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Flood Control - Elevation Certificate - 916 S Heron Pointe Way - Mace River Ranch Sub No 05 - 6/12/2017U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30, 2018
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 official, (2) insurance agent/company, and (3) building owner
SECTION A — PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Owner's Name
Policy Number:
DOWNEY CONSTRUCTION INC
A2 Building Street Address (including Apt , Unit. Suite, and/or Bldg. No.) or P.O. Route and
Company NAIC Number
Box No
916 S. HERON POINTE WAY
City State ZIP Code
EAGLE Idaho 83616
A3 Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 18, BLOCK 7 MACE RIVER RANCH SUBDIVISION NO. 5, TAX # R5421240580
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5 Latitude/Longitude- Lat. 43-41-13.11 Long. -116-22-02.69 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 9
A8 For a building with a crawlspace or enclosure(s).
a) Square footage of crawlspace or enclosure(s) 2,975 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b 0 sq in
d) Engineered flood openings? ❑ Yes © No
A9. For a budding with an attached garage
a) Square footage of attached garage 905 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 © 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
B4. Map/Panel
B5. Suffix
B6 FIRM Index
B7 FIRM Panel
B8. Flood Zone(s)
69. Base Flood Elevation(s)
Number
Date
Effective/
(Zone A0, use Base
Revised Date
Flood Depth)
1600100161
H
09/22/1999
04/28/2009
SHADED X
2548.8
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: CASE NO. 17-10-0133A, DECEMBER 06, 2016
B11. Indicate elevation datum used for BFE in Item B9 ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? [1 Yes © 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
916 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` © 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 A7 In Puerto Rico only, enter meters
Benchmark Utilized: SEE NOTE #1, SECTION D Vertical Datum: NAVD1988
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 n NAVD 1988 ❑ Other/Source
Datum used for budding 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 4 ❑X feet ❑ meters
b) Top of the next higher floor 2552 75 ❑x feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) ❑x feet ❑ meters
d) Attached garage (top of slab) 2551 95 ❑x 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 budding (LAG) 2551 5 ❑x feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 2551 7 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including 2552 1 ❑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. l 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
PATRICK SCHEFFLER IDAHO PLS 7015
LAIV�
`oNp►L
G
Title
LAND SURVEYOR
Company Name
IDAHO SURVEY GROUP
e
Aar Her fZ
�F
Address
1450 E WATERTOWER ST. #130
F
J. SCH
City State ZIP Code
MERIDIAN Idaho 83642
Signature Date Telephone
1— 06/12/2017 (208)846-8570
Copy all pages ofi ElfivatiJn - icate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner
Comments (incl d' g type of aui ment and location, per C2(e), if applicable)
1) STATION BLUE IS A LOCA PRIVATE GPS STATION TIED TO THE LOCAL HARN NETWORK (NAVD88)
2) FEMA LOMR-F CASE NO 17-10-0133A, DECEMBER 06, 2016 CLASSIFIES THIS LOT IN SHADED ZONE X
3) Lowest machinery serving property is AC pump on concrete pad outside building, elev=2551.6
4) Bottom of HVAC ductwork in crawlspace is at elev=2550.75
5) Furnace and water heater are elevated in garage at elev=2552.7
6) Rear patio concrete not yet constructed Assumed -0.65 ft below living space finish floor elevation per plans
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
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY US
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number
916 S HERON POINTE WAY
City State ZIP Code
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—E5 If the Certificate is intended to support a LOMA or LOMR- request
complete Sections A, Band C. For Items E1—E4, use natural grade, if available. Check the measurement used. In P erto Rico only,
enter meters.
E1 Provide elevation information for the following and check the appropriate boxes to show whether the eleva , n 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 ❑ meter ❑ above or ❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and r 9 (see pages 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 meters ❑ above or ❑ below the HAG.
E4 Top of platform of machinery and/or equipment
servicing the building is eet ❑ meters ❑ above or ❑ below the HAG.
E5 Zone AO only- If no flood depth number is available, is the top of the bottom or 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'S EPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who complete Sections A, B, and E for Zone A (without aFEMA-issued or
community -issued BFE) or Zone AO must sign here. The statements i Sections A, B, and E are correct to the best of my knowledge
Property Owner or Owner's 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 US
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P O. Route and Box No.
Policy Number:
71
916 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 ordinan can complete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) an/purposes heck th 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 siga licensed surveyor,
engineer, or architect who is authorized by law to certify elevation information. (Indicnd 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 or community -issued BFE)
or Zone AO.
G3. ❑ The following information (Items G4—G10) is provided for community floodplain manoses
G4 Permit Number
G5. Date Permit Issued
G6. Date Certificate of
Compliance/Occupancy Issued
G7. This permit has been issued for: ❑ New Construction ❑ Substanti Improvement
G8 Elevation of as -built lowest floor (including basement)
❑ feet ❑ meters
of the building: Datum
G9 BFE or (in Zone AO) depth of flooding at the building site, ❑ feet ❑ 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 a location, per C2(e), if applicable)
❑ Check here if attachments
FEMA Form 086-0-33 (7/15) Replaces all previous editions Form Page 4 of 6
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
Budding Street Address (including Apt., Unit, Suite, and/or Bldg No ) or P 0 Route and Box No.
Policy Number
916 S. HERON POINTE WAY
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 to Section A8 If submitting more photographs than will fit on this page, use the Continuation Page.
t.
1
t
'DC7
Photo On
Photo One Caption FRONT VIEW
Photo Two
Photo Two Caption REAR VIEW
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:
916 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
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
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FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6