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1-4-011:024
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Date
1/13/2012
Type
Elevation Certificate
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U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />National Flood Insurance Program <br />ELEVATION CERTIFICATE <br />Important: Read the instructions on pages 1-9. <br />OMB No. 1660-0008 <br />Expires March 31, 2012 <br />SECTION A - PROPERTY INFORMATION rdr"lneismrwsl' <br />Building Ownees Name Ronald D. Sokko Policy umber,, <br />. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company h1A1C NurrrbI <br />144717 Llkelike Ln. ;f <br />CRY Police State HI ZIP Code 96778 <br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br />TMK(3)14-011: 024 <br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Reeldentlel <br />A5. Latitude/Longitude: Let. 19430'04.64"N Long. 15049'05.08"W Horizontal Datum: ❑ NAD 1927 ® NAD 1983 <br />A8. Attach at least 2 photographs of the building R the Certificate is being used to obtain flood insurance. <br />A7. Building Diagram Number Z <br />A8. For a building with a crewlspaoe or enclosure(s): A9. For a building with an attached garage: <br />a) Square footage of crawlspeoe or enclosures) 0111 eq It a) Square footage of attached garage aq It <br />b) No. of permanent flood opening$ in the crawlspaoe or b) No. of permanent flood openings in the attached garage <br />enclosure(s) within 1.0 foot above adjacent grade 2 within 1.0 foot above adjacent grade <br />c) Total net area of flood openings In A8.b 2 aq In c) Total net area of flood openings In A9.b _ sq In <br />d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ❑ No <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />Bt. NFIP Community Name 8 Community Number 82. County Name 83. State <br />Hawali County 155106 1 Hawall County I Hawaii <br />B4. Mep!Panel Number <br />85. Sufibr <br />88. FIRM Index <br />87. FIRM Panel <br />88. Flood <br />89. Base Flood Elevellon(s) (Zone <br />155188 1400 <br />C <br />Date <br />1 <br />Effectivertievised Date <br />ZI ne(s) <br />AO, use base flood depth) <br />(Describe type of equipment and location in Comments) <br />4/02104 <br />Sep. 161988 <br />AE <br />15.5 <br />810. Indicate the source of the Base Flood Elevation (BFE) date or base flood depth entered in Item 89. <br />❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _ <br />B11. Indicate elevation datum used for BFE In Item 139: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) Hawaii Tidlal Datum <br />.Is the building located In a Coastal Barrier Resources System(CBRS) area or Otherwise Protected Area (OPA)? [I Yes ® No <br />Designation Date _ ❑ CBRS ❑ OPA <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />C1. Building elevations are based on: ❑ Construction Drawings• ❑ Building Under Construction* ® Finished Construction <br />'A new Elevation Certificate will be required when construction of the building Is complete. <br />C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, VI -V30, V (with BFE), AR, ARIA, ARAE, AR/AII-A30, AR/AH, AR/AO. Complete items C2.s-h <br />below according to the building diagram specified in Item A7. Use the some datum as the BFE. <br />Benchmark Utilized NGS 186YY Vertical Datum Hawall Tidal Datum <br />Conversion/Comments Hawaii Tidal Datum is identical to HAVD88 and NGVD29 datums on Hawall Island <br />Check the measurement used. <br />a) Top of bottom floor (including basement, crawlspooe, or enclosure floor) 2..Q <br />® feet <br />❑ meters (Puerto Rico only) <br />b) Top of the next higher floor g 11.1 <br />c) Bottom of the lowest horizontal structural member (V Zones only).p�l qA <br />® feet <br />I@ feet <br />❑ meters (Puerto RICO only) <br />❑ meters (Puerto Rloo only) <br />d `) Attached garage (top of slab) 6 L 2.2 <br />® feet <br />❑ meters (Puerto Rloo only) <br />e) Lowest elevation of machinery or equipment servicing the building 1.9 <br />® feet <br />❑ meters (Puerto Rico only) <br />(Describe type of equipment and location in Comments) <br />f) Lowest adjacent (finished) grade next to building (LAG) 1.2 <br />® feet <br />❑ meters (Puerto Rico only) <br />g) Highest adjacent (finished) grade next to building (HAG) )).Q <br />® feet <br />❑ meters (Puerto Rico only) <br />h) Lowest adjacent grade at lowest elevation of deck or stairs, Including 1.1 <br />1@ feet <br />❑ metera (Puerto Rloo only) <br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation <br />information. I cert & that the information on this Cert'Rcate represents my best efforts to interpret the data aveflab/ed <br />understand <br />Chock here o com�me� are providet mayd bapunishable <br />dy of form. fine Imprisonment <br />latitude under <br />e onp� in section Section .❑ a P�\�l L. g�9 <br />�,� licensed lend surveyor? ®Yea ❑ No PROFESSIONAL <br />0rtifier a Name Daniel L. Berg License Number PLS 11245 u <br />* w4 r- <br />BUAV'EVOR <br />Licensed Land Surveyor Company Name dlb+assodates, LLC <br />Address PO Box 49-2281 City Keeau State HI ZIP Code 96749 <br />No. 11245 <br />Signature 9C__ Date Jan. 13, 2012 Telephone 805-9664206 y9wq 11, 0. P <br />FEMA Form 81-31, <br />See reverse aide for continuation. <br />Replaces all prevlous <br />
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