Flood Control - Elevation Certificate - 1353 E Lone Shore Drive - Lonesome Dove Sub - 6/7/2013U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE I n' C 6 - D" t-7
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660 -0008
<4Nknrd F10xl10.uuYr17rr Program Important' Read the instructions on pages 1 -9. Expiration Date: July 31, 2015
SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Taunton Properties, 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.
1353 E. Lone Shore Dr.
City Eagle State ID ZIP Code 83616
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 15 Block 9 Lonsome Dove Subdivision
A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential
A5. Latitude /Longitude: Lat. N43 °41'09.83" Long, W116 °20'13.93" Horizontal Datum ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1 B
AB. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) NIA sq ft a) Square footage of attached garage 509 sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s) within 1.0 foot above adjacent grade NIA within 1.0 foot above adjacent grade NIA
c) Total net area of flood openings in AB.b NIA sq in c) Total net area of flood openings in A9.b NIA sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name 8 Community Number + B2. County Name JB3. State
Eagle, City of 160003 I Ada ID
B4. Map/Panel Number 85. Suffix B6. FIRM Index Date 87. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone
16001 CO162 H October 2, 2003 Effective /Revised Date Zone(s) AO, use base flood depth)
February 19, 2003 AE 2568.50
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
® FIS Profile ❑ FIRM ❑ Community Determined ❑ Other /Source
811. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source:
812. Is the building located in a Coastal Barrier resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date: ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings` ❑ Building Under Construction' ® Finished Construction
`A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARIAS, AR/A1 -A30, AR/AH. AR/AO Complete Items C2 a -h
below according to the building diagram specified in Item AT In Puerto Rico only, enter meters.
Benchmark Utilized: Proiect Benchmark Vertical Datum: NAVD 88
Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source
Datum used for building elevations must be the same as that used for the BFE.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor)
b) Top of the next higher floor
c) Bottom of the lowest horizontal structural member (V Zones only)
d) Attached garage (top of slab)
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG)
g) Highest adjacent (finished) grade next to building (HAG)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support
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 that the information on this Certificate represents my best efforts to interpret the data available
l understand that any false statement may be punishable by tine or imprisonment under 18 U.S. Code, Section 1041
❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No
Gertifier's Name Aaron L. Ballard License Number 12459
Title PLS Company Name KNI Engineering, LLP
Address 923 State
Signature x
City Boise
State ID ZIP Code 83714
❑ate June 7, 2013 Telephone 208 -639 -6939
1 59
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FEMA Form 086 -0 -33 (7112) See reverse side for continuation. Replaces all previous editions.
Check the measurement used.
2571.96
® feet
❑ meters
NIA.
❑ feet
❑ meters
NIA.
❑ feet
❑ meters
2571.63
® feet
❑ meters
2571.58
® feet
❑ meters
2570.72
® feet
❑ meters
2571.42
® feet
❑ meters
NIA.
❑ feet
❑ meters
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 that the information on this Certificate represents my best efforts to interpret the data available
l understand that any false statement may be punishable by tine or imprisonment under 18 U.S. Code, Section 1041
❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No
Gertifier's Name Aaron L. Ballard License Number 12459
Title PLS Company Name KNI Engineering, LLP
Address 923 State
Signature x
City Boise
State ID ZIP Code 83714
❑ate June 7, 2013 Telephone 208 -639 -6939
1 59
�► (v ?' Ijo
FEMA Form 086 -0 -33 (7112) 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 (including Apt., Unit, Su te, andfar Bldg Na ;
1353 E Lone Shore Dr. or P.O Route and Box No Policy Number.
.
City Eagle State ID 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 owner.
Comments Per C2e) the elevation shown is for an AC pad on the west side of boding
Signature Date 6 -7 -2013
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 E1 -E4, use natural grade, if available. Check the measurement used In Puerto Rico only. enter meters
E1 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 floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG
E2 For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor
(elevation C2. b in the diagrams) of the building is ❑ feet ❑ meters [] above or ❑ below the HAG
E3 Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG
E4 Top of platform of machinery and +or equipment servicing the bu'.Iding is ❑ feet ❑ meters ❑ above or ❑ 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? ❑ Yes ❑ No ❑ 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. and E for Zone A (without a FEMA- issued or community- issued BFE)
or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature
Comments
Date
Telephone
❑ Check here if attachments.
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local offcial who is authorized by law or ordinance to administer the community's floodplain management ord nance 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 -G10, In Puerto Rico only, enter meters.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer. or architect whL.
is authorized by law to certify elevation information (Indicate the source and date of the elevation data in the Comments area below )
G2 ❑ 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. ❑ The following information (Items G4 -G10) is provided for community floodplain management purposes.
64 Permit Number G5. Date Permit Issued 36 Date Certificate Of Compliance?Occupancy Issued
G7 This permit has been issued for ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building
G9. BFE or (in Zone AO) depth of flooding at the building site
G10. Community's design flood elevation
Local Officials Name
Community Name
Signature
Comments
❑ feet ❑ meters Datum
❑ feet ❑ meters Datum
❑ feet ❑ meters Datum
Title -
Telephore
Date
❑ Check here if attachments
FE MA Form 086 -0 -33 (7112) Replaces all previous editions.
ELEVATION CERTIFICATE, page 3 Building Photographs
See Instructions for Item Afi.
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt Unit Suite, and/or Bldg No ) or P O Route and Box No Policy Number:
1353 E. Lone Shore Dr.
City Eagle State ID ZIP Code 83616 Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions
for Item Afi. Identify all photographs with date taken; "Front View" and "Rear View "; and, if required, "Right Side View" and "Left Side
View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as
indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
FEMA Form 086 -0-33 (7112) Replaces all previous editions.
f
ELEVATION CERTIFICATE, page 4 Building Photographs
Continuation Page
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt Unit Suite andlor Bldg No ) or P O Route and Box No Policy Number:
1353 E. Lone Shore Dr
City Eagle State Id ZIP Code 83616 Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken, "Front View" and "Rear View ", and, if required, "Right Side View" and "Left Side View.- When applicable.
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8,
Back View June 13, 2013
FEMA Form 086 -0 -33 (7112) Replaces all previous editions