Flood Control - Elevation Certificate - 823 S Brentbrook Ln - Mace River Ranch Sub No 04 - 11/6/2017U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for (1) community nrerini rq
OMB No. 1660-0008
Expiration Date: November 30, 2018
SECTION A — PROPERTY INFORMATION
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FOR INSURANCE COMPANY USE
Al. Building Owners Name
Highland Homes, 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:
823 S. Brentbrook Lane
City State ZIP Code
Eagle
Idaho 83616
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 65, Block 1, Mace River Ranch Sub. No. 4
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat.43°41'15.84"N Long. 116°22'25.91"W 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) 2,912 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 18
C) Total net area of flood openings in A8.b 1,440 sq in
d) Engineered flood openings? [:]Yes ❑X No
A9. For a building with an attached garage:
a) Square footage of attached garage 1,304 sq ft
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 sq in
d) Engineered flood openings? []Yes 0 No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
".County Name
B3. State
City of Eagle 160003
Ada
Idaho
B4. Map/Panel
Number
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood Zone(s)
B9. Base Flood Elevation(s)
Date
Effective/
(Zone AO, use Base
16001CO161
H
02/19/2003
Revised Date
04/28/2009
AE
Flood Depth)
2544
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
❑ FIS Profile x❑ FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 Efl NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No
Designation Date: ❑ CBRS ❑ OPA
EMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6
FLFVATION 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:
823 S. Brentbrook Lane
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' ❑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, AR/AE, AR/A1—A30, AR/AH, AR/AO.
Complete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters.
Benchmark Utilized: Boise River Study BM #135 Vertical Datum: NAVD88
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) 2546, 2 ❑x feet ❑ meters
b) Top of the next higher floor 2549, 42 ❑X feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) n/a. ❑x feet ❑ meters
d) Attached garage (top of slab) 2548, 73 ❑X feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 2549.42 ❑X feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 2548.7 ❑X feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 2548.8 ❑X feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including n/a. ❑X feet ❑ meters
structural support
SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certificafion is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
1 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? 0 Yes ❑ No ❑ Check here if attachments.
Certifier's Name License Number
12220
LANO
Jeremiah B Fielding
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Title
Owner
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Company Name
Eagle Land Surveying, LLC.
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Address
106 W. Main St. Unit D
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city state ZIP Code
Middleton Idaho 83644
Signature Date Telephone
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Jeremiah BFielding m.: m,,.,, �,..�x a,�
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenflcompany, and (3) building owner.
Comments (including type of equipment and location, per C2(e), if applicable)
Furnace is located in the garage.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE See Instructions for Item A6. M _;._.:__ ,., 1
IMPORTANT: In these spaces, copy the corresponding information from Section A.
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Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
FOR INSURANCE COMPANY USE
Policy Number:
823 S. Brentbrook Lane
-y
Zit State ZIP Code
Eagle
Company NAIC Number
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 AS. If submitting more photographs than will fit on this page, use the Continuation Page.
a
Photo One
Photo One Caption Front View
I
Photo Two
Photo Two Caption Rear View
Arvin rutin 080-0-33 (r/18) Replaces all previous editions. Form Page 5 of 6