Flood Control - Elevation Certificate - 1344 W Fence Post Ln - Mace River Ranch Sub No 04 - 11/30/2017U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
OMB No, 1660 000
Expirat on Date: November 30, 2018
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for (1) Community official. (2) insurance aaenummnanv and rai t.,,iui......,.,.
SECTION A - PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Owners Name
Policy Number:
Donny & Bonnie Blair
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Box No.
Company NAIC Number:
1344 W Fence Post Ln,
City State ZIP Code
Eagle Idaho 83616
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 50, Block 1, Mace River Ranch Subdivision No. 4, Tax# R5421230080
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 4341-13.87 Long. -116.22-14.59 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number 9
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 3480.00 sq R
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 23
C) Total net area of flood openings in A8.b 2200.00 sq in
d) Engineered flood openings? ❑ Yes ❑x No
Ag. For a building with an attached garage:
a) Square footage of attached garage 1450.00 sq It
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 A9.b 0.00 sq in
d) Engineered Flood openings? ❑ Yes _ No
SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
City of Eagle 160003 Ada Idaho
54. Map(Panel 65. Suffix M. FIRM Index : 67. FIRM Panel B8. Flood B9. Base Flood Elevations)
Number Date Effective/ Zones) (Zone A0, use Base FFlood Depth)
Revised Date
1600100153 H 02-19-2003 1 04-28-2009 x(shaded) 2547.5
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
FIS Profile ❑ FIRM ❑ Community Determined Z Other/Source: LOMR-F Case No. 16-10.0423A
BI 1. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 Q NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes ❑x No
Designation Date: ❑ CBRS ❑ OPA
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 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.
1344 W Fence Post Ln.
City State 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' Lj Finished Construction
`A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations - Zones At -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 C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: (See Section "D" comments) Vertical Datum: NAVD1988
Indicate elevation datum used for the elevations 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.
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 2548.60 Z feet ❑ meters
b) Top of the next higher floor 2552.30 Q feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters
d) Attached garage (top of slab) 2551.00 Q feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 2548.90 Q feet E] meters
(Describe type of equipment and location in Comments)
0 Lowest adjacent (finished) grade next to building (LAG) 2550.40 ❑x feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 2551.15 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
2552.10 ❑x 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 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.
Were latitude and longitude in Section A provided by a licensed land surveyor? '❑ Yes ❑ No (xi Check here if attachments.
Certifiefs Name License Number
Patrick Scheffler Idaho PLS 7015
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Title
Land Surveyor
a¢. 0
Company Name
Idaho Survey Group
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AddresskPA
1450 E Watertower St #130
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City State ZIP Code
Meridian Idaho 83642
Signature Date Telephone Ext.
11-30-2017 (208)846-8570
Copy all pages bf this E ron Cert c and all attachments for (1) community official, (2) insurance agentloompany, and (3) building owner.
Comments (including pe of equ' merit and location, per C2(e), if applicable)
1) STATION BLUE IS A LOCAL PRIVATE GPS STATION TIED TO THE LOCAL HARN NETWORK (NAVD88)
2) Lowest elevation of machinery is HVAC duct piping at elev=2548.90
3) Furnace & water heater located in garage at elev=2552.30
4) AC pump located at rear building on concrete pad at elev=2551.14
FEMA Form 086-0-33 (7115) Replaces all previous editions, Form Page 2 of 6
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ELEVATION CERTIFICATE
OMB No. 1660-0008
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IMPORTANT: In these spaces, copy the corresponding Information from Section A.
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FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit. Suite, and/or Bldg. No.) or P.O. Route and Bax No.
Policy Number:
1344 W Fence Post Ln.
Company NAIL Number
City State ZIP Code
Eagle Idaho 63616
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 quest,
complete Sections A, Band C. For Items Et -E4, use natural grade, if available. Check the measurement used. In Pu o Rico only,
enter meters.
Ell. Provide elevation information for the following and check the appropriate boxes to show whether the elevab 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 ❑ mete ❑ above or ❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 end r9 (seepages 1-2 of Instructions),
the next higher floor (elevation C2.b in
the diagrams) of the building is ❑ feet eters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is❑feet --era ❑ above or E]below the HAG.
E4. Top of platform of machinery and/or equipment
servicing the building is at ❑ meters EJabove or E]below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom r elevated in accordance with the community's
floodplain management ordinance? [ Yes _ No [:]Unknown. T local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER' EPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who eomplet Sections A, B, and E for Zone A (without aFEMA-issued or
community -Issued BFE) or Zone AO must sign here. The statements 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 086-033 (7/15) Replaces all previous editions. Form Page 3 of 6
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 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.
1344 W Fence Post Ln.
City Stale ZIP Code
Company NAIC Number
Eagle Idaho 83616
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can comp)
Sections A, B, C (or Q. and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measure t
used in Items 138-1310. In Puerto Rico only, enter meters.
Gt. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licen rveyor,
engineer, or architect who is authorized bylaw to certify elevation information. (Indicate the source and date of a elevation
data in the Comments area below.)
❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or co unity -issued BFE)
G2
or Zone AO.
G3. ❑ The following information (Items G4 -G10) is provided for community floodplain management pure as.
G4. Permit Number
G5. Date Permit Issued
06. D Certificate of
mplianos/Occupancy Issued
G7. This permit has been issued for: E] New Construction E] Substantial Improv, ant
G8. Elevation of as -built lowest floor (including basement) ❑ feet ❑ meters Datum
of the building:
Gg. BFE or (in Zone AO) depth of flooding at the building site: C] feet E] meters Datum
G10. Community's design flood elevation: ❑ feet E] meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments (including type of equipment and on, per C2(e), if applicable)
I Check here if attachments.
FEMA Form 086-0-33 (7/15) Replaces all previous editionscorm rage 4 of b
BUILDING PHOTOGRAPHS OMB No. 1660.0008
ELEVATION CERTIFICATE See Instructions for Item A6. 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:
1344 W Fence Post Ln.
City State ZIP Code
Company NAIC Number
Eagle Idaho 83616
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.
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Photo One Caption FRONT VIEW Clear Photo One
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Oholo TWO
Photo Two Caption FRONT/GARAGE VIEW Clear Photo Two
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 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:
1344 W Fence Post Ln
City State..�.y..-ZIP Code T
Company NAIC Number
Eagle Idaho 83618
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.
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Photo Three Caption LT SIDE & REAR VIEW Clear Photo Three
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Photo Four Caption RT SIDE VIEW Clear Photo Four
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6