Flood Control - Elevation Certificate - 1145 E Lone Shore Drive - Lonesome Dove Sub - 7/30/2013U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
%arinuul Florxllrrsrrriurce PrgArunr Important: Read the instructions on pages 1 -9.
SECTION A- PROPERTY INFORMATION
Al. Budding Owner's Name Taunton Properties, LLC
A2. Building Street Address (including Apt.. Unit, Suite, and/or Bldg. No.) or P.O Route and Box No
1145 E Lone Shore Dr.
City Eagle
State ID ZIP Cade 83616
A3. Property Description ;Lot and Block Numbers, Tax Parcel Number, Lega, Description, etc.)
Lot 2 Block 9 Lonsome Dove Subdivision
OMS No. 1660 -0008
Expiration Date: July 31, 20'15
FOR INSURANCE COMPANY USE
NAIC
A4. Building Use (e g., Residential. Non - Residential, Addition, Accessory, etc.) Residential
A5. Latitude /Longitude: Lat, N43'41'1303' Long, W116 °20'22.21" Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6, Attach at least 2 photographs of the build ng if the Certificate is being used to obtain flood insurance
A7. Building Diagram Number 1B
A8. For a building with a c•awlspace or enclosure(s): A9 For a building with an attached garage
a) Square footage of crawlspace or enclosure(s) 21A sq ft a) Square footage of attached garage 527 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 with-n 1 0 foot above adjacent grade NIA
c) Total net area of flood openings in A8.b N/A 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
81 NFIP Community Name 8 Community Number B2. County Name B3, State
Eagle, City of 160003 Ada f ID
B4. Map /Panel Number I 85 Suffix B6. FIRM Index Date =19,2003 B8 Flood B9. Base Flood Elevation(s) (Zone
1600100162 f H October 2, 2003 Effe Zones) AO, use base flood depth)
F AE 2566.40
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89
El FIS Profile ❑ FIRM ❑ Community Determined ❑ OtherSource
B11 Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source
B12 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 e:evations are based on: ❑ Construction Drawings' ❑ Building Under Construction` ® Finished Construction
'A new Elevation Certificate w1l 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, ARIAE, AR/Al-A30, ARIAH, ARIAO Complete Items C2.a -h
below according to the bu Wing diagram specified in Item AT In Puerto Rico only, enter meters
Benchmark Utilized: Protect 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 bott•,m floor (including basement, crawlspace, or enclosure floor)
b) Top of the next h gher floor
c) Bottom of the lowest horizontal structural member (V Zones only)
di Attached garage (top of slab;
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments)
4 Lowest adjacent (finished) grade next to building (LAG)
g) Highest adjacent (finished) grade next to building (HAG)
h) Lowest adjacent grade at lowest e°evation of deck or stairs, including structural support
SECTION D —SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be s.gned and sea °ed by a land surveyor, engineer or architect authorized by law to certify elevation
information. t 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 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 Street
Signature�
FEMA Form 086 -0 -33 (7il2)
License Number 12459
Company Name KM Engineering, LLP
City Boise State ID ZIP Code 83714
Date July 30, 2013 Telephone 208 -639 -6939
See reverse side for continuation
U4;
L�
Replaces all previous editions.
Check the measurement used
256875
® feet
❑ meters
NIA.
❑ feet
❑ meters
NIA _ ®y
❑ feet
❑ meters
256842
® feet
❑ meters
256813
® feet
❑ meters
256764
® feet
❑ meters
2567.72
® feet
❑ meters
NIA
❑ feet
❑ meters
SECTION D —SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be s.gned and sea °ed by a land surveyor, engineer or architect authorized by law to certify elevation
information. t 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 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 Street
Signature�
FEMA Form 086 -0 -33 (7il2)
License Number 12459
Company Name KM Engineering, LLP
City Boise State ID ZIP Code 83714
Date July 30, 2013 Telephone 208 -639 -6939
See reverse side for continuation
U4;
L�
Replaces all previous editions.
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including A,-,t, Unit Suite and /or Bldg No ) or RO Route and Box No Policy Number.
1145E Lone Shore Or
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 east side of building
Signature
Date 7 -30 -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 Cert ficate is intended to support a LOMA or LOMR -F request, complete Sections A, B
and C For Items E1 -E4, use natural grade, if availab'e Check the measurement used In Puerto R °co 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 crawispace. or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is i — ❑ feet ❑ meters ❑ above or ❑ below the LAG
E2 For Building D- agrams 5-9 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 ;s _ - ❑ 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 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 off cial 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 Certificate Complete the applicable item(s) and sign be ow Check the measurement used in Items G8-G10 In Puerto Rico only enter meters
G1 ❑ The ;rformation in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor. engineer, or architect who
is authorized by law to certify elevation information (Indicate the source and date of the elevation data in the Comments area below )
G2 ❑ A comma n ty official completed Section E for a building located in Zone A (without a FEMA - issued or commun ty- issued BFE) or Zone AO
G3 ❑ The following .nformation (Items G4 -G10) is provided for community floodpla n management purposes.
[!�eirmit Number G5 Date Permit Issued G8. Date Certificate Of Compliance /Occupancy Issued
G7 Th-s permit has been issued for ❑ New Construction ❑ Substantial Improvement
G8 Elevation of as -built lowest Poor (including basement) of the building - ......... ❑ feet ❑ meters Datum
G9 BFE or Jn Zone AO; depth of flooding at the building site ❑ feet ❑ meters Datum
G10 Community's des gn flood elevation ❑ feet ❑ meters Datum
Local Official's Name
Community Name
Signature
Comments
Title
Telephone
Date
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 and /or Bldg No ) or P.O Route and Box No Policy Number.
1145 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 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.
r Front View JULY 30, 2013
FEMA Form 086 -0 -33 (7112) Replaces all previous editions.
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 (includ ng Apt. Unit Suite and/or Bldg No ) or P O Route and Sox No Policy Number
1145 E Lone Shore Dr
City Eagle State ID ZIP Code 83616 1 Company NAIC Number:
If submitting more photographs than will tit 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 Viers JULY 30, 2013
FEMA Form 086 -0 -33 (7112) Replaces all previous editions.