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Flood Control - Elevation Certificate - 1522 E Lone Shore Drive - Lonesome Dove Sub - 4/4/2013U -S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY 1'47ri011411 F100d Irtsrvunce 1'ruWr I ,rr Important' Read the instructions on pages 1 -9. SECTION A — PROPERTY INFORMATION Al. Burding Owner's Name Taunton Properties LLC A2. Building Street Address (,ncludmg Apt Unit, Suite and: or B.dg. No.) or P O. Route and Sox No 1522 East Lone Shore Drive City Eagle State ID ZIP Code 83616 A3. Property Description (Lot and Block Numbers Lot 4 Block 7 Lonsome Dove Subdivision Tax Parcel Number, legal Description, etc.) OMB No. 1660 -0008 Expiration Date July 31, 2015 FOR INSURANCE COMPANY USE Policv Number Company A4. Building Use (e g., Residential, Non - Residential, Addition Accessory, etc) Residential T - A5. Latitude +Longitude: Lat. N43 "41'07.63" Long. W116`2006.50' 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 18 A8 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) N_A sq ft a) Square footage of attached garage 500 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 fact above adjacent grade NIA within 1.0 fool 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 131. NFIP Community Name 8 Community Number B2. County Name B3. Stale Eagle, City of 160003 Ada ID B4. Map/Panel Number 85, Suffix B6. FIRM Index Date B7. FIRM Panel 88. Flood B9. Base Flood Elevation(s) (Zone 16001 CO162 H October 2, 2003 Effective /Revised Date Zone(s) AO, use base flood depth) ...— _ -- February 19, 2003 AE 2570.20 B10 Indicate the source of the Base Flood I Elevation (BFE) data or base flood depth entered in Item B9 -� ® FIS Profile ❑ FIRM ❑ Community Determined ❑ Other /Source: B1 1 Ind cate elevation datum used for 8FE 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. Building elevations are based on ❑ Construction Drawings' ❑ Building Under Construction. ® Finished Construction 'A new Elevation Certificate will be required when construction of the bui ding is complete C2. Elevations - Zones Al -A30, AE, AH, A (with BFE). VE V1 -V30, V (with BFE), AR, ARIA, AR1AE ARIA1 -A30. AR1AH, ARIAO Complete Items C2 a -h below according to the building diagram spec,fied in Item A7 In Puerto Rico only, enter meters Benchmark Utilized Pro'ect Benchmark Vertical Datum: NAVD 88 Indicate elevation datum used for the e'evations in items a) through h) below. ❑ NGVD 1929 0 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 (top of slab) e) Lowest elevation of machinery or equipment servicing the bu Iding (Describe type of equipment and location in Comments) 0 Lowest adjacent (finished) grade next to bu.lding (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 certofication is to be signed and sealed by a land surveyor, engineer. or architect authorized by law to certify elevation information t certify that the information on this Certrrrcate represents my best efforts to interpret the data available A I understand that any false statement may be punishable by fine 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 Certifiier's Name Aaron L. Ballard License Number 12459 Title PLS Company Name KM Engineering, LLP Address 9233 W State Street Check the measurement used 257314 ® feet ❑ meters NA ❑ feet ❑ meters NIA ❑ feet ❑ meters 257285 ® feel ❑ meters 2572,10 ® feet ❑ meters 257226 ® feet ❑ meters 2572.40 ® feet ❑ meters NIA i._., ❑ feet ❑ meters SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certofication is to be signed and sealed by a land surveyor, engineer. or architect authorized by law to certify elevation information t certify that the information on this Certrrrcate represents my best efforts to interpret the data available A I understand that any false statement may be punishable by fine 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 Certifiier's Name Aaron L. Ballard License Number 12459 Title PLS Company Name KM Engineering, LLP Address 9233 W State Street City Boise State ID ZIP Code 83714 Signature Date L1. q - yp12 Telephone 208 -639 -6939 '0F L l 59 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, Suite, and/or Bldg No ) or P O Route and Box No Policy Number 1522 East Lone Shore Drive City Eagle State 1D 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 outside of the garage Coe,-, V • y • 20 r 3 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 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 (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 ❑ 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 (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the bu Iding is ❑ feet ❑ meters El 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 owners 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 Owners or Owner's Authorized Representative's Name Address City Stale ZIP Code Signature -- Date Telephone — - -- - Comments -- ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordnance to administer the community's floodplain management ordinance can compete Sections A. B, C (or E), and G of this Elevation Certificate Complete the applicable item(s) and s`gn below. Check the measurement used :n 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 s-irveyor, engineer, or architect who is authorized by law to certify elevat:on information. (Indicate the source and date of the elevation data in the Comments area below ) G2. ❑ A community official completed Sect on E for a building located in Zone A (without a FEMA- issued or commwrity-issi:ed BFE) orZone 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 G9. BFE or (in Zone AO) depth of flooding at the building s te: ❑ feet ❑ meters G10. Community's design flood elevation; ❑feet ❑meters Local Officials Name Community Name Telephone Signature y Date Comments — 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 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 - .1522 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 ft on this page, use the Continuation Page, l Front View April 3, 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 , Un t Suite and/or Bldg No ) or P.0 Route and Box No Policy Number 1522 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: dale 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 AB. Side View April 3, 2013 FEMA Form 086 -0 -33 (7112) Replaces all previous editions.