2018-01-08 157 South Industrial Park Dr (Removal)w
Federal Emergency Management Agency
Washington, D.C. 20472
tA1VD SQL
January 02, 2018
THE HONORABLE JIM REALPH CASE NO.: 18-07-0475A
MAYOR, CITY OF BLAIR COMMUNITY: CITY OF BLAIR, WASHINGTON
2532 COLLEGE DRIVE COUNTY, NEBRASKA
COMMUNITY NO.: 310228
BLAIR, NE 68008
DEAR MR. REALPH:
This is in reference to a request that the Federal Emergency Management Agency (FEMA) determine
if the property described in the enclosed document is located within an identified Special Flood
Hazard Area, the area that would be inundated by the flood having a 1 -percent chance of being equaled
or exceeded in any given year (base flood), on the effective National Flood Insurance Program (NFIP)
map. Using the information submitted and the effective NFIP map, our determination is shown on the
attached Letter of Map Revision based on Fill (LOMB -F) Determination Document. This
determination document provides additional information regarding the effective NFIP map, the legal
description of the property and our determination.
Additional documents are enclosed which provide information regarding the subject property and
LOMR-Fs. Please see the List of Enclosures below to determine which documents are enclosed.
Other attachments specific to this request may be included as referenced in the
Determination/Comment document. If you have any questions about this letter or any of the
enclosures, please contact the FEMA Map Information eXchange (FMIX) toll free at (877) 336-2627
(877 -FEMA MAP) or by letter addressed to the Federal Emergency Management Agency, Engineering
Library, 3601 Eisenhower Ave Ste 500, Alexandria, VA 22304-6426.
Sincerely,
Luis V. Rodriguez, P.E., Director
Engineering and Modeling Division
Federal Insurance and Mitigation Administration
LIST OF ENCLOSURES:
LOMR-F DETERMINATION DOCUMENT (REMOVAL)
cc: State/Commonwealth NFIP Coordinator
Community Map Repository
Region
Mr. Robert Bouvia
Page 1 of 2
Date:
January 02, 2018
Case No.: 18-07-0475A
LOMR-F
10 tVtRTAAf
Federal Emergency Management Agency
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Washington, D.C. 20472
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LETTER OF MAP REVISION BASED ON FILL
DETERMINATION DOCUMENT REMOVAL
COMMUNITY AND MAP PANEL INFORMATION
LEGAL PROPERTY DESCRIPTION
CITY OF BLAIR, WASHINGTON
Lot 8, Eriksen. Subdivision, as shown on the Replat recorded as
COUNTY, NEBRASKA
Instrument No. 2017-02885, in the Office of the Register of Deeds,
Washington County, Nebraska
COMMUNITY
COMMUNITY NO.: 310228
NUMBER: 31177CO186D
AFFECTED
MAP PANEL
DATE: 11612012
FLOODING SOURCE: CAMERON DITCH; MISSOURI
PROXIMATE LATITUDE & LONGITUDE OF PROPERTY:41.642703, -96.102779
RIVER
URCE OF LAT & LONG: LOMA LOGIC DATUM: NAD 83
F
DETERMINATION
OUTCOME
1%ANNUAL'
LOWEST
LOWEST
WHAT IS
CHANCE
ADJACENT
LOT
LOT
BLOCK/
SUBDIVISION
STREET
REMOVED FROM
FLOOD
FLOOD
GRADE
ELEVATION
SECTION
THE SFHA
ZONE
ELEVATION
ELEVATION
(NAVD 88)
NAVD 88)
(NAVD 88
8
--
Eriksen
157 South Industrial
Structure
X
--
1009.8 feet
--
L
I Park Drive
(shaded)
Special Flood Hazard Area (SFHA) - The SFHA is an area that would be inundated by the flood having a 1 -percent chance of being
equaled or exceeded in any given year (base flood).
ADDITIONAL CONSIDERATIONS (Please refer to the appropriate section on Attachment 1 for the additional considerations listed below.)
PORTIONS REMAIN IN THE SFHA
EXTRATERRITORIAL JURISDICTION
This document provides the Federal Emergency Management Agency's determination regarding a request for a Letter of Map Revision based
on Fill for the property described above. Using the information submitted and the effective National Flood Insurance Program (NFIP) map, we
have determined that the structure(s) on the property(ies) is/are not located in the SFHA, an area inundated by the flood having a 1 -percent
chance of being equaled or exceeded in any given year (base flood). This document revises the effective NFIP map to remove the subject
property from the SFHA located on the effective NFIP map; therefore, the Federal mandatory flood insurance requirement does not apply.
However, the lender has the option to continue the flood insurance requirement to protect its financial risk on the loan. A Preferred Risk Policy
(PRP) is available for buildings located outside the SFHA. Information about the PRP and how one can apply is enclosed.
This determination is based on the flood data presently available. The enclosed documents provide additional information regarding this
determination. If you have any questions about this document, please contact the FEMA Map Information eXchange (FMIX) toll free at (877)
336-2627 (877 -FEMA MAP) or by letter addressed to the Federal Emergency Management Agency, Engineering Library, 3601 Eisenhower Ave
Ste 500, Alexandria, VA 22304-6426.
Luis V. Rodriguez, P.E., Director
Engineering and Modeling Division
Federal Insurance and Mitigation Administration
Page 2 of 2
Date: January 02, 2018
Case No.: 18-07-0475A
LOMR-F
Federal Emergency Management Agency
0 Washington, D.C. 20472
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LETTER OF MAP REVISION BASED ON FILL
DETERMINATION DOCUMENT (REMOVAL)
ATTACHMENT 1 (ADDITIONAL CONSIDERATIONS)
PORTIONS OF THE PROPERTY REMAIN IN THE SFHA (This Additional Consideration applies to the
preceding 1 Property.)
Portions of this property, but not the subject of the Determination/Comment document, may remain in the Special
Flood Hazard Area. Therefore, any future construction or substantial improvement on the property remains
subject to Federal, State/Commonwealth, and local regulations for floodplain management.
EXTRATERRITORIAL JURISDICTION (This Additional Consideration applies to the
preceding 1 Property.)
The subject of the determination/comment is shown on the National Flood Insurance Program map as being
located in an Extraterritorial Jurisdiction area for the community indicated on the Determination/Comment
Document.
This attachment provides additional information regarding this request. If you have any questions about this attachment, please contact the
FEMA Map Information exchange (FMIX) toll free at (877) 336-2627 (877 -FEMA MAP) or by letter addressed to the Federal Emergency
Management Agency, Engineering Library, 3601 Eisenhower Ave Ste 500, Alexandria, VA 22304-6426.
Luis V. Rodriguez, P.E., Director
Engineering and Modeling Division
Federal Insurance and Mitigation Administration
DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
ELEVATION CERTIFICATE
IMPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES 9-16 OMB Control Nu betion:1630-0008
F�oira8on: 1 1 /3
0/2018
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
SECTION A - PROPERTY INFORMATION
FORM INSURANCE COMPANY USE
Al. Building Owner's Name
ROBERT BOLIVIA
Policy Number.
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Box No.
Company
P Y NAIC
157 INDUSTRIAL
Number.
City BLAIR State NE Zip Code 68008
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 8 ERIKSEN SUB, BLAIR NEBRASKA
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, eta)NON-RESIDENTIAL
A5. Latitude/Longitude: Let, 4132 35.16 Long. 96 06 09.39 Horizontal Datum: C NAD 1927 (J NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood Insurance.
A7. Building Diagram Number 1A
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace orenclosure(s)NA sq g a) Square footage of attached garage NA sq R
b) Number of permanent flood openings in the NA b) Number of permanent flood openings
crawlspace or enclosure(s) within 1.0 foot in the attached garage within 1.0 foot NA
above adjacent grade above adjacent grade
c) Total net area of flood openings in A8.b NA sq In c) Total net area of flood openings in A9.b NA sq In
d) Engineered flood openings? C Yes Ci No d) Engineered flood openings? C Yes (: No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Name
B3. State
BLAIR, CITY OF
WASHINGTON
NE
84. Map/Panel Number
B5. Suffix
B6, FIRM Index Date
B7. FIRM Panel Effective/
B8. Flood Zone(s)
89. Base Flood Elevation(s)
31177CO186D
D
Revised Date
AE
(Zone AO, use base flood
JANUARY 6,2012
JANUARY 6, 2012
depth
1008.20
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89:
C FIS Profile (: FIRM C Community Determined C Other/Source:
BI 1. Indicate elevation datum used for BFE in Item 89: C NGVD 1929 (*' NAVD 1988 C OtherlSource:
W2. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? (-Yes G No
Designation Date: C CBRS C OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on! C Construction Drawings* C Building Under Construction* (e Finished Construction
C2. Elevations - Zones Al - 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.
A new Elevation Certificate will be required when construction of the building is complete.
Benchmark Utilized: G234 RESET Vertical Datum: 1133.80
Indicate elevation datum used for the elevations in items a) through h) below. C NGVD 1929 (*- NAVD 1988
C Other/Source:
Datum used for building elevations must be the same as that used for the BFE. Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 1010.41 C: feet C meters
b) Top of the next higher floor 1010.41 - (o feet C meters
c) Bottom of the lowest horizontal structural member (V Zones only) C feet C meters
d) Attached garage (top of slab) 1010.41 - (: feet C meters
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments) 1010.41 - (: feet C meters
Q Lowest adjacent (finished) grade next to building (LAG) 1009.77 - (o feet (- meters
g) Highest adjacent (finished) grade next to building (HAG) 1009.93 - (o feet C meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support 1010.41 - (o feet C meters
FEMA Form 086.0-33 (7/15) Replaces all previous editions. Page 3 of 15
ELEVATION CERTIFICATE
157 INDUSTRIAL BLAIR
OMB Control Number: 1660-0008
Expiration: 11/30/2018
NE 68008
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. / certify
that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be
punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A
® Check here if attachments. provided by a licensed land surveyor?
(: Yes (' No
Certifier's Name INE
icense Number 8
RANDELL R RECTOR LS -742 LS -742
Title Company Name � O
LAND SURVEYOR PRECISION SURVEYING & CONSULTING u+;�
uo C f,
Address City State Zip Code L��
936 GRANT ST BLAIR NE 68008
ft
Signature Date Telephone
11-7-2017 +1 (402) 278-1679
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments (including type of equipment and location , per C2(e), if applicable)"
SEE ATTACHED PHOTOS
Signature Date 11-7-2017
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 a LOMA or LOMR-F request, complete
Sections A, B,and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
E1. 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, crawispace, C feet (-meters ❑ above or ❑ below the HAG.
or enclosure) is
b) Top of bottom floor (including basement, crawlspace, (-feet C meters ❑ above or ❑ below the LAG.
or enclosure) is
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 C feet C meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is - ( feet C meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and /or equipment
servicing the building is feet i 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 C 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 or Owners Authorized Representative's Name: ROBERT BOUVIA
Address257 S. 25TH ST. city BLAIR StateNEZIP Code68008
Signature Date Telephone
Comments
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Page 4 of 15
OMB Control Number: 1660-0008
Expiration: 11 /3 012 01 8
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.
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. The following information (Items G4 -G10) is provided for community floodplain management purposes.
G4. Permit Number
G5. Date Permit Issued
G6. Date Certficate of Compliance/Occupancy Issued
G7. This permit has been issued for: CNew Construction C Substantial Improvement
08. Elevation of as -built lowest floor (including basement) _ ( feet C meters Datum
of the building:
GO. BFE or (in Zone AO) depth of flooding at the building
Cfeet C meters Datum
site:
G10. Community's design flood elevation: C feet (—meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
Check here if attachments.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Page 5 of 15
BUILDING PHOTOGRAPHS
SOMB Control Number. 1680-0008
See instructions for Item A6
Expiration: 11 /30/2018
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:
157 INDUSTRIAL
City BLAIR State NE Zip Code Company NAIC
68008 Number:
If using the Elevation Certificate to obtain NFIP 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.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. rage o or to
BUILDING PHOTOGRAPHS
OMB Control
Continuation Page Expiration:113012018
IMPORTANT: In these spaces, copy the corresponding information from Section A. FORM INSURANCE COMPANY USE
Building Street Address (including Apt., Unit,Suite, and/or Bldg. No.) or P.O.Route and Box No.
Policy Number.
157 INDUSTRIAL
City I State NE I Zip Code 68008 I ompany NAIL Number.
BLAIR
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 VieWand "Left Side View." When applicable, photographs must show the
foundation with representative examples of the flood openings or vents, as indicated in Section A8.
FEMA Form 086-0-33 (7115) Replaces all previous editions. rage r or it)
DEPARTMENT OF HOMELAND SECURITY - FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. NO. 1660-0015
COMMUNITY ACKNOWLEDGMENT FORM ExpiresFebruary20, 2014
PAPERWORK BURDEN DISCLOSURE NOTICE
ng burden for this data collection is estimated to average 1.38 hours per response. The burden estimate includes the time for reviewing instructions,
sting data sources, gathering and maintaining the needed data, and completing and submitting the form. This collection is required to obtain or retain
Fenefits.
are not required to respond to this collection of Information unless a valid OMB control number is displayed on this form. Send comments regarding
of the burden estimate and any suggestions for reducing this burden to: Information Collections Management, Department of Homeland Security,
gency Management Agency, 1800 South Bell Street, Arlington, VA 20598-3005, Paperwork Reduction Project (1660-0015). NOTE: Do not send your
completed form to this address,
This form must be completed for requests involving the existing or proposed placement of fill (complete Section A) OR to provide acknowledgment of this request to
remove a property from the SFHA which was previously located within the regulatory floodway (complete Section B).
This form must be completed and signed by the official responsible for floodplain management in the community. The six digit NFIP community number and the
subject property address must appear in the spaces provided below. Incomplete submissions will result in processing delays. Please refer to the MT -1 instructions
for additional Information about this form.
Community Number: 3 / 0 .2.�19 Property Name or Address: 157 S Industrial Park Dr, Blair, NE, 68008
A. REQUESTS INVOLVING THE PLACEMENT OF FILL
As the community official responsible for floodplain management, I hereby acknowledge that we have received and reviewed this Letter of Map
Revision Based on Fill (LOMR-F) or Conditional LOMR-F request. Based upon the community's review, we find the completed or proposed project
meets or is designed to meet all of the community floodplain management requirements, including the requirement that no fill be placed In the
regulatory floodway, and that all necessary Federal, State, and local permits have been, or in the case of a Conditional LOMR-F, will be obtained.
For Conditional LOMR-F requests, the applicant has or will document Endangered Species Act (ESA) compliance to FEMA prior to issuance of the
Conditional LOMR-F determination. For LOMR-F requests, I acknowledge that compliance with Sections 9 and 10 of the ESA has been achieved
Independently of FEMA's process. Section 9 of the ESA prohibits anyone from "taking" or harming an endangered species. If an action might harm
an endangered species, a permit is required from U.S. Fish and Wildlife Service or National Marine Fisheries Service under Section 10 of the ESA.
For actions authorized, funded, or being carried out by Federal or State agencies, documentation from the agency showing its compliance with
Section 7(a)(2) of the ESA will be submitted. In addition, we have determined that the land and any existing or proposed structures to be removed
from the SFHA are or will be reasonably safe from flooding as defined in 44CFR 65.2(c), and that we have available upon request by DHS -FEMA, all
analyses and documentation used to make this determination. For LOMR-F requests, we understand that this request is being forwarded to DHS -
FEMA for a possible map revision.
Community Comments:
N/A
Communi OM ial's Name and Title: (Please Print or Type)
PA/la
Telephone No..
re e
4�ab -- I g
Community Name:
Community fficial's Signature: (required)
Date:
Cil d f tai r
B. PROPERTY LOCATED WITHIN THE REGULATORY FLOODWAY
As the community official responsible for floodplain management, I hereby acknowledge that we have received and reviewed this request for a
LOMA, We understand that this request is being forwarded to DHS -FEMA to determine if this property has been inadvertently included in the
regulatory floodway. We acknowledge that no fill on this property has been or will be placed within the designated regulatory floodway. We find
that the completed or proposed project meets or is designed to meet all of the community floodplain management requirements.
Community Comments:
N/A
Community Official's Name and Title: (Please Print or Type)
Telephone No.:
Community Name:
Community Official's Signature (required):
Date:
DHS - FEMA Form 086.0-26B, FEB 11 Community Acknowledgment Form MT -1 Form 3 Page 1 of 1