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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 FOLLOW THE |NSTRUCT|ONS ON PAGES <br />all of lhls Elevatlon Gerllficate and all attachmenls for <br />OMB Conhol No. t660.000S <br />Fxpkallon Dale; 06/9012026 <br />9.19 <br />lnsurance and bulld ownsr. <br />FOR INSURANCE COMPANY USE <br />Pollcy Number: <br />CompanyNA|C Number:_- <br />A1. BulldingOwne/s Name: SSHILLC <br />A2, Buildlng slrset Address (indudlng Apt., unlt, sutte, and/or Bldg" No.) or p.o. Routo and Box <br />No.:29'13 Dapple Gray Wav <br />Cllv: Ellcnsburo Stale: WA Zlp Code: 98926 <br />A3, Property Descrlptlon (e.g,, Lot and Block Numbsrs or Logal Descrlptlon) aM/or'l'ax Parcel Numbor: <br />Divislon 7 Lol 9,962125 <br />A4. Bullding use (e,g., Resldential, Non-Resldenllal, Addltlon, Accessory, atc.)i Resldential <br />A5, Latitude/Longlltrde: 1at.N47"0127.57'Long. W129.'- 4 46.88" Hortzonlal Dalurn: I NAD 1927 E NAD ls8g [J WGS B4 <br />46' Altaoh at leasl lwo and when posslble four clest photographs (one for each side) of the buildlng (sce Form pagas 7 anrt B), <br />A7. Building 0iagram Numbsr: 1El <br />AB. For a building wlth a crawlspaco or anclnsure(s): <br />a) Square foolage of orawlspaco or enc{osuro(e):sq.tt. <br />b) ls thero al leasl one pennanont flood opening on two difforont sides of each enclosed area? [ yes I No m N/A <br />c) Entet number of perrnansnt llood oponlngs ln lho crawlspaco or enclosur6(s) wllhln 1.0 loot above adJaconl gredo: <br />Non-onglneered ftood opentngsi j4 /t:_ Engtnoorod ftood openlngs, lV/tr <br />d) Tolal nel open area of non-englneered flood oponlrps in Ag,c: N /F- "q.in.e) Total ralod area of engineered llood oponings ln AB.c (atlach documsnlalion - see lnslrucllons): <br />f) Sum of A8,d and AB.o ralod aroa (if appllcable * see lnslructions)r N//Y sq. ft, <br />///r sq.lt, <br />lnslnrctlons): _1rl &_ to. o. <br />6q.tt. <br />A9, For a bulldlng wllh an allach€d garagel <br />a) Square foolago of allached garage:451.00 sq. lt. <br />b) ls lhere al lessl one permanent flood openlng on two difforent stds$ of the altached garage? flyos IEJ No n N/A <br />c) Enler number of perrnanent llood oponlngs ln the altached gerege wilhin 1.0 fool ebovo adiaconl orads: <br />Non-engineered flood openings; il ,{k Englnoered flood openings | _N.J/F_ <br />d) Totelnelopenaroaofnon-englneeredfloodopenlngsinAg.c: AJ,/t -sq.ln. <br />e) Total raled area of enginoercd llood openlngs ln Ag,c (attach documenlafion * soo <br />Q Sum of A9.d and Ag.o ralod area (lf appllcable - seo lnslrucilons):/v/A- <br />810' lndlcate lhe sourco of the BFE date or Bos€ Flood Depth enlered ln llsm Bg: <br />FJ FIS n flRM flCornmunlty Determtned I Orhor: <br />811' lndlcete elovalion dalum used lor BFE in llsm B9: fl NGVD lg2g El NAV0 lSsS il other8ourco: <br />812' ls lhe building located ln e Coastai Barrlsr Resources Syslem (cBR$) aroa or Olherwise protectod Area <br />81.b. NFIP Communlty ldenllllcailon Number S300Ss <br />86. Sufflx: D <br />86. FIRM lndex Dato: 0512412021 87, FIRM Panel Efl scllve/Revlsed O ate: 09 124 I 2021 <br />83, $lalo:WA 84. Map/Panel No,: 53037C1084 <br />CBRS OPAll <br />89, Base Flood Elevatlon(s) (BFE) (Zone AO, use Baso Flood Depth):1587.O <br />(oP )? flyes fi No <br />Designalion Dale; <br />813, ls lhe bulldlng located eeaward of the Llmit of Modsralo Wavo Aollon Yes No <br />81.a, NFIP Communlty Name:KITTITAS COUNTy <br />82. County Name;KITTITAS <br />BB. Flood Zone(s): AE <br />FEMA Form FF-20A"FY-22-152 (formerty 0B6,0"9A) (1otZZ)Page 2 of 19