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City Patios State HI ZIP Code 98778 Lot A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 19 29'41.5" Long. 154 49' 2.93" Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A8. Attach at least 2 photographs of the building 9 the Certificate Is being used to obtain flood insurance. A7. Building Diagram Number ¢ A8. For a building with a crawlspace or endosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A aq R a) Square footage of attached garage WA eq ft b) No. of permanent flood openings in the crawlspaoe 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 B1. NFIP Community Name 8 Community Number 82. County Name 83. State Hawaii County Comm # 155166 Hawaii I Hawaii ELEVATION CERTIFICATE B5. Suffix OMB No. 11300.000& 67. FIRM Panel U.S. DEPARTMENT OF HOMELAND SECURITY 89. Base Flood Elevation(s) (Zone Expires March 31, 2012 C Federal Emergency Management Agency Effedive/Revised Date Zone(s) AO, use base flood depth) National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION 9/18/1988 For,lnsuragpe:Goinparg SJea 16.0 . Building Owner's Name Mr 8 Mrs James Floyd Tolicir,Number Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Com perry NAIC Number'. . 14-5152 Alapal Point Road City Patios State HI ZIP Code 98778 Lot A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 19 29'41.5" Long. 154 49' 2.93" Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A8. Attach at least 2 photographs of the building 9 the Certificate Is being used to obtain flood insurance. A7. Building Diagram Number ¢ A8. For a building with a crawlspace or endosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A aq R a) Square footage of attached garage WA eq ft b) No. of permanent flood openings in the crawlspaoe 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 B1. NFIP Community Name 8 Community Number 82. County Name 83. State Hawaii County Comm # 155166 Hawaii I Hawaii 84. Map/Panel Number B5. Suffix B8. FIRM Index 67. FIRM Panel B8. Flood 89. Base Flood Elevation(s) (Zone 1551881400 C Date Effedive/Revised Date Zone(s) AO, use base flood depth) 04/02/2004 9/18/1988 AE 16.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _ Bit. Indicate elevation datum used for BFE in Item B9: 10 NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction 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, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized Pohoiki Rd 8 Kalaoana-IntVertical Datum 2= Conversion/Comments Benchmark established by Island Surveys Inc used GPS conversion via NGS OPUS Solution per attached Check the measurement used. a) Top of bottom floor (Including basement, crawlspace, or enclosure floor)1,Q.2§ b) Top of the next higher floor ,....,,.� c) Bottom of the lowest horizontal structural member (V Zones only) N/A._ d) Attached garage (top of slab) WA.— e) Lowest elevation of machinery or equipment servicing the building J/A._ (Describe type of equipment and location in Comments) ❑ meters (Puerto Rico only) 0 Lowest adjacent (finished) grade next to building (LAG) B.QQ g) Highest adjacent (finished) grade next to building (HAG) Z-60 h) Lowest adjacent grade at lowest elevation of deck or stairs, including Q.§Q ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a Jeno surveyor, engineer, or arcnnea sumoraea oy 1ew ru w,wy rnevuu information. 1 certify that the information on this Cer icate represents my best efforts to interpret the date avallable.l understand that any false statement maybe 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 longitude in Section A provided by a licensed land surveyor? ❑ Yes ® No Certifier's Name Dennis K. Shigeoka License Number HI 3414