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U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 I Federal Emergency Management Agency B8. Flood B9. Base Flood Elevation(s) (Zone Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. Effective/Revised Date t4 SECTION A - PROPERTY INFORMATION 1400 For Insurance Company Use • Al. Building Owner's Name SEPTEMBER 16, 1988 AE ,�Pdlcy Number r Ann Kostry Trust A2. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIL Number 14-4712 ALAPAKI LANE City state ZIP Code PAHOA HI 96778 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 19.49955 Long. -154.81994 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is. being used to obtain flood Insurance. AT Building Diagram Number B A8. For a building with a crawlspace or enclosure(s):Ag. For a building with an attached garage: a) Square footage of crewispace or enclosures) sqft a) Square footage of attached garage sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings In the attached garage enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq In c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. NFIP Community Name 8 Community Number 82. County Name B3. State HAWAII COUNTY -159168 1 HAWAII COUNTY I HAWAII B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) 1 1 AO, use base flood depth) 1400 C APR 02, 2004 SEPTEMBER 16, 1988 AE 15.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89. x❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: liconstruction Drawings' ❑ Building Under Construction' Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones At -A30, AE, AH, A (with BFE), VE, VI 430. V (with BFE), AR, ARIA, ARAE, AR/A1-A30, ARIAH, ARIAD. Complete Items C2.a-h below according to the building diagram specified in Item A7. Us the same datum as the BFE. �1 Benchmark UtfOzed U 5 Ci 15 Ilii ) j�j Vertical Datum H t 44 i j .VQ y- r4 T (A Conversion/Comments Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) Z 0 -06 8 feet El meters (Puerto Rico only) b) Top of the next higher floor na._ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) _ A _❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) M jam._❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 2-0 .J0Bx❑ feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) S . El feet ❑ meters (Puerto Rim only) g) Highest adjacent (finished) grade next to building (HAG) x❑ feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, Including 6.18 ❑ feet ❑ meters (Puerto Rim only) structural support SECTION D - SURVEYOR. ENGINEER. OR ARCHITECT CERTIFICATION This certlflcaaon is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certity eleven information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ❑ Check here If comments are provided on back of form. Were latitude and longitudein ction A provided by a licensed land surveyor? Yes ❑ No FEMA F6rm 81-31. Mar 09 reverse side for C. sMF� O LIC., Q ENSED 9 PROFESSCo IONAL * ARCHITECT' No. 3560 y��:4li, USP Replaces all previous