Flood Control - Elevation Certificate - 1506 E Lone Shore Drive - Lonesome Dove Sub - 4/4/2013U.S. DEPARTMENT OF HOMELAND SECURI I Y ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
Curionalh1 o,4histrrvrtreProgrvru Important: Read the instructions on pages 1 -9.
SECTION A— PROPERTY INFORMATION
Al Building Owner's Name Taunton Properties, LLC
A2 B4 iId,ng Street Address (including Apt., Un t, Suite, and�nr Bldg No.) or P.O Route and Box N--
1506 East Lone Shore Drive
City Eagle
State ID ZIP Code 8:1616
A3. Property Cescr +pfron (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc )
Lot 5 Block 7 Lonsome Dove Subdivision
1--15-ul- v'-t "1
L EMB No1660 -0008
xpira #ion Date' July 31. 2015
FOR INSURANCE COMPANY USE
NAIC N
A4. Building Use (e.g., Residential,. Non - Residential, Addition, Accessory, etc.) Residential
A5. Latitude /Longitude: Lat. N43 °41'08.02' Long. W116 °20'07 -27" Horizontal Datum ❑ NAD 1927 ® NAD 1983
Ali Attach at least 2 photographs of the budding if the Certificate is being used to obta`n flood insurance
AT Building Diagram Number 1B
AB For a budding with a crawlspace or enciosure(s) A9 For a building with an attached garage
a) Square footage of crawlspace or enc'osure(s) NSA sq fl a± Square footage of attached garage 628 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 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
B1. NFIP Community Name & Community Number B2, County Name
Eagle, City of 160003 Ada
B4. Map /Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel
16001 CO 162 H October 2, 2003 Effective /Revised Date
February 19, 2003
B3. State
ID
B8, Flood B9. Base Flood Elevation(s) (Zone
Zone(s) AO, use base flood depth)
AE 2570.15
B10. Ind'cale the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
® FIS Profile ❑ FIRM ❑ Community Determined ❑ OtherlSource
B11 Indicate elevation datum used for BFE in Item 89 ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source:
812 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 budding is complete
C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -,V30, V (with BFE) AR, ARIA, ARIAS, ARIA1-A30, AR/AH, ARIAO Compete Items C2 a -h
below according to the building diagram specified in Item A7 In Puerto Rico only, enter meters
Benchmark Utilized Proiect 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 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 (lop of s'ab)
e) Lowest elevation of machinery or equipment servicing the build ng
(Describe type of equipment and location in Comments)
0 Lowest adjacent (finished) grade next to build ng (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
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. I certify that the information on this Certifcale represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by erne or imprisonment under 18 U S Code, Section 1401.
❑ 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 License Number 12459
Title PLS Company Name KM Engink ering, LLP
Address 9233 W State Street City Boise State ID ZIP Code 83714
Signature Date 5,-L1-70 f3 Telephone 208 -639 -6939
y �
r
FEMA Form 086 -0 -33 (7112) See reverse side for continuation Replaces all previous editions
Check the measurement used
257318
® feet
❑ meters
N/A _
❑ feet
❑ meters
NIA
❑ feet
❑ meters
257286
® feet
❑ meters
2572 83
® feet
❑ meters
257220
® feet
❑ meters
2572.35
® feet
❑ meters
WA
❑ feet
❑ meters
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. I certify that the information on this Certifcale represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by erne or imprisonment under 18 U S Code, Section 1401.
❑ 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 License Number 12459
Title PLS Company Name KM Engink ering, LLP
Address 9233 W State Street City Boise State ID ZIP Code 83714
Signature Date 5,-L1-70 f3 Telephone 208 -639 -6939
y �
r
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 Unit. Si to and/or B!dg No.} or P.O Route and Box No Policy Number:
1506 East Lone Shore Drive
City Eagle State ID ZIP Cvde ii3r 1+ Company NAIC Number -
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevat on Cart ficate for (1) community officia , (2i insurance agent/company, and i3) building owner.
Comments Per 132e) the elevation shown is for an AC pad outside of the garage
(2�� k2;;.&P '/.y
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 cs intended to support a LOMA or LOMR -F request, complete Sections A, B.
and C For Items E1 -E4. use natura! grade if available Check the measurement used In Puerto Rico on'y, enter meters.
E1 Provide elevation informal on for the fol,owing and check the appropriate boxes to show whether the elevation :s 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 ❑ 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 budding is ❑ feet ❑ meters ❑ above or ❑ be'ow 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 Zane 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
City ...e
Slate ZIP Code
-- - ....._...- .. __ ..... ........ s..,
Date Telephone
❑ 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 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 documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by taw 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. Date Permit Issued
G6 Date 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 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 Officials Name Title
Commun ty Name - Telephone
Signature µ 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, and/or Bldg No ) or P O Route and Box No Policy Number
1506 East Lone Shore Drive
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.
Front View April 03, 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, andlor Bldg No) at P O Route and Box No Policy Number.
1506 East Lone Shore Drive
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.
Back and Side View April 03, 2013
FEMA Form 088 -0 -33 (7/12) Replaces all previous editions