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Flood Control - Elevation Certificate - 1262 E Lone Shore Drive - Lonesome Dove Sub - 8/2/2010U,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.'