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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 1-9. <br />Copy all pages of this Elevation Certificate and all attachments for (1) community official. (2) insurance agenticompany. and (3) buildinu owner. <br />SECTION A— PROPERTY INFORMATION <br />FOR INSURANCE COMPANY USE <br />Al. Suil ling Owner's Name <br />Policy Number: <br />SEG MILLWOOD LLC <br />A2. Building Street Address (including Apt., Unit, Suite. and/or Bldg_ No.) or P.O. Route and <br />Company NAIL Number: <br />Box No, <br />3124 MCMANAMY RD. <br />City State ZIP Code <br />ELLENSBURG Washington 968926 <br />A3. Property Description (Lot and 81ock Numbers. Tax Parcel Number, Legal Description, etc.) <br />TAX PCL. # 18.18-18000-0006; PORTION OF SECTION 18, T. 18N., R. 18E., W.M. (LOT 11 829/PG237) <br />A4. Building Use (e.g., Residential, Non -Residential, Addition. Accessory, etc.) RESIDENTIAL <br />A5- Latitude/Langitude: Lat. N 47.0506° Long. W 120.6363° Horizontal Daturn: ❑ MAD 1927 NAD 1983 <br />A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance_ <br />A7. Building Diagram Number 8 <br />Ara. For a building with a crawlspace or andosure(s): <br />a) Square footage of crawlspaee or enclosure(s) 800.00 sq 11 <br />b) Number of permanent flood openings in time crawlspace or enclosure(s) within 1.0 loot above adjacent grade 6 <br />c) Total net area of flood openings in A8.b 1200.00 sq in <br />d) Engineered flood openings? x❑ Yes ❑ No <br />A9. For a building with an attached garage: <br />a) Square footage of attached garage 1108-00 sq ft <br />b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 6 <br />c) Total net area of flood openings in A9.b 1200.00 sq in <br />d) Engineered flood openings? 2) Yes ❑ No <br />SECTION B — FLOOD INSURANCE BATE MAP (FIRM) INFORMATION <br />Bi. NFIP Community Name S Community Number <br />132. County Name <br />KITTITAS 00UNTY, WASHINGTON 530095 <br />FW11- <br />KrMTAS ngton <br />B4. Map/Panel <br />85. Suffix <br />SM FIRM Index <br />87. FIRM Panel <br />88. Flood <br />B9. Base Flood Elevation(a) <br />Number <br />Date <br />Effective/ <br />Zone(s) <br />(Zone AO, use Base Flood Depth) <br />Revised Date <br />530095 0436 <br />S <br />12-06-1999 <br />05-05-1981 <br />A6 <br />1601.$' <br />1310. Indicate the !source of the Rase Flood Elevation (BFE) data or base flood depth entered in Item 539: <br />❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other/Source: <br />B11. Indicate elevation datum used for 8FE in Item B9: x❑ NGVD 1929 ❑ NAVD 1888 ❑ OtheNSouree: <br />B12. Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No <br />Designation Date: ❑ CSRS ❑ ORA <br />FEMA Form 0815-013 (12119) Replaces all previous editions. Form Page 1 of 6 <br />