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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 of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenticompany, ana (s) building owner. <br />SECTION A — PROPERTY INFORMATION <br />FOR INSURANCE COMPANY USE <br />Al. Building Owner's Name <br />Policy Number: <br />Evan and Lindsay Farris <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 />18401 Salmon la Sac Road <br />City State ZIP Code <br />Ronald Washington 98940 <br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br />Kittitas County Tax Parcel Number 951655 <br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential <br />A5. Latitude/Longitude: Lat.47°18'11.23" Long. -121°06'07.65" Horizontal Datum: ❑ NAD 1927 0 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 7 <br />A8. For a building with a crawlspace or enclosure(s): <br />a) Square footage of crawlspace or enclosure(s) 1155.00 sq ft <br />b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0 <br />c) Total net area of flood openings in A8.b 0.00 sq in <br />d) Engineered flood openings? ❑ Yes 21 No <br />A9. For a building with an attached garage: <br />a) Square footage of attached garage 0.00 sq ft <br />b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 <br />c) Total net area of flood openings in A9.b 0.00 sq in <br />d) Engineered flood openings? ❑ Yes ❑x No <br />SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />B1. NFIP Community Name & Community Number <br />B2. County Name <br />B3. State <br />Kittitas County 530095 <br />Kittitas <br />Washington <br />B4. Map/Panel <br />B5. Suffix <br />B6. FIRM index <br />B7. FIRM Panel B8. Flood <br />B9. Base Flood Elevation(s) <br />Number <br />Date <br />Effective/ Zone(s) <br />(Zone AO, use Base Flood Depth) <br />Revised Date <br />53037CO365 <br />D <br />09-24-2021 <br />09-24-2021 I A <br />2254.2 <br />B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: <br />❑ FIS Profile ❑ FIRM ❑x Community Determined ❑ Other/Source: <br />B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 x] 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 086-0-33 (12/19) Replaces all previous editions. Form Page 1 of 6 <br />