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Flood Control - Elevation Certificate - 1388 S Hidden Island Place - Nestled Island Sub - 12/19/2012U S DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No 1660 -0008 Federal Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important. Read the instructions on pages 1 -9 SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al Building Owner's Name Creekside Custom Homes Policy Nixnber A2 Building Street Address (including Apt, Unit. Suite, and/or Bldg No ) or P O Route and Box No Company NAIC Number 1388 S Hidden Island City Eagle State ID ZIP Code 83616 A3_ Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 5, Block 1, Nestled Island Subdivision, Tax No R6039740050 A4 Building Use (e g. Residential. Non - Residential, Addition, Accessory, etc.) Residential A5 Latitude/Longitude Let 43'40 "53 7569 N Long 116`20 34.0300 W Horizontal Datum ❑ MAD 1927 ® 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 9 AS 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) 2028 sq ft a) Square footage of attached garage 1200 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 0 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in AS b We sq in c) Total net area of flood openings in A9.b fa sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 131. NFIP Community Name & Community Number B2. County Name B1 State Ada County, Unincorporated Areas, Comm. Number 160001 [Ada I ID B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8, Flood 89. Base Flood Elevation(s) (Zone 16001 Co 162 H H Date Effective/Revised Date Zone(s) AO, use base flood depth) ❑ feel ❑ meters (Puerto Rico only) February 19 2003 Sept 22 1999 AE 2565.30 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9 ® FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B91 ❑ NGVD 1929 ® NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on, ❑ Construction Drawings' ❑ Building Under Construction* ® 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, V1430, V (with BFE), AR, ARIA, AR/AE, AR/A1 -A30, ARIAH, ARIAO Complete Items C2 0-h below according to the building diagram specified in Item AT Use the same datum as the BFE. Benchmark Utilized Boise River Study 134 Vertical Datum NAVD 88 Conversion /Comments Check the measurement used a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 2566.60 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 2569.40 ® feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) N /A._ ❑ feel ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 2568.10 ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 2569.60 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) Q Lowest adjacent (finished) grade next to building (LAG) 2568.80 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 2569.00 to feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 2558.80 ® feet ❑ meters (Puerto Rico only) structural sport _ 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. t certify that the information on this Certificate represents my best efforts to Interpret the data available) understand that any false statement may be punishable by fine orimprisonment under 18 U.S. Code, Section 1001.® Check here if comments are provided on back of form, Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No Certifier's Name Clinton W. Hansen License Number PLS 11118 Title President Company Name Land Solutions, Land Surveying and Consulting, PC Address 231 E V" St Ste A City Meridian State ID ZIP Code 83642 Signature Date 12/19/12 Telephone 208 -288 -2040 SEAL pp �Wt WOFF HP� �N W. FEMA Form 81 -31, Mar 09 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 (includ ng Apt Unit, Suite and/or Bldg No ) or P O Route and Box No Policy Number 1388 S Hidden Island City Eagle State ID ZIP Code 63616 Como m 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 C2e -Air Conditioning Unit is I %.h (I i uate ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (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 Ei -E4, use natural grade, if available Check the measurement used In Puerto Rico only, enter meters. E1 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 ❑ feet ❑ meters ❑ above or ❑ below the HAG b) Top of bottom floor (including basement, crawlspace or enclosure) is ❑ feet ❑ meters ❑ above or ❑ 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 ❑ feet ❑ meters ❑ above or ❑ below the HAG E3 Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG E4. Top of platform of machinery and /or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ 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? ❑ Yes ❑ No ❑ 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 authorzed 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, S. 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 ❑ 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 dem(s) and sign below Check the measurement used in Items G8 and G9. G1. ❑ 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. ❑ 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. ❑ 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 ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 81 -31, Mar 09 - Replaces all previous editions Building Photographs See Instructions for Item A6 For Insurance Company Ilse Building Street Address (including Apt, Unit, Suite, and/or Bldg, No.) or P.O. Route and Box No. 1388 S Hldden Island City Eagle State IC ZIP Code 83616 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. ; FRONT VIEW — 1241 -12 Building Photographs Continuation Page Ta —an v Use Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.0, Route and Box No. 1388 S Hidden Island Eagle State In ZIP Code 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." REAR VIEW — 12 -11 -12