Flood Control - Elevation Certificate - 2898 E Lakeland Lane - Lakeland Estates - 5/9/2024U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE AND INSTRUCTIONS
OMB Control No. 1660-0008
Expiration Date: 06/30/2026
PAPERWORK REDUCTION ACT NOTICE
Public reporting burden for this data collection is estimated to average 3.75 hours per response. The burden estimate includes the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form.
You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments
regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management,
Department of Homeland Security, Federal Emergency Management Agency, 500 C Street SW, Washington, DC 20742, Paperwork
Reduction Project (1660-0008). NOTE: Do not send your completed form to this address.
PRIVACY ACT STATEMENT
Authority: Title 44 CFR § 61.7 and 61.8.
Principal Purpose(s): This information is being collected for the primary purpose of documenting compliance with National Flood
Insurance Program (NFIP) floodplain management ordinances for new or substantially improved structures in designated Special Flood
Hazard Areas. This form may also be used as an optional tool for a Letter of Map Amendment (LOMA), Conditional LOMA (CLOMA), Letter
of Map Revision Based on Fill (LOMR-F), or Conditional LOMR-F (CLOMR-F), or for flood insurance rating purposes in any flood zone.
Routine Use(s): The information on this form may be disclosed as generally permitted under 5 U.S.C. § 552a(b) of the Privacy Act of 1974,
as amended. This includes using this information as necessary and authorized by the routine uses published in DHS/ FEMA-003 — National
Flood Insurance Program Files System of Records Notice 79 Fed. Reg. 28747 (May 19, 2014) and upon written request, written consent, by
agreement, or as required by law.
Disclosure: The disclosure of information on this form is voluntary; however, failure to provide the information requested may impact the
flood insurance premium through the NFIP. Information will only be released as permitted by law.
PURPOSE OF THE ELEVATION CERTIFICATE
The Elevation Certificate is an important administrative tool of the NFIP. It can be used to provide elevation information necessary to ensure
compliance with community floodplain management ordinances, to inform the proper insurance premium, and to support a request for a
LOMA, CLOMA, LOMR-F, or CLOMR-F.
The Elevation Certificate is used to document floodplain management compliance for Post -Flood Insurance Rate Map (FIRM) buildings,
which are buildings constructed after publication of the FIRM, located in flood Zones Al—A30, AE, AH, AO, A (with Base Flood Elevation
(BFE)), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO, and A99. It may also be used to provide elevation
information for Pre -FIRM buildings or buildings in any flood zone.
As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt floodplain
management regulations that specify minimum requirements for reducing flood losses. One such requirement is for the community to obtain
the elevation of the lowest floor (including basement) of all new and substantially improved buildings, and maintain a record of such
information. The Elevation Certificate provides a way for a community to document compliance with the community's floodplain
management ordinance.
Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR-F from the Federal
Emergency Management Agency (FEMA) can amend the FIRM and remove the federal mandate for a lending institution to require the
purchase of flood insurance. However, the lending institution has the option of requiring flood insurance even if a LOMA/LOMR-F has been
issued by FEMA. The Elevation Certificate may be used to support a LOMA, CLOMA, LOMR-F, or CLOMR-F request. Lowest Adjacent
Grade (LAG) elevations certified by a land surveyor, engineer, or architect, as authorized by state law, will be required if the certificate is
used to support a LOMA, CLOMA, LOMR-F, or CLOMR-F request. A LOMA, CLOMA, LOMR-F, or CLOMR-F request must be submitted
with either a completed FEMA MT-EZ or MT-1 application package, whichever is appropriate. If the certificate will only be completed to
support a LOMA, CLOMA, LOMR-F, or CLOMR-F request, there is an option to document the certified LAG elevation on the Elevation Form
included in the MT-EZ and MT-1 application.
This certificate is used only to certify building elevations. A separate certificate is required for floodproofing. Under the NFIP, non-residential
buildings can be floodproofed up to or above the BFE. A floodproofed building is a building that has been designed and constructed to be
watertight (substantially impermeable to floodwaters) below the BFE. Floodproofing of residential buildings is not permitted under the NFIP
unless FEMA has granted the community an exception for residential floodproofed basements. The community must adopt standards for
design and construction of floodproofed basements before FEMA will grant a basement exception. For both floodproofed non-residential
buildings and residential floodproofed basements in communities that have been granted an exception by FEMA, a floodproofing certificate
is required.
The expiration date on the form herein does not apply to certified and completed Elevation Certificates, as a completed Elevation Certificate
does not expire, unless there is a physical change to the building that invalidates information in Section A Items A8 orA9, Section C, Section
E, or Section H. In addition, this form is intended for the specific building referenced in Section A and is not invalidated by the transfer of
building ownership.
Additional guidance can be found in FEMA Publication 467-1, Floodplain Management Bulletin: Elevation Certificate.
FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23)
Form Page 1 of 8
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
OMB Control No. 1660-0008
Expiration Date: 06/30/2026
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11
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: Chad & Megan McKibben
Policy Number:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.:
2898 East Lakeland Lance
Company NAIC Number:
ZIP Code: 83616
City: Eagle State: ID
A3. Property Description (e.g., Lot and Block Numbers or Legal Description) and/or Tax Parcel Number:
Lot 11, Block 1 of Lakeland Estates Subdivision
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.): Addition to Residential Home
A5. Latitude/Longitude: Lat. 43°40'51.79" N Long.116°19'06.16" W Horiz. Datum: ❑
NAD 1927 0 NAD 1983 ❑ WGS 84
(see Form pages 7 and 8).
A6. Attach at least two and when possible four clear color photographs (one for each side) of the building
A7. Building Diagram Number: 9
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s): 2800 sq. ft.
b) Is there at least one permanent flood opening on two different sides of each enclosed area?
c) Enter number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot
Non -engineered flood openings: 0 Engineered flood openings: 0
❑ Yes 0 No ❑ N/A
above adjacent grade:
0 sq. ft.
d) Total net open area of non -engineered flood openings in A8.c: 0 sq. in.
e) Total rated area of engineered flood openings in A8.c (attach documentation - see Instructions):
f) Sum of A8.d and A8.e rated area (if applicable - see Instructions): 0 sq. ft.
A9. For a building with an attached garage:
a) Square footage of attached garage: 900 sq. ft.
b) Is there at least one permanent flood opening on two different sides of the attached garage?
c) Enter number of permanent flood openings in the attached garage within 1.0 foot above adjacent
Non -engineered flood openings: 0 Engineered flood openings: 0
❑ Yes 0 No ❑ N/A
grade:
0 sq. ft.
d) Total net open area of non -engineered flood openings in A9.c: 0 sq. in.
e) Total rated area of engineered flood openings in A9.c (attach documentation - see Instructions):
f) Sum of A9.d and A9.e rated area (if applicable - see Instructions): 0 sq. ft.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1.a. NFIP Community Name: Eagle, City of B1.b. NFIP Community Identification Number: 160003
B2. County Name:Ada B3. State: ID B4. Map/Panel No.: 160001C0162 B5. Suffix: J
B6. FIRM Index Date: 06/19/2020 B7. FIRM Panel Effective/Revised Date: 06/19/2020
B8. Flood Zone(s): AE B9. Base Flood Elevation(s) (BFE) (Zone AO, use Base Flood Depth): 2582.3
B10. Indicate the source of the BFE data or Base Flood Depth entered in Item B9:
0 FIS ❑ FIRM ❑ Community Determined ❑ Other:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected
Designation Date: ❑ CBRS ❑ OPA
Area (OPA)? ❑ Yes 0 No
No
B13. Is the building located seaward of the Limit of Moderate Wave Action (LiMWA)? ❑ Yes 0
FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23)
Form Page 2 of 8
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.:
2898 East Lakeland Lance
FOR INSURANCE COMPANY USE
Policy Number:
City: Eagle State: ID ZIP Code: 83616
Company NAIC Number:
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* 0
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations — Zones Al—A30, AE, AH, AO, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE,
A99. Complete Items C2.a—h below according to the Building Diagram specified in Item A7. In Puerto Rico
Benchmark Utilized: OPUS Derived Vertical Datum: NAVD 88
Finished Construction
AR/A1—A30, AR/AH, AR/AO,
only, enter meters.
Indicate elevation datum
❑ NGVD 1929
/1
used for the elevations in items a) through h) below.
NAVD 1988 ❑ Other:
Datum used for building elevations must be the same as that used for the BFE. Conversion factor used?
If Yes, describe the source of the conversion factor in the Section D Comments area.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor): 2583.0
❑
Check
0
Yes
the
feet
0
measurement
❑
No
used:
meters
b) Top of the next higher floor (see Instructions): 2585.9
0
feet ❑ meters
c) Bottom of the lowest horizontal structural member (see Instructions): N/A
❑
feet ❑ meters
d) Attached garage (top of slab): N/A
❑
feet ❑ meters
e) Lowest elevation of Machinery and Equipment (M&E) servicing the building
(describe type of M&E and location in Section D Comments area): 2585.3
0
feet ❑ meters
f) Lowest Adjacent Grade (LAG) next to building: ❑ Natural
a
Finished 2584.4
0
feet ❑ meters
g) Highest Adjacent Grade (HAG) next to building: ❑ Natural
C.
Finished 2585.3
0
feet ❑ meters
h) Finished LAG at lowest elevation of attached deck or stairs, including structural
support: N/A ❑ feet ❑ meters
SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect
information. I certify that the information on this Certificate represents my best efforts
false statement may be punishable by fine or imprisonment under 18 U.S. Code,
Were latitude and longitude in Section A provided by a licensed land surveyor?
❑ Check here if attachments and describe in the Comments area.
Section
0
authorized by state law to certify elevation
to interpret the data available. I understand that any
1001.
Yes ❑ No
Certifiers Name: Aaron Rush License Number: L-12464
N1\t- L AND
Title: Land Surveyor ��
Company Name: LR Geo o m
Address: 690 S. Industry Way, Suite 55
12464
O
0
o
City: Meridian State: ID ZIP Code: 83642 -9` \oP
of
Telephone: (208) 519-5900 Ext.: 1 Email: aaron@Ir-geo.com IRON P. RVS
Aaron Rush Digitally signed by Aaron Rush
Signature: Date: 2024.05.09 15:48:07-06'00' Date: 05/09/2024
Place Seal Here
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments (including source of conversion factor in C2; type of equipment and location per C2.e; and description of any attachments):
FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23)
Form Page 3 of 8
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.:
2898 East Lakeland Lance
FOR INSURANCE COMPANY USE
Policy Number:
City: Eagle State: ID ZIP Code: 83616
Company NAIC Number:
SECTION E — BUILDING MEASUREMENT INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO, ZONE AR/AO, AND ZONE A (WITHOUT BFE)
For Zones AO, AR/AO, and A (without BFE), complete Items El—E5. For Items El—E4, use natural
intended to support a Letter of Map Change request, complete Sections A, B, and C. Check the measurement
enter meters.
Building measurements are based on: ❑ Construction Drawings* ❑ Building Under Construction*
*A new Elevation Certificate will be required when construction of the building is complete.
El. Provide measurements (C.2.a in applicable Building Diagram) for the following and check the appropriate
measurement is above or below the natural HAG and the LAG.
a) Top of bottom floor (including basement,
crawlspace, or enclosure) is: ❑ feet ❑ meters
grade, if available. If the Certificate is
used. In Puerto Rico only,
❑ Finished Construction
boxes to show whether the
❑ above or ❑ below the HAG.
❑ above or ❑ below the LAG.
9 (see pages 1-2 of Instructions), the
❑ above or ❑ below the HAG.
❑ above or ❑ below the HAG.
❑ above or ❑ below the HAG.
with the community's
certify this information in Section G.
b) Top of bottom floor (including basement,
crawlspace, or enclosure) is: ❑ feet ❑ meters
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or
next higher floor (C2.b in applicable
Building Diagram) of the building is: ❑ feet ❑ meters
E3. Attached garage (top of slab) is: ❑ feet ❑ meters
E4. Top of platform of machinery and/or equipment
servicing the building is: ❑ feet ❑ meters
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance
floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown The local official must
SECTION F — PROPERTY OWNER (OR OWNER'S AUTHORIZED REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without BFE) or Zone AO must
sign here. The statements in Sections A, B, and E are correct to the best of my knowledge
❑ Check here if attachments and describe in the Comments area.
Property Owner or Owner's Authorized Representative Name:
Address:
City: State: ZIP Code:
Telephone: Ext.: Email:
Signature: Date:
Comments:
FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23)
Form Page 4 of 8
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.:
2898 East Lakeland Lance
FOR INSURANCE COMPANY USE
Policy Number:
City: Eagle State: ID ZIP Code: 83616
Company NAIC Number:
SECTION G — COMMUNITY INFORMATION (RECOMMENDED FOR COMMUNITY OFFICIAL COMPLETION)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Section A, B, C, E, G, or H of this Elevation Certificate. Complete the applicable item(s) and sign below when:
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 state law to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.)
G2.a. ❑ A local official completed Section E for a building located in Zone A (without a BFE), Zone AO, or Zone AR/AO, or when item
E5 is completed for a building located in Zone AO.
G2.b. ❑ A local official completed Section H for insurance purposes.
G3. ❑ In the Comments area of Section G, the local official describes specific corrections to the information in Sections A, B, E and H.
G4. ❑ The following information (Items G5—G11) is provided for community floodplain management purposes.
G5. Permit Number: G6. Date Permit Issued:
G7. Date Certificate of Compliance/Occupancy Issued:
❑ meters Datum:
G8. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G9.a. Elevation of as -built lowest floor (including basement) of the
building: ❑ feet
G9.b. Elevation of bottom of as -built lowest horizontal structural
member: ❑ feet ❑ meters Datum:
G10.a. BFE (or depth in Zone AO) of flooding at the building site: ❑ feet ❑ meters Datum:
G10.b. Community's minimum elevation (or depth in Zone AO)
requirement for the lowest floor or lowest horizontal structural
member: ❑ feet ❑ meters Datum:
G11. Variance issued? ❑ Yes ❑ No If yes, attach documentation and describe in the Comments area.
The local official who provides information in Section G must sign here. / have completed the information in Section G and certify that it is
correct to the best of my knowledge. If applicable, I have also provided specific corrections in the Comments area of this section.
Local Official's Name: Title:
NFIP Community Name:
Telephone: Ext.: Email:
Address:
City: State: ZIP Code:
Signature: Date:
Comments (including type of equipment and location, per C2.e; description of any attachments; and corrections to specific information in
Sections A, B, D, E, or H):
FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23)
Form Page 5 of 8
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.:
2898 East Lakeland Lance
FOR INSURANCE COMPANY USE
Policy Number:
City: Eagle State: ID ZIP Code: 83616
Company NAIC Number:
SECTION H — BUILDING'S FIRST FLOOR HEIGHT INFORMATION FOR ALL ZONES
(SURVEY NOT REQUIRED) (FOR INSURANCE PURPOSES ONLY)
The property owner, owners authorized representative, or local floodplain management official may
to determine the building's first floor height for insurance purposes. Sections A, B, and I must also be
nearest tenth of a foot (nearest tenth of a meter in Puerto Rico). Reference the Foundation Type
Instructions) and the appropriate Building Diagrams (at the end of Section / Instructions) to complete
H1. Provide the height of the top of the floor (as indicated in Foundation Type Diagrams) above the
a) For Building Diagrams 1A, 1B, 3, and 5-8. Top of bottom ❑ feet ❑
complete Section H for all flood zones
completed. Enter heights to the
Diagrams (at the end of Section H
this section.
Lowest Adjacent Grade (LAG):
meters ❑ above the LAG
meters ❑ above the LAG
to or above the floor indicated by the
Building Diagram?
floor (include above -grade floors only for buildings with
crawlspaces or enclosure floors) is:
b) For Building Diagrams 2A, 2B, 4, and 6-9. Top of next ❑ feet ❑
higher floor (i.e., the floor above basement, crawlspace, or
enclosure floor) is:
H2. Is all Machinery and Equipment servicing the building (as listed in Item H2 instructions) elevated
H2 arrow (shown in the Foundation Type Diagrams at end of Section H instructions) for the appropriate
❑ Yes ❑ No
SECTION I — PROPERTY OWNER (OR OWNER'S AUTHORIZED REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and H must sign here. The statements in Sections
A, B, and H are correct to the best of my knowledge. Note: If the local floodplain management official completed Section H, they should
indicate in Item G2.b and sign Section G.
❑ Check here if attachments are provided (including required photos) and describe each attachment in the Comments area.
Property Owner or Owner's Authorized Representative Name:
Address:
City: State: ZIP Code:
Telephone: Ext.: Email:
Signature: Date:
Comments:
FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23)
Form Page 6 of 8
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11
BUILDING PHOTOGRAPHS
See Instructions for Item A6.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.:
2898 East Lakeland Lance
City: Eagle
State: ID ZIP Code: 83616
FOR INSURANCE COMPANY USE
Policy Number:
Company NAIC Number:
Instructions: Insert below at least two and when possible four photographs showing each side of the building (for example, may only be
able to take front and back pictures of townhouses/rowhouses). Identify all photographs with the date taken and "Front View," "Rear View,"
"Right Side View," or "Left Side View." Photographs must show the foundation. When flood openings are present, include at least one
close-up photograph of representative flood openings or vents, as indicated in Sections A8 and A9.
Photo One
Photo One Caption: FACING SOUTH (05-03-24)
Photo Two
Clear Photo One
Photo Two Caption: FACING NORTH (05-03-24)
Clear Photo Two
FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23)
Form Page 7 of 8
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11
BUILDING PHOTOGRAPHS
Continuation Page
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.:
2898 East Lakeland Lance
City: Eagle
State: ID ZIP Code: 83616
FOR INSURANCE COMPANY USE
Policy Number:
Company NAIC Number:
Insert the third and fourth photographs below. Identify all photographs with the date taken and "Front View," "Rear View," "Right Side
View," or "Left Side View." When flood openings are present, include at least one close-up photograph of representative flood openings or
vents, as indicated in Sections A8 and A9.
Photo Three
Photo Three Caption: FACING NORTHEAST (05-03-24)
Photo Four
Clear Photo Three
Photo Four Caption: FACING SOUTHEAST (05-03-24)
Clear Photo Four
FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23)
Form Page 8 of 8