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678 BAYWAY BLVD j , FEDERAL EMERGENCY MANAGEMENT AGENCY • ^ NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 • Expires December 31, 2005 ELEVATION CERTIFICATE ��� + �°l�� � Important: Read the instructions on pages 1•7. � SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number ROGERS BEACH DEVELOPMENT, INC UNIT No. 3 BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 678 BAYWAY BOULEVARD CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.) Lot 3,MOORINGS TOWNHOMES II P.6.126,PGS.78-79 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,ff necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.##" or ##.�) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COAM�l1NITY NAME 8�COMMUNITY NUMBER 62.COUNTY NAME B3.STATE , Cily of Clearwater 125096 PINELLAS F�oRi�,a B4.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding) 125(196-0007 D AUGUST 19,1991 JULY2,1992 AE EL11.0 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑F!S Profile �FIRM ❑Community Determined ❑Other(Desaibe): B11.Indicate the elevation datum used fa the BFE in 69:�NGVD 1929 ❑NAVD 1988 ❑Other(Desaibe): 812.Is the buildirig located in a Coast�Bartier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation Date 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 consVuction af t�e building is complete. C2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this cerfificate is l�eing completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AWAE,AWA1-A30,AR/AH,AWAO Complete Items C3:a-i below accord'ng to the building diagram specified in item C2.State the datum used.If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Secfion D or Section G,as appropriate,to document the datum conversion. Datum NAVD 1929 ConversioNComments N/A Elevation reference mark used LP-15, EL.=4.981 boes the elevation reference mark used appear on the FIRM? ❑Yes �No � ' � { � �f�, > � � x ,. o a)Top of bottom floa(induding basement or endosure) 6.83 . FT ft.(m) � , �/� � ` o b)Top of next higher floor 16.3 FT ft.(m) `� °�f. '�'� o c)Bottom of lowest horizontal structur�l member(V zones only) IVIA . FT ft.(m) y� � j`�r" "' ��*' � 0 0 '� + ��': . � { ° �. o d)attached garage(iop of block) 6.83 . FT ft.(m) �� ;�`�'�- ' `� o e)Lowest elevation of machinery andlor equipment W ; ��' `�� a � �, servipng the building(ELEVATOR EQUIPMENT) 11.3 . FT ft.(m) E � ��, T �',�`r"'� , � � �. o fl Lowest adjacent(finished)grade(LAG) 6.6 . FT ft.(m) z'� �� � � ������,�' � "• t'_ o Hi hest ad'acent finished rade HAG 6.7 . FT ft.m �� '�l1 h �� �� ��"rf��� 9) 9 1 � )9 � ) � ) ,�9� �91���'�,��,k. o h)No,of permanent openings(flood ve,nts)within 1 ft.above adjacent grade 14 � `'�-� ? y�.�'"� � ,.�`, o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. i,F;w '° SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. 1 certify fhat fhe informafion in Sections A,8,and C on this certificate represents my best efforts to interpret the data available. 1 understand fhat any false statement may be punishable by fine or imprisonment under 1 B U.S. Code,Section 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A.KLEIN PLS 5052 . TITLE COMPANY NAME PRESIDENT ' �" �` ` '' ��� KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old County Road 54 New Port Richey FL 34653 SIGNATURE - DATE TELEPHONE . � 12109/04 (727)834-8140 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance Company Use: BUILDING STREET ADDRESS(Induding Apt,Unif,Suite,and/or Bklg.No.)OR P.O.ROUTE AND BOX N0. Policy Number �i 678 BAYWAY BOULEVARD UNIT No.3 CITY STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER;OR ARCHITECT CERTIFICATION(CONTINUED) � Copy both sides of this Elevation Certi6cate for(1)community olfiaal,(2)insurance agenUcompany,and(3)building owner. COMMENTS AIC UNITS ON THE TOP OF THE ROOF ❑Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete liems E1 through E4. If the Elevation Certificate is intended for use as suppoRing information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed—see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(induding basement or endosure)of the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6�with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _fl.(m)_in.(cm)above the highest adjacent grade. Compiete items C3.h and C3.i on front af form. E4.The top of the plaiform of machinery and/or equipment serviang the building is _ft.(m)_in.(cm)0 above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO a�ly: If no flood depth number is availabte,is the top of the bottom floor elevated in accordance with the communi�'s floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must oertiiy this information in Secfion G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or oumers authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The sfatements in Secfions A,B,C,and E are correct to fhe best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME • ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments ' '� SECTION G-COMMUNITY INFORMATION(OPTIONAL) ,_ The local c�aal who is authoriz..�d�y��w or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation CePtificate. Compf�te the applic�able j�a;i(s)and sign below. G1.❑The information ira Sectiart"C�k'�tas taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or ar�hi#ect who is authonzed by state .� ,or loc�!�ew tocerti�fy eleuation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.�A communiiy��ffiaal cpmpleted5ection E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.[�,The fdiowing infom�ation(�tems G4-G9)is provided for community floodpiain management purposes. G4.PERMIT UMBER � 1 G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7.This permit has been issued for.�New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(induding basement)of the buiiding is: _._ft.(m) Datum:_ G9.BFE or(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE • COMMENTS PL�4N � • � SVCS a FEMA Form 81-31,January 2003 Replaces all previous editions __ _ , m ,,�..,._ FEDERAL EMERGENCY MANAGEMENT AGENCY ' � - � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 . Expires December 31, 2005 ELEVATION CERTIFICATE ��� �°��� S important: Read the instructions on pages 1-7. • � SECTION A-PROPERTY OWNER INFORMATION Fa���rn�� BUILDING OWNER'S NAME Policy Number ROGERS BEACH DEVELOPMENT, INC UNIT No.3 BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 678 BAYWAY BOULEVARD CITY . STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcef Number,Legal Desaiption,etc.) Lot 3,MOORINGS TOWNHOMES II P.6.126,PGS.7&79 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.#tK' or ##.#�1#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Oiher. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP CONMAUNITY NAN�&COMMUNITY NUIv�ER 62 COUNTY NAME 63.STATE City of Clearwater 125096 PINELLAS FLORIDA 64.MAP AND PANEL ��j_ qZ B7.FIRM PANEL B9.&4SE FLOOD ELEVATION(S) NUNBER 65.SUFFIX B6.FIRM INDDC DATE EFFECTIVEIREVISED DATE BB.ROOD ZONE(S) (Zone A0,use depTh of flood�g) 125096-0007 D AUGUSTI�4BC3. AE EL11.0 610.Indcate the souroe af the Base Flood Elevation(BFE)data or base flood depth en ered in 9. ❑FIS Profile �FIRM ❑Communi�Determined ❑Other(Describe):_ B11.Indicate the elevation datum used fa the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Olher(Desaibe): 612.Is the buildng located in a Coast�Bartier Resairces System(CBRS)area a Othervuise Proteded Area(OPA)? ❑Yes �No Designation Date_ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:0 Const�uuc6on Drawings' ❑Bu�dng Under Construction` �Fnished Construction . � 'A new Elevation Certificate will be required when construction of the building is complete. C2.Building Diagram Number 7 (Seled the buil�ing diagr�n most similar to the building for which this certificate is being completed-see pages 6 and 7. If no dagram accurately represents the building,provide a sketch or photograph.) C3.Elevations-Z�es A1-A30,AE,AH,A(with BF�,VE,V1-V30,V(with BFE),AR,AR1A,AR/AE,ARIA1-A30,AR/AH,AWAO Complete Items C3:a-i belaw accordng to Ihe buildng diagram speafied in ttem C2.State the datum used.If the datum is d�ferent from the datum used fa the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conve�ion calculation. Use the space provided or the Comments area of SecUon D or Section�,as approprfate,todoeument tlie datum eonversion._ _ _ __ _ _ _ _ Datum NAVD 1929 ConversionlComments N/A .�:��. , . .. Elevation referenoe mark used IP-15, EL=4.981 Does the elevation reference mark used appear on the FIRM? ❑Yes �No ,� >^��' ;�� x' o a)Top of bottan floor(induding basement or endosure) 6.83 . FT ft.(m) � ,; � �,���� �`" "> o b)Top of next higher floor 16.3 . FT ft.(m) `� ,� '� o c)Bottom of lowest haizontal structural member(V zones only) WA . FT ft.(m) o o � 'r �,a = ;. � a `�.;. � �,; o d)aUached garage(top of block) 6.83 . FT fit.(m) �� ;�,;�� � "' . o e)Lowest elevati�of machinery and/or equipment W; +� ��'': .;�, ' servicing the building(EIEVATOR EQUIPMENi) 11.3 . FT ft.(m) _� "; � ,��'`'�,����� �; o fl Lovvest�acent{finished)grade(LAG) 6.6 . FT ft.(m) z� f �', �°�. ��'�:� �' 's'� ; o g)Highest adjacent(finished)grade(HAG) 67 . FT ft.(m) �� ��� `�'�' �C�� o h)No.of perm�ent openings(flood vents)within 1 ft.above adjacent grade 14 � �.� ,;..��,.,,,� o i)Tot�area of all permanent openings(flood vents)in C3.h 1280 sq,in. . t�;4 -:';.. . , SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION ` 7his 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 informafion in Sections A,8,and C on fhis certificafe represenfs my best efforts to inferpret the data available. !understand that any false statement may be punisfiable by fine or imprisonment under 18 U.S.Code,Section 1 D01. CERTIFIER'S NAME LICENSE NUMBER BRUCE A KLEIN p�S 5052 • TffLE -- r _ COMPANY NAME ) PRESIDENT KLEIN&STAUB SURVEYING,INC. ADDRESS CIIY STATE ZIP CODE 8016 Old County Road 54 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE � � 12I09104 (727)834�140 FEMA Form 81-31,JanuaN 2003 See reverse side for continuation. Ranlar.PS all nravirni�ariitinnc IMPORTANT: In these spaces,copy the corresponding information from Section A. Fa Insurance Comparry Use: BUILDING STREET ADDRESS(Indud'mg Apt,Unif,Suite,andlor Bidg.No.)OR P.O.ROUTE AND BOX N0. Pdicy Numbe� � � ` 678 BAYWAY BOULEVARD UNIT No.3 �� STATE ZIP CODE CLEARWATER RORIDA 33767 ��ny NAIC Number SECTION D-SURVEYOR,ENGINEER;OR ARCHffECT CERTIFICATION(CONTINUED) �• Copy both sides of this Elevation CeRificate for(1)canmunity oifiaal,(2)insurance agent/company,and(3)buiidng owner. COMMENTS A/C UNITS ON THE TOP OF THE ROOF ❑Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BF�,complete items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be compieted. E1.Building Diagram Number_(Select the building diagram most similar to the buildng for which this certificate is being completed—see pages 6 and 7. If no diagram accurately represents the bui�ing,provide a sketch or photograph.) E2.The top af the bottom floa(indudng basement or endosure)of the buiiding is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use natural gracie,'rf available). E3.For Buildng Diagrams 6-8 with openings(see page�,the next higher floor a elevated floor(elevation b)of the building is _ft.(m)_in.(cxn)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platforrn of machinery and/a equipment serviang the buildng is _ft.(m)_in.(cm)�above or ❑pelow(chedc one)the highest adjacent grade. (Use natural grade,'rf available). � � E5.For Zone AO oniy: If no flood depth number is available,is the top of the boitan flwr elevated in accordance with the communit�s floodplain management ordinance? ❑Yes ❑No ❑Unknoum. The loc�official must certify this ir�ormation in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or oumers authorized representative who canpldes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(w'rthout a FEMAassued or community- issued BFE}a Zone AO must sign here. The sfatements in�ecfions A,B,C,and E are corred to the best of my knowiedge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME � ADDRESS CIIY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments � ' SECTION G-COMMUNITY INFORMATION(OPTIONAL) ,_ The local c.�icial who is authoriz..�d t�yi�w or adinance to administer the communit�s floodpl�n management orclinance can complete Sections A,B,C(or E),and G of this Elevation Cei'tificate. Canpl�te ihe appli�t�le j�,,tjs)and sign below. G1.0 The inforr.iation.i�Section C v�ias taken from other documentation that has been signed and embossed by a licensed surveyor,�gineer,or ar�hitect who is authorized by state . or loca!!aw to certify eleuatiai ir�ormation. (Indicate the source and date of the elevation data in the Comments area belrnv.) G2.0 A c�rrununity�i,.�fi'icial cnmpl�ed°Section E for a buildng located in Zone A(without a FEMAassued or communityassued BFE)or Zone A0. G3.�,The fdlowing infotmaUon�(Itsms G4-G9)is provided fa community floodpl�n management purposes. G4.PERMIT UMBER � t G5. DATE PERMIT ISSUED G6.DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issued fa:❑New Constnx�ion ❑Substantial Improvanent GS.Elevafion of as-built lowest floor(induding basement)of the lwi�ing is: _._ft.(m) Datum:_ G9.BFE or(in�one AO)depth of flooding at the building site is: _._ft.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE ! COMMUNITY NAME TELEPHONE SIGNATURE DATE • COMMENTS PL�N ' . E �P SVCS � FEMA Form 81-31,January 2003 Replaces all previous editions ) � . � �$�a��c�� CITY OF CLEARWATER • � ,�l i, � � = AO DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT 9/p � ` ` POST OFFICE BOX 474H� CLEARWATER� F�o�Dn 33758-4748 �'q�E �� MUNICIPAL SERVICES BUILDING, 1 0 0 Sou'rx MYxx�rt.�AvEivuE,CLEARWATER,Fcox�Dn 3 3 7 5 6 TE�PxorrE(72� 562-4567 Fnx(72� 562-4576 MEMO OF REVIEW FOR CORRECTNESS 8� COMPLETION In accordance with participation in the NFIP/CRS program,all elevation certificates are required to be reviewed for correctness and completion prior to acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of elevation certificates. The attached etevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community The attached elevation certificate is complete and correct X Minor corrections have been made in the below marked sections by Community Official SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1.BUILDING OWNER'S NAME Policy Number A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number CITY STATE ZIP CODE A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) A4. BUILDING USE(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:�GPS(Type): (##°-##'-##.##" or ##.�°) ❑ NAD 1927 ❑ NAD 1983 ❑USGS Quad Map 0 Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION .NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 83.STATE 64.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER g5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8•FLO00 ZONE(S) 8_�8_�992 (Zone AO,use depth of flooding) 8-19-91 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑ FIS Profile ❑ FIRM ❑Community Determined ❑Other(Describe) 611. Indicate elevation datum used for BFE in B9:❑NGVD 1929 ❑NAVD 1988 ❑Other(Describe) B12. Is the buildin located in a Coastal Barrier Resources S stem CBRS area or Otherwise Protected Area OPA? ❑Yes ❑No Desi nation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑Construction Drawings" ❑Building Under Construction* ❑Finished Construction •A new Elevation CeRificate will be required when construction of the building is complete. C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3. Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No e) Lowest elevation of machinery or equipment servicing the building(Describe in Comments area) ft.(m) h) No.of permanent openings(flood vents)1 ft.above adjencent grade i) Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm) Comments: Date of Review: Community Official: �vation certificates shal/be maintained 6y the community and copies with the attachedmemo made available by request FwwK H�ssnw�,MAYOR GEORGE N.CRE7EKOS,COUNCILMEMRER JOIIN DORAN,COUNCILMEMBER PAUL F.GIF3SON,COUNCILMEMBER � CARLEN A PE1'ERSEN,COUNCILMEMBER ��EQUAL EMPLUYMENT AND AFFIRMATIVE ACTtON EMPIAYER��