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ELEVATION CERTIFICATE OMB No. 1660-0006 <br />Expiration Date: Novembe r 30, 2022 <br />information from Section A.In frese the FOR INSURANCE COMPANY IJSF <br />Building Slreet Address (induding Apt., Unit, Suite, and/or Bldg. No.) or p.O. Route and Box No. <br />480 CEDAR COVE RD. <br />Policy Number: <br />ELLENSBURG <br />ztP <br />98926Washington <br />SECTION C. BUTLDING ELEVATION INFORMATION (suRvEY REQUTRED) <br />C1. Building elevalions are based on: I Conshuction Drawings' I euiffiing Under Construction' <br />'A new Elevalion Certificate will be reguired when Construction of the building is Complete. <br />VJ-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. <br />diagram specified in ltem A7. ln Puerto Rico only. entcr melers_ <br />Vertical Datum: NGVD 29 <br />lndicate elevation dalum u6ed for the elevations in items a) through h) below. <br />a) Top of bottom floor (including basement, crawlspace, or endosure floor) <br />b) Top of the nen higher floor <br />c) Bottom of the lowest horizontal structural member (V Zones only) <br />d) Attached garage (top ofslab) <br />e) krwest elevalion of machinery or equipment sorvicing the building(Describe type of equipment dnd locbtion in Commenis) <br />0 Lowest adjac€nt (linished) grad6 next to building (LAG) <br />g) Highest adjacent (finished) grade next to building (HAG) <br />h) Lowest adjacent grade at lowest elevation of deck or stairs, includingstruclural support <br />1901.2 <br />1899.7 <br />r900.1 <br />N/A <br />C2. Elevalions - Zones A1-A30, AE, AH, A (with BFE), VE, <br />Complete llems C2.a-h below according to the building <br />Benchmark Utilized: RM g5 <br />Datum used for building elevations must be the same as that used for the BFE. <br />1900.7 I feet I meters <br />N/A fl feet I meters <br />N/A ! feet I meters <br />N/A fl feet fl maters <br />fi finisheO Construction <br />E] NGVD rg2s E NAVD igBB I other/Source: <br />Checft the measurement used. <br />I feet f] meters <br />fi feet <br />I feet <br />Elfeet <br />I metere <br />! melers <br />I melers <br />SECTION D-SURVEYOR,ENGINEER, OR ARCHITECT CERTIFICATION <br />WEre latilude and longitude in Section A providod by a licensed land surveyoi? EJves ! ruo n check here if <br />This certification is to be signed and sealed by a land surveyor. enqineer. or architect authorized bv lawI ce.rlify that lhe infomalion on lhis ceftir,catd reprcsents my best dfforls to inlemret ihe data avail'ble.stalement may be punishable by fine or impnsoimenl unde* 1g u.s. code, seaion ioot. <br />to c€rtify elevation information. <br />I undersland that any false <br />License <br />3681sCHRISTOPHER C, CRUSE <br />PROFESSIONAL IAND SURVEYOR <br />CRUSE AND ASSOCIATES <br />Name <br />P.O. BOX 959 <br />ELLENSBURG 98926Washington <br />sisnatur{ /A <br />r', ../Date <br />03-29-2021 <br />Telephone <br />(509) 962-8242 <br />and all atlachments for (1) community official, (2)agenUcompany, and (3) building owneltnsuranoe <br />89. BASE FLOOD ELEVATIoN DETERMINED PER LoMA CASE NO. '10-1o-0143A: C2a. GONCRETE SLAB ON GRADE; <br />C2e. HOT WATER TANK. <br />Commentg type of equipment and location, per CZ(e), if appltcable) <br />FEMA Form 086-0-33 (12n9)Replaces all previoue edilions.Form Page 2 o{ 6