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ELEVATION CERTIFICATE <br />OMB No. 1660-0006 <br />Expiration Date: November 30, 2022 <br />IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: <br />480 CEDAR COVE RD. <br />City State ZIP Code Company NAIC Number <br />ELLENSBURG Washington 98926 <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />C1. Building elevations are based on: ❑ Construction Drawings` ❑ Building Under Construction" ❑x Finished Construction <br />`A new Elevation Certificate will be required when construction of the building is complete. <br />C2. Elevations - Zones Al -A30, AE, AH, A (with SFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, ARIAH, ARIAO. <br />Complete Item C2.e-h below according to the budding diagram specified in Item A7. In Puerto Rica only, enter meters. <br />Benchmark Utilized: RM 95 Vertical Datum: NGVD 29 <br />Indicate elevation datum used for the elevations in items a) through h) below. <br />❑x NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: <br />Datum used for building elevations must be the same as that used for the BFE. <br />PROFESSIONAL LAND SURVEYOR <br />CRUSE AND ASSOCIATES <br />Address <br />P.O. BOX 969 <br />Pages <br />36815 _ <br />-- - Washington 98926 3 L L <br />Date Telephone EXam <br />03-29-2021 (508)962-8242 <br />Elm... <br />and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. <br />1 Comments (including type of equipment and location, per C2(e), If applicable) <br />B9. BASE FLOOD ELEVATION DETERMINED PER LOMA CASE NO. 1 a10 -0143A; C2a. CONCRETE SLAB ON GRADE; <br />C2e. HOT WATER TANK. <br />FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 <br />Check the measurement used. <br />a) Top of bottom floor (including basement, crawlspace, or enclosure floor) <br />1900.7 0 feel <br />❑ meters <br />b) Top of the next higher floor <br />N/A [] feet <br />❑ meters <br />C) Bottom of the lowest horizontal structural member (V Zones only) <br />N/A ❑ feet <br />[) meters <br />d) Attached garage (top of slab) <br />N/A ❑ feet <br />❑ meters <br />e) Lowest elevation of machinery or equipment servicing the building <br />(Describe type of equipment and location in Comments) <br />1901.2 x❑ feet <br />[j meters <br />0 Lowest adjacent (finished) grade next to building (LAG) <br />1899.7 g feet <br />(] meters <br />g) Highest adjacent (finished) grade next to building (HAG) <br />1900.1 xZ feet <br />❑ meters <br />h) Lowest adjacent grade at lowest elevation of deck or stairs, including <br />structural support <br />N/A ❑ feet <br />❑ meters <br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information, <br />I Certify that the information on this Certificate represents my beat efforts to infeipret the data available. I understand Chet any false <br />statement may be punishable by fine or imprisonment under i8 U. S Code, Section 1001. <br />Were latitude and longitude in Section A provided by a licensed land surveyor? 9 Yes ❑ No <br />❑ Check here if attachment's. <br />Certifees Name License Number <br />CHRISTOPHER C. CRUSE 36815 <br />PROFESSIONAL LAND SURVEYOR <br />CRUSE AND ASSOCIATES <br />Address <br />P.O. BOX 969 <br />Pages <br />36815 _ <br />-- - Washington 98926 3 L L <br />Date Telephone EXam <br />03-29-2021 (508)962-8242 <br />Elm... <br />and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. <br />1 Comments (including type of equipment and location, per C2(e), If applicable) <br />B9. BASE FLOOD ELEVATION DETERMINED PER LOMA CASE NO. 1 a10 -0143A; C2a. CONCRETE SLAB ON GRADE; <br />C2e. HOT WATER TANK. <br />FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 <br />