2248 Riverfront RdU.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flootl Insurance Program
t;
OMB No. 1660-0008
Expiration Date: November 30, 2018
Copy all pages of this Elevation Certificate and all attachments for (1) community offcial; (2) insurence:ageni/company, and (3) building owner..
SECTION A — PROPERTY'INFORMATION
FOR INSURANCE COMPANY USE
A1. Building Owner's Name
Policy Number:
ROCK -IT ENERGY, LLC
A2. Building SUeet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P,O. Roule and
Company NAIL Number:
Box No.
2248 RIVERFRONT ROAD
City State ZIP Code
VAN BUf2EN Arkansas 72956
A3. Property Description (Lot and BlockNumbers, Tax Parcel Number, Legal Description, etc.)
PART SGC. 31 T9N R31 W
A4: Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) NON-RESIDENTIAL
A5: Latitude/Longitude: Lat. 35°24'45.3" N Long.-094°20'11.1" W Horizontal Datum: ❑NAD 1927 ❑x NAD 1983
A6. Attach at least2 photographs of the building if the Certifcate lis being used to obtain flood insurance:
A7. Building Diagram Number 1A
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosures) sq ft
b) Number of permanent floodopenngs in the crawlspace or enclosures) within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b sq in
d) Engineered flood openings? ❑Yes ❑No
A9. For a building with an attachedgarage:
a) Square footage pf attached garage sq ft
b) :Number of permanent flood openings in the attached garage within 1.0 footabove adjacent grade
c) Total net area of flood openings in A9.ti - sq In
d) :Engineered flood openings ❑Yes ❑ No
SECTION B—FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP Community Name &Community Number
62. County Name
B3. State
VAN BUREN 050053
CRAWFORR
Arkansas
84.'Map/Panel
65. Suffiz
B6. FIRM Index
B7. FIRM Panel
88. Flood Zones)
B9. Base Flood Elevations)
Number
bate
Effective/
(Zone AO, use Base
Revised Date
Flood Depth).
0390
J
07/16/1991
12/03/2010
AE
409:4
610: Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
FIS Prof le � FIRM ❑Community Determined []Other/Source. -"
' 61 t .Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 ❑X NAVD 1988 �. Other/Source:
812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise ProtectedAfea (OPA)? ❑Yes � No
Designation Date: ❑CBRS � OPA
FEMA Form'086-0-33 (7/15)
Replacesall previous editions. .
Form Page 1 of6
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OMB No. 1660-0008
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Uffie; November 6u, 2u16
ese spaces, copy corresponding information from Section A.
FOR INSURANCE COMPANY USE
ress (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
T ROADState
=ROAD
ZIP Code Company NAIL Number
Arkansas 72956
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1 Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction' 0 Finished Construction
"A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations — Zones Al—A30, AE, AI -I, A (with LIFE), VE, VI—V30, V.(with BFE), AR, AR/A, AWL, ARtA1—A30, AR/AH, AR/AO.
Complete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only,. enter meters.
Benchmark Utilized: RTKGPS Vertical Datum: NAVD 88
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 X❑ NAVD 1988 Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Checkthe measurement used.
a) Top of bottom floor (includingbasement, crawlspace, orenclosure floor) 411. 3.. feet ❑ meters
b) Top of the next higher Floor _ N/A ® feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) N/AN/Al ® feet ❑ meters
dj Attached garage (top of slab) - N A ❑k feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building N/A. ® feet ❑ meters
(Describe type of equipment and location in Comments)
Q Lowest adjacent (finished) grade next to building (LAG) 4091, 4 ® feet ❑ meters
g) Highest adjacent (finished) gradenext to building (HAG) 409, 6 X feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck orstairs, including N A. ® feet ❑ meters
structural support
SECTION D— SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a. land surveyor, engineer, or architect authorized byy law to certify elevation information,
l certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false
statement maybe punishable by fine orimprisonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? NYes ❑No QCheck here if attachments.
Certifier's Name Number
10411
ANTHONY P. ANDER50N AR RLS # 1272
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Title
LAND SURVEYOR
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HLicense
Company Name
ANDER$ON SURVEYING INC. -
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Address
P,O. BOX 129i
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City State. ZIP Code
VAN BUREN Arkansas 72957
111111S11`�4,�,e<��
Signature Date Telephone
09/04/2019 (479) 474-4247
Cop all page f this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments ncludrng type of equipment and location, per C2(e), if applicable)
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018
[E3
ORTANT: In these spaces, copy the corresponding information from section A. FOR .INS URANCE COMPANY USE
ding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number:
8 RIVERFRONT ROAD - State ZIP Code Company'NAIC Number
BUREN Arkansas 72956
sing the Elevation Certificate to obtain NFIP flood insurance, affix at least 2, building photographs below according to the
instructions for Item AS. Identify all photographs with date taken; "Front View" and "Rear View"; and; if required, 'Right Side View" and
"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or
vents, as indicated in Section A8. If submitting more photographs than will fit on this. page,: use the.Continuation Page.
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Photo One
Photo One Caption Front View
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Photo Two
Photo Two Caption Rear View
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of