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U.S. DEPARTMENT OF HOMELAND 3ECu;;R , ELEVATION CERTIFICATE ... __ :..---- - _ .. _ -.' . _, .- _ . _.. ` National Flood Insurance Program Important; Read the instructions on pages 1-9. SECTION A • PROPERTY INFORMATION • Al. Building Owner's Name WELLS FARC�D PSA W K A2. Building Street Address (including .4;,1., Unit, Suite. and/or Bldg. No.) or P.O. Route and Box No. OfAB tJo. 166C•0008 ' Expires 'March 31, 2012 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latttude,'Longituft Lot J pl ` 2.q' 2C" W Long.194' 4.11 l 1 G,'I 4J Horizontal Datum: 0 NA01927 x NAD 1933 - - - -------- _ABrAtlechat. long tZ_photograOhs ofthe9 the -C111"Cito-is-being-used to obtain flood insurance--- ---------- ... A7. Building Diagram Number— co-As. Far o bultding with o mMspece or enoiosure(s): A9. Fora building with an attached garage: NA a) Square footage of crowlspece or enclosurs(s) sq ft a) Square footage of attached garage sq h b) No. of permanent flood openings in the erawippace or I 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 c) Total net area of flood openings in A8.1; lizsqln c) Total net area of flood openings In A9.b $4 in d) Engineered flood openings? []Yes _ ®.No . d) Engineered flood openings? ❑ Yee ❑ No SECTION B • FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name 6 Community Number 82. County Name B3. State HAWAII COUNTY- 184166 1 HAWAII COUNTY I LLI Date Efisclive/Revised Dote zone(s) Ail, use bias flood depth) 1400 C + APR 0$ 2004 SEPTEMBER 18 lose AM p BID. Indicate the 80111`004 Ofthe Base Flood Elevation (SFE) data or base flood depth entered in Item 89. ❑ FIS Pmflle 14FIRM ❑ Community Determined . ❑ Other (Describe) B11. Indicate elevation datum used for SFE in Item 89: D7etNGVD 1929 ❑ NAVD 1988 ❑ Cheer (Describe) 812. Is the building located 1n a Coastal Barrier Rescurow System (CBRS) ares oOtherwise Protected Area (CPA)? ❑ Yes ® No • Designation Dala ❑CBRS 0OPA. SECTION C • BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl- Building elevations are based on: Construction Drawings' ❑ Building Under Construction' 21inished Construction •A new Elevation Certificate will be required when construction of the building Is complets. C2. Elevations -Zones A.1430, AE, AH. A (with SFE). VE. V1 -V30, v (with SFE), AR, ARIA, ARAE. AWA1-A30, ARIAH, AR/A0. Complete home C2.9 -h below according to the building clegrem speciflad in Item AT Use the same datum as ft BFE. Benchmarr: U011zed SgrYEi t1 6/•1` Frit: #Z4- Verdca Datum—12 . 8 7 Conversion/Comments Ch the measurement used. a) Top of bottom floor (Including basement, crewlapace, or enclosure floorl_�.Sf; I. 8 motors (Puerto Rleo only) b) Top of the next higherfloor f!e ,I„t��1se maters (Puerto Rim only) 0) Bottom of the lowest horizontal structural member (V Zones only) .A! A —❑ feet meters (Puerto Rico only) d) A1tathsdgar8glo#Op Ofslap) 'WA-.. ❑#sot m8ters(Puerto Mop u?Oy) a) tpwestalevadomoPm4rhmeyor equipment simethpth9rbuiliflMa M�11 W -Am "alar. +Duarte pion enlJ' m,YdFSteG Ghon pt a9pe Ore®1[e1pG11a1 ��^�L' Yi13' .. )- �stirrtdtaatYrtt drY - 3 i I~ 'I SECT(ON D - Sf/RVEYOR iNUIRER, OR AROMTECT CEIi tJtATION r This: cetliscaaen Is 10 designed and sealed by a land surveyor, enginear, orarchitect outhartnt! by law to eddify.elevatl ` MTbrmetibn. Icerw Met that tnforrhoon on Nrs CerfiricalereptosenYs ntybest.akorts to: Interpret the dete:evarY90)a:' t `� WndersloW 1178.1 anyfelse statement maybe purrrshab/e by one or riOsonment:under.to U.S. Code. Sedutto foU1. ® Cheri: here If comments eta provided on batik offorrn. Weiralatitude'end Iongtt11delhZedion Ay.DFovided by a'1` licensed lend surveyor? U Yee U No CertflrWs Name PAUL A- t l AS} License Number This Cl\Iil. Ehl(�i1�1E'>✓1Z Company Name t e • AddressOCity Stale i- Code ; P.. enc lllBR 4}lL0 14L G, 72 -t 31-31 Mar 09 ` See revere side for co inuetlon. Replace$ aV previous editions ,-J J G, 4%/l z, /( J G- 444//?///