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U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />National Flood lnsurance Program <br />ELEVATION CERTIFICATE <br />IMPORTANT: MUST FOLLOWTHE INSTRUGTIONS ON PAGES 949 <br />all es of thls Elevatlon Certilioate and all attaohments lor lnsurance <br />OMB Conlrol No. 16A0-0008 <br />Expkatlon Dnlo: 08i30/2026 <br />and owner <br />FOR INSURANGE COMPANY USE <br />41. BuildingOwne/s Name: SSHI LLC Polioy Number: <br />A2. Buitding StreetAddress (includlng Apt, Unit, Sulte, and/or Bldg. No.) or P.O. Route and Box <br />No.:3ggg Daoole Grav Wav <br />Company NAIC Number: _ <br />ctty: Ellensburg Stater WA ZIP code: 98926 <br />A3. Property DesoripLion {e.9,, Lot and Block Numbers or Legal Descrlption) and/or Tax Parcel Number: <br />Division 7 Lol2 9621 18 <br />44. Building Use (e.g., Residentlal, Non-ResHenlial, Addltion, Accessory, etc,):Residantial <br />A6. Lalitude/Longitude;Lat. N47'01'34.12'Long. W120"34'39.97" Horizontal Datum: fl NAD 1927 EINAo 1eB3 fJwcss4 <br />A6. Altach at least two and when posslble four clear photographs (one for each side) of lhe buildlng (see Form pages 7 and B). <br />A7. Building Diagram Number: 1B . . <br />A8. For a bulldlng with a crawlspace or enclosure(s): <br />a) Sguare footage of crawlspace or enclosure(s):$q. fl, <br />b) ls lhere at leasl one pormanenl flood opening on two different sides of each enclosed area? [ Yee I No E NIA <br />c) Enter numbor of perrnanenl flood openings ln the crawlspace or enclosure(s) withln 1.0 foot above adJaoent grade: <br />Non-engineered flood openings; A//* Englneered llood openingst ,l t /A <br />d) Total net open area of non-engineered flood openlngs in AB.c: A) /lJ. sq, in, <br />e) T6tal rated aroa of engineorsd flood openlngs in A8.c (atlach documenlalion - see lnstructions): N /t4 sq. ft. <br />f) Sum of AB,d and AB.e raled area (if applioable - see lnstructions):. . . *1V14" . sq. ff. <br />A9. For a buildtng wilh an altaohed garage; <br />a) Square footage of attached garage:603.00 sq. ft. <br />b) ls there at least one pormanent flood openlng on two different sldes of lhe altached garage? [ Yee [] No - N/A <br />c) Enternumberof permanenl llood openings in the <br />flood openingst lJ ,rlf-___f_1_ <br />atlached garaoo within 1.0 fool above adjacent grade: <br />openingsr lr+Non-engineered Engineered llood <br />d) Total net open area of non-ongineered flood openings in A9.o: <br />^) <br />/*sq, ln. <br />e) Total rated area of engineered flood openings in A9.o (altach documenlation * see lnstructions),r/t*sq.tt. <br />f) Sum of A9.d and A9.e ralod area (if applicable - see lnslructions);sq. ft. <br />83. Stde: WA 84. Map/Panet No.: 53037G1064, 85. Suffin D <br />B10, lndicate {he source of the BFE dala or Base Flood Depth enter€d in ltem Bg: <br />E FIS I FIRM [Communlty Determlned I Other: <br />811, lndlcate elevalion datum used for BFE ln ltem B9: tl NGVD 1929 EINAVD 1988 [ Olher/Source: <br />812. ls the bulldlng located ln a Coastal Banler Resources System (CBRS) area or Olhoruise Protected Area (OPA)? ! Yes [J No <br />813. ls the buildlng locat€d seaward of the Llmit of Moderate Wave Action (LIMWA)? fl Yes I No <br />87. FIRM Panel EffectivelRov{sed Dale: 0912412021 <br />89. Base Flood Elevation(o) (BFE) (Zone AO, use Base Flood Depth)l 1595.5 <br />82. County Name:KITTITAS <br />81.a. NFIP Community Name:KITTITAS COUNTY 81.b, NFIP Communlty ldenllflcallon Number: 530095 <br />86. FIRM lndex Date: 09124t2021 <br />88. Flood Zone(s); AE <br />Designation Date:ncBRs noPA <br />FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22)Pege 2 of 19