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Page 1 of 8 FEMA Form FF-206-FY-22-153 (formerly 086-0-34) (2/23) PRIVACY ACT STATEMENT PURPOSE OF THE DRY FLOODPROOFING CERTIFICATE FOR NON-RESIDENTIAL STRUCTURES PAPERWORK BURDEN DISCLOSURE NOTICE Public reporting burden for this data collection is estimated to average 3.25 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street SW, Washington, DC 20742, Paperwork Reduction Project (1660-0008). NOTE: Do not send your completed form to this address. General: This information is provided pursuant to Public Law 96-511 (the Paperwork Reduction Act of 1980, as amended), dated December 11, 1980, to allow the public to participate more fully and meaningfully in the Federal paperwork review process. Authority: Public Law 96-511, amended; 44 U.S.C. 3507; and 5 CFR 1320. Authority: Title 44 CFR § 60.3, 61.7 and 61.8. Principal Purpose(s): This information is being collected for the primary purpose of estimating the risk premium rates necessary to provide flood insurance for new or substantially improved structures in designated Special Flood Hazard Areas. Routine Use(s): The information on this form may be disclosed as generally permitted under 5 U.S.C. § 552a(b) of the Privacy Act of 1974, as amended. This includes using this information as necessary and authorized by the routine uses published in DHS/ FEMA-003 – National Flood Insurance Program Files System or Records Notice 79 Fed. Reg. 28747 (May 19, 2014), and upon written request, written consent, by agreement, or as required by law. Disclosure: The disclosure of information on this form is voluntary; however, failure to provide the information requested may result in the inability to obtain flood insurance through the National Flood Insurance Program or being subject to higher premium rates for flood insurance. Information will only be released as permitted by law. Under the National Flood Insurance Program (NFIP), the dry floodproofing of non-residential buildings may be permitted as an alternative to elevating to or above the Base Flood Elevation (BFE) or for certain flood zones, the natural Highest Adjacent Grade (HAG). A dry floodproofing design certification is required for non-residential structures that are dry floodproofed and the dry floodproofed non-residential portions of mixed-use buildings. This form is to be used for that certification. FEMA Form 206- FY-21-122 NFIP Residential Basement Floodproofing Certificate is required for the residential portions of mixed-use buildings. A dry floodproofed building is a building that has been designed and constructed to be watertight (substantially impermeable to floodwaters) below the BFE and with structural components having the capability of resisting hydrostatic and hydrodynamic loads and effects of buoyancy. Before a dry floodproofed building is designed, numerous planning considerations, including flood warning time, uses of the building, mode of entry to and exit from the building and the site in general, floodwater velocities, flood depths, debris impact potential, flood frequency, and any other State and local requirements must be addressed to ensure that dry floodproofing will be a viable floodplain management measure. The minimum NFIP requirement is to dry floodproof a building to the BFE. However, to be in compliance with the requirements of American Society of Civil Engineers (ASCE) 24, Flood Resistant Design and Construction, one foot is subtracted from the dry floodproofed elevation. Therefore, a building must be dry floodproofed to one foot above the BFE to be considered for floodproofing credit. For B, C, or X flood zones, the building's dry floodproofed design elevation must be at least two feet above the natural HAG to be considered for floodproofing credit. Additional guidance can be found in FEMA Publication 936, Floodproofing Non-Residential Buildings (2013), and NFIP Technical Bulletin 3, Requirements for the Design and Certification of Dry Floodproofed Non-Residential and Mixed-Use Buildings (2021), available on FEMA's Building Science Resource Library website at www.fema.gov/ar/emergency-managers/risk-management/ building-science/publications. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program DRY FLOODPROOFING CERTIFICATE FOR NON-RESIDENTIAL STRUCTURES OMB Control No. 1660-0008 Expiration Date: 06/30/2026 ---PAGE BREAK--- Page 2 of 8 FEMA Form FF-206-FY-22-153 (formerly 086-0-34) (2/23) SECTION I – FLOOD INSURANCE RATE MAP (FIRM) INFORMATION SECTION II – DRY FLOODPROOFED DESIGN CERTIFICATION (By a Registered Professional Engineer or Architect licensed in the State where the building is located) PROPERTY INFORMATION Copy all pages of this Dry Floodproofing Certificate and all attachments for 1) community official, 2) insurance agent/ company, and 3) building owner. The dry floodproofing of non-residential buildings and the non-residential portions of mixed-use buildings may be permitted as an alternative to elevating to or above the Base Flood Elevation (BFE); however, a dry floodproofing design certification is required. This form is to be used for that certification. Dry floodproofing of a residential building does not alter a community’s floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow dry floodproofed residential basements. The permitting of a dry floodproofed residential basement requires a separate certification specifying that the design complies with the local floodplain management ordinance. FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: Building Owner's Name: Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: City: State: ZIP Code: Property Description Lot and Block Numbers, or Legal Description) and/or Tax Parcel Number: Building Use Non-Residential, Mixed Use, Addition, Accessory, etc.): Latitude/Longitude: Long. Lat. Horizontal Datum: NFIP Community Name: NFIP Community Identification Number: County Name: State: Map/Panel Number: Suffix: FIRM Index Date: FIRM Panel Effective/Revised Date: Flood Zone(s): BFE(s) (Zone AO, use Base Flood Depth (BFD)): Indicate the source of the BFE data or BFD entered above: Indicate elevation datum used for BFE shown above: Is a Limit of Moderate Wave Action (LiMWA) shown on the FIRM? If Yes, is the property located in the Coastal A Zone [area between the LiMWA and Zone V boundary (or shoreline)]? Is the property located in a floodway? If Yes, provide the velocity at the building location: Is the property located in an alluvial fan? If Yes, provide the depth at the building location: and velocity: (Note: For insurance rating purposes in all zones except for B, C or X, the building's dry floodproofed design elevation must be at least one foot above the BFE to be considered for floodproofing credit. For B, C, or X Zones, the building's dry floodproofed design elevation must be at least two feet above the natural HAG to be considered for floodproofing credit. If the building is not dry floodproofed to the above-mentioned standards, then the building will be ineligible for floodproofing credit. See the Instructions section for information on documentation that must accompany this certificate if being submitted for flood insurance rating purposes.) Briefly list measures incorporated into the design to meet the performance criteria for dry floodproofing and attach calculations showing the structure is designed with structural components that have the capability of resisting hydrostatic and hydrodynamic loads and the effects of buoyancy and will be watertight and substantially impermeable to the passage of water. NAD 1927 NAD 1983 Flood Insurance Study (FIS) FIRM Community Determined Other: WGS 84 NGVD 1929 NAVD 1988 Yes No Yes No Yes No Yes No Other/Source: ---PAGE BREAK--- Page 3 of 8 FEMA Form FF-206-FY-22-153 (formerly 086-0-34) (2/23) SECTION II – DRY FLOODPROOFED DESIGN CERTIFICATION (Continued) (By a Registered Professional Engineer or Architect licensed in the State where the building is located) Provide elevations used in design, specifications and construction drawings. In Puerto Rico only, enter meters. Indicate elevation datum used for the elevations in this section. Elevation datum used for building elevations must be the same as that used for the BFE. Conversion factor used? If Yes, describe the source of the conversion factor in the Comments area of this Section. A. Dry Floodproofed Design Elevation: B. Lowest Adjacent Grade (LAG) next to the building: C. Highest Adjacent Grade (HAG) next to the building: Non-Residential Dry Floodproofed Design Certification: I certify the structure, based upon development and/or review of the design and specifications for construction, has been designed in accordance with the accepted standards of practice (ASCE 24-05, ASCE 24-14 or their equivalent) and the following provisions. • The structure, together with attendant utilities and sanitary facilities will be watertight to the dry floodproofed design elevation indicated above, will be substantially impermeable to the passage of water, and shall perform in accordance with the 44 Code of Federal Regulations (44 CFR 60.3(c)(3)). • All structural components are capable of resisting hydrostatic and hydrodynamic flood forces, including the effects of buoyancy, and anticipated debris impact forces up to the dry floodproofed design elevation. Flood damage-resistant materials are used for all areas where seepage is intended to collect inside the dry floodproofed areas up to at least 4 inches above the floor. I certify that the information in Section II on this certificate represents a true and accurate determination by the undersigned using the available information and data. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Certifier's Name: License Number (or Affix Seal): Title: Company Name: Mailing Address: City: Signature: Email: Date: Phone Ext.: Phone Ext.: Comments (including source of conversion factor and description of any attachments): Other/Source: NAVD 1988 NGVD 1929 No feet feet meters Natural Finished Natural Finished meters feet meters Yes Place Seal Here ZIP Code: State: FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: City: State: ZIP Code: SIGN ---PAGE BREAK--- Page 4 of 8 FEMA Form FF-206-FY-22-153 (formerly 086-0-34) (2/23) SECTION III – DRY FLOODPROOFED ELEVATION CERTIFICATION (By a Registered Professional Land Surveyor, Engineer or Architect licensed in the State where the building is located) Benchmark Utilized: Vertical Datum: Indicate elevation datum used for the elevations provided in this section: Elevation datum used for building elevations must be the same as that used for the BFE. Conversion factor used? If Yes, describe the source of the conversion factor in the Comments area of this section. A. Dry floodproofed elevation (must be based on finished construction): B. Lowest Adjacent Grade (LAG) next to the building: C. Natural Highest Adjacent Grade (HAG) next to the building: Height of floodproofing on the building above the natural or finished LAG is (In Puerto Rico only: feet. meters.) (Note: For insurance rating purposes in all eligible zones inside the SFHA, the building's dry floodproofed design elevation must be at least one foot above the BFE to be considered for floodproofing credit. For B, C, D, or X Zones, the building's dry floodproofed design elevation must be at least two feet above the natural HAG. If the building is not dry floodproofed to the above-mentioned standards, then the building will not be considered for floodproofing credit. See the Instructions section for information on documentation that must accompany this certificate if being submitted for flood insurance rating purposes.) Non-Residential Dry Floodproofed Elevation Information Certification: Section III certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Section III on this Certificate represents a true and accurate interpretation and determination by the undersigned using the available information and data. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Comments (including source of conversion factor and description of any attachments): Other/Source: NAVD 1988 NGVD 1929 No Yes feet feet meters meters feet meters Finished Natural Certifier's Name: License Number (or Affix Seal): Title: Company Name: Mailing Address: City: Signature: Email: Date: Phone Ext.: Phone Ext.: Place Seal Here ZIP Code: State: FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: City: State: ZIP Code: SIGN ---PAGE BREAK--- Page 5 of 8 FEMA Form FF-206-FY-22-153 (formerly 086-0-34) (2/23) SECTION IV – DRY FLOODPROOFED CONSTRUCTION CERTIFICATION (By a Registered Professional Engineer or Architect licensed in the State where the building is located) Non-Residential Dry Floodproofed Construction Certification: I certify the structure, based upon development and/or review of the design, specifications, as-built drawings for construction and physical inspection, has been designed and constructed in accordance with the accepted standards of practice (ASCE 24-05, ASCE 24-14 or their equivalent) and any alterations also meet those standards and the following provisions. • The structure, together with attendant utilities and sanitary facilities is watertight to the dry floodproofed design elevation indicated above, is substantially impermeable to the passage of water, and shall perform in accordance with the 44 Code of Federal Regulations (44 CFR 60.3(c)(3)). • All structural components are capable of resisting hydrostatic and hydrodynamic flood forces, including the effects of buoyancy, and anticipated debris impact forces up to the dry floodproofed design elevation. • The floodproofed elevation is in accordance with the design and any alteration(s) to the design. • Flood damage-resistant materials have been incorporated/used in all areas where seepage would collect inside the dry floodproofed areas up to at least 4 inches above the floor. I certify that the information in Section IV on this certificate represents a true and accurate determination by the undersigned using the available information and data. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Copy all pages of this Dry Floodproofing Certificate and all attachments for: 1) community official, 2) insurance agent/company, and 3) building owner. Certifier's Name: License Number (or Affix Seal): Title: Company Name: Mailing Address: City: Signature: Email: Date: Phone Ext.: Phone Ext.: Place Seal Here ZIP Code: State: FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: City: State: ZIP Code: SIGN ---PAGE BREAK--- Page 6 of 8 FEMA Form FF-206-FY-22-153 (formerly 086-0-34) (2/23) REQUIRED DOCUMENTATION In order to ensure compliance and provide reasonable assurance that due diligence had been applied in designing and constructing dry floodproofing measures, the following information must be provided with the completed Dry Floodproofing Certificate: 1. Photographs. All photographs must be clear, identified and include the date taken. Where the building is in the course of construction, provide clear descriptions of any other dry floodproofed components and attachments to be incorporated. a. Photographs of all sides and aspects of the floodproofed building. b. Photographs of all components used to provide dry floodproofing protections (shields, gates, barriers, sump pumps, backflow (non-return) valves or shutoff valves, etc.). c. Photographs of the installed barriers/shields and corresponding clear photographs of openings areas where barriers and shields are deployed without the barriers/shields installed (doors, windows, ventilation intakes, etc.). d. Photographs of penetrations through dry floodproofed envelopes (utilities, mechanical). e. Photographs of backup power source for sump pumps. 2. Comprehensive Flood Emergency Operations Plan for the entire structure to include but not limited to: a. The personnel, equipment, tools, and supplies needed to deploy all dry floodproofing system components with sufficient time prior to the onset of flooding or conditions such as high winds that could interfere with efficient deployment of measures. b. Clearly defined chain of command and assigned responsibilities for personnel involved in the installation of dry floodproofing measures. c. Procedure for notifying personnel responsible for installing dry floodproofing measures, along with a list of duty requirements. d. Decision tree that identifies the sequence, timeline, and responsible parties for installing the dry floodproofing components, including the triggers or benchmarks that will initiate procedures. e. Written description and map of the storage locations and types of dry floodproofing measures to be installed or deployed (shields, gates, barriers, and components as well as all associated hardware), along with any equipment, tools, and materials required for installation. f. Conditions that require the deployment of active dry floodproofing measures installation of flood shields, closing of flood doors, closing of manual valves, staging of pumps). g. Instructions for installing or deploying each dry floodproofing measure and the order of installation if important for effectiveness. h. Instructions for connecting standby (emergency) power source generator) for critical equipment such as sump pumps and egress lighting i. Contact information for the manufacturer and designer to expedite obtaining replacement parts and support as needed j. Evacuation plans for all personnel k. Requirements for installation and deployment drills and training program (at least once a year) l. Requirement for regular review and update of the plan procedures 3. Comprehensive Inspection and Maintenance Plan for the entire structure to include but not limited to: a. Exterior envelope of the structure, such as wall and foundation systems, to identify possible structural and waterproofing deficiencies such as cracks, water staining, and penetrations. b. All penetrations to the exterior of the structure. c. Slabs and wall/slab joints, including structural and drainage deficiencies. d. Flood shields, gates, panels, doors, glazing, barriers, and other components designed to provide dry floodproofing protection, including all seals, gaskets, fasteners, and mounting hardware and tools. e. Sump pumps (or self-priming pumps) and interior drain system. f. Emergency power systems. g. Testing of emergency generators, sump pumps, and other drainage measures. h. Backflow (non-return) valves or shutoff valves. i. Location of all flood shields, gates, panels, and other components including all hardware along with any materials or tools needed to seal the dry floodproofed area. j. Contact information for the manufacturer of the shields and other components to determine the availability of replacement gaskets, seals, and other parts and to ask questions. k. Cadence of inspection and maintenance plan. 4. Building owner acknowledgment that verifies that the owner is aware of the criteria for when the dry floodproofing measures must be installed and that they know how to install all the measures. This would be signed by the owner. Additionally, if the measures are to be installed by a third-party, then the third-party contractor must sign that they know how to install the measures. ---PAGE BREAK--- Page 7 of 8 FEMA Form FF-206-FY-22-153 (formerly 086-0-34) (2/23) To receive credit for dry floodproofing, a completed Dry Floodproofing Certificate for Non-Residential Structures is required for non- residential buildings and the non-residential portions of mixed-use buildings in the Regular Program communities, located in all flood zones, including Zone X. For certification of finished construction, this form is invalid without Sections I through IV. PROPERTY INFORMATION This section identifies the building, its location, and its owner. Enter the name(s) of the building owner(s), the building's complete street address, and/or property description. If the building's address is different from the owner's address, enter the address of the building being certified. If the address is a rural route or a Post Office box number, enter the lot and block numbers, the tax parcel number, the legal description, or an abbreviated location description based on distance and direction from a fixed point of reference. A map may be attached to this certificate to show the location of the building on the property. A tax map, FIRM, or detailed community map is appropriate. If no map is available, provide a sketch of the property location, and the location of the building on the property. Include appropriate landmarks such as nearby roads, intersections, and bodies of water. For building use, indicate whether the building is residential, non-residential, an addition to an existing residential or non-residential building, an accessory building garage), or other type of structure. Use the Comments area of the appropriate section if needed or attach additional comments. Provide latitude and longitude coordinates for the center of the front of the building. Use either decimal degrees 39.504322°, −110.758522°) or degrees, minutes, seconds 39° 30' 15.52", −110° 45' 30.72") format. If decimal degrees are used, provide coordinates to at least 6 decimal places or better. When using degrees, minutes, seconds, provide seconds to at least 2 decimal places or better. Provide the datum of the latitude and longitude coordinates (FEMA prefers the use of NAD 1983). Indicate the method or source used to determine the latitude and longitude in the Comments area. SECTION I – FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Complete the Dry Floodproofing Certificate using the Flood Insurance Study (FIS) and FIRM in effect at the time of the certification. The information for Section I is obtained by reviewing the FIS and the FIRM panel that includes the building's location. Information about the current FIS and FIRM is available from FEMA by visiting msc.fema.gov or contacting the local floodplain administrator. If a Letter of Map Amendment (LOMA), Letter of Map Revision (LOMR), or LOMR Based on Fill (LOMR-F) has been issued by FEMA, please provide the letter date and case number in the Comments area, as appropriate. For a building in an area that was mapped in one community but is now in another community due to annexation or dissolution, enter the community name and 6-digit number of the community in which the building is now located in the name of the county or new county, if necessary; and the FIRM index date for the community the building is now located in. Enter information from the actual FIRM panel that shows the building location, even if it is the FIRM for the previous jurisdiction. If the map in effect at the time of the building's construction was other than the current FIRM, and you have the past map information pertaining to the building, provide the information in the Comments area. Note: Indicate in the Comments Section, if using information based on best available data, such as base-level engineering or advisory flood hazard data (contact the local floodplain administrator to confirm). NFIP Community Name & Community Identification Number. Enter the complete name of the community in which the building is located, and the associated 6-digit Community Identification Number. For a newly incorporated community, use the name and 6-digit number of the new community. Under the NFIP, a "community" is any State or area or political subdivision thereof, or any Indian tribe or authorized native organization which has authority to adopt and enforce floodplain management regulations for the areas within its jurisdiction. To determine the current community number, see the NFIP Community Status Book, available on FEMA's web site at www.fema.gov/national-flood-insurance-program-community-status-book. County Name. Enter the name of the county or counties in which the community is located. For an unincorporated area of a county, enter the county name and "unincorporated area." For an independent city, enter "independent city." State. Enter the 2-letter state abbreviation (for example, VA, TX, CA). Map/Panel Number and Suffix. Enter the 10-character "Map Number" or "Community Panel Number" shown on the FIRM where the building or manufactured (mobile) home is located. For maps in a county-wide format, the sixth character of the "Map Number" is the letter followed by a 4-digit map number. For maps not in a county-wide format, enter the "Community Panel Number" shown on the FIRM. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency INSTRUCTIONS FOR COMPLETING THE DRY FLOODPROOFING CERTIFICATE FOR NON-RESIDENTIAL STRUCTURES ---PAGE BREAK--- Page 8 of 8 FEMA Form FF-206-FY-22-153 (formerly 086-0-34) (2/23) Flood Zone(s). Enter the flood zone, or flood zones, in which the building is located. All flood zones containing the letter or are considered Special Flood Hazard Areas. The flood zones are A, AE, A1–A30, V, VE, V1–V30, AH, AO, AR, AR/A, AR/AE, AR/ A1–A30, AR/AH, AR/AO. Each flood zone is defined in the legend of the FIRM panel on which it appears. BFE(s). Using the appropriate Flood Insurance Study (FIS) Profile, FIS Data Table Transect, Floodway, etc.), or FIRM panel, locate the property and enter the BFE (or base flood depth) of the building site to the nearest tenth of a foot (nearest tenth of a meter, in Puerto Rico). If the building is located in more than one flood zone, list all appropriate BFEs. BFEs are shown in the FIS or on a FIRM for Zones A1–A30, AE, AH, V1–V30, VE, AR, AR/A, AR/AE, AR/A1–A30, AR/AH, and AR/ AO; flood depth numbers are shown for Zone AO. Use the AR BFE if the building is located in any of Zones AR/A, AR/AE, AR/A1– A30, AR/AH, or AR/AO. In unnumbered A or V zones where BFEs are not provided in the FIS or on the FIRM, BFEs may be available from another source. For example, the community may have established BFEs or obtained BFE data from other sources Base Level Engineering) for the building site. For subdivisions and other developments of more than 50 lots or 5 acres in Zone A, establishment of BFEs is required per Floodplain Management requirements 44 CFR 60.3(b)(3). If a BFE is obtained from another source, enter the BFE. The BFE entered must be based on hydrologic and hydraulic analyses. In an unnumbered A Zone where BFEs are not obtained from another source, enter N/A. For areas in which BFEs have not been established, designers can refer to FEMA 265 Zone A Manual: Managing Floodplain Development in Approximate Zone A Areas (FEMA 1995), guide.pdf?id=2215. This guide provides information on obtaining and developing BFEs. Source of BFE. Indicate the source of the BFE or flood depth that you entered. If the BFE is from a source other than FIS Profile, FIRM, or community, include the name of the study, the agency or company that produced it, and the date when the study was completed. Visit msc.fema.gov or contact the local floodplain administrator to access the current FIS and FIRM. Elevation Datum. Indicate the elevation datum to which the elevations on the applicable FIRM are referenced as shown on the map legend. The vertical datum is shown in the Map Legend and/or the Notes to Users on the FIRM. Limit of Moderate Wave Action (LiMWA). Indicate if a LiMWA is shown on the FIRM and the location of the building in relation to the LiMWA. Floodway. Indicate if building is in a floodway and if applicable, the velocity in the area of the building. See FEMA P-936, Floodproofing Nonresidential Buildings for more information on determining the velocity. Alluvial Fan. Indicate if building is in an alluvial fan and if applicable, the depth and velocity in the area of the building. SECTION II – DRY FLOODPROOFED DESIGN CERTIFICATION Section II is to be completed by a Registered Professional Engineer or Architect licensed in the State where the building is located to certify the design of the dry floodproofing measures as required by 44 CFR 60.3(c)(4). SECTION III – DRY FLOODPROOFED ELEVATION CERTIFICATION Section III is to be completed by a Registered Professional Land Surveyor, Engineer, or Architect licensed in the State where the building is located to provide the surveyed elevations of the as-built construction. To ensure that all required elevations are obtained, it will be necessary to physically enter the building. SECTION IV – DRY FLOODPROOFED CONSTRUCTION CERTIFICATION Section IV is to be completed by a Registered Professional Engineer or Architect licensed in the state where the building is located to certify the structure, based upon development and/or review of the design, specifications, as-built drawings for construction and physical inspection, has been designed and constructed in accordance with the accepted standards of practice (ASCE 24-05, ASCE 24-14 or their equivalent) and any alterations also meet those standards and the provisions listed in Section IV. FIRM Panel Effective/Revised Date. Enter the effective date shown on the current FIRM panel. The current FIRM panel effective date can be determined by visiting msc.fema.gov or contacting the local floodplain administrator. In addition, if the area where the building is located was revised by a LOMR, include the LOMR effective date. FIRM Index Date. Enter the effective date or the map revised date shown on the FIRM Index.