HomeMy WebLinkAboutE-ELEVATION CERTIFICATE - 2201 SOUTH SHIELDS STREET - SPRING CREEK (3)U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
Federal Emergency Management Agency Expires March 31, 2012
National Flood Insurance Program Important: Read the instructions on pages 1-9.
SECTION A - PROPERTY INFORMATION For Insurance Company Use:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I Company NAIC Number
2201 S. Shields Street
City Fort Collins State CO ZIP Code 80526
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Larimer County Tax Parcel Number 97224-11-901
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Pump House
A5. Latitude/Longitude: Lat. 40.5589 Long.-105.0978 Horizontal Datum: ❑ NAD 1927 E NAD 1983
AS. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1 B
AS. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosures) 252 sq ft a) Square footage of attached garage 0 sq ft
b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage
enclosure(s) within 1.0 foot above adjacent grade 2 within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 691 sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑ Yes E No d) Engineered flood openings? ❑ Yes E No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
EI6NFIP Community Name & Community Number B2. County Name B3. State
102 Larimer Colorado
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
08069CO986
G
Date
Effective/Revised Date
Zones)
AO, use base flood depth)
May 2, 2012
May 2, 2012
AE
5026.90
310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
E FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe)
B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 E NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes E No
Designation Date ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' E Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, VI-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR1AO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized BM 1-93Vertical Datum NGVD-29 . -
Conversion/Comments Vertical Datum Conversion: NGVD29 + 3.0 ft = NAVD88
.. Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 5023.89 E feet ❑ meters (Puerto Rico only) ,
b) Top of the next higher floor n/a._ ❑ feet ❑ meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only) n/a._ ❑ feet ❑ meters (Puerto Rico only)
d) Attached garage (top of slab) n/a._ ❑ feet ❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 5023.89 E feet ❑ meters (Puerto Rico only)
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 5023.06 E feet ❑ meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG) 5023.77 E feet ❑ meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including n/a._ ❑ feet ❑ meters (Puerto Rico only)
structural support
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. I certify that the information on this Certificate represents my best efforts to interpret the data available.)
understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.E
Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a 00 G
licensed land surveyor? ❑ Yes E No
Certifiei s Name John Von Nieda
License Number 31169
Title Chief Surveyor Company Name City of Fort Collins
Address 218 N. College Avenue City Fort Collins State CO ZIP Code 80521
970.221.6565
3l-IOy n rr
.. Z'20
/AL LAt40!'
Z
FEMA Form 81-31, Mar 09 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
2201 S. Shields St.
Citv Fort CollinsState CO ZIP Code 80526 1 Comoanv NAIC Number
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 Benchmark: City of Ft. Collins 1.93; Elevation = 5023.27 ft. (Unadjusted 1929 Datum). Vertical Datum Conversion: NGVD29 + 3.0 ft = NAVDB8.
Building is a pump house to pump water from the Rolland Moore pond into the sprinkler sytem. Two large vents are existing in the concrete block building;
one on the upstream side of the building and one downstream. Photos are attached on pages 3 and 4 of this certificate. Attachment A is a FEMA Flood Risk
Map for Spring C k at Rolland Mo ark; showing the interpolated BFE. Attachment B is survey information.
� *- 2 - 20 iZ
® Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawlspace, or enclosure) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is — _ ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E5. 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? ❑ Yes ❑ No ❑ 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, 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, 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
I-1 Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
I ne iocai omcial who is authorized by law or ordinance to administer the community's floociplam management ordinance Can complete S
and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ 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. r The following information (Items G4-G9) is provided for community floodplain management purposes.
64. Permit Number *i( I G5. Date Permit Issued w r /,r G6. Date CN fic a e Of Compliance/Occupancy Issued
G7. This permit has been issued for: ❑ New Construction rv❑I jS}u-bstantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: 5b2-3._@9 W feet ❑ meters (PR) Datum 'IIii4ess
�
G9. BFE or (in Zone AO) depth of flooding at the building site: 5624 . a feet ❑ N meters (PR) Datum ip 86)
G10. Community's design flood elevation PM.$� ,�kfeet ❑ meters (PR) Datum „� 86
Community Name � -1/ pn �—�rr �7 / /'� Telephone
L4" o4 For-+ L el.l5l � 9 21 -7--
Comment��
-- 0i//Z��oi2
rs 4r tf�+ ^M.ic �T�r "5�-;i1'A _ va�4
Fur' 'iAse� /E/rrr�d_A�/rj 4-+ _-
ir+ /;&v,, IY CCRA !� s .
Check here if attachments
FEMA Form 81-31, Mar 09 Replaces all previous editions
Building Photographs
See Instructions for Item A6.
Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or
2201 S. Shields Street
City Fort Collins State Co ZIP Code 60526
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
West face (upstream) of the Rolland Moore Park pump house (6.21.2012)
Building Photographs
Continuation Page
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Follcy Numoer
2201 S. Shields Street
City Fort Collins State Co ZIP Code 80526 Company NPoC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all
photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View."
East face (downstream) of the Rolland Moore pump house (6.21.2012)
K
Pump House
H'iLL"I"B""D
fW,
BFE = 5026.9 ft. NAVD88
(Anderson 2012 Spring Creek PMR; Flood Profiles)
Hloh Risk
'I®I FEMA Floodway - Area of 100-year floodplain with greatest depths and
®� fastest velocities.
FEMA Flood Fringe - May Include:
- Areas of FEMA 100-year floodplain (FEMA Zones A, AE. AO, and AH)
- Areas of City 100-year floodplain including ponding areas and sheet
flow areas with average depths of 1-3 feet.
There is a 1 % annual chance that these areas will be flooded.
Moderate Risk
May include:
- Areas of FEMA 500-year floodplain (FEMA Zone X-shaded).
- Areas of FEMA or City 100-year floodplain (sheet flow) with
average depths of less than 1 foot.
- Areas protected by levees from the 100-year flood.
Low Risk
Areas outside of FEMA and City mapped 100-year and 500-year
floodplains. Local drainage problems may still exist.
FEMA Flood Risk Map
This Information Is based on the Federal Emergency Management
Agency (FEMA) Flood Insurance Rate Map (FIRM) and the City of
Fort Collins Master Drainageway Plans. This letter does not Imply
that the referenced property will or will not be free from flooding or
damage. A property not in the Special Flood Hazard Area or in a
City Designated Floodplain may be damaged by a flood greater
than that predicted on the map or from a local drainage problem
not shown on the map. This map does not create liability on the
Part of the City, or any officer or employee thereof, for any damage
that results from reliance on this information.
All floodplain boundaries
are approximate.
Fort of
H � `� G7IS
M,E o so too mo wo aoo
Feet
S
ELEVATION CERTIFICATE INFORMATION FOR
PUMPHOUSE AT ROLLAND MOORE PARK
PUMPHOUSE ON CONCRETE SLAB
AREA = 252 SQUARE FEET
HAG = 5023.77
LAG 5023.06
TOP OF BOTTOM FLOOR = 5023.89
THE BUILDING HAS 2 TOTAL PERMANENT
OPENINGS THAT ARE 0.77 FT ABOVE THE
FINISHED FLOOR ELEVATION WITH A TOTAL.
OPEN NET AREA OF 691 SQUARE INCHES
BELOW THE BFE.
SOG = SHOT ON GROUND
I HEREBY STATE THAT THE ATTACHED EXISTING CONDITIONS
SURVEY WAS PERFORMED BY ME OR UNDER MY DIRECT
SUPERVISION. THAT IT IS TRUE AND CORRECT TO THE BEST OF
MY PROFESSIONAL KNOWLEDGE, BEUFF AND OPINION. THE
EXISTING CONDITIONS SURVEY IS BASED UPON CITY OF FORT
COLLINS VERTICAL CONTROL (UN -ADJUSTED 1929 DATUM),
ADJUSTED TO NAV068 DATUM. THIS IS NOT A MONUMENTED
FOR AND ON BEHALF OF THE CITY OF FORT COLLINS.
JOHN VON NIEDA
COLORADO PROFESSIONAL L
PLS NO. 31169
PO BOX 580
FORT COLUNS, COLORADO
5023.26 5023.06
SOG SOG
5023.77
SOG
SOG3,36
5023,77
SOG
ON
MAY 9. 2012
SCALE IS 1' = 10'
CITY OF FORT COLLINS VERTICAL DATUM- BENCHMARK 1-93 = 502627 (NAVD88)
ELEVATION DERIVED BY THE FOLLOWING EQUATION,
BM 1-93 ELEVATION (NGVD29 UNA➢JUSTE➢) - 30'= NAVD88 ELEVATION
(PER DATUM CONVERSION FACTORS FROM TABLE 3, PAGE 29 OF THE FEMA
FLOOD INSURANCE STUDY, LARINER COUNTY COLORADO, DATED MAY 2, 2012)
E0.cY% Vent �= 3Z �.f�dE� 4w+ YW5 i O�IE �v�cN o Y1�M9s �aT y q �fYaKT.
?Cr
qew� = 5z)24.90 - 5oZ.A,Cr5 = Z.Z5 �t
1.01
P� 3
2 .4W � x 1�$ ���' - 3'15 . L x far
LO I% .Z ',n
T
Utilities
C'}�
electric stormwater wastewater water
Of
Fort
Wood Street
PO Box 580
Collins
Forl Collins, CO 80522
For
970.221.6700
970. 221,6619619 —tax
970, 224.6003 — TDD
ut)lies@fcgov.com
fcgov.mm/utillies
City of Fort Collins
Flood Risk Information
Date: 5/2/2012
Property Address: 2201 S Shields St
This information is based on the attached Flood Insurance Rate Map for the City of Fort Collins
and/or the City's floodplain mapping as defined in the various Drainage Basin Master Plans.
Property and Main Building Location Information
Main Property
Building High Risk Areas
FEMA Special Flood Hazard Area- includes FEMA 100-year floodplain
City 100-year floodplain including ponding areas and sheet flow areas with
average depths of 1-3 feet.
V' Floodway- area of 100-year floodplain with greatest depths and velocities.
FEMA 500-year floodplain or areas of 100-year floodplain (sheet flow) with
average depths of less than one foot or areas protected by levees from the 100-
year flood.
City 100-year floodplain (sheet flow) with average depths of less than one foot.
Low Risk Areas
Areas outside of the FEMA and City mapped 1 DO- and 500-year floodplains.
Local drainage problems may still exist.
FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA)- Flood Insurance Rate Map (FIRM) Information:
City of Fort Collins Community Number: 080102
The property is located on panel number: 0986G
The date of the FIRM index: 5/2/2012
The date of the FIRM panel: 5/2/2012
Revision date based on Letter of Map Revision (if applicable):
FEMA Zone Designation for the main building: AE
FEMA Zone Designation for the property: AE
X- Outside 500-year floodplain
Additional Rolland Moore Park, Pump House
Notes:
tM r.Jn 15i
High Risk
®FEMA Floodway - Area of 100-year floodplain with greatest depths and
fastest velocities.
FEMA Flood Fringe - May Include:
- Areas of FEMA 100-year floodplain (FEMA Zones A, AE, AO, and AH)
Areas of City 100-year floodplain including ponding areas and sheet
flow areas with average depths of 1-3 feet,
There is a 1 % annual chance that these areas will be flooded.
Moderate Risk
May include:
- Areas of FEMA 500-year floodplain (FEMA Zone X-shaded).
- Areas of FEMA or City 100-year floodplain (sheet flow) with
average depths of less than 1 foot.
- Areas protected by levees from the 100-year flood.
Low Risk
Areas outside of FEMA and City mapped 100-year and 500-year
floodplains. Local drainage problems may still exist.
2201 S. Shields St.iY i
Rolland Moore Park
Pump House 4k
I&
FEMA Flood Risk Map
NNN
W V
n�p �//E
S
This information is based on The Federal Emergency Management
Agency (FEMA) Flood Insurance Rate Map (FIRM) and the City of
Fort Collins Master Dramageway, Plans. This letter does not imply
that the referenced property will or will not be free from flooding or
damage. A property not in the Special Flood Hazard Area or in a
City Designated Floodplain may be damaged by a flood greater
than that predicted on the map or from a local drainage problem
not shown on Ne map This map does not create liability on The
pan of the City. or any officer or employee thereof, for any damage
that results from reliance on this information.
All floodplain boundaries
are approximate. City of
Fort Collins
GIs
0 50 100 20D 300 400
Fast
Printed: 04/25/2012
FT Lorimer
ZONE AE
PROFILE BASELINE C
FLOODING EFFECTS FROM
ZONE AE SPRING CREEK
Canal No. 2 Bridge WATERS EDGE
5018 ROAD 105`05'37.5"
40"3345.0"
SO"9ffO�Shields7�1
INTERBEF
11* Cfroof WAY
AOx.
r /
E
WIND TRAIL
SHIRE COURT
5024
23
ROLLAND MOORE DR
aa90000M N
PROFILE BA:
— 2201 S. Shields St.,
P Rolland Moore Park,
/ZONE A E lPijmn House
4Q
>r County Canal No. 2
4
MAP SCALE 1" = 500'
500 100REET
PANCL U98bU
FIRM
FLOOD INSURANCE RATE MAP
LARLMER COUNTY,
COLORADO
AND INCORPORATED AREAS
PANEL M OF 1420
(SEE MAP INDE)( FOR FIRM PANEL LAYOUT)
UxIMEa GpLY!!V Mm01 NM a'
FORT CCILIxa CITY aF 010102 No a
hea. I0 IAWi. ➢b Mae NUTMr'. no..", 4
uM wnxn, ciro mi° 0r0er°; IM cal .11, NumEer km—
eM.ee'-.o ... - invwamn xw'-'r'P w Ino 9u°I�I
mmemx
*U&nL
MAPNUMBER
08069CO986G
MAP REVISED
MAY 2, 2012
Federal Emergeney Management Agency
This Is an oli ec al cop/ of a potion ct the abow referenced flood map. fl
wee extracted wing F-MIT On-Une. This map does not reflect changoa
or amendments which may haw been made auhaeauent to the date on the
title black. For the latest product Information about National Flood Inauranoe
Program flood mope check the FEMA Flood Map Store at www.mnc 8.gox
LEGEND
SPECIAL FLOOD HAZARD AREAS (SFHAs) SUBJECT TO INUNDATION
BY THE 1% ANNUAL CHANCE FLOOD
The 1% annual otarme Load (100"W loom, also known as go been Lose. Is are Hood Prat has a
1% drama of being egwW or amended In ay {foam vane The special Flood Hazard Mara to the
area subject to Loodog by der 1% annual canoe land. Ann of 3pKW Rood ttaTerd bmluds
Zones A. AE AH, AO, AR, ALB, V, and VE The Bane Rood Bevaeon is me wafa-aafaoe elauason
of ffa 1%areal dramallood.
ZONE A No Base Road Elevations determined.
ZONE AE Base Fond Bevaflonss determined.
ZONE AH Road d Wit of 1 to 3 feet (Burly areas of pardng); Bane Rood Eimatorrs
ZONE AO Rood depths of 1 to 3 feet (usualy sheetfbw on sloping tenaln); average
depths determined. Far areas of alluvial fan flooding, velocities also det umbied.
ZONE AR 'Special Rood fltmrd Areas formerly protected ban the 1% anal chance
flood by a Rood , m , system that was arboequerdly deareft. Zane AR
Indicates thatthe farmer flood caned systen is being restored to pr code
protection ft m the 1% annual charm or greater toad.
ZONE ASS Arm to be pmtedBd fian 1% annual dwme flood by a Federal flood protection
system under mabructlm; no Base Flood Bevatiaa determined.
Fl.00DWAY AREAS IN ZONE AE
The Noodway is the dnarmel of a str®m plus any adjace t 9oodpNM arms that mast be kept free of
erwaschme t so 09tthe 1% annual chance food cars be amled wW aA wbafatod irpeases. fee
Rood heigh s.
r7771 OTHER FLOOD AREAS
ZONEX Areas of02%amaal dunce Baod; arms oft%around dance flood with
average depths of less than 1 foot or with drainage areas lea than 1 square
nor and arms pmlectad by levees fmm 1% annual dance flood
OTHER AREAS
ZONE x Areas debemdned to be outride the 02% amuad dance floodolm.
ZONE O Area in which flood hands are undetermined, but pasmhle.
Roodptaln boundary
Roadwaybondary
Zane D boundary
Boundary dt 1ft Special Flood Hand Anew axles and
�- boundary divldIng Spectal Flood Harard Areas of dtlkrat Base
Rood Bmticns, toad depths or Good veladlim
+ 513 k Base Rood Elevation Bare and value; elevation In feel*
(EL 96n Base Road Ormtkin value Wm a unram whin acne;
devadw M fief
slWervioed to the North American Vwtkd Dalum of 1988
OA -----0 0om see m lim
104- W 37.6 , 39' 30.(Mr Geographic coordinates referenced to the North American
Datum of 1993 (W 83), Western Hemisphere
M80000 FT 5000-foot Vda: Colorado State Bane coordinate
system, North mne, lambert Confamal
cart ptolectfon
a7600omN 100"Mw IMNersat Transverse Metealor gdd Oft, zone 13
IOC M x National Geodetic Surrey bench mark (see eplanadon to
Notes to Veers mWan of this S M panel)