Flood Control - Elevation Certificate - 5281 W Polecat St - Riverfund Five Six Five - 2/22/2022 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date:November 30,2022
National Flood Insurance Program
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—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
MWDF 565 Riverwalk LLC
A2. Budding Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Company NAIC Number:
Box No.
5281 W. Polecat Street
City State ZIP Code
Eagle Idaho 83616
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
Lot 2,Block 2, Riverfund Five Six Five Subdivision, Book 120, Pages 18,656-18660, Records of Ada County
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) Residential
A5. Latitude/Longitude: Lat.43.69144 Long.116.41977 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 1A
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) N/A sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b N/A sq in
d) Engineered flood openings? ❑Yes ❑x No
A9. For a building with an attached garage:
a) Square footage of attached garage 819.00 sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? ❑Yes ❑x No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number 82.County Name 83. State
City of Eagle 160003 Ada Idaho
B4.Map/Panel B5.Suffix B6. FIRM Index B7. FIRM Panel B8. Flood 89. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO,use Base Flood Depth)
Revised Date
1600030135 J 06-19-2020 06-19-2020 AE 2512.9
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9:
❑x FIS Profile ❑ FIRM ❑ Community Determined ❑Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ 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 ❑x No
Designation Date: ❑ CBRS ❑ OPA
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 1 of 6
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30,2022
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:
5281 W.Polecat Street
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 A1—A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1 A30,AR/AH,AR/AO.
Complete Items C2.a—h below according to the building diagram specified in Item A7, In Puerto Rico only,enter meters.
Benchmark Utilized: OPUS Solution 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.
Check the measurement used.
a) Top of bottom floor(including basement,crawispace,or enclosure floor) 2518.4 ❑x feet ❑ meters
b) Top of the next higher floor N/A ❑ feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑meters
d) Attached garage(top of slab) 2518.1 ❑x feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 2518.0 ❑x feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 2517.7 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 2517.8 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including
structural support N/A ❑ 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.
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.
Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑No ❑Check here' attachments.
Certifier's Name License Number 4# /Is. 7
Fritz Brownell 8960 -c%•4 r�'
Title SF �' 141
Professional Land Surveyor /> `I
r,
Company Name er • 0
Sawtooth Land Surveying LLC
Address
2030 S.Washington Ave.
47i. 8
City / State ZIP Code
Emmett / Idaho 83617
i
Signa e Date Telephone Ext.
02-22-2022 (208)398-8104
I pages f IR Elevation Ce a • II attachments for(1)community official,(2)insurance agent/company,and(3)building owner.
Comments(inclu type of equipment and location, per C2(e), if applicable)
C2.e)Air Condi' ning unit on concrete slab
FEMA Form 086-0-33(12/19) Replaces all previous editions Form Page 2 of 6
BUILDING PHOTOGRAPHS OMB No 1660 0008
ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30,2022
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:
5281 W. Polecat Street
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
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Photo One
Photo One Caption Front View Clear Photo One
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Photo Two
Photo Two Caption Rear View Clear Photo Two
FEMA Form 086-0-33(12/19) Replaces all previous editions Form Page 5 of 6
BUILDING PHOTOGRAPHS OMB No 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30,2022
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:
5281 W Polecat Street
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.
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Photo Three
Photo Three Caption Right Side View with air conditioning uni: Clear Photo Three
Photo Four
Photo Four Caption Clear Photo Four
FEMA Form 086-0-33(12/19) Replaces all previous editions Form Page 6 of 6