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FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE O.M.B. NoH3067-0? Expires December 31, 2005 SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 1428 WHITE AVENUE Company NAIC Number CITY MOSCOW STATE IDAHO ZIP CODE 83843 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) QUIT CLAIM DEED #464985 BUILDING USE Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) RESIDENTIAL/RETAIL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: ( or I_I NAD 1927 I_I NAD 1983 SOURCE: I_I GPS (Type): J USGS Quad Map I I Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER CITY OF MOSCOW 160090 B2. COUNTY NAME LATAH COUNTY B3. STATE IDAHO B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) [PHONE REDACTED] D APRIL 15, 2002 AE 2584.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. I I FIS Profile IXI FIRM I I Community Determined I I Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: IXI NGVD 1929 I INAVD 1988 I I Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? I I Yes I X I No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: I I Construction Drawings* I I Building Under Construction* I_X_I Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. if no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD 1929 Conversion/Comments RM31 Elevation reference mark used Does the elevation reference mark used appear on the FIRM? IXI Yes I I No o a) Top of bottom floor (including basement or enclosure) 2588 . 5 ft.(m) CD o b) Top of next higher floor 2598 . 5 ft.(m) CO o c) Bottom of lowest horizontal structural member (V zones only) NA ft.(m) a) a: w 3 o d) Attached garage (top of slab) NA ft.(m) o C o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in Comments area.) NA ft.(m) ID rc si k( 3003 1) o f) Lowest adjacent grade (LAG) 2585 . 3 ft.(m) = ! fW jvf o g) Highest adjacent grade (HAG) 2588 . 3 ft.(m) Z