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U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 .Federal Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION For{nsursnce Company Use Al. Building Owner's Name PHILLIPS FAMILY TRUST 71 ,Number ' A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Compeny;NAICNumber WAI OPAE RD City PAHOA State HI ZIP Code 96778 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) TMK(3) -1-4-068:046 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. N119,29,341 Long. W154-49.233 Horizontal Datum: ❑ NAD 1927 ®NAD 1983 A8. Attach at bast 2 photographs of the building If the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 5 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crewlspaoe or encosure(s) ]_3� sq it a) Square footage of attached garage NA s b) No. of permanent flood openings In the crawls ece or q it P b) No. of permanent flood openings in the attached garage enclosures) within 1.0 foot above adjacent grade $ within 1.0 foot above adjacent grade NA_ c) Total net area of flood openings in A8.b 144 sq in - c) Total net area of flood openings in A9.b NA_ d) Engineered flood openings? ® Yes [I No d) Engineered flood openings? ❑ Yes ❑ No sq In SECTION IS - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Cnmmunev N., . ....,.��y ,. .. W. State HAWAII COUNTY 155166 HAWAII COUNTY HAWAII B4. Mep/Panel Number 65. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 155166-1400 C Date Effective/Revised Date Zone(s) A0, use base flood depth) 4/02/04 9-16.88 AE 14.5 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _ B11. Indicate elevation datum used for BFE In Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) _ 812. Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ® No 1 Designation Date _ [ICBRS EDOPA SECTION C - INFORMA C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' '® Finished Construction *Anew Elevation Certificate will be required when construction of the building Is complete.- - - C2. Elevations - Zones A1 -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARAE, AR/A1-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 _Vertical Datum _ Conversion/Comments III. wW.Jv Uvn is to oe slgnea ana Sealed by a land surveyor, engineer, or architect authorized by law to certify elevation I nformation. I certify that the inPormation on this Certiricate represents my best efforts to interpret the data available.I . 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 forth. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes ® No Certifier's Name RONALD D. NICKEL License Number 8846-C FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions Check the measurement used. a) Top of bottom floor (Including basement, crawlspeoe, or enclosure floor) 6.92 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor L.84 ® feet ❑ meters (Puerto Rico only) C) Bottom of the lowest horizontal structural member (V Zones only) N6._ ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) NA._ ❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building ]8.84 2 feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) I) Lowest adjacent (finished) grade next to building (LAG) 4.0 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 5.72 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, Including §.22 Z feet ❑ meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION III. wW.Jv Uvn is to oe slgnea ana Sealed by a land surveyor, engineer, or architect authorized by law to certify elevation I nformation. I certify that the inPormation on this Certiricate represents my best efforts to interpret the data available.I . 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 forth. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes ® No Certifier's Name RONALD D. NICKEL License Number 8846-C FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions