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U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emorgency Managemont Agency <br />Nallonal Flood lnsurance Program <br />ELEVATION CERTIFICATE <br />lmportant: Follow the lnstructlons on pages 1-9, <br />Copy all pages of thls Elevatlon Certlflcale and all attachments for (1) communlly offlclal, (2) lneurance agenUcompany, and (3) bulldlng owner: <br />OMB No, 1660-0008 <br />Explratlon Date: Novembsr 30, 2Q22 <br />SEGTION A - PROPERW INFORTTIATION FOR INSURANCE COMPANY USE <br />A1. Bullding Owne/s Name <br />SSHI LLC. <br />Pollcy Numben <br />42. Full{lng Street Address (lncludlng Apt., Unll, Sulle, and/or Bldg. No.) or P.O. Route and <br />8ox Nci- <br />2919 Roan Drive <br />Company NAIC Nurnber; <br />Clty Slate <br />Washlngton <br />ZIP Gode <br />98926Ellensburg <br />A3. Property Descriptlon (Lol and Block Numbere, Tax Parcel Number, Legal Descriplion, etc.) <br />Division 6 Lot 4, 961889 <br />A4. Bullding Use (e.9., Resldential, Non.Resldential, Addltion, Accessory, eto.) Resldentlal <br />A5. Latltude/Longltudo: Lat.N47'01'31.56960"Long.w120'3433.67385"HorizontalDatum: EINAD 1927 E NAD 1S83 <br />A0. Atlach at least 2 photographs of the bulldlng lf the Certlficate ls belng used lo obtraln llood lnsurance. <br />A7. Bulldlng Dlagram Number 19 <br />A8, For a bulldlng wlth a oawlspace or enclosure(s): <br />a) Square foolage of crawlspace or enclosure(s) N/A sq ft <br />b) Number of permanenl flood openings in lhe crawlspace or enclosure(s) wlthln 1.0 foot above adJacent grade N/A <br />c) Total net aroa ol flood openlngs ln A8,b NIA sq ln <br />d) Engineered flood openlngs? E yes E No <br />A9. For a buildlng with an attached garage: <br />a) Square footage of attached gange 520.00 sq ft <br />b) Number of pormanenl flood openlngs ln the attaohed garage udthln 1,0 foot above adJacent grade 0 <br />c) Total nel area of flood openlngs ln A9,b 0O0 eq ln <br />d) Engineered llood openings? L Yes E No <br />sEcTtoN B - FLOOD TNSURANCE RATE MAP (FlRm) tNFORilATtON <br />B'1. NFIP Communlty Name & Communlty Number <br />KITTITAS COUNTY; 530095 <br />82. County Name <br />KITTITAS <br />83. State <br />Washington <br />84. Map/Panel <br />Number <br />53037C1064 <br />86. Sufflx <br />D <br />86. FIRM lndex <br />Date <br />0p-24-2021 <br />87. FIRM Panel <br />Effectlve/ <br />Revised Dats <br />09-24-2021 <br />88. Flood <br />Zone(s) <br />AE <br />89, Base Flood Elevation(s) <br />(Zone AO, uoe Base Flood Deplh) <br />1597,9 fl <br />810. lndlcaia the sourco of tho Base Flood Elevatlon (BFE) data or base flood depth entered ln ltem B0: <br />@ FIS Profile E FIRM ! Communily Determined ! Ofirer/Source: <br />811. lndicate elevallon datum used for BFE ln ltem B9: n NOVD 1929 A NAVD 1988 [ CIher/Souroe: <br />B12. ls the bulldlng loceted ln a Coastal Barier Resourcoe Syst€m (CBRS) area or Othenplse Protecled Area (OPA[ [ Yes @ No <br />Designation Date:E CBRS n OPA <br />FEMA Form 086-0-33 l12l19l Replaces all prevlous edlllons,Form Page 1 ofO