Flood Control - Elevation Certificate - 691 S Brentbrook Ln - Mace River Ranch Sub No 04 - 6/19/2020U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Ernergeni `ManagementAgency
National Flood In .,:;<Y ce Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
OMB No. 1660-0008 11
Expiration Date: November K, 2013;
„ A
SCANNEU,
Copy Eiji pang,:,„s of Elevation Certificate and all attachments for (1) community official, (2) Insurance agenticompany, and (3) building
SECTION A -- PROPERTY INFORMATION
FOR INSURAM,E COMPA9'1,14' USE
Al. 131:ilding 4Ownet's Name
Policy Number:
Meier Farrtily Trust 05127/2015
A2. Building Street Address (including Apt., l'r;it, Suite, and/or Bldg. No.) or P.O. Route and
Company MAIC ` uniber:
Box 10.
691 S. Bren.�.!cok Lane
City State ZIP Code
Eagle Idaho 83616
A3. Pro erty Des'. -xi :tion (Lot and Bleck Numbers, -fax Parcel Number, Legal Description, etc.)
Lot 6'l of B'lor is 4, ^,lace River Ranch Subdivision No. 4 / Assessor's Parcel No. R5421230190
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5, Lat. 43°41'20.91” N Long. 11622'24.74" W Horizontal Datum: EJ- NAD 192 °_x] NAD
A6. Atta& at (east' photographs of the building if the Certificate is being used to obtain flood insurance -
A7. Building D agranF Number 9
8, For a ` uii iir?y w0li a craWspace or enr:lns rreis):
a Squama f.>,:t< ;ie of crawlspace or enclosure(s) 3795.00 sq ft
b) Nu i ber of !)^rmanent flood openings in the. crawlspace or enciosure(s) within 1.0 foot above adjacent grade,
c) `l'afa? net area of flood openings in A8.b 0.00 sq in
d) ngineer(-A flood openings? L__' Yes !xi No
Au. For a 'Nt ',!,iinq MK.;ti} an attached garage:
a) Squa-e ` ,lot ge of attached garage 2071.00 sq ft
bl Nunllbe,- &' ,permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c} T01,11 noll area of flood openings in A9.b 0.00 sq in
d) F_ru i;;> :_.;. `" t:�od openings? I Ye: ix-., No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFiP 0;r�rr�;�_aa!r;ity Name & Community Number
�82. County Name
f33..^+aae
City of car lc. 160003
Ada County
Idaho
i
Bti Mar.l!-'anel
! B5. Suffix.
r 136. FIRM Index B7. FIRM Panel
B8. Flood B9. Base Flood Elevalian(s)
N u� ,ber
I hate r Effective/
I Zone(s) (lone AO, use Base Flood Dep.,!,
Revised Date
16001C kl-11153
H
i 10-02-2003 04-28-2009
X (Shaded) 2544.9
B10. indi -,its tl-mo scitlrce of the Base Flood Efi-,�vatk.)n (BFE) data or base flood depth entered in Item B9:
(-� F!S '-ref i1 FIRM LJ G+mmunity= Determined [x1 Other/Source: 0/`1 1 f� - - �L - t��l2
B11. r.,'te ai'oon datura used fcr BFE In Item B9: ❑ NGVD 1929Lx1 NAVD 1988 [_F Other/Source:
.12. Is the k u',Ir r g l:)cated in a Coasfaal Barrier Resources System (CBRS) area or Otherwise Protected Area (OFA'0 j I ,r ta.. ,T No
Desiclr: zti;; Date: CBRS ❑ OPA
FEMA Forrn r' 3-^ _;3 (7/15) Replaces all previous editions. Fawn P -w ;f ;
ELEVATION CERTIFICATE
OMB No. 1660-04 08,
Expiration Date: Novernbor 30, 2018
IMPORTANT: Ir; arose spaces, copy the corresponding information from Section A. FOR INSURANC-I: COMPANY
Building Str of rU re s (including Apt., Unit. Suit, and/or Bldg. No.) or P.O. Route and Box No. Policy Number:
S. Brpnth.,-: jk Lzee ile
y State ZIP Code Company NAIL (4�arEbcrr
Eagle Idaho 83616
SECTION C – BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. are based on:❑ Construction Drawings ❑ Building Under Construction
'Anew Elewa,',ion Certificate will be required when construction of the building is complete.
C2. Elevatinns--'L,.;r,ies Al–A30, AE, AFI, A (with BFE), VE, V1–V30, V (with BFE), AR, AR/A, AR/AE, AR/A1--A30,
r�.R/Al-!, ARIA^,
corn f - tea 111on,s C2.a--h below a(, ording to the building diagram specified in Item AT in Puerto
Rico only, enter
Bench, ari,J;i ixed: IDTD PID AJ3346 Vertical Datum: NAVD 1988
datum used for the elevations in items a) through h) below.
l NGVD 1929 (x NAVfI) 1988 other/Source:
Da �-sf d ? ,a, t:;uilding elevations must be the same as that used for the BFE.
Check
the n e
a£:c ri:mr Ii i- t
a "neat; .7f boftom, floor (including basement, crawlspace, or enclosure floor)
2546.8
L fees:
b Tot, of ,:'t r; next higher floor
2550.2
EXI feet
n.ie cr=rs
bol. emi oo he lowest horizontni str ch t ?I a ember (V Zones only)
N/A
❑ feet
m fc-r:
d) Attaci;e6 gar -,Age (top of slab)
2544.5
feet
e} Lowest elevation of machiner+; or the building
(Describe'ypto of equipment end location in nats)
2549.5
L feet
f) ' owfat ent (finished) grade ricxt to building (LAG)
254$,6
(_j feet
(_I
g)Vii!" ��ai� �.,errt (finished) grade next to building (HAG)
2549.1
[] feet
� rne t rs
h) Lowest adjacent grade at lows>•.st elevation of deck or stairs, including
structural support
2549.6
❑ fee;:
._..i "?f= to <;
SECTION D – SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and seated by a land surveyor, engineer, or architect authorized by law to c (f ffy is a:lor.
I certify that the information on this Certificate represents my best efforts to interpret the data available. 1 underst,:ic7d lha an -v false
statement may be punishable by fine or imprisonment under 18 U.S. Corte, Section 1001.
'dere P~d, io,ngitude in Section A pr.iv;ded by a licensed land surveyor? Z Yes E1 No Cj Check h:- ef
Ce,rtifier`s
Robert L.
Title
F'rofessi(, :al ?._ .,; + Surveyor
tuompar-ky Name
Address
250 S. +:r =u,At`e='i::f Ddve, Suite 201
Boic�,e
Sianatur>
Copy aH pages of "',J -'s Elevation
Commer—, sir;%l_,ding type of
C2(e: AC unit =ate Slab.
License Number
PLS 16642
tate ZIP Code
ldaho 83709
—."&/Date Telephone Ext.
6-19-2020 (208) 376-7330 1050
alljWchments for (1) community official, (2) insurance agent/company, andl 0.3)
tion, per C2(e), if applicable)
F'E:MA Forrn (';x/15) Replaces all previous editions. +=fw, Page }u
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 LiSE
Building Street AIWT-esr, (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
S. Brentbro-ork Lane
01
uy State ZIP Code
Company NAIC Number
Eagle Idaho 83616
If using the Eit--wation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below accarbng '0 the
instruction* for !teal A6. Identify all photographs with date taken; "Front View" and "Rear View": and, if required, "Right Side Vie.w", ar;'
"Left Side View.., ',Vhen applicable, photographs must show the foundation with representative examples of the flood openings
vents, as ;dicatedl in rection A8. If submitting more photographs than will fit on this page, use the Continuation Page..
Photo One Capiiori Front View 06/17!2020 Ckwr Photo One
-EMA F,ornin Form Pag�; 5
0864 -33 (7/15) Replaces all previous editions.
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2'01,8
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE CONIPANY
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
Dr: nti-rook Lane
City State ZIP Code
Company NAIC Nutt-lber
Eagle Idaho 83616
1It ph.otographs than %V111 fit on the preceding page, affix the additional photographs below. Identifi, ail phnto(3iph,,
If subm" inyl moire,
with: date taken-. ';Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." �'Ajther,' appk"able.
photographs nnust show the foundation with representative examples of the flood openings or vents, as indicated in Sedlion. A8.
Photo Thme Uaptjo-,� Flight Side View P hoto 17 1 s:
Photo Four
Photo Four Capiic r: Left Side View O`,11 7/2020 Dear Photo, I-)tX
FEMA Form (7/15) Replaces all previous editions. Form Pag(---,,is