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+ FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. O.M.B. No. 3067-0077 Expires July 31, 2002 SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use BUILDING OWNER'S NAME Don Meyer Policy Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg, No.) OR P O. ROUTE AND BOX NO 450 West Sixth Street Company NAIC Number CITY Moscow STATE Idaho PROPERTY DESCRIPTION_U.ot and Block Numbers^Tax Parcel NumberlLegal Description, etc.) fA/l Of?<(Ynn loo^x# ZIP CODE 83843 BUILDING USE (e Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) Rental. Shop, storage building LATITUDE/LONGITUDE (OPTIONAL) or HORIZONTAL DATUM: ] I NAD 1927 I_I NAD 1983 SOURCE: I_J GPS (Type): I_I USGS Quad Map I_I Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1 NFIP COMMUNITY NAME & COMMUNITY NUMBER Moscow B2. COUNTY NAME Latah B3. STATE ID B4 MAP AND PANEL NUMBER [PHONE REDACTED] B5. SUFFIX c B6. FIRM INDEX DATE 9-1-1983 B7. FIRM PANEL EFFECTIVE/REVISED DATE 8-17-1982 B8. FLOOD ZONE(S) A6 B9. BASE FLOOD ELEVATION(S) (Zone AO, use depth of flooding) 2560.0 B10 Indicate the sogrce of the Base Flood Elevation (BFE) data or base flood depth entered in B9. I I FIS Profile I_XJ FIRM I I Community Determined I I Other (Describe): B11 Indicate the elevation datum used for the BFE in B9: I_X_I NGVD 1929 I I NAVD 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_X_IConstruction Drawings* I (Building Under Construction* 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, AR/A, 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 Conversion/Comments Elevation reference mark used City ref. Mon. Does the elevation reference mark used appear on the FIRM? Yes I_XJ No a) Top of bottom floor (including basement or enclosure) 2562 . 0 ft.(m) b) Top of next higher floor NA ft c) Bottom of lowest horizontal structural member (V zones only) NA ft.(m) d) Attached garage (top of slab) NA ft.(m) e) Lowest elevation of machinery and/or equipment NA servicing the building NA ft(m) f) Lowest adjacent grade (LAG) 2561 . 5 ft.(m) g) Highest adjacent grade (HAG) 2561 , 5 ft.(m) h) No of permanent openings (flood vents) within 1 ft. above adjacent grade NA i) Total area of all permanent openings (flood vents) in C3h NA sq. in (sq cm) GIN TF, iOO m (rv LLI Co PSS X) = O E « ES iq-oc>& 3 - -o o- Z .Si 7A OF & m wt 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 in Sections A, B, and C 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. CERTIFIER S NAME Larry J. Hodge LICENSE NUMBER Idaho #3003 TITLE Principal civil engineer COMPANY NAME HODGE & ASSOCIATES, INC. ADDRESS P.o Box 8728 LL T CITY MOSCOW STATE ID ZIP CODE 83843 (208) 882-3520 SIGNATURE DATE 2-29-2000 TELEPHONE FEMA Form 81-31^AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS ---PAGE BREAK--- REVIEW MAR PLA ospow rv#J n • L— r %f \ i FM Cnde^-nloi'-.emen1 W Dpi Punnirq J A1 V If o 8 $ V JI' 5 am J Vi ? lui e 0 (c X V X 0 •o v\ <0 & $ v XT J s? V -Vi x. caJ V >c \ 3 R5. *51) A V# ~ X fa X) § V ^ >x i s> &V 1 / \fiV? <3 ' ft X> / • - / W P Sf -J / o 1,1 \ s jtP •O K ,3 < fvlo0 p f \ V X X. \t I f * 3> D) iiUr^' X ^ u/ a o ? ' /fat v - o lD Ajoc 5o ; d'O^, fleiVjl <3f JaAA MMIK x oJ^PP n V \ y