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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 Bevation Certificate and all altachrnents 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 />GARY FAUSSET <br />A2. Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and <br />Company NAIC Number: <br />Box No. <br />390 HERON FARM LANE <br />City State ZIP Code <br />ELLENSBURG Washington 98926 <br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legit Description, etc.) <br />TAX PCL. # 17-19-19053-0004; LOT i 1 D WRIGHT CLUSTER PLAT. <br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL <br />A5. Latitudell-ongi6ude: Lat. N46.9436" Long. W120.51349 Horizontal Datum: ❑ NAD 1927 © NAD 1983 <br />AS. 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 crewlspace or enclosure(s): <br />a) Square footage of crawlspace or enclosure(s) 2178.00 sq ft <br />b) Number of permanent flood openings in the crawlspece or anclosure(s) within 1.0 foot above adjacent grade <br />c) Total net area offlood openings in A8.b 2293.00 sq in <br />d) Engineered flood openings? ❑ Yes ® No <br />AS. For a building with an attached garage: <br />a) Square footage of attached garage 740.00 sq ft <br />b) Number of permanent hood openings in the ached garage within 1.0 foot above adjacent grade NIA <br />c) Total net area of flood openings in A9.b NIA sq in <br />d) Engineered flood openings? [] Yes ® No <br />SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />81. NFIP Community Name & Community Number <br />B2. County Name <br />83. State <br />KITTITAS COUNTY, WA 530095 <br />KITTITAS <br />Washington <br />B4. Map/Panel <br />B5. Suffix <br />B6. FIRM Index <br />B7, FIRM Panel <br />B8. Flood <br />B9. Base Flood Elevation(s) <br />Number <br />Date <br />Effeclivel <br />Zone(s) <br />(Zone AO, use Base Flood Depth) <br />Revised Date <br />53037C1284 <br />D <br />09-24-2021 <br />09L24-2021 <br />AE <br />1445.5' <br />B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item B9: <br />❑ PIS Profile ❑ FIRM ® Community Determined ❑ Other/Source: <br />B11. Indicate elevation datum used for WE in Item B9_ ❑ NGVD 1929 Z NAVO 1980 ❑ Other/Source: <br />812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yee ® No <br />Designation Date: ❑ CBRS ❑ OPA <br />FEMA Form OWO-33 (12119) Replaces all previous editions. Form Page 1 of 6 <br />