Flood Control - Elevation Certificate - 873 S Lake Pointe Way - Mace River Ranch Sub No 05 - 11/16/2017U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency OMB No. 1660-0008
National Flood Insurance Program Expiration Date: November 30, 2018
LLEVA M CCER u O CATE
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
Scott F. Durham Policy Number:
Box No. -' `"'""""'" "'"^ """' Quit, anaror wag. No.) or P.O. Route and
Company NAIC Number:
873 S. Lake Pointe Way
Cay
Eagle State ZIP Code
Idaho 83616
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 10, Block 7, Mace River Ranch No. 5
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 43041'14" N Long. 116021059"W Horizontal Datum: E] 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) 2,514 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 sq in
d) Engineered flood openings? p Yes 0 No
A9. For a building with an attached garage:
a) Square footage of attached garage 1,116 sq It
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade
c) Total net area of flood openings in A9.b sq in
d) Engineered flood openings? E] Yes Rx No
SECTION B — FLOOD INSURANCE RATE MAP
82. County Name
City of Eagle - 160003 Ada
B1. NFIP Community Name & Community Number
84 Number Date
85. Suffix B6. pIIRM Index B7. FIREffM Panel
16001CO161 H Revised Date
02/19/2003 04/28/2009
FIRM) INFORMATION
63. State
Idaho
B8. Flood Zone(s) B9. Base Flood Elevations)
(Zone A0, use Base
Flood Depth)
AE 2549.1
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69:
❑x FIS Profile EJ FIRM [I Community Determined E] Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: p NGVD 1929 ❑x NAVD 1988 E] Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? EJ Yes ❑ x No
Designation Date: E] CBRS E]OPA
FEMA Form 086-0-33 (7/15) Replaces all previous editions.
Form Page 1 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:
873 S. Lake Pointe Way
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, ARIAE, AR/A1—A30, ARIAH, 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 Vertical Datum:
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 0 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) 2550.9 ❑x feet ❑ meters
b) Top of the next higher floor 2554.5 ❑x feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) ❑x feet ❑ meters
d) Attached garage (top of slab) 2553.8 ❑x feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building x❑ feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 2553.1 ❑x feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 2554.3 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including 2552.4 ❑x feet ❑ 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.
this Certificate represents my best efforts to interpret the data available. I understand that any false
I certify that the information on
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? ❑x Yes ❑ No ❑ Check here if attachments.
Certifiers Name License Number
Kelly Kehrer 16662
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Title
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Principal
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Company Name
KM Engineering, LLP
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Address
9233 W. State St.
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CityState ZIP Code
Idaho 83714
Date Telephone
96 Ib (208) 639-6939
his Elevation Certificate and all attachments for (1) communit official, (2) insurance agenticompany, and (3) building owner.
4ACUnits
ing type of equipment and location, per C2(e), if applicable)
FEMA Form 086-0-33 (7/15) Replaces all previous editions. ` v"" I age 1 "' "
1,
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
(7/15) Replaces all previous editions. Form Page 3 of 6
•-••--•-,--. X11 cnese spaces, copy the corresponding information from Section A.
Building Street Address (including Apt., Unit,
NCE COMPANY USE
Suite, and/or Bldg. No.) or P.O. Route and Box No.
873 S. Lake Pointe Way
Polcy Number:
City State
Eagle ZIP Code
Company NAIC Number
Idaho 83616
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZOCarlNE A (WITHOUT
a toBFE)
For Zo
nes AO and A
thout
BFE
ems El i. If the Certificate is intended to
ort a OnMused. A or Inn
Complete Sections A,(B,�and C. For ItemspEleE4, use natural grade, if available. Check the meas Rico
enter meters. emeort
Puerto only,
E1. Provide elevation 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 El below the HAG.
b) Top of bottom floor (including basement,
crawlspace, or enclosure) is feet EJ❑meters El above or E] below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions),
the next higher floor (elevation C2.b in
the diagrams) of the building is ❑ feet ❑ meters ❑above or El below the HAG.
E3. Attached garage (top of slab) is
❑ feet El meters ❑ above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment
servicing the building is
• EJ feet EJ meters ❑ above or E] 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.
- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property oworized representative who completes Sections A, B, and E for Zone A (without a FEMA ad or
community-issumust sign here. The statements in Sections A, B, and E are correct to the best
777
of my knowledge.
Property Ownerzed Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑ Check here if attachments.
Fnna Form 086 0 33
(7/15) Replaces all previous editions. Form Page 3 of 6
FI FVATinm CFRTIFICATE
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:
873 S. Lake Pointe Way
City State ZIP Code
Company NAIC Number
Eagle Idaho 83616
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 Certificate. Complete 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 by law to certify elevation information. (Indicate the source and date of the elevation
data in the Comments area below.)
❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE)
G2
or Zone A0.
G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes.
G4. Permit Number
G5. Date Permit Issued
G6. Date Certificate
Compliance/Occupancy Issued
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) ❑ feet ❑ meters Datum
of the building:
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum
G10. Community's design flood elevation: ❑ feet ❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments (including type of equipment and location, per C2(e), if applicable)
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of b
ELEVATION CERTIFICATE BUILDING uPtHOTOrGRAPHS
OMB No. 1660-0008
�,�� neplaces all previous editions. Form Page 5 of 6
- -- "-""'- txpvanon Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
NCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route Box No.
and PoOlcy Number:
873 S. Lake Pointe Way
City State
Eagle ZIP Code Company NAIL Number
Idaho 83616
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below accordingto the
instructions for Item A6. Identify all photographs with date taken; "Front View" "Rear
"Left 'Right
and View'; and, if required, Side View' and
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.
p
Photo One
Photo One Caption Front View
w.
R
4,.
�f
1
µ
Paolo Two
Photo Two Caption Side Showing AC units
FFAAA r:nrm nna n 40
�,�� neplaces all previous editions. Form Page 5 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
FI FvaTION 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:
873 S. Lake Pointe Way
City State ZIP Code
Company NAIC Number
Eagle Idaho 83616
If submitting more photographs than will 5t 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 AS.
J
Photo One
Photo One Caption Rear
Photo Two
PMlo Two
Photo Two Caption
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6