FPUf.# 13-096E P 13 CP 02315 U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY NdtloDGI flool )DSUJIIIICt Prosllllll

~ ELEVATION CERTIFICATE 1 / ~o/ '~ OMB No. 1660-0008 IMPORTANT: Follow the instructions on pages 1_9. Expiration Date: July 31, 2015

SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE

A1. Building Owner's Name R ich ard and Krista Weigel Polley Number:

A2. Bulldln~treet Address (including Apt. , Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Compe~ NAIC Number: 9675 • Rudasill R d.

City T u cson State AZ ZIP Code 85743

A3. Property Description (lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Tax Code 213 -2 1-004E Township 13S R an ge liE Secti on 12

A4. Building Use (e.g., Resideg~a~ ~mesidential , Addition, Accessory etc.t Accessorv: Non -h ab itabl e Structure AS. Latitude/ Longitude: Lat. • 1 Long. -111. 72875 Horizontal Datum: 0 NAD 1927 Oil NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood insurance. A 7. Building Diagram Number .....:1.::::::B __ _

AS. For a building with a crawlspace or enclosure(s): 324

A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) sq ft. a) Square footage of attached garage N A sq ft. b) No. of permanent flood openings in the crawlspace or 2 b) Number of permanent ftood openings In the ~ched garage

enclosure(s) within 1.0 foot atxwe adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in AB.b 384 sq in c) Total net area of flood openings in A9.b N A sq In d) Engineered flood openings? 0 Yes 12] No d) Engineered flood openings? 0 Yes ~ No

SECTION B - FLOOD INSURANCE RATE MAP (ARM) INFORMATION

B1. NAP Communitv N;t~me & Communitv Number B2. County Name P ima County 1 B3. State AZ Pima Countv I 040073 B4. Map/ Panel Number BS. Suffix B6. ARM Index Date B7. ARM Panel Effective/ 88. Aood Zone(s) B9. Base Aood Elevation(s) (Zone

Revised Date 04019C 1650 L 6-16-11 06-16-2011

AO, use base flood depth) X 100.5

B10.1ndicate the source of the B~Aood Elevation (BFE) data or base ftood depth entered in Item B9: 0 AS Profile 0 ARM @ommunity Determined 0 Other/Source:------------------------

BU. Indicate elevation datum used for BFE In Item B9: 0 NGVD 1929 0 NAVD 1988 ~Other/Source-Highest A dj Nat G r ade ( - 100 f t)

B12.1s the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes Ill No

C1.

C2.

Designation Date: __ I N/ A I __ 0 CBRS 0 OPA

SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)

Building elevations are based on: 0 Construction Drawings• 0 Building Under Construction• •A new Elevation Certificate will be required when construction of the building Is complete.

Ql Finished Construction

Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1- V30, V (with BFE), AR, AR/ A. AR/ AE, AR/ A1-A30, AR/ AH, AR/ AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: Hh! h est A d.i acen t Natural Grade Vertical Datum: _1_0_0_._0_f_t ____________ _

Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 0 NAVD 1988 0 other/Source: -----­Datum used for building elevations must be the same as that used for the BFE.

a) Top of bottom floor (including basement, crawlspace, or enclosure floor)

b) Top of the next higher floor

c) Bottom of the lowest horizontal structural member (V Zones only)

d) Attached gara&e (top of slab)

e) Lowest elevation of machinery or equipment servicin& the buildin& (Describe type of equipment and location in Comments)

f) Lowest adjacent (finished) grade next to building (LAG)

&) Highest adjacent (finished) grade next to building (HAG)

h) Lowest adjacent arade at lowest elevation of deck or stairs, including

100.1

100.3

NA

NA

None

97.9

100.0

NA

Check the measurement used. ~ feet 0 meters

~ feet 0 meters

~ feet 0 meters

~feet 0 meters

aa feet 0 meters

IXl feet

IX] feet

lXI feet

0 meters

0 meters

Ometers structural support

When l.t Is a deprh above .,..te, Ills required 1o bocllcate hlcllesl and lowosr NA TL'IlAL arade Ia Secllon D Co.......,r.

SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIACATION

This certification Is to be sl&ned and sealed by a land surveyor, en&ineer, or architect authorized by law to certify elevation information. I certify that the lnform~~tlon on this Certificate represents my best effort$ to Interpret the data ~liable.

I understand that any false statement may be punishable by ffne or Imprisonment under 18 U.S. Code, Section 1001.

0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a 0 Check here if attachments. licensed land surveyor? 0 Yes 0 No

Certlfler's Name license Number 15293 (Arizon a) J ust in M. T urner PE

Title Princioal

FEMA Form ()86.0..33 (7/ 12)

Compe~Neme A rrovo E n l!ineerinl! City

1 u cson State ZIP Code

AZ 857104 Date

07/29/2013 Telephone 520-882-0206 x 14

See re-.oerse side for continuation. Replaces all previous editions.

r ru rtf .1..1-U>'o.r.

ELEVATION CERTIFICATE, ~e 2

IMPORTANT: In u- spaces, copy the eonespondln& lntorm.tlon from Section A. FOR INSURANCE COMPANY USE

Buildi"8 Street Address (including Apt., Unit, Suite, and/ or Bldg. No.) or P.O. Route and Box No. Policy Number: 675 W. Rudasill Rd.

City Tucson

State AZ

ZIP Code 85743

Company NAIC Number:

SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certiftcate for (1) community official , (2) Insurance agenVcompany, and (3) building owner.

Comments The lowest service equipment (C3.e) is the _ None __ and the is/are above this elevation.

Highest adjacent natural grade is _ 100.0 Ft Lowest adjacent natural grade is __ 97.9 Ft * E.x}~ v~h a""J j""}e.n)lx v~t ;"" ~r:b \,~ We\ 1 ( 11'' l( 1 ~·' tJ-r 312.. )

Date 07/29/2013

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 E1-E5. If the Certificate is Intended to support aLOMA or LOMR-F request, complete Sections A, B,and C. For Items E1-E4, use natural &rade, If available. Check the measurement used. In Puerto Rico only, enter meters.

El. Provide elevation information for the followin& and show the elevation Is above or below the highest adjacent &rade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom 11oor (Including basement, crawlspace, 0 above or 0 below the HAG.

b) Top of bottom 11oor (Including basement, crawlspace, 0 above or 0 below the LAG.

E2. For Building Diagrams 6-9 with permanent 11ood (see pages 8-9 of Instructions),

the next higher floor (elevation C2.b In the diagrams) 0 meters 0 above or 0 below the HAG.

E3. Attached garage (top of slab) Is 0 meters 0 above or 0 below the HAG.

E4. Top of platform of machinery and/ or equipment servicing the building is ___ . ___ 0 feet 0 meters 0 above or 0 below the HAG.

ES. Zone AO only: If no flood depth number is available, Is the top of the bottom 11oor elevated in accordance with the community's 11oodplaln management ordinance? 0 Yes 0 No 0 Unknown. The local official must certify this Information in Section G.

SECTION F- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION

Address State ZIP Code

Signature Telephone

Comments

----------------------------------------------------------------------------------0Checkhe~nattachments.

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. Check the measurement used in Items G8-G10. In Puerto Rico only, enter meters.

Gl. 0 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. 0 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. 0 The following Information (Items G4- G9) Is provided for community floodplain management purposes.

G4. Permit Number 13-096E GS. Date Permit Issued G6. Date Certificate Of Compliancej Occupancy Issued

G7. This permit has been Issued for: 0 New Construction 0 Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building: _____ . ____ _ 0 feet 0 meters Datum ----------------G9. BFE or (in Zone AO) depth of flooding at the building site: ____ . ___ _ 0 feet 0 meters Datum ----------------G10.Community's desl&n tlood elevation: 0 feet 0 meters Datum--------------

Local Official's Name Title

Community Name Telephone

Signature Date

Comments

---------------------------------------- 0 Check here It attachments.

FEMA Form 086.().33 (7/12) Replaces 111 previous editions.

13-096E ELEVATION CERTIFICATE, .,_e 3 BUILDING PHOTOGRAPHS

See Instructions for Item A6.

IMPORTANT: In theM apKa, copy the correapondlnl lnfonnatlon from Section A.

Buildin& Street Address (Including Apt. , Unit, Suite, and/ or Bldg. No.) or P.O. Route and Box No. 9675 W. Rudasill Rd.

City State AZ

ZIP Code 85743 Tucson

FOR INSURANCE COMPANY USE

Policy Number:

Company NAIC Number:

If uslni the Elevation Certificate t o obtain NAP flood Insurance, affix at least 2 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: When applicable , photographs must show the foundation with representative examples of the flood openings or vents, as Indicated in Section AS. If submitting more photographs than will fit on this page, use the Continuation Page.

East Side of Barn

South Side of Barn

f£MA Form 086-0-33 (7/12) Replaces all previous editions.

13-096E ELEVATION CERTIFICATE, paCe 4 BUILDING PHOTOGRAPHS

Continuation Page

IMPORTANT: In theM apeces, copy the correspondlnc lnfonnatlon from Section A.

Building Street Address (Including Apt. , Unit, Suite, andj or Bldg. No.) or P.O. Route and Box No. 9675 W. Rudasill Rd.

City State AZ Tucson

ZIP Code 85743

FOR INSURANCE COMPANY USE

Polley Number:

Com~ NAIC 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section AS.

West Side of Barn

North Side of Barn

FEMA Form ()86.0.33 (7/ 12) Replaces all previous editions.