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U.S. DEPARTMENT OF HOMELAND SECURIW <br />Federal Emergency Management Agency <br />Nallonal Flood lnsurance Program <br />ELEVATION CERTIFICATE <br />lmportanfi Follow lhe lnstruotlons on pages 1-9. <br />OMB No. 1660-0008 <br />Exphatlon Date: November 30, 2022 <br />Oopy all pages of thls Elevation Ceilifrcate and allattachmenle for (1) communi$ ofllolal, (2) lnsurance agenUcompany, and (3) bullding owner. <br />SECTION A - PROPERTY INFORMATION FOR INSUMNCE COMPANY USE <br />A1. Bulldlng Owne/s Name <br />SSHI LLC. <br />Polloy Number: <br />A2. pulldlng Streel Address (lnduding Apt., Unit, Sulle, and/or Bldg. No,) or P.O, Routo and <br />Box No. <br />2916 Roan Drlve <br />Company NAIC Number: <br />Clty State <br />Washington <br />ZIP Code <br />98926Ellensburg <br />A3. Property Desolption (Lot and Block Numbels, Tax Parcel Number, Logal Descriplion, ete) <br />Dlvision 6 Lot 3, 98'1888 . <br />A4. Bulldlng Use (e.9,, Resldentlal, Non-Resldenllal, Addition, Accessory, etc.) Resldentlal <br />A5. Latitude/Longitudoi Lat. N47'01'30.40067"Long.Wl 20"3433.83831 "HorlzontalDatum: fl NAD 1027 E NAD 1983 <br />A6. Allach at least 2 photographs of the building if lhe Certilicate is belng used to obtain llood insurance. <br />A7. Building Diagram Number 18 <br />A8. For a bulldlng with a crawlspaco or onclosure(s): <br />a) Squarefootageofcrawlspaceorenclosure(s) N1A sqft <br />b) Number of permanent llood openlngs ln the orawlspace or enclosure(s) withln 1.0 fool above adjacent grade N/A <br />c) Total net area olflood openings in A8.b N/A sq ln <br />d) Englneered l}cod openings? f] yes El tto <br />A9. For a bulldlng with an allached garage: <br />a) Square footage ol attached garage 520.00 sq ft <br />b) Number of permanent llood openlngs ln the atlached garage wllhln 1.0 foot above adjacent grade 0 <br />c) Total nel area ol flood oponlngs in Ag.b 0,00 sq in <br />d) Engineeredfioodopenings? [ Yes E No <br />sEcTloN B- FLOOD INSURANCE RATE MAP (FlRIttl INFORMATION <br />81. NFIP Gommunity Name & Community Number <br />KITTITAS COUNW; 530095 <br />82. County Name <br />KITTITAS <br />83. State <br />Waehlngton <br />84. Map/Panel <br />Number <br />53037C1064 <br />85. Suflix <br />D <br />86. FIRM lndex <br />Date <br />0s-24-2021 <br />87. FIRM Panel <br />Efiecllve/ <br />Revlsed Date <br />os-24-2021 <br />88. Flood <br />Zone(e) <br />AE <br />B9. Base Flood Elevatlon(s) <br />(Zone AO, uee Base Flood Depth) <br />1598.1 ft <br />810. lndicate lhe source of the Baee Flood Elevation (BFE) data or base flood depth eniered ln ltem 89: <br />El FIS Prollle I FIRM E Community Determined E Other/Source: <br />B11. lndlcate elevatlon datum usad for BFE ln ltern B9: f] NGVD 1929 E NAVD 1988 n Oher/source: <br />Bl2. ls the building located in a Coaslal Barrier Resourc,es System (CBRS) area or Otherwlse Proteoted Area (OPA)? ! Yes @ No <br />Deslgnatlon Date:E cBRS E oPA <br />FEMA Form 086-0-33 (419)Replaces all previous editions.Form Page 1 ofG