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U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />National Flood lnsurance Program <br />ELEVATION CERTIFICATE <br />lmportant: Follow the instructions on pages 1-9. <br />Copy all pages of this Elevation Certificate and all attachments for (1) community offlclal, (2) insurance agenVcompany, and (3) building owner, <br />OMB No. 1660-0008 <br />Expiration Date; November 3O,2022 <br />SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE <br />41 . Building Owner's Name <br />Jeff Smallwood <br />Policy Number: <br />A2. Building Streel Address (including Apt., Unit, Suite, and/or Bldg <br />Box No. <br />1803 SR 970 <br />No.) or P.O. Route and Company NAIC Number: <br />CitY <br />Cle Elum <br />State <br />Washington <br />ZIP Code <br />s8922 <br />43, Properly 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.9., Residential, Non-Residenlial, Addition, Accessory, etc.) Residentail <br />A5. Latitude/Longitude: Lat.Long HorizontalDatum: fl NAD 1927 fl NAD 1983 <br />46. Attach at least 2 photographs of the building if the Cerlificale is being used to obtain flood insurance. <br />A7. Building Diagram Number I <br />A8. For a building with a crawlspace or enclosure(s): <br />a) Square footage of crawlspace 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 A8.b 1595.00 sq in <br />d) Engineered flood openings? [ yes E t'lo <br />A9. For a building with an attached garage: <br />a) Square footage ofattached 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 nel area of flood openings in A9.b 617.50 sq in <br />d) Engineered flood openings? ffi Yes tr No <br />sEcIoN B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />81. NFIP Community Name & Community Number <br />Kittitas County 530095 <br />82. County Name <br />Kittitas <br />83. State <br />Washington <br />84. Map/Panel <br />Number <br />5300950261 <br />85. Suffix <br />B <br />86. FIRM lndex <br />Date <br />05-05-'!981 <br />87. FIRM Panel <br />Effectivel <br />Revised Date <br />0s05-1981 <br />88. Flood <br />Zone(s) <br />AO <br />89. Base Flood Elevation(s) <br />(Zone AO, use Base Flood Depth) <br />2' <br />810. lndicate the source of the Base Flood Elevation (BFE) data or base flood deplh entered in ltem 89 <br />! FIS Profile E] FIRM f] Communily Determined fl Other/Source <br />811. lndicate elevation datum used for BFE in ltem 89: I NGVD 1929 f, NAVD 198S I Other/Source; <br />812. ls ihe building located in a Coastal Barrier Resources System (CBRS) area u Otherwise Protected Area (OPA)? ! Yes ffi No <br />Designation Date: fl CBRS E OPA <br />FEMA Form 086-0-33 (12119)Replaces all previous editions Form Page 1 of6