HYDRO25392

• Permit No: M2003091
• IBM Index Class Name: Hydrology
• Doc Date: 5/11/2004
• Doc Name: Application for Flood Hazard Development Permit
• From: Banks and Gesso LLC
• To: DMG
• Media Type: D
• Archive: No

FEDERAL EMERGENCY MANAGEMENT AGENCY p M B No 3067-0077
NATIONALFLOODINSURANCEPROGRAM Expires December 37, 2005
ELEVATION CERTIFICATE
Ira rtant: Read the insWcdans on a es 1.7.
SECTIONA•PROPERTYOWNERINFORMATION Falnsirancecanga,yuse
Inc.
BUILDING STREET AUDREBS (Including Apt , Unil. Sude, andra Bldg No) OR P O ROUTE AND BOX NO I Company NAIC Number
N/A
CITV STATE ZIP CODE
N/A
PROPERTY DESCRIPTION iLot and Biock Numbers. Tax Parcel Number Legal DesmpWn, etc )
NE 1/4 Sec. 16 T2S R68W /Parcel ID No. 1313-16-0-00-010
BUILDING USE (e g , Residential, Non+esitlenlial, AddNOn, Accessory, etc Use a Comments area rf necessary )
Temporary Structure -Field Conveyor Crossino of Idaho Creek -Sand and Gravel Mine
v~ ivr „v, w.) ~ wn¢v, vr,~ ~ n ovvnvi i_i vrp t,1Yci
( ##° - Np' - ttt/ pq- a n+t umutu°) ^ NAD 7927 ~ NPD 1983 ^ USGS Quad Map ~ Other Aerial
~tirvey
SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1 fFIP COMMUMTY tJAMEBCOMMUNIT'NUMBER 02 CIX1t9rY NAME B3 STATE
Unincorporated Weld County 080266 Weld County Colorado

B4 MAP AND PPNEL B7 FIRMPMEL &9 BASE FLOOD ELEVATICtJ(S)
MIMBER BS SUFFIX B6 FIRM WOEX DATE EFFECi7VErt2EV1SEDMTE BB FLOOD ZONE(S) (Zone AO, usedepndh»Gug)
850 C March 21, 1978 Sept. 28, 1982 A 4871
810 Indicate me source of the Base Hood Eievauon (BFE) data a base flood depm entered m 89
^FIS Prohe ^FIRM ^Cmttmuniry Delermiried ®Opter (Desrnbe) See references in report
B77 Indcate p7e elevapLm dawm used kx the BFEnB9 ^NGVD 1929 ^NAw 7988 Other (Descnbe) Aerial survey/see report
872. Is Inc buJdua located m a Coastal Samar Resources System ICBRSI area a Opmerwtse Protected Area fOPAIv rl Yes fxl No~ Deagnatnrm Date
SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C7 Bolding devapore are based on ®Ga15bUCWn Drawtrgs' ^ Bufldug Undar Consbucbm' ^ Finished Constn,dan
'A new Eleaaai CeMicatewt9 be required when cottshuc9cn d Ume buJMng a ccmWete
C2 Bulldog Diagram Number _ (Select the Wilding diagram most sinLlar to the Wiftling fa whah Utis ceNfrate is being compleled -see pages 6 and 7 It no diagram
atxureteyrepesamtspmeWJdirg,provideasketchaptatogreph) See sketch in report
C3 Eleva6oris -Zores Al-A30, AE. AH. A (vnth BFE), VE. Vt-V30, V (wNi BFE), AR, ARIA AR/AE, AR/A7-A30. PRrAIi, ARlAO
Complek (tens C3 a+ bebw awadrg m the building diagram speafed n ttem C2 State the datum used p the datum is dpfen;nt hen the datum used to the BFE in
Sedan 8, conven pie daNm b that used b the BFE Stnw field measurements arxf datum convasiat calalahon Use the space provided a pre Garments area of
Section D a Sedan G, as appmprete, todoament the datrm cemersion
Datum_ CamversaNCarunenls_
Elevahm rekrence mark use0 _Ooes me elevaWn reference mark used appearon Ne FIRM'I ^ Yes ^ No
Da)Topafhd[anMaor(ndudugbasementaendosure) _ -R(m)
O b)Topoflmexthghxlloor _ _ft(m)
O c) ~~ otkrnest honzonal slnrcalral member (V woes tiny) _ -ft (m) " o
O d)Atladadgarage(topdslab) - -ft(m) $
O e) Lowest elevatron of machinery andla equipment v' v
servrdng pie bul6rg (Desmbe n a Comrpnt5 area) _ _fl lm) E ',
U rl Lowest ad)acent (hushed) grade (tAG) _ -ft (m) ~ si
vg)Hghestad)xxnt(finshed)gmde(HAG) _ -R(m) V '~l~c U CQ~,V`
V h) No d pemmarment openings (flood vents) vnpnn 7 R above ad)acent grade _
O Q Tdal area of as permanent openegs (flood vents) In C3 h_sq m (sq an)
This certibcahon Is to be signed and sealed by a Wnd surveys engineer. or archdect aulhonzed by law to certdy elevation mtormauon
1 cerhly that the niormatpn m Sectrons A, B, and C on !tins ceAdroafe represents my best elfoRS fo interpret the data avarlable.
I understand (hat env !else statement may be oumshade by fine onmpnsonment under 78 U 5 Code, Section 1001 _ _
M_ Mr~FR,a;O
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Form 873!, uanuary 2003 See reverse side for continuation Replaces all previous editions