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U.S, DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />National Flood lnsurance Program <br />ELEVATION GERTIFICATE <br />IMPORTANTT MUST FOLLOWTHE INSTRUCTIONS ON PAcEs s4s <br />all of thls Elevatlon Certifloate and all attachments lor official,lnsurance <br />OMB Control No. 1680-0008 <br />Explralion Dalo: 06/30/?026 <br />and owner, <br />FOR INSUR.ANGE COMPANY USE <br />A1. Building Owner's Name: SSHI LLC Pollcy Number: <br />42. Bulldlng Street Address (including Apt,, Unit, Suite, and/or Bldg. No.) or P.O. Routo and Box <br />No.:3993 Dapole Grav Wav <br />Company NAIC Number: ,' <br />Gltyr Ellensburg $tale: WA ZIP Gode: 98926 <br />A3. Property Description (e.9., Lot and Block Numbers or Legal Desoription) and/or Tax Parcel Number: <br />Division 7 Lot 5, 962121 <br />44. Bullding Use (e.9., Residential, Non-Residenlial, Addiiion, Accessory, eto,); Residential <br />A5. Latltude/Long Itude: Lat, N47'01'31.69'Lon9.W120"3442,64" Horizontat Datum: I NAD 1927 E NAD 1e83 [ WGS 84 <br />46, Attach at least two and when possible four clear photographs (one for each slde) of the bulldlng (see Form pages 7 and 8). <br />A7, Bulldlng Dlagram Number: 18 <br />AB, For a buildlng wlth a crawlspace or enclosure(s): <br />a) Squarefootageofcraw'spaceorencloeure(s): N /ft s1,n <br />b) ls there at leasl one permanent flood openlng on two different sides of each enclosed area? f] Yes I No E N/A <br />o) Enler number of permanent llood openings ln lhe crawlspace or enclosure(s) wilhln 'l .0 foot abovs adJacent grade: <br />Non-englneered flood openlngs: t//A Englneered llood openings: N/r+ <br />d) Total nel open ar€a of non-englneered tlood openings ln AB.o: N /,t .. , "q. <br />ln. <br />e) Totel rated area of engineered llood openings in AB.c (attach documentalion - see lnstruclio nsl: /1//4 sq.tt. <br />0 Sum of As.d and AB.e rated area (if applicable * see lnstrucllons): tV f + sq. fl. <br />A9. For a buildlng with an altached garage: <br />a) Square footage of attached garage:603.00 sq. ft <br />b) ls there at least one permanent llood opening on two different sides of the altached garage? ! Yes [] No I N/A <br />c) Enter number of pennanent flood openings in the altached garage wlthln 1.0 foot above adjacent grade: <br />Non-engineered0oodopenings U1.# Englneeredfloodoponingsl N1,4- <br />d) Total net open area of non-englneered flood openings in A9.c: /y7+ sq. in. <br />e) Total rated aree of engineered flood openings in A9.c (attach documentation - see lnslrucllons):lU /* sq.ft, <br />Q Sum of A9.d and A9.e rated area (if appllcable - see lnslruollons): il/* sq.R. <br />81,a. NFIP Community Name:KITTITAS COUNTY 81.b. NFIP Communily ldentif ioation Numben 530095 <br />82, Gounty Name:KITTITAS 83, Statel WA 84. Map/Panel No.: 53037C1064 85. Suffix: D <br />86, FIRM lndexDale: 0912412021 87. FIRM Panel Effective/Revised Dale: 0912412021 <br />BB, Flood Zone(s); AE 89. Base Flood Elevalion{s) (BFE) (Zono AO, use Baee Flood Depth):1591.6 <br />810. lndloate the source of lhe BFE data or Base Flood Depth entered in ltem 89: <br />E FlS n FIRM flCommunity Determined I other; <br />811. lndlcale elevalion datum used for BFE ln ltem B9: I NGVD 1S29 E NAVD 1988 n Oher/Souroe: <br />B12. ls the bulldlng located ln a Goastal Banler Resources $ystem (CBRS) area or Otherwise Prolected Area (OPA)? [ Yes fl No <br />Deslgnation Date:EcBRs floPA <br />813. te the building located seaward of the Limit of Moderale Wave Action (LiMWA)? fl Yes I No <br />FEMA Forn FF-206-FY-22-162 (formerly 086-0-33) (10122,Page 2 of 19