Flood Control - Elevation Certificate - 1382 W Fence Post Lane - Mace River Ranch #4 - 9/28/2016U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
OMB No. 1660-0008
Expiration Date: November 30, 2018
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
SECTION A — PROPFRTV INFORMATION
- ( 5) Replaces all previous editions. Form Pagel of 6
---- - ---—•••••^••
ing OUK INSUKANCE COMPANY USE BuildAlners Name
David B. Nelson Policy Number:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Box No.
Company NAIC Number:
1382 W Fence Post Ln
City State
Eagle ZIP Code
Idaho 83616
A3. Property Description (Lot and Blodc Numbers, Tax Parcel Number, Legal Description, etc.)
R5421230090 (Lot 51, Block 1, Mace River Ranch #4 Subdivision)
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Lafitude/Longitude: Lat. 43-43-14.49983 Long. -116-22-16.38021 Horizontal Datum: ❑ NAD 1927 ❑x 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
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 3,800 sq It
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in
d) Engineered flood openings? ❑ Yes 0 No
A9. For a building with an attached garage:
a) Square footage of attached garage 800 sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑ Yes ❑x No
SECTION l3 — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP Community Name & Community Number
B2. CountyTName
B3. State
City of Eagle 160003
Ada
Idaho
B4. Map/Panel
Number
B5. Suffix
B6. FIRM Index
Date
B7. FIRM Panelood
Zone(s)
B9. Base Flood Elevation(s)
1600100153
H
02/19/2003
Effective/
Revised Date
(Zone AO, use Base
Flood Depth)
04/28/2009
2547.5
of
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89:
❑ FIS Profile ❑ ❑ Community Determined ❑x Other/Source: Case No. 16-10-0423A, February 12,2016
611. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑x 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
FFMA Fn n 086 0 33 7/1
- ( 5) Replaces all previous editions. Form Pagel of 6
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
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:
1382 W Fence Post Ln
City State ZIP Code
Company NAIC Number
Eagle Idaho 83616
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x 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, ARAE, 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 only, enter meters.
Benchmark Utilized: See Note 1 -Section D Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source:
Datum used for building elevations 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) 2548.9 ❑x feet ❑ meters
b) Top of the next higher floor 2551, 9 ❑x feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) ❑x feet ❑ meters
d) Attached garage (top of slab) 2551, 3 ❑x feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 2551, 4 feet E] meters
(Describe type of equipment and location in Comments)
0 Lowest adjacent (finished) grade next to building (LAG) 2550 8 ❑x feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 2551, 1 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including 25515 ❑x feet E] meters
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 maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes ❑ No ❑ Check here if attachments.
Certifier's Name License Number
Patrick J Scheffler Idaho PLS 7015
S
Title
Land Surveyor
Company Name
Idaho Survey Group
i1,9`ZS�f
Address
1450 E. Watertower St.
.O
94rE OF �P
J. S
City State ZIP Code
Meridian Idaho 83642
Signature Date Telephone
09/28/2016 (208) B46-8570
Copy all Oageslof this E ation Carl M to nd all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments (including type of equip n and location, per C2(e), if applicable)
1.) Station "Blue" is a local Private 7RS Station tied to local HARN network (NAVD88)
2.) Lowest machinery serving building is AC pump outside bldg- Elev=2551.4
3.) Furnace & water heater are located in garage at Elev=2551.9
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE See Instructions for Item A6. FYniratinn nn+o N�%m har zn 001u
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:
1382 W Fence Post Ln
City State ZIP Code
Company NAIC Number
Eagle Idaho 83616
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.
l
i
'
I
Photo One
Photo One Caption FRONT VIEW
kq
I
Photo Two
Photo Two Caption SIDE -GARAGE VIEW
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30. 2018
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:
1382 W Fence Post Ln
City State ZIP Code
Company NAIC Number
Eagle Idaho 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." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
PhGo one
Photo One Caption REAR VIEW
PhoW TWO
Photo Two Caption SIDE VIEW
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6