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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 otthIS Lievation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. <br />SECTION A -- PROPERTY INFORMATION <br />FOR INSURANCE COMPANY USE <br />Al. Building Owner's Name <br />Policy Number: <br />Jeff Smallwood <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 />1803 SR 970 <br />City State ZIP Code <br />Cie Elum Washington 98922 <br />A3, Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br />Parcel #956668, YOUNGER PLAT, LOT 2; SEC 31, TWP 20, RGE 16 <br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residentail <br />A5. Latitude/Longitude: Lat. Long. Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983 <br />A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. <br />AT Building Diagram Number 9 <br />A8. For a building with a crawispace or enclosure(s): <br />a) Square footage of crawispace or enclosure(s) 1491.00 sq ft <br />b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 22 <br />c) Total net area of flood openings in AB.b 1595.00 sq in <br />d) Engineered flood openings? ❑ Yes © No <br />A9. For a building with an attached garage: <br />a) Square footage of attached garage 484.00 sq ft <br />b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 5 <br />c) Total net area of flood openings in A9.b 617.50 sq in <br />d) Engineered flood openings? 0 Yes ❑ No <br />SECTION 13 — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />Bi. NAP Community Name & Community Number <br />B2. County Name <br />B3. State <br />Kittitas County 530095 <br />Kittitas <br />Washington <br />B4. MaplPanel <br />B5. Suffix <br />B6. FIRM Index <br />B7. FIRM Panel <br />B8. Flood <br />B9. Base Flood Elevation(s) <br />Number <br />Date <br />Effective/ <br />Zone(s) <br />(Zone AO, use Base Flood Depth) <br />Revised Date <br />5300950261 <br />B <br />05-05-1981 <br />05-05-1981 <br />AO <br />2' <br />B10. Indicate the source of the Base Flood Elevation (13FE) data or base flood depth entered in Item 139: <br />❑ FIS Profile © FIRM ❑ Community Determined ❑ Other/Source: <br />Bl 1. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: <br />1312. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes X No <br />Designation Date: ❑ CBRS ❑ OPA <br />FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Pagel of 6 <br />