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Flood Control - Elevation Certificate - 1321 E Lone Shore Drive - Lonesome Dove Sub - 4/4/2013U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY V..irrittutl ii- l ,od Guteru, ce Prugruttt Al. Building Owne. s Name Taunton ELEVATION CERTIFICATE Important: Read the instructions on pages 1--9 , LLC SECTION A — PROPERTY INFORMATION A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No 1321 East Lane Shcre Drive City Eagle Slate ID ZIP Code 83616 OMB No. 1660 -0008 Expiration Date. July 31, 2015 FOR INSURANCE COMPANY USE Policy Number, •I►FTfi3 A3. Properly Descrption (Lot and Block NUr lbers, Tax Parcel Number, Legal Description, etc.} �_._— �..... s�.... _.._ Lot 13 Block 9 Lonsome Dove Subdivision A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory etc ) Residential i A5. Latitude /Longitude: Lat. N43 °41'10.35" Long. W116 °20'15.12" 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 D agram Number I B A8. 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 527 sq ft b) Number of permanent Rood 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 A8.b NIA sq in c) Total net area of flood openings in A9 b N/A sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes —10 No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name & Community Number B2. County Name 63. State Eagle. City of 160003 Ada ID B4 Map /Panel Number B5. Suffix B6, FIRM Index Date 67, FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone — 16001 CO162 H jj` October 2, 2003 Effective /Revised Date Zone(s) AO, use base flood depth) ___ ..___. . - -_ February 19, 2003 AE 2568.00 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89. ® FIS Profile ❑ FIRM ❑ Community Determined ❑ Other /Source: B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source 612. 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) C1 Building elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction` ® Finished Construction 'A new Elevation Certificate will be required when construction of the bulding is complete C2 Elevat.ons — Zones Al A30, AE, AH, A (with BFE), VE, V1 —V30. V (with BFE). AR, ARIA. ARIAE, AR/Al—A30, ARIAH, AR/AO. Complete Items C2.a —h below according to the building diagram specified in Item A7 In Puerto Rico only, enter meters Benchmark Utilized. Pro'ect Benchmark Vertica' 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. Check the measurement used a) Top of bottom floor (including basement, crawlspace. or enclosure floor) 257141 ® feet ❑ meters b) Top of the next higher floor NIA ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) NIA.g ❑ feet ❑ meters d) Attached garage (top of slab) _ 2571 08 ® feel ❑ meters e) Lowest elevation of machinery or equipment servicing the building 2571.00 ® feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to budding (LAG) 256989 ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 2570.97 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N /A.s_— ❑ feel ❑ meters SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized bylaw to certify elevation information 1 certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by Fine or imprisonment under 18 U S. Code, Section 1001. ❑ 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 Certifier's Name Aaron L. Ballard Title PLS Address 9233 W. State Signature G License Number 12459 Company Name KM Engineering, LLP City Boise State 1D ZIP Code 83714 Telephone 208 -639 -6939 12 '�5 9 lir OF L� 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 (indLiding Apt , Unit, Suite, ar.&Or Bldg. No.) or P.O. Route and Box No Policy Number - 1321 East Lone Shc,-e Dave City Eagle State 10 ZIP Code 8361G 1 Company NAIC Number SECTION D -- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenticompany, and (3) building owner Comments Per C2e; the elevation shown is for an AC pad on west side of building y�Y.�3 Signature Date 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 Sect ons A B. and C For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters E1 Provde elevation information for the following and check the appropr'ate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the 'owed 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 ❑ feel ❑ 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 building 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 Date Telephone Comments - -- ❑ 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 complete Sections A, B C (or E) and G of this Elevation Certifcate Complete the app'icable item(s) and sign below Check the measurement used in Items G8 -G10. In Puerto R.co 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 who is authorized bylaw 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 G4. Permit Number G5 Dale Permit Issued G6. Date Certificate Of Comp]iancelOccupancy Issued G7 This permit has been issued for ❑ New Construct-on ❑ Substantial Improvement G8 Elevat on of as -bu It lowest floor (including basement) of the building ❑ feet ❑ meters Datum G9 BFE or (in Zone AO) depth of flooding at the building site ❑ feet ❑ meters Datum G10. Community's design flood elevation. ❑ feet ❑ meters Datum - Local Official s Name Title Community Name Telephone Signature Date Comments Check here if attachments FEMA Form 086.0 -33 (7112) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. 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 1321 East Lone Shore Drive •� �ne,� State iu ZIP Code 83615 ___t_77yNAIG Number If using the Elevation Certificate to obtain NFIP Flood insurance, affix at least 2 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." 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. Front View April 03, 2013 Li I FEMA Form 086 -0 -33 (7112) Replaces all previous editions. I 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 and/or Bldg No ) or P O. Route and Box No Policy Number: 1321 East Lone Shore Drive City Eagle State ID ZIP Code 83616 Company NAIC Number If submitting more photographs than will ft on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View "; and, if required, "{tight 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 and Side View April 03, 2013 FEMA Form 086 -0 -33 (7112) Replaces all previous editions.