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U.S. DEPARTMENT OF HOMELAND SECURITY pi Ct/ATinW CPIDTIPICATF FEDERAL EMERGENCY MANAGEMENT AGENCY CUtVni IUI1 Vrf l_l\ 1 IIIV/M 1 l_ National Flood Insurance Piojrain IMPORTANT: Follow the instructions on pages 1-9. 0MB No. 1660-0008 Expiration Date: July 31, 2015 U.S. DEPARTMENT OF HOMELAND SECURITY pi Ct/ATinW CPIDTIPICATF FEDERAL EMERGENCY MANAGEMENT AGENCY CUtVni IUI1 Vrf l_l\ 1 IIIV/M 1 l_ National Flood Insurance Piojrain IMPORTANT: Follow the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name MOSCOW School District Policy Number: A2. Building Street Address (Including Apt., Unit. Suite, and/or Bldg, No.) or P0, Route and Box No, 1900 Joseph Street Company NAIC Number: l*"v Moscow State ID ZIP Cade 83843 A3. Property Description (Lot and Block Numbers. Tax Parcel Number, Legal Description, etc.) 1900 Joseph Street A4. Building Use Residential, Non-Residential, Addition, Accessory, etc.) ^QIlCgSaiQCt/Ea&tKtQiXiS A5. Latitude/Longitude: Lat. 46.722450? - Long. ^116.97.7,840? Horizontal Datum; • NAD 1927 Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. Building Diagram Number SNAD 1983 A6 A7 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enciosure(s) b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8,b d) Engineered flood openings? • Yes El No n/a . sq ft n/a n/a AS. For a building with an attached garage: . sq ft a) Square footage of attached garage J? b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade n/a . sq in c) Total net area of flood openings in A9.b s\la sq in d) Engineered flood openings? DYes • No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Community Name & Community Number City of Moscow, Idaho 160090 82. County Name Latah County B3, State Idaho B4. Map/Panel Number B5. Suffix B6. FIRM Index Date 87. FIRM Panel Effective/ Revised Date B8. Flood Zone(s) B9. Base Flood Elevation(s) [Zone AO, use base flood depth) [PHONE REDACTED] D 05/15/1980 04/15/2002 AE 2590 No BIO. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: • FIS Profile 53 FIRM • Community Determined • Other/Source: Bll. Indicate elevation datum used for BFE in Item B9: §9 NGVD 1929 Q NAVD 1988 Q Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? • Yes Designation Date: / / DORA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) CI. Building elevations are based on; E Construction Drawings* • Building Under Construction* • 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: RM 30 Vertical Datum; NVGD 1929 Indicate elevation datum used for the elevations in items a) through h) below. D 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) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) I) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support I NGVD 1929 • NAVD 1988 • Other/Source: Check the measurement used. 2593 17 N/A N/A N/A 2594 00 2593 17 2593 17 N/A IE feet • meters • feet • meters • feet • meters • feet • meters • feet • meters • feet • meters • feet • meters • 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, / 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. [xj Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a • Check here if attachments. licensed land surveyor? £3 Yes • No Certifier's Name Scott Becker, PE Title Principal Engineer Address 405 S. Washington Signature License Number 13384 Company Name Hodge & Associates, Inc. City Moscow Date 03/27/2014 State ID 7IP Code 83843 Telephone 12081882-3520 ^ONAL m £ ft ?h V LA O oc CL I3B4 FEMA Form 086-0-33 (Revised 7/12) Sse reverse side for continuation. Replaces all previous editions. ---PAGE BREAK--- ELEVATION CERTIFICATE, page 2 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 BO. Route and Box No. 1900 Joseph Street Policy Nu robot: - ' 1 : * - i . Iji A , City State ZIP Code Moscow ID 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 Buildings not yet constructed. Final certification will be conducted upon completion of the structure. Signature Date , ^ ^ ^ > / Z 7 ^ / / • * / 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. El. 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 dfeet • meters • above or • below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) Is • feet • meters • above or • below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the building is • feet • meters • 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 O feet • meters • 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 witn the community's floodplain 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. Ai^iUronze^ ^^e^^tatlvej^arne^ / Al itate Signatured — ^ A • j p2J<> / lt_L Telepb Comments a i f f . _ _ : 2 / • Check here if attachments. 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 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. Gl. • 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-G10) is provided for community floodplain 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 08 Flevation of as-built lowest floor (including basement) nf the building' • feet • meters natnm G9. BFE or (in Zone AO) depth of flooding at the building site: • feet • meters naflim G10.Community's design flood elevation: • feet • meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments • Check here if attachments. FEMA Form 086-0-33 (Revised 7/12) Replaces all previous editions.