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2004, 02-23 Permit App: BLD-04-03601 Residence rca 17 rr�v i4..Do rr[ IU 74(Cblb P'.F7l/ub SPOlgre\ • 4000ValleY PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION I I707East Sprague Ave Ste 106 • Spokane Valley, WA 99205 . Phone:(509)688-0036 Fax: 509 688.0037 REQUIRED SITE INFORMATION STREET ADDRESS: L+ q hR Clit^\ ph4A 1 ,0'A- &//g- L . ((V ske-. - J-2ASSESSOR'S TAX PARCEL NUMBER(S): . '-13 09 O (� .LEGAL DISCRIPTION; TT M111(L1'C tU 4 I�v4- ` ( A A - 3. ' PERMIT DESCRIPTION: ' _ _ • • . . 0.BU11,0T,ATG.P IMTT .••DCRANGE•ISI•IISE •.Q•GRADIlKG UmmigFAcruRED•SOME QRELQ€ATlON• C•SVGN. • EtTENANT aOMER. • • k N. „LI [ • _ _ OWNER/APPLICANT INFORMATION V OWNER: a APPLICANT: PHONE: FAX; PHONE:_. FAX: ADDRESS: ADDRESS; _ • CITY,STATE,ZIP . • CITY,STATE,ZIP CONTRACTOR: 1 Ii'Vkri-tnIf" tfl•e , • a ARCHITECT. PHONE: q 71 I '7 FAX:jV'1.0* /-� i c ? ��/_HONE: FAX: ADDRESS:: 011, PIrv& R t loe..0IIC/ t (ADDRESS: wA. 1 c� I a o M �jCITYTATE,ZI CITY,STATE,ZIP WAST CONTRACTOR LICENSE N /1 I A"►�I�c I1" R..-5-(4-71 I)K CONTACT: ' i . • 'PERMIT/BUILDING INFORMATION ' • I COSI OF PROJECT: 30%SLOPES ON PROPERTY: MAIN FLOOR SQ FT: I S 9e BUILDING HEIGHT TO PEAK: . 'NOCCCUPANCY GROUP;: �1 2N0 FLOOR'SQ FT:. BUILDING DIMENSIONS: s3 X 1 �/ CONSTRUCTION TYPE: UNPIN BASEMENT: ' . 'NUMBER OF STORIES: I STRUCTURES ON PROPERTY: • I FINISHED BASEMENT; NUMBER of BEDROOMS: 3. CRITICAL AREAS: V GARAGE: /L0 FLANKING SETBACK: 'CURRENT PROPERTY SIZE:15442,322/ 27- COVERED DECK: FRONT SETBACK: CURRENT PROPERTY USE: DECK: REAR SETBACK: 11• CURRENT SEPTIC USE: . ' • LEFT SETBACK: CURRENT WELL USE: RIGHT SETBACK; d)& i IMPERVIOUS SURFACE AREA: • rta 1y d004 14:nb FK TO 9272816 P.02/06 MANUFACTURED HOME . ' ' SIGN _I WIDTH: LENGTH: SQ FT OF SIGN: HEIGHT OF SIGN: '' YEAR: PIT SET:I • #OF SIGNS: AREA OF EXIST SIGN: MANUFACTURER: _ TYPE OF SIGN: agr^ E . RELOCATION • FIRE SAFETY ,.........] PREVIOUS ADDRESS: FIRE SPRINKLER: FIRE ALARM: PAINT BOOTH: TENT: • PROPOSED USE: FIREWORKS DISPLAY: BLASTING: DATE/TIME: WA STATE NON-RESIDENTIAL ENERGY CODE PLANS EXAMINER: _ • PHONE: • FAX: ADDRESS:. • ' • . . CITY,STATE,ZIP INSPECTOR: PHONE: FAX: ADDRESS: -- CITY,STATE,ZIP SPECIAL INSPECTIONS. - - - ,►- - 0 BOLTING °CONCRETE .0 REINFORCEMENT . 0 WELDING FIRM NAME: PHONE:' FAX: INSPECTOR(S): Li.....m. • . STAFF USE ONLY : UILDING. .. • IS PUBLIC SEWER AVAILABLE: : I. YES : •NO IF YES:• ° COUNTY ' ° CITY ' • • • • n 0 IS PUBLIC WATER AVAILABLE: YES . NO ' IF.YES,WHICH WATER DIST/IRR: ' • IS PROPERTY LOCATED WITHIN 0 IGNATED STORMWATER CONTROL AREA: 0 YES • 0 NO ' IS THE PROPERTY LOCATED WITHI .ASA: 0 YES ° NO ' • PSSA: Q YES Q NO . • -1:::::1 'DATE: ' i STAFF: . s► • METHOD OF PAYMENT: " 0 0 • 0 r ` 1 0 1r/SJ1 _ � CASH CHECK BANKCARD#; EXPIRES; VINE AUTHORIZED SIGNATURE:• *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD hbU 1J 2604 14; b I-K . TO 9272E116 P.03/06 Sli000iN1r` 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone os ` e Spokane Valley,WA 99206 509-688-0037-Fax .0.0.10 e3 For Inspections, call 509-688-0054 -Mechanical Permit Application PROJECT , PERMIT . ADDRESS: I 1_04 "t ►�`ceir,. Adj.ii-1 Laws: OWNER na PHONE(Daytime Contact): 9,9 ,_ 1 LI -7 MAKING ADDRESS: (street) (city/stake) (ZIP) (j / LICENSE / �, �MAIIWG AADR6S5, ,I �/ ii1 I 0" "ONE I:' 1111-l Z i f' - q'7 i C 1-14137 i SpK. U (L•y , WO 9901010 - (street) (city/state) — (ZIP) • DESCRIPTIO OF WORK 9OFwars X COST EQUALS AMOUNT 1 FUEL BURNING APP. NCE •OR(100.000 I X $15 - 2 FUEL$URNING APPLI CE >100,000 X 519 - 3 UNLISTED APPU •-(ADDITIONAL FEE) .0X(400,000 X $50 - 4 UNLISTED APPLIAN--(ADDITIONAL FEE) )100,000 X $100 - 5 USED APPLIANCE(WS C min AFUE rating) -er•400,900 r X 550 + - 6 USED APPLIANCE(WS C mm.AFISE rating) >400,000 X 5100 • 7 BOILER/REFRIGERATI•N 1.10OM BTU X $15 • 6 8OILER/REFRIGERA ‘• 101.500M ITU •X $23 - 9 BOILER/REFNGEIIA •N 501.1A00M OTU X $39 • 10 BOILER/REFRICERATI•N 1001-1,750M OW X . 557 - 11 BOILER/REFRIGFRATI•N .t75OM BTU X $9S - 12 GAS LOC,GAS NSR,GAS FIREPLACE - _ X 510 • 13 RANCE - 4 X $10 - 14 DRYER - X $10 15 FUEL BURNING WA HEATER - ( X $10 16 MMSC,FUEL BURNING '' - X $10 • 17 CAS PIPING(a.049190 -- rf X $1 • 16 over sYsrn4S - ill; ' x s10 - 19 VENTILATING FANS - 1 X $10 . • 20 AIR HANDLER(DOES OT Indud,00600s) •OR(14000CFM X $12 21 AIR HANDLER(DOES • Include ducting) 3'10,000 CFM X $19 12 EVAPORATIVECOOLE , - X _ $10 . • 73 TYPE!HOOD - X $50 21 TYPE I HOOD - 4 X 510 25 HEAT PIMP/AIR COND ONER 0.3 TON X $12 - 26 AIR CONDITIONER 3-15 TON X 520 • 27 AIR CONORIONER 15+30 TON X $25 - 25 AIR CONDITIONER 30S0 TON X _ $35 - 29 AIR CONDITIONER .50 TON X $60 - - 30 LPG STORAGE TANK - 1( $10 31 WOOD ORPELLET$TO : SEAT - X 510 - 32 WOOD STOVE•FREE ST NDINC - X S15 • SUBTOTAL: METHOD OP PAYMENT 1 PLUS PROCESSING FEB 535.00 ,,,,,tc>C7L+R TOTAL PIRMIT PEE DUE: q CASH ❑ CHECK ❑ MEM 0 __ .---:.•- DATE: EXPIRES: BANKCARD NUM$ER: AUTHORIZED SIGNATURE: rttf 17 etm4 14; t, -i - VU 9272816 P.04/06 11707 East Sp`ague Avenue,Suite 106 509-688-0036-Phone , IIC Spokane Valley,WA 99206 509-688-0037-Fax 44;0000*MilifT For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT f,( PERMTr ADDRESS: L04- q t'T k y,. f i 1 A jr,USE: OWNER: (netkciAllPHONE(Daytime Contact)! em,-7 '7 MAILING ADDRESS: / (street) (sty/state) • (ZIP) ,1 , NTRArroR: /i, s i,laym.The, LICENSE 6: ►'1'1 R �1A-; t C K il)( MAILING ADDRESS: �1 PHONE N: a2ci o `71. PLfr l� 'SU /'1 —�'%a7-111/7 lfzecu Lie /v a K �v - q9 0 — (street) �) (city/state) (ZIP) PLUMBING FIXTURES DESCRIPTION DETAILS S OF UMTS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDEIS X $6 - 2 URINALS X $4 - 3 TUBS — _ X S6 - 4 SHOWERS(PER TRAP) BATH.STALL QtJ-$ITE BUILT X $6 r - 5 SINKS LA VS/BASINS,BAR FLOOR KITCHEN, KAUNDRY,UTILITY,JANITOR PHOTO,X- 3 X $6 - h AY,FOOD,PREP/CULINARY/MEAT .6 DISHWASHER I X $6 - 7 CLOTHES WASHER I X $6 • $ BBAGE DISPOSAL I Y CAX $6 - 9 WATER SOFTENER I X $6 - _ 10 ELECT.HOT WATER TANK OTE:IP GAS,SEE MECHANICAL X $6 - I. 11 FLOOR DRAINS CASE,COIL,TRENCH,CONDENSATE X 56 - 12 FOUNTAINS,DRINKING 1X 56 • 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, - WASTE,VENT,PLUMBING ALS X $6 - REVERSAL 14 SEWAGE EJECTOR RAIDER,SUMP PUMP X $6 - 15 WATER USING DEVICE I AND/OR COFFEE MAKER,HOSE BIB, STEAMER PROOFER,CARBONATOR X $6 - sWAMP COOLER .3 16 CROSS CONNECTION DEVICE VIACUUM BREAKER CHECK VALVE,AND X 85 _ .B.P.D.FOR VATS,TANKS,BOILERS 17 SPRINKLER SYSTEM X S25 - 1$ INTERCEPTORS TRAP,SANDTRAP,CHEMICAL X $6 - OLDING TANK 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FD(TURE X $6 - SUBTOTAL: METHOD OF PAYMENT Mr • 4''st ?'=' PLUS PROCESSING FEE: $35.00 ❑ CASH 0 01E0c 0 0 ___.. , • TOTAL PERMIT FEE DUE: - DATE: EXPIRE: BANKCARD NUMBER AUTHORIZED S1GNATURE: /� �lv a .f:>e--1-4-IfY\a". 11-)-Aci t 4-10' IN— Lo 4-- ct .A.-to(ig 1 oc_i 3— ADDRESS • - I ZONE i 12TH AVENUE, ROAD WIDTF�.�c► FLANKING-'—' /l10-T o• :r FRONT t C•VIEW8Y �I�iII/tiLgti►..�.�! LIA- airgirae-- 1 :1,...:=7"-,,,, E o4 r V J • 635-00 Q _ - 8 i E P��e of f I 20' ACCESS 1 ThM a b .uaNgbed oaro ' 1 EASEMENT obtrepressnt� proPSlams wow* ash Iinesldl��°�'cwb Abo indicated N aars roas• ', have Date: ` 20' ACCESS I EASEMENT 15 16 17 • APPROVED BY z JL . ._. / 1 i, 13TH AVENUE 01 M O 4 __ CALL BEFORE YOU DIG 456—S000 MARKCHAM BETTMAN ADDITIONACCESS EASEMENT QUALITY HOME CONSIOMES CTION SPOKANE VALLEY, WASHINGTON P..O. f3OX 1 1 1 r6} CSyPOKANEA 99027-1 1 16 DRAWN JAM DATE 02/16/04 1LOT 9 . BLOCK PHONE 509-21 6-8p0!6 FA09-892-9095 nLICnVC'K IA&A CAAI C 4" - Win. CO/.I /.T Hw n�Y . , . . .e,4-41,. 4(13.;4-10 , - , \ 1-0 4- 12TH AVENUE D 1_ ,,K.'k___r_ L i /3 5-00 ! U 1 1 8 10,7-751---1- 1 o, i , 111III I 20' ACCESS +I EASEMENT W I I 20' ACESS EASEM NT . 15 16 17 4) • APPROVED BY �/A '- z W E 13TH AVENUE m 0 0 CALL BEFORE YOU DIG 456-8000 MA RKH A M HOMESBETTMAN ADDITION E'i Li ACCESS EASEMENT QUALITY HOME CONSTRUCTION SPOKANE VALLEY, WASHINGTON P.O. BOK 1116 SPOKANE, WA 99027-1116 DRAWN JAM_DATE ,» ___02/16/04 ILOT ' , BLOCK PHONE 509-216-8076 FAX 509-892-9095 ..�,rrm.r-„ 1.1111.. C".,C. bo„, /,T es a ^.z a „ � .,..m Fr_.: Erie Reri'rt rdav'g,3-te Porn rPp_rr TaLr Grid H 1 f 0 •31% I4 t� � E1i 14 4 ' C. i — Main 1 Routing Status 1 Contractors'1 Arch/Eng( Parcels tiCush Fields' Fees 1 Fee Sumrrrary Actions 1 Routing History 1 Conations 1 Sub Permits]VaIuation 1 Permit t11BLD•04.03601 A.• -ss 6112 E 12TH AVE SPOKANE WA 99212 Permit Type'NEW SINGLE FA RV Permit Actions ��11' Gr• Action -- •• •` Fle Edit Record Navigate Heb 111 100301 Hide fit =1 14 ' H C 1,f ,„ 111 00302 lc-) 111 100303 Groff 11 •r Action 99999 21 FINAL 11 100303 111 100304 `Schedeile Request----- 2 11 100305 Assigned by 1 1 111 100306 i Sd start 1 12 Sched end 1 I:1 111 100307 Contactl Phone1 Received 1 J , Result Information - 111 00308 11 100309 - Completel✓ Codela .APPROVED StartJ date 1 Cornpkete date 109/02/2004 02:22:50 PM J Maurs 1 11 100310 Completed by kmyre + KEVIN MYRE IVR Massager 111 100311 111 100312 ` Comments Check List 11 100313 11 100314 11 100315 111 100316 - . 111 100316 � — - -- - --- — ,=i j 111 199999 !FINAL 108/26/2004 04:08.22 PM I 1c r +1 ftp 11 * 99999 � FINAL � 109J02/200402:22:50PM Faa � i" 12 Permit Counter Routed GroupTile Building Inspections Group Status,JRouted iMagr ify flecord l of 2 Friday,Dec 10,2004 12:41 PM Sjo1 " ►u LLr Y� 4,0,00Valley 11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206 509.921.1000 ♦ Fax: 509.921.1008 ♦ cityhall®spokanevalley.org Memorandum To: File: 6112 E 12th Ave > From: Tom Scholtens, Spokane Valley Building Official / CC: Marina Sukup Cary Driskell e Heather Kauer Permit Specialists Date: 12/13/2004 10:07 AM Re: Floodplain and LOMA This morning I spoke with Brian Main concerning 6112 E. 12th and the associated Floodplain. He asked for a c py of the Elevation Certificate and for the information we had concerning the Specific LOMA application. I FAXed this information to him. During the conversation he asserted that there was a LOMA already approved for this area, and I informed him that the City of Spokane Valley had not received any notification from FEMA granting a LOMA for this property. I also reiterated that until that application was accepted and approved by FEMA and FEMA notified the City of approval, the property would remain designated in the floodplain and Floodplain Development Permits would continue to be required prior to issuing a City of Spokane Valley Building Permit. Subsequently, following our procedure for floodplain development, Elevation Certificates indicating compliant elevations would be required for each project prilor to any C of 0. SCITY OF po e .0001wValley 11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206 509.921.1000 ♦ Fax: 509.921.1008 ♦ cityhall®spokaneva lley.org Memorandum To: Markham Homes, Inc. From: Kevin Snyder, AICP, Current Planning Manager,akS CC: Brian Main, RE/MAX of Spokane Marina Sukup, AICP, Community Development Director; Tom Scholtens, CBO, Building Off cial; John Hohman, P.E., Senior Development Engineer; Dawn Dompier, Permit Specialist; Kathy Cummings, Permit Specialist Date: April 1, 2004 Re: Lifting of Stop Work Order for Single-Family Residence Under Construction at 6112 East 12th Avenue Determination: The Building Official for the City of Spokane Valley authorizes the lifting of the Stop Work Order for 6112 East 12th Avenue subject to compliance with the following condition: 1. All slab construction shall be conducted at a minimum elevation of 2004.4 feet. 2. Submit to the City of Spokane Valley Community Development Department a completed Elevation Certificate prior to any framing. Please note that you bear ultimate responsibility for ensuring that construction is occurring in accordance with the above stated conditions as well as the previously issued building permit. Failure to con-ply with these conditions and with building permit requirements may result in the issuance cf another Stop Work Order. Background: On February 25, 2004, the City of Spokane Valley Building Official authorized issuance of a Stop Work Order for tl-a construction of a single-family residence at 6112 East 12th Avenue. The Stop Work Order was issued subsequent to City staff determination that this construction was occurring in an unnumbered flood zone without prior City approval pursuant to the City's adopted Floodplain Ordinance. Subsequent to the issuance of the Stop Work Order, City staff determined that the base flood elevation (BFE) for the subject parcel is 2002 feet. Based on information submitted by Brian Main, RE/MAX of Spokane, pertaining to a Letter of Map Amendment (LOMA) action previously submitted to the Federal Emergency Management Agency (FEMA), the intended lowest grade for construction was 2004.4 feet (see attached). On December 2, 200 , Melanie Vance, Environmental Programs Coordinator for Spokane County, issued a wri ten letter to Brian Main, RE/MAX of Spokane regarding LOMA procedures (see attac ed). In this letter, she also specified that the base flood elevation was 2002 feet pursua t to NGVD 1929 Datum, and that the lowest grades on these lots are two to four feet. City .,tall note for the record that the issuance of this letter occurred after the City of Spokane V-Iley's incorporation on March 31, 2003, and therefore, this letter does not have any jurisdicti•nal effect in the City of Spokane Valley. However, John Hohman, P.E., Senior Develop ent Engineer, has reviewed this letter and concurs with the information presented 'see attached). Please note that futur- construction on properties within a designated floodplain in the City will require you to o•tain an approved floodplain development permit from the City of Spokane Valley prior t• any construction. You are encouraged to consult with City staff prior to submitting any buil•ing permit applications to determine if a floodplain development permit approval will be required. Please contact me at (509) 688-0045 or ksnd e • s•okanevalle .or• if you have any questions or need additional information. p:\community development\curr-nt planning\correspondence\6212e12thfpswomem.doc . . 12/01/03 12:46 FAX 509 924 9728 ---,. TOMLINSON BLACK VALLEY O.M.B.Burdon Na.3087.01 7 FEDERAL EMEROENGY MANAGEMENT AGENCY Bu rd en 31,2bb1 ELEVATION INFORMATI"N _ PUBLIC BURDEN p)SCLOSURS NOTICE ed to average 0.63 hour per response. The burden estimate includes the time'for rutiicvAng" Publi menti roes,eventing for thg cotta is tastq th0ring and rnaintalrrin8 Qt4 need><+d data, aM ppmpletitl0 end teylewi�the Instnx eats r gardintexisting 10i solaces,burlgathering ons for reducing this burden to: Indo'Collections Mena9 nee* Fomes lErnerarnfnatha ac�tnentAfthe burden Street, W hingtsstl o c�or Mensgemant and Budget,� on M1naeementAgency.500 C SO-ear,S.W.S.W.,Washington,DC 20412:and to the to Faderal6rto�9 �► - . Reduction Pro set 3067-0148 Wasthln t •n,D 25603 You era not required to respond to thl toiled,Ion of I formatipn unless a valid OMB Control Number is displayed in the upper ri hl corner of this form. 7h13 forst must hi completed by a registered proone englar er or licensed land survey �,y Instead,ol lore end titled for d e ICufvsrts or Fill In the FEMA-Designated(reg __ Revisions eualan to Na O Channd insurance ce Program ' should be used The Elevation/nfurnt to roCan MUSI LY by Included the motif mamas,u ess the Flood tis fora determination APs( ) mamas,carless the roqupst Is a determination in which the FIRM ofr�¢edY shows the property_ . Casper In which the determination for the property orstrJoturd is uncertain will require the submitthf of el v tion tilts t lieu of e a definitive detertrdrratlon. if en Elevation Certffeste has been completed for the subject property.It may tao• (See 1Rv(A)ctions for detaftal 1, CcrnmunrZyName: 1" 2, Lugol Desatpsonof Property - r a uz - 4. r 0iriiiwillifir_Eala 12.113,...,... the an9 IA(I 4. Based on the FIRM,anis property i0!sated In Zene(s); 5. le any porion Of this propertyb-avid In rho ro9ulataryfloodvrhyl ❑ Yea o Are any structures(ex/set*/orprd4vscd)located In the regulatoryfloodwayl Q Yes iti No 6. le this arta subject to land aubs1dancaor vpGft? 0 Yco . It yen,what Is the date of the current releVeMp? _ -- For Items 711 muntple totslatroctures, •mp)eta the appropriate aoluem(e)of the Summaryplease Flora ana-mIp(csrtuat of akd_ ttoowd not toren,Identifying the elevation for ell; Ioyetnieturo. To support Items V,10,and 11,Po snap yesurvror registered tet4e dt professional It reflects an es-built'a e required "proposed' relate t�ground elevations and locationa of structures of Iota. The hould 7. Whet Is isle BFE far this prope , (Provide efevatlan to nearest tenth of a foot end daturn) 2 E 02. •t`) Eevutioni!'t t., D,, a NAVD mother)) 8. Flow was the BFE determined? attach a copy dere Hood Profile or bale from the F/S report,if spproprlata,it ropy of e lelrttfmm a nate agency°stab....him a tBFE,orothernaczssarysupporting Infasnedon Including Forms 3 and/4 horn forms unfilled.•RsvlS1Otns to Na anal Flood Ineurarhoe Prograrlt Malo'(MT-2)). • - 9. If thisrequeet is to remove the$PHA designation from a petrel of bind or bt(s),what Is the etsting or proud elevation of the lose*grade:that la,the lowest ground on the property or within the Metes and bounds description of the berlion being removed? (Provide elevation to nearest tenth of a foot and datum) ElevrrWn Datum Co- Z a A U - PLEASE REFER TO THE INSTRUCTIONS FOR THE APPROPRIATE NIAIUNG ADDRESS FEMA Forts 61•87A Elevation Internalizes Forts ht-r-1 Fern 2 Pete 1 of 2 8 d SltiB 'ONaue>IodS J° XVW/3d WdtiS:ll i700 'd' 12/01/03 12:46 FAX 509 924 9728 –' TOMLINSON BLACK VALLEY Surdas No.3087.01�7 �DWL ENERGETICY MANAGEME AGENCY E Q.M.B..Burden o 3067 ELEVATION INFORMA ON ,2001 PUBLIC BURDEN DISCLOSURE NOTICE rr,etc irrdtldes Uto ume•for renewing burden for this form is . i •-tad to average OM hour per response The burden and reviewing Uo the for r Send Public ions,ata ar>d comple�fi Instructions,r sa regarding t existingaa ydriffle sources estimate and any suggest the or redid �� oomman►sr�ard(notheeauragrat'theburd= eaBrr�i�esndanYtug9�ensforradudngIbis burden In: Information collections Management, Federal EntergencY ManaeementAyendf,Soa C Street ,Waihtngton,DC 24472:and to the of5c of Management and Budget,Paperwork Reduction Pro eCt 3087-0148 Washln• •n,u . You are not required to respond to thi- eolleWon of I►Iforuatlon unless a valid OMB Control Number le displayed in the u.. r right comer of this form. one►emir � �land surveyor. ?nose forme should not be • hz form must II completed by a resist •ut errs, ated(regulatory)Floodway;Instead,fames eadded requests Involving Channe!►ratlorr,B+idg-� Culverts,or Fill!n the PEVA-Designated odor form meal be Included for all Revisions to National FloodInsruranceP mMips(W�)ahortdbTll o used eFlevononInf to be ct_Pr4RLYoetn��s � reques�s,unless the request Is ter a de : inatlOn In which the FIRM efready shows die property Camas In which the determination for the property or structurd le uncertain will require the submittal of elevation dab 4 In pu of this definitive dattrnrty.ft dnedon. If en Elevation rtffoste hes been completed for the subject propemay be roan. ( e In*MD inetnrcilons fordetsta) 1, Cornmurnt1Nams: = • 2. Legal Descrtpttonof Property: - �� T h t IO) I IC • ell a Liz - ' . IP 10 a. Flooding Source: .,,-••:—--± - WI 4, Based on the FIRM,this property I°located In Zone(s); • 5. le any Portion of this propcnyloce •• In the re9ulatoryllQod"r 0 Yes No . Are any structures(exlsung or• •pvsad)located In the raglgetoryfloodwaynn Yes Ai No. 6. Is this area subject to land eubsid:nceoruplft? 0 Yes II yes,what Is the date of the au •nt roleVelbi ?_ ._ For hems 741 multiple lot !at vctures, -mpleta the appropriate catmints)of the Summary of Elevations-indhldeei Lot Brzakdow1 form,Identlfying the elevation for etc loVptsueture. To support Items 8 10,and 11,please note a map (certified by e licensed sin surveyor a Id Indicate registered p►ro whether anIt g in-built'may or"proposed'reqireo relate lateothe ground elevations and locations of structures or lots. The sip 7, Mitts Ina BFE far this props 1 (Prmvfde efevidian to nonreSt tenth ea foot and datum) 2�� _ tialurn2RMAVD mother) 8. How was the En determined? eti$ch a copy Or rhe Flood PNPI.or table from the FIS report,if appropriate,a copy of* letter from a state agency°stab 109 a SPE,orOther neoessay supporting Information krdudfng Forts 3 end 4 from forms entitled,"Revisions to Pia onal Rood Insurance Pro9raM Maps(M -2))• • ---- . what is the existing or=god elevation of the 9. If thlstgrade;is remove loth" PHA dOn the pnfrom a arcel at e a and,bounds description of the t,artian being removed? lowest grade;that le,the lowest' �rounda foal attd�� (Provide elevation to newest ) h 1604 Elevation C ik . +U • PLEASE(REFER TO THE INSTRUCTIONS FOR THE APPROPRIATE MAILING ADDRESS ElInIhneatbn Farm MT-1 Perm 2 Page 1 of 2 FEMA Fortr161.874 , • 8 'd SDE ON aup>IodS to XdW/3d WdtiS 'Zl ti006 1 UNI r • N • 0 H. 0 w • r Percek 34243.0904 N Owner: ASLIN,FRED / • ;11 ri1 J3111 t a 8 35 N CoOwnea: icifiL, -3. ..5. 5Rl].aT06 J3A�' ,-A� J30.213.0 - 3� 382 TJ ... co cY-, Owreef Address `` 352a11N7 EM 0 4057 E 5TH AVE SPOKANE INA 98202-5042 USA 121212. rt.a . : �`=+nig "� LEE �p 1 [ m Site Address • ��} ' ,'IIIMItill44505 `'F '�1.. .:15k� raA S?OKANE 111! 1 _ o 0 ADDRESS UNKNOWN14 .:`.1. � 55 1� -r.�\—� �,!"�. ,i) \tT�•L Y ,: , �.Sof IF' . 1...t,..-..1: lid n' '� !�[Ci„ X17,0: .'..m iiiiiigi, ..r.:-.4 ��]p. C. 'cuy��— Legal Description s�i1.cJa;��.''� �� ' ,� � _ BET(M1fIANS ADD t9- t ' r iiiii 2 t 185 ]6a]AB1 VitalI: ,w3.0,0 111311 rizi.. tai.L08<i9irt H ii, lici 3524309] r� ,I •,4.71; 7 ise, 41) 4n�a lei •r 3413-197] 3•� ° ,. r 01 n� `� SS v kR r J3A51� ] •.•. C -13.115I 74 ma c- L\939J]i,3] cn �' astu rgl� ,• ., ,� r 38213.1915 Iii. � , t�'• Mei. x < rr 11 Xc t 1 /(�]�� !��_ .t •r�C•,_..2_ .1037 3417.ILri3i-/ L+3e1.1053 �13.1G5? 52J]_Ir81 [ice` a• �, .� ■46 wAle �+C�'�•' s�•�3.1 a".; i•. s •ar im 39 .p. ' 153-13,l05 I lzi, 17 3- ]J 0. • :3141 115743'10[ ••• ` 1jAI3` I •J7y1474 -.r • _ • -T [s, • CSI l CV de ea on this map is general&subject to DoflSiallt revision-II is intended 1 � Nam This Is Hat a Legal document. Data R� agency. for reference rise only. Legal documents should be obtained from the appropriate 10. If Itis request Is to remove the SFHA designation from a structure(s),what is the elevation of the existing or proposed lowest adjacent grade;that is,the lowest ground touching the structure,Including any attached decks or garage? (Provide elevation to nearest tenth of a foot and datum) _ ,:lavation Daum 11. If fill has been/will be placed to elevate the structure(s)on this property,what is the existing or proves d elevation of the lowest floor,including basement,and/or attached garage? (Provide elevation to nearest tenth of a foot and datum) Elevation Datum 12. Are the measurements in items 8-11 based on(a)proposed or(b)existing conditions? 13. If any of the above elevationswere computed based on a datum different than the effective FIS,what Is the conversion factor? PIS Datum=Local Datum 4/. feet 14. All information submitted In support of this request is correct to the best of my knowledge. I understand that any false statement may be punishable by fine or Imprisonment under Title 18 of the United States Code,Section 1001. Name(please print or type): `kJ .V Cl tl. k t-13 12 1 Title(please print or type): 1qk.) `' Q Registration No.: Q Ct. Ur L4 Expiration D ,�©•21- 0( State:LA) �l ,,,,, ru,rrunr�n{r a rf+n r>.nnnr+ tt'' � p.B�qT Telephone Number: `1LAA J�— 124 1�� 04 v OF WASy� /61 ignaWre .`'___Zi6/1.0011 • .10q-:A r4 a- � g4.10944 t9/4.37, 1r's/DNAL LANA JQy /a C I = EXPJR 512/1/01_ Date Ammmumme FEMA Form 81-07A Elevation Information Form MT-1 Form 2 Page 2 of 2 Ll d SZtiE 'ON aut?>IodS ° XV /3i WdLS : l 17U@ 1 '21dW FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE I portant: Read the instructions on pages 1 -7. ECTION A-PROPERTY OWNER INFORMATION Fart riiuranCeCompany Use Policy Numl r` '� z,A : BUILDING OWNER'S NAME vN e W BUILDING STREET ADDRESS(I�l ding Apt.,Unit, Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAjC Number x CD r 1 z E. AVE }V STATE ZIP CODE CITY S eOkANE VALLEY WA PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: Li GPS(Type): NAND 1{£!-D ( _ - or ##. °) HI NAD 1927 ISI NAD 1983 Li USGS Quad Map LI cher -- Li °3W Lila.2'" / 11l° 19'2,0.7" SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION STATE3 1B1. B .NFIP COMMUNITY NAME&COMMUNITY NUMBER I B2.COUNTY NAME I B4.MAP AND PANEL B5.SUFFIX B6.FIRM INDEX B7.FIRM PANEL B8.FLOOD B9. .BASE E FLOOD EL of flooding)) NUMBER I DATE EFFECTIVE/REVISED DATE ZONE(S) ( Roo?: p B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. 11 FIS Profile 1_1 FIRM I 'Community Determined 1-1 Other(Describe): BI 1. Indicate the elevation datum used for Ithe BFE in B9:I)1 NGVD 1929 11 NAVD 1988 1,_1 Other(Describe): B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? LJ Yes 1_1 No Designation Date: SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: 1 .'Construction Drawings*--_.4, Building Under Construction* I 'Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1. (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,ARAE,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 NAVD 88 Conversion/C mments PROM Mb TO NGVD 29 , USE rrke-ttTR = -3.$0' Elevation reference mark used 1 M SrOKAOE COU,J'f1'Does the elevation reference mark used appear on the FIRM? I_.I Yes IXI No ❑ a)Top of bottom floor(including b cement or enclosure)144vD29 ZOOS- ft.(m) I ; ❑ b)Top of next higher floor —ft.(m) �D L. O ft.(m) o o �4'og w"414, .y O c)Bottom of lowest horizontal stru tura)member(V zones only) X00 S ft.(m) £ 4,e"` °Is Gi O d)Attached garage(top of slab) w W ALJ y Z Li.) ' O e)Lowest elevation of machinerynd/or equipment 'L' • servicing the building(Describ in a Comments area;) ft.(m) ;1 A' O f)Lowest adjacent(finished)grad (LAG) 200 S a ft.(m) N %�, 3. O g)Highest adjacent(finished)gra e(HAG) Z 00 S . 3 ft.(m) 2 'ALIaNO O h)No.of permanent openings(fb d vents)within 1 ft.above adjacent grade 0 wines : ''20, ❑ i)Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm) SECTI N D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and se led by a land surveyor,engineer,or architect authorized by law to certify elevation b formation. I certify that the information in Sections A, B,and C on this certificate represents my best efforts to interpret the data avai a I understand that any false statement mlay be punishable by fine or imprisonment under 18 U. . CodeUMER Section 1001.01 CERTIFIER'S NAME fe i��d' / . 17�y �/ / TITLE f , COMPANY NAME ,c•-• , L��yr� qq //O7� S 2` , " �v/� CITY ,/ STATE G�/7 ZIP CODE//�� ADDRESS /s 2 A` � ,, /3; �/'� DATE B�¢ TELEPHON 24AAIMPale '— 4/0,4SIGNATURE i rA fAi FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions 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 , CITY STATE ZIP CODE Company NA(C Number z * zG yah 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 SecAl'o , GSA) Mkt) EL'. 2oo°L 37 (NAA 98) -3.80 = ZobS S7 CNGVJ 27) A, 2o-os.,S t< I Ls 4.14e) I I 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 E5. 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 (Selethe building diagram most similar to the building for which this certificate is being completed- see pages 6 and 7. If no diagram accur teiy represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(including ba ement or enclosure)of the building isct 1-1-1 ft.(m)1_1_1 in.(cm)1-1 above or 1-1 below (check one)the highest adjacent grade. (Use natural grade, if available.) E3. For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is 1_1—I ft.(m)1—I—lin. (cm)above the highest adjacent grade. Complete Items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment servicing the building is 1-1-1 ft. (m)1 1_1 in. (cm)IJ above or 1J below (check one)the highest adjacent grade. (Use natural grade, if available.) E5. 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 1 Yes I 1 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. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS 1i 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_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. I_I 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. I_I 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: 1_1 New Construction 1_1 Substantial Improvement G8. Elevation of as-built lowest floor(includirhg basement)of the building is: _ft.(m) Datum: G9. BFE or(in Zone AO)depth of flooding at the building site is: _ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS II Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions 12 . _„_. 1.. .....:-.-...- . 1 _ _ __ . ...0 /01/09 12:48 FAX 509 924 972: _ T0fLINSON4 _ BLACK VALL>u•x "- ?•NEC I, ,- .„-r, 1i . . ).,.....imlom.,, .. „....,....4.. .:.._ , : _ ,„ • , ,..,,,,:, ..„...,.... vim _ ..,.??.5,_ . .. ..N.*-- -• \ /. , .A," i ,•._ ,;.--ttre-;-,-„,.... _..!:.=. 1111100:;,:...„./:):5;11,0 '_ " r • omi Mil ,,,,i1.- ill . ../.i.,-01-11.:V"" • awl • "F .•7 , i _ -'_ • MI.� -fi_ 0� al � .1 pen ._._._.,/ ZON5 B\OMrl_— ,-, , ,.- 1 . \etc. • ,., 7 I all" c i _., \ cs --� '_ __ t ...... , 11 ... ......... - -..i ....„.11----+--- ... ,� ::::, <W It 15 • . OM i / -fiat • -youta--- .a y � - / �—- ' <�"•' .. 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C p 1.3 N' T Y DIVISION OP ENGINEERING AND ROADS A DIVISION OF THE PUBLIC WORKS DEPARTMENT December 2,2003 • Brian Main 12810 E•Nora Av. Suite E Spokane,WA 99216 RE: Floodplain Status for Tax Parcels 35243.0913,35243.0904,and 35243.0906 Enclosed are some documents that will need to be submitted to FEMA. in order to obtain a Letter of Map Amendment(LOMA). Once issued,the LOMA will remove identified lots from the special flood hazard area.This will effectively place them in Zone C. I have provided you with the following documents which should be submitted to FEMA along with the LOMA application: ♦ Completed LOMA application for these lots • New LOMA application • Copy of the Flood Insurance Rate Map (FIRM) for your area, and its cover panel. • Plat referenced by the legal descriptions for these lots The base flood elevation (water surface elevation during the 100-year flood event) has been determined for your area to be 2002' NGVD 1929 Datum.The lowest grade on these lots is 2.4 feet above the base flood elevation. If you have any questions regarding the enclosed material or need assistance completing the forms,I • may be reached at(509) 477-7193 or at my. ice ' 5 p oka - oun . r Sincer ly, Melanie Vance Environmental Programs Coordinator 1026 W.Broadway Ave. • Spokane,WA 99260.0170 • (509)477-3600 FAX:(509)477-7655(2nd Floor)477-7478(3rd Floor) • 'DDD:(509)477-7133 Z d Slti 'ON au?>Iods to Xb'W/321 WdZS: ll 1406 '1 'ddW • Page 1 of 1 Kevin Snyder . ..... ........... .. ........... From: John Hohman Sent: Wednesday, March 31, 2004 9:05 AM To: Kevin Snyder Cc: Tom Scholtens Subject: 12th Avenue Flood Plain Question Kevin, I have reviewed the information regarding the building permit on 12th Avenue and concur with the approach that the County has taken. The previous owner of the parcel had applied for a FEMA Letter of Map Amendment. The elevations are from a flood study conducted by CH2MHill in 1982. I recommend that the new owner, Brian Main,follow up with FEMA to ensure that the LOMA is granted. Thanks, John Hohman, P.E. Senior Engineer 3/31/2004 Jun 02 04 12: 51p Storhaug Engineering (509) 242-1001 p. 1 • SE iHAU TRANSMITTAL T r.. � ENG NEEFflNG''= TO: FROM• ' S�1nOWeM M e .a,rC.- VI rno.v COMPANY: DATE: 5rog,04. PALL.er 6/62 FAX NUMBER: TOTAL NO. FPAGESINCLUDINGCOVER: 6.88- 0037 a PHONE NUMBER:��+oO� _ SENDER'S RE ORES E NUMBER:!T/ YOUR REFERENCE J RE: NUMBER: ( 112 Pii - - 0 URGENT tj FOR REVIEW 0 PLEASE COMMENT U PLEASE REPLY W FOR YOUR FILE Tom i ct4 Field 1oak rale 36 S S ete :• of 2001. 31 (4AVD 88). 1 4is1Jes 4.1, e. . of- 20oS. S ,n NG•VD 2.7 d, -11Adi ows /d d. We. WI/! k - 414.11 tit tavitla vA. `b �jflaw Mot_IK'S G 4,ct . ,R. &tot oc ILL seer (� 1r o; ati, eitlialttri s\kfAXLIA3C44N PROJECT MANAGEMENT SITE DESIGN CIVIL ENGINEERING CONSTRUCTION OBSERVATION AUTOCAD DRAFTIN• 1322 NORTH MONRiOE, SPOKANE WASHINGTON 99201 (509)242-1000 FAX(309)242-1001 JUN 02 2004 12:46 509 242 1001 PAGE.01 Page 1 of 1 Kevin Snyder From: John Hohman Sent: Wednesday, March 3h, 2004 9:05 AM To: Kevin Snyder Cc: Tom Scholtens Subject: 12th Avenue Flood Plain Question Kevin, I have reviewed the information r garding the building permit on 12th Avenue and concur with the approach that the County has taken. The previo s owner of the parcel had applied for a FEMA Letter of Map Amendment. The elevations are from a flood study onducted by CH2MHill in 1982. I recommend that the new owner, Brian Main, follow up with FEMA to ensure that the LOMA is granted. Thanks, John Hohman, P.E. Senior Engineer 3/31/2004 Page 1 of 1 Tom Scholtens From: Tom Scholtens Sent: Wednesday, June 02, 2004 12:19 PM To: Kevin Snyder Cc: Marina Sukup Subject: RE: 6112 E. 12th Av:nue I contacted Storhaug concerning he EC. Mark Whitman is the contact at Storhaug. He indicated that he had done the field research establishi g the elevation at plus 2004.4 actually at 2005.5. He indicated that the EC would be going to the realtor, Bri.:n Main, and that we should be getting that information in the near future. Mr. Whitman will be faxing the fi-Id notes to us indicating that an EC demonstrating FP Ordinance compliance would be available. Let me know if you are successf I in contacting the complainant. Tom Scholtens Spokane Valley Building Official Original Message---- From: Kevin Snyder Sent: Tuesday, June 01 2004 6:35 PM To: Tom Scholtens Subject: 6112 E. 12th 'venue Tom- You may remember this=ddress. It involved the floodplain issue that you directed a stop work order be issued on. When we all•wed them to proceed, it was based on the understanding that they would do all slab construction at 200 .4 MSL and that an elevation certificate would be submitted prior to any framing certifying this constructi•n elevation. The woman who initially contacted us regarding the construction that caused the issuan : of the stop work order called and asked about the construction. While she is not happy that they are •oing ahead with the construction, she understands that they have met all legal requirements. When I a'vised her of the requirement to submit the elevation certificate, she indicated that when she was out t ere two weeks ago (she lives in Coeur d'Alene and her father lives near the 6112 property)they wer: substantially far along on the framing. There is not a copy of the elevation certificate in the file. I a not aware if one has been done or not. Can you follow up with your staff on this? She would like to se notified what is going on. Her name is Kathy and her number is 208.265.7116. I can cal her if I am still here when you find out the status. If not can you or one of your staff call her? Thanks. P.S. I am giving the file sack to Kathy and asking her to hold it out for you so that you can review it if necessary. Thanks. Kevin H. Snyder, AICP Current Planning Man-ger City of Spokane Valley 1107 East Sprague Ay:nue, Suite 106 Spokane Valley, WA 9 206 Tel: (509) 688-0045 Fx: (509) 921.1008 ksnyder@spokanevall•y.org 6/2/2004 Page 1 of 1 Kevin Snyder From: Kevin Snyder Sent: Tuesday, June 01, 2004 6:35 PM To: Tom Scholtens Subject: 6112 E. 12th Avenue Tom- You may remember this address. It involved the floodplain issue that you directed a stop work order be issued on. When we allowed them to proceed, it was based on the understanding that they would do all slab construction at 2004.4 MSL and that an elevation certificate would be submitted prior to any framing certifying this construction elevation. The woman who initially contacted us regarding the construction that caused the issuance of the stop work order called and asked about the construction. While she is not happy that they are going ahead with the construction, she understands that they have met all legal requirements. When I advised her of the requirement to submit the elevatimn certificate, she indicated that when she was out there two weeks ago(she lives in Coeur d'Alene and her father lives near the 6112 property)they were substantially far along on the framing. There is not a copy of the elevation certificate in the file. I am not aware if one has been done or not. Can you follow up with your staff on this? She would like to be notified what is going on. Her name is Kathy and her number is 208.265.7116. I can call her if I am still here when you find out the status. If not can you or one of your staff call her? Thanks. P.S. I am giving the file back to Kathy and asking her to hold it out for you so that you can review it if necessary. Thanks. Kevin H. Snyder,A1CP Current Planning Manager City of Spokane Valley 1107 East Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Tel:(509) 688-0045 Fx: (509) 921-1008 ksnyder@spokanevalley.org 6/1/2004 12/01/03 12:47 FAX 509 924 972' TOMLINSON BLACK vALLEx -. - Engineers , Planners (HILL Economist, I Scientists March ii, 1987 • ' S1d009 .FO Mr. Ronald C. Ho ann, P.E. Spokane County Eh- ineer N. 13l1 Jefferson t. Spokane, WA 99260 Dear Mr. Hormann: Subjects 100-ye-r Snowmelt Floodplain in Central Park we have complete• our extended work task for the Central Park drainage basin. Enclosed are the typographic map, showing the peak stage Conto r of 2002; the HEC-1 program 'output data; and, the 100-year sno ' elt hydrograph from which the input was derived. The task present=-d. by Brenda Sims was to estimate the peak stage elevation .f 100-year snowmelt runoff in the area east of Dickey Road a lith Avenue. The criteria used was the, previously Oentetdrograph for the totaldranagebin as development presently. Please contact u- if you have any questions or need additional assistance. - Sincerely it t - ames Correll, .E. (i/ roject Manager CrrifDiM HILL Soo* Office ,Wasteful Riverside Ave.Sui o 924 spafraAe Washington 09201 508747.2000 l l 'd SD 'ON auplods 0 XdW/31 WdSS Zl 17002 1 'BM 12/01/09 12:47 FAX 509 924 9728 TOMLINSON BLACK VALLtX le- . S•HORT PLA793 . .. pttl'CA OOI11sA1llfl OP ianC»aa et'r►7m0IT f/AC sa0•Uo-fool • mod Ju v r5 Le :tla aunt,•A!PE}4owsi10 ow1P0 A fra*chip MAL CrAtION. Flab tfemaE trach Imrwon9 ASND Nam ram NO 251-1I-aa load C.I TW 34l' L vel„„,,, I. mh a • Fant maims pH •1 CI vtllata 14■1 aaani... 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I IM Witham INNimmr. 1 boo .era.nt■Olt.plase ■M d[1Rvd v a.al too day • OI•dts.m ..a„ar 1111*ab....rltt... • pnom) 41 oss161, purr nblfo is a.d for IM 3t1t•.1 I tri r•tidlas at� - VaP 11CA1 to tram J •r ♦r•r •prlwd MN Bailie 1� • Oft' • snoop Al 1nmea- >r• • O C1 00 100 B0 200 Yyrme I • 01 'd SDE 'ON aupod So XVW/321 WdSYZI J70E l ddN_ 1 . ... . . . . . ._. ...___......,... 12/01/03 12:4.5 FAX 509 924 972 TOMLINSON bLAUM vALLLI "c:VRT}W Ifi'll ::::. 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SPOKANE, WASHINGTON 99206 • FROF$SSIONAL, $ERVYCE= FEMA REPORT AND FIELD WORK OF SAME. 10-20-01' BALANCE $ 1600.00 • TERNS: NET DUE UPON RECEIPT OF INVOICE. 1 . • 9 d SDE ON auodS XVW/R1 t)ooz 'l �dW 12:45 FAX 509 924 97'Ld Tuml,i►vav►. ',LAVA). v+t�u+++ -••-�- J • In addition to thin form(MT-EZ).ALL requests Must include the following: • • Copy of the Subdivision Pint Map(with recordation data and stamp of the Reeorder'e Office) or other certified OR Copy of the Property Deed(with recohdation data atamp of the to loom iRtreiats and wOfrice),accompanied by a tax assessor's Map rnnp shoving the survoyed location of the property rea ateourses • Copy of the effective FIRM panel and/or Flood Boundary and Ftoodvray Map(FBFM)(if applicable)on which the property location hes been accurately plotted ▪ Please include a map scale On ell maps submitted if your request concerns properly in... FEMA Regions VIII,IX,and X FEMA Regions V,Vl,and VII FEMA Regions 1.1V Include: Alabama,Connecticut,ds aware, 1nc1ude: Alaska,American Samoa,Arizona, Include: Arkansas,Illinois,Indiana,Iowa, District of Columbia,ba. Florida,Ul,' i1a, ere, ry, California,Colorado,Guam,Hawaii,Idaho, Kansas,Louisiana,Michigan,Minnesota, Maine,t Maryland, Floh Massachusetts, ia.Ksotuc Montana,Nevada,North Dakota,Oregon,Soy'th Miasourt,Nebraska,New Mexico,Ohio, Hampshire.New ac us Ne, York North Dakota,U.S.Trust Tern-tory of the Pacific Oklahoma,Texas,and Wisconsin NewIslands,Utah,Washington,and Wyoming Carolina,Pennsylvania,Puerto Rico,Rhode Virgin Island.South Carolina,Tennessee,U,S. Islands,Vermont,Virginia,and West Virginia Mall your request to... EF Now -- '-- - -FEMA FEMA t LOMA Depot LOMA Depot LOMA Depot2210 Box 3601 Eisenhower Avenue,Suite 600 12101 Indian Creek Court P.O.P-O.P.O. ex 7.2116-2210 Alexandria,VA 22304-13425 Beltsville,MD 20706 Alin.:LOMA Mansaer Attn.:LOMAMeneger R' _ FEMA Regions , '1. , R1 , • _ ,', • , • ,`',. ., •_ '• •— ,- 'i l-.',7,''l...., eA .,�.r1 A.. 2.{+J: , • I1 i! ` 1.%.,"/.1,, pr.,, 'ort,' r k^: )-• A. / ,, t' �{^- L~,-,-7-,:f,•,;-.;•••:', :�r2 �1'•,h•{"'r,rn'',t'..•11.,..t.;,,x' 41. A��„� `AF o • ' Y ;,,4 A,, ,.i ••1Y'0, „ r r 5_. "�F?',I/,°,'',.,. .� '..,,,..�!:3:fil,•!J.i .,„.;,1,,;,••••w.1,0 ,„.;S 1,;,••••fr'�'�,F- ;�.:?4,, �,7,, • ' ,';�,:",.:. :'° 7 ':Wit:�,1� ,� � � 1•-. •.ti r ;'e.Y • •~',rn.k,?:.,y .,'z. t.{,.,.,„ ,N ;�JryN r`% .....;.':,.• •V- ,SII' `'- , :.' • 'L'xY:n• .lF °,,. ':,` •,r,•`''�J:'J •$,trJ .;: ;',2r^��';,:5.' I�;' }� '�fi It • t`f,� *;j, '1E r ;1• .,tf•.•,(,,, •4!,,1,.',•;,., :-1 ,,,. 1,• is ti LA ; '.r (i k 1 ‘,A, 1I •.'�, �'y,�,,11.:, r^1,)'.'Li,, .,,1"`;'i`P,, ,i l �,=t, I '. - .4ir . f. \:cy{ .,r' ,I ', • PENIA Form 81.924 MAY 02 MT-F2 Form Page 3of3 ave od o 5 'd SltiE 'ON � S � vim/RI WdES 'll t2006 1 DW Ammer voimanammEnilollmIllio•----m"...1111111.1111mm...1111111°111mmilir Irl addition to this fom1(MT-EZ),ALL requests Must include the following: • Copy of the Subdivision Plat Map(with recordation data and stamp of the Recorders Office) OR Copy of the Property Deed(with recordation data and stamp of the Recorders Office),accompanied by a tax assessors map or other certified map showing the surveyed location of the property relative to local streets and watercourses • Copy of the effective FIRM panel andior Flood Boundary and Floodway Map(FBFM)(if applicable)on which the property location has been accurately plotted • Please include a map scale on all maps submitted If your request concerns property In.., FEMA Regions VIII,IX,and X FEMA Regions V,VI,and VII FEMA Regions I-IV Include: Alaska,American Samoa,Arizona, ' Include: Arkansas,Illinois,Indiana,Iowa, Include: Alabama,Connecticut,Delaware, California,Colorado,Guam,Hawaii,Idaho, Kansas,Louisiana,Michigan,Minnesota, District of Columbia,Florida,Georgia,Kentucky, Montana,Nevada,North Dakota,Oregon,South Missouri,Nebraska,New Mexico,Ohio, Maine,Maryland,Massachusetts,Mississippi, Dakota,U.S.Trust Territory of the Pacific Oklahoma,Texas,and Wisconsin New Hampshire,New Jersey,New York,North Islands.Utah,Washington,and Wyoming Carolina, Pennsylvania,Puerto Rico,Rhode Island,South Carolina,Tennessee,U.S.Virgin Islands,Vermont,Virginia,and West Virginia Mall your request to... FEMA—"- FEMA FEMA LOMA Depot • LOMA Depot LOMA Depot 3601 Eisenhower Avenue,Suite 600 12101 Indian Creek Court P.O.Box 2210 Alexandria,VA 22304-6425 Beltsville,MD 20705 Merrifield,VA 22116-2210 Attn.:LOMA Manager Attn.:LOMA Mana•er „--- . • ', " FEMA Regions • • , • , „,,f ,.,. • I 'i ,l '�Qr t' ,,`�1 • t – .'ate. �� °'" rr ilk4i..... . " _ , I' ', ,,, -e! i• ' ,.:',,"'•,.. .,..4 ,,.. .,.v• , .044004111 FEMA Form 81-92,MAY 02 MT-EZ Form Page 3 of 3 06 'd S6.17B 'ON aue>lods o ma Wd8S 1 ti006 1 'dDW . _-,-- minsiira • Fenn OrWAVAIIIIII MEW 40 Additional comments or suggestions: 1111111111111111111111111111111 Name: Safco Consumer Hotline: 1-800-664-0042 Re-Order Part No.:42311 „ /ft:- 1/9.0,(-col-f-dalit ed3 __ . ... . NATIONAL FLOOD INSURANCE PROGRAM FIRM FLOOD INSURANCE RATE MAP • SPOKANE COUNTY, WASHINGTON (UNINCORPORATED AREAS) PANEL 300 OF 625 (SEE MAP INDEX FOR PANELS NOT PRINTED) 1j COMMUNITY-PANEL NUMBER f�. 530174 0300 C is MAP REVISED: r. SEPTEMBER 30; 1992 tire.� ,�:� I Federal Emergency Management Agency II E 'd D7 'ON auelodS i.o XVW/3d WdZO l 1700Z 'l 'ddW Check"yes" if the area of the prope is in an area of subsidence or uplift, and provide the date of the current releveling; check "no" if the area of the prope is not in an area of subsidence or uplift. In areas experiencing ground subsidence (e.g.,Harris County,Texas, and Inco orated Areas); the most recently adjusted Elevation Reference Mark(ERM)must be used for accurate ground and structu'e elevations_ Please consult the effective FIS report for the community where the property is located or the local tloodp,in administrator for the most current ERM data. In general,the effects of subsidence 'an be accounted for by determining ground and structure elevations using benchmark elevations with the same releveling •,to as the benchmarks used to develop the BFEs on the FIRM. Please be aware that benchmark releveling dates may be .ifferent for different flooding sources. No adjustment is necessary to the BFEs on the FIRM. Certificati.n b a licensed land su e or re•istered ,rofessianal en ineer or architect* The certifier must provide his or her ame, license number and expiration date,his or her company name,telephone number and,if applicable,his or her fax num. r. The certifier's seal,if available,may be provided here. The certifier must sign and date the Elevation Form,where Indic;ted,to certify the accuracy of the information provided. *Not all states authorize architects tOcertify elevation information. Submitting the Package to FJMA In addition to the completed MT-EZ'form,all requests must include a copy of the subdivision plat map(with recordation data and stamp of the Recorder's Office) or a copy of the property deed (with recordation data and stamp of the Recorder's Office), accompanied by a tax assessor's map or other suitable map showing the surveyed location of the property with respect to local streets and watercourses;a copy of the effective FIRM panel and/or FBFM,if applicable;and a map scale and North arrow for all maps submitted. The location of the property dictates the location of the FEMA office where the request will be processed. Please consult page 3 of the MT-EZ form for the appropriate mailing address. If you have any additional questions about the LOMA request process, you may consult FEMA's Internet site at http://www.fema.gov/mit/tsd1 or contact the FEMA Map Assistance Center at 1-877-FEMA MAP(1-877-336-2627). Information on the status of a particular case,consult FEMA's Status of Map Change Requests database at httpJ/www.fema.gov/mit/tsd/st_main.htm. 7 Instructions MT-EZ Form � S XdW/3� S1�8 ON ru aod o Wd lO l i700l '' )JVIN 8l d �, � • exists. In this case, the wh Ile-foot BEE shown on the map should be used for rating, constr construction, and fro dplagreati management purposes. If e stillwater elevation listed in the"Summary of Still water than the whole-foot BFE sh wn on the map minus 0.4 foot,the stillwater elevation shown in the table shall be used as the BFE. Coastal Flooding Systems Zone VE or V1-V30)—First,obtain the BFE from the FIRM panel.Next,consult the FIS report for the communi in which the property is located. Locate the Summary of Stillwater Elevations table in the FIS report. Identify the coding source,by name,and use the BFE listed in the table. Compare the BFE listed in this table to the BFE obta ned from the FIRM. If the stillwater elevation listed in this table is less than or equal to the whole-foot BFE shown n the map minus 0.5 foot, a wave height, wave runup, and/or wave setup dcomponent exists. In this case, the wh le-foot BFE shown on the map should be used for rating, construction, floodplain management purposes. If t e stillwater elevation listed in the"Summary of Stillwater Elevations" table is greater llwater elevation shown in the table shall be used than theE_whole-foot BFE sro on htructure located seaward of ap minus 0.4 foot,the t the landward toe of the primary frontal dune may as the BFE_ Note that any roe rty not be removed from a 2on VE or VI-V30. Zone A Flooding—If the p operty is located in a Zone A,an area of approximate flooding with no BFEs determined,a BFE will nee to be determined by the engineer of surveyor. First,the engineer or surveyor should determine if a Federal,Stat ,or local government agency has developed a BFE. Such agencies include the U.S. Army Corps of Engineers,the U.S.Geological Survey,the State's Department of Natural Resources,Department of Environmental Quality,or Department of Transportation;or the local Planning and Zoning Depariment. If a BFE has not previously been developed,the engineer or surveyor should consult FEMA's Managing Floodplain Development in Approximate Zone A Areas,A Guide for Obtaining and Developing Base(100-Year)Flood Elevations,available at httpi://worw.fema.gov/mit/tsd/dl_zonea.htm-, 1995 publication. This publication is an excellent resource,which d tails the appropriate methods for determining BFEs in SFHAs designated flood zone A. To obtain a copy of this pu lication, or to obtain additional information about developing BFEs,contact the FEMA Map Assistance Center(F AC)toll free at 1-B77-FEMA MAP(1-877-336-2627). If the property is greater than 50 lots or 5 acres,whichever i the lesser, the engineer or surveyor must determine a BFE as a provision of Part 60.3(b)(3),which is availa le online at http://www.access.gpo.govfnara/cfr/waisidx_00/44cfrvi_00.html. I Shallow/Sheet Flooding (flood zones AB and AO) — If the property is located in flood zone AH, an area of shallow flooding,the engineer or surveyor should use the flood elevation listed on the FIRM. If the property is located in flood zone A0,an area of sheet flooding,the engineer or surveyor should use the average depth elevation listed on the FIRM and add that depth to the lowest grade on the property. Number 4 Lowest Adjacent Grade (LAG) to,the Structurg — For requests involving a structure, provide the lowest adjacent grade elevation,to the nearest tenth(0.1)i of a foot or meter. If FIRM shows BFEs in meters,the accuracy of the lowest adjacent grade elevation must be to the nearest tenth of a meter. Lowest Lot Elevation—For requests involving property,not a structure,provide the lowest lot elevation to the nearest tenth (0.1) of a foot or meter.If FIRM shows BFEs in meters,the accuracy of the lowest lot elevation must be to the nearest tenth of a meter. glevation Datum — Provide the elevation datum (e.g., NGVD 29, NAV)) 88, or other specified) for which the property elevations are referenced. If the datum being referenced is different then the datum used to produce the effective FIRM, provide the datum conversion. Subsidence or uplift—Land subsidence is the lowering of the ground as a result of water, oil, gas extraction,as well as other phenomena such as soil compaction, decomposition of organic material, and tectonic movement. Periodically,the National Geodetic Survey relevels some benchmarks to determine new elevations above NGVD 29; however, not all benchmarks are releveled each time. Instructions MT-EZ Form 6 • aur od o l : l 17006 'l 'HOI LZ d SDE ON � S � XbW/3� Wd 0 'Please note that, in some communities, the only NFIP maps available may be Flood Hazard Boundary Maps (FHBMs), instead of FIRMs. I rlwo wont aoou IASl OCI I*OGi1 it il� l•i. 'amn arta mliw ►xa buttt uu 1 J i' 1.111r, iI IFIRM I1 � FIRM I IFLOOD INSURANCE RATE MAP FLOOD INSURANCE III(l Ivan or ,I ,; FLOOD COUNTY. II I; FLoODVlLLE a - community Name — II' NCAA RATk:D ARRAS 'i nooncovnxr,uHn I. III. I ,' III ,Illi rtNa4dt11 I' I MILE 310f 10 Iver KW l I* WIC rulna�vr.flxnlw ��I l Mt aM NW II*Ml+h1 POT rwmrd, (I 14. I' 1 II I WlM P l N!TS:. • 1 I I •I I'li11, 7,7.-.7.7t.., wa. — l I+ n'^•.`. � / SII! r Iii III p Community 1111 Number I '' I 1Il NAP aU111t11 .' caawuam�rume NII Peael a Map I!.1,111,1•. ' w°°mc°asa EFFECTIVE LIM s II•�: MITRE DATE Number I '`.,.: ;_} AMU 17,1711 1 ' - 11 t •: Effective Date IgII 1 I �I Ili F.s...m earrrcr Money 'I��1I�;I ?.and Emgrwr t�wo� • 11'l' �' Figure 1. Sample 1=1riM Panel Figtn'ts 2. Sample FIRM Panel (Single Community) (Countywide) In the third box,provide the BFB. These may be obtained by locating the property on the effective FIRM for the community in which the property is located.Upon locating the property on the FIRM, the engineer or surveyor should determine the type of flooding and the flood zone where the property is located_ The summary below provides direction as to how to determine the BFE as a result of the flooding type and flood zone determination. Riverine Flooding Systems (Zones AE or Al-A30) — Consult the FIS report for the community in which the property is located. Next,locate the flood profile for the flooding source by name. Estimate the property's location along the flood profile and extrapolate the BFE using the 100-yr.flood profile line. Lacustrine (Stillwater) flooding Systems — Consult the FIS report for the community in which the property is located.Next,locate the Summary of Stillwater Elevations table. Locate the flooding source,by name, and use the BFE listed in the table. The flooding source's BFE is normally shown to the nearest one-tenth of a foot. If the flooding source is not listed in the Summary of Stillwater Elevations table,use the BFE as shown on the FIRM. Coastal Flooding Systems(Zone AE or A1-A30)—First,obtain the BFE from the FIRM panel.Next,consult the FIS report for the community in which the property is located. Locate the Summary of Stillwater Elevations table in the FIS report. Identify the flooding source,by name,and use the BFE listed in the table.Compare the BFE listed in this table to the BFE obtained from the FIRM. If the stillwater elevation listed in this table is less than or equal to the whole-foot BFE shown on the map minus 0.5 foot, a wave height, wave runup, and/or wave setup component Instructions MT-EZ Form 5 9 'd SZtiE 'ON aupiods Jo XVW/31 Wd00 ' 1 1700 'l ' bW General Instructions—Sectio B Section B must be completed by a li•ensed land surveyor or registered professional engineer. If an Elevation Certificate has already been completed for this prop:rty,it may be submitted in addition to this form. Before completing Section B, the so eyor or engineer must obtain the effective Flood Insurance Rate Map (FIRM) panel, effective Flood Boundary and Flood ay Map(FBFM)panel(if printed),and Flood Insurance Study (FIS)report that cover the area in which the property is lo•ated. These can be obtained from the community map repositoryoorordered�fromet sthe Map Service Center (MSC), for a nominal fee. To place orders from the MSC, goto their ite: http://msc.fema.gov/stores/MSC. The FEMA Flood Map Store allows sers, including homeowners,surveyors, and engineers,to search the MSC for maps and other technical data historically avail,ble from the MSC,online. Searches can be conducted under the three following criteria: Catalog, Map Search, and Quick OrPer. Catalog allows surveyors and engineers to search through the Flood Map Store for available data. Map Search allows s eyors and engineers to search for data available for an individually specified map area. Quick Order allows surveyors and e gineers to search available data by a specific FIRM panel or Community number. All search criteria will allow surveyors a,d engineers to search desired data and add that data to a"shopping cart"for later payment options. Payment must be in the fo of a credit card. Only Visa and MasterCard are accepted. Surveyors and engineers who do no have Internet access should contact the MSC by calling 1-800-358-9616. They may fax their requests to the MSC at 1-800-3 1-9620. Specific Instructions Items to be Removed F om the S HA The surveyor or engineer must idem fy what is to be removed from the SFHA. Provide the required elevation information as described on the form. Number I-Type of Construction If the request involves or will invol e a structure,provide the type of construction, Crawl Space—The area be ow the first floor is enclosed by solid or partial perimeter walls. Slab on Grade- The botto floor is at or above grade level on at least one side. Basement/Enclosure—Th= bottom floor is below grade level on all sides.Note: Buildings constructed above crawl spaces that are below grad on all sides should also use this type of construction. Other — All other struct e types not listed above including, but not limited to; split levels, structures on piers, mobile homes,etc. Number 2-Bui din, Information Provide the street address for the Property, if one is available, and a brief description of the property by referring to the recorded deed or plat map. The .eseription may consist of a lot number and subdivision name, a parcel number, a tract number, or any other information Provided in the deed or plat to identify the property. It is not necessary to reproduce a lengthy description of the property: it appears in the Deed. Number 3-Flood Insurance Rat Ma. Information* In the first box,provide the NFIP ommunity number as it appears in the Title Block of the FIRM panel that shows the area where the property is located. In e second box, provide the map and panel number. For additional information on reading FIRM panels you may co ult the tutorial "How to Read a FIRM" on FEMA's Internet site: http://www.fema.gov/mit/tsd/ot_f .htm. Instructions MT-EZ Form 4 aur od o SZ d SDE 'ON S XbW/RI Wd00 l 17006 1 VdU • A copy of the Plat Map for the property,showing the recordation information(e.g.,Book/Volume and Page numbers or Document/Instrument number)and containing the recorder's seal and recordation date. • A copy of the Deed for the property, showing the recordation information(e.g., BookNolume and Page numbers or Document/Instrument number)containing the recorder's seal and recordation date,accompanied by a tax assessor's or other suitable map showing the surveyed location of the property. The requester also must obtain a photocopy of the effective FIRM panel (including the Title Block)that shows the area in which the property is located. The FIRM should be available at the community map repository or from the community official or agency responsible for floodplain management. However,the FIRM Index and FIRM panels may be ordered from the Map Service Center (MSC), for a nominal fee, To place orders from the MSC, go to their Internet site; http://msc.fema.gov/stores/MSC. This site allows requesters to search the MSC for maps and other technical data historically available from the MSC online. Requesters can search by the three following criteria: Catalog,Map Search, and Quick Order. Catalog allows requesters to search through the FEMA Flood Map Store for available data. Map Search allows requesters to search for data available for an individually specified map arca. Quick Order allows requesters to search and order available data by specific FIRM panel and Community number. Payment must be in the form of a credit card. Only Visa and MasterCard are accepted. Requesters without Internet access should contact the MSC by calling 1400-358-9616. They may fax their requests to the MSC at 1-800-358-9620. Specific Instructions Number 1-Fill Placement Regardless of the type of LOMC being requested, the requester must clearly state, to the best of his or her knowledge, whether fill has been placed on the property. The requester must answer "yes" or "no" to this question. (See "Use of Application Forms"for additional information about fill.) If fill has been placed on the property,the requester must submit a request for a Letter of Map Revision Based on Fill(LOMR-F)using the MT-1 application forms. To Obtain a copy of the MT-I application package, visit FEMA's Internet site at http://www.ferna.gov/mit/tsd/dl_mt-I.htm or.call the FEMA Map Assistance Center toll free at 1-877-FEMA MAP(1-877.336-2627). Number 2-Legal Description Describe the property by referring to the recorded deed or plat map. The description may consist of a lot number and subdivision name, a parcel number, a tract number, or any other information provided in the deed or plat to identify the property. It is not necessary to reproduce a lengthy description of the property as it appears in the Deed. In addition,enter the street address for the property,if one is available,if different from the mailing address. Number 3-Structure or Property FEMA makes determinations on parcels of land or structures.Of these subjects,the requester should select the one for which they would like FEMA to make a determination. If the request is for a structure on a property,the date of construction must be provided in this section. Date of construction information may usually be obtained from real estate settlement documents, the property developer,or the local government office where real estate and/or land development transactions are recorded. $ienature The requester must provide his or her name, mailing address,and telephone number. The requester must also sign and date, where indicated,to certify the accuracy of the information provided in Section A of the form. A Licensed Land Surveyor or Registered Professional Engineer may sign this form for the requester if they are submitting on their behalf. Instructions MT-EZ Form 3 o 176 'd sz� aurod� 'ON � s � Xb'Wal Wdoo ' l Booz 1 adw • Applicable Regulations The regulations pertaining to LOMAs are presented in Title 44,Chapter I, Code of Federal Regulations(CFR),Parts 70 and 72, which are available at http://www.access.gpo.gov/nardcfr/waisidx_00/44cfrvl_00,html. The purpose of Part 70 is to provide an administrative procedure whereby FEMA will review information submitted by an owner or lessee of property who believes that their property has been inadvertently included in a designates SFHA. Part 70 provides information about the technical difficulty of accurately delineating the SFHA boundaries on the NFIP map for a community. Part 70 procedures shall not apply if the topography has been altered since the effective date of the first NFIP map [i.e., a Flood Insurance Rate Map(FIRM)or Flood Hazard Boundary Map(FHBM)]showing the property to be within the SFHA. Basis of Determination If no fill has been placed, FEMA's determination as to whether a structure or legally recorded parcel of land, or portions thereof,described by metes and bounds,may be removed from the SFHA will be based upon a comparison of the BFE with certain elevation information. For cases involving Zone A, with no BFEs determined, refer to Managing Floodplain Development in Approximate Zone A Areas, A Guide for Obtaining and Developing Base (100-Year) Flood Elevations, available at http•J/www.fema.gov/mit/tscVdl_zoneahtrn; 1995 publication. The elevation information required is dependent on whether a structure or a legally recorded parcel of land is to be removed from the SFHA. The following special considerations may affect FEMA's determination: • In areas of sheetflow flooding(AO Zones),the elevation of the lowest adjacent grade (including deck posts)and the elevation of the lowest floor(including basement/crawl space)of the structure(s)must be elevated above the elevation of the highest surrounding ground by at least the amount of the depth specified on the FIRM. In addition, adequate drainage paths must be maintained to guide floodwaters around and away from the structure(s). - If the lowest floor of a building has been elevated on posts, piers, or pilings above the BFE and any portion of the structure(i.e.,posts,pilings,or piers)is still below the BFE,the building will not be removed from the SFHA. Response Timeframe • In accordance with the procedures of Title 44, Chapter I, CFR, Part 72, available at http://www.access_gpo_gov/nara/cfr/waisidx_00/44-cfryl_00.html, FEMA will notify the requester of the determination in writing within 60 days of the date of receipt of all required data. Information about the status of active Letter of Map Change (LOMC) requests is available from FEMA's Status of Map Change Requests database at http://www.fema.gov/mititscVst_main.htm. Effect on Insurance Purchase Requirements Although FEMA may issue a LOMA removing a structure from the SFHA,it is the lending institution's prerogative to require flood insurance, as a condition of a loan, if it deems such action appropriate. However, if the lending institution agrees to waive the flood insurance purchase requirement for a structure,the property owner is eligible for a full refund of the premium paid for the current policy year,provided that no claim is pending or has been paid on the policy in question during the same policy year. If the property owner has been required to renew his or her policy during a period when a revised NFIP map was being printed,the premium will be refunded for an additional year. To initiate processing of the refund,the property owner should provide the I.OMA and evidence of the waiver of the flood insurance requirement from the lending institution to the insurance agent or broker who sold the policy. General Instructions—Section A • Section A may be completed by the property owner,Iicensed land surveyor, or registered professional engineer to support a request for a LAMA for a single lot or structure. Before completing Section A, the requester must obtain one of the following documents from the County/Parish Clerk, Recorder,or Register of Deeds for the community: Instructions MT-EZ Form 2 �Z d SZti� 'ON aup>IodS }o XvW/h Wd6Y 1700Z 'l 'ddW APPLICATION FO FOR SINGLE LOT OR STRUCTURE AMENDMENTS TO NATI NAL FLOOD INSURANCE PROGRAM MAPS General Background Information In 1965,the U.S. Congress passed th. National Flood Insurance Act, which created the National Flood Insurance Program (NFIP). The NFIP was designed reduce future flood losses through the adoption of local floodplain management regulations and to provide protectio for property owners against potential losses through an insurance mechanism that allows a premium to be paid for the pr•tection of those who need it most. The creation of the NFIP represented a major shift in Federal strategy from previous stru•. :I flood-control and disaster relief programs. As part of the agreement for making ood insurance available in a community, the NFIP requires the community to adopt floodplain management ordinances at meet certain minimum requirements intended to reduce future flood losses. The community official or agency respon ible for floodplain management in a community may be able to provide inks, a icon on that would be useful to a requester. This official or agency usually is responsible for engineering, public control,or planning in the community,as well. Use of Application Forms The Federal Emergency Management,Agency(FEMA)implemented the use of application forms for requesting revisions or amendments to NEI?maps for two reasons. First,the forms provide requesters with a comprehensive,step-by-step process to follow_ This process provides the requester with assurance that all necessary information to support their request is being submitted to FEMA at one time,thus avoiding the need to go through an iterative process of providing additional information in a piecemeal fashion, which can result in a time-consuming and cost-intensive process. Second, use of the forms assures that the requesters' submissions are complete and more logically structured, and generally allows FEMA to complete its review in a shorter timeframe. This form should be used to request that the Federal Emergency Management Agency(FEMA)remove a single structure or a legally recorded parcel of land or portions thereof, described by metes and bounds certified by a registered professional engineer or licensed land surveyor,from a designated Special Flood Hazard Area(SFHA), an area that would be inundated by the flood having a 1-percent-annual-chance of being equaled or exceeded in any given year(base flood),via Letter of Map Amendment(LOMA).A LOMA is a letter from FEMA stating that an existing structure or parcel of land that has not been elevated by fill(i.e.the existing structure or parcel of land is on natural grade)would not be inundated by the base flood. IZ is defined as material placed to raise the ground to or above the Base Flood Elevation (BFE). The common construction practice of removing unsuitable existing material(topsoil)and backfilling with select structural material is not considered the placement of fill if the practice does not alter the existing (natural ground) elevation, which is at or above the BFE. Fill placed before the date of the first I`PIP map showing the area in an SFHA is considered natural ground. The MT-EZ form shall not be used for requests submitted by developers, for requests involving multiple structures or lots, for property in alluvial fan areas or coastal high hazard areas(V zones),or requests involving the placement of fill—for such requests,use the MT-1 and MT-2 forms,as appropriate. For additional assistance in completing this form,you may consult the LOMA Tutorial,available on FEMA's Internet site at: http://www.ferna.gov/mit/tscVot_outiO.htm. This tutorial provides guidance to LOMA requesters,as well as an online tool to complete the MT-EZ form. Data Submission Requirements In accordance with the NFIP regullations, FEMA will use the information provided in these application forms determine whether property (parcels of land or a structures) should be removed from a designated SFHA. In certain instances, additional data not referenced on these forms may be required. A FEMA representative will notify the requester of any additional data requirements. Instructions MT-EZ Form N d SDE 'ON aue�odS �° XV / Wd6S ,6 17001 'L 'IdW 609 824 9728 '1UIa L,ir ovn oi.nvn "17LLlii - 12/01/00 12;44 FAX •— • .— 0—This section.must be completed by*registered protoaelonal engineer or.licensed land surveyor. NOTE: If an NHP Elevation Certificate twa already been completed for this property,it may be submitted in addition to thin form. ' Applicable Regulations ogram r ulations 72, regulationsodepertaining egulatioM�he purpose of art 70 s to provide annsurenco administrativea procedure whereby FEMer 11t1a 44,Chapter I,Parts 70 and A will review informotlon submitted by n,Code of Federal Reg has been included in a designated an of Part 70 Is owner orolessee eof hgrope i�fflowhoul y believes that his or her of aeouratsly delineating the SHA boundary on 0n NFiP rnz Part 70 procedures Shall 1l not apThe ply if the topography due Inb enrl to the tsince al d ty a Flood insurance Rate Map (FIRM) or Flood Hazard Boundary Map (FHBM)1 has been altered since the effective date of the first NFiP map lea., showing the property to be within the SFHA. Basis of Determination from the SFHA l be based upon a compacbe removed ta n of the Base(1%4nnued Uat•rnance)Flood Elevation(BE)witl of land.or portions thereof, h certbain elk aliontes and Information For Zone A, nn ease with no SFE FE determined, Jnr Flood ations.. The elevation nrormptLon required is dependent In on whether structroximate Zone A ure, ■legally recorded ps,A Guide for arcel of and a d istobe to ved Yee) from the SFHA. —/ Item to be Removed from the SFHA;(chect.on1 Elevation IMormation Required• Cour fete Item d r Lowest Adjacent Grade to the structure(the elevation of the lowest Cl Structure located on natural prude(COMA) ground touching the etructure Including attached decks or garage) — ❑Undeveloped legally recorded parcel of toElevation of the lowest ground on the parcel or within the portion of land ric(COMA) to be removed from the SFHA(skip to Item 2) 1. What la the type of construction? (check one)- ❑crawl space ❑slab on grade 0 basementlendoaure 0 other(explain) 2. BUILDING INFORMATION Building Street Address(including Apt.Unit,Suite,and/or Bldg.No.): i. Property Description(Lot and Block NumberhTex Pervel Number,Legal Description,etc.): - 'fir 3. FLOOD INSURANCE RATE MAP(FIRM)INFORMATION - ' • j NFIP Community Number. {Map&Penal Number Base Flood Elevation_ �� 4. El gVATION INFORMATION(SURVEY REQUIRED) - • Lowest Adjacent Grade(LAG)to the etru ture ft.(m) R(m) • Elevation of the lowest grade on the property,or,metes and bounds area •• Indicate the datum(end datum eineion if different from NGVD 29 or NAVD US) • Has FEMA identified this area as eubj ct to land subsidence or uplift?. ❑ Yes 0 No • If Yes,what is the date of the current rbleveling? This certification Is to be signed and seal d by a licensed land Surveyor, registered professional engineer, or architect authorized by law to certify elevation information. An doornails submted in support of this request are correct to the best of my knowledge. I understand that any false•statement may be Punishable by tine or imprisonmsntunderTltle 15 of the United States Code,SectiOn 1001. `......., ��--.-, Certifiers Name: License No.: Expiration Date: Company Name: Telephone No.: Fax No,: - Seel(optional) Signature: Date: (Sea attached address listing for LOMAs) Page Z of 3 FEMA Form 81-92,MAY 02 MT-1 Form 17 'd D7E 'ONI suort S 0 XdWal WdZS Zl_17OOZ 1 NW _ 12/01/03 12:44 FAX 549 924 720 _ 1vtruleove von..,. rn�..... < — FEDERAL EM RGENCY MANAGEMENT AGENCY 0.M.13,NO.3067 0257 C TION FORM FOR SINGLE FESiDENTIAL LOT OR STRUCTURE AMENDMENTS TO ,.piece May 3l,2005 • kPPLI A NATIONAL FLOOD INSURANCE PROGRAM MAPS lima+, _ PAPERWORK REDUCTION ACT Public reporting burden for this form le estimated to average 24 hours per response. The burden estimate includes the time for reviewing instructions,searching existing date sources,gathering and maintaining the needed data,and completing,reviewing,and submittinger the Miii control number ls displayed In tho ght form. of are or .Send comments d 10 114§regardingOthe accuracyin of fof the�burden estimate valid and any uggestions for reducingthis burden tee comer of this Coorm 500C Street,S W.,Washington DC 20472,Paperwork Information t2onr Management,Federalthisf Emergencyi Management Agency, Reduction Project�7-0257), Submission of this form isrequired to obtain or retain benefits under the Nation1 2z1 insurance Program. Thle form should be used to request that the Federal Emergency Management Agency(FEMA)remove a single structUre or legally recorded parcel of land Or portions thereof,described by motes and bounds,certified by a registered professional engineer or licensed land surveyor,from 0 designated Special Flood Hazard Area(SFHA),an area that would be inundated by the flood having a 1%-chance of being equaled or exceeded In any given year(hoe*flood),via Letter of Map Amendment(LONA). It shall not be used for requests submitted by developers,for requests Involving multiple structures or lots,for properly In alluvial fan areas or coastal high hazard areas(V zona),or requests involving the placement of fill, (NOTE use MT-1 forma for such requests). Fill is defined as material placed to raise the grade to or above the Base Flood Elevation(BFE). The common construction practice of removing unsuitable existing materiel(topsoil)and baCkfilling with select etructural material Is not considered the placement of fill if the practicNae tional 1 Fs t ear the exleting(natural grade)elevation,which is at or above the BEE. Also.fill that le placed before the date of the first Insurance P ram(NFIP map showing the area in en SFHA is considered natured grads. LOMA: A letter om FEMA vesting that an existing structure or parcel of land that has not been elevated by fill would not be Inundated by the bate flood. A-This section may be Completed by the property owner or by the property owner's agent 1. Has fill been placed on your property? • - ISI No ❑ Yee-If Yes,STQPil-You must complete the MT-1 application forma;visit http;llvwwv.fema.g0v/mititsdfdLmt•1.htm or cull the FERIA Map Assistance Center tell free:(a77.FEMA MAP)(817•336-2627) 2. Legal description of Property(Lot.Block.SubdNiSlOn)and street address of the Property ' (if different from mailing address): 4 7,tiro /8 .3/k9 . Cors 9-/o-is-i4 3/k 5 there 41.41/7-07) Sic:aka/PQ Caul fry. $...S( a/A glaj.h)4.9,6172 3- Are you rsai.iesting that the flood zone designation be removed from(check one): Igi Your entire legally recorded property? ❑ A portion of your legally recorded property?(e metes and bounds description and map of the urea to be removed, certified by a realstered professional engineer Or Ilceneed land surveyor are required) El A structure on your property? What Is the date of construction? All documents submitted in support of this request are correct to the best of my knowledge. I understand that any false statement may be punishable by fine or imprisonment under Title 18 of the United States Code,Section 1001. Applicant's Name: Company, /7 1a ,��s� 509) 92a-7$a? Mailing Address: Daytime Telephone No.: e p i6 ir 1.0cuSt'a., c14b12110 NU 1.11• ••••-••••••••••••••-mail address: ` Fax No.: C--mail of Applicant(required) ( Data J ��h� ••••1,,-.71--0;7-1-7,--, _ _ r. •"+•. ,li:y,.i-„.n�-t.�v+c;n::•e^L��•v�;!-,-Lrr•y7 `^;, ''i n4'v,�' .r ,,n� �, i {�;�C'r',.,11,,ilii..•. ,i, ., ,; ,^wr a.1,,r'+H}^% it ,i•i."�"t(r. "�,,,4,,,,;,• n.:.4�/^� n.i::11. o.i,�t.,4..,,�,.,:_i-,1;. Pp`�, 75:,, `;a Sl'i}{' �.• (�% ' .,n, i'.�i,?i "C-�iN��,4c^1'.�'L,�11w�;r,•'.L..r'¢S:,ghia,,�i1�,.• ;,r,�,.�'1 ti�L ^_ �:�,.. %•, .:, ..- _1:n„a w,.. Page 1 of 3 FEMA Form 61.92,MAY 02 MT-AZ Forret • d SDC 'ON aue>IodS 0 XV / WaS :zl tiooz 1 'OW _ ./ ' ��. ter► • FEDERAL EM r•RGENCY MANAGEMENT AGENCY D.M.B.N0,3067--0257 APPLICATION FORM FOR SINGLE -ESIDENTIAL LOT OR STRUCTURE AMENDMENTS TO Expires May 31,2005 NATIONAL FLO•D INSURANCE PROGRAM MAPS mmEmmi.. PAPERWORK REDUCTION ACT Public reporting burden for this form Is esti ated to average 2.4 hours per response. The burden estimate includes the time for reviewing instructions,searching existing data sourc ,gathering and maintaining the needed data,and completing,reviewing and y the upper right ht the form. You are notr .requiredndto respond tog thrd g cthe ction of yof heGburden estimate and any suggestions For on unless a valid OMD control number is educing this burden to: corner of this form. Send comments regard! gaccuracy Information Collections Management,Feder:I Emergency Management Agency,500 C Street,S.W.,Washington DC 20472,Paperwork Reduction Project(3067-0257). Submission .f this form is required to obtain or retain benefits under the National Flood Insurance Program. This form should be used to request that the Federal Emergency Management Agency(FEMA)remove a single structure or legally recorded parcel of land or portions thereof, .ascribed by metes and bounds,certified by a registered professional engineer or licensed land surveyor,from a designated Special FI•od Hazard Area(SFHA),art area that would be Inundated by the flood having a 1%.-chance of being equaled or exceeded in ny given year(base flood),via Letter of Map Amendment(LOMA). It shall not be used for requests submitted by developers,for rogue-is involving multiple structures or lots,for property In alluvial fan areas or coastal high hazard areas(V zones),or requests Involvin the placement of fill. (NOTE: Use MT-1 forms for such requests). Fill Is defined as material placed to raise the grade to or above the 13a=e Flood Elevation(BFE). The common construction practice of removing unsuitable existing material(topsoil)and backfilling with select-tructural material Is not considered the placement of fill if the practice does not alter the existing(natural grade)elevation,which is a or above the BFE. Also,fill that is placed before the date of the first National Flood Insurance Program(NF1P)map showing the-rea in an SFHA Is considered natural grade. _ LOMA: letter from FEMA stating that an existing structure or parcel of land that has not been elevated •, fill Would not be inundated the base flood. A—Thls section may be completed by the p'operty owner or by the property owner's agent 1. Has fill been placed on your property? ❑ No n Yes—If Yes,STOPI —You must complete the MT-1 application forms:visit ttpJ/www.fema.gov/mititsdldl_mt-1.htm or call the F MA Map Assistance Center toll free:(877-FEMA MAP)(877-336-2627) 2. Legal description of Property(Lot,Block,Subdivision)and street address of the Property (if different from mailing address): 1 3. Are you requesting that the flood zone designation be removed from(check one): p Your entire legally recorded prorty? ❑ A portion of your legally recorded property?(a metes and bounds description and map of the area to be removed, certified by a registered profess! nal engineer or licensed land surveyor are required) ❑ A structure on your property? Wlhat Is the date of construction? All documents submitted In support of this request are correct best of my knowledge. I understand that any false statement may be punishable by fine or imprisonment under Title 18 of the United States Code,Section 1001. �+ Applicant's Name: Company: Mailing Address: Daytime Telephone No.: E-mail address: Fax No.: Signature of Applicant(required) 1 1 Date -;'T ♦r , ;'r Q•,,( ' w ,{'.•1;n r „Y• bry`i %'`£o'I �� ':f 1. �' -� 1; If f1,'d,0 .41 .. ,tui :,' ,..• 1 r 0, 4'' .r' oki. h"'- •r•l''• FEMA Form 81.92,MAY 02 MT-EZ Form Page 1 of 3 aueIodS l° xv /3y WdL : t'UOZ 'l 'ddW 8 l d S Z t 8 ON .�._-- . w . . • , ICY N,q ' 1111T1 EZ E.FST 4-177.-., ``i/ i ....475... ,,,'S-74-, 1 , ti ..,__ ___ ...._ FEDERAL INSURANCE AND MITIGATION ADMINISTRATION HAZARD MAPPING DIVISION AMENDMENTS TO NATIONAL FLOOD INSURANCE PROGRAM MAPS APPLICATION FORM FOR SINGLE RESIDENTIAL LOT OR STRUCTURE • • �Illly�l��ll"d1D""nano iRwu mom I ' ,�;I FIRM • ,^ i•0 a.000 irSuMuncE MA? ' In , FLOOD COUNTY, ., r 6.'„.'. •','4•)~! I'I USA AND ;.. ': (!:,'x.,'': „•,•" • 4'•'!1 INCORPORATED AREAS , • ' ' '' • R o ,."4,rr. (� ,,..3.,'"'1a!': ia Si of .,. 1 ; a_k1 � ,; .,.i . .. lI m 14 .JI .w• ' 1u.S. c,,r,f.,...../u nor nnruP , l I,,I'1I �,.»wc.,.... w. .., II P,��1II''I MT-EZ iqii, h1j WA?MAIM Hi FEMA FORM 81-92 SERIES t IIS' AP '; ;t.. AVUKT 14 trim �, MAY 02 ` i Federal Emergency 3,. ' .. . �: . na ement Agency Nlag lZ 'd SDE 'ON aureiodS .o XVINal Nd6S :6l tOOZ 1 'PIN • mm.. EL—This section must be completed by a registered professional engineer or licensed land surveyor. NOTE: If an NFIP Elevation Certificate has already been completed for this property,It may be submitted In addition to this form. Applicable Regulations The regulations pertaining to LOMAs are prese ted in the National Flood Insurance Program(NFIP)regulations under Title 44,Chapter I,Parts 70 and 72,Code of Federal Regulations. The purpose of Part 70 is to provide an administrative procedure whereby FEMA Will review information submitted by an owner or lessee of property who believes th t his or her property has been inadvertently included in a designated SFHA. The necessity of Part 70 is due in part to the technical difficulty of accurate y delineating the SFHA boundary on an NFIP map. Part 70 procedures shall not apply if the topography has been altered since the effective date of t e first NFIP map(e.g., a Flood Insurance Rate Map (FIRM) or Flood Hazard Boundary Map(FHBM)] showing the property to be within the SFHA. Basis of Determination FEMA's determination as to whether a structure or legally recorded parcel of land,or portions thereof,described by metes and bounds,may be removed from the SFHA will be based upon a comparisdn of the Base(1%-annual-chance)Flood Elevation(BFE)with certain elevation information, For Zone A, with no BFE determined, refer to Managing FIIodplain Development in Approximate Zone A Areas, A Guide for Obtaining and Developing Base(100- Year)Flood Elevations. The elevation Information required Is dependent on whether a structure, or a legally recorded parcel of land,is to be removed from the SFHA. Item to be Removed from the SFHA:(check one) Elevation Information RequIrod:Scomplete Item 4) Lowest Adjacent Grade to the structure(the elevation of the lowest ❑Structure located on natural grade(LOMA) ground touching the structure including attached decks or garage) Elevation of the lowest ground on the parcel or within the portion of land ❑Undeveloped legally recorded parcel of land(LOMA) to be removed from the SFHA(skip to Item 2) --- 1. What IS the type of construction? (check one) 0 crawl space 0 slab on grade 0 basement/enclosure ❑other(explain) • 2. BUILDING INFORMATION Building Street Address(including Apt.Unit,Suite,and/or Bldg.No_): • • Property Description(Lot and Block Number,Tax Parcel Number,Legal Description,etc.): • 3. FLOOD INSURANCE RATE MAP(FIRM)!,INFORMATION NFIP Community Number. Map 8 Panel Number. Base Flood Elevation: 4. ELEVATION INFORMATION(SURVEY REQUIRED) • Lowest Adjacent Grade(LAG)to the structure • ft.(m) • Elevation of the lowest grade on the property;or,metes and bounds area ft.(m) • Indicate the datum(and datum conversion if different from NGVD 29 or NAVD 88) ▪ Has FEMA Identified this area as subject to land subsidence or uplift? ❑ Yes ❑ No • If Yes,what is the date of the current releveling? This certification is to be signed and sealed by a licensed land surveyor, registered professional engineer, or architect authorized by law to certify elevation information. All documents submitted in support of this request are correct to the best of my knowledge. I understand that any false statement may be punishable by fine or imprisonment under Tele 18 of the United States Code,Section 1001. Certifier's Name: License No.: Expiration Date: Company Name: Telephone No.: Fax No.: Seal(Optional) Signature: Date: (See attached address listing for LOMAs) Ammiummmumomm FEMA Form 81-92,MAY 02 MT-EZ Form Page 2 of 3 6l d S612 'ON aue>IodS j.o X8/3d Wd8SYZl 170OZ1 'WI