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U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 <br />Federal Emergency Management Agency Expiration Date: November 30, 2022 <br />National Flood Insurance Program <br />ELEVATION CERTIFICATE <br />Important. Follow the instructions on pages ". <br />Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. <br />SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE <br />Al. Building Owner's Name Policy Number: <br />THOMAS & KRISY HANSON <br />A2. Building Street Address (including ApL, Unit, Suite, and/or Bldg. No.) or P.O. Route and <br />Box No. Company NAIC Number. <br />299 RIVERBOTTOM RD. <br />City State ZIP Code <br />ELLENSBURG Washington 98926 <br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, at--) <br />TAX PCL # 17-18-23010-0008; PORTION OF THE SOUTH 112 OF THE NE 114 SEC. 23 T.17 N R.18 E W.M. <br />A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL <br />A5. LatitudelLongitude: Lai. N46.9507° Long. W120.5474° horizontal Datum:NAD 1927 <br />❑ ❑x NAD 1983 <br />A8. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. <br />A7. Building Diagram Number 9 <br />A8. For a building with a crawlspace or enclosure(s): <br />a) Square footage of crawlspace. or enclosure(s) 2065.00 sq ft <br />b) Number of permanent flood openings in the crawlspaee or endosure(s) within 1.0 foot above adjacent grade NIA <br />c) Total net area of flood openings in A8.b NIA sq in <br />d) Engineered flood openings? ❑ Yes ED No <br />A9. For a building with an attached garage. <br />a) Square footage of attached garage 0.00 sq ft <br />b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 <br />c) Total net area of flood openings in A9.b 0.00 sq in <br />d) Engineered flood openings? ❑ Yes Q No <br />SECTION B— FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />B7. NFIP Community Name & Community Number B2. County Name B3. state <br />KITTITAS COUNTY, WA 530095 10TI1TAS Washington <br />134_ Map/Panel 85. Suffix BB. FIRM Index B7. FIRM Panel 88. Flood 89. Base Flood Elevation s) <br />Number Date Efiechvel Zone(s) (Zone AO, use Base Flood Depth) <br />Revised Date <br />530095-0554 C 12406-1999 07-05-1982 A2 1457.0' <br />810. Indicate the source of the Base Flood Elevation (8FE) data or base flood depth entered in Item B9: <br />[� FIS Profile ❑ FIRM C Community Determined [] Other/Souroe: <br />B11. Indicate elevation datum used for BFE In Item B9: E] NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: <br />B12. Is the bUlding located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yesx❑ No <br />Designation Date: CBRS ❑ OPA <br />FEMA Form 086-0-33 (12/19) Replaces all previous edifions. Form Page i of 6 <br />