HomeMy WebLinkAboutFlood Proofing Certificate - Madison County Transfer Station Scale Building 2-22-2024DEPARTMENT OF HOMELAND SECURITY OMB No.: 1660-0008
Federal Emergency Management Agency Expiration: 11/30/2022
National Flood Insurance Program
FLOODPROOFING CERTIFICATE FOR NON-RESIDENTIAL STRUCTURES
Paperwork Burden. Disclosure Notice
Public reporting burden for this data collection is estimated to average 3.25 hours per response. The burden estimate includes the time
for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting
this form. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this
form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information
Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street SW, Washington,
DC 20742, Paperwork Reduction Project (1660-0008). NOTE: Do not send your completed form to this address.
General: This information is provided pursuant to Public Law 96-511 (the Paperwork Reduction Act of 1980, as amended), dated
December 11, 1980, to allow the public to participate more fully and meaningfully in the Federal paperwork review process.
Authority: Public Law 96-511, amended; 44 U.S.C. 3507; and 5 CFR 1320.
Privacy Act Statement
Authority: Title 44 CFR § 61.7 and 61.8.
Principal Purpose(s): This information is being collected for the primary purpose of estimating the risk premium rates necessary to
provide flood insurance for new or substantially improved structures in designated Special Flood Hazard Areas.
Routine Use(s): The information on this form may be disclosed as generally permitted under 5 U.S.C. § 552a(b) of the Privacy Act of
1974, as amended. This includes using this information as necessary and authorized by the routine uses published in DHS/FEMA-003 —
National Flood Insurance Program Files System or Records Notice 73 Fed. Reg. 77747 (December 19, 2008); DHS/FEMA/NFIP/LOMA-1
— National Flood Insurance Program (NFIP) Letter of Map Amendment (LOMA) System of Records Notice 71 Fed. Reg. 7990 (February
15, 2006); and upon written request, written consent, by agreement, or as required by law.
Disclosure: The disclosure of information on this form is voluntary; however, failure to provide the information requested may result in
the inability to obtain flood insurance through the National Flood Insurance Program or being subject to higher premium rates for flood
insurance. Information will only be released as permitted by law.
Purpose of the Floodproofing Certificate
for Non -Residential Structures
Under the National Flood Insurance Program (NFIP), the floodproofing of non-residential buildings may be permitted as an alternative to
elevating to or above the Base Flood Elevation (BFE). A floodproofing design certification is required for non-residential structures that
are
floodproofed. This form is to be used for that certification.
A floodproofed building is a building that has been designed and constructed to be watertight (substantially impermeable to floodwaters)
below the BFE and with structural components having the capability of resisting hydrostatic and hydrodynamic loads and effects of
buoyancy. Before a floodproofed building is designed, numerous planning considerations, including flood warning time, uses of the
building, mode of entry to and exit from the building and the site in general, floodwater velocities, flood depths, debris impact potential,
and flood frequency, must be addressed to ensure that dry floodproofing will be a viable floodplain management measure.
The minimum NFIP requirement is to floodproof a building to the BFE. However, when it is rated for flood insurance one -foot is subtracted
from the floodproofed elevation. Therefore, a building has to be floodproofed to one foot above the BFE to receive the same favorable
flood insurance rates as a building elevated to the BFE.
Additional guidance can be found in FEMA Publication 936, Floodproofing Non -Residential Buildings (2013), available on FEMA's website
at https://www.fama.gov/media-librarylassets/documents/34270.
FEMA Form 086-0-34 (12119)
Page of
DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
OMB No.: 1660-0008
Expiration: 11/30/2022
FLOODPROOFING CERTIFICATE FOR NON-RESIDENTIAL STRUCTURES
The floodproofing of non-residential buildings may be permitted as an altemative to elevating to or above the Base Flood Elevation;
however, a floodproofing design certification is required. This form Is to be used for that certification. Floodproofing of a residential building
does not alter a community's floodplain management elevation requirements or affect the insurance rating unless the community has been
issued an exception by FEMA to allow floodproofed residential basements. The permitting of a floodproofed residential basement requires a
separate certification specifying that the design complies with the local floodplain management ordinance.
BUILDING OWNER'S NAME
MADISON COUNTY
STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. Number) OR P.O. ROUTE AND BOX
NUMBER
584 AIRPORT ROAD
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
RPRXBCA0240020
CITY REXBURG
FOR INSURANCE COMPANY USE
POLICY NUMBER
COMPANY NAIC NUMBER
STATEID I Zip Code 83440
SECTION I — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM:
COMMUNITY NUMBER I PANEL NUMBER SUFFIX DATE OF FIRM INDEX FIRM ZONE BASE FLOOD ELEVATION
REXBURG CITY OF 16065CO020 D 06-03-1991 AE (in AO Zones, Use Depth)
4855.1
Indicate elevation datum used for Base Flood Elevation shown above: ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source:
SECTION li — FLOODPROOFED ELEVATION CERTIFICATION (By a Registered Professional Land Surveyor, Engineer, or Architect
All elevations must be based on finished construction.
Floodproofing Elevation Information:
Building is floodproofed to an elevation of 4857 . 2 feet (In Puerto Rico only: meters).
❑ NGVD 1929 Z NAVD 1988 ❑ Other/Source:
(Elevation datum used must be the same as that used for the Base Flood Elevation.)
Height of floodproofing on the building above the lowest adjacent grade Is 0.80 feet (In Puerto Rico only: meters).
For Unnumbered A Zones Only:
lighest adjacent (finished) grade next to the building (HAG) 4857 . 40 feet (In Puerto Rico only: meters).
❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source:
For insurance rating purposes, the building's floodproofed design elevation must be at least 1 foot above the Base Flood Elevation to
rating credit. If the building is floodproofed only to the Base Flood Elevation, then the building's insurance rating will result in a higher
m. See the Instructions section for information on documentation that must accompany this certificate if being submitted for flood
ice rating purposes.)
FEMA Form 086-0-34 (12119) Page of
DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
OMB No.: 1660-0008
Expiration: 11/30/2022
FLOODPROOFING CERTIFICATE FOR NON-RESIDENTIAL STRUCTURES
Non -Residential Floodproofed Elevation Information Certification:
Section II certification is to be signed and sealed. by a land surveyor, engineer, or architect authorized by law to certify elevation information
I certify that the information in Section ll on this Certificate represents a true and accurate interpretation and
determination by the undersigned using the available information and data. l understand that any false
statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Brent McFarland
Principle Achitect
1152 Bond Ave
E l�7��
AR-2561
COMPANY NAME
JRW AND ASSOCIATES
REXBURG
7-20-2023
STATE ZIP C,
Idaho 83440
PHONE
+1(208) 359-2309
BRE�NT A. NcFARLAND AR-2561
STATE OF IDAHO
SECTION III — FLOODPROOFED CERTIFICATION (By a Registered Professional_ Engineer or Architect
Non -Residential Floodproofed Construction Certification:
I certify the structure, based upon development and/or review of the design, specifications, as -built drawings for construction and
physical inspection, has been designed and constructed in accordance with the accepted standards of practice (ASCE 24-05, ASCE
24-14 or their equivalent) and any alterations also meet those standards and the following provisions.
The structure, together with attendant utilities and sanitary facilities is watertight to the Floodproofed design elevation indicated above,
is substantially impermeable to the passage of water, and shall perform in accordance with the 44 Code of Federal Regulations
(44 CFR 60.3(c)(3).
All structural components are capable of resisting hydrostatic and hydrodynamic flood forces, including the effects of buoyancy,
and
anticipated debris impact forces.
I certify that the information in Section Ill on this certificate represents a true and accurate determination by the undersigned using the
available information and data. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,
Section 1001.
Brent McFarland
Principle Architect
ADDRESS
1152 Bond Ave
-3iGiVA 1
E 9i// :2,"-1 / i
LICENSE for AWN -Sea f)
AR-2561
^COMPANY NAMF
JRW & Associates
CITY
Rexburg
DATE
2-22-2024
Idaho 83440
ounkic
248-359-2309
BR T A. WFARLAND AR-2561
STATE OF IDAHO
Copy all pages of this Floodproofing Certificate and all attachments for 1) community official, 2j insurance agenticompany,
and 3) building owner.
FEMA Form 086-0-34 (12119)
Page of
DEPARTMENT OF HOMELAND SECURITY OMB No.: 1660-0008
Federal Emergency Management Agency. Expiration: 11/30/2022
National Flood Insurance Program
FLOODPROOFING CERTIFICATE FOR NON-RESIDENTIAL STRUCTURES
Instructions for Completing the Floodproofing Certificate
for Non -Residential Structures
To receive credit for floodproofing, a completed Floodproofing Certificate for Non -Residential Structures is required for non-residential
and business buildings in the Regular Program communities, located in zones Al A30, AE, AR, AR Dual, AO, AH, and A with BFE.
In order to ensure compliance and provide reasonable assurance that due diligence had been applied in designing and constructing
floodproofing measures, the following information must be provided with the completed Floodproofing Certificate:
• Photographs of shields, gates, barriers, or components designed to provide floodproofing protection to the structure.
• Written certification that all portions of the structure below the BFE that will render it watertight or substantially impermeable to
the passage of water and must perform in accordance with Title 44 Code of Federal Regulations (44 CFR 60.3 (c)(3)).
• A comprehensive Maintenance Plan for the entire structure to include but not limited to:
FEMA Form 086-0-34 (12/19) Page of