Flood Control - Elevation Certificate - 1181 E Lone Creek Drive - Lonesome Dove - 2/25/2013U.S. DEPARTMENT OF HOMELANDSECURIi( ELEVATION CERTIFICATE C) - -
FEDERAL EMERGENCY MANAGEMENT AGENU OMB N0, 1660 -0008
\ auoprall- Iiod Insurance Pr„Lr,r,n Important: Read the instructions on pages 1 -9. Expiration Date: July 31, 2015
SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY U5E
Al. Building Owner's 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.
1181 E. Lone Creek Dr
City Eagle
A3. Property Description (Lot and Block Numbers,
Lot 3 Block 5 Lonsome Dove Subdivision
Stale ID ZIP Code .K616
Parcel Number, Legal Description, etc.)
A4. Building Use (e.g.., Residential, Non - Residential, Addition. Accessory: etc.) Residential
A5. Latitude /Longitude Lat N43 °41'14.65" Long. W116 °20'19.33" 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 1B
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) NIA sq ft a) Square footage of attached garage 523 sq R
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 NA 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 —0 No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
61, NFIP Community Name 8 Community Number B2. County Name B3. State
Eagle, City of 160003 Ada ID
B4. Map /Panel Number B5. Sulu B6. FIRM Index Date B7. 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 1 AE 1 2567,00
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.
611. Indicate elevation datum used for BFE in Item 139: ❑ 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 building is complete.
C2. Elevations - Zones Al A30, AE, AH, A (with BFE), VE, V1 -V30. V (with BFE:). AR, ARIA, ARIAE, AR/A1 -A30, ARIAH, AR/AO Complete Items C2 a -h
below accord.ng to the building diagram specified in Item AT In Puerto Rico only, enter meters
Benchmark Utilized Protect 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 (includ:ng basement, crawspace or enc'osure floor)
b;s 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 servic.ng the budding
(Describe type of equ pment 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
This certifcation 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 Certificate represents my best efforts to interpret the data available
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
Certifier's Name Aaron L. Ballard License Number 12459
Title PLS Company Name KM Engineering. LLP
Address 9233 W. State Street !�
Signature
City Boise
Date 2 -25 -2013
State ID ZIP Code 83714
Telephone
12 4 5.9 i`pa
IF
7.25 -x013
FEMA Form 086 -0 -33 (7112) See reverse side for continuation. Replaces all previous editions,
Check the measurement used.
257090
0 feet
❑ meters
NIA
❑ feet
❑ meters
NIA.
❑ feet
❑ meters
257060
® feet
❑ meters
2570 57
® feet
❑ meters
2569 90
® feet
❑ meters
257015
® feet
❑ meters
NIA.
❑ feet
❑ meters
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certifcation 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 Certificate represents my best efforts to interpret the data available
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
Certifier's Name Aaron L. Ballard License Number 12459
Title PLS Company Name KM Engineering. LLP
Address 9233 W. State Street !�
Signature
City Boise
Date 2 -25 -2013
State ID ZIP Code 83714
Telephone
12 4 5.9 i`pa
IF
7.25 -x013
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 -
1181 E Lone Creek Or
City Eagle State If) 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 agenticompany. and (3) building owner
Comments Lowest elevation shown per C2e) is an AC unit pad
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 BF-E). 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 ava fable Check the measurement used In Puerto Rico only, enter meters
El Prov de elevat on 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 _ ❑ feel ❑ 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 Budding 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 - [I feet [] meters [] above or ❑ below the HAG
E3 Attached garage (top of slab) is El 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 City State ZIP Code -�
Signature - -- - Date Telephone
Comments
- -� ❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who s 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 s-gned and sealed by a licensed surveyor engineer or architect who
is authorized by law to certify elevation informaton. (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 community- issued BFE) or Zone AO
G3 ❑ The following information (Items G4 -G10) is prov °ded for community floodplain management purposes
G4 Permit Number G5. Date Permit Issued �Gfi Date Certificate Of Compliance /Occupancy Issued
-- _ ......
G7. This perm,t has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building ❑ feet
G9 BFE or {in Zone AO) depth of flooding at the building site: ❑ feet
G10 Commun ty "s design flood elevation:
Local Official's Name
Community Name
Signature
Comments
❑ feet
Title
Telephone
Dale
❑ meters Datum
❑ meters Datum
❑ meters 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, andlor Bldg No.) or P O Route and Box No Policy Number-
927 South Lone Willow Ave
City Eagle State ID ZIP Code 8 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 Feb_ 22, 2013
i
FEMA Form 086 -0 -33 (7/12) 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:
927 South Lone Willow Ave
City Eagle State Ill 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 Vipw Fph 77 gnvi
FEMA Form 086 -0 -33 (7112) Replaces all previous editions