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
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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.
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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.
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Photo One
Photo One Caption OFFICE #2 FRONT Clear Photo One
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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
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NOTES
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1.) DATE OF SURVEY WAS JULY 28, 2020.
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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