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U S DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1- OMB No. 1660-0008 Expires February 28. 2009 SECTION A - PROPERTY INFORMATION For Insurance Company Use A1. Building Owner's Name Wayne Gleason Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg No.) or P.O. Route and Box No. 1604 Lemhi St Company NAIC Number City Moscow State ID ZIP Code 83843 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Petersen Addition, Lot 11 A4 Building Use (e g , Residential, Non-Residential, Addition, Accessory, etc.) Accessor/ (Shop) A5 Latitude/Longitude: Lat. 46°43'31" Long. -116°58l48" Horizontal Datum: A6 Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7 Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s), provide A9. a) Square footage of crawl space or enclosure(s) n/a sq ft b) No. of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade n/a c) Total net area of flood openings in A8.b n/a sq in • NAD 1927 El NAD 1983 For a building with an attached garage, provide: a) Square footage of attached garage n/a sq ft b) No. of permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade n/a c) Total net area of flood openings in A9.b n/a sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1 NFIP Community Name & Community Number B2 County Name B3 State Moscow Latah Idaho B4 Map/Panel Number B5 Suffix B6. FIRM Index B7 FIRM Panel B8, Flood B9 Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) [PHONE REDACTED] D April 15, 2002 AE 2585 3 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9 • FIS Profile • FIRM • Community Determined • Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: £3 NGVD 1929 • NAVD 1988 • Other (Describe). B12 Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date • CBRS • OPA • Yes • No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1 C2 Building elevations are based on: • Construction Drawings* • Building Under Construction* *A new Elevation Certificate will be required when construction of the building is complete. 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 below according to the building diagram specified in Item A7. Benchmark Utilized RM 30 Vertical Datum Conversion/Comments • Finished Construction Complete Items C2 a-g a) Check the measurement used Top of bottom floor (including basement, crawl space, or enclosure floor). 2587 4 • feet • meters (Puerto Rico only) b) Top of the next higher floor n/a. • feet • meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) n/a • feet • meters (Puerto Rico only) d) Attached garage (top of slab) n/a. • feet • meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building n/a • feet • meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) 2586.3 • feet • meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 2587.4 • feet • meters (Puerto Rico only) 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. / 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. Certifier's Name LARRY J HODGE License Number ID #3003 Title PRINCIPAL CIVIL ENGINEER Company Name HODGE & ASSOCIATES INC Address PO BOX 8728 City MOSCOW State ID ZIP Code 83843 Signatu Date y.t/.eti Telephone (208) 882-3520 & V V CO Oo 3003 CO CO e? 3- Ac A & 7/ OF & m, 9Y Qoc CI'HP fnr r.nntini iatir>n Replaces all previous editions ---PAGE BREAK--- t* * 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 0. Route and Box No 1604 Lemhi St Policy Number City Moscow State ID ZIP Code 83843 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for community official, insurance agent/company, and building owner Comments Signature Date • Check here if attachments 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 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, crawl space, or enclosure) is . • feet • meters • above or • below the HAG b) Top of bottom floor (including basement, crawl space, or enclosure) is . • feet • meters • above or • below the LAG E2 For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is . • feet • meters Q 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 Q 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 floodpiain 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 owner's authorized representative 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 City State ZIP Code Signature Date Telephone Comments • Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodpiain management ordinance can complete Sections A, B, C (or and G of this Elevation Certificate, Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9, 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.) G2 • A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO. G3 • The following information (Items G4.-G9 ) is provided for community floodpiain management purposes G4 Permit Number G5 Date Permit Issued G6 Date Certificate Of Compliance/Occupancy Issued G7 This permit has been issued for: • New Construction • Substantial Improvement G8 Elevation of as-built lowest floor (including basement) of the building: feet n meters (PR) Datum G9 BFE or (in Zone AO) depth of flooding at the building site: fl feet n meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments FFMA Fnrm 81-31 Fphriiarv ?0fifi • Check here if attachments Replaces previous editions ---PAGE BREAK--- Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1604 Lemhi St. Policy Number City Moscow State ID ZIP Code 83843 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page, following. hi 3T A j; BulliUnj .Su f. ft » 3 U A'ng luppiles lot • - , • t fT": 3K L ; • » ifip- FRONT VIEW Picture Taken 4-18-08 5m TfA' *Tj BuUdJng Supplies* IK r, • - - - . XT Sujtplie* 'mi 3E * VWi* A s- • » - SIDE VIEW Picture Taken 4-18-08 ---PAGE BREAK--- LETTER OF TRANSMITTAL DATE: April 21, 2008 Attention: Wayne Gleason 1604 Lemhi Moscow, ID 83843 PROJECT: ELEVATION CERTIFICATE PROJECT#: 2947 Attached • Under separate cover via WE ARE SENDING YOU THE FOLLOWING: COPIES DATE NO. DESCRIPTION 1 Finished Floor Elevation Certificate 1 Invoice #2947-4/08 THESE ARE TRANSMITTED • For review & comment • As requested • For approval • For your use • Approved as submitted • Returned after loan to us • Returned for corrections • Approved as noted •Other REMARKS: COPY TO: file FROM Tonv Loeser. EIT ENGINEERS . PLANNERS . LANDSCAPE ARCHITECTS . SURVEYORS 405 South Washington Street P.O. Box 8728 Moscow, Idaho 83843 [PHONE REDACTED] [PHONE REDACTED] fax IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE