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Federal Emergency Management AgencyWashington , D .C. 20472
January 10, 2006
THE HONORABLE CHUCK MCLARANMAYOR, CITY OF ALBANYCITY HALLP.O. BOX 490ALBANY, OR 97321-0000
CASE NO .: 06-10-0154ACOMMUNITY: CITY OF ALBANY, BENTON COUNTY, OREGON
COMMUNITY NO . : 41013 7
DEAR MAYOR MCLARAN :
This is in reference to a request that the Federal Emergency Management Agency (FEMA) determine if theproperty described in the enclosed document is located within an identified Special Flood Hazard Area, thearea that would be inundated by the flood having a 1-percent chance of being equaled or exceeded in anygiven year (base flood), on the effective National Flood Insurance Program (NFIP) map . Using theinformation submitted and the effective NFIP map, our determination is shown on the attached Letter of MapRevision based on Fill (LOMR-F) Determination Document . This determination document providesadditional information regarding the effective NFIP map, the legal description of the property and ourdetermination .
Additional documents are enclosed which provide information regarding the subject property and LOUR-Fs .Please see the List of Enclosures below to determine which documents are enclosed . Other attachmentsspecific to this request may be included as referenced in the Determination/Comment document . If you haveany questions about this letter or any of the enclosures, please contact the FEMA Map Assistance Center tollfree at (877) 336-2627 (877-FEMA MAP) or by letter addressed to the Federal Emergency ManagementAgency, 3601 Eisenhower Avenue, Suite 130, Alexandria, VA 22304-6439 .
Sincerely,
Doug Bellomo, P .E ., ChiefHazard Identification Section, Mitigation Division
LIST OF ENCLOSURES :
LOMR-F DETERMINATION DOCUMENT (REMOVAL)
cc: State/Commonwealth NFIP CoordinatorCommunity Map RepositoryRegion
Mr. Joe J . Cota
Page 1 of 2 Date : January 10, 2006 Case No .: 06-10-0154A LOMR-F
o TAR
F d le era Emergency Management Agency0 Washington, D .C . 20472
AND St
LETTER OF MAP REVISION BASED ON FILLDETERMINATION DOCUMENT (REMOVAL)
COMMUNITY AND MAP PANEL INFORMATION LEGAL PROPERTY DESCRIPTION
CITY OF ALBANY, BENTON COUNTY,Parcel 1, as shown on the Plat recorded as Document No . 94-63 in the Office
COMMUNITYOREGON ,
of the County Clerk, Benton County, Oregon
COMM UNITY NO . : 410137
NUMBER 4101370003F
AFFECTED NAME CITY OF ALBANY, LINN AND BENTONMAP PANEL COUNTIES, OREGON
DATE : 71711999
FLOODING SOURCE : WILLAMETTE RIVER APPROMMATE LATITUDE & LONGITUDE OF PROPERTY : 44,644,-1236114SOURCE OF LAT & LONG : PRECISION MAPPING STREETS 7 .0 DATUM : NAD 83
DETERMINATION
OUTCOME 1% ANNUAL LOWEST LOWEST
LOT BLOCK/ WHAT Is CHANCE ADJACENT LOT
SECTION SUBDIVISION STREET REMOVED FLOOD FLOOD GRADE ELEVATIONFROM THESFHA
ZONE ELEVATION ELEVATION (NGVD 29)(NGVD 29) (NGVD 29)
655 North Albany Property_Road X (shaded) 201 .5 feet _ 203 .0 feet
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 orexceeded in any given year (base flood ).
ADDITIONAL CONSIDERATIONS (Please refer to the appropriate section on Attachment 1 for the additional considerations listed below .)FILL RECOMMENDATION
This document provides the Federal Emergency Management Agency's determination regarding a request for a Letter of Map Revision based on Fill forthe property described above . Using the information submitted and the effective National Flood Insurance Program (NFIP) map, we have determined thatthe 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 toprotect its financial risk on the loan . A Preferred Risk Policy (PRP) is available for buildings located outside the SFHA . Information about the PRP andhow one can apply is enclosed .
This determination is based on the flood data presently available . The enclosed documents provide additional information regarding this determination . Ifyou have any questions about this document, please contact the FEMA Map Assistance Center toll free at (877) 336-2627 (877-FEMA MAP) or by letteraddressed to the Federal Emergency Management Agency, 3601 Eisenhower Avenue, Suite 130, Alexandria, VA 22304-6439 .
Doug Bellomo, P .E ., ChiefHazard Identification Section, Mitigation Division
Version 1 .3.3 1069799 .1 LOMB-F-ML103460154
Page 2 of 2 --7Amlk
Date : January 10, 2006 Case No .: 0610 -0154A LOMR-F
o~PAR
bZ Federal Emer enc M Ag y anagement gencyo z
Washington, D .C. 20472~qND SE"
LETTER OF MAP REVISION BASED ON FILLDETERMINATION DOCUMENT (REMOVAL)
ATTACHMENT 1 (ADDITIONAL CONSIDERATIONS)
FILL RECOMMENDATION (This Additional Consideration applies to the preceding I Property .)
The minimum NFIP criteria for removal of the subject area based on fill have been met for this request and the community inwhich the property is located has certified that the area and any subsequent structure(s) built on the filled area arereasonably safe from flooding . FEMA's Technical Bulletin 10-01 provides guidance for the construction of buildings on landelevated above the base flood elevation through the placement of fill . A copy of Technical Bulletin 10-01 can be obtained bycalling the FEMA Map Assistance Center toll free at (877) 336-2627 (877-FEMA MAP) or from our web site athttp ://www .fema .gov/mit /tbl001 .pdf. Although the minimum NFIP standards no longer apply to this area , some communitiesmay have floodplain management regulations that are more restrictive and may continue to enforce some or all of theirrequirements in areas outside the Special Flood Hazard Area .
This attachment provides additional information regarding this request If you have any questions about this attachment , please contact the FEMA MapAssistance Center toll free at (877) 336-2627 ( 877-FEMA MAP ) or by letter addressed to the Federal Emergency Management Agency, 3601 EisenhowerAvenue , Suite 130 , Alexandria , VA 22304-6439 .
Doug Bellomo, P .E ., ChiefHazard Identification Section , Mitigation Division
Version 1 .3.3 1069799 .1 LOMR-F-ML103460154
Federal Emergency Management AgencyWashington, D .C. 20472
January 10, 2006
THE HONORABLE CHUCK MCLARAN
MAYOR, CITY OF ALBANYCITY HALLP.O. BOX 490ALBANY, OR 97321-0000
CASE NO .: 06-10-0154ACOMMUNITY: CITY OF ALBANY, BENTON COUNTY, OREGON
COMMUNITY NO .: 41013 7
DEAR MAYOR MCLARAN :
This is in reference to a request that the Federal Emergency Management Agency (FEMA) determine if theproperty 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 anygiven year (base flood), on the effective National Flood Insurance Program (NFIP) map . Using theinformation submitted and the effective NFIP map, our determination is shown on the attached Letter of Map
Revision based on Fill (LOMR-F) Determination Document . This determination document provides
additional information regarding the effective NFIP map, the legal description of the property and ourdetermination .
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 attachmentsspecific to this request may be included as referenced in the Determination/Comment document . If you haveany questions about this letter or any of the enclosures, please contact the FEMA Map Assistance Center tollfree at (877) 336-2627 (877-FEMA MAP) or by letter addressed to the Federal Emergency ManagementAgency, 3601 Eisenhower Avenue, Suite 130, Alexandria, VA 22304-6439 .
Sincerely,
Doug Bellomo, P .E ., ChiefHazard Identification Section, Mitigation Division
LIST OF ENCLOSURES :LOMR-F DETERMINATION DOCUMENT (REMOVAL)
cc: State/Commonwealth NFIP Coordinator
Community Map RepositoryRegionMr. Joe J . Cota
bcc: LOMC Subscription Service
Michael Baker, Jr ., Inc . Case FileMichael Baker, Jr ., Inc . Project File
0 Page 1 of 2 0ATA : HQ-FEMA - Mike Godesky
From : Baker Engineering - Daniel Natale
Subject : Michael Baker Corporation LOMA i LOMR- F Docket
Docket Number : 011006 Date : January 10, 2006
Concur on all Listed : Mike Godesky
Please note your concurrence or comments and respond to Baker via cc : Mail or Fax
n
Caster County , SD '06-05-0152A Beg 249 Donna Street 70-RS EPK DEN8 e01n1
City of Brier , WA '06- 0-0162A Hole 21555 Oak Way 70 -RS EPK DEN01/11 o o
Fresno County , CA '06-09.0165A Zabrycki 21840 Westmere Lane 70-N EPK DEN01/09 o
Island County, WA '06-10-0088A Groseclose 4294 Maple Avenue 70-RS EPK DEN01/09
0 0
City of Reno , NV '06-09-0328A Westhoff Lots 4-9 & 24 , Double Diamond 65-R EPK DEN01/09 Ranch Village 22b 0 0
Town of Patagonia, AZ '06-09-0321A O' Hal oran 405 Sierra Lane 70-OAS EPK DEN01/09 o 0
Glenn County , CA '0609- 0345A Sandgren Lots 1 -24, Pallisades Phase 4 65-R EPK DEN01/12 0 0
Town of Lyons, CA -06-08-0042A Steakley 337 Park Street 70-NS EPK DEN0/1o o
Thurston County , WA *o610-0165A O'Leary 1034 Pacific Park Drive SE 70-RS EPK DEN01/11 0 o
Town of Marina , AZ *05-09-01399A Harris Block 2 , San Lucas 65-N JAD DEN01/09 o o
City of Concord , CA '06-09-0260A Wright 753 Ygnacio Woods Court 70-RS KLF DEN01/11
00
City of Vallejo, CA '06-09-0347A Chavez 956 Sherwood Street 70-RS KLF DEN01/12 0 0
City of Lakewood , CO '06-08-0151A Parietal 1080 Wadsworth Boulevard 70-RS KLF DEN01/11 o o
City of Woodland , CA '06 -09-0330A Krout 1936 Branigan Avenue 70-RS KLF DEN01/09 o E
City of Medford , OR '06-10-0163A Thornton 881 O 'Hare Parkway 65-RS RTT DEN01/11 o E
Flathead County , MT '05-0 8-0673A Sears-Tul 1990 Lower Valley Road 70 -RS RTT DEN01/09
0E
City of Fargo , ND *06-0"154A Ritterman Custer Crossing Addition 65-R RTT DEN01/11
00
City of Albany ; ORI
'06-10-0154A Cota 655 North Albany Road 65-R RTT DEN'.;-- - - 0v1 0 0 0
Archuleta County , CO '06-08-0043A Schulz 4224 County Road 335 70 -R RTT DEN01/09
0 EMeade County , SD O'Leary 2500 225th Street 70-RS RTT DEN
02/02 o oWashington County, OR '06-10-0176A Rojo 46620 NW Sell Road 70-RS SNW DEN
01/24 o 0City of Keizer , OR '06-1 0-0158A Wargnier 4785 Verda Lane NE 70-RS SNW DENO
o 0
Burleigh County, ND ' 06-08-0149A Smith 6860 Horseshoe Bend 65-R SNW DEN01/11 0 E
City of La Quinta, CA ' 06-09-0039A Swanson 49-531 Avenida Vista Bonita 65-RS SNW DEN01/16 0 0
City of Eagle, ID Carlson 245 North Dawn Street 70-RS SNW DEN01/09 o 0
City of Perris , CA 5-09-1329C Karimoto Lots 6-52, 65 -73, Tract No . 65-R SNW DEN10
32428 6 5-N o 0City of Ontario , CA '06-09- 0349A All o 2321 South Magnolia Avenue 7 0-RS SNW DEN
01/12 3A o 0Whatcom County , WA ' 06.0-0164A Harris 572 Bertrand Drive 7 0-RS SNW DEN
101/11 o oUnion County, SD •
I
06 OS-0145A Melstad A portion of Section 34 , TS9N, 65 -R TGB DEN01/09 R4SW, 5th P .M . 0 0
Docket Number: 011006 Total : 29
0 0 M BJ 200535621
FEMA Case No . : 06-10-0154AS. O. No . : 1069799 .1 LOMR-F-M L
REQUEST : TYPE:Date Received : 12/13 /2005 LOMR-FDate of Request : 12/5/2005All Data Date : )Z/13,1,700 S'
PROPERTY: LONGITUDE : - IZ3• \I~MULTI-LOT LATITUDE : SIN, G,L(L
Requestor's Name : JOE J . COTAApplicant's Name (if different) :
Company Name/Homeowner : K & D ENGINEERINGAddress : 276 NW HICKORY STREET , ALBANY, OR 97321
Property Legal Description : 655 NORTH ALBANY ROAD
Flooding Source : \A,\ 1 ` (, ft-\e eCommunity : ALBANY , CITY OFCommunity No . : 410137Annexation ? YON If yes, from
\0.f- omtnercial? esidential?
County : BENTON COUNTY State : ORPanel No . : y101370003 F Effective Date : /7 /!
to
Revisions or RFIS in progress ? YON If yes, explain :
Use Study Underway Paragraph? Y Are there backup data? N If yes, explain :
Is the requested revision mappable? Y Date future file updated : Initials :
BASE FLOOD ELEVATIONS at property location (For multiple structures /lots, see Exhibit )100-year : 7()~ ,C~- Datum : 4;J D Zq Exhibit : (D
PROPERTY ELEVATIONS ( For multiple structures /lots, s ee Exhibit )LAG : Z03 . (1 Zn ~,,C& Datum : INbo c)0q Exhibit :Lowest Eloor -._~ Exhib it: ~-Relmilder :- 1he lowest floor elevation must include baassen- nts and crawl spaces : look for Building Types 5,6,7, and 8 on the Elevation Certificate to note if crawl spaces exist .
Lowest Lot : Z0 3, (J Datum : NC uO7 Exhibit : -c,-
)1101E00('0FOLDER : ALEX2\Vo15(P :)\ NEW-RECIONI0\41\003 \06-10-0154A
Reviewer : Q4n TV Date Completed : 1 I (o / UO (oLead Reviewer : Tr-~ (3 ('r Date Completed : / GGComments :
Data Collection
ITEMReceived
w/-Request
Date.
RequestedDate
---Received
Property Information / MT-EZ form . . . . . .- - _ 1~
Recorded Plat ~'
Recorded Deed
Tax Assessor 's Map or Similar Suitable Map
Effective FIRM or FHBM .
Effective FBFM (floodway)
Preliminary FIRM ta &v*ww. us. sad „
Map Showing Structure Locations VMetes & Bounds Description and Map .
Elevation Information form or .Certificate . . .
Summary ,of Elevations I j of Breakdown form
Data Supporting 'the-BFE
Effective Profile I FWDT / SU7lwater :Eleyations _
Hydraulic / Hydrologic Data
Topography / Contours / :Grading, Plan . ., . . ._ . .._ .
Community Acknowledgement form V/ .
Certification of . Fill Placement form .
Fee Received
Fee Balance Required (S
Other Data : .
Special -Paragraphs Yes No-- .
Is the structure on piers? . . - v -
Is the area - subject to alluvial fan flooding?
Is any portion of the property in a regulatory floodway? a~
Is the property inadvertantly included in the floodway?
Is the property in Zone D? ,~
FEDERAL EMERGENCY MANAGEMENT AGENCY
PROPERTY INFORMATION FORMO.M.B. NO. 3067-0147
Expires September 30, 2005
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this form is estimated to average 1 .63 hours per response . The burden estimate includes the time for reviewing instructions,searching existing data sources, gathering and maintaining the needed data, and completing, reviewing, and submitting the form . You are not requiredto respond to this collection of information unless a valid OMB control number appears in the upper right comer of this form . Send comments regardingthe accuracy of the burden estimate and any suggestions for reducing this burden to : Information Collections Management, Federal EmergencyManagement Agency, 500 C Street, SW, Washington DC 20472, Paperwork Reduction Project (3067-0147) . Submission of the form is required to obtainor retain benefits under the National Flood Insurance Program . Please do not send your completed survey to the above address .
This form may be completed by the property owner, property owner's agent, licensed land surveyor, or registered professional engineer to support arequest for a Letter of Map Amendment (LOMA), Conditional Letter of Map Amendment (CLOMA), Letter of Map Revision Based on Fill (LOMR-F), orConditional Letter of Map Revision Based on Fill (CLOMR-F) for existing or proposed, single or multiple lotststructures . Please check the item belowthat describes your request :
0 LOMA A letter from FEMA stating that an existing structure or parcel of land that has not been elevated by fill(natural grade would not be inundated b the base flood .
CLOMA A letter from FEMA stating that a proposed structure that is not to be elevated by fill (natural grade)would not be inundated b the base flood if built as proposed .
® LOMR-F A letter from FEMA stating that an existing structure or parcel of land that has been elevated by fillwould not be inundated b the base flood .
A letter from FEMA stating that a parcel of land or proposed structure that will be elevated by fillCLOMR-F would not be inundated by the base flood if fill is placed on the parcel as proposed or the structure is
built as proposed .
Fill is defined as material from any source placed to raise the ground to or above the Base Flood Elevation (BFE) . The common construction practice ofremoving unsuitable existing material (topsoil) and backfilling with select structural material is not considered the placement of fill if the practice does notalter the existing (natural grade) elevation, which is at or above the BFE . Fill that is placed before the date of the first National Flood InsuranceProgram ( NFIP) map showing the area in a Special Flood Hazard Area (SFHA) is considered natural grade .
Has fill been placed on your property? ® Yes 0 No If yes, when was fill placed? 1997-/2001
monthtyear
Will fill be placed on your property? [1 Yes Q No If yes, when will fill be placed? /
month/year
1 . Street Address of the Property (if request is for multiple structures, please attach additional sheet) :655 North Albany Road, Albany, Or ., 97321
2 . Legal description of Property (Lot, Block, Subdivision) (if a street address cannot be provided) :PARCEL 1 OF PARTITION PLAT 94-63, A PARTITION OF RECORD IN BENTON COUNTY, OREGON .
3 . Are you requesting that the SFHA designation be removed from (check one) :
the entire legally recorded property?
a a portion of land within the bounds of the property (a certified metes and bounds description and map of the area to be removed,certified by a licensed land surveyor or registered professional engineer, are required)?
® structures on the property? What are the dates of construction? 2001
4 . Is this request for a (check one) :
single structure
Q single lot
® multiple structures (How many structures are involved in your request? List the number : 3)
multiple lots (How many lots are involved in your request? List the number : )
FEMA Form 81 -87, SEP 02 Property Information Form MT-1 Form 1 Page 1 of 2
In addition to this form (MT-1 Form 1), ALL requests must include the following :
Copy of the Plat Map for the property (with recordation data and stamp of the Recorder's Office)OR
• Copy of the property Deed (with recordation data and stamp of the Recorder's Office), accompanied by a tax assessor's map or other certifiedmap showing the surveyed location of the property relative to local streets and watercourses
Copy of the effective FIRM panel and/or Flood Boundary and Floodway Map (FBFM) (if applicable) on which the property location has beenaccurately plotted (property inadvertently located in the NFIP regulatory floodway will require Section B of MT-1 Form 3)
• Form 2 - Elevation Form . If an Elevation Certificate has already been completed for this property, it may be submitted in addition to Form 2 .
Please include a map scale and North arrow on all maps submitted .
For LOMR-Fs and CLOMR- Fs, the following must be submitted in addition to the items listed above :
• Form 3 - Community Acknowledgment Form
Processing Fee (see instructions for appropriate mailing address ; or, visit http ://www.fema . gov/fhm/frm fees . shtm for the most current fee schedule)
Revised fee schedules are published periodically, but no more than once annually, as noted in the Federal Register . Please note : single/multiplelot(s)/structure(s) LOMAs are fee exempt . The current review and processing fees are listed below :
Check the fee that applies to your request :
0 $325 (single lottstructure LOMR-F following a CLOMR-F)
$425 ( single lot /structure LOMR-F)
$500 (single lot/structure CLOMA or CLOMR-F)
0 $700 (multiple lot/structure LOMR-F following a CLOMR-F, or multiple lot/structure CLOMA)
'® $800 (multiple lottstructure LOMR-F or CLOMR-F)
Please submit the Payment Information Form for remittance of applicable fees . Please make your check or money order payable to : National Flood-Insurance Program .
All documents submitted in support of this request are correct to the best of my knowledge . I understand that any false statement may be punishable byfine or imprisonment under Title 18 of the United States Code, Section 1001 .
Applicant' s Name : JOE J . COTAPlease Print or Type
Mailing Address : 276 NW Hickory St .Albany, Or ., 97321
E-Mail Address : jcota@callatg .com(optional)
Date / ~CS/D5~_
Company : K & D Engineering
Daytime Telephone No . : (541) 928-2583
Fax No . : ( 541) 967-3458
Sig~riatureof A l plicant (required)
If you have any questions concerning FEMA policy, or the NFIP in general, please contact the FEMA Map Assistance Center toll free at 1-877-FEMAMAP (1-877-336-2627), or visit the Flood Hazard Mapping website at http ://www.fema .gov/fhm/ .
FEMA Form 81 -87, SEP 02 Property Information Form MT-1 Form 1 Page 2 of 2
HICKORY- 5TREET
sl
/
1 II
1 ~ I .I
1 ~. I I
I
11~ .III
1 ` l 1~
z ~1~ 11 CONVENIENCE STORE /
PESTAW"M 1 FINI5HED FLOOR ELEV . = 204D
1 LOWEST ADJACENT GRADE = 203 .0 I
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SITE PLANFOR
CUMMINGS GAS STATION
LOCATED
G55 NORTH ALBANY ROADALBANY , OR 97321
JANUARY 21, 2002
"AS-BUILT
ELEVATIONS MEASURED JANUARY 15, 2002
EXHIBIT "G "
K & D ENGINEERING, Inc .K `< 276 N .W. Hickory Street P .O . Box 725aD Albany, Oregon 97321
(541) 928-2583
Date , 1/21/2002 Time : 11 :42Scale : 1=30File dwg\00-122\122su .dwg (ntwrkadmin)
FEDERAL EMERGENCY MANAGEMENT AGENCY
ELEVATION FORMO.M.B. NO. 3067-0147
Expires September 30, 2005
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this form is estimated to average 1 hour per response . The burden estimate includes the time for reviewing instructions,searching existing data sources, gathering and maintaining the needed data, and completing, reviewing, and submitting the form . You are not requiredto respond to this collection of information unless a valid OMB control number appears in the upper right comer of this form . Send comments regardingthe accuracy of the burden estimate and any suggestions for reducing this burden to : Information Collections Management Federal EmergencyManagement Agency, 500 C Street, SW, Washington DC 20472, Paperwork Reduction Project (3067-0147) . Submission of the form is required toobtain or retain benefits under the National Flood Insurance Program . Please do not send your completed survey to the above address .
This form must be completed for requests and must be completed and signed by a registered professional engineer or licensed land surveyor . A FEMANational Flood Insurance Program ( NFIP) Elevation Certificate may be submitted in addition to this form for single structure requests .
For requests to remove a structure on natural grade OR on engineered fill from the Special Flood Hazard Area (SFHA), submit the lowest adjacentgrade (the lowest ground touching the structure), including an attached deck or garage . For requests to remove an entire parcel of land from the SFHA,provide the lowest lot elevation ; or, if the request involves an area described by metes and bounds, provide the lowest elevation within the metes andbounds description .
1 . NFIP Community Number : 410137 Property Name or Address : 655 North Albany Rd ., Albany, Or ., 97321
2 . Are the elevations listed below based on ® existing or 0 proposed conditions? (Check one)
3 . What is the elevation datum? NGVD 29 If any of the elevations listed below were computed using a datum different than the datum used for theeffective Flood Insurance Rate Map .(FIRM) (e .g ., NGVD 29 or NAVD 88), what was the conversion factor?
Local Elevation +/- ft. = FIRM Datum
4 . For the existing or proposed structures listed below, what are the types of construction? (check all that apply)
crawl space ® slab on grade basement/enclosure 0 other (explain)
5. Has FEMA identified this area as subject to land subsidence or uplift? (see instructions) E ]Yes ® NoIf yes, what is the date of the current releveling? / (month/year)
LowestBlock Lowest Lot Adjacent Base Flood
Lot Number Number Elevation Grade To ElevationFor FEMA Use Only
Structure
struc . #1 203 .0 203 .0 202 .8
struc . #2 203 .0 203 .0 202 .8
struct . #3 203 .0 203 .9 202 .8
This certification is to be signed and sealed by a licensed land surveyor, registered professional engineer, or architect authorized by law to certifyelevation information . All documents submitted in support of this request are correct to the best of my knowledge . I understand that any falsestatement may be punishable by fine or imprisonment under Title 18 of the United States Code, Section 1001 .
Certifier's Name : Joe J . Cota License No . : LS 58561 Expiration Date : 12-31-05
Company Name : K & D Engineering Inc . Telephone No .: (541) 928-2583 Fax No . : ( 541)967-3458
Signature: Date : / Z pr bs
p FE5R~0 0ND
JULY -r, 2002JOE J, COTA2
Se
FEMA Form 81 -87A, SEP 02 Elevation Form MT-1 Form 2 Page 1 of 2
_DERAL EMERGENCY MANAGEMENT .YO.M.B . No . 3067-0077NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002
ELEVATION CERTIFICATEImportant : Read the instructions on pages 1 -7 .
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use :BUILDING OWNER'S NAME I Policy NumberCUMMINGS TRANSFER CO ., an Orecion Corporation 9 .BUILDING STREET ADDRESS (Including Apt ., Unit, Suite, and/ or Bldg . No.) OR P .O . ROUTE AND BOX NO . Company NAIC Number655 North Albany Road NW
CITY STATE ZIP CODE
ALBANY OR 97321PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc .)ASSESSORS MAP 11 .4W-01DA TAX LOT NO . 400BUILDING USE (e . g ., Residential , Non-residential , Addition, Accessory, etc . Use Comments s t" n if necessary .)NON-RESIDENTIAL CONVENIENCE STORE / RESTAURANTA_N_ T i!L)C TV/2ELATITUDE/LONGITUDE (OPTIONAL)( ##° - ##'- ##.##" or ## .#####°)
HORIZONTAL DATUM :O NAD 1927 O NAD 1983
RCE : U GPS (Type) :0 USGS Quad Map 0 Other :
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
61 . NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3 . STATEALBANY, OREGON BENTON OR .
B4. MAP AND PANEL 65 . SUFFIX B6 . FIRM INDEX B7 . FIRM PANEL B8 . FLOOD B9 . BASE FLOOD ELEVATION(S)NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding)410137 0003 F FEB . 22, 1974 JULY 7, 1999 AE 202 .8
B10 . Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9 .0 FIS Profile N FIRM 0 Community Determined EJ Other (Describe) :
B11 . Indicate the elevation datum used for the BFE in B9 : N NGVD 1929 LI NAVD 1988 Other (Describe) :B12 . Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?D Yes N No
Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1 . Building elevations are based on : 0 Construction Drawings' Building Under Construction* N Finished Construction*A new Elevation Certificate will be required when construction of the building is complete .
C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7 . If no diagram accurately represents the building, provide a sketch or photograph .)
C3. 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/AOComplete Items C3a-i below according to the building diagram specified in Item C2 . State the datum used . If the datum is different fromthe datum used for the BFE in Section B, convert the datum to that used for the BFE . Show field measurements and datum conversioncalculation . Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion .Datum NGVD 1929 Conversion/Comments
Elevation reference mark used GPS 93626 Does the elevation reference mark used appear on the FIRM? 0 Yes N Noo a) Top of bottom floor (including basement or enclosure) 204 . 0 ft
.(m) kEGISTL"PEOo b) Top of next higher floor N/A . ft.(m) PROFESSIONALo c) Bottom of lowest horizontal structural member (V zones only) N/A o o LAND SURVEYORo d) Attached garage (top of slab) N/A . ft . (m) Eo e) Lowest elevation of machinery and/or equipment W v
servicing the building 204 . Oft.(m) Eo f) Lowest adjacent grade (LAG) 203 . Oft.(m) Z in O R EGO No g) Highest adjacent grade (HAG) 203 . 9ft.(m) N JULY , 4. 19713
e h) No . of permanent openings (flood vents) within 1 ft . above adjacent grade 0 .LACK R . BURRELL
o i Total area of all permanent openings (flood vents) in C3h 0 sq . in . (sq. cm) J 1630-
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 .l certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available ./ understand that any false statement maybe punishable by fine or imprisonment under 18 U .S. Code, Section 1001 .CERTIFIER'S NAME JACK R. BURRELL LICENSE NUMBER LS 1630
TITLECHIEF OF SURVEYS COMPANY NAME K&D ENGINEERING
CITY STATE ZIP CODE
SIGNATURE ~) DATE TELEPHONE1aL _ t r ~_P ICS' 3 1-2A 0> I A„ o ., 0~- s.A r n_ : F'
IMPORTANT : In these spaces , copy - .rresponding information from Section For Insurance Company Use :BUILDING STREET ADDRESS ( Including Apt ., Unit, Suite , and/or Bldg . No .) OR P . O. ROUTE AND BOX NO . Policy Number655 NORTH ALBANY ROAD NWCITY STATE ZIP CODE Company NAIC NumberALBANY OR . 97321
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
Check here if attachmentsSECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED ) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE ), complete Items El through E4 . If the Elevation Certificate is intended for use as supportinginformation for a LOMA or LOMR-F, Section C must be completed .El . Building Diagram Number _( Select the building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7 . If no diagram accurately represents the building , provide a sketch or photograph .)E2. The top of the bottom floor ( including basement or enclosure ) of the building is _ ft.(m) _in .(cm) 0 above or 0 below ( check one)
the highest adjacent grade .
E3. For Building Diagrams 6 -8 with openings (see page 7 ), the next higher floor or elevated floor ( elevation b ) of the building is- ft .(m) in .(cm ) above the highest adjacent grade .
E4 . For Zone AO only : If no flood depth number is available , is the .top of the bottom floor elevated in accordance with the community'sfloodplain 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
The property owner or owners authorized representative who completes Sections A, B, and E for Zone A ( without a FEMA -issued orcommunity -issued BFE ) or Zone AO must sign here .
PROPERTY OWNER 'S OR OWNER 'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
El Check here if attachmentsSECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can completeSections A, B, C (or E), and G of this Elevation Certificate . Complete the applicable item(s) and sign below .G1 . 0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,
engineer, or architect who is authorized by state or local law to certify elevation information . (Indicate the source and date of theelevation 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) orZone AO .
G3 . 0 The following information (Items G4-G9) is provided for community floodplain management purposes .
G4. PERMIT NUMBER G5 . DATE PERMIT ISSUED G6 . DATE CERTIFICATE OF COMPLIANCE/OCCUPANCYISSUED
G7 . This permit has been issued for : El New Construction 0 Substantial ImprovementG8. Elevation of as-built lowest floor (including basement) of the building is : ft.(m) Datum :G9. BFE or (in Zone AO) depth of flooding at the building site is : -ft . (m) Datum :
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
Check here if attachments
00,
ERAL EMERGENCY MANAGEMENT
IO .M.B . No . 3067-0077NATIONAL FLOOD INSURANCE PROMExpires July 31, 2002
•~ ELEVATION CERTIFICATEImportant : Read the instructions on pages 1 - 7 .
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use :BUILDING OWNER'S NAME Policy NumberCUMMINGS TRANSFER CO ., an Oregon CorporationBUILDING STREET ADDRESS ( Including Apt ., Unit, Suite, and /or Bldg . No.) OR P.O . ROUTE AND BOX NO . Company NAIC Number655 North Albany Road NW
CITY STATE ZIP CODEALBANY OR 97321PROPERTY DESCRIPTION ( Lot and Block Numbers, Tax Parcel Number, Legal Description, etc .)ASSESSORS MAP 11 .4W-01DA TAX LOT NO . 400BUILDING USE ( e .g ., Residential , Non-residential , Addition, Acc&ory, etc. Use Comments section if necessary .)NON-RESIDENTIAL -CAR WAS H j'r) (,'r'0 12J-:7 7-LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM :( ##° - ##' - ## .##" or ## .tt####°) 0 NAD 1927 0 NAD 1983
URCE : U GPS (Type) :0 USGS Quad Map 0 Other :
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1 . NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATEALBANY, OREGON BENTON OR .
64. MAP AND PANEL 65 . SUFFIX B6. FIRM INDEX B7 . FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S)NUMBER DATE ( EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding)
410137 0003 F FEB . 22, 1974 JULY 7, 1999 AE 202 .8
B10 . Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9 .0 FIS Profile ® FIRM El Community Determined 0 Other (Describe) :
B11 . Indicate the elevation datum used for the BFE in B9 : ® NGVD 1929 0 NAVD 1988 Q Other (Describe) :B12 . Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?El Yes ® No
Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1 . Building elevations are based on : El Construction Drawings' El Building Under Construction ' ® Finished Construction*A new Elevation Certificate will be required when construction of the building is complete .
C2 . Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - seepages 6 and 7 . If no diagram accurately represents the building , provide a sketch or photograph .)
C3 . 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/AOComplete Items C3a-i below according to the building diagram specified in Item C2 . State the datum used . If the datum is different fromthe datum used for the BFE in Section B , convert the datum to that used for the BFE . Show field measurements and datum conversioncalculation . Use the space provided or the Comments area of Section D or Section G, as appropriate , to document the datum conversionDatum NGVD 1929 Conversion /CommentsElevation reference mark used GPS 93626 Does the elevation reference mark used a ppear on the FIRM? El Yes ® Noo a) Top of bottom floor ( including basement or enclosure ) 203 . 1 ft .(m) . .o b) Top of next higher floor N/A . ft .(m) n R >EGIC1 of-Ei_0
o c) Bottom of lowest horizontal structural member (V zones only ) N/A . ft. (m) pf`UFc ~J1G~fI-~o d) Attached garage ( top of slab ) N/A . ft . (m)
on LANO
o e) Lowest elevation of machinery and/or equipment
servicing the building 203 1ft (m)
1w. .
_
~~. .o f) Lowest adjacent grade (LAG) 203 . Oft-(m) z' . m `o g) Highest adjacent grade (HAG) 203 . 5ft .(m) "r` F" ^d
o h) No . of permanent openings ( flood vents ) within 1 ft . above adjacent grade 0 J JACK R . E.•_IfRELI-o i Total area of all permanent openings (flood vents in C3h 0 s in . s cm .,,A u : Q
SECTION D - SURVEYOR , ENGINEER , OR ARCHITECT CERTIFICATION t1 t *VV I
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation informati n .I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available .I understand that any false statement maybe punishable by fine or imprisonment under 1.8 U.S . Code, Section 1001 .CERTIFIER'S NAME JACK R . BURRELL LICENSE NUMBER LS 1630
TITLECHIEF OF SURVEYS COMPANY NAME K&D ENGINEERING
ADDRESS^ CITY STATE ZIP CODE
SIGNATURE t\tMJA o ,A111 1 0 V
DATE ~ OZ TELEPHONE
nL t Grip
IMPORTANT : In these spaces , cope . !sponding information from Section For Insurance Company Use :DUILDING STREET ADDRESS ( Including Apt ., Unit, Suite, and /or Bldg . No.) OR P .O. ROUTE AND BOX NO . Policy Number
-'655 NORTH ALBANY ROAD NW
CITY STATE ZIP CODE Company NAIC NumberALBANY OR . 97321
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
D Check here if attachmentsSECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items El through E4 . If the Elevation Certificate is intended for use as supportinginformation for a LOMA or LOMR-F, Section C must be completed .El . Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7 . If no diagram accurately represents the building, provide a sketch or photograph .)E2 . The top of the bottom floor (including basement or enclosure) of the building is _ ft .(m) _in .(cm) El above or El below (check one)
the highest adjacent grade .E3 . For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is
- ft.(m) _in .(cm) above the highest adjacent grade .E4. For 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? U Yes E] No U 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 orcommunity-issued BFE) or Zone AO must sign here .
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
RESS CITY STATE ZIP
SIGNATURE DATE TELEPHONE
COMMENTS
LI Check here if attachmentsSECTION 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 .G1 . El The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,
engineer, or architect who is authorized by state or local law to certify elevation information . (Indicate the source and date of theelevation data in the Comments area below .)
G2. El A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) orZone AO .
G3. 0 The following information (Items G4-G9) is provided for community floodplain management purposes .
G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6 . DATE CERTIFICATE OF COMPLIANCE/OCCUPANCYISSUED
G7 . This permit has been issued for: D New Construction 0 Substantial ImprovementG8 . Elevation of as-built lowest floor (including basement ) of the building is : -ft . (m) Datum :G9. BFE or (in Zone AO) depth of flooding at the building site is: - ft .(m) Datum :
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
Check here if attachments
,&14
~RAL EMERGENCY MANAGEMENT '.ATIONAL FLOOD INSURANCE PROWk .N
ELEVATION CERTIFICATEImportant : Rea d the instructions on pages 1 -7 .
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use : .BUILDING OWNER'S NAME Policy NumberCUMMINGS TRANSFER CO ., an Oregon CorporationBUILDING STREET ADDRESS (Including Apt ., Unit, Suite, and/or Bldg . No .) OR P .O . ROUTE AND BOX NO . ,Company NAIC Number .655 North Albany Road NW
CITY STATE ZIP CODEALBANY OR 97321PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc .)ASSESSORS MAP 11AW-01DA TAX LOT NO . 400BUILDING USE ( e.g ., Residential , Non-residential, Addition, Accessory, etc . Use Comments section if necessa .NON-RESIDENTIAL - FUEL PUMPS AND UNDERGOUND ACCESS PORTSLATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM : SOURCE : E] GPS (Type) :( ##° - ##' - ## .##" or ## .#####°) 0 NAD 1927 El NAD 1983 0 USGS Quad Map 0 Other :
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1 . NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3 STATEALBANY , OREGON BENTON.
OR
B4. MAP AND PANEL B5. SUFFIX B6 . FIRM INDEX B7 . FIRM PANEL 88 . FLOOD B9. BASE FLOOD ELEVATION(S)NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding)410137 0003 F FEB . 22, 1974 JULY 7, 1999 AE 202.8B iv . Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9 .
El FIS Profile ® FIRM El Community Determined El Other (Describe) :131 1 . Indicate the elevation datum used for the BFE in B9 : ® NGVD 1929 El NAVD 1988 El Other (Describe) :B12 . Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?0 Yes ® No
Designation Date
5EC I ION C - BUILDING ELEVATION INFORMATION (SURVEY REOUIREDIj . tsunaing eievations are based on : U Construction Drawings * 0 Building Under Construction * ® Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete .C2 . Building Diagram Number see comments ( Select the building diagram most similar to the building for which this certificate is being
completed - see pages 6 and 7 . If no diagram accurately represents the building , provide a sketch or photograph .)C3 . 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 C3a-i below according to the building diagram specified in Item C2 . State the datum used . If the datum is different fromthe datum used for the BFE in Section B, convert the datum to that used for the BFE . Show field measurements and datum conversioncalculation . Use the space provided or the Comments area of Section D or Section G, as appropriate , to document the datum conversion .Datum NGVD 1929 Conversion /CommentsElevation reference mark used GPS 93626 Does the elevation reference mark used appear on the FIRM? O Yes ® Noo a) Top of bottom floor ( including basement or enclosure ) 204. 1 ft-(m)o b) Top of next higher floor N/A . ft.(m) '~ I :EG1`'„cR=D
o c) Bottom of lowest horizontal structural member (V zones only ) N/A . ft .(m ) ° PROFESSlOIl~I_o d) Attached garage ( top of slab ) N/A . ft . (m) 10 I"'f~~~ ~t_`i~ V `(UFio e) Lowest elevation of machinery and/or equipment w W n A ""
servicing the building 204 . Oft .(m) .0<Eo f) Lowest adjacent grade (LAG) 203 . 9ft.(m) z
o g) Highest adjacent grade (HAG) 203 . 9ft.(m) oo h) No. of permanent openings (flood vents) within 1 ft . above adjacent grade 0o i) Total area of all permanent openings (flood vents) in C3h 0 sq . in . (sq . cm)
O.M.B . No . 3067-0077Expires July 31, 2002
O F?
L' JACK 1 E?t!RRELL
SECTION D . - SURVE YOR, ENGINEER , OR ARCHITECT CERTIFICATION (iFNEWAII his certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation info ati n ./ certify that the information in Sections A, B, and C 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 .CERTIFIER'S NAME JACK R
. BURR-ELL LICENSE NUMBER LS 1630
TITLECHIEF OF SURVEYS COMPANY NAME K&D ENGINEERING
ADDRESS CITY ZIP CODE
IMPORTANT : In these spaces , copy esponding information from Section
BUILDING STREET ADDRESS (Including Apt ., Unit, Suite, and/or Bldg . No .) OR P .O . ROUTE AND BOX NO .655 NORTH ALBANY ROAD NW
CITYALBANY
For Insurance Company Use :
Policy Number .
Company NAIC Number
SECT ION D - SURV EYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINU ED )
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner .
COMMENTS This elevation certificate is for the concrete pad that surrounds the fuel pumps and the access ports to the underground fuel storagetanks. There Is an overhead canopy with out walls that shelters this area for the weather .
Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1 through E4 . If the Elevation Certificate is intended for use as supportinginformation for a LOMA or LOMR-F, Section C must be completed .Ell . Building Diagram Number -(Select the building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7 . If no diagram accurately represents the building, provide a sketch or photograph .)E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft .(m) _in .(cm) 0 above or 0 below (check one)
the highest adjacent grade .
E3 . For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is
- ft .(m) in .(cm) above the highest adjacent grade .E4 . For 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? 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
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 .
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP
SIGNATURE DATE TELEPHONE
COMMENTS
El Check here if attachments
SECTION G - COMMUNITY I NFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can completeSections A, B, C (or E), and G of this Elevation Certificate . Complete the applicable item(s) and sign below .G1 . 0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,
engineer, or architect who is authorized by state or local law to certify elevation information . (Indicate the source and date of theelevation 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) orZone AO .
G3. 0 The following information (Items G4-G9) is provided for community floodplain management purposes .
G4. PERMIT NUMBER I G5. DATE PERMIT ISSUED G6 . DATE CERTIFICATE OF COMPLIANCE /OCCUPANCYISSUED
G7. This permit has been issued for: 0 New Construction 0 Substantial ImprovementG8. Elevation of as -built lowest floor (including basement ) of the building is: ft.(m) Datum :G9. BFE or (in Zone AO) depth of flooding at the building site is : _ ft .(m) Datum :
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
Check here if attachments
STATEOR .
ZIP CODE97321
0`A 210
0 200ZHWW
20I-
> 190WJW
NW W=
WO
d. w
O JO J_
Y.
180
170
160
150
}V2WC,Q
H
Lu CAf 00W •C1
Q Z0
Q mZf JW
m
LLMi 0Q
mz
W Z
W U~JQ
W0WLL
o1P .
LEGEND
500 - YEAR FLOOD
--- 100-YEAR FLOOD
- F50-YEAR LOOD
10-YEAR FLOOD
STREAM BED
CROSS SECTIONLOCATION
I I Ia..J ILY.a ILI .Y
I vv ~ / Zl~ ~STREAM DISTANCE IN MILES ABOVE MOUTH
1 ,
BASE FLOODFLOODING SOURCE FLOODWAY WATER-SURFACE ELEVATION
WITHOUT WITHCROSS SECTION DISTANCE WIDTH SECTION AREA MEAN VELOCITY REGULATORY FLOODWAY FLOODWAY INCREASE
(FEET) (SQUARE FEET ) (FEET PERSECOND (FEET NGVD)
Willamette RiverA 118 .27' 3,639/2602 70,821 2.8 200.0 200 .0 201 .0 1 .0B 118 .92' 2,482/2602 44,263 4.5 201 .0 201 .0 202 .0 1 .0
Calapooia RiverA 4.36' 690/2702 6,809 4.2 209 .0 209 .0 209 .6 0.6B 4.79' 750/6002 6,675 4.3 210 .6 210 .6 211 .2 0 .6C 5 .41' 1,000/1502 10,915 2 .6 212 .9 212 .9 213 .5 0.6
Oak CreekA 0.31' 79 573 5.8 208 .9 206 .7° 207 .1° 0 .4B 0.57' 82' 652 5.1 209 .7 209 .7 210 .0 0 .3C 0.67' 650 2,470 1 .4 210 .9 210 .9 211 .3 0 .4D 1 .01' 900/7702 1,912 1 .8 213 .4 213 .4 213 .6 0 .2E 1 .42' 1,500/602 2,526 1 .3 217 .5 217 .5 217 .5 0 .0F 2.51' 500 818 3 .7 228 .9 228 .9 229 .0 0 .1G 3.30' 3685 1,795 1 .7 235 .7 235 .7 236 .6 0.9
Calapooia RiverSplit Flow
A 0.886 600 4,013 1 .7 208 .0 207 .24 208 .0' 0 .8B 1 .496 632 3,159 1 .6 209 .3 209 .3 210 .1 0 .8C 1 .626 472 3,512 1 .4 210 .8 210 .8 211 .5 0 .7D 1 .736 649 3,151 1 .4 212 .2 212 .2 212 .9 0.7E 1 .796 796 5,674 0.9 212 .9 212 .9 213 .6 0.7F 2.066 1,638 10,148 0.5 213 .3 213 .3 214 .0 0.7
'Miles above mouth 'Width/width within corporate limits 'Miles above confluence with Calapooia River Split Flow 'Elevation computed without consideration of influence from Calapooia River 'Floodwaylies entire) outside corporate limits 'Miles above confluence with Cala ooia River
A FLOODWAY DATAB FEDERAL EMERGENCY MANAGEMENT AGENCY
E CITY OF ALBANY, OR WILLAMETTE RIVER - CALAPOOIA RIVER - OAK3 (LINN AND BENTON COS .) CREEK - CALAPOOIA RIVER SPLIT FLOW
Ir`~
0 0
FEDERAL EMERGENCY MANAGEMENT AGENCY
COMMUNITY ACKNOWLEDGMENT FORMO.M.B. NO. 3067-0147
Expires September 30, 2005
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this form is estimated to average 0 .88 hour per response . The burden estimate includes the time for reviewing instructions,searching existing data sources, gathering and maintaining the needed data, and completing, reviewing, and submitting the form . You are not requiredto respond to this collection of information unless a valid OMB control number appears in the upper right comer of this form . Send comments regardingthe accuracy of the burden estimate and any suggestions for reducing this burden to : Information Collections Management , Federal EmergencyManagement Agency, 500 C Street, SW, Washington DC 20472, Paperwork Reduction Project (3067-0147) . Submission of the form is required toobtain or retain benefits under the National Flood Insurance Program . Please do not send your completed survey to the above address .
This form must be completed for requests involving the existing or proposed placement of fill (complete Section A) OR to provide acknowledgment ofthis 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 community number and thesubject property address must appear in the spaces provided below .
Community Number : 410137 Property Name or Address : 655 North Albany Road, Albany, Or ., 97321
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 RevisionBased on Fill (LOMR-F) or Conditional LOMR-F request . Based upon the community's review, we find the completed or proposed project meets or isdesigned 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 . In addition, we havedetermined 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 in44CFR 65 .2(c), and that we have available upon request by FEMA, all analyses and documentation used to make this determination . For LOMR-Frequests, we understand that this request is being forwarded to FEMA for a possible map revision .
Community Comments: S S(~ C Ot -&A~ o 4&- 44,-Q- Cim i \Q4,,z
T--p15 a,5 A-0-6Community Official' s Name and Title : (Please Print or Type)
~ ~ TWO `I u N 2~Telephone No . :
v~l-`11'1 15&DCommunity Name : Community Official's Signature : (required) Date :
o>- ARI Daf,6o0 J-2- I to 10,5
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 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 orproposed project meets or is designed to meet all of the community floodplain management requirements .
Community Comments :
Community Official 's Name and Title : (Please Print or Type) Telephone No . :
Community Name : Community Official's Signature (required) : Date :
FEMA Form 81-87B, SEP 02 Community Acknowledgment Form MT-1 Form 3 Page 1 of 1
7
I FEDERAL EMERGENCY MANAGEMENT AGENCY I
PAYMENT INFORMATION FORM
Community Name : 4(_8AA "l', O OAI '//0137
Project Identifier : SITE ADtJ Z4E,55 : (p55 A OIZ .TN AL$4A)Y 12OAD ; ALBA.UY, OQ. , 97321
THIS FORM MUST BE MAILED , ALONG WITH THE APPROPRIATE FEE, TO THE ADDRESS BELOW OR FAXED TO THE FAX NUMBER BELOW .
Type of Request :
FEMAMT-1 application
MT-2 ap lication }
Fee Charge System AdministratorP .O . Box 22787pAlexandria , VA 22304FAX (703) 317-3076
Q EDR application}
FEMA Project Library3601 Eisenhower AvenueAlexandria , VA 22304FAX (703) 751-7391
Request No .: (if known)Q
Amount U (&OJ
0 INITIAL FEE- 0 FINAL FEE 0 FEE BALANCE- E] MASTER CARD E] VISA ®'-CHECK Q MONEY ORDER
* Note : Check only for EDR and/or Alluvial Fan requests (as appropriate) .
-Note : Check only if submitting a corrected fee for an ongoing request .
COMPLETE THIS SECTION ONLY IF PAYING BY CREDIT CARD
CARD NUMBER EXP. DATE
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Page 1 of 2 Fellows Conditional No . : 02-10-066C Date : March 28, 2005 Case No . : 05-10-0313A LOMR-F
Federal Emergency Management AgencyWashington, D .C . 20472
AND S'iG
LETTER OF MAP REVISION BASED ON FILLDETERMINATION DOCUMENT (REMOVAL)
COMMUNITY AND MAP PANEL INFORMATION LEGAL PROPERTY DESCRIPTION
CITY OF ALBANY, LINN COUNTY, Lots 8, 10, 11 , and 12 , N.P .M . Subdivision Phase 1, as shown on the Plat
COMMUNITYOREGON recorded as Document No . 312676- 02 in Book 10 , Page 40 , In the Office of
the County Clerk, Benton County, OregonCOMMUNITY NO .: 410137
NUMBER: 4101370003F ; 4100080050C
AFFECTED NAME: CITY OF ALBANY, L INN AND BENTONMAP PANEL COUNTIES ,OREGON
DATE: 71711999; 81511986
FLOODING SOURCE : WILLAMETTE RIVER PROXIMATE LATITUDE & LONGITUDE OF PROPERTY : 44,644.-123.105SOURCE OF LAT & LONG: PRECISION MAPPING STREETS 7 .0 DATUM NAD 83
DETERMINATION
OUTCOME 1% ANNUAL LOWEST LOWESTWHAT IS CHANCE ADJACENT LOT
LOT BLOCK!SUBDIVISION STREET REMOVED FLOOD FLOOD GRADE ELEVATION
SECTION FROM THE ZONE ELEVATION ELEVATION (NGVD 29)SFHA (NGVD 29) (NGVD 29)
8N.P.M . Phase 1 _ Structure_
X (shaded ) 201 .4 feet 202 .5 feet _
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 orexceeded in any given year ( baseflood) .
ADDITIONAL CONSIDERATIONS ( Please refer to the appropriate section on Attachment I for the additional consderafons listed below .)
DETERMINATION TABLE (CONTINUED)
PORTIONS REMAIN IN THE SFHA
ANNEXATION
This document provides the Federal Emergency Management Agencys determination regarding a request for a Letter of Map Revision based on Fill forthe property described above . Using the information submitted and the effective National Flood Insurance Program (NFIP) map, we have determined thatthe 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 orexceeded In any given year (base flood). This document revises the effective NFIP map to remove the subject property from the SFHA located on theeffective NFIP map ; therefore , the Federal mandatory flood insurance requ irement does not apply . However, the lender has the option to continue theflood insurance requirement to protect its financial risk on the loan . A Preferred Risk Poky (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 . ifyou have any questions about this document , please contact the FEMA Map Assistance Center ton free at (877) 336-2627 (877-FEMA MAP) or by letteraddressed to the Federal Emergency Management Agency, 3601 Eisenhower Avenue. Suite 600 , Alexandria . VA 22304-6439 .
Doug Belomo , P.E . . CFM. ChiefHazard Identification Section , Mitigation DivisionEmergency Preparedness and Response Directorate Version 1 .3.3 1029299 .1LOMR-F-ML103550313
Conditionalfr -
AN
OUTCOMEWHAT IS
SUBDIVISION29)
(NGVD29)
10- Structure X (shaded)
State/Commonwealth,
If anyattachment b contact the FEMA Map336-2627 Agency,
22304-6439 .
Page 2 of 2 No. : OZ10-0 66Collovvs Date: March 28, 2005 Case No . : 05 10-0313A LOMRf
EeA
1p
tiD~
~ Federal Emergency Management Agencyx F°4 4 Washington, D .C. 20472~~ n SE~'J
LETTER OF MAP REVISION BASED ON FILLDETERMINATION DOCUMENT (REMOVAL)
ATTACHMENT 1 (ADDITIONAL CONSIDERATIONS)
DETERMINATION TABLE (CONTINUED)
1% ANNUAL LOWEST LOWESTCHANCE ADJACENT LOT
LOTOS
STREETR HE
FLOODZONE
FLOOD GRADE ELEVATION
CI N F OM T ELEVATION ELEVATION (NGypSFHA ( NGVD29)
_ N.P.M . Phase 1 _ 201 .4 feet 2024 feet12
PORTIONS OF THE PROPERTY REMAIN IN THE SFHA (This Additional Consideration applies to the preceding 2
Properties .)Portions of this property , but not the subject of the Determination/Comment document , may remain in the Special FloodHazard Area . Therefore, any future construction or substantial improvement on the property remains subject to Federal,
and local regulations for floodplain management .
ANNEXATION (This Additional Consideration applies to the preceding 2 Properties .)
Although the subject of this determination is shown on the National Flood Insurance Program map as being located in acommunity other than the community indicated on the Determination/Comment Document , it has been annexed by thecommunity referenced therein .
you haveprovides additional information regarding this request . questions a out this attadvnent , pleaseThisAssistance Center toll free at (877 ) (877-FEMA MAP ) or by letter addressed to the Federal Emergency Management 3601 EisenhowerAvenue . Suite 600 . Alexandria . VA
Doug BeRomo . P.E ., CFM . ChiefHazard Identification Section , Mitigation DivisionEmergency Preparedness and Response Directorate Version 1 .3.3 1029299 .1LOMR- F-ML103550313
Page 1 of 2 JDate : April 23 , 2003 IcCase No .: 03-1O-0324A LOMR-F
Federal Emergency Management AgencyWashington , D.C. 20472
O O
LETTER OF MAP REVISION BASED ON FILLDETERMINATION DOCUMENT ( REMOVAL)
COMMUNITY AND MAP PANEL INFORMATION LEGAL PROPERTY DESCRIPTION
CITY OF ALBANY , BENTON COUNTY , Lots 3, 4, 6, 7 and 9 , N.P.M. Subdivision Phase 1, as shown on the PlatCOMMUNITY OREGON recorded in Book 10, Page 40 , In the Office of the County Clerk , Benton
County , OregonCOMMUNITY NO . : 410137
NUMBER : 4101370003F
AFFECTED NAME : CITY OF ALBANY , BENTONMAP PANEL COUNTY , OREGON I
DATE : 07A7I1 999
FLOODING SOURCE : WILLAMETTE RIVER PROXIMATE LATITUDE & LONGITUDE OF PROPERTY : 44 .644 ,- 123 .106SOURCE OF LAT & LONG : PRECISION MAPPING STREETS 4 .0 DATUM : NAD 83
IDETERMINATION
OUTCOME 1% ANNUAL LOWEST LOWESTWHAT IS CHANCE ADJACENT LOT
LOT BLOCK/ SUBDIVISION STREET REMOVED FLOOD FLOOD GRADE ELEVATIONSECTION FROM THE ZONE ELEVATION ELEVATION
SFHA (NGVD 29) (NGVD 29)
(NGVD 29)
3 _ N.P.M . Phase 1 _ StructureX (shaded) 201 .4 feet 201 .7 feet
Special Flood Hazard Area (SF HA) - The SFHA is an area that would be inundated by the flood having a 1-percent chance of being equaled orexceeded in any given year ( base flood) .
ADDITIONAL CONSIDERATIONS ( Please refer to the appropriate section on Attachment I for the additional considerations listed below.)
DETERMINATION TABLE (CONTINUED)
PORTIONS REMAIN IN THE SFHA
SUPERSEDES PREVIOUS DETERMINATION
This document provides the Federal Emergency Management Agencyrs determination regarding a request for a Letter of Map Revision based on Fill forthe property desai'bed above . Using the Information submitted and the effective National Flood Insurance Program (NFIP) map , we have determined thatthe 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 orexceeded in any given year ( base flood ). This document revises the effective NFIP map to remove the subject property from the SFHA located on theeffective NFIP map ; therefore , the Federal mandatory flood insurance requirement does not apply . However , the tender has the option to continue theflood 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 . Ifyou have any questions about this document . please contact the FEMA Map Assistance Center toll free at ( 877) 336 -2627 (877-FEMA MAP) or by letteraddressed to the Federal Emergency Management Agency , 3601 Eisenhower Avenue , Suite 600 , Alexandria , VA 22304-6439 .
Mary Jean Pajak , P.E ., Acting ChiefHazard Study BranchFederal Insurance and Mitigation Administration Version 1 .3.3 2418029CBM05106520324
Page 2 of 2 Date : April 23 , 2003 Case No . : 03-10-0324A LOMR-F
Federal Emergency Management AgencyWashington , D .C . 20472
O O
LETTER OF MAP REVISION BASED ON FILLDETERMINATION DOCUMENT (REMOVAL)
ATTACHMENT 1 (ADDITIONAL CONSIDERATIONS)
DETERMINATION TABLE (CONTINUED)
OUTCOME 1% ANNUAL LOWEST LOWESTWHAT IS CHANCE ADJACENT LOT
LOT BLOCK/SECTION
SUBDIVISION STREET REMOVEDFROM THE
FLOODZONE
FLOODELEVATION
GRADEELEVATION
ELEVATION
SFHA (NGVD 29) (NGVD 29 )(NGVD 29)
4 _ N.P.M . Phase 1 _ Structure X (shaded ) 201 .4 feet 201 .8 feet
6 _ N.P.M . Phase 1 _ Structure X (shaded) 201 .4 feet 201 .5 feet
7 _ N.P.M . Phase 1 _ Structure X (shaded) 201 .4 feet 201 .6 feet
9 _ N.P .M . Phase 1 Structure X (shaded) 201 .4 feet 201 .5 feet
PORTIONS OF THE PROPERTY REMAIN IN THE SFHA (This Additional Consideration applies to the preceding 5Properties .)Portions of this property , but not the subject of the Determination/Comment .document , may remain in the Special FloodHazard Area . Therefore, any future construction or substantial improvement on . the property remains subject to Federal,State/Commonwealth , and local regulations for floodplain management .
SUPERSEDES OUR PREVIOUS DETERMINATION (This additional consideration applies to all properties In theLOMR-F DETERMINATION DOCUMENT (REMOVAL))This Determination Document supersedes our previous determination dated 12/13/2002, for the subject property .
This attachment provides additional information regarding this request If you have any questions about this attachment, please contact the FEMA MapAssistance Center toll free at (877 ) 336-2627 ( 877-FEMA MAP ) or by letter addressed to the Federal Emergency Management Agency , 3601 EisenhowerAvenue, Suite 600 , Alexandria , VA 22304-6439 .
Mary Jean Pajak , P.E ., Acting ChiefHazard Study BranchFederal Insurance and Mitigation Administration Version 1 .3.3 2418029CBM05106520324
103
T°S,
es~F" Federal Emergency Management AgencywsOgIVD
S
Washington, D .C. 20472
December 14, 2005 Case No. : 06-10-0154A
216-A
We have received your request that the Federal Emergency Management Agency determine if the property identified below is
located within an identified Special Flood Hazard Area on the applicable National Flood Insurance Program map .
655 NORTH ALBANY ROAD
We are reviewing your submitted data and will contact you if additional information is required to process your request . If
additional information is not required, we will issue a final letter of determination within 30-60 days . Inquiries concerning the
status of your request should be made by calling the FEMA Map Assistance Center toll free at (877) 336-2627 (877-FEMA MAP)
or by letter addressed to the Federal Emergency Management Agency, 3601 Eisenhower Avenue, Suite 130, Alexandria, VA
22304-6439 . Please be assured we will do our best to respond to all inquiries in a timely manner .
Federal Emergency Management Agency
Washington , D.C . 20472
Official Business
Mr . Joe J . Cota
K & D Engineering
276 N W Hickory Street
Albany, OR 97321
SCAL
Riw ,POINT "9,
FD. 5/6' IJt . BENT(C5 1359) 2119
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OLD NORTH ALBANY ROAD LOCATION (VACATED)AND EASEMENT FOR PUBLIC UTILITIES A5 PER W 'pCOUNTY COURT JOURNAL BOOK 26, PAGE5 78 A r
AND 139, DATED JULY 26, 1966 .
5 O7• 20' 49' E 59 .13'(S 0T 21' 31' E 59 .24')(C5 %23)
LEGEND'0 fOUND 5/8" IR (INITIAL POINT)
CITY OF ALBANY GEODETICCONTROL POINT No . 93626 .FD• 5/8' IR w/ALUM. CAP'ALBANY CP5 93626' IN MON . BOX
96.50' ; 96 t16 .
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FOUND MONUMENT, AS NOTED
( ) INDICATES RECCRD INFORMATION (SOURCE NOTED)
® WILLAMETTE RIVER BRIDGE SECTIONALBANY CORVALLIS MIGMWAYq-3-1G (APRIL 1969)FD 5/8" IR W/ILUM CAP "HWY DEPT"
® ROUTE 40 SECTION ADECEMBER 1965 ROAD PLANS
© C.S. 6346
0 C.S. 6242
® C.S. 5019
® M-79749
© C5 7359
® M-13931-BO
R/W RIGHT-Of-WAY
c. CENTER LINE
---- EASEMENTBCDR BENIGN COUNTY DEED RECORDS
5 04'32'43' W,59.94'
I I1
•. PARTITION PLAT No . Sk
PART IT ION PLATFOR
GRATER ALBANY INVESTORS GROUPIN TI1E
A.M. RAINWATER OLG No . 39E 1/2 SECT ION 1, T. Si 5., R. 4 W., WM.
CITY OF ALBANYBENTON COUNTY, OREGON
DECEMBER 22 , 1994
r ~ --5--- ;-~'D.S~'86 0116E 10 ~G(ORY 515.49 ~ TRE Et
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INITIAL r01tIT11 1 40 SLOPE, PO~i
ILITY EAS + UTILITY EASEMENT FD. 5/6' I.!. I IU1 (C5 6346) I
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1 i ACCEEASEMENT SSAND a 11 ~ r
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(C5 6242) CONTROL POINT No. 93627FD. 5/8" LR. r/ ALIIIINUMCAP 'ALBANY CPS 93621'
IN MONIIIENT BOX
EXISTING 6LANCET EASENENT5 + RE5TRIGTION51. BOOK 11 , PAGE 471 BCD FOR ELECTRICAL + TELEPMONE
DATED 4-3-1923 .2. BOOK 77, PAGE 566 BCDR FOR ELECTRICAL + TELEPHONE
DATED 6 .29-1926 .3. BOOK 64, PAGE 33 AND BOOK 85 , PAGE 50 BCDR FOR
PIPE OR MAIN, DATED 10-31-1930 . NOTE 11115 EASEMENT15 FOR THE SOUTHERLY 15 FEET OF THE NORTH 51DC OFTHE HIGWAY WHEN THERE WAS A 60-FOOT R-O-W IN 1930
4. ACCESS RESTRICTIONS - STATE CIRCUIT CASE No. 24524DATED 5-1-1971 .
5. COVENANTS, CONDITIONS, RESTRICTIONS, AND EASEMENTSIN M-77384 BCDR, DATED 3-23-1977 .
k-FD. 5/6' I .R .(CS 6242)
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' (819.48')
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. • ~ AcCE 1 CASREGISTERED FO Myff . DEPT' • 4 S7 . (124 .68)® STATE IRCUIT G0~ y 6242
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PROFESSIONAL GA ®~~ STATE It~GS GAL1II " 719 .78)LAND SURVEYOR DA515 B2'19'0~ W 1962'
(5 BZ•14• •I• Wti IN 7AO ~
Of ~~,
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20OREGON
JULY 26 . 1999 l1 .'~~ 0
5U •
y , CWANDREW FOSTER h0
2399
_~ COURSE TA LCOURSE DIRECTION DISTANCE
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T'S RECT
'D276 rl.w IG oRpost ornGE . 80X 725ALBANY, OREGON 91321
PROJECT No . 94-484448-1.DWG JPC 12/13/94
I nERCey CCRTWT THAT TI1 ;
PHOTO MYLAR t5 AN EXACT
copy of Tnf orcw .. PLAT.
ANDREW W . FOSTER P .L .5.
® FD . 5/8' I .R.BRG. S 07'40'59" E 0 .14' 1 5 06'57'50' W
20 (5 37.0108' W
K3 (5 13'17'00' E
4 N 13'27'43' W(N 73'23'00' W
71.62'
31867 ©CURVE RADIUS LENGTH CMORD BEARING DELTA
46.95') © 90 15.00' 28.03 ' 24 .13' N 40'26 '47' E 101'03'94'
79 .13' 6® 200.00' 5157 ' 59.35 ' S 04'33' 13" E 11'03'54'
75.11') 0
7® 5.00 ' 9,34' B.04 N 40'26'47" E 10P03'S4' SHEET 1 O F 2
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NARRATIVE=
PURPOSE=THE PURPOSE OF THIS SURVEY 15 TO COMPLETE AN APPROVEDMINOR LAND PARTITION (CITY OF ALBANY FILE No . _ PA-03-94 )
i
60UNDA Y DETERMINATION :TO ESTABLISH THE SOUTH RIGHT-OF-WAY LINE OF HICKORY STREETI HELD POINTS A AND B .
TO ESTABLISH THE EAST RIGHT-OF-WAY LINE OF NORTH ALBANY ROAD,I HELD POINT5 C AND 0 .
THE NORTH RIGHT-OF-WAY LINE OF HIGHWAY 20 WAS ESTABLISHED BYFOUND 0510 MONUMENTS .
INTERIOR PARCEL LINES WERE ESTABLISHED 81' TIE OWNER .
EYOR 'S GERT I F ICATE!I, ANDREW FOSTER, A REGISTERED PROFES510NAL LAND 5URVEYORIN THE STATE OF OREGON, HAVE CORRECTLY SURVEYED ANDMARKED WITH 5/8 INCH MONIA1ENT5 THE LANDS A5 REPRESENTED,AND HAVE FOUND A PROPER MONUMENT 10 INDICATED THE INITIALPOINT, AND HAVE ACLU ATELY DESCRIBED THE TRACT OF LANDUPON WHICH THE PARCELS ARE LAID OUT A5 FOLLOWS'
8eginnmg et the INITIAL POINT, a 5/8 Inch Iron rod et the Northwestcorner of Parcel 2, sell point being North 86'01'16" West 681 .08 feetand South 04'32'43" West 59 .94 feet front the Southwest corner of Block5, North Pointe P .U .D., a subdivision of record in Benton County, Oregon,in the rest 1/2' of Section 1, Township 11 South, Range 4 West, of theWillamette Meridian ; thence South 04'32'43" West 495 .(o5 feet to a 5/8Inch steel rod on the North Right-of-Way lme of Mlghwey 20 ; thence South82'19'O1" West 511 .03 feet to a 5/8 Inch ron rod ; thence North 00'12'02"East 180 .03 feet to a 5/8 Inch steel rod ; thence South 89°51'13" West236.69 feet to the East Right-of- Way Hoe of N .W. North Albany Road ; thenceNorth 13'05'10' West 361 .35 feet to a 5/B inch rod ; thence North 01'23'48"West 99 .21 feet to the South Right-of-WYa line of N .W. hickory Street ;thence South 86'01'16" East 939 .45 Feet to the Point of Beginning
Containing 10.355 Acres of land , more or less .
STATE OF OREGON ))SS
COUNTY OF BENTON )
.
I HEREBY CERTIFY THAT THE WI MIN PARTITION PLAT WAS RECEIVEDAND DULY RECORDED BY ME 9t1E BENTON COUNTY BOOK OF
PARTITION PLATS A5 PLAT N ON 15
DAY OF ( C 4 4,~T I3 O'CLOCK A .M.4etz ,(BY'.
BENTON COUNTY CLERK
YM1wVG 1G.216 N.w . NIgcoRY STREETPOST OfFIGE. aOX 125ALDANY. OREGON 91321
PROXG1'No. 94-48-A9448-2 .CwG IPC 12/13/94
I HEREBY CERTIFY iPIAT THIS
Photo mtM IS AN EXACT
COPT OF itt OR PUt .
w w. ro 1 ..s .
REGISTERED
PROFESSIONALLAND SURVEYOR
OREGONJULY 28 . 1989
ANDREW FOSTERzass
FXPIRATIQq DATE ; IL 3~ /_~S
DE LA AT N=STATE Of OREGON )
) 55COUNTY Of BENTON )
I, NEIL 0. WARNER . TRL1TEC r° Th CIRfATER ALBANY INVESTORSGROUP . AM THE OWNER THE SUBJECT PROPERTY AND HAVECAUSED 11115 PARTITION PLAT TO BE PREPARED AND THE PROPERTYTO BE PARTITIONED IN ACCORDANCE WITH CHAPTER 92 OF THE OREGONREVISED STATUTES .WATER RIGHTS HAVE BEEN FILED ON THE SUBJECT PROPERTY .
RItT-Of-WAY DEDICATION
A 10-FOOT WIDE AND VARIABLE WIDTH RIGHT-Of-WAY DEDICATIONALONG NORTH ALBANY ROAD AN!D HICKORY STREET, A5 SHOWN ONTHE PARTITION MAP, ARE HEREBY DEDICATED TO THE PU6IIC .
EASEMfNTS WHICH ARE BEING CREATED BY THIS PLAT AND A5SHOWN ON THE PARTITION MAP .
1 . 5.00-FOOT WIDE SIDEWALK, SLOPE, AND UTILITY EASEMENT ALONGNORTH ALBANY ROAD IS HEREBY DEDICATED TO THE PUBLIC .
2 . 10.00-FOOT WIDE SIDEWALK, SLOPE, AND UTILITY EASEMENT ALONGMICKORY STREET 15 HEREBY DEDICATED TO THE PUBLIC .
3. 15.00-FOOT WIDE WEST HALF Of A RECIPROCAL ACCESSEASEMENT IS RESERVED FOR !'ARCEL 2 AND PARCEL 3 OF THISPARTITION PLAT AND fOR THE EASTERLY ADJACENT PROPERTY .
4 . 30 .00-FOOT WIDE ACCESS AND UTILITY EASEMENT ACROSS PARCEL 1AND PARCEL 2 AND A 30 .00-FOOT WIDE ACCESS EASEMENT ACROSSPARCEL I AND PARCEL 2 FOR . i'HE BENEFIT OF PARCEL 1, PARCEL 2, ANDPARCEL 3 .
5. A VARIABLE-WIDTH EASEMENT ACROSS PARCEL 3, FOR PUBLIC UTILITIES .
6. 10.00 -FOOT WIDE LANDSCAPE EASEMENT ACROSS PARCEL 2 fOR THEBENEFIT OF PARCEL 3
1. 40 .00-f00T WIDE EASEMENT ACROSS PARCEL I AND PARCEL 2, FORPUBLIC UTILITIES .
B. 25.00-FOOT WIDE EASEMENT ACROSS PARCEL 2 , FOR PUBLIC UTILITIES .
AGKN M NT :STATE OF ))
) 55cP~ot wCOUNTY OF 9ENT9R1 )
DA
THIS IS TO CERTIFY THAT ON THIS L P DAY OFGM*. 1994, BEf MC, A NOTARY PUBLIC IN
AND FOR SAID STATE AND COUNTY, PERSONALLY APPEARED THEWITHIN NAMED WHO,BEING DULY SWORN, Di SAY THAT IS THE IDENTICAL PERSONNAMED IN THE FOREGOING INSTRUMENT AND WHO ACKNOWLEDGEDSAID INSTRUMENT TO BE MI5 VOLUNTARY ACT AND DEED .
BY' Mr Ca.rua r D . rr , Od, 4.1998
ATE hTHE OREGON DEPARTMENT Of WATER RE5OUlCES NAVE INDICATED THATA WATER RIGHT NAS BEEN FILED ON THE SUBJECT PROPERTY UNDER GROUNDWATER REGISTRATION CERTIFICATE No. GR-2403 .
100-YEAR FLOOD P_LAIN _ NOTE=DEVELOPMENT OF PROPERTY WITHIN THE 100-YEAR FLOOD PLAIN A5 MOSTCURRENTLY ESTABLISHED BY THE FEDERAL EMERGENCY MANAGEMENT AGENCYOR CITY Of ALBANY MAY BE RESTRICTED AND SUBJECT 10 SPECIAL REGULATIONSBY THE CITY .
PARTITION PLAT No .~
PARTITION PLATFOR
GREATER ALBANY INVESTORS GROUPIN me
A.M. RA INWATER OLC No . 39E 1/2 SECT ION 1, T. 11 5., R , 4 W ., WM.
CITY OF ALBANY6ENTON COUNTY, OREGON
DECEMBER 22 , 1994
aP~ova~s~THIS PLAT APPROVED THIS ')!T DAY Of1994 .
BY'DEVELOPMENT DIRECTOR , CITY OF ALBANY
I CERTIFY THAT PURSUANT 10 O .R .S. 92 .098 , ALL VALOREM TAXES,FEES AND OTHER CHARGES REQI11REO BY LAW TO BE PLACED ONTHE 1994 -1995 TAX ROIL , WMIcii BEC A LIEN OR WILL BECOMEA LIEN ON THIS SUBDIVISIOi1 OING tills TAX YEAR, BUT NOT YETCERTIFIED 10 AX COLLE fOd! COLLECTION, HAVE BEEN PAIDTO ME THjS DAY OF 1994 .
BY'
DIRECTOR, BENTON COUNTY DEPt OF ASSESSMENT
I CERTIFY THAT All VALORCM TAXES AND OTHER CMARGE5REQUIRED BY LAW 10 BE PLACED UPON THE TAX ROLLSWHICH HAVE BECOME A LIEN OR WILL 3ECCt1E A LIEN OtNTHIS PARTITION PLAT THAT ARE OL!E AND E HAVEBEEN PAID TO THE ^ATE OF
eY'N COUNTY DEPT . OF FINANCEAND TAX COLLECTION
GTHIS PLAT APPROVED TH15 J21 DAY OF1994 .
BY
R 8Et?TT~N COUNTY SURVEYOR
LEGND :® FOUND 5/8" IR (INITIAL POINT)
4 SET 5/8` IR W/YPCSTAMPED "K+D ENGR L .S. 2395"
• FOUND MONUMENT, A5 NOTED
( ) INDICATES RECORD INFORMATION (SOURCE NOTED)
® WILLAMETTE RIVER BRIDGE SECTIONALBANY CORVALLIS HIGHWAY9B-3-16 (APRIL 1%9)FD 5/8" IR W/ALUM CAP
® ROUTE 40 SECTION ADECEMBER 1965 ROAD PLANS
® C .S. 6346
0 C .S. 6242
® C .S. 5019
m M-19149
0 C5 1359
® M-13931-BO
R/W RIGHT -Of-WAY
CENTER LINE
---- EASEMENT . 5t1EET 2 OF 2BCD! BENTON COUNTY DEED RECORDS
TRUSTEE FOR GREATER ALBANY INVESTORS GROUP
F U.S . MA XPRE SS MAIL
ROUTING FORM
DATE RECEIVED : > 2
CID # : VIP IJ 7
. CCOMMUNITY : 019 L A 9,v
COUNTY : 33 A) 7 STATE D 2
SUBJECT /CASE # : ' (- / D - D 1 `1COMMUNITY BASE FILE
RE SIONS
Pre-Acceptancep CLOMR FLOOD INSURANCE STUDIES /RESTUDIES
0 LOMA/CLOMA 0 FIS p RFIS El LMMP0 Additional Data
El Appeal El Protest El CTP
El FeesAR-F LOMR- FPII p Special Conversion p Comments
p Fee LogEl LOMR/PMR p Final Meeting Reports
SPECIAL PROJECTS
p Congressional Response Letter
El Response Letter
El Memorandum
El Report
MICH&_ BAKER JR ., INC3601 E .,nhower AvenueAlexandria , Virginia 22304(703) 960-8800FAX (703) 960-9125www.mbakercorp .com
MBJ USE ONLY : 106979 7 . / Lom57 7
ACTION (ORIGINAL) : S G
COPIES : ALR DLG DRN CSK EDL GCB HJL
JEH JJT JKM JIM KEA KEP KLB KLC
KMK KR LAH LLS LMC LVR MCB
MJH NRS PBP PJS RAW RFP RJV
SAE SAT SMN SS TWS WOT
p FIRM Digitizing/GIS El Risk Assessment
El Q3 Flood Data El Hazard Identification/Mapping
DATA REQUESTS/REPRINTS
El FOIA El ESDP 0 Reprints
El Data Request
CHECK/C .C RECEIVED : [] Yes o No AMOUNT : $
D FOLLOWS 0 REISSUES 0 REDETERMINES CASE
p Issued p Suspended/Dropped
CORRECTS CASE DATED
p Withdrawn/Closed p Denied ON
REMARKS/SPECIAL INSTRUCTIONS :
K & D ENGINEERIM& INC .276 N .W. Hickory Street • Box 725
Albany, OR 97321
Phone: (541) 928-2583FAX: (541) 967-3458
TOF
A L-oM,4 DxF
3 01 /S~t1No~lF-i QV
ALF„(A.wPK.IA . VA ., Zz3d`~ !05'25-A1-iW: Lo 4A 14AAMl
WE ARE SENDING YOU Cttached 0 Under separate cover via
0 Shop drawings
0 Copy of letter
0 Prints
0 Change order
Et Ii @IF4° emWOVU&IL0835
DATE
/ a o~ OrJOB NO .
o- d2 -LATTENTIO
RE :
LOM2 _F APRICfT/OA/ A2
/ck
y 4L,54NWA IW 73Z/
0 Plans 0 Samples
the following items :
0 Specifications
0
COPIES DATE NO . DESCRIPTION
l os s -F CAT/o'i c
THESE ARE TRANSMITTED as checked below :
or approval 0 Approved as submitted 0 Resubmit copies for approval
0 For your use 0 Approved as noted 0 Submit copies for distribution
0 As requested 0 Returned for corrections 0 Return corrected prints
0 For review and comment 0
0 FOR BIDS DUE 0 PRINTS RETURNED AFTER LOAN TO US
REMARKS
fL~ fZ, W kJ Tie 4riqGh/ED Lo~~ FAPPUCAT/oA/ .
COPY TO
SIGNED :
if enclosures are not as noted , kindly no us at once .
Submittal Packetfor
LOMR- F applicationfor
Three structuresLocated at
655 North Albany Road, Albany , Or ., 97321Tax Lot 400 Assessor Map 11 S -4W-1 DA
Structure #1 is a Convenience Store / RestaurantStructure #2 is a Car Wash
Structure #3 is a Fuel Pumping Station
Please find the following exhibits and completed forms in the LOMR-F packet :
D Completed MT-1 form1 .
> Completed MT-1 form 2 .
> Completed MT-1 form 3 .
> EXHIBIT "A", a copy of recorded Partition Plat 94-63 . The subject
structures are located on Parcel 1 .
> EXHIBIT "B", a copy of the FEMA FIRM map on which the subject
structures to be removed from the 100Year Flood Plain has been plotted .
(scale 1"=200')
EXHIBIT "C", as-built map of site .
> Copy of application payment form and check .
> Copy of Elevation Certificates completed on 03/12/02