Flood Control - Elevation Certificate - 950 E Riverside Drive - Mixed Use Sub No 04 - 9/23/2005
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FEDERAL EMERGENCY MANAGEMENT AGENCY
NA nONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
rta t: R d the . buctio 1 7
a.M.B. No. 3067-0077
Expires December 31,2005
mpo n. ea inS ns on pages -
SECTION A - PROPERTY OWNER INFORMA nON For II1SlJlInill CorrlJaIlY Use:
BUILDING OWNER'S NAME parleY Number Idaho
Idaho Athletic Club
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
950 E. Riverside Drive
CITY STATE ZIP CODE
Eagle ID 83616
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 7, Block 3 Mixed Use Sub. NO.4
BUILDING USE (e.g., Residential, Non-residential, Addition, kJ:;essory, etc. Use a Comments area, if necessary.)
Health & Frtness
LATITUDEJLONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type):~
( HHo - ##' - HH.H#" or ##.####Hj 0 NAD 1927 0 NAD 1983 0 USGS Quad Map
SECTION B - FLOOD INSURANCE RATE MAP (ARM) INFORMA nON
o Other: _
81. NFIP COMMUNITY NAME & COMMUNITY NUMBER
cay 01 Eagle -16lXXl3
82. COUNTY NAME
-MJA
83. STATE
Idaho
84. MAP AND PANEL 87. FIRM PANEL 89. BASE FlOOD ELEVATION(S)
NUMBER 85. SUFFIX 86. FIRM INDEX DATE EFFECTlVElREVlSED DATE 86. FlOOD ZONE(S) (Zone AD, use depth 0I1kJOO1lg)
154 H W19.2003 W19/2003 AE 2565.6
B10. Ir1Cicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
o FIS Profile ~ FIRM 0 Community Determined 0 Other (Describe):_
B11. Indcate the elevation datum used for the BFE in 89: 0 NGVD 1929 ~ NA VD 1988 0 Other (Describe): _
B12. Is the builcing located in a Coastal Banier Resources System (CBRS) area or OtherMse Protected Nea (OPAl? 0 Xes 0 No Designation Date_
SECTION C - BUILDING ELEV AnON INFORMA nON (SURVEY REQUIRED)
C1. Builcing elevations are based on: 0 ConsIndion Drawings. 0 Builcing Under Construction. [8J Rnished Construction
. A new Bevation Certificate will be required when consInx:tion of the buildng is complete.
C2. Builcing Diagram Number 1 (Select the building ciagram most simlar to the builcing for which this certificate is being completed - see pages 6 and 7. If no ciagram
accurately represents the builcing, provide a sketch or pOOIograph.)
C3. Elevations-Zones A1-A30, AE, AH, A (v.flh BFE), VE, V1-V3J, V (v.flh BFE), AR, ARIA. ARlAE, ARlA1-P:!JJ, ARlAH, ARlAO
Complete ~erns C3.-a~ below acconing to the builcing ciagram specified in ~em C2. State the datum used. If the datum is cifferent 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 Comments area of
Section D or Section G, as appropriate, to document the datum conversion. t
Datum Conversioo'Comments
Elevation reference mark used _Does the elevation reference mark used appear on the FIRM? 0 Yes ~ No
o a) Top of bottom floor ~ncIucing basement or erdosure) 2566. 00 It.(m)
o b) Top of next higherfloor _' _It.(m)
o c) Bottom of lowest horizontal structural member rv zones only) _' _It.(m)
o d) Attached garage (top of slab) _' _It.(m)
o e) Lowest elevation of machineI)' arrl'or equipment
servicing the builcing (Describe in a Comments area) _' _It.(m)
o ij Lowest aqacent (finished) grade (LAG) 2565 . 67 It.(m)
o g) Highest aqacent (finished) grade (HAG) 2565. 87 It.(m)
o h) No. of permanent openings (flocxl verts) within 1 It. above aqacent grade _
o i) Total area of all pennanent openings (flood vents) in C3.h _sq. in. (sq. em)
SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERnACA nON
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 under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME LICENSE NUMBER
Dennis Lewis 11575
TITLE COMPANY NAME
Professional Land Surveyor R<1y'tance & Associates
ADDRESS CITY
391 W. State St Eage
SIGNATURE DATE 5
O'f~ ~-t)
See reverse side for continuation.
FEMA Form 81-31, January 2003
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STATE
ID
TELEPHONE
(208) 939-2824
ZIP CODE
83616
Replaces all previous editions