Laserfiche WebLink
U.S. DEPARTMENT OF HOMELAND SECURIry <br />Federal Emergency Management Agency <br />National Flood lnsuranoe Program <br />ELEVATION CERTIFICATE <br />lmpodanl: Follow lhe insiruotions on pages 1-9. <br />OMB No. 1660-0008 <br />Expiretlon Daie: Novembsr 30, 2022 <br />Copy all pages ol lhis Elevation Certificate and all attachments for (1) communlty otrlcial, (2) lnsurance agenUcompany, and (3) building owner <br />SEGTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE <br />A1. Bullding Owner's Name <br />ssHl LLc. <br />Policy Number: <br />A2, Bullding Street Address (inotuding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and <br />Box No. <br />3008 Dapple Gray Way <br />Company NAIG Number: <br />City <br />Elleneburg <br />State <br />Washington <br />ZIP Code <br />98920 <br />A3. Property Descrlplion (Lot and Blook Numbers, Tax Parcel Number, Legal Descrlption, eto.) <br />Divislon 6 Lot 7, 961892 <br />A4. Building Use (e.9., Resirlential, Non{esidential, Addition, Accessory, eto.) Resldenilal <br />A5. Latltudo/Longitude: Lal N47"01'31'64862" Long.W120'34'40.20136" Horizontal Datum:fl NAD {e27 E NAD {S83 <br />46. Attach at least 2 photographs of the buildlng lf the Ceriilicate ls belng used to obtaln flood lnsuranoe. <br />47. Buildlng Dlagram Number 1B <br />A8. For a building with a cralvlspace or enclosure(s): <br />a) Square footage of crawlspace or enclosure(s) N/A sq ft <br />b) Numbef of permanent llood openlngs ln the crawlspace or enclosure(s) wllhin 1.0 lool above adjaoent grade N/A <br />c) Total net area of flood openings in AB.b N/A sq in <br />d) Engineered flood openings? [ yes E t'to <br />A9. For a bulldlng with an atiached gamge: <br />a) Square footage ofatlached garage 520.00 sq ft <br />b) Number of permanent flood openings in the a(ached garage wllhln 1,0 foot above adjacent grade 0 <br />c) Total net aree of flood openings in A9.b 0,00 sq in <br />d) Engineeredfloodopenings? [Yes ENo <br />sEcTroN B -FLOOD TNSURANCE RATE MAP (F|RM) TNFORMATTON <br />81. NFIP Community Namo & Gommunity Numbor <br />KITTITAS OOUNW;530095 <br />82. County Name <br />KITTITAS <br />83. State <br />Washington <br />B4. Mao/Panel <br />Nuinber <br />53037C1064 <br />85. Sufflx <br />B <br />86. FIRM lndex <br />Date <br />os-24-2021 <br />87. FIRM Panel <br />Effecttue/ <br />Revised Date <br />w-2+2021 <br />88. Flood <br />Zone(s) <br />AE <br />89. Base Flood Elevation(s) <br />(Zone AO, use Base Flood Depth) <br />1594.2fi <br />810. lndicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in ltem B9: <br />E FIS Proflle E FIRM fl Communlty Determined I Other/Souroe: <br />811. lndicate elevation dalum used forBFE in ltem B9: ! NGVD 1929 E NAVD 1988 fl Other/Source: <br />B12. ls the building located in a Coasial Barrier Rosources System (CBRS) area or Otherwise Proteoted Area (OPA)? f] Yes fl No <br />Deslgnation Date:I cBR$ f] oPA <br />FEMA Form 086-0-33 (2/191 Replaces all previous editions.Form Pago 1 of6