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U.S. DEPATiMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERt ENCY MANAGEMENT AGENCY Nation"! Flood insurance Program Important: Read the instructions on pages 1-9. OMB i Expiration Date: July 3' ,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 (e g , Residential, Non-Residential, Addition, Accessory, etc.) Maintenance/Storage Shed A5 Latitude/Lonoitude: Lat. 46°43'38.47 Long, 116°58'33.57 Horizontal Datum: • _NAD 1927 3 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 1A A8. For a building with a crawlspace or enclosure(s): A9. a) Square footage of crawlspace or enclosure(s) n/a sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade n/a c) Total net area of flood openings in A8.b n/a sq in d) Engineered flood openings? • Yes 3 No For a building with an attached garage: a) Square footage of attached garage n/a sq ft 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 3 No b) 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 • Yes No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: • Construction Drawings* • Building Under Construction* 3 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. H 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) 2592.1 feet • meters b) Top of the next higher floor n/a. • 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) 2592.8 feet • meters f) Lowest adjacent (finished) grade next to building (LAG) 2592.1 feet • meters g) Highest adjacent (finished) grade next to building (HAG) 2592..1 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. / understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. [3 Check here if comments are provided on back of form. • Check here if attachments. 4/ Were latitude and longitude in Section A provided by a licensed land surveyor? 3 Yes • No Certifier's Name Allison K. Younger, PCs License Number 12724 Title Land Surveyor Company Name Hodge & Associates, Inc Address 405 S. Washington City Moscow State ID ZIP Code 83843 Signature Date Telephone [PHONE REDACTED] > /2.-9-A FEMA^brm 086-0-33^/12) J s ee reverse side for continuation. LA 3 Uj -C 272 ft