HomeMy WebLinkAboutBLD2006-00406 Flood Certificate •ERAL EMERGENCY MANAGEMENT AGEY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNERS NAME Policy Number
Ron Woody
BUILDING EEI ADDRESS(Including Unit,Suite,and/or Bldg.Np)QR P.O,ROUTE AND BOX NO. Company NAIC Number
P.O. ox �Z Forks, A - no address at proposed uilding site
ON
ESTATE 98337IIP CODE
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Parcel # 713022001 Portion Gov't Lt. 3 Section 2, T27N, R13W, W.M., Jefferson County, Washington
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) 1.
Residential F
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: LI GPS(Type):
( ##°-##'-##.##" or ##.#####°) L-I NAD 19273 LI �_
LI NAD 198 USGS Quad Map I Other: (---1��-:
Assumed at site
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION F
of
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE .-".
530069 0575 B Jefferson County Washington
v
84.MAP AND-PANEL 85.SUFFIX E36.FIRM INDEX 87.FIRM PANEL 138.FLOOD 89.BASE FLOOD ELEVA Ir. (S) -
NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of Ili col g)
575 of 1625 B July 19, 1982 July 19, 1982 Zone A none established
B 10.Indicate the source of the Base Flood Elevation(BEE)data or base flood depth entered in B9. -'
II FIS Profile I_I FIRM I_I Community Determined JLI Other(Describe): ASSt(TIPd at Site
~ �.�-- ,
B11. Indicate the elevation datum used for the BFE in B9:I_I NGVD 1929 (_I NAVD 1988 L_I Other(Describe):
B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? I—I Yes D_I No
Designation Date:
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: I (Construction Drawings* U__jBuilding Under Construction* I_IFinished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2.Building Diagram Number 2 (Select the building diagram most similar to the building for which this certificate is being completed-see
pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.)
C3. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO
Complete Items C3.a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from
the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion.
Datum assumed - Conversion/Comments
Elevation reference mark used BM on site Does the elevation reference mark used appear of 8- r ii'? • X No
❑ a)Top of bottom floor(including basement or enclosure) _ 91 00 ft N) - n,+,r,,,rr,,,u,Pe„nro�„r r„r„rnamrr,:;._
❑ b)Top of next higher floor 99 . 00 ft A) Q rCOU$• e� I
❑ c)Bottom of lowest horizontal structural member(V zones only) • ft. m i WASbj
( ) S Ai'
Q' '-lt .\
O d)Attached garage(top of slab) •_ a
❑ e)Lowest elevation of machinery and/or equipment ff(m) m m './ l'
servicing the building(Describe in a Comments area.) ft.(m) . -o a ; s.
❑ f)Lowest adjacent(finished)grade(LAG) 84 Ul ft.A) z .,, I 11 4 eQ/
❑ g)Highest adjacent(finished)grade(HAG) 99 3T-ft.Kn u) s • ,p Ot �� -
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 'l 6:1,°�Lam/ _
❑ i)Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm)
SECTION D D.SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATIO `" i.
uuuuuuu, nruwu,r,nuunrr,unnuu ns„'
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 in Sections A,B,and Con this certificate represents my best efforts to interpret the data available.
I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME RC�NS(<NUMBER
Dan P. Kousbaugh 1 ` 3
TITLE COMPANY NAME
President Dan Kousbaugh Surveying, Inc., P.S. BB
CITY STATE ZIP
4'0 `r flrivP Forks WA 98331
l t� stt✓l p ,t,,:,, `6,,Z',,q-N 10/31/02 DATE (360)374I HONE
FEMA Form 81 31,JUL 00 -I SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
IMPORTANT: In these spaces,copy thiCarresponding information from Section A. • Fa-Insurance Company Use:
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Policy Number
P.O. Box 209 no established address at prnpncPri hi li tAi ng site
• CiTY STATE ZIP CODE Company NAIC Number
Forks WA 98331
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
FIRM map is grossly in error in this area. Highest observed flood 18f)Q feet upstream on bench bel.Qw ori. inal
Undie homestead is about 88.41'. Homestead has basement floor elev. of 97.53' and has never had water in it.
Hoi stead was built in the 1930's and sits on the same bench of land as the proposed homesite. A daylight base-
ment is proposed at the new building. IxI Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and Zone A(without BFE),complete Items El.through E4. If the Elevation Certificate is intended for use as supporting
information for a LOMA or LOMR-F,Section C must be completed.
El.Building Diagram Number 2 (Select the building diagram most similar to the building for which this certificate is being completed-
see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.)
E2.The top of the bottom floor(including basement or enclosure)of the building is I—I8_I ft.( ))I—ISiin•(9(n) I_I above or ICI below
(check one)the highest adjacent grade. (Use natural grade,if available.)
E3.For Buildirt,Diagr�ms 6- with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is
I—I.I ft.( )I_IIin.( )above the highest adjacent grade. Complete Items C3.h and C3.i on front of form.
E4.For 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?I—I Yes I—I No I__I 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,C(Items C3.h and C3.i only),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,C,and E are correct to
the best of my knowledge.
DADr i Ug1rVNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME
4bu 5prusce D rive n WA STATE 98331
TTURE DATE TELEPHONE
M �, -Ck -i i ?-t, 0/31/02 _) (360)374-5720
Bung -Moor elevations are estirted as no "rtq-ptans are available at this time other than a daylight
basement is planned at the building site.
I X I 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.
G1.(_I The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,
engineer,or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.)
G2.LI 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.LI The following information(Items G4-G9)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: I__I New Construction I_I Substantial Improvement
G8.Elevation of as-built lowest floor(including basement)of the building is. _ —ft.(Dat __
G9.BFE or(in Zone AO)depth of flooding at the building site is: _•_it a- 1;Tatum
LOCAL OFFICIAL'S NAME ~TITLE cam"
eai
COMMUNITY NAME TELEPHONE r r' ,
SIGNATURE DATE j
COMMENTS ' y
I__I Check here if attachments
FEMA Form 81-31,JUL 00 REPLACES ALL PREVIOUS EDITIONS
ZONE 0 •
Refer •
to the FLOOD INSURANCE RATE MAP EFFECTIVE date
shown on this map to determine when actuarial rates apply to
F - � e structures in the zones where elevations or depths have been estab-
r aq" �,� r j fished.
9c;t,,,z1 -I'
; ! To determine if flood insurance is available in this community,
.6 �,o', a contact your insurance agent,or call the National Flood Insurance
e`'''' /A • Program,at (800) 638-6620.
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JEFFERSON COUNTY,
WASHINGTON
(UNINCORPORATED AREAS)
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PANEL 575 OF 1625
(SEE MAP INDEX FOR PANELS NOT PRINTED)
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COMMUNITY-PANEL NUMBER 1
530069 0575 B
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DAN KOUSBAUGH - Surveying,Inc.,P.S.
NW NE
W E450 Spruce Drive Forks, Washington 98331
SW s E Phone (360) 374-5720
Fax(360) 374-9106
October 31, 2002
i
Ron Woody \ i
P.O. Box 209
Forks, WA 98331
Dear Ron:
Enclosed please find an elevation certificate for your proposed building site on the Bogachiel
River off of the Undie Road in Jefferson County. I would submit the following based on field
observations and testimony of local residents and the son on the original homesteader.
Your proposed building site does not fall within the floodplain as shown on the FIRM maps.
The site occurs on the same bench as the Undie homestead which lies about 1800 feet
upstream. The homestead,built in the 1930's,has a basement which has never had flood water
in it(elev. 97.53'). Upper floor elevation of the homestead is 104.53'. The highest observed
flood elevation occurred in the field below the homestead which has an elevation of 88.41'.
Your proposed building site has an average ground elevation of about 99' with a proposed
daylight basement elevation of about 91'. The lower bench elevation at the proposed site is
about 84' with a river line of vegetation elevation of 77.17' and top of river bank elevation of
82.26'. This lower bench area still has the remains of old growth spruce stumps along with the
upper bench building site which indicates that the river has never meandered through here
but has in fact stayed pretty much in its present day channel in this area.
Since there are no established BFE's,or even established bench marks,in this part of Jefferson
County, personal history and testimony is the best we have to go on. I set a benchmark with
an estimated elevation at your proposed building site. It is composed of a benchtie nail driven
in a 10' tall 20" diameter spruce stump. This should be available for any potential building
needs.
If you have any questions or need anything else give me a call at (360)374-5720.
Sincerely, I.i y��, 11'& rTi
L4J n AA J dipcv
JUL 14 2006
Dan Kousbaugh
RLS 11983 JEffEUSUN CUUNIY OCD
• •
October 31, 2002
Elevations established for Proposed Woody Homesite
Assessor's #713022001 (Vol. 577 Pg. 980-Deeds)
DATUM: Assumed Elev. 100.00'
BM is bench tie set on west side at base of 10' tall 20" diameter
spruce stump at potential building site area.
Elevations at proposed building site:
Ground elevations @ soil test pits for septic
Test pit south end of plot on east side F- 98.93'
Test pit south end of plot on west side= house pad Omer-- 99.03'
Test pit middle of plot on east side _ `" + 98.53'
Test pit middle of plot on west side �, ;, 'i 98.21'
_
Test pit north end of plot on east side o `; :'c1 98.88'
Test pit north end of plot on west side 98.20'
Ground elevation @ NW corner of pad 99.13'
Ground elevation @ SW corner of pad(HAG) c� '` = 99.38'
Ground elevation @ north end of day light basement area oj' 95.73'
J
Ground elevation @ south end of day light basement area - ,� ;94.35'
Ground elevations on lower bench below proposed building site;
Line of vegetation on right bank of Bogachiel River ----' 77.17'
Top of river bank 82.26'
Base of bench below proposed building site-south end 84.42'
Base of bench below proposed building site-middle 84.61'
Base of bench below proposed building site-north end(LAG) 84.01'
Elevations at Undie homestead established in the 1930's along with observed highest flood
elevations per testimony of people living in the area and that of the original homesteaders.
Homestead location is about 1800 feet upstream of proposed building location and sits on
the same bench above the river.
I1y ;L.`, '. A
Top floor elevation of Undie homestead 104.53'
Basement floor elevation J i i L 41, 97.53'
SW corner home on the grass 101.33'
Concrete slab on garage floor n 102.16'
Centerline of sheds on gravel pad 102.56'
Centerline of garage floor south of homestead 101.33'
North end of old swinging bridge on right bank of Bogachiel River
Observed flood waters at this point 82.45'
Location of old pump house-observed flood waters at this point 84.63'
Highest observed flood waters in field below bench that old homestead
sits on and the same bench of the proposed building site,., ' '"""""`r' "11" '11mnius.,,. 8.41'
Dan P. Kousbau Q�K�use
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RLS #11983 0
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s40-AL LAND yJ
EXPIRES 1/3/20614