Flood Control - Elevation Certificate - 1450 N Eagle Road - Brookwood Sub 1 - 8/10/2009
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
Federal Emergency Management Agency
hlational Flood Insurance Program Important: Read the instructions on pages 1-9.
OMS No. 1660-0008
Expires March 31, 2012
SECTION A - PROPERTY INFORMATION For Insurance Company Use:
A1. Building Owner's Name City of Eagle PolicyN\Jmber
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number
105 East Old Barn Drive
City Eagle
State 10 ZIP Code 83616
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Tax Parcel: R1096960380; Lot 38, Block 1 Brookwood Subdivision NO.1
A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) Communitv Water Svstem Well House
A5. Latitude/Longitude: Lat. 43^42'27.8"N Long. 116^21'12.8'W Horizontal Datum: 0 NAD 1927 t8:J 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 1B
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft
b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage
enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? 0 Yes 0 No d) Engineered flood openings? 0 Yes 0 No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
160003 City of Eagle
B2. County Name
ADA County
B3. State
10
B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone
16001C 0153 H Date Effective/Revised Date Zone(s) AO, use base flood depth)
October 2, 2003 February 19, 2003 AE 2591.6
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
o FIS Profile t8:J FIRM 0 Community Determined 0 Other (Describe) _
B11. IndicateelevationdatumusedforBFEinltemB9: 0 NGVD1929 t8:J NAVD1988 DOther(Describe)_
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes
Designation Date _ 0 CBRS DOPA
t8:J No
Address 32 N. Main StreeUP.O. Box 235 City Payette
State 10
ZIP Code 83661
Certifier's Name Dean J. Coon
License Number PLS 10328
Title Survey Manager
Company Name Holladay Engineering
Signature \
Date 8/10/09
Telephone 208-642-3304
See reverse side for continuation.
Replaces all previous editions
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
105 East Old Barn Drive
City EagleState 10 ZIP Code 83616 Company NAIC Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments Benchmark is an aluminum set by Holladay Engineering with and OPUS Derived position. OPUS Report is attached for reference as per
instructions for Item. C.2
Equipment servicing the building is an emergency generator contained withing the building and rests on supports.
~~
Signature
B/lt~/O~
Date
~ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONEA (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
E 1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation 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 _'_ 0 feet 0 meters 0 above or 0 below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is _'_ 0 feet 0 meters 0 above or 0 below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is _'_ 0 feet 0 meters 0 above or 0 below the HAG.
E3. Attached garage (top of slab) is _'_ 0 feet 0 meters 0 above or 0 below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is _'_ 0 feet 0 meters 0 above or 0 below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? 0 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, and E for Zone A (without a FEMA-issued or community-issued BFE)
or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address
City
State
ZIP Code
Signature
Date
Telephone
Comments
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 complete Sections A, B, C (or E),
and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9.
G1. 0 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 law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO.
G3. 0 The following information (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 permit has been issued for: 0 New Construction 0 Substantial Improvement
G8. Elevation of as-built lowest floor (including basement) of the building: _'_ 0 feet 0 meters (PR) Datum _
G9. BFE or (in Zone AO) depth of flooding at the building site: _ _ 0 feet 0 meters (PR) Datum _
G10. Community's design flood elevation __ 0 feet 0 meters (PR) Datum _
Local Official's Name
Title
Community Name
Telephone
Signature
Date
Comments
18I Check here if attachments
FEMA Form 81-31, Mar 09
Replaces all previous editions
Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
105 East Old Bam Drive
City Eagle State 10 ZIP Code 83616 Company NAlC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
East end of structure's north side (side view), 7/10/09
West end of structure (front view), 7/10/09
West end of structure's north side (side view), 7/10/09
West end of structure's south side (side view), 7/10/09
Building Photographs
Continuation Page
For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
105 East Old Barn Drive
City Eagle State 10 ZIP Code 83616 Company NAlC Number
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."
East end of structure's south side (side view), 7/10/09
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East end of Structure (rear view), 7/10/09