Flood Control - Elevation Certificate - 2898 E Lakeland Lane - Lakeland Estates - 1/23/2006
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FlOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 .7.
O.M.B. No. 3067-0077
Expires December 31,2005
SECTION A. PROPERTY OWNER INFORMATION For Insurance Company Use
BUILDING OWNER'S NAME Policy Number
Kent Thompson ---'-~----'-_.,-,,"- .-..-------
BUILDING STREET ADDRESS (Including Apt, Unit, Suite. and/or Bldg No) OR PO ROUTE AND BOX NO Company NAIC Number
2898 E. Lakeland Lane
-'-'~-~-'---------- ---.--
CITY STATE
Eagle Id
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 11 Block 1 Lakeland Estates Subdivision Parcel # R5125340110
-~--_._----_. --------~-
BUILDING USE (e.g, Residential, Non-residential, Addition, Accessory, etc Use a Comments area, if necessary.)
Residential
LA TITUDElLONGITUDE (OPTIONAL)
( ##0 _ ##' _ ####" or ##.#####0)
ZIP CODE
83616
HORIZONTAL DATUM
o NAD 1927 0 NAD 1983
SOURCE 0 GPS (Type)_~
o USGS Quad Map
o Other
U---l
SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
fB2 COUNTY NAME --- - ---------
I Arj~
I
181, NFIP COMMUNITY NAME & COMMUNITY NUMBER
I Eaale. City of 160003
~
B7 FIRM PANEL .--
84. rv1AP AND PANEL
NUMBER B5. SUFFIX B6 FIRM INDEX DATE EFFECTIVEiREVISED DATE
16001C0162H H 2-19-2003 2-19-2003
i B3 STATE
I Idaho
~___L::_____ .....J
r --'[s)l~---U ~
B9 BASE FLOOD ELEVATION(S)
88. FLOOD ZONE(S) (Zone AO, use deptll of flooding)
AE 25819
------------- - . -- --- ------ -- -------- ------'- .'--._--
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9
o FIS Profile ~ FIRM 0 Community Detemmned 0 Other (Describe) _
B11.lndicatetheelevation datum used for the BFE in B9 0 NGVD 1929 ~ NAVD 1988 0 Other (Describe)._
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)'! 0 Y es ~ No Designation Date
SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on 0 Construction Drawings* 0 Building Under Construction* ~ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number _ (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, APJA, APJAE, APJA1-A30, APJAH, APJAO
Complete Items C3.-a~ below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation Use the space prOVided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum 2588.32 Conversion/Comments
Elevation reference mark used OH0157 Does the elevation reference mark used appear on the FIRM? ~ Yes 0 No
o a) Top of bottom floor (induding basement or endosure) 2583. QJt(m)
o b) Top of next higher floor 2585.8.,ft.(m)
o c) Bottom of lowest horizontal structural member (V zones only) ft(m)
o d) Attached garage (top of slab) 2585 fift(m)
o e) Lowest elevation of machinery and/or equipment
servicing the building (Describe in a Comments area) 2586. Q.ft.(m)
o 0 Lowest adjacent (finished) grade (LAG) 2584 . fift.(m)
o g) Highest adjacent (finished) grade (HAG) 2585. fift.(m)
o h) No. of pemnanent openings (flood vents) within 1 ft. above adjacent grade 11
o i) Total area of all pemnanent openings (flood vents) in C3.h 1836 sq. in. (sq. cm)
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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 in Sections A, B, and C 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 under1j3JJ~S;.Q.d!1c~f!..c!!.~eJ2!!1-u___~___
CERTIFIER'S NAME Gary R Burkett LICENSE NUM8ER 4114
COMPANY NAME EHM ENGINEERS INc.
TITLEProfessional Engineer
./-
CITY
Bose
DATE
1-20-06
~
See reverse side for continuation
STATE
Id
TELEPHONE
208-386-9170
ZIP CODE
83705
Replaces all previous editions
-..--"
IMPORT ANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use
8UILDING S,REET ADDRESS (Induding Apt. Un~, Suite, and/or Bldg. No.) OR PO ROUTE AND BOX NO. Policy Number
2898 E. Lakeland Lane -
CITY STATE ZIP CODE Company NAIC Number
Eagle Id 83616
SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenVoompany, and (3) building owner.
-~._--~---_.- ----_....._~_._._-- -----.---..----
COMMENTS
o Check here if attachments
SECTION E . BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), oomplete Items E1 through E4. If the Elevation Certificate is intended for use as supporting infomnation for a LOMA or LOMR-F,
Section C must be completed.
E1. Building Diagram Number !l(Select the building diagram most similar to the building for which this certificate IS being completed - see pages 6 and 7 If no diagram accurately
represents the building, provide a sketch or photograph.)
E2 The top of the bottom floor (induding basement or endosure) of the building IS f ft.(m) ~in(cm) 0 above or ~ below (check one) the highest adjacent grade (Use
natural grade, if available).
E3. For Building Diagrams 6-8 with openinqs (see page 7). the next higher floor or elevated floor lelevatirm b) of the bui1chlg is Q fc(m) :iin(cm) aca'ie the highest ;:;dj3cen! g,ods
Complete items C3.h and C3.i on front of form
E4. The top of the platform of machinery and/or equipment servicing the building is Q it.(m) 1in(cm) ~ above or 0 below (check one) the highest adjacent grade. (Use
natural grade, if available).
E5 For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in acoordance with the community's floodplain management ordinance?
~ Yes 0 No 0 Unknown. The local official must certify this information in Section G
SECTION F . PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA~ssued or oommunity-
issued BFE) or Zone AO must sign here The statements in Sections A, B, C, and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
Stephen R Andersen for EHM Et:JGINEERS INC. __._______ ________ _ n _n_______________________.~
ADDRESS
2404 Bank Driv
SIGNA TUR
CITY STATE ZIP CODE
Boise Id 83705
--~-_._~--~----~--------_.-. -----~-----~~---------~-_.--
DATE TELEPHONE
1-20-D6 208-386-9170
UI Cling pad is elevated several feet above the pre-construction natural ground elevation-~iih all slopes grading ------
away from the structure.
o Check here if attachments
SECTION G. COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can oomplete Sections A, B, C (or E) and G of this Elevation
Certificate. Complete the applicable item(s) and sign below.
G1. 0 The infomnation In Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state
or local law to certify elevation infomnation (Indicate the source and date of the elevation data in the Comments area below.)
G2. 0 A community official oompleted Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO.
G3. 0 The following infomnation (Items G4-G9) is provided for community floodplain management purposes.
G4. PERMIT NUMBER
G5. DATE PERMIT ISSUED
G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7. This pemnit has been issued for 0 New Construction 0 Substantial Improvement
GB. Elevation of as-built lowest floor (induding basement) of the building is
G9 BFE or (in Zone AO) depth of flooding at the building site is
__ft.(m)
___ _ ft.(m)
Datum
Datum
LOCAL OFFICIAL'S NAME
COMMUNITY NAME
TITLE
TELEPHONE
SIGNATURE
COMMENTS
DATE
o Check here if attachments
FEMA Form 81-31, January 2003
Replaces all previous editions