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U.S. DEPARTMENT OF HOMELAND SECURITY OMB No, 1660-0008 <br />Federal Emergency Management Agency Expiration Date: November 30, 21122 <br />National Flood Insurance Program <br />ELEVATION CERTIFICATE <br />Important: Follow the instructions on pages 1-9. <br />Copy as pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agentleompany, Land (3) building owner. <br />SECTION A —PROPERTY INFORMATION <br />FOR INSURANCE COMPANY USE <br />Al. Building Owner's Name <br />Policy Number. <br />ROBERT HAZEL <br />A2. Building Street Address (including Apt., Unit, Suits, andlor Bidg_ No.) or P.O. Route and <br />Company NAIL Number: <br />Box No. <br />14710 MANASTASH RD. <br />City State ZIP Code <br />ELLENSBURG Washington 98926 <br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br />TAX PCL. t117-17-18000-0015., LOT 5, BOOK 32 OF SURVEYS AT PAGES 61-82. <br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL <br />A5. LatitudelLongitude: Lat. N 46.9629' Long. W 120.7551 ° Horizontal Datum: ❑ NAD 1927 NAD 1983 <br />A6. Attach at least 2 photographs of the building 9 the Certificate is being used to obtain flood insurance. <br />A7. Building Diagram Number 9 <br />A8. For a building with a crawlspaca or enciasure(s): <br />a) Square footage of c►awlspace or enclosure(s) 844.00 sq f . <br />b) Number of permanent flood openings in the crawtspace or enclosure(s) within 1.0 foot above adjacent grade <br />c) Total net area of flood openings in AB.b sq in <br />d) Engineered flood openings? El Yes No <br />A&. For a building with an attached garage: <br />a) Square footage of attached garage 764,00 sq ft <br />b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 4 <br />r-) Total net area of flood openings in A9.b 1600.00 sq in <br />d) Engineered flood openings? E] Yes ❑ No <br />SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />B4, NFIP Community Name & Community Number <br />82, County Name <br />B3. State <br />KITTITAS COUNTY 630095 <br />KITTITAS <br />Washington <br />134. Map/Panel <br />B5. Suffix <br />B6. FIRM Index <br />B7. FIRM Panel <br />B8. Flood <br />B9. Base Flood FUevation(s) <br />Number <br />Date <br />Effective/ <br />Zone(s) <br />(Zone AO, use Base Flood Depth) <br />Revised Date <br />53037C1234 <br />D <br />09-24-2021 <br />09-24-2021 <br />AE <br />2460.0' <br />1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9_ <br />❑ FIS Profile 0 FIRM (] Community Determined ❑ OtherlSource: <br />811. Indicate elevation datum used for BFE in item Bg: ❑ NGVD 1929 ❑x. NAVD 1988 ❑ OtherlSource: <br />812_ Is the building located in a Coastal•Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 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 />