HomeMy WebLinkAboutB17-2484 000-000-000 (4)i
U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
41 Federal Emergency Management Agency Expiration Date: November 30, 2018
Natio nal.Flood Insurance Program
ELEVATION CERTIFICATE .
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
` .. SECTION A — PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Owners Name' i
Y
Policy Number:
Langerwerf Dairy, Inc.
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Company NAIC Number:
Box No.
1211 Durham -Dayton Highway
City State ,ZIP Code .
Durham California 95938
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) w
APN 040-140-015' '
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) . Residential
A5. Latitude/Longitude: Lat. N39° 38'44.9" Long. W121 ° 44' 54.4" Horizontal Datum: ❑ NAD 1927 X❑ NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number 8
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 2,400 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade NA
c) Total net areaof flood openings in A8.b NA sq in ��C����®
d) Engineered flood openings? El Yes" Z No
.,. _ .. �
OCT 2 Z0�2017'
A9. For a building with an attached garage: ;
x t
a) Square footage of attached garage 652 sq ft " TRB AWD ASSOCIATES. •
b) Number of permanent flood openings in the attached garage within '1.0 foot above adjacent grade NA
c) Total net'area of flood"openings in A9.b NA sq in '
d) Engineered flood openings? ❑ YesX❑ No
"SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community. Name &Community Number
B2. County Name
B3. State
Butte County (Unincorporated Areas)
Butte
California
B4. Map/Panel : "
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s)
Number
Date
Effective/
Zone(s)
(Zone AO, use Base Flood Depth)
Revised Date
06007CO540E
E
01/06/2011
01/06/2011
AE
160.2
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139:
❑ FIS Profile ❑ FIRM ❑ Community Determined X❑ Other/Source: - Interpolated from contours on FIRM panel
t B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑X NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Othe 'se Protected Ar a (OPA)? E] Yes ❑X No
P ) fI
Designation Date: ❑CBRS ❑ OPAERMIT # 3 BUTTE COUNTY DEVELOPMENT SERVICES
REVI EWER FOR -
FEMA Form 086-0-33 (7/15) Replaces all previous AaMUt UUNI FLI 0 ag 1 of 6
DATE I Z I BY
�i lr,- co
ELEVATION CERTIFICATE
OMB No. 1660-0008
Fxnirntinn nnto- Nnvcmhcr in )olA
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:
1211 Durham -Dayton Highway
City State ZIP Code
Company NAIC Number
Durham CA 95938
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: Q Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, 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: Butte County BM 1350 Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 ❑X 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) 162.0 ❑X feet ❑ meters
b) Top of the next higher floor 164.1 ❑X feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) NA ❑ feet ❑ meters
d) Attached garage (top of slab) 162.9 ❑X feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments) 162.9 ❑ meters
feet ❑ X
D Lowest adjacent (finished) grade next to building (LAG) 162.0 ❑X feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 162.0 ❑X feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support NA ❑ 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.
l 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.
Were latitude and longitude in Section A provided by a licensed land surveyor? X❑ Yes ❑ No ❑X Check here if attachments.
Certifier's Name License Number
Thomas E. Harris 8532
1^"
TitleE.
Land Surveyor
Place,
Company Name
Harris Land Surveying, Inc.
l ft
filer. a
Address
908 6th Street
�
C��\��
City State ZIP Code
Orland California 95963
D - O $ • 17
Signature Date Telephone Ext.
10/03/2017 530-865-5567
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company; and (3) building owner.
Comments (including type of equipment and location, per C2(e), if applicable)
No part of the crawlspace/enclosed area in item A8 is below the Base Flood Elevation.
Item C2.e refers to the HVAC pad.
FEMA Form 086-0-33 (7/15) _ ; . Replaces all previous editions. Form Page 2 of 6
r:
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
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: '
1211 Durham -Dayton Highway
City State... ZIP Code
Company NAIC Number
Durham CA 95938
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 1-2 of Instructions), t
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 E] 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 or Owner's Authorized Representative's Name
Thomas E. Harris
Address City State ZIP Code
'908 6th Street Orland California 95963
Signature Date Telephone
10/03/2017 530-865-5567
Comments
No part of the crawlspace/ enclosed area in item A8 is below the Base Flood Elevation. -
'Item C2.e refers to the HVAC pad.
? r
r •
r.
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 3 of 6
k
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30. 2018
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:
1211 Durham -Dayton Highway
City State ZIP Code
Company NAIC Number
Durham CA 95938
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 (including type of equipment and location; per C2(e), if applicable)
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15) Replaces all previous editions: Form Page 4 of 6
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Book 40, Page 14
DURHAM STATE LAND SETTLEMENT 8 M.O.R. 16/18 & 24
S88'00"W
47
-
CREATED BY OB CREATED ON 1-9-2002
_
REVISED BY BT REVISED ON 01-16-2014
•
38-16
'
EFFECTIVE 2014-15 ROLL
• -
Compiled By The Butte County Assessor's Office
BUTTE
COUNTY
OCT 17 2017
DEVELOPMENT
SERVICES