Flood Control - Elevation Certificate - 1465 E Lone Creek Drive - Lonesome Dove Sub - 7/30/2013UTS. DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY
0 • lurinnul Flood htsurar;Ce f7ngruru
Owner's Name Taunton
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -9.
SECTION A - PROPERTY INFORMATION
A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O, Route and Box No
1465 E. Lone Creek Dr,
City Eagle
State ID ZIP Code 83616
A3. Properly description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 17 Block 6 Lonsome Dove Subdivision
OM" No. 1660 -0008
Expiration Date: July 31, 2015
FOR INSURANCE COMPANY USE
Policy Number:
A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc) Residential
A5. Latitude /Longitude: Lat. N43 °41'08.99" Long. Atl %'20'06.79" horizontal Datum ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the budding if the Certificate is being used to obtain flood insurance
AT Building Diagram Number 16
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) NIA sq ft a) Square footage of attached garage 594 sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s) within 1.0 foot above adjacent grade NIA within 1.0 fool above adjacent grade NIA
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9 b Id1A sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81, NFIP Community Name 8 Community Number 82. County Name B3. State
Eagle, City of 160003 Ada ID
B4, Map /Panel Number B5 Suffix B6. FIRM Index Date 87. FIRM Panel 88, Flood 89. Base Flood Elevation(s) (Zone
16001CO162 H October 2, 2003 Effective /Revised Date Zone(s) AO, use base flood depth)
February 19, 2003 AE 2570.20
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 BFE in Item 69: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source
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 Construct on
'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, Vi -V30, V (with BFE). AR. ARIA. AR/AE, AR/Al-A30. AR/AH, AR1A0 Complete Items C2 a -h
below according to the building diagram specified in Item AT In Puerto Rico only enter meters
Benchmark Utilized: Proiect 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 elevat ons must be the same as that used for the BFE
Check the measurement used
a) Top of bottom floor (including basement, crawlspace, or enclosure floor)
257403
(D feet
❑ meters
b) Top of the next higher floor
NIA
"
❑ feet
❑ meters
C) Bottom of the lowest horizontal structural member (V Zones only)
NIA.
❑ feet
❑ meters
d) Attached garage (top of slab)
2573 67�
® feet
❑ meters
e) Lowest elevation of machinery or equipment servicing the building
2573 66
® feel
❑ meters
(Describe type of equipment and location in Comments)
0 Lowest adjacent (finished) grade next to building (LAG)
2573.04
® feet
❑ meters
g) Highest adjacent (finished) grade next to building (HAG)
257322
® feet
❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support
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 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 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
Certifier's Name Aaron L Ballard License Number 12459
Title PLS Company Name KM Engineering, LLP
Address 9233 W State Street City Boise Slate ID ZIP Code 83714
Signature Date July 30, 2013 Telephone 208- 639 -6939
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 (inc'..Aing Apt., Un t, Suite, and -or Bldg. N;_:.) or P.O. Route and Box N :- Policy Number
1465 E Lone Creek Dr,
City Eagle State ID ZIP Cade 8 406 Company NAIC Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevat'on Certificate for (1) community official, (2) insurance agent/company and (3) building owner
Comments Per C2e) the elevation shown is for an AC pad outsVe of the garage
Gcl_-
Signature
Date 7 -30 -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. S.
and C For Items E1 -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 h ghest 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 — ❑ feel ❑ 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 Representatives 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 bylaw 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 ilem(s) and sign 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 s;gned and sealed by a licensed surveyor, eng veer, or architect who
is authorized by law to certify elevation information (Ind Cate the source and da,e of the elevation data in the Comments area below )
G2. ❑ A community official competed Section E for a bu.ldmg located in Zone A "without a FEMA issued or community- issued BFE) or Zone AO
G3. ❑ The following information (Items G4 -G10) .s provided for community floodplain management purposes.
4. Permit Number 65, Date Permit Issued G6. Date Certificate Of Complianceloccupancy Issued
G7 This permit has been issued for ❑ New Construction ❑ Substantial Improvement
G8 Elevation of as -built lowest floor (inciud ng basement) of the burding
G9. 8FE or (in Zone AO) depth of flooding at the be i'ding site
G10 Community's design flood elevation
Local Officials Name
Community Name —
Signature
Comments
❑ feet ❑ meters Datum
❑ feet ❑ meters Datum
❑ feet ❑ meters Datum
Title
Telephone
Date
❑ Check here if attachments.
FEMA Form 086 -0 -33 (7112) Replaces all previous editions.
9
ELEVATION CERTIFICATE, page 3 Building Photographs
See Instructions for Item A6.
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:
1465 E Lone Creek Dr
City Eagle State ID ZIP Code 83616 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 AB. If submitting more photographs than will fit on this page, use the Continuation Page,
FEMA Form 086 -0 -33 (7112) Replaces all previous editions.
ELEVATION 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 0 Route and Box No Policy Number
1465 E Lone Creek Dr
City Eagle Slate 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 View JULY 30, 2013
zlll�- i"N
FEMA Form 086 -0 -33 (7132) Replaces all previous editions