Flood Control - Elevation Certificate - 1444 E Lone Shore Drive - Lonesome Dove Sub - 2/25/2013U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
lamr,;mi. L:P,;,w w'.10 Important: Read the instructions on pages 1 -9.
SECTION A - PROPERTY INFORMATION
Al Budding Owner's Name Taunton Propert es, LLC
A2. Building Street Address (including Apt Unit, Suite, and/or Bldg No) or P O Route and Box No
1444 E Lone Shore Dr
City Eagle
State ID ZIP Code W1616
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 9 Block 7 Lonesome Dove Subdivision
1J - (D -f p 1-
OMB No. 1660 -0008
Expiration Date July 31, 2015
FOR INSURANCE COMPANY USE
Policy Number
Company
A4. Building Use (e g., Residential, Non - Residential, Addition, Accessory, etc ) Residential
A5. Latitude /Longitude Lat. N43 "41'09.30" Long. W116 °20'08.90" 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
A7. Building Diagram Number IS
A8. For a building with a crawlspace or enclosure(s): A9 For a building with an attached garage
aj Square footage of crawlspace or enclosure(s) NIA sq ft a) Square footage of attached garage 400 sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent Rood openings in the attached garage
or enclosure(s) within 1 0 foot above adjacent grade NIA within 10 foot above adjacent grade NIA
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 8 Community Number B2. County Name B3. State
Eagle, City of 160003 _ Ada t ID
84 MaplPanel Number B5. Suffix B6. FIRM Index Date BT FIRM Panel B8, Flood B9. Base Flood Elevation(s) (Zone
16001 CO162 H October 2, 2003 Effective /Revised Date Zone(s) AO, use base flood depth)
February 19, 2003 AE 2569.90
1310. 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
1311. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ OlherlSource
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 corslruction of the building is complete
C2. Elevations —Zones Al —A30, AE, AH, A (with BFE), VE, V1 —V30, V (with BFE). AR. ARIA. ARIAE. AR/Al-A30, AR/AH, ARIAO Complete Items C2.a —h
below according to the building diagram specified !n Item AT In Puerto Rico only. 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 ❑ Other /Source
Datum used for building elevations must be the same as that used for the BFE
a) Top of bottom floor (including basement, crawlspace, or enclosure floor)
b,l Top of the next higher floor
c) Bottom of the lowest horizontal structural member (V Zones only)
d) Attached garage (top of slab)
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments)
0 Lowest adjacent (finished) grade next to building (LAG)
g) Highest adjacent (finished) grade next to building (HAG)
h:l Lowest adjacent grade at lowest elevation of deck or stairs, including structural support
SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This cerl fication is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. 1 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 fine or imprisonment under 18 US, 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
uertiver's Name Aaron L. Ballard License Number 12459
Title PLS Company Name KM Engineering, LLP
Address 9233 W. State Street City Boise State ID ZIP Code 83714
Signature Date 2- 25.2013 Telephone
1
'
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FEMA Form 086 -0 -33 (7112) See reverse side for continuation. Replaces all previous editions.
Check the measurement used
2573 53
® feet
❑ meters
WA .� _
❑ feet
❑ meters
WA .�_
❑ feet
❑ meters
257320
® feet
❑ meters
257310
® feel
❑ meters
257280
® feet
❑ meters
257112
® feet
❑ meters
NIA
❑ feet
❑ meters
SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This cerl fication is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. 1 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 fine or imprisonment under 18 US, 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
uertiver's Name Aaron L. Ballard License Number 12459
Title PLS Company Name KM Engineering, LLP
Address 9233 W. State Street City Boise State ID ZIP Code 83714
Signature Date 2- 25.2013 Telephone
1
'
�L
FEMA Form 086 -0 -33 (7112) See reverse side for continuation. Replaces all previous editions.
6 J - -_
IMPORTANT: in these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Bui!d ng Street Address (including Apt, Unit Suite, and /or Bldg No) or P O Route and Box No Policy Number
1444 E. Lone Shore Dr.
City Eagle State ID 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 Per C2e) the elevation shown is for an AC pad outside of the garage
Signature
Dale 2 -25 -2013
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 E1 —E4: use natural grade. if available. Check the measurement used In Puerto Rico only, enter meters
E1 Provide e'evat °on 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 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 v
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 Elevat on Certificate. Complete the applicable item(s) and sign below Check the measurement used in Items G8—G10 In Puerto R-co 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 by law to certify elevation information (Indicate the source and date of the elevaban data in the Comments area below 1
G2 ❑ A community official completed Section E for a building located in Zone A (w thou/ a FEMA- issued or community- issued BFE) or Zone AO
G3 ❑ The following informat on (Items G4 —G10) is provided for community floodplain management purposes
G4. Permit Number G5. Date Permit Issued -°- G6. Date Certificate Of Compliance /Occupancy Issued
❑ Check here if attachments.
FEMA Form 086 -0 -33 (7112) Replaces all previous editions.
7 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
❑ feet ❑ meters Datum e
G10 Community's design flood elevation:
El feet El meters Datum
Local Official's Name
Title —
Community Name
Telephone
Signature �
Date
Comments
❑ Check here if attachments.
FEMA Form 086 -0 -33 (7112) Replaces all previous editions.
ELEVATION 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.0 Route and Box No
1444 E. !_one Shore Dr
City Eagle
Stale ID ZIP Code 8
FOR 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 Feb 22, 2013
S
FEMA Form 086 -0 -33 (7112) Replaces all previous editions
ELEVATION CERTIFICATE, page 4 Building Photographs
Continuation rage
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:
.1444 E Lone Shore Dr.
City Eagle State ID ZIP Code 83816 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.
Rear View Feb. 22, 2013
FEMA Form 086 -0 -33 (7112) Replaces all previous editions