Flood Control - Elevation Certificate - 1154 W Back Forty Drive - Mace River Ranch Sub No 05 - 10/19/2017U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30, 2018
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 agenticompany, and (3) building owner.
SECTION A — PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Owner's Name
Policy Number:
James Johnson
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Box No.
Company NAIC Number:
1154 W. Back Forty Drive
City State ZIP Code
Eagle Idaho 83616
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 133, Block 1, Mace River Ranch Sub. No. 5
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat.43°41'09.20"N Long. 116°22'23.14"W 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) 2,569 sq It
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 11
c) Total net area of flood openings in A8.b 880 sq in
d) Engineered flood openings? ❑ Yes 0 No
A9. For a building with an attached garage:
a) Square footage of attached garage 1,309 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 B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Name
63. State
City of Eagle 160003
Ada
Idaho
B4. Map/Panel
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood Zone(s)
B9. Base Flood Elevation(s)
Number
Date
Effective/
(Zone AO, use Base
Revised Date
Flood Depth)
16001CO161
H
02/19/2003
04/28/2009
AE
2548.0
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 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 ❑x No
Designation Date: ❑ CBRS ❑ OPA
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6
ELEVATION CERTIFICATE
OMB No. 1660-0008
IMPORTANT: In these spaces, copy the corresponding information from
Expiration Date: November su, 2018
Section A.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
FOR INSURANCE COMPANY USE
Policy Number:
1154 W. Back Forty Drive
city State ZIP Code
Eagle
Company NAIC Number
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 in
specified Item A7. In Puerto
Rico only, enter meters.
Benchmark Utilized: Boise River Study BM #135 Vertical Datum: NAVD88
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.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 2549, 6
Check the measurement used.
Z feet F] meters
b) Top of the next higher floor 2552 81
❑X feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) n/a.
❑X feet ❑ meters
d) Attached garage (top of slab) 2552 3
•
❑x feet ❑meters
e) Lowest elevation of machinery or equipment servicing the building 2552. 81
(Describe
(Describe type of equipment and location in Comments)
feet meters
f) Lowest adjacent (finished) grade next to building (LAG) 2551 9
feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 2552, 3
❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including n/a
structural support
❑X 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.
statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
I understand that any false
Were latitude and longitude in Section A provided by a licensed land surveyor? Z Yes ❑ No
❑ Check here if attachments.
Certifier -s Name License Number
Jeremiah B Fielding 12220
NPL LA/V0
Title
Owner
s
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Company Name
p
Eagle Land Surveying, LLC.
12220
Address
106 W. Main St. Unit D
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City
MiddletonState ZIP
Idaho 83644ode
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Signature Date Telephone
Jeremiah B Fielding m° "py„g°,go.�^^� 10/19/2017 (208) 861-7513
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments (including type of equipment and location, per C2(e), if applicable)
Furnace is located in the garage.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6
ELEVATION CERTIFICATE
BUILDING PHOTOGRAPHS
See Instructions for Item A6. OMB No. 1660-0008
Expiration Date: November 30, 2018
- -33 (7/15) Replaces all previous editions. Form Page 5 of 6
ttYlrvrt tAry t: in these spaces, copy the corresponding information from Section A.
Building Street Address (including Apt., Unit, Suite,
FOR NCE COMPANY USE
and/or Bldg. No.) or P.O. Route and Box No.
1154 W. Back Forty Drive
Policy Number:
City State
Eagle ZIP Code
Company NAIC Number
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 date "Front "Rear
with taken; View" and 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 Caption Front View Photo One
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Photo Two Caption Rear View Photo Two
FFMA For 86 0
Form 0
- -33 (7/15) Replaces all previous editions. Form Page 5 of 6