Flood Control - Elevation Certificate - 1451 E Lone Creek Drive - Lonesome Dove Sub - 6/7/2013U. `S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
\ahoprell neat/11mi w. e PI-gram Important: Read the instructions on pages 1-9.
Al Building Owner's
Yropeme5 LILL:
SECTION A — PROPERTY INFORMATION
U
OMB No 1660 -0008
Expiration Date: July 31, 2015
FOR INSURANCE: COMPANY USE
Number
A2 Building Street Address (including Apt., Unit, Suite, and/or Bldg No ) or P.O Route and Box No Company
1451 East Lone Creek Drive
City Eagle State ID ZIP Code 83616
A3 Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc)
Lot 16 Block 6 Lonsome Dove Subdivision
A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential
A5. Latitude /Longitude: Lat. N43 °41'09.45" Long. W116 °20'06.97'" Horizontal Datum ❑ NAD 11927 ® 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 18
A8 For a building with a crawlspace or enclosure(s) A9 For a building with an attached garage
a) Square footage of craw space or enclosure(s) NSA sq It a; Square footage of attached garage 640 sq ft
b) Number of permanent flood openings in the crawlspace b: Number of permanent flood openings in the attached garage
or enc'osure(s) within 10 foot above adjacent grade WA within 1.0 fool above adjacent grade NrA
c) Total net area of flood openings in A8.b N =A sq en 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 I B2 County Name [B3. State
Eagle, City of 160003 + Ada ID
B4. Map /Panel Number B5. Suffix B6. FIRM Index Date B7. 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 2570 25
B10 Indicate the source of the Base Food Elevation (BFE) data or base flood depth entered in Item 89.
® FIS Profile ❑ FIRM ❑ Commun,ty Determined ❑ Other /Source _
811 Indicate elevation datum used for BFE in Item B9 ❑ 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 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, ARIA, ARIAE, AR/Al—A30, ARIAH, ARIAO, Complete Items C2 a —h
below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters
Benchmark Utilized: Prolect_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) 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) 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. I 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
Certifiers Name Aaron L. Ballard License Number 12459
Title PLS Company Name KM Engineering, LLP
-5
HE E
Address 9233 W. State Street City Boise State 1D ZIP Code 83714
f
Signature -- Date June 7, 2013 -- Telephone 208 -639 -6939
or
L i1 W
FEMA Form 086 -0 -33 (7112) See reverse side for continuation. Replaces all previous editions.
Check the measurement used.
2574.62
® feet
❑ meters
NIA
❑ feel
❑ meters
NIA.
❑ feel
❑ meters
2574.24
® feet
❑ meters
2573.96
® feet
❑ meters
257319
® feet
❑ meters
2573.34
® feet
❑ meters
NIA.
❑ feel
❑ 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. I 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
Certifiers Name Aaron L. Ballard License Number 12459
Title PLS Company Name KM Engineering, LLP
-5
HE E
Address 9233 W. State Street City Boise State 1D ZIP Code 83714
f
Signature -- Date June 7, 2013 -- Telephone 208 -639 -6939
or
L i1 W
FEMA Form 086 -0 -33 (7112) See reverse side for continuation. Replaces all previous editions.
LVL V! IIVI• VVI ♦111 d-1" 1— ,'.1"%tu (
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Add °ess (including Apt Unit Suite, and/or Bldg. No.) or P.O Route and Box No Policy Number
1451 East Lone Creek Drive
City Eagle State 1D 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 Date 6/712013
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'evalion information for the following and check the approp-iate 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 ❑ feel Cl 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 owners authorized representat ve 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
Signature
Comments
City State ZIP Code
Date
Telephone
❑ 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 Certifcate Compete the applicable item(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 signed and sealed by a licensed surveyor, engineer, or architect who
is authorized bylaw to certify elevation information (Ind,cate the source and date of the elevation data in the Comments area below)
G2. ❑ A community official comp'eted Section E for a building located in Zone A (w,thoul 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, Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
G7 This permit has been issued for
p ❑New Construction ❑Substantial Improvement
G8 Elevat on of as -built .'owes/ floor (including basement) of the building: ❑ feet ❑ meters Datum
G9 BFE or (in Zone AO) depth of flooding at the build,ng site ❑ feet ❑ meters Datum
G1 0. Community's design flood elevation ❑ feet ❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
---------------
Comments
_ _ ❑ Check here if attachments.
FEMA Form 0860.33 (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. FOR INSURANCE COMPANY USE
Building Street Address (including Apt Unit Suite and-or Bldg No) or P O Route and Box No Policy Number
9451 East Lone Creek Drive
City Eagle State ID ZIP Code 83615 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.
FEMA Form 086 -0 -33 (7112) Replaces all previous editions.
I
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.O. Route and Box No Policy Number -
1451 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 "Lett 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 June 03, 2013
FEMA Form 086 -0 -33 (7112) Replaces all previous editions,