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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 1-9. OMB Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE A1 Building Owner's Name Moscow School District Policy Number: A2, Building Street Address (including Apt., Unit, Suite, and/or Bldg No.) or P.O. Route and Box No. 1900 Joseph Street Company NAIC Number: City Moscow State ID ZIP Code 83843 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Tax #4979, Parcel RP M0000 016 3220A A4, Building Use Residential, Non-Residential, Addition, Accessory, etc.') Concessions/Restroom A5. Latitude/Longitude: Lat. 46°43'38.64 Long. 116°58'38.86 Horizontal Datum: • NAD 1927 g] 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 IA A8. For a building with a crawlspace or enclosure(s): A9. a) Square footage of crawlspace or enclosure(s) n/a sq ft Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade n/a Total net area of flood openings in A8,b n/a sq in Engineered flood openings? • Yes £3 No n/a sq ft For a building with an attached garage: a) Square footage of attached garage Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade n/a Total net area of flood openings in A9.b n/a sq in Engineered flood openings? • Yes E3 No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number City of Moscow, ID [PHONE REDACTED] B2. County Name Latah County B3. State Idaho B4. Map/Panel Number panel 2 of 2 B5. Suffix D B6. FIRM Index Date 5/15/1980 B7. FIRM Panel Effective/Revised Date 4/15/2002 B8 Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 2590.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. • FIS Profile [3 FIRM • Community Determined • Other/Source: B11. Indicate elevation datum used for BFE in Item B9: £3 NGVD 1929 • NAVD 1988 • Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: • CBRS • OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) • Yes E3 No C1. Building elevations are based on: • Construction Drawings* • Building Under Construction* 0 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: RM7 Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a) through h) below. E NGVD 1929 • 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) 2593.1 feet • meters b) Top of the next higher floor 2603.4 feet • meters c) Bottom of the lowest horizontal structural member (V Zones only) n/a. • feet • meters d) Attached garage (top of slab) n/a. • feet • meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 2593.9 feet • meters f) Lowest adjacent (finished) grade next to building (LAG) 2593.1 IS! feet • meters g) Highest adjacent (finished) grade next to building (HAG) 2593.1 (SI feet • meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support n/a. • 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. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. E Check here if comments are provided on back of form. • Check here if attachments I Were latitude and longitude in Section A provided by a licensed land surveyor? E3 Yes • No Certifier's Name Allison K. Younger, PLS License Number 12724 Title Land Surveyor Company Name Hodge i Associates, Inc Address 405 S. Washington City Moscow State ID ZIP Code 83843 Signature Date 2 33 (7/12) Telephone [PHONE REDACTED] See revers M. 12724 o CL XI M % m Cf OF fj ^O/V K.YO FEMA Fori se side for continuation. Replaces all previous editions. ---PAGE BREAK--- uuLini iv/n vui \ i ii ivni l , poyc 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. 1900 Joseph Street 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 The lowest equipment servicing the building is a wall heater. & Signature L Date SECTION E - BUILDINt^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, crawlspace, or enclosure) is . • feet • 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. Top of platform of machinery and/or equipment servicing the building is . • feet • meters • above or • below the HAG. E4. 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. 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 fl<*"ess t r o A / Signature /f st Pi i. - Comments ' ' / T - /VS f) I 7 / State Date 3ZO ZIP Code VJPi L ! Telephone ' Mir *l/Jf 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. 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.JJ3 The following information (Items G4-G10) is provided for community floodplain management purposes. G4. Permit Nurn FLD'2/911- ier &IQ ' G5. Date Permit Issued /Y16W ZS/ G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: $3"New Construction • Substantial Improvement GR Elevation of as-built lowest floor fincludinq basement) of the buildina: 171 feet • meters Datum hJ&VD G9 RFF or fin Zone AOI depth of floodina at the buildina site: "ZDO W feet PI meters Datum 1^2^ G10 Community's desian flood elevation: 2.^72. OD E feet • meters Datum A76/D Local Official's Name t(JlAch Title fia. nhju X Community Name ^ Telephone (ft5- si9n""ra Date Comments y&mi-hnu/nb&f Ps BU) dl6l / Check here if attachments At lA&p/Pc / Wit Nivvibff