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U.S. DEPARTMENT OF HOMELAND SECURITY OMB No.1660-00p8 <br />Federal Emergency Management Agency Expiratlon Date, November 30, 2022 <br />National Flood Insurance Program <br />ELEVATION CERTIFICATE <br />Important: Follow the instmolions on pages 1-2. <br />Copy all pages of this Elevatlon Certificate and all attachments for (1) community of vial, (2) insurance agenticomparry, and (3) budding owner. <br />SECTION A — PROPERTY INFORMATION <br />FOR INSURANCE COMPANY USE <br />Al. Building Owner's Name <br />Policy Number: <br />SSHI LLC. <br />A2. Building Street Address Oncluding Apt., Urdt, Suite, andlor Bldg. No.) or P.O. Route and <br />Company NAIC Number: <br />Box No. <br />3010 Dapple Gray Way <br />City State 21P Code <br />Ellensburg Washington 98926 <br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br />Division 8 Lot 8, 961891 <br />A4, Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential <br />A5. LatitudelLongitude: Lat. N47901`62.69399" Long. W12D"3418,80056" Hodwntal Datum: ❑ NAD 1927 0 NAD 1983 <br />A6. Attach at least 2 photographs of the building N the Certificate is being used to obtain flood insurance. <br />A7. Su6ding Diagram Number 1 B <br />AS. For a building with a csawlspace or enclosure(s): <br />a) Square footage of crawispace or enclosure(s) NIA sq ft <br />b) Number of permanent flood openings in the emwlspace or enclosure(s) within 1.0 foot above adjacent grade NA <br />c) Total net area of flood openings In A8.b NIA sq In <br />d) Engineered flood openings? ❑ Yes 0 No <br />A9. For a building with an attached garage: <br />a) Square footage of attached garage 52000 sq ft <br />b) Number of permanent flood openings in the attached garage within 10 foot above adjacent grade 0 <br />c) Total net area of flood openings In A9.b 000 sq in <br />d) Engineered flood openings? ❑ Yea M No <br />SECTION 8 — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />B1. NFIP Community Name d, Community Number <br />B2. County Name <br />B3. State <br />KITTITAS COUNTY, 630095 <br />KITTITAS <br />Washington <br />S4. MaWanal <br />B5. Suffix <br />S6. FIRM Index <br />137. FIRM Panel <br />BS. Flood <br />B9. Base Flood Elevalion(s) <br />Number <br />Date <br />Effeclivvel <br />Zone(s) <br />(Zone AO, use Base Flood Depth) <br />Revised Date <br />63037CIO04 <br />D <br />09-24 2021 <br />09-24-2021 <br />AE <br />1595.5 It <br />1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item S9: <br />Q FIS Profile ❑ FIRM ❑ Community Determined ❑ OtherlSource: <br />B11. Indicate elevation datum used for BFE In Item sag: ❑ NGVD 1929 0 NAVD 1988 ❑ OtherlSouroe: <br />812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Q No <br />Designation Date: ❑ CBRS ❑ OPA <br />FEMA Form 086-0-33 (12119) Replaces all previous edfllons. Form Page 1 of 6 <br />