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Flood Control - Elevation Certificate - 851 S Heron Pointe Way - Mace River Ranch Sub No 05 - 11/15/2017U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2018 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: FMallon Construction Inc A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 851 S. Heron Pointe Way city State EaEagle ZIP Code w..w 9 ., A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 121, Block 1, Mace River Ranch No. 5 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: La1.43041'15" N Long. 116022007"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. A7. Building Diagram Number 9 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 2,835 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b sq in d) Engineered flood openings? ❑ Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage 862 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 sq in d) Engineered flood openings? ❑ Yes ❑ No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION unity Number 81, NFIP CommuniHfffif B2. County Name B3. State City of Eagle - 1600 Ada Idaho B4. Map/Panel NumberDate FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) 1600100161 19/2003 Effective/ Revised Date (Zone A0, use Base Flood Depth) 04/28/2009 AE 2548.1 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑x FIS Profile ❑ FIRM ❑ Community Determined ❑ Other/Source: 811. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No Designation Date: ❑ CBRS ❑ OPA PPMn P....,, non n 1n . -�� �• , �� neplaces all previous editions. Form Page 1 of 6 r=r C\/ATInN rFRTIFIr^ATF 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: 851 S. Heron Pointe Way 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: Vertical Datum: 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) 2549.2 Z feet ❑ meters b) Top of the next higher floor 2552.6 E] feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) E] feet ❑ meters d) Attached garage (top of slab) 2551.9 K feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 2551.6 ❑x feet ❑ meters (Describe type of equipment and location In Comments) f) Lowest adjacent (finished) grade next to building (LAG) 2551,4 x❑ feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 2551, 8 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including Q 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. information this Certificate represents my best efforts to interpret the data available. 1 understand that any false I certify that the on statement may be punishable by fine orimprfsonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑x Yes ❑ No ❑ Check here if attachments. Certifiers Name License Number Kelly Kehrer 16662 �\�NNL LA p0 8G r,1STE'gEp 9` Title Principal �y c (.1 C G r1 Company Name KM Engineering, LLP V V L 7j Address 9233 W. State St. OF �F�C State ZIP Code city Y KENR�`� Idaho 83714 Date Telephone 0� 1 ( (208)639-6939 his Elevation Certificate and all attachments for (1) community official, (2) insurance agenticompany, and (3) building owner. AAC ing type of equipment and location, per C2(e), if applicable) FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 rEagle TANT: In these spaces, copy the corresponding information from Section A. FOR g Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: NCE COMPANY USE Heron Pointe Way city State ZIP Code Company NAIC Number P y Idaho 83616 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR 70N;: An ANn menu= w A.111 .11.1 --- For Zones AO and A (without BFE), complete Items Et—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. Et. 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 b) Top of bottom floor (including basement, El below the HAG. 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 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 E] 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. =Zone N F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The propertuthorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community- AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Oworized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. "Ivf. ruAii voo-u-oa tfno) Replaces all previous editions. Form Page 3 of 6 cr CVATtnlu f7FRTI1=IrATF 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: 851 S. Heron Pointe Way City State 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 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 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.) ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) G2 or Zone 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 p Substantial Improvement G8. Elevation of as -built lowest floor (including basement) ❑ feet ❑ meters Datum of the building: G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet p meters Datum G10. Community's design Flood elevation: ❑ feet ❑ meters Datum Local Official'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 (7115) Replaces all previous editions. Form Page 4 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS See Instructions for Item A6. OMB No. 1660.0008 Expiration Date: November 30, 2018 -.1- -.111 V"V_V_JJ tri 10) Replaces all previous editions. Form Page 5 of 6 -1v1rvm 1 AN i: 1n tnese 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: 851 S. Heron Pointe Way City State Eagle ZIP Code 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"; 'Right "Left and, if required, Side View" and 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. Pholo One Photo One Caption Front View mk:»t t � k 5 Photo Two Photo Two Caption Rear View CCRAn c,.... nao n -.1- -.111 V"V_V_JJ tri 10) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 FI FVeTInN 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: 851 S. Heron Pointe Way City State ZIP Code Company NAIC Number Eagle Idaho 83616 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, the foundation with representative examples of the Flood openings or vents, as indicated in Section A8. photographs must show r 1 PhW. One Photo One Caption Rear Side with AC Unit Photo Two Photo Two Photo Two Caption FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form rage 6 of 6