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U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program OPAE ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. SECTION A - No.) or P.O. Route and Box No. OMB No. 1660 0008 Expires March 31, 2012 A4. Building Use (e.g., Residential, Non -Residential; Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: let. N19$9.326' Long, W154449,344' Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A8. Attach at bast 2 photographs of the building H the Certificate is being used to obtain flood Insurance. A7. Building Diagram Number g As. For a building with a crewispace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspece or enclosure(s) N6 sq ft a) Square footage of attached garage jye eq R P) No. of permanent flood openings In the crawlspace or b) No. of permanent flood openings in the attached garage encbaure(s) within 1.0 That above adjacent grade N6 within 1.0 foot above adjacent grade N6 c) Total net area of flood openings In A8.b N6 sq in c) Total net area of flood openings in A9.b N6 sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name 8 Community Number B2. County Name B3. State - HAWAII COUNTY 155155 HAWAII COUNTY I HAWAII 64. Map/Panel Number B5. Suflbn Be. FIRM Index B7. FIRM Panel S8. Flood 89. Base Flood Elevation(s) (Zone 155165.1400 C Date I Effective/Revised Date Zone(s) AO, use base flood depth) d) Attached garage (top of slab) 1 4/02/04 9/16/88 AE 13.3 810. 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) _ Bt 1. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) . Is the building located in a Coastal Beller Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Ih Designation Date _ ❑ CBRS ❑ OPA C1. SECTION C • BUILDING 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 A1 -A30, AE, AH, A (with BFE), VE, V11430, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AD. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized jJSGSVertical Datum Conversion/Comments n ms cenmcaaon Is to be sgneo ana sealea by a land surveyor, engineer, or architect authorized by law to certify elevation Information. I certify that th Information on this Certificate represents my best efforts to interpret the date evailable.l understand that any false statement maybe punishable by fine or impnsonment under 18 U.S. Code, Section 1001.0 Check Mire if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes ® No Certfier's Name RONALD D. NICKEL License Number 8846-C Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) feet ❑ meters (Puerto Rico only) b) Top of the next higher floor g@.4jt ® 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) 1 N6.- ❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 16.45 ❑ feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 4.0 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 4.9 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, Including 4.j) ® feet ❑ meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION n ms cenmcaaon Is to be sgneo ana sealea by a land surveyor, engineer, or architect authorized by law to certify elevation Information. I certify that th Information on this Certificate represents my best efforts to interpret the date evailable.l understand that any false statement maybe punishable by fine or impnsonment under 18 U.S. Code, Section 1001.0 Check Mire if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes ® No Certfier's Name RONALD D. NICKEL License Number 8846-C FEMA Form 81-31, Mar 09 See reverse side for continuation. Replace all previous editions c4 .z: -v FEMA Form 81-31, Mar 09 See reverse side for continuation. Replace all previous editions