Flood Control - Elevation Certificate - 370 Connemara Lane - Paddy Row Sub - 10/27/2005
11/03/2005 02:13
ROTH HOMES
3232209
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAl. FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
PAGE 04
O.M.B. No. 3067-0077
Expires December 31. 2005
33'i
Read the instrUctions on oaaes 1 .7.
SECTION A - PROPER1'Y OWNI:R N=ORMATlON For n.uance Ccmpsrr)' Uge:
BUIlDING OWNER'S NAME Poley Number
ROm HOMES
eun....DlNG S'TREET ADDRESS (Including Apt, UoI. Suh. andfor Btjg. No.) OR P.O. ROlIlE AND BOX NO. Company HAle NLrnber
370 CONJlEMARA lANE
CITY STATE ZIP CODE
EAGlE 10 83616
PROPERTY DESCRIPTION (Let and Bled; NumbeIs. Tax Paroel Number, Legal t:Ma1pt1on. *-)
LOT 25. PADDY RaNSUEDMSION
BUILDING USE (e.g., R8stdIriIal, Non-l99lclentiaI. M:lIion,~. ete. Uge 8 Comnen1S area. I necBS88ry)
RESlOENTlAl.
lAlTTt.JDEILONGIlUJE (QP11ClIIW..) HORIZONTAL DAl\JM: SOURCE: 0 GPS (Type):_
( .. - tNf - #fl..##' Of tIf..1I##IMf') 0 NAD 19V 0 NAD 1983 0 USGS Quad Map
o 0Iher. ~
SECT10N B. R.OOD JSJW<<:E RATE MAP (FIRM) tf=ORrM.'OON
I ~~~~&ca.MNlYtu.U:R r ~~ [ ~TE
84. M6.P No[J PAle. B7.FRMPAN3.. 69. eASE R.OOD l3.EVATD(S}
NUM3ER 85. SlFFIX fl6. FRM NlEX DATE ~0A1E 88. Fl.OOO 200E(S) (ZOh8AO.1m8_cl~)
1fm1C0153 H 2.19-03 2-1900 AH 2562
810. IrdcaIe the SW'OO eX !he Base FOOd EIevalkJl (BFE) diE a booe troldeP/1 enlerM in 89.
o FIS Profile 181 FIRM 0 Comrrurity Delemilled 0 Olher (Desaile): ~
811. IrlcIic$ the elevcfu1 daum U5IE!d forlhe EFE i'l a9: 0 NGVD 1929 181 NA VD 1988 0 om- (De9a1be): _
812. Is the buUng Iocaed In a Coe9taI Banter ReeoJroes Syslem (CBRS) iifl!a or OIherMse F'rtIle2d AIea (OPAl? 1;1 Yss 0 No 0e!Q1alI00 Dale
SEC110H C. BUILDING a.EVAllON N=ORMATION (SURVEY REQUIRED)
C1. ~ oomtoos are I:las$j (11: 0 Coos1rudloo ~. 0 Eltti'lg Undar CmfMIclIooo 181 AnI9hed CoosIrudIon
"A reN EIeY8ioo CertIic8t8 wi be ~ when <Xn9IItJ:too d1he W1cing is~.
C2. Buklng ~ Number ~ (Seled the bt.Iidrg tiQ<IT1 roost 9krIar tithe bUkIrg b~ this ca1illcale 19 00Ing ~ - ge9 pages 6 and 7. If no ~
~ represenIs the bttilg. provide a 9a:tI a JtrA)}~ L)
C3. EJevcjoos - Zooe9 A 1-Aro, AE, AH, A (wIh rH), VE, V1.~. V ('MIh a:E), AR. ARIA, ARJAE, APIA 1-f:JJ, ARlAH, ARlAO
CcI'llpElte It&ns C3.-e-i taM ao::adng ~ fie tddog ~ splded In Item C2. SlaIa the d3Un t.aled.lflle dmlnls cIlrerenl fmm !he ~ used utile BFE In
Secllon 8, cm..oed lhe d<tJm 10 Iha ~ forlhe EFE.. St1c:Jw ~ ~ IJld d8l1Jm ~ caIr.:UaIal. Uge the 9p8)9 pn:Mded (1' t'1fI Camlents <rea ct
Sdon D(1'Secb1 G, as~ 10 dc:laJllErithe daIlm a:JWmiJ1.
DaI1Jm ~
EIevatian refereI1ce naI< used _[)oQs lhe Sevatial rdenn;e mat used lpPlWon the FIRM? 0 Ye9 ~ No
o a)Topdbottr:mfkJor{i1cludngbasementOl'Ilt1Cb;urv) =.lft(m)
o b) T ~ ct next higher ltJot 2562 .1ll(m)
o 0) BoIlan ctk'NJest ~ lllNcM'BI mentJer 01 zooes CIlly) NlA . _ft~m)
o d) A1tad1ed gmge (\q> of slab) !fm. lft.(m)
o e) LOIl'e9I eIeYafioo<< machInely and'or ~
servDng lhe bl.till (Oescrlba in a Q:mnens creal ~. j.,ft(m)
o n Lo.wst acfjac81l (flnIshei) lJMe (lAG) ~. Q.t1.(m)
o g) Hl,tlest ~ (finlsOOd) grade ~G) m ill.(m)
o h) No. d peIl'Tla1lQ qJenlrv; (Iood vents) wif10 1 ft. aboYe ~ graie ~
Q I) TlXalereadal pemmentC(JeOOg!l (1bxlWlnl$) in C3.h~9Q. h (sq. an)
SECTION D. SURVEYOR, ENGINeER, OR ARCHITECT ceRTIFlCATION
This certification Is to be Bigood and seMld by eland surveyor, engineer, (1' architect authorized by I8w to certify elev~on I1lf~atIon.
I certify that thelnfolmetfon in S6cl/ons A, B. end C on this certfficst& mprewds my best effotts to InIefprst 1M datu 9V9lIabJe.
I understand that 8I1Y f8/s9 statement may be ptJflishab/e by..flne or fmprfson/ntHIt under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME DARREN R. LEAVITT, Pol$. LICENSE NUMBCR 7323
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TIlLE PROFESSIONAl. lAND SURVEYOR
COMPAN1 NAME ~ lAND SURVEYlNG.INC.
CITY
EAGlE
DA. TE
10-27 .a;
See reverse side for continuation.
STATE
ID
TELEPHONE
206-939-7373
ZIP Cln:
83616
ReplQW$ ell previouII editions