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Flood Control - Elevation Certificate - 2898 E Lakeland Lane - Lakeland Estates - 1/23/2006 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FlOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 .7. O.M.B. No. 3067-0077 Expires December 31,2005 SECTION A. PROPERTY OWNER INFORMATION For Insurance Company Use BUILDING OWNER'S NAME Policy Number Kent Thompson ---'-~----'-_.,-,,"- .-..------- BUILDING STREET ADDRESS (Including Apt, Unit, Suite. and/or Bldg No) OR PO ROUTE AND BOX NO Company NAIC Number 2898 E. Lakeland Lane -'-'~-~-'---------- ---.-- CITY STATE Eagle Id PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 11 Block 1 Lakeland Estates Subdivision Parcel # R5125340110 -~--_._----_. --------~- BUILDING USE (e.g, Residential, Non-residential, Addition, Accessory, etc Use a Comments area, if necessary.) Residential LA TITUDElLONGITUDE (OPTIONAL) ( ##0 _ ##' _ ####" or ##.#####0) ZIP CODE 83616 HORIZONTAL DATUM o NAD 1927 0 NAD 1983 SOURCE 0 GPS (Type)_~ o USGS Quad Map o Other U---l SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION fB2 COUNTY NAME --- - --------- I Arj~ I 181, NFIP COMMUNITY NAME & COMMUNITY NUMBER I Eaale. City of 160003 ~ B7 FIRM PANEL .-- 84. rv1AP AND PANEL NUMBER B5. SUFFIX B6 FIRM INDEX DATE EFFECTIVEiREVISED DATE 16001C0162H H 2-19-2003 2-19-2003 i B3 STATE I Idaho ~___L::_____ .....J r --'[s)l~---U ~ B9 BASE FLOOD ELEVATION(S) 88. FLOOD ZONE(S) (Zone AO, use deptll of flooding) AE 25819 ------------- - . -- --- ------ -- -------- ------'- .'--._-- B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9 o FIS Profile ~ FIRM 0 Community Detemmned 0 Other (Describe) _ B11.lndicatetheelevation datum used for the BFE in B9 0 NGVD 1929 ~ NAVD 1988 0 Other (Describe)._ B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)'! 0 Y es ~ No Designation Date SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on 0 Construction Drawings* 0 Building Under Construction* ~ Finished Construction *A new Elevation Certificate 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, APJA, APJAE, APJA1-A30, APJAH, APJAO Complete Items C3.-a~ 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 2588.32 Conversion/Comments Elevation reference mark used OH0157 Does the elevation reference mark used appear on the FIRM? ~ Yes 0 No o a) Top of bottom floor (induding basement or endosure) 2583. QJt(m) o b) Top of next higher floor 2585.8.,ft.(m) o c) Bottom of lowest horizontal structural member (V zones only) ft(m) o d) Attached garage (top of slab) 2585 fift(m) o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) 2586. Q.ft.(m) o 0 Lowest adjacent (finished) grade (LAG) 2584 . fift.(m) o g) Highest adjacent (finished) grade (HAG) 2585. fift.(m) o h) No. of pemnanent openings (flood vents) within 1 ft. above adjacent grade 11 o i) Total area of all pemnanent openings (flood vents) in C3.h 1836 sq. in. (sq. cm) iii ill (fJ '" ill ill Vl- Vl ro ow -0", E c w ro .:i.' '.'!J'.-'t,.. /' './ ... "...' .. -0 . '''';/ /~cQ //~\ t' 9PJ . I . / . ~: 1,1 I \ '\ . ' (v / \ /' /. i"? 10. ) ~'." ./ " .' . . / "-.:.. ~:>/ -- ..: ill ill ~ -0 ::0 ern ::0 c zg, ill(fJ Vl c ill U .:J 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 I certify that the information in Sections A, B, and C 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 under1j3JJ~S;.Q.d!1c~f!..c!!.~eJ2!!1-u___~___ CERTIFIER'S NAME Gary R Burkett LICENSE NUM8ER 4114 COMPANY NAME EHM ENGINEERS INc. TITLEProfessional Engineer ./- CITY Bose DATE 1-20-06 ~ See reverse side for continuation STATE Id TELEPHONE 208-386-9170 ZIP CODE 83705 Replaces all previous editions -..--" IMPORT ANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use 8UILDING S,REET ADDRESS (Induding Apt. Un~, Suite, and/or Bldg. No.) OR PO ROUTE AND BOX NO. Policy Number 2898 E. Lakeland Lane - CITY STATE ZIP CODE Company NAIC Number Eagle Id 83616 SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenVoompany, and (3) building owner. -~._--~---_.- ----_....._~_._._-- -----.---..---- COMMENTS o 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), oomplete Items E1 through E4. If the Elevation Certificate is intended for use as supporting infomnation for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number !l(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 f ft.(m) ~in(cm) 0 above or ~ below (check one) the highest adjacent grade (Use natural grade, if available). E3. For Building Diagrams 6-8 with openinqs (see page 7). the next higher floor or elevated floor lelevatirm b) of the bui1chlg is Q fc(m) :iin(cm) aca'ie the highest ;:;dj3cen! g,ods Complete items C3.h and C3.i on front of form E4. The top of the platform of machinery and/or equipment servicing the building is Q it.(m) 1in(cm) ~ above or 0 below (check one) the highest adjacent grade. (Use natural grade, if available). E5 For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in acoordance with the community's floodplain management ordinance? ~ Yes 0 No 0 Unknown. The local official must certify this information in Section G SECTION F . PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA~ssued or oommunity- issued BFE) or Zone AO must sign here The statements in Sections A, B, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME Stephen R Andersen for EHM Et:JGINEERS INC. __._______ ________ _ n _n_______________________.~ ADDRESS 2404 Bank Driv SIGNA TUR CITY STATE ZIP CODE Boise Id 83705 --~-_._~--~----~--------_.-. -----~-----~~---------~-_.-- DATE TELEPHONE 1-20-D6 208-386-9170 UI Cling pad is elevated several feet above the pre-construction natural ground elevation-~iih all slopes grading ------ away from the structure. o Check here if attachments SECTION G. COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can oomplete Sections A, B, C (or E) and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. 0 The infomnation In Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation infomnation (Indicate the source and date of the elevation data in the Comments area below.) G2. 0 A community official oompleted Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO. G3. 0 The following infomnation (Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This pemnit has been issued for 0 New Construction 0 Substantial Improvement GB. Elevation of as-built lowest floor (induding basement) of the building is G9 BFE or (in Zone AO) depth of flooding at the building site is __ft.(m) ___ _ ft.(m) Datum Datum LOCAL OFFICIAL'S NAME COMMUNITY NAME TITLE TELEPHONE SIGNATURE COMMENTS DATE o Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions