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U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />Nalional Flood lnsurance Program <br />ELEVATION CERTIFICATE <br />lmporlant: Follow lha lnslruclions on pages 1-9. <br />OMB No. 1660-0008 <br />Expiraiion Dale: November 30,2022 <br />Copy all pages of thls Elevalion Certlficale and 6ll allachmenls for ('l) communlty officlal, (2) lnsurance agenUcompany, and (3) bullding owner. <br />SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE <br />A1. Building Owner's Name <br />ssHl LLc. <br />Policy Number: <br />42. Bullding Slreet Address (including Apt., Unil, Suile, and/or Bldg. No.) or P.O. Route and <br />Box No. <br />3006 Dapple Gray Way <br />Company NAIC Number: <br />City State <br />Washlngton <br />ZIP Code <br />98926Ellensburg <br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br />Division 6 Lol B, 96'1893 <br />A4. Buildlng Use (e.9., Residential, Non-Resldential, Addilion, Accessory, elc.) Residential <br />A5. Latitudo/Longitude: Lat. N47"0'l '30'81 169" Long. W120"34'41'0441'l'HorizontalDatum: I NAD 1927 E NAD 1983 <br />A6^ Atlach al least 2 photographs of the building if the Certificate is being used to obtain flood insurance. <br />A7. Building Dlagram Number 18 <br />AB. For a buildlng wlth a crawlspaoe or enclosure(s): <br />a) Squarefootageofcrawlspaceorenclosure(s) N/A sqft <br />b) Numbor of p€rmanent llood openings ln the crawlspace or enclosure(s) wllhln 1.0 foot above adjacent grade N/A <br />c) Total nel ar€a of flood openings in AB.b N/A sq ln <br />d) Engineered llood openings? n y"s El tqo <br />A9. For a building wilh an attached garage: <br />a) Square footage of atlached garage 604.00 sq fl <br />b) Number of permanent flood openlngs in lhe attached garage wilhin 1.0 foot above adjacent grade 0 <br />c) Tolal net aroa of llood oponlngs in A9,b 0.00 sq ln <br />d) Engineered llood openings? [ Yes E] tlo <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />B'1. NFIP Gommunlly Name & Communlty Number <br />KITTITAS COUNW;530095 <br />82. County Name <br />KITTITAS <br />83. State <br />Washington <br />84. Map/Panel <br />Number <br />53037C1064 <br />85. Suflix <br />D <br />86. FIRM lndex <br />Dale <br />09-24-2021 <br />87. FIRM Panel <br />Effecllve/ <br />Rovised Date <br />0s-24-2021 <br />88. Flood <br />Zono(s) <br />AE <br />89, Base Flood Elevatlon(s) <br />(Zone AO, uso Base Flood Doplh) <br />1592,9 fr <br />810. lndicale lhe source of the Base Flood Elevalion (BFE) data or base llood depth entered in ltem Bg: <br />El FIS Prollle E FIRM I Community Delsrmined I Othor/Sourco: <br />811. lndicate elevation datum used for BFE ln llem 89: f] NGVD 1929 EJ NAVD 19BB I other/$ource: <br />812, ls the bullding located in a Coaslal Barrier Resourcos System (CBRS) area or Othenryise Prolected Area (OPA)? [ Yes @ No <br />Designalion Dale: I CBRS fJ OPA <br />FEMA Form 086-0-33 (12119)Replaces all provious editions.Form Page 1 of 6