2020 Riverfront Rd Building J--Five RiversU.S. DEPARTMENT OF HOMELAND SECURITY OMB Control No, 1660-0006
Federal Emergency Management Agency Expiration Date: 0613012026
National Flood Insurance Program
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES IIA1
Copy a pages II of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
SECTION A — PROPERTY INFORMATION
FOR INSURANCE COMPANY USE-1
At,
Building Owner's Name: FIVE RIVERS DISTRIBUTION Policy Number:
A2,
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: Company NAIL Number:
2020 RIVERFRONT ROAD - WAREHOUSE BUILDING J
City:
VAN BUREN State: AR ZIP Code: 72956
A3.
Property Description (e.g., Lot and Block Numbers or Legal Description) and/or Tax Parcel Number:
PART OF SECTION 31, T-9-N, R-31-W
A4.
Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.): NON-RESIDENTIAL
A5.
Latitude/Longitude: Let. 35'24'36.93" N Long. -94°20'06.71" W Horiz. Datum:❑ NAD 1927 ® NAD 1983 ❑ WGS 84
A6.
Attach at least two and when possible four clear color photographs (one for each side) of the building (see Form pages 7 and 8).
AT
Building Diagram Number: 1A
A8.
For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s): 0 sq. ft.
b) Is there at least one permanent flood opening on two different sides of each enclosed area? ❑ Yes ❑ No ® N/A
c) Enter number of permanent flood openings In the crawlspace or enclosure(s) within 1.0 foot above adjacent grade:
Non -engineered flood openings: 0 Engineered flood openings: 0
d) Total net open area of non -engineered flood openings in A8.c: 0 sq. in.
e) Total rated area of engineered flood openings In A8.c (attach documentation — see Instructions): 0 sq. ft.
f) Sum of A8.d and A8.e rated area (if applicable — see Instructions): 0 sq. ft.
A9.
For a building with an attached garage:
a) Square footage of attached garage: - 0 sq. ft.
b) Is there at least one permanent flood opening on two different sides of the attached garage? ❑ Yes ❑ No ❑ N/A
c) Enter number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade:
Non -engineered flood openings: 0 Engineered flood openings: 0
d) Total net open area of non -engineered flood openings in A9.c: 0 sq. in.
e) Total rated area of engineered flood openings in A9.c (attach documentation —see Instructions): 0 sq, ft.
f) Sum of A9.d and A9.e rated area (If applicable — see Instructions): 0 sq. ft.
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1.a, NFIP Community Name: CITY OF VAN BUREN B1.b, NFIP Community Identification Number: 050053
B2.
County Name:CRAWFORD COUNTY B3. State: AR B4. Map/Panel No.: 05033CO390 B5, Suffix: J
B6,
FIRM Index Date: B7, FIRM Panel Effective/Revised Date: 12/03/2010
B8.
Flood Zone(s): ZONE AE B9. Base Flood Elevation(s) (BFE) (Zone AO, use Base Flood Depth): 409A
B10.
Indicate the source of the BFE data or Base Flood Depth entered in Item 139:
❑ FIS N FIRM ❑ Community Determined ❑ Other:
811.
Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source:
B12.
Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date: ❑ CBRS ❑ OPA
B13.
Is the building located seaward of the Limit of Moderate Wave Action (LiMWA)? [:]Yes ®No
FEMA Farm FF-206-FY-22-152 (formerly 086-0-33) (8/23) Form Page 2 of 8
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.:
FOR INSURANCE COMPANY USE
2020 RIVERFRONT ROAD - WAREHOUSE BUILDING J
Policy Number:
City: VAN BUREN State: AR ZIP Cade: 72956
Company NAIC Number:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY
REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction
"A new Elevation Certificate will be required when construction of the building is complete.
02. Elevations - Zones Al-A30, AE, AH, AO, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A,
AR/AE, AR/A1—A30, AR/AH, AR/AO,
A99. Complete Items C2.a—h below according to the Building Diagram specified In Item A7. In
Puerto Rico only, enter meters.
Benchmark Utilized: RTK GPS Vertical Datum: NACD 1988
Indicate elevation datum used for the elevations in Items a) through h) below.
❑ NGVD 1929 ❑ NAVD 1988 ❑ Other:
Datum used for building elevations must be the same as that used for the BFE. Conversion factor used? ❑ Yes ® No
If Yes, describe the source of the conversion factor in the Section D Comments area.
Check the measurement used:
a) Top of bottom floor (including basement, crawlspace, or enclosure floor):
413.0 ® feet ❑ meters
b) Top of the next higher floor (see Instructions):
N/A ❑ feet ❑ meters
c) Bottom of the lowest horizontal structural member (see Instructions):
N/A ❑ feet ❑ meters
d) Attached garage (top of slab):
N/A ❑ feet ❑ meters
e) Lowest elevation of Machinery and Equipment (M&E) servicing the building
(describe type of M&E and location in Section D Comments area):
N/A ❑ feet ❑ meters
0 Lowest Adjacent Grade (LAG) next to building: ❑ Natural ® Finished
412.1 ® feet ❑ meters
g) Highest Adjacent Grade (HAG) next to building: ❑ Natural ® Finished
413.0 ® feet ❑ meters
h) Finished LAG at lowest elevation of attached deck or stairs, including structural
support:
N/A ❑ feet ❑ meters
SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by
state law to certify elevation
Information. l certify that the information 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 U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No
❑ Check here if attachments and describe in the Comments area.
Certifiers Name: ANTHONY P. ANDERSON License Number: AR RLS # 1272
""' �'�
Title: LAND SURVEYOR
4,.••' ••, d
Company Name: ANDERSON SURVEYING, INC.
�.`�
S ARKAN3A3 '; p
Address: P.O. BOX 129
NO. 272
O
- kj
City: VAN BUREN State: AR ZIP Code:72957
-
;d'�'•,
Telephone: (479) 474-4247 Ext.: Email:tony@and-survey.com
. f ^�'��
ALLA
_
r'r
Slgnature: Ph=Date: 08/31/2023
Place Seal Here
Copy all pages of tl 's lion Certificate and all attachments for (1) community official, (2) Insurance
agent/company, and (3) building owner.
Comments (Including source of conversion factor in C2; type of equipment and location per C2.e; and description of any attachments):
FEMA Form FF-206-FY-22-152 (formerly 088-0-33) (6/23) Form Page 3 of 8
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 141
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.:
FOR INSURANCE COMPANY USE
2020 RIVERFRONT ROAD - WAREHOUSE BUILDING J
Policy Number:
city: VAN BUREN State: AR ZIP Code: 72956
Company NAIL Number:
SECTION E — BUILDING MEASUREMENT INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO, ZONE AR/AO, AND ZONE A (WITHOUT BFE)
For Zones AO, AR/AO, and A (without BFE), complete Items El—E5. For Items El—E4, use natural grade, if available. If the Certificate is
intended to support a Letter of Map Change request, complete Sections A, B, and C. Check the measurement used. In Puerto Rico only,
enter meters.
Building measurements are based on: ❑ construction Drawings* ❑ Building Under Construction* ❑ Finished Construction
"A new Elevation Certificate will be required when construction of the building Is complete.
E1. Provide measurements (C.2.a in applicable Building Diagram) for the following and check the appropriate boxes to show whether the
measurement Is above or below the natural HAG and the LAG.
a) Top of bottom floor (including basement,
crawlspace, or enclosure) is: ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement,
crawlspace, or enclosure) is: ❑ feet ❑ meters ❑ above or ❑ below the LAG,
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (seepages 1-2 of Instructions), the
next higher floor (C2.b in applicable
Building Diagram) of the building Is: ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E.3. Attached garage (top of slab) is: ❑ feet ❑ meters ❑ above or ❑ below the HAG.
FA. Top of platform of machinery and/or equipment
servicing the building is: ❑ feet ❑ meters ❑ above or ❑ 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
floodplam management ordinance? ❑ Yes ❑ No ❑ Unknown The local official must certify this Information in Section G.
SECTION F — PROPERTY OWNER (OR OWNER'S AUTHORIZED REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without BFE) or Zone AO must
sign here. The statements in Sections A, B, and E are correct to the best of my knowledge
❑ Check here if attachments and describe in the Comments area.
Property Owner or Owner's Authorized Representative Name: _
Address:
City: State: AR ZIP Code:
Telephone: Ext.: _ Email: _
Signature: Date:
Comments:
FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) Form Page 4 of 8
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1.11
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.:
FOR INSURANCE COMPANY USE
2020 RIVERFRONT ROAD - WAREHOUSE BUILDING J
Policy Number.
City: VAN BUREN State: AR ZIP Code: 72956
Company NAIC Number:
SECTION G—COMMUNITY INFORMATION (RECOMMENDED FOR COMMUNITY OFFICIAL COMPLETION)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Section A, B, C. E, G, or H of this Elevation Certificate. Complete the applicable item(s) and sign below when:
G1. ❑ The information 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 state law to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.)
G2.a. ❑ A local official completed Section E for a building located in Zone A (without a BFE), Zone AO, or Zone AR/AO, or when item
E5 is completed for a building located in Zone AO.
G2.b. ❑ A local official completed Section H for insurance purposes.
G3. ❑ In the Comments area of Section G, the local official describes specific corrections to the information in Sections A, B, E and H.
G4. ❑ The following information (Items G5—G11) is provided for community floodplain management purposes.
G5. Permit Number: G6. Date Permit Issued:
G7, Date Certificate of Compliance/Occupancy Issued:
G8. This permit has been Issued for: XNew Construction ❑ Substantial Improvement
G9.a. Elevation of as -built lowest floor (including basement) of the
building: ❑ feet ❑ meters Datum:
Gg.b. Elevation of bottom of as -built lowest horizontal structural
member: ❑ feet ❑ meters Datum:
010.a. BFE (or depth In Zone AO) of flooding at the building site: ❑ feet ❑ meters Datum:
G10.b. Community's minimum elevation (or depth in Zone AO)
requirement for the lowest floor or lowest horizontal structural
member: ❑ feet ❑ meters Datum:
Gil, Variance issued? ❑ Yes KNo If yes, attach documentation and describe in the Comments area.
The local official who provides information in Section G must sign here. I have completed the Information in Section G and certify that it is
correct to the best of my knowledge. If applicable,, / have also provided specific corrections in the Commentsareaofthis section.
Local Official's Name:-_,(�,a Z9&1I 41 ✓ Title:
NFIP Community Name:
I
Telephone: r{i 11 'q7 / 89143 Ext.: _ mail: —r - -� � veLA"'x rmrvr�
Address: /ea 3
City: I/A�r'Ruri State:ZIP Code: 721SZ
Signature:4a�O Date: pq-3d—.7.p2V
Comments (including type of equipment and location, per C2.e; description of any attachments; and corrections to specific information In
Sections A, B, D, E, or H):
FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) Form Page 5 of 8
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1A1
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: FOR INSURANCE COMPANY USE
2020 RIVERFRONT ROAD - WAREHOUSE BUILDING J Policy Number:
city: VAN BUREN State: AR ZIP Code: 72956 Company NAIC Number:
SECTION H - BUILDING'S FIRST FLOOR HEIGHT INFORMATION FOR ALL ZONES
(SURVEY NOT REQUIRED) (FOR INSURANCE PURPOSES ONLY)
The property owner, owners authorized representative, or local floodplain management official may complete Section H for all flood zones
to determine the building's first floor height for insurance purposes. Sections A, B, and I must also be completed. Enter heights to the
nearest tenth of a foot (nearest tenth of a meter in Puerto Rico). Reference the Foundation Type Diagrams (at the end of Section H
Instructions) and the appropriate Building Diagrams (at the end of Section I instructions) to complete this section.
H1. Provide the height of the top of the floor (as indicated in Foundation Type Diagrams) above the Lowest Adjacent Grade (LAG):
a) For Building Diagrams 1A, 1B, 3, and 6-8. Top of bottom ❑ feet ❑ meters ❑ above the LAG
floor (include above -grade floors only for buildings with
crawispaces or enclosure floors) Is:
b) For Building Diagrams 2A, 28, 4, and 6-9. Top of next ❑ feet ❑ meters ❑ above the LAG
higher floor (1,a,, the floor above basement, crawlspace, or
enclosure floor) is:
112. Is all Machinery and Equipment servicing the building (as listed in Item H2 instructions) elevated to or above the floor indicated by the
H2 arrow (shown in the Foundation Type Diagrams at end of Section H instructions) for the appropriate Building Diagram?
❑ Yes ❑ No
SECTION I - PROPERTY OWNER (OR OWNER'S AUTHORIZED REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A. B, and H must sign here. The statements in Sections
A, B, and H are correct to the best of my knowledge. Note: If the local floodplain management official completed Section H, they should
indicate in Item G2.b and sign Section G.
❑ Check here if attachments are provided (Including required photos) and describe each attachment in the Comments area.
Property Owner or Owners Authorized Representative Name: .—
Address:
city: State: AR ZIP Code: _
Telephone: Ext.: _ Email: —
Signature: Date:
Comments:
FEMA Form FF-206-FY-22-152 (formerly 086.0-33) (8i23) Form Page 6 of 8
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 141
BUILDING PHOTOGRAPHS
See Instructions for Item A6.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: FOR INSURANCE COMPANY USE
2020 RIVERFRONT ROAD - WAREHOUSE BUILDING J
Policy Number:
City: VAN BUREN State: AR ZIP Code: 72956
Company NAIC Number:
Instructions: Insert below at least two and when possible four photographs showing each side of the building (for example, may only be
able to take front and back pictures of townhouses/rowhouses). Identify all photographs with the date taken and "Front View, "Rear View,'
"Right Side View," or "Left Side View." Photographs must show the foundation. When flood openings are present, include at least one
close-up photograph of representative flood openings or vents, as indicated in Sections AS and A9.
Photo One
Photo One Caption: SOUTH EDGE OF BUILDING FACING NORTHWEST.
Photo Two
Photo Two Caption: SOUTHEAST CORNER OF BUILDING FACING WEST.
Clear Photo One
Clear Photo Two
FCMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23)
Form Page 7 of 8
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1=11
BUILDING PHOTOGRAPHS
Continuation Page
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: FOR INSURANCE COMPANY USE
2020 RIVERFRONT ROAD - WAREHOUSE BUILDING J
Policy Number:
City: VAN BUREN State: AR ZIP Code: 72956
Company NAIL Number:
Insert the third and fourth photographs below. Identify all photographs with the date taken and "Front View," "Rear View," 'Right Side
View," or "Left Side View." When Flood openings are present, include at least one close-up
photograph of representative flood openings or
vents, as indicated in Sections A6 and A9.
Photo Three
Photo Three Caption:
Clear Photo Three
Photo Four
Photo Four Caption:
Clear Photo Four
FEMA Form FF-206-FY-22-152 (formerly 066-0-33) (8123) Form Page 8 of 8
CITY OF Vk+1YV BUREN
COMlVIERGIAL NtW GUIV� I Kurkn. I evil rmniv" e
THIS FORM WAS PRINTED ON: 8/31/2023
PERMIT /1: 14275 DATE ISSUED:
PROJECT ADDRESS:
2D20 RIVERFRONT RD J
SUBDIVISION:
BLOCK
VALUATION:
$ 585,000,00
ZONE ORD:
SEGMENT DESC:
COMMERCIAL BUILDING
SO FT
TYPE:
ISSUED TO:
FIVE RIVERS DISTRIBUTION LLC
CONTRACTOR:
ADDRESS
P. O. BOX 5606
ADDRESS:
CITY
VAN BUREN
CITY:
STATE
AR
ST:
ZIP:
72957
ZIP:
PHONE:
479-410A557
PHONE:
FEE CODE DESCRIPTION
BUILDING BUILDING FEE
ACIEA TAX AR CONS IND EDUC ACT
EROSION EROSION CONTROL
BI31I2023
30,000
FIVE RIVERS DISTRIBUTION LLC
P. O. BOX 5608
VAN BUREN
AR
72957
AMOUNT
$3,000.00
$ 292.50
$ 25,00
TOTAL $3,317.50
I HEREBY CERTIFY I HAVE READ AND EXAMINED THIS DOCUMENTKNO
THE SAME TO BE
AND CORRECT, ALLHAT PROVIS PROVISIONS OF LAWS AND ORDINANCES G VERN NNG THIS TYPE OF WORK WILL BEE
COMPLIED WITooWFqETHER SPECIFIED HEREIN OR NOT, GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE
AUTH(i 4 0 VI LATE OR CANCEL THE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING
�� / CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
DATE
(APPROVED BY) DATE