Flood Control - Elevation Certificate - 807 S Heron Pointe Way - Mace River Ranch Sub No 05 - 7/13/2017U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Fallow the instructions an pages 1-9.
Capt' all pages of this Elevation Certificate and all attachments for (1) community ofni.l. 12)
OMB No. 1fifi0-0008
Elcpiration Date: November 30, 2018
SECTION A—PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Ownees Name
Policy Number:
Clark & Co Real Estate LLC
A2. Building Street Address (inGuding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Box No.
Company NAIC Number:
807 S. Heron Pointe Way
city State ZIP Code
Eagle Idaho 83616
A3. Property Descripflon (Lot and Black Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 123 Block 1 Mace River Ranch Subdivision No. 5, Parcel R5421240130
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5, Latitude/Longhude: Lat. N43.68793° Long. WI 16.36878* Horizontal Datum: ❑ NAD 1927 ❑X NAD 1983
A6. Attach at least 2 photographs of the building it the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 2A
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosures) 2,408 sq 8
b) Number of permanent flood openings in the crewispece orenclosum(s) within 1.0 foot above adjacent grade 0
C) Total net area of flood openings in A8.1b 0 sq in
d) Engineered flood openings? ❑ Yes 51] No
A9. For a building with an attached garage:
a) Square footage of attached garage 1,334 sq 8
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in Ag.b 0 sq in
d) Engineered flood openings? -]Yes ❑x No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Name
B3. State
CRY of Eagle, 160003
Ada County
Idaho
84. Map/Panel
Number
B5. Suffix
B6. FIRM Index
87. FIRM Panel
B8. Flood Zone's)
89. Base Flood Elevebon(s)
Date
Effective/
(Zone AO, use Base
16001 C0153
H
10/022003
Revised Date
02/192003
X (Shaded)
Flood Depth)
2548.2
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item Be
❑ FIS Profile ❑ FIRM ❑ CommunityDetermined ❑X Other/Source: LOMR-F 17-10-133A & CLOMR-F 15-10-1510C
1311. Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 ❑X NAVD 1988 ❑ Other/Source:
BI 2. Is the building located in a Coastal Barrer Resources System (CBRS) area or Otherwise Protected Area (DPA)? ❑ Yes ❑X No
Designation Date: ❑ CBRS ❑ CPA
EMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date Nnvemher 3n 2016
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.
807 S. Heron Pointe Way
City Stele ZIP Code
Company NAIC Number
Eagle Idaho 83616
SECTION C— BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ❑x 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, AR/A, ARAE, AR/A1—A30, AR/AH, AR/AO.
Complete Items CZa—h below according to the building diagram specified in Item A7. In Puerta Rico only, enter meters.
Benchmark U8f¢ed: IDTD PID AJ3346 Vertical Datum: NAVO88
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 ❑X NAVD 1988 ❑ Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 2548.9 ❑X feet ❑ meters
b) Tap of the next higher floor 2553 3 X feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) Q feet ❑ meters
d) Attached garage (top of slab) 2551 a 7 ❑X feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 2549.8 ❑X feet L] meters
(Describe type of equipment and location In Comments)
If Lowest adjacent (finished) grade next to building (LAG) 2550. 9 0 feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 2553.0 X feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including 2553, 0 0 feet ❑ meters
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 certity that the information on this Certificate represents my best efforts to interpret the data available. I understand that any fa/se
statement may be punishable by fine or Imprisonment under 18 U.S. Cade, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? ❑X Yes ❑ No ❑ Check here if attachments.
Carbines Name License Number
Michael Byrne 11334
TFA�
Title
PLS°O
�w
Company Name
JUS Engineers, Inc.
0),^93'=/, jao
Address
250 S. Beechwood Dr., Ste. 201
V4 E Of lB„ptp
'r•�7/E,�`'
City State ZIP Code
Boise Idaho 83709
Signatu Date Telephone
(208)376-7330
this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
Copy alltire
Comma (including type of equipment and location, per C2(e), if applicable)
Cl'. Grading complete, no landscaping
C2(a)= Crawispace
C2(e)= Ducts under house. AC pad=2552.0 Garage mechanical stand=2553.2
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of
ELEVATION CERTIFICATE
OMB No. 1660-0008
Fxmiratinm nateNnvnmh-3n 9nip
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 Boz No.
Policy Number,
807 S. Heron Pointe Way
City State ZIP Cade
Company NAIC Number
Eagle Idaho 83616
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{5. 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.
El. 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 Budding Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 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 building is ❑feet ❑ meters ❑ above or El below the HAG.
E5. Zane AO only: If no flood depth number is available, is the tap 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 FEMA4ssuad 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 or Owners Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date'. November 30. 2018
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:
807 S. Heron Pointe Way
City State ZIPCode
Company NAIC Number
Eagle Idaho 83616
SECTION G -COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the mmmunity'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 Rim only, enter meters.
G7. ❑ 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 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.
34. Perk 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 es-buih lowest floor (including basement)
of the building: ❑ feet ❑ meters Datum
G9. BFE or (in Zone AO) depth of funding at the building site: ❑ feet ❑ meters Datum
G10. Community's design flood elevation ❑ feet ❑ meters Datum
Local Of dal's Name Title
Community Name Telephone
Signature Date
Comments (including type of equipment and location, per C2(e), if applicable)
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. For Page 4 of 6
BUILDING PHOTOGRAPHS OMB No. 1880-0008
ELEVATION CERTIFICATE See Instructions for Item A6. F:nirafinn nota N„vo,ahar nn onm
IMPORTANT: In Mese 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:
807 S. Heron Pointe Way
City State ZIP Code
Company NAIC Number
Eagle Idaho 83616
If using the Elevation Certificate to obtain NFIP good insurance, aBuc at least 2 building photographs below according to the
instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear MeW 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.
PMbOn.
Photo One Caption Front View
l
` -• PMWTwa
Photo Two Caption Right Side View - - --
FEMA Form 086-0-33 (7115)
Replaces all previous editions.
Fnrm Paoe S of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date November 30, 2018
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:
807 S. Heron Pointe Way
City State ZIP Cade
Company NAIC Number
Eagle Idaho 83516
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 good openings or vents, as indicated in Section A8.
a
vnoio aye
Photo One Caption Rear Vew
now .
��Pl,plp Two
Photo Two Caption Left Side View
FEMA Fonn 086-0-33 (7/15) Replaces all previous editions. Fomn Page 6 of 6