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Flood Control - Elevation Certificate - 1105 W Back Forty Dr - Mace River Ranch Sub No 05 - 6/6/2019U.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: Gardner Mace Ranch LC A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1105 W Back Forty Dr. City State ZIP Code Eagle Idaho 83616 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 2, Block 7 of Mace River Ranch Subdvision No. 5, Parcel No. R5421240420 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. N43°41'17,71" Long. W116°22'03,46" 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 2A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 3,171 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 0 sq in d) Engineered flood openings? ❑ Yes ❑x No A9. For a building with an attached garage: a) Square footage of attached garage 1,014 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 ❑x 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 County Idaho B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 160001CO153 H 10/02/2003 02/19/2003 X (Shaded) 2549.4 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑x Other/Source: LOMR F-17-10-133A&CLOMR-F-1510C B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 ❑x 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 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: 1105 W Back Forty Dr. 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: IDTD PID AJ3346 Vertical Datum: NAVD88 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) 2550 1 ❑x feet ❑ meters b) Top of the next higher floor 2553 4 ❑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) 2552 7 ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building _ 2550 7 ❑x feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 2551 8 x❑ feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 2552 7 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 2552 8 ❑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. 1 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? x❑ Yes ❑ No ❑ Check here if attachment Certifier's Name License Number Robert L. Kazarinoff 16642 Title �' d PLS Company Name J -U -B Engineers, Inc. Address re 250 S. Beechwood Ave., Ste 201 OF City State ZIP Code KAP' Boise Idaho 83709 (PAC 2V Signature Date Telephone ©' (208) 376-7330 Copy all pages of this le tion Certif and al tachments for 1) c mmunity official, (2) insurance agent/company, and (3) building owner. Comments (including type of eqj' men and tion, per C2(e), if applicable) C2e. Ducts under house. 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. 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: 1105 W Back Forty Dr. 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 fit on this page, use the Continuation Page. i Photo One Photo One Caption Front Right RAN SNOW, . t •� . x. -Ad 4 Photo Two Two Caption Right Rear 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, 201E 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: 1105 W Back Forty Dr. 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. Photo One Photo One Caption Right Left Photo Two Caption Front Left IWA NK—;. Photo Two FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6