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U.S. DEPARTMENT OF HOMELAND SECURITY OMB No.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 />Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) Insurance agent/company, and (3) building 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 (including Apl., Unit, Suite, and/or Bldg. No.) or P.O. Route and <br />Company NAIC Number: <br />Box No. <br />3006 Dapple Gray Way <br />City State ZIP Code <br />Ellensburg Washington 98926 <br />A3. Property Description (Lot and Black Numbers, Tax Parcel Number, Legal Description, etc.) <br />Division 6 Lot 8, 961893 <br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential <br />A5. Lafitude/Longilude: LaL N47°01'30.81169" Long, W120'3441.0441 V 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 Hood Insurance. <br />A7. Building Diagram Number 'I B <br />A8. For a building with a crawlspace or endosure(s): <br />a) Square footage of crawlspace or enclosure(s) N/A sq It <br />b) Number of permanent flood openings in the crawispece or anclosure(s) within 1.0 foot above adjacent grade <br />c) Total net area of flood openings in A8.b NIA sq in <br />d) Engineered flood openings? ❑ Yes Q No <br />A9. For a building with an attached garage: <br />a) Square footage of attached garage 604.00 sq fl <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 sq in <br />d) Engineered flood openings? ❑ Yes ❑x No <br />SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />Bl. NFIP Community Name S Community Number <br />B2. County Name <br />B3. State <br />KITTITAS COUNTY; 530095 <br />KITTITAS <br />Washington <br />B4. 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 />Fffectw <br />Zone(s) <br />(Zone AO, use Base Flood Depth) <br />Revised Bate <br />53037C1064 <br />D <br />09-24-2021 <br />09-24-2021 <br />AE <br />1592.9 fl <br />810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89: <br />❑x FIS Profile ❑ FIRM [] Community Determined ❑ Other/Source: <br />811. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 al NAVO 1988 ❑ OtherlSource: <br />B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 0 No <br />Designation Dale: 0 CBRS [] OPA <br />FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 1 of 6 <br />