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U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />Nalional Flood lnsurance Program <br />ELEVATION CERTIFICATE <br />lmportantl Follow the instructions on pages 1-9, <br />OMB No. 1660"0008 <br />Explratlon Date: November 30,2022 <br />Copy all pages of thle Elevatlon Certificate and all attachments for (1) comrnunl(y offlcial, (2) insurance agenUcompany, and (3) bullding owner, <br />SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE <br />41. Building Owner's Name <br />ssl-il LLc <br />Policy Number <br />A2, Euilding Slreet Address (includlng Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and <br />Box No. <br />300$ Dapple Gray Way <br />Company NAIC Number: <br />City Stals <br />Washlngton <br />ZIP Code <br />98926Ellensburg <br />A3. Property Description (Lot and Block Numbsrs, Tax Parcel Number, Legal Description, eto.) <br />Divislon 7 Lot 4, 962120 <br />A4. Building Use {e.9., Resldential, Non-Residential, Addition, Accessory. etc.) Residential <br />A5. Lalitude/Longltude: Lat:N47'01'32'42590" Long.W120"34'41.74535"HorizonlalDatum: I NAD 1927 E NAO 1983 <br />46. Attach at least 2 pholographs of lhe bullding lf lhe Certiftcate is being used to oblaln flood insurance. <br />A7. Building Diagrarn Number 18 <br />A8. For a building with a crawlspace or enc{osure(s): <br />a) Square footage of crawlspace or enclosure(s) N/A sq fl <br />b) Number of permanent flood openings in lhe crawlspace or enclosure(s) wlthin '1.0 foot above adlacent grade N/A <br />c) Total net area of llood openlngs in A8.b N/A sq in <br />d) Engineered llood openings? flVes El t{o <br />A9. For a buildlng wlth an atlached garage: <br />a) Square foolage of altached garage 604.00 sq ft <br />b) Number of permanenl flood openings in lhe altached garage within 1.0 fool above adjacent grade 0 <br />c) Tolal net area of llood openlngs in A9.b 0.00 sq in <br />d) Engineered llood openings? ! Yes El No <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM} INFORMATION <br />81. NFIP Community Name & Community Number <br />KITTITAS COUNTY; 530095 <br />82. County Name <br />KITTITAS <br />83. State <br />Washington <br />84. MaplPanel <br />Number <br />53037C1064 <br />85. $uffix <br />o <br />86. FIRM lndex <br />Date <br />09-24-2021. <br />87. FIRM Panel <br />Efi€ctive/ <br />Revised Daie <br />09-24-202',1 <br />88. Flood <br />Zone(s) <br />AE <br />89, Base Flood Elevation(s) <br />(Zone AO, use Ba$e Flood Deplh) <br />1593.3 <br />B10. lndicate lhe source of the Base Flood Elevation (BFE) data or base flood depth ontered in ltem Bg: <br />@ FIS Profile I FIRM fl Communlg Determlned I Other/Source: <br />B'11. lndicate elevation datum used lor BFE ln ltem 89: f] NGVD 1929 E NAVD 198s I Othor/Sourcer <br />812. ls lhe building located ln a Coaslal Barrier Resources System (CBRS) area or Othenruise Protected Area (OPA)? fl Yes El No <br />Deslsnation Date: fl CBR$ fl OPA <br />FEMA Form 086-0-33 (12115)Replaces all prevlous edltlons.Form Page 1 of 6