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Flood Control - Elevation Certificate - 1225 E Lone Shore Drive - Lonesome Dove Sub - 4/4/2013A DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY National Plond Llsrrru „r. Prograw Important: Read the instructions on pages 1 -9. SECTION A — PROPERTY INFORMATION Al. Building Owner's Name Taunton Properties, LLC A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No 1225 East Lone Shore Drive City Eagle State ID ZIP Code 83616 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 7 Block 9 Lonsome Dove Subdivision OMB No 1660 -0008 Expiration Date: July 31, 2015 FOR INSURANCE COMPANY USE Policy Number. Company NAIC A4. Building Use (e.g , Residential, Non - Residential, Addition, Accessory, etc.) Residential A5. LatitudelLongitude: Lat. N43 °41'11.85” Long. W116 °20'18.97" Horizontal Datum ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance AT Building Diagram Number 1B A8. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage a) Square footage of crawlspace or enclosure(s) NIA sq ft a) Square footage of attached garage 515 sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings ;n the attached garage or enclosure(s) within 1.0 foot above adjacent grade NIA within 10 foot above adjacent grade NA c) Total net area of flood openings in A8.b NIA sq in c) Total net area of flood openings in A9 b N/A sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name µ B3. State Eagle, City of 160003 Ada v ID 64. Map/Panel Number B5. Suffix 86, FIRM Index Date B7. FIRM Panel Be. Flood 16001CO162 H October 2, 2003 Effective /Revised Date Zone(s) February 19, 2003 AE 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 /Source: B11. Indicate elevation datum used for HFE in Item 89: ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: ❑ CBRS ❑ OPA B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 2567.00 ❑ Yes ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. 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, V1 -V30, V (with BFE) AR, AR/A, ARIAE AR/A1 -A30 AR/AH AR/AO Complete Items C2 a -h below according to the building diagram specified in Item AT In Puerto Rico on y. enter meters. Benchmark Utilized: Pro ect Benchmark Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a) through h) below. © NGVD 1929 ® NAVD 1988 O Other /Source Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawispace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of stab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 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 I understand that any false statement may be punishable by line or imprisonment 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 ❑ Check here if attachments, licensed land surveyor? ® Yes ❑ No uertifier's Name Aaron L. Ballard License Number 12459 I itle PLS Company Name KM Engineering, LLP Address 9233 W. State Street City Boise State 1D ZIP Code 83714 Signature 04 _Date (� c�,�3 Telephone 208- 639.6939 1 1 919 of 10 L FEMA Form 086 -0 -33 (7112) See reverse side for continuation. Replaces all previous editions. Check the measurement used 257009 ® feet ❑ meters NIA. ❑ feet ❑ meters N/A. ❑ feet ❑ meters 2569.75 ® feet ❑ meters 2569.99 ® feet ❑ meters 2568.53 ® feet ❑ meters 2569.37 ® feet ❑ meters NIA. ❑ feet ❑ meters 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 I understand that any false statement may be punishable by line or imprisonment 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 ❑ Check here if attachments, licensed land surveyor? ® Yes ❑ No uertifier's Name Aaron L. Ballard License Number 12459 I itle PLS Company Name KM Engineering, LLP Address 9233 W. State Street City Boise State 1D ZIP Code 83714 Signature 04 _Date (� c�,�3 Telephone 208- 639.6939 1 1 919 of 10 L FEMA Form 086 -0 -33 (7112) 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, a -idlor Bldg. No.) o, P.O. Route and Box No Policy Number 1225 East Lone Shore Drive City Eagle State ID ZIP Code 63616 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. a-id (3) building owner. Comments Per C2e) the elevation shown is for an AC pad on the west side of bulding — — — — Cj2, g-VZJP Signature Y y•Za f3 Date 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 El —E5. If the Certificate is intended to support a LOMA or LOMB -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 Ragrams 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 floodpla n 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 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 -- � -- -- -- -- -- - -- -.. ❑ Check here if attachments. SECTION G -- COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordnance to adm nister the community's floodpla n management ordinance can complete Sections A. B. C (or E) and G of this Elevation Certificate Complete the applicable item(s) and s gn below Check the measurement used in Items G8—G10 In Puerto Rico only. enter meters 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 bylaw to certify elevation informat on (Indicate the source and dale 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 —G10) is provided for community floodplain management purposes G4. Permit — Number G5, Dale 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 budding — ❑ feet ❑ meters Datum G9 BFE or (in Zone AO) depth of flooding at the building site ti ❑ feet ❑ meters Datum G10. Community's des >gn flood elevation ❑ feet ❑ meters Datum Local Officials Name Title - Community Name Telephone Signature Date Comments '— Check here if attachments. FEMA Form 086 -0 -33 (7112) Replaces all previous editions. 1HLEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1225 East Lone Shore Drive City Eagle State ID ZIP Code 83616 LFOR INSURANCE COMPANY USE Policy Number- Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Front View April 03, 2013 - r FEMA Form 086 -0 -33 (7112) Replaces all previous editions EIL LEVATION CERTIFICATE, page 4 Building Photographs Continuation Page 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: 1225 East Lone Shore Drive City Eagle State ID ZIP Code 83616 Company NAIC 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Back and Side View April 03. 2013 FEMA Form 086.0 -33 (7112) Replaces all previous editions.