confirmationReceipt.N=438685

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--_----------=_aNVkpmXMfuwK8pH_--_MimePart_I0kzrQ8oXDV458aNVkpmXMfuwK8pH Content-Type: text/plain; charset=utf-8 Content-Transfer-Encoding: Hexa *Your e-mail address and fax number are optional, but helpful if we have questions about your case. Congratulations! You have completed Section A. Please remember to sign this section when you print the form at the end of the tutorial. Back To Top Gathering Information: Section B - Engineering/Survey Information This section must be completed by a licensed land surveyor or registered professional engineer. If an Elevation Certificate has already been completed for this property, it may be submitted in addition to this form. You may leave these fields blank while working on the tutorial and give your partially completed MT-EZ form to your surveyor or engineer to complete and certify. Before completing Section B, the surveyor or engineer must obtain a copy of the effective FIRM panel, effective FBFM panel (if printed), and effective Flood Insurance Study (FIS) report that cover the area where the property is located (if they do not already have that information readily available). These may be obtained from the community map repository. You may also obtain copies of these documents from the FEMA Flood Map Store. Using the Flood Map Store's map search tool, you may find NFIP products for a specific address or area quickly, and view and print information from a specific map panel. You may also use the map search tool to identify and purchase effective flood data, including FIS reports and NFIP maps. For additional information, visit the FEMA Flood Map Store. A) Crawlspace The bottom floor is enclosed by solid or partial perimeter walls, and is above ground level (grade) on at least one side. B) Slab on Grade The bottom floor is at or above ground level (grade) on at least one side. C) Basement/Enclosure The bottom floor (basement or underground garage) is below ground level (grade) on all sides. Types of Construction: Crawlspace Slab on Grade Basement/Enclosure Other (please explain) Item to be Removed from the SFHA: Structure located on natural grade Undeveloped legally recorded parcel of land Back To Top Filling out the Form Section B: Engineering/Survey Information Flood Insurance Rate Map (FIRM) Info: Please enter the information as it appears on the FIRM panel for the area of your property. Building Street Address: Property Description: NFIP Community Number: Map or Panel Number: Base Flood Elevation: Feet Meters (to the nearest tenth of a foot or meter*) *Note: Meters only applicable to Puerto Rico. You may also view a copy of the effective FIRM at your local community map repository. If you do not have a copy of the effective FIRM for your community, you may view and purchase a copy online at FEMA's Flood Map Store. The Flood Map Store also allows you to create a FIRMette, a section of the map at 100-percent scale that can be printed on standard paper sizes - letter (8 1/2" x 11"), legal (8 1/2" x 14"), and tabloid (11" x 17"), at no cost. For additional information on the FIRMette, including how to create one, please review the FIRMette Details. For detailed information on how to read a FIRM, we encourage you to view the tutorial "How to Read a FIRM". Important Note: Remember that you may leave these fields blank while working on the tutorial and give your partially completed MTEZ Form to a registered professional engineer or licensed land surveyor to complete and certify. The form must be completed and certified before it is submitted to FEMA for processing. Note for engineers and/or surveyors: Additional guidance on determining BFEs is provided in the MT-EZ instructions package. Back To Top Elevation Information *This section must be completed by a surveyor or engineer. To remove a structure built on natural ground, FEMA requires the lowest adjacent grade to the structure (the elevation of the lowest ground touching the structure) to be at or above the BFE. The lowest lot elevation is needed only if requesting that an entire property, or portion thereof, be removed. In addition, please note that decks and/or garage, if attached to the structure, are considered part of the structure. Lowest Adjacent Grade: Feet Meters (to the nearest tenth of a foot or meter) Elevation of the lowest grade on the property; or, metes and bounds area:  Feet Meters (to the nearest tenth of a foot or meter) Indicate the datum* (and datum conversion if different from NGVD 29 or NAVD 88): Has FEMA identified this area as subject to land subsidence or uplift?: Yes No If Yes, what is the data of the current releveling? * Not all states allow architects to certify elevations. * Horizontal datum information is not needed for LOMA requests. Back To Top Certification Information Once you print this form, the certification must be signed by a licensed land surveyor, registered professional engineer, or architect* certified by law to certify elevation information. If available, the certifier's seal should also be provided in the designated space. Please provide information about the certifier. Certifier's Name: License Number: Expiration Date (mm/dd/yyyy): Company Name: Telephone Number: Fax Number: Date of Certification (mm/dd/yyyy): *Not all states allow architects to certify elevations. Back To Top Final Steps: Reviewing your Application On the following screens, please verify that the information you have provided is correct and make any necessary corrections or changes. If the information is correct, you may print the partially completed MT-EZ form, sign Section A, and provide it to your surveyor, engineer, or architect* for completion of Section B. *Only in states that permit architects to certify elevation information. At the end of the data verification screens, there will be a "print" button. Click on it to view and print your MT-EZ form. Verification Page 1 of 3 Applicant's Name: Company: Mailing Address: City, State and Zip Code: Daytime Phone: *Fax Number: E-mail Address: Application Date: (mm/dd/yyyy) Street Address (if different from the mailing address): Legal description of the property (lot, block, subdivision): Your entire legally recorded property? A portion of your legally recorded property? A structure on your property? If so, what is the date of construction?(mm/dd/yyyy)  Verification Page 2 of 3 Types of Construction: Crawlspace Slab on Grade Basement/Enclosure Other (please explain) Item to be Removed from the SFHA: Structure located on natural grade Undeveloped legally recorded parcel of land Lowest Adjacent Grade: Feet Meters (to the nearest tenth of a foot or meter) Elevation of the lowest grade on the property; or, metes and bounds area: Feet Meters (to the nearest tenth of a foot or meter) Indicate the datum* (and datum conversion if different from NGVD 29 or NAVD 88) : Has FEMA identified this area as subject to land subsidence or uplift?: Yes No If Yes, what is the date of the current releveling? (mm/dd/yyyy) Verification Page 3 of 3 Certifier's Name: License Number: Expiration Date (mm/dd/yyyy): Company Name: Telephone Number: Fax Number: Date of Certification (mm/dd/yyyy): Building Street Address: Property Description: NFIP Community Number: Map or Panel Number: Base Flood Elevation: Feet Meters (to the nearest tenth of a foot or meter*) Once you have verified your information, click the link to create your MT-EZ form. Back To Top Final Steps: Submitting your Application Don't forget to sign and date your application! Look below to find out where to mail the application package. The following documents must be submitted with your completed MT-EZ form, as applicable: l A copy of the subdivision plat map (with recordation data and stamp of the Recorder's Office) OR l A copy of the recorded property deed (with recordation data and stamp of the Recorder's Office), accompanied by a copy of a tax assessor's map or other suitable map showing the property's surveyed location with respect to local streets and watercourses l A copy of the effective FIRM panel and/or FBFM, if applicable l A map scale and North Arrow must be included on all maps submitted FEMA Regions VIII, IX, and X States include: Alaska, American Samoa, Arizona, Colorado, California, Guam, Hawaii, Idaho, Montana, Nevada, North Dakota, Oregon, South Dakota, U.S. Trust Territory of the Pacific Islands, Utah, Washington, and Wyoming FEMA Regions V, VI, and VII States include: Arkansas, Illinois, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Missouri, Nebraska, New Mexico, Ohio, Oklahoma, Texas, and Wisconsin FEMA Regions I - IV States include: Alabama, Connecticut, Delaware, District of Columbia, Florida, Georgia, Kentucky, Maine, Maryland, Massachusetts, Mississippi, New Hampshire, New Jersey, New York, North Carolina, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, Tennessee, U.S. Virgin Islands, Vermont, Virginia, and West Virginia Letters of Map Change (LOMCs) and External Data Requests should be sent to the MOD team for processing at the address listed below: LOMC Clearinghouse 6730 Santa Barbara Court Elkridge, MD 21075 To expedite processing, please address your request to the attention of the following processing specialists: ATTENTION: LOMA DEPOT (Use for Letters of Map Revision-Based on Fill, Letters of Map Amendment, Conditional Letters of Map Revision-Based on Fill, and Conditional Letters of Map Amendment) ATTENTION: LOMR DEPOT (Use for Letters of Map Revision and Conditional Letters of Map Revision) ATTENTION: FEMA PROJECT LIBRARY (Use for External Data Requests) FEMA Project Library 847 South Pickett St. Alexandria, VA 22304 FAX (703) 212-4090 To check on the status of your case, please contact the FEMA Map Assistance Center at 1-877-FEMA-MAP (1-877- 336-2627) or check the Flood Hazard Mapping Web site for information about the Status of Map Change requests. What happens next? Your application will be processed once FEMA receives the completed MT-EZ form and all the appropriate supporting materials. A determination will be issued within 30 to 60 days of receipt of all necessary materials. Congratulations! You have completed the Applying for a Letter of Map Amendment Tutorial! Enter your name in the box below and press the "go!" link to create your Certificate of Completion. Enter Name Tell a Friend about this tutorial Take a Survey Back To Top Last Modified: Monday, 05-Feb-2007 13:02:27 EST HomeContact UsPrivacy PolicyImportant NoticesFOIANo FEAR Act DataUSA.govDHS FEMA 500 C Street SW, Washington, D.C. 20472 Disaster Assistance: (800) 621-FEMA, TTY (800) 462-7585