Laserfiche WebLink
U.S. DEPART WENT 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) building owner. <br />SECTION A- PROPERTY INFORMATION <br />FOR INSURANCE COMPANY USE <br />Al. Building Owner's Name <br />Policy Number. <br />NATALIE MAYFIELD <br />A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and <br />Company NAIC Number: <br />Box No. <br />171 HERON FARM LANE <br />City State ZIP Code <br />ELLENSBURG Washington 98926 <br />A3, Property Description (Lot and Block Numbers, Tax Parnei Number, Legal Description, etc.) <br />TAX PCL. # 17-19-19000-0019; LOT 5, BIC 26, PG 215-219. <br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL <br />A5. LatitudelLongitude: Lat. N46.9437" Long. W120.5161 ° Horizontal Datum: ❑ NAD 1927 EJ 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 9 <br />A8. For a building with a crawispace or enclosure(s): <br />a) Square footage of crewlspace or enclosure(s) 2576.00 sq ft <br />b) Number of permanent flood openings in the crewlspace or endosure(s) within 1.0 foot above adjacent grade 38 <br />c) Total net area of flood openings in A8.b 3283.00 sq in <br />d) Engineered flood openings? ❑ Yes ❑x No <br />A9. For a building with an attached garage: <br />a) Square footage of attached garage 484.00 sq it <br />b) Number of permanent flood openings in the attached garage within 1.0 That above adjacent grade <br />c) Total net area of flood openings In A9.b 0.00 sq in <br />d) Engineered flood openings? ❑ Yes 0 No <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />B1. NFIP Community Name & Community Number <br />82. County Name B3. State <br />KITTITA5 COUNTY, WA 530095 <br />KITTITAS Washington <br />B4. Map/Panel <br />B5. Suffix <br />36. FIRM Index <br />B7. FIRM Panel <br />B8. Flood <br />B9. Base Flood Elevation(s) <br />Number <br />Date <br />Effectivel <br />Zone(s) <br />(Zone AO, use Base Flood Depth) <br />Revised Date <br />530095-0668 <br />B <br />12-06-1999 <br />05-05-1981 <br />Al <br />1442.5' <br />1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89: <br />❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other/Source: <br />B11. Indicate elevation datum used for BFE in Item 139: 0 NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: <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: ❑ CBRS ❑ OPA <br />FEMA Form 086-D-33 (12/19) Replaces all previous editions. Form Page ' of 6 <br />