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Home My WebLink AboutB15-1920 (3)U.S.DE?ARTMENTOFHOMELAND SECURITY ELEVATION CERTIFICATE f FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A— PROPERTY INFORMATION 615-1920 OMB No. 1660-0008 Expiration Date: July 31, 2015 FOR INSURANCE COMPANY USE Al. Building Owner's Name Todd & Karen Fearon Policy, Number - A2. A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I Company NAIC Number: I 4950 Rich Bar Road City Chico State CA ZIP Code 95928 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 017-090-089 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Pool House A5. Latitude/Longitude: Lat. 39°45'51" Long. -121°40'23" Horizontal Datum: ❑ NAD 1927 ® 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. For a building with an attached garage:' a) Square footage of crawlspace or enclosure(s) 576 sq ft a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State Butte County 060017 Butte County CA B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 06007CO375 E 1-6-11 Effective/Revised Date Zones) AO, use base flood depth) 1-6-11 A 443.8 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: ❑ CBRS ❑ OPA Cl C2 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Building elevations are based on: ® Construction Drawings' ❑ Building Under Construction' ❑ Finished 'A new Elevation Certificate will be required when construction of the building is complete. Elevations — Zones Al—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, ARIA, ARAE, AR/A1—A30, AR/AH, AR/AO. below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: AF 8067 Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: 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) f) 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 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. ® 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? ® Yes ❑ No Address 115 Yellowstone Drive City Chico State CA ZIP Code 95973 Signature Date 8 _ (3 _ (� Telephone (530) 895-1422 Complete T_ o LL FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. 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 P.O. Route and Box No. Policy.Number: 4950 Rich Bar Road City Chico State CA ZIP Code 95928 Company NAIC Number: SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments: (1) The location of the proposed pool house falls within Zone X, approximately 80 feet east of the easterly limits of Zone A as shown on FIRM Panel Number 06007C0375E. Based upon a field survey as shown on the attached plat, the Base Flood Elevation shown on this Elevation Certificate is interpolated along the easterly limit of the Zone A adjacent to the proposed pool house. The lowest adjacent grade at the proposed pool house is 14.8 feet above the adjacent Zone A easterly limits; (2) the latitude and longitude are determined from Parcelquest. Signature d � _ Date n _ I ^ l 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. 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. E4. Top of platform of machinery and/or equipment servicing the building is ❑ 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 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 Address City State ZIP Code Signature Date Telephone Comments 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 E), 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. ❑ 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 G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name' Telephone Signature Date Comments ❑ Ctieck here if attachments. FEMA Form 086-0-33 (7/12) Replaces all previous editions. I MAT N0. 06007C0375E DATED 1-6-11 FLOOD ELEVATION CERTIFICATE FOR TODD & KAREN FEARON RAR ROLLS ANDERSON & ROLLS CIVIL ENGINEERS 115 YEL1DWMNE DRIVE • CHIOO, CALIFORNIA 95919-5011 TELEPHONE 590-895-1422 JULY, 2015 15069 SHEET 1 OF 2 FIRM MAP NUMBER 06007CO375E i r � 0 SUPERIMPOSED ZONE A BOUNDARY UNE INTERPOLATED ELEVATION = 443.8 / EXISTING BUILDING DATA ZONE X RAISED PERIMETER CONCRETE FOUNDATION TYPE - DIAGRAM 8 HIGHEST ADJACENT GRADE (HAG) - 461.1 LOWEST ADJACENT GRADE (LAG) - 457.7 „458.6 EXISTING GROUND SPOT ELEVATION (NAVD88 DATUM) -AO- EXISTING CONTOUR (2' INTERVAL) ATTACHMENT FLOOD ELEVATION CERTIFICATE FOR TODD & KAREN FEARON RAR ROLLS ANDERSON & ROLLS CIVIL ENGINEERS 115 YELLDWSIONE DRIVE .• CHICO, CALIFORNIA 95979-5811 TELEPHONE 590-895-1422 JULY, 2015 15069 SHEET 2 OF 2 i