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U,S. DEPARTMENT OF HOMELAND SECURIW <br />Federal Emergency Management Agency <br />Natlonal Flood lnsurance Program <br />ELEVATION CERTIFICATE <br />lmportant Follow the inslructions on pages 1-9. <br />Copy all pages of lhis Elevatlon Cerlilicate and all attachmenls for ('l) community olficlal, {2} lnsuranoe agenUcompany, and (3} bulldlng ownsr. <br />1660-0008 <br />Date: November30,2022 <br />SECNON A- PROPERTY INFORMATION FOR INSURANCE COMPANY USE <br />A1. Bulldlng owner's Name <br />ssHt LLc. <br />Pollcy Number: <br />A2. Bulldlng StreetAddress (lncludlng Apt., Unit, Suite, and/or Bldg. No.) or P,O. Route and <br />Box No. <br />3004 Dapple Gray Way <br />Company NAIC Number: <br />Clty State <br />Waehlngton <br />ZIP Code <br />98920Ellensburg <br />A3. Property Desctiptlon (Lot and Block Number, Tax Parcel Number, Legal Doscripllon, olc.) <br />Divislon 6 Lot 9,961894 <br />A4. Building Use (e.9., Residential, Non-Resldential, Additlon, Accessory, etc.) Resldentlal <br />A5, LatitudE/Longltude:Lat. N47'01'30.01248'Long.w120"34?1.85858'HorizonlalDatum: il NAD 1927 E NAD 1983 <br />46. Atlaoh at least 2 photographs of tho buildlng lf tho Cer{iflcate ls belng used lo obtaln llood lnsurancE. <br />A7. Bullding Dlagram Number 18 <br />A8. For a bulldlng wllh a orawlspace or enclosure(s): <br />a) Square footage of crawlspace or enclosure(s) N/A sq ft <br />b) Number of permanent flood openings in the crawlspace or enoloeure(s) wlthln 1.0 foot above adlaoent grade N/A <br />c) Total nel aroa olllood openlngs in A8.b N/A sq in <br />d) Englneeredfloodopenlngs? Dyee E No <br />A9. For a building with an attached garage: <br />a) Square footage ol attached garage 520.00 sq fl <br />b) Number of permansnt llood openings in the atlached garage wlthin 1.0 foot above adjacent grade 0 <br />c) Total nsl area of llood openlngs ln A9.b 0.00 sq in <br />d) Engineeredfloodoponings? flVes E No <br />sEGiloN B - FLOOD INSURANCE RATE MAP (FIRM) TNFORMATION <br />81. NFIP Communlty Name & Gommunity Number <br />KITTITAS COUNW;530095 <br />82. County Name <br />KITT'TAS <br />83. State <br />Washington <br />84. Map/Panel <br />Number <br />53037C1064 <br />86. Suffix <br />D <br />86. FIRM lndex <br />Date <br />w24.2021 <br />97. FIRM Panel <br />Effective/ <br />Rovlsed Date <br />0s-24-2021 <br />88. Flood <br />Zone(s) <br />AE <br />B9. Base Flood Elevatlon(s) <br />(Zone AO, use Base Pl6od Depth) <br />1592.4ft <br />B{0, lndioate lhe sourco of the Base Flood Elevatlon (BFE) data or base flood depth entered in ltem 89: <br />@ FIS Prollle E fnu flcommunlty DEtermlned [ CIher/Source: <br />B11. lndbare etevalion datum used lor BFE in lletn 99: fl NGVD 1929 EI NAVD 1S88 f| Orher/Source: <br />812. ls the bulldlng localed ln a Coastal Barrler Resources System (CBRS) area or Olhenyiee Prolsotod Area (OPA)? ! Yes @ No <br />Designatlon Datel E 0BRS E oPA <br />FEMA Form 086-0-39 (12119)Replaoes all pravloue edltlons.FormPagel of0