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Flood Control - Elevation Certificate - 1262 E Lone Shore Drive - Lonesome Dove Sub - 8/2/2010
U,S. DEPARTMENT OF HOMELAND SECURITY r Federal Emergency Management Agency National Flood Insurance Program Al Building Owner's Name ELEVATION CERTIFICATE Important Read tr,- Instructions or.. p -ges 1 -9. rrapemes . LLC SECTION A - PROPERTY INFORMATION A2 Building Street Address (including Apt., Unit Suite, and ?or Bldg No) or P.O. Route and Box No. _ 1262 E. Lone Shore Drive City Eagle State ID ZIP Code 83616 OMS No. 1660 -0008 Expires March 31, 2012 For Insurance Company Use: Policy Number A3 Property Description (Lot and Block Numbers Tax Parcel Number, Legal Description, etc.) Lot 7, Block 8 Lonesome Dove Subdivision A4 Bulding Use (e.g , Residential, Non - Residential, Addition, Accessory, etc) Residential A5 Latitude/Longitude- Lat N43 °41'13" Long, W116.20 15^ AS Attach at k< ast 2 photographs of the bu lding if the Cert' icate is being used to obtain flood insurance, Datum: ❑NAD 1927 NAD 1983 A7 Budding Diagram Number 1 B AS 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) NA sq ft a) Square footage of attached garage 396.0 sq ft b) en of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached ra 2 enclosure(s) within 1 0 foot above adjacent grade N� g' 9- within 1.0 foot above adjacent grade IUD c) Total net area of flood openings in A8.b _W sq in c) Total net area of flood openings in A9 .b � sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes x No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 151 NFIP Community Name 8, Community Number B2 County Name I as ce��e Eagle 16003 Ada Idaho 64 Map/Panel Number 1 135. Suffix B6. FIRM Index . . . . . . . . . . . . . . . . . . . . . . B7. FIRM Panel B8. Flood B9 Base Flood Elevations) (Zone 1600100162 H Date Effective/Revised Date Zone(s) AO, use base flood depth) September 22 February 19, 2003 AE 2567,6 1999 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69. AFIS Profile FIRM ❑ Community Determined ❑ Other (Describe) __ B 1 Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 © NAVD 1988 ❑ Other (Describe) B12 Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise ProtectEd Area (OPA)? ❑Yes Designation Dale ❑CBRS © No ❑ 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 wilt 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, AR/AE. AR/A1 -A30, ARIAH AR /AO Complete Items C2 a -h below according to the building diagram specified in Item AT Use the same datum as the BFE Benchmark Utilized Proiecl Benchmark Vertical Datum NAVD 88 Conversion/Comments a) T Top of bottom floor (including basement, crawlspace, or enclosure floor) 2571.4 ® Check the measurement used b) T Top of the next higher floor 2582.1 Q Q feet ❑ ❑ meters (Puerto Rico only) d) A Attached garage (top of slab) 2 11 feet ❑ ❑ meters (Puerto Rico only) e) L 2571.1 © © feet ❑ meters (Puerto Rica only) (Describe type of equipment and location in Comments) fi L Lowest adjacent (finished) grade next to building (LAG) 2$69.9 ❑ ❑x feet ❑ ❑ meters (Puerto Rico only) g; H Highest adjacent (finished) grade next to building (HAG) 2570.3 ® ® feet ❑ ❑ meters (Puerto Rico only) hl L Lowest adjacent grade at lowest elevation of deck or sta'rs, inc udi,gg IllQr_ C C1 feet ❑meters (Puerto Rica only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This cert:flcalion is to be signed and seated by a land surveyor, engineer, or arzh#ect authorized by law to certify eleva information t certify that the inf tion ion on this Cealucale represents my best efforts to interpret the data available, understand that any false statement maybe punishable by fine orimprisonment under 18 U.S. Code, Section 100f.© Check here if comments are provided on back of form Were latitude and longitude in Section A provided by a licensed land surveyor? © Yes ❑ No Certifiers Name Kevin N. Sorensen License Number 11120 Title Professionai Land Surveyor Company Name KM Engineering LLP — Address 391 W, State 5t. City Eagle State 1D ZIP Code 83616 Signature Date 08 -02 -2010 Telephone 208 -639 -6939 ;4 Ol _ :t 02.— f—D FEMA Form 81 -31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the Building Street Address (including Apt, Unit, Sui 1262 E. Lone Shore Dr. City Eagle State ID ZiP Code 83616 information from Section A. Bldg. No.) or P.O Route For Insurance Company Use! Pollcv 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 The equipment sevicing the building is an airconditioning unit located at the Southwest comer of the building. Date ` El Check here if attachments 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 (WAG) 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 El 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 (lop of stab) is ❑ feel ❑ 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 ownees 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. lire statements in Sections A, A and P 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 Total 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 Certificate. Complete the applicable Rem(s) and sign below. Check the measurement used in Items G8 and G9. 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 by law to certify elevation information. (Indicate the source and dale 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 -+G9) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I G6. Dale 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 ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Comments Date ❑ Check here if attachments FEMA Form 81 -31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Sox No. Policy Number 1262 E. Lone Shore Dr, City Eagle State ID ZIP Code a3616 Company WC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page, following. Building Photographs Continuation Page For Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.Q. Route and Box No. Pol! 1262 E. Lone Shore Dr. City Eagle State ID ZIP Code 83616 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.'