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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 instruc{ions on pages 1-9. <br />Gopy all pages of this Elevation Certificate and all attachments for (1) community offcial, (2) insurance agenVcompany, and (3) building owner- <br />OMB No. 1660-0008 <br />Expiration Date: November 3O, 2022 <br />SECTION A- PROPERW INFORTIIATION FOR INSURANCE COMPANY USE <br />A1. Building Ownefs Name <br />NATALIE MAYFIELD <br />Policy Number: <br />A2, BuiHing Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and <br />Box No. <br />171 HERON FARM LANE <br />Company NAIC Number: <br />City State <br />Washington <br />ZIP Code <br />98926ELLENSBURG <br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Descriplion, etc.) <br />TAX PCL. # 17-19-'19000-0019; LOT 5, 8K26, PG21&219. <br />44. Building Use (e.9., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL <br />A5. Latitude/Longitude: Lat.N46'9437'Long. W120.5161'HorizontalDatum: I NAD 1927 E] NAD 1983 <br />46. Attach at least 2 photographs of the building if the Certificate is being used to obtrain 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) 2576.00 sq ft <br />b) Number of permanent flood openings in the crawlspace or enclosure(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? fl yes E tto <br />A9. For a building with an attached garage: <br />a) Squarefootage ofaltached garage 484.00 sq ft <br />b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent glade 0 <br />c) Total net area of flood openings in A9.b 0.00 sq in <br />d) Engineered flood openings? ! Yes E No <br />sEcTroN B - FLOOD INSURANCE RATE MAP (FIRM) TNFORMATION <br />81. NFIP Community Name & Communitlt Number <br />KITTITAS COUNTY, WA 530095 <br />82. County Name <br />KITTITAS <br />83. $trate <br />Washington <br />84. Map/Panel <br />Number <br />53009il)558 <br />85. Suffix <br />B <br />86- FIRM lndex <br />Date <br />12-06-1999 <br />87. FIRM Panel <br />Effeclivd <br />Revised Date <br />05-05-1981 <br />B8. Flood <br />Zone(s) <br />A1 <br />B9. Base Flood Elevation(s) <br />(Zone AO, use Base Flood Depth) <br />1442.5' <br />810. lndicate the source of the Base Flood Elevation (BFE) data or base llood depth entered in ltem 89: <br />I FIS Profile E] FIRM fl Community Determined fl Other/Source: <br />81 1 . lndicate elevation datum used for BFE in ltem 89: B NGVD 1929 fl NAVD 1988 ! Other/Source: <br />812. ls the building located in a Coastal Banier Resources System (CBRS) area or Otherwise Protected Area (OPA)? fl Yes fi No <br />Designation Date: n CBRS n OPn <br />FEMA Form 086-G.33 (12119)Replaces all previous editions.Form Page 1 of6