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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 />OMB No. 1660-0008 <br />Explration Date: November 30,2022 <br />Copy all pages of this Elevation Cerlificate and all attachments for (1) communily ofiicial, {2) insurance agen!/company, and (3}building wner. <br />SECTION A . FROPERTY INFORMATION FOR INSURANCE COMPANY USE <br />A1, Building Owne/s Name <br />ROBERT HAZEL <br />Policy Number: <br />A2. Build.ing StreetAddress (including Apt., Unil, Suite, and/or Bldg. No.) or p.O. Route and <br />Box No. <br />14710 MANASTASH RD. <br />Company NAIC Number: <br />City State ZIP Code <br />98926ELLENSBURGWashington <br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br />TA)( PCL. f 17-17-18000-0015: LOT 5, 8OOK32 OF SURVEYS AT PAGES 81-92. <br />A4. Building Use {e.9., Residential, Non-Residenlial, Addition, Accessory, etc.) RESIDENTIAL <br />A5. Lalitude/Longitude: Lat. N 46.9629"Long. W 120.7551'Horizontal Datum: fl NAD 1927 El NAD 19s3 <br />A6. Attach at least 2 photographs of lhe building if the Cerlificate 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 ofcrawlspace or enclosure(s) 944.00 sq ft <br />b) Number of permanent food openings in the crawlspaoe or enclosure(s) with:n 1.0 foot above adjacent grade 7 <br />c) Total net area offlood openings in A8.b 1400.00 sq in <br />d) Engineered flood openings? [} V." ff po <br />A9. For a building with an attached garage: <br />a) Square footage of attached garage 764.00 sq ft <br />b) Number of permanent tlood openings in the atlached garage within 1.0 foot above adjacent grade 4 <br />c) Total net area offlood openings in A9.b 1600.00 sq in <br />d) Engineered flood openings? ffi Yes fl No <br />SECTION B- FLOOD INSURANGE RATE MAP (FIRM) INFORMATION <br />81. NFIP Community Name & Community Number <br />KITTITAS COUNry 530095 <br />82. County Name <br />KITTITAS <br />83. State <br />Washington <br />Bl. Map/Panel <br />Number <br />53037C1234 <br />85. Sufllx <br />D <br />86. FIRM lndex <br />Date <br />a9-24-202'l <br />87. FIRM Panel <br />Effective/ <br />Revised Date <br />09-24-2021 <br />B8. Flood <br />Zone(s) <br />AE <br />B9. Base Flood Elevation(s) <br />{Zone A0, usd Base Flood Depth) <br />2480.O', <br />810. lndicat€ the source ot the Base Flood Elevation (BFEi daia or base flood depth entered in ltem Bg: <br />n FIS Prolile E] FIRM fl Community Determined I Other/Source: <br />B1'1. lndlcate Blevation datum used for BFE in ltem Bg: f] NGVD 192s I NAVD 1988 [ Other/Source: <br />812. ls the building localed in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? [ Yes @ No <br />Designation Date:I CBRS f] oPA <br />FEMA Fonn 086-0-33 ('12119)Replaces all previous editions.Form Page 1 of6