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HomeMy WebLinkAboutElevation CertificateU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9_ OMB No. 1660-0008 Expiration Date: November 30, 2022 Copy all oases of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenVcompany, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owners Name Central Aggregates Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 25028 Highway 6 & 24 Company NAIC Number: City State ZIP Code Rifle Colorado 81650 A3. Property Description (Lot and Block Numbers,'Tax Parcel Number, Legal Description, etc.) 2177-171-00-044 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory,,tc.) Office Building 2 A5. Latitude/Longitude: Lat. N39,31'34.3254" Long. W107,47'46.19320" Horizontal Datum: ❑ NAD 1927 x NAD 1983 A&. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 B A8_ For a building with a crawlspace or enclosure(s): 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 AB.b N/A sq in d) Engineered flood openings? . ❑ Yes ❑x.. No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? • Yes x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number GARFIELD COUNTY B2. County Name UNINCORPORATED AREAS B3. State Colorado B4. Map/Panel Number 080205 1353 B5. Suffix B B6. FIRM Index Date 01-03-1986 B7. FIRM Panel Effective/ Revised Date 01-03-1986 BB. Flood Zone(s) A6 B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 5284' B10. Indicate the source ❑ FIS Profile x of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: x NGVD 1929 • NAVD 1988 ❑ Other/Source: 812. Is the building located in a Coastal Barrier Resources System (COBS) area or Otherwise Protected Area (OPA)7 ❑ Yes Designation Date: ❑ CBRS ❑ OPA x No FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 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. 25028 Highway 6 & 24 Policy Number. City State ZIP Code Rifle Colorado 81650 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under 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, Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, Benchmark Utilized: PID AF8674 Vertical Datum: 5302.1' x Finished Construction AR/AH, AR/AO. enter meters. Indicate x elevation datum NGVD 1929 used ■ for the elevations in items a) through h) below. NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 5288.2 X the measurement used. 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 N/A type and location in Comments) feet ■meters (Describe of equipment f) Lowest adjacent (finished) grade next to building (LAG) 5286.2 x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 5287.6 MI feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 5286.2 x feet ❑meters SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a and surveyor, engineer, or architect authorized by law / certify that the information on this Certificate represents my best efforts to interpret the data available. statement maybe 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? ❑ Yes ❑ No to•certify I understand • elevation information. that any false Check here if attachments. Certifier's Name License Number MICHAEL J. LANGHORNE PLS 36572 qi T St•5Q R(C<�,r, , .:' .. ` . r.4_ ri :...t Pia c, $ i �� W; y hM zt .,{ �• ' �• i - p II erp ke � ; f,••. +ili4 r - fit '��( to �r r -•-•w• . '+ Title PROFESSIONAL LAND SURVEYOR Company Name BOOKCLIFF SURVEY SERVICES, INC.` Address 136 EAST THIRD STREET City State ZIP Code RIFLE Colorado 81650 Signature i / !! Date Telephone Ext. rn l f4i _1 2 l�G r_ fe-f/f (J j p (970) 625-1330 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) FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS See Instructions for Rem A6. OMB No. 1660-0008 Expiration Date: November 30, 2022 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. 25028 Highway 6 & 24 Policy Number: City State ZIP Code Rifle Colorado 81650 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. 'ICI •r n J r i MN isilli Photo One Photo One Caption OFFICE #2 FRONT Clear Photo One =ems.. 4: a� r - '; L. a Photo Two Photo Two Caption OFFICE #2 (LEFT) CONT. Clear Photo Two FEMA Form 086-0-33 (12/191 Replaces all previous editions. Form Paae 5 of 6 f ti co NOTES ZONEA6 ti ti 1.) DATE OF SURVEY WAS JULY 28, 2020. #2 Prape y Baun U1 Cr' C11 N tND N 0o W OD 4 Cri U' CA k. CI C� S LE:1"=300' 2.) GARFIELD COUNTY PARCEL NO. 2177-171-00-044. PROPERTY BOUNDARY AS SHOWN HERON BASED ON PROPERTY DESCRIPTION RECORDED IN BOOK 734 PAGE 53, AS RECORDED WITH THE GARFIELD COUNTY CLERK AND RECORDER AND SITUATE IN SECTION 17, TOWNSHIP 6 SOUTH, RANGE 93 WEST, OF THE 6TH P.M., COUNTY OF GARFIELD, STATE OF COLORADO. 3.) THIS EXHIBIT WAS PREPARED WITHOUT THE BENEFIT OFA CURRENT TITLE COMMITMENT AND DOES NOT REPRESENT A TITLE SEARCH BY THIS SURVEYOR OR BOOKCLIFF SURVEY SERVICES, INC. OF THE PROPERTY SHOWN TO DETERMINE OWNERSHIP, COMPATIBILITY WITH ADJOINING PARCELS, OR EASEMENT OR ENCUMBRANCES OF RECORDS AFFECTING THIS PARCEL. 4.) ELEVATIONS ARE BASED ONA NGVD 29 ELEVATION OF 5302.1 FEET ON THE NGS MONUMENT "WINCHESTER , PID# AF8674. A CONVERSION FROM NAVD 88 OF MINUS 3.914 FEET (1.193 METERS) TO NAVD 29 USING THE WWW.NGS .NOAA.GOV/CGI-BIN! VERTCON/ VERT CON2.PRL ONLINE CALCULATOR. 5.) FLOOD ZONES SHOWN ON THIS EXHIBIT BASED UPON FIRM MAP, COMMUNITY -PANEL 080205 1353 B, MAP REVISED: JANUARY 3, 1986- !?(fFe, Cainrfzd 8? 6 50 Piz. (970] 625-1330 Pax j970j 525.2773 BOOKCLJFF Survey Services, Inc. JOB NO- 19023-01