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a U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. OMB No. 1660-0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION For Ineurreloe Company this- Al. Building Owner's Nanre s loY umbar 'tr' , James 8 MII Wa Floyd - A2. Building Street Address (Including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Conpany Nurrtbet' I , (` tI 144114 WAINANI ROAD City PAHOA stere ZIP Code HI 96776 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A8. Attach at least 2 ph Lal. 19.49411 Long. -164.91743 Horizontal Datum: ❑. NAD 1927 0 NAD 1983 A8. Attach a< least 2 photographs the building if the Certincate la being used to obtain flood insurance. A7. Building Diagram Number A8. For a building with a txavdspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 4_ eq it a) Square footage of attached garagesq ft b) No. of permanent Hood openings In the crawispace or b) No. of permanent flood openings In the attached garage enclosure(s) within 1.0 foot above adjacent grade NA within 1.0 foot above adjacent grade c) Total net area of flood openings In A8.b All A aq In c) Total net area of flood openings In A9.b sq In d) Engineered flood openings? ❑ Yea ❑ No d) Engineered good openings? ❑ Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION I HAWAII COUNTY -166166 1 HAWAII COUNTY HAWAII 1400 C _.. I APR O22,e2004 I Ee�MReAsed D I Zo E(s) I AO, use base food Is 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth ordered In Item 89. y VI FIS Profile ❑FIRM ❑Community Determined E] Other (Describe) 611. Indicate elevation datum used for BFE In Item 89: x❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) 812. Is the building located Ina Coastal Barrier Resources System (CB❑RS) area oOtherwise Protected Area (OPA)? ❑ Yes Designation Date CBRS x❑ No OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings' ❑ Building Under Construction' ,� Finished Construction 'A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, VI -V30, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, ARIAH, ARIAD. Complete Items C2.a-h below according to the building diagram specified In Item AT Use the same datum as the BFE. Benchmark Utilized _ USGS SM 16M Vertical Datum N A V V i 9 8 Check the measurement used. a) Top of bottom floor (including basement, crewlapsoe, or enclosure floor) 17,75 x feet meters (Puerto Rico only) b) Top of the next higher floor 27.88 x hal ® meters (Puerto Rico only) C) Bottom of the lowest horizontal structural member (V Zones only) _❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) ._❑ feat ❑ meters (Puerto Rtoo only) e) Lowest elevation of machinery or equipment servicing the building 84 ❑x tem ❑ meters (Puerto Rico only) (Describe type of equipment and location In Comments) 0 Lowest adjacent (finished) grade next to building (LAG) 7.49 x feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 8, 21 x❑ feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including S-3 ❑ feet ❑ meters (Puerto Rico only) structures Support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by low to certify elevation Information. I certdy that the Information on this Certificate represents my best efPoria to Interpret the data available. C. SMF�� I understand that any false statement maybe punishable by fine orlmpdsonment under 18 U.S. Code, Section 1001. 9 Check here If commenta are provided on back of form. Were latitude and longitude In S cdon A provided by a RoB <� p K licensed land surveyor? Ives LJ No L ENSED Certmer's Name License Number P 4#ONAL retie 4.6 ,� CHITECT ��-'/�.)-�:.7 Company M/cLIC,E,e A QSSOG. No. 3560 / FEMA FWffij Jrfe3l, Mar 09 See reverse side for continuation. previous editions