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U.S, DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />Natlonal Flood lnsurance Program <br />ELEVATION CERTIFICATE <br />IMPORTANT: MU$T FOLLOW THE TNSTRUCTTONS oN pAGEs s.t9 <br />all of thls Elevatlon Cerilltcate and all auachmenls for ofliclal lnsurance <br />oMts Control No. 1$60-0008 <br />Etpk6Uon Dato; 0€/30i2026 <br />and owner, <br />FOR INSURANCE COMPANY USE <br />Company NAIC Numbor: * <br />Policy Number41. Buildins Owne/s Name: SSHI LLC <br />A2. Bulldlng SVeet Address (lncludlng Apt., Unit, Suito, ond/or Bldg. No.) or P.O. Route and Box <br />No.:2911 Dapple Gray Way <br />Cily:Ellensbur0 WA ZIp Co<te: g8926 <br />A3. Proporty Descriplion (e.9,, Lot and Block Numtlere or Legal Dcscriplion) and/or Tax psrcel Number: <br />Division 7 Lol 10, 962126 <br />Stale: <br />A4. Bulldlng Use (e,9., Residenlial, Non-Residential, Addition, Accessory, etc.): Resldential <br />A5. Latitude/Longllude: Lat. N47"0'1'34-9'!58{ Long.W120"34'37.04 HorizontatDatum: fJNAD 1927 ENAO 10Bg ll Wcs s4 <br />A6. Attach al leasl two end when posslble four clear pholographs (one for each slde) of the bulldlng (aee Form pages 7 and B). <br />47. Bulldlng Dlagram Number; 1B <br />AB. For a bulldlng wilh a crawlspace or enclosure(s); <br />a) $quare footago of crawlspace or enclosure(s): N /ft sq, ft. <br />b) ls lhore al lsast one permanenl llood openlng on two different sldes of each cnclosod area? f] yes [J No I N/A <br />c) Entor number of permanenl flood openlrtgs ln lhe crawlspaoe or enclosuro(s) within 1"0 fool ebove adJaconl grado: <br />Non-onglnoorod llood openlng s: AlfLl. Engineered llood openings | . /U /* <br />d) Tolal nol ope n area of non-snglneered flood openings ln AB.c: J/i-__sa. in. <br />e) Tolal rsled area ol engineered flood openlngs in A8,c (ottach documenlallon * see lnstruotio ns1: /U/t ,- .. sq, ft. <br />0 Sum of AB,d and AB,e raled area (il applicabto - sso lnslructlonqt . N f /T ._ aq. fl. <br />A9, For a bullding with an atlached gar6g€: <br />a) $quare foolage ol atlachod garage 604,00 sq. fl. <br />b) ls there et loa$t on€ permanenl flood openlng on two dlfferent sides of ths ailached garage? ft yes [f No f] N/A <br />c) Enlor number of perrnanent llood oponlngs in lhe aiiachsd garage wllhln 1.0 foot above adlacent grade: <br />Non-engineered flood openings: -A/^_/k_ Engineored lloorl openlngs: ,il/ A- <br />d) Tolal nel open area of non-enginoorod llood openlngs ln Ag.c: /// * W.tn. <br />e) Tolal faled area of engineered flood openlngs ln Ag.c (atlach documenlalion - see lnstruclions): *-_,1V 1!F a9. tt. <br />f) Sum of A9,d and Ag.o ratcd aroa {tf appllcable - see Instrucllons): ___Nl &* sq.n. <br />89. Base Flood Flsvation(s) (BFE) (Zone AO, use Base Flood Dopth); 1SBS.9 <br />B10. lndlcale lhe source of the BFE dala or Bese Flood Deplh enlered ln ltern Bg; <br />E FIS D FIRM n Communtty Determlned l_JOther; <br />B'l 1. lndlcate elevallon delum used for BFE in ttem B0: I ttcvo 1929 E NAVD 19Bg fJ Olher/Source; <br />nler Resourc€s syslem (CBRS) area or olherwiso proleclocJ Area (opA)? [ yes @ No <br />[_] cBRs u oPA <br />81.b. NFIP Communlly ldsntificailon Number; 53009s <br />87. FIRM Panel Effoctlvo/Rovlsed Date: 09124 I 2O21 <br />83. StatsWA <br />81.a. NFIP Community Name: KITTITAS COUNTY <br />84. Map/Panet No.: 53037C1064 Bf, Sufftx; D <br />Yes No <br />82. County Name: KITTITAS <br />88. FIRM lndex Daio: 0512412021 <br />88. Flood Zone(e)l AE <br />B1S, ls the looaled soaward of lhe Llmlt of Modsrate Wavo Aclion <br />812. ls the bulldlng located in a Coastel Ba <br />Doslgnallon Dale: <br />FEMA Form FF-206-FY-22-152 (formerly 086-0.93) (10/22)Page 2 ol 19