Flood Control - Elevation Certificate - 1432 E Lone Shore Drive - Lonesome Dove Sub - 2/25/2013U S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE - - L)
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 166
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narur No has,u ; "rrren�a,a Important: Read the instructions on pages 1 -9. Expiration Date: July 31. 2015
SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owners 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.
1432 E Lone Shore Dr
City Eagle State ID ZIP Code 83616
AT Property Descnpbon (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc)
Lot 11 Block 7 Lonesome Dove Subdivision
A4. Building Use (e g., Residential, Non - Residential, Addition, Accessory, etc.) Residential
A5. LatitudelLongitude: Lat. N43 141'08.90" Long. W116 °20'09.30" 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
A8 For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage
a) Square footage of crawlspace or enclosures) NIA sq ft a) Square footage of attached garage 400 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 10 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 NIA sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No
SECTION B – FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
61 NFIP Community Name Community Number 82. County Name B3. Slate
Eagle, City of 160003 Ada iD
B4. Map /Panel Number B5. Suffix B6, FIRM Index Date 37, FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone
16001 C0162 H October 2, 2003 Effective /Revised Date Zone(s) AO, use base flood depth)
_ February 19, 2003 AE 2569.90
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 89: ❑ 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)
Cl Buildng elevations are based on: ❑ Construction Drawings' ❑ Building Urde• Construction' ® Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete
C2 Elevations – Zones Ai –A30, AE, AH, A (with BFE), VE, V1 –V30, V (with BFE) AR AR A. ARIAE AR/A1 –A30 AR/AH ARIAO Complete Items C2.a –h
below according to the building diagram specified in Item A7. In Puerto Rico only enter meters
Benchmark Util zed: Proiect Benchmark Vertical Datum NAVD 88
tnd!cate elevation datum used for the elevations in items a) through h) below ❑ NGVD 1929 ® NAVD 1988 ❑ OtherlSource
Datum used for building e'evations 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 stab)
e) Lowest e'evation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments)
0 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
Thrs cemucation is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
informaton I certify that the information on this Certificate represents my best efforts to interpret the data available
I understand that any false statement may be punishable by fine orimprisonment under i8 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
License Number 12459
Company Name KM Engineering, LLP
Address 9233 W. State Street City Boise
Signature Date 2 -25 -2013
State ID ZIP Code 83714
Telephone
124159
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E �w
FEMA Form 086 -0 -33 (7112) See reverse side for continuation. Replaces all previous editions_
Check the measurement used
257353
® feet
❑ meters
NIA _ — _
❑ feet
❑ meters
N /A.
❑ feet
❑ meters
257320
® feel
❑ meters
2573.20
® feet
❑ meters
257266
® feet
❑ meters
257288
® feet
❑ meters
NIA
❑ feel
❑ meters
SECTION D – SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
Thrs cemucation is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
informaton I certify that the information on this Certificate represents my best efforts to interpret the data available
I understand that any false statement may be punishable by fine orimprisonment under i8 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
License Number 12459
Company Name KM Engineering, LLP
Address 9233 W. State Street City Boise
Signature Date 2 -25 -2013
State ID ZIP Code 83714
Telephone
124159
OF 1�"I►
E �w
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., Un't, Su'te, and or Bldg No or P O Ro to and Box No Policy Number
1432 E. Lone Shore Dr.
City Eagle State ib ZIP Code 16 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 outside of the garage -
Signature —
Date 2 -25 -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 it available. Check Ne 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 [I below the LAG
E2 For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 andfor 9 (see pages 8-9 of Instructions), the next higher floor
(elevat on 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 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
Signature
Comments - - -- --
C,ty Stale ZIP Code
Date
Telephone
❑ Check here it attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ord nance 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 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 documentatio -i that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized bylaw to certify e'evation informaVon (Indicate the source and date of the elevation data in the Comments area below)
G2 ❑ A community official competed Sect on 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) :s provided for community floodplain management purposes.
G4 Permit Number
G7. This permit has been issued for-
ua. uate t-ermit issues
❑ New Construction
G6. Dale Certificate Of Compliance /Occupancy Issued
❑ 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
❑ feet ❑ meters
❑ feet ❑ meters
Tit e
Telephone
Date
Datum
Datum
Datum
❑ Check here if attachments
FEMA 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.
Building Street Address (including Apt Un t Suite and /or Bldg No ) or P O Route and Box No
1432 E Lone Shore Dr
City Eagle
State ID ZIP Code 8
FOR INSURANCE COMPANY USE
Pol,cy Number
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 5t on this page, use the Continuation Page.
Front View Feb. 22, 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 (including Apt, Unit Suite, and/or Bldg No ) or P O Route and Box No Policy Number
1432 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.
Rear View Feb. 22, 2013
FEMA Form 086 -0 -33 (7112) Replaces all previous editions