Flood Control - Elevation Certificate - 78 E Eagle River Street - Mixed Use Sub No 04 - 12/1/2005
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
a.M.B. No. 3067-0077
Expires December 31,2005
1m t Read the instructions on 1 .7.
SECTION A - PROPERTY OWNER INFORMATION
For Insuranre Col11JanY Use:
Policy Number
BUILDING OWNER'S NAME
VOG Ea Ie River LLC.
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
78 E. Eagle River Street
CITY STATE
Eagle ID
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 4, Block 3 Mixed Use Subdivision NO.4
BUILDING USE (e.g., Residential, Non-residential, Adelition, Aocessrxy, etc. Use a Comments area, if necessary.)
Commercial
LATITUDE/LONGITUDE (OPTIONAL)
( ##0 _ ##' _ ##.##" or ##.#####")
Company NAIC Number
ZIP CODE
83616
HORIZONTAL DATUM:
o NAD 1927 0 NAD 1983
SOURCE: 0 GPS (Type):_
o USGS Quad Map
o Other._
SECTION B - FLOOD INSURANCE RATE MAP (ARM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER
City of Eagle
82. COUNTY NAME
ADA
B3.STATE
Idaho
84. MAP AND PANEL B7. FIRM PANEL 69. BASE FLOOD ELEVATION(S)
NUMBER 65. SUFFIX 86. FIRM INDEX DATE EFFECTlVEiREVlSED DATE 86. FLOOD ZONE(S) (Zone I>D, use depth of ftoodiY;l)
153 H W19t.!003 W19t.!003 AE 2561.1
B10. Indicate the source of the Base Rood Elevation (BFE) data or base flood depth entered in B9.
o FIS Profile ~ FIRM 0 Comrronity Determined 0 Other (Describe):_
B11. Indcate the elevation datum used for the BFE in 89: 0 NGVD 1929 ~ NA VD 1988 0 Other (Describe): _
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Other'Mse Protected Area (OPAl? 0 Yes ~ No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 0 Construction Drawings' 0 Building Under Construction' ~ Rnished Construction
. A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number 1 (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 buiking, provide a sketch or photograph.)
C3. Bevations-ZonesA1-A30, AE, AH, A (with BFE), VE, V1-V3l, V (with BFE), AR, APJA, APJAE, APJA1-A30, APJAH, APJAO
Complete nems C3.-a~ below according to the bLilding diagram specified in nem C2. State the datum used. n 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 0 or Section G, as appropriate, to document the datum conversion. n "
Datum _ Conversion/Comments _ W
Elevation reference mark used _Does the elevation reference mark used appear on the FIRM? 0 Yes ~ No
o a) Top of bottom floor (includng basement or enclosure) 2561. 49 ft(m)
o b) Top of next higher floor _._ft(m)
o c) Bottom of lowest horizontal structural member IY zones only) _' _ ft(m)
o d) Attached garage (top of slab) _' _ft.(m)
o e) Lowest elevation of machinery and/or equipment
servicing the building (Describe in a Comments area) _' _ ft.(m)
o ij Lowest acijacent (finished) grade (LAG) 2561 . 00 ft(m)
o g) Highest adjacent (finished) grade (HAG) 2561. 39 ft(m)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade _
o i) Total area of all permanent openings (flood vents) in C3.h _sq. in. (sq. em)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICA nON
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, e, 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 under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME LICENSE NUMBER
Dennis Lewis 11575
TITLE COMPANY NAME
Professional Land Surveyor Roylance & Associates
ADDRESS CITY
391 W. State Street Eagle
SIGNATURE "A~ A~ I A -t' _ · DATE
~ ~ 12-D1-2005
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STATE
10
TELEPHONE
(208) 939-2824
ZIP CODE
83616
FEMA Form 81-31, January 2003
See reverse side for continuation.
Replaces all previous editions