/15)Replaces all prevaous editions F-053 <br />t-