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U.S. DEPARTMENT OF HOMELAND SECURITY OMB No.1660-0008 <br />Federal Emergency Management Agency Expiration Data: November 30, 2022 <br />National Flood Insurance Program <br />ELEVATION CERTIFICATE <br />Important: Fallow the instructions on pages 1 9, <br />Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) Insurance agerWoompany, and (3) building owner. <br />SECTION A- PROPERTY INFORMATION <br />FOR INSURANCE COMPANY USE <br />Al. Building Owner's Name <br />Policy Number. <br />SSHt LLC. <br />A2. Building Street Address (Including Apt., UnN. Suite, and/or Bldg. No.) or P.O. Route and <br />Company NAIL Number: <br />Box No. <br />2919 Roan Drive <br />City State ZIP Code <br />Ellensburg Washington 98928 <br />A3, Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br />Division 6 Lot 4, 961889 <br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential <br />A5. Latitude/Longitude: Lat. N47.01W.W960" Long,W120°34W.6738W Horizontal datum: ❑ NAD 1927 ❑x NAD 1983 <br />A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. <br />A7. Building Diagram Number I <br />A8. For a building wlfh a omwlspace or enclosure(s): <br />a) Square footage of crawlspaoe or enclosure(s) N/A sq It <br />b) Number of permanent flood openings In the crawlspaco or enclosures) within 1.0 foot above adjacent grade NIA <br />c) Total not area of flood openings In AB,b NIA sq In <br />d) Engineered fiaad openings? ❑ Yes ❑x No <br />A9. For a building with an attached garage: <br />a) Square footage of attached garage 520.00 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 0.00 aq In <br />d) Engineered flood openings? ❑ Yes ❑x No <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />B1. NFIP Community Name & Community Number <br />B2. County Name <br />83. State <br />IQTTITAS COUNTY; 630096 <br />KITTITAS <br />Washington <br />84. 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 />Effective/ <br />Zone(s) <br />(Zone AO, use Base Fl6od Depth) <br />Revised Date <br />63037CIO64 <br />D <br />09 24-2021 <br />09-24.2021 <br />AE <br />1697.9 fi <br />B10, Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In item B9: <br />❑x FIS Profile ❑ FIRM ❑ Community Determined [3 Other/Source: <br />1311. Indicate elevation datum used for BFE In Item 139: ❑ Nr3VD 1929 x] NAVD 1988 ❑ Other/Souroe: <br />B12. Is the building looted in a Coastal Barrier Resources System (CBRS) area of Otherwise Protected Area (OPA)? ❑ Yes 0 No <br />Designation Date: ❑ CBRS ❑ OPA <br />FEMA Form 088-0-33 (12H9) Replaces all previous editions. Form Page 1 of 6 <br />