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I= State. 'HI ZIP Code 98749 of this Elevation Certificate for (1) Community official, (2) Insurance egenucompany, and (3) building owner. Jeal Datums are referenced to Hilo Tidal Datum, which is taken as Identical to NGVD29 and NAVD88 detun Gauge (PID T00019) otZL For Zones AO and A (without BFE), complete hems E1 -E8. If the Certificate Is Intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4. use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. Et. Provide elevation Information for the following and check the appropriate boxes to show whether the elevation Is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (Including basement, crawlepace, or enclosure) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (Including basement, crawlspace, or enclosure) is — _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 8.9 with permanent flood openings provided in Section A Rams B and/or 9 (seepages 8-9 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the building Is _ _ ❑ feet ❑ meters ❑ above or p below the HAG. E3. Attached garage (top of slab) is — _ ❑ feet ❑ matere ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E8. Zone AO only: If no flood depth number Is available, is the top of the bottom floor elevated In accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must car* this Information in Section G. The property owner or owner's authorized representative who Completes Sections A. S, and E for Zone A (without a FEMA -Issued or community -issued SFE) or Zone AO must sign here. The statements In Sections A, B, and E are Cortod to the best of my lnrowledge. or Owner's Authorized Representative's Name Signature Date Telephone Comments ❑ Check here B atiaelhmenta SECTION G - COMMUNITY INFORMATION (OPTIONAL) r rre rocar oT=al wno is aumonzea Dy Jew or Oromance to acu m titer me Community -9 n000plam management oromenoe can Complete OeCUone A. B. U (or t), end G of this Elevation Certificate. Complete the applicable Bemis) and sign below. Cheek the measurement used in Items 08 and G9. G1. ❑ The Information In Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who Is authorized by law to certify elevation Information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official Completed Section E for a building located In Zone A (without a FEMA -Issued or community -Issued BFE) or tone AO. G3. ❑ The following information (Items 04G9) is provided for community floodplain management purposes. Permit Number G8. Date Permit Issued G7. This perch has been Issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of ss -bulli lowest floor (Including basement) of the building:_._ ❑ feet 09. BFE or (In Zone AO) depth of flooding at the building site: _ _ ❑ feet G10. Community's design flood elevation _ _ ❑ feet Title Telephone ❑ meters (PR) Datum ❑ meters (PR) Datum ❑ meters (PR) Datum FEMA Form 81-31, Mar 09 Replaces all previous editions