Flood Control - Elevation Certificate - 1290 E Lone Creek Drive - Lonesome Dove Sub - 2/6/2009
~ARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
~al Emergency Management Agency
National Flood Insurance Program Important: Read the instructions on pages 1-8.
OMB No. 1660-0008
Exoires Februarv 28. 2009
SECTION A - PROPERTY INFORMATION For Insurance Company Use:
A1. Building Owner's Name Lonesome Dove, LLC Policy Number
A2. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number
1290 E. Lone Creek Drive
City Eagle
State 10 ZIP Code 83616
A3. Property Description (Lot and Btoel< Numbers, Tax Parcel Number, Legal Description, etc.)
Lonesome Dove Subdlvtslon Lot 3, Block 2
A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) Clubhouse
AS. Latitude/Longitude: Lat. 43.41'15" Long. 116.20'14" Horizontal Datum: 0 NAD 1927 181 NAD 1983
A6. Attach at least 2 photographs of the building It the Certificate is being used to obtain flood Insurance.
A7. Building Diagram Number 1
A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provtde:
a) Square footage of crawl space or enclosure(s) ~ sq ft a) Square footage of attached garage sq ft
b) No. of permanent flood openings In the crawl space or b) No. of permanent flood openings In the attached garage
enclosure(s) walls within 1.0 foot above adjacent grade walls withIn 1.0 foot above adjacent grade _
c) Total net area of flood openings In A8.b sq In c) Total net area of flood openings in A9.b sq In
SECTION B - FLOOD INSURANCE RATE MAP (ARM) INFORMATION
81. NFIP Community Name & Community Number
Eagle 160003
82. County Name
Ada
B3. State
Idaho
B4. MaplPanel Number 85. Suffix B6. FIRM Index Date 87. FIRM Panel B8.Flood B9. Base Flood Elevation(s) (Zone
September 22. 1999 EtrectJve/Revised Date Zona(s) AO, use base flood depth)
16001C0162 H February 19,2003 AE 2569
B11.
B12.
Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item B9.
o FIS Profile 181 FIRM 0 Community Determined 0 Other (Descrlbe)_
Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 181 NAVD 1988 0 Other (Descrlbe)_
Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? DYes
Designation Date _ 0 CBRS DOPA
181 No
810.
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. BUilding elevations are based on: D Construction Drawlngs* 0 Building Under Constructlon* 181 Rnlshed Construction
*A new Elevation Certificate will be required when construction of the building Is complete.
C2. Elevations - Zones A1-A30, AE. AH, A (with BFE), VE, V1-V30, V (with BFE). AR, ARIA, ARlAE. ARlA1-A30, ARlAH, ARlAO.
below according to the building diagram specified In Item A7.
Benchmarl< Utilized Prolect Benchmarl< #1 - Lonesome Dove SubdMslon RBC Bulldlno Construction Plans Vertical Datum
Conversion/Comments _
-'-
o meters (Puerto
o meters (Puerto ~I
o meters (Puerto RI
o meters (Puerto RI .
o meters (Puerto RI qnly)
,
D meters (Puerto Rlbo Qnly)
o meters (Puerto Ri!:o qnlY) .
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ms C2.a..g
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-10
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0<
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Check the measurement used.
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2m.L-
.2m.2L-
181 feet
o feet
o feet
o feet
181 feet
181 feet
181 feet
.."
FT1
CD
a) Top of bottom floor (Indudlng basement, crawl space, or enclosure floort
b) Top of the next higher floor
c) Bottom of the lowest horizontal structural member N Zones only)
d) Attached garage (top of slab)
e) Lowest elevation of machinery or equipment servtdng the building
(AC Unit)
f) Lowest adjacent (finished) grade (LAG)
g) Highest adjacent (flnlshed) grade (HAG)
~.~
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. / certify thaI 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.
o Check here if comments are provided on back ofform.
City Eagle
State 10 ZiP Code 83616
Certifier's Name Kevin Patrick McCarthy
Title Professional Engineer
Address 430 E. State Street, Suite 140
License Number 10821
Company Name Rennison Fodrea, Ine.
Signature
Date Z ' fo . /) '1 Telephone 206-938-2440
FEMA Form 81-31, February 2006
See reverse side for continuation.
Replaces all previous editions
J'RTANT: In these spaces, copy the corresponding Information from Section A. For Insurance Company Use:
J/ldlng Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
/290 E. Lone Creek Drive
City Eagle State 10 ZIP Code 83616 Company NAIC Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building o\Nl"ler.
Comments
Signature
Date
o Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a lOMA or LOMR-F request, complete Sections A, B,
and C. For Items E 1-E4. use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
E 1. Provide elevation Information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom Roor (including basement, crawl space, or enclosure) Is _'_ 0 feet 0 meters 0 above or 0 below the HAG.
b) Top of bottom floor (Including basement, crawl space, or enclosure) Is _'_ 0 feet 0 meters 0 above or 0 below the LAG.
E2. For BUilding Diagrams 6-8 wtth permanent flood openings provtded In Section A Items 8 and/or 9 (~age 8 of Instructions), the next higher floor
(elevation C2.b In the diagrams) of the building Is _'_ 0 feet 0 meters 0 above or 0 below the HAG.
E3. Attached garage (top of slab) Is _'_ 0 feet 0 meters 0 above or 0 below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is _'_ 0 feet 0 meters 0 above or 0 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 floodplain management
ordinance? 0 Yes 0 No 0 UnknO\Nl"l. The local official must certify this Information In Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property o\Nl"ler or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-lssued or community-Issued BFE)
or Zone AO must sign here. The statements In Sections A, B, and E are COIJ1JCt to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Chad Lon son
27, . Srldgeway Place, Suite 110 City Eagle State 10 ZIP Code 83616
~-
Date
L-6-01
Telephone (208) 323-6600
Comments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E),
and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used In Items G8. and G9.
G1. 0 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 law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area balow.)
G2. 0 A community official completed Section E for a building located In Zone A (without a FEMA-Issued or community-issued BFE) or Zone AO.
G3. 0 The following information (Items G4.-G9.) Is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
o Check here If attachments
G7. This permit has been Issued for: 0 New Construction 0 Substantial Improvement
GB. Elevation of as-built lowest floor (Including basement) of the building: _'_ .D feet 0 meters (PR) Datum _
G9. BFE or (in Zone AO) depth of flooding at the building site: _'_ 0 feet 0 meters (PR) Datum _
Local Official's Name
Title
Community Name
Telephone
Signature
Date
Comments
FEMA Form 81-31, February 2006
o Check here If attachments
Replaces all previous editions
/
/
Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
1290 E. Lone Creek Drive
City Eagle State 10 ZIP Code 83616 Col'11lBny NAlC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, If required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
Front of Building - East Face
Side of Building - South Face