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U.S. DEPARTMENT OF HOMELAND SECURITY OMB Na. 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 />Coov all Rages of this Elevation Certificate and all attachments for (1) community official, (2) Insurance agentloomperry, and (3) building owner. <br />SECTION A — PROPERTY INFORMATION <br />FOR INSURANCE COMPANY USE <br />Al Building Owner's Name <br />Policy Numbers <br />SSHI LLC. <br />A2. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and <br />Company NAIL Number; <br />Box No. <br />2911 Roan Drive <br />Cfly State ZIP Code <br />Ellensburg Washington 98926 <br />A3. Property Description {Lot and Block Numbers, 'Tax Par(*l Number, Legal Description, etc.) <br />Division a Lot 2, 961887 <br />A4, Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential <br />AS. t_afitudelLongitude: Lat. N47°01129,68532- Wng, W120`303.05814" Horizontal Datum: ❑ NAD 1927 Q NAD 1983 <br />A6. Attach at least 2 photographs of the building if the Certificate is baing used to obtain Hood insurance. <br />A7. Building Diagram Number 18 <br />A8. For a building with a cravAspacs or enclosure(s): <br />a) Square footage of crawlspaoe or enclosures) N/A sq ft <br />b) Number of permanent Hood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade WA <br />o) Total net area of flood openings in A6,b NIA sq In <br />d) Engineered flood openings? ❑ Yes Q No <br />M. For a building with an attached garage: <br />a) Square footage of attached garage 604.00 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 000 eq In <br />d) Engineered flood openings? ❑ Yes ❑x No <br />SECTION S—FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />B1. NFIP Community Name & Community Number <br />B2. County Name <br />83. State <br />KITTITAS COUNTY, 630095 <br />FMITAS <br />Washington <br />B4. Map(Panel <br />Number <br />B5. Suffix <br />B6. FIRM Index <br />Date <br />B7. FIRM Patel <br />C-ffectivW <br />88. Flood <br />Zone(s) <br />139. Base Flood Elevation(s) <br />(zone AD, use Base Flood Depth) <br />Revised Date <br />5303701064 <br />D <br />W24-2021 <br />09-24-2021 <br />Air <br />1898.1 ft <br />B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item B9: <br />[a FIS Profile [] FIRM ❑ Community Determined ❑ OtherlSource: <br />811. Indicate elevation datum used for BFE In Item B9: ❑ N©VD 1929 Q NAVD 1988 ❑ OtherlSource: <br />B12, is the building located In a Coastal Bander Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No <br />Designation Date: ❑ CBRS ❑ OPA <br />FEuIA Form 086-0-33 (12119) Replaces all previous editlons. Form Page 1 of 6 <br />