HomeMy WebLinkAboutL. Elevation CertificateU.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
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 Owner's Name
CENTRAL AGGREGATES, INC
Policy Number:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Box No.
25028 HWY 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.)
PARCEL No. 217717100044. METES & BOUNDS DESCRIPTION
A4. Building Use (e.g.,
A5. Latitude/Longitude:
A6. Attach at least
A7. Building Diagram
A8. For a building with
a) Square footage
b) Number of permanent
c) Total net area
d) Engineered
A9. For a building with
a) Square footage
b) Number of permanent
c) Total net area
d) Engineered
Residential, Non -Residential, Addition,
Lat. 39°31'34.492"N Long. 107°47'46.231"W
Accessory, etc.) NON-RESIDENTIAL
Horizontal Datum:
obtain flood insurance.
1.0 foot above adjacent
above adjacent grade
❑ NAD 1927
grade
x NAD 1983
0
2 photographs of the building if the
Number 5
Certificate is being used to
0 sq ft
a crawlspace
of crawlspace
flood
of flood openings
flood openings?
an attached
of attached
flood
of flood openings
flood openings?
or enclosure(s):
or enclosure(s)
openings in the crawlspace
in A8.b 0 sq
or enclosure(s) within
in
sq ft
within 1.0 foot
sq in
0
❑ Yes X No
garage:
garage 0
openings in the attached garage
in A9.b 0
❑ Yes x No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
GARFIELD COUNTY UNINCORPORATED / 080205
B2. County Name
GARFIELD
B3. State
Colorado
B4. Map/Panel
Number
0802051353
B5. Suffix
B
B6. FIRM Index
Date
12/15/1977
B7. FIRM Panel
Effective/
Revised Date
01/03/1986
B8. Flood Zone(s)
AE
B9. Base Flood Elevation(s)
(Zone AO, use Base
Flood Depth)
5283.5
B10. Indicate the source
❑ FIS Profile
B11. Indicate elevation
B12. Is the building
Designation Date:
of the Base
Flood Elevation (BFE)
❑ Community Determined
for BFE in Item B9:
Coastal Barrier Resources
❑ CBRS
data
or base flood depth entered in Item B9:
❑ Other/Source:
x FIRM
datum used
located in a
1929 ❑ NAVD 1988 ❑ Other/Source:
(CBRS) area or Otherwise Protected
❑ OPA
X NGVD
System
Area (OPA)?
❑ Yes x No
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 1 of 6
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.
25028 HWY 6 & 24
Policy Number:
City State ZIP Code
RIFLE Colorado 81650
Company NAIC Number
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on:
*A new Elevation Certificate will be required
C2. Elevations — Zones A1—A30, AE, AH,
Complete Items C2.a—h below according
Benchmark Utilized: NGS WINCHESTER/AF8674
x
A
Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction
when construction of the building is complete.
(with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO.
to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Vertical Datum: NGVD 29
Indicate
elevation
x
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.
Check
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 5289. 7
x
the measurement used.
feet ❑ meters
b) Top of the next higher floor N/A
x
feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) N/A
x
feet ❑ meters
d) Attached garage (top of slab) N/A
x
feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building N/A
x
feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 5286. 7
x
feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 5286. 7
x
feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including 5286. 7
x
feet ❑ meters
structural support
SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect
I certify that the information on this Certificate represents my best efforts to interpret
statement may be punishable by fine or imprisonment under 18 U.S. Code, Section
Were latitude and longitude in Section A provided by a licensed land surveyor?
x
authorized by law to certify elevation information.
the data available. I understand that any false
1001.
Yes ❑ No ❑ Check here if attachments.
Certifier's Name License Number
MARK S. BECKLER. PLS 28643
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Title
SURVEY PRINCIPAL
Company Name
SOPRIS ENGINEERING LLC
Address
502 MAIN ST, A-3
City State ZIP Code
CARBONDALE Colorado 81623
Signature / 14 / Date ///��� Telephone
e I( 19 (970) 704-0311
I) I /' 10
Copy all pages o his Elev ion 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)
SURVEYED EXISTING GRADE AT THE PROPOSED SITE = 5286.7' THE PROPOSED STRUCTURE'S DESIGN LOWEST FINISH
FLOOR EL. = 5289.7' PER CLIENT SUPPLIED PLANS. THAT IS 6.2' ABOVE THE EXTRAPOLATED BFE (EL= 5283.5') AT THE
UPSTREAM BUILDING CORNER. THE BFE WAS DETERMINED FROM THE FEMA FIRM 080205 1353 B, REVISED 01/03/1986.
ALL LISTED ELEVATIONS ARE NGVD 29 VERTICAL DATUM.
NGVD 29 TO NAVD 88 CONVERSION = + 3.917 AT SITE PER VERTCON.
LAT/LONG DERIVED FROM STATE PLANE COORDINATES CONVERSION.
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 2 of 6