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U.S. DEPARTMENT OF HOMELAND SECURITY , ELEVATION CERTIFICATE
<br />Federal Emergency Management Agency
<br />National Flood Insurance Program Important: Read the instructions on pages 1-9.
<br />SECTION A- PROPERTY INFORMATION
<br />Al. Building Owner's Name KIMO SAIKI
<br />A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No
<br />OMB No. 1660.0008
<br />Expires March 31, 2012
<br />""r HILO - omw HI ur ww 96720
<br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
<br />TMKr2-1-019:037
<br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
<br />A5. Latitude/Longhude: Lat. 19°44'01"N Long. 1 55°00' 4"W Horizontal Datum: ❑ NAD 1927 ® NAD 1983
<br />AB• Attach at least 2 photographs of the building If the Certificate is being used to obtain flood insurance.
<br />AT Building Diagram Number_6_
<br />A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
<br />a) Square footage of crawlspace or enclosure(s) NA sq ft a) Square footage of attached garage NA sq ft
<br />b) No. of permanent flood openings In the crawlspace or b) No. of permanent flood openings in the attached garage
<br />enclosure(s) within 1.0 foot above adjacent grade NA within 1.0 foot above adjacent grade NA
<br />c) Total net area of flood openings in A8.b NA sq In c) Total net area of flood openings In A9.1b _NA sq in
<br />d) Engineered flood openings? ❑ Yes ❑ No " d) Engineered flood openings? ❑ Yes ❑ No
<br />I Hawaii County 155166 1 Hawaii County I. Hawaii I
<br />B10. Indicate the source of the Base Flood Elevation (BRE) data or base flood depth entered In Item 89.
<br />[I FIS Profile FIRM Community Determined ❑ Other (Describe)
<br />all. Indicate elevation datum used for BRE In Item B8: F3 NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
<br />•B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
<br />Designation Date ❑ CBRS ❑ OPA
<br />SECTION C - BUILDING ELEVATIONINFORMATION (SURVEY REQUIRED) .
<br />Cl. Building elevations are based on: ❑ Construction Drawings' . ❑ Building Under Construction' 4: Finished Construction
<br />•A new Elevation Certificate will be required when construction of the building Is complete. -
<br />C2. Elevations –Zones Al -A30, AE, AH, A (with BRE), VE, V1 -V30, V (with BRIE), AR, ARIA, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.8 -h
<br />below according to the building diagram speclfied In Item A7. Use the same datum as the BRE.
<br />Benchmark Utilized USGS BM STAMPED NO.4 Vertical Datum MEAN SEA LEVEL
<br />Conversion/Comments
<br />Check the measurement used.
<br />a) Top of bottom floor (Including basement, crawispace, or enclosure floor) 16 —LE feet El meters (Puerto Rico only)
<br />b) Top, of the next higher floor - 18 ._g_LYJ feet LJ meters (Puerto Rico only)
<br />c) Bottom of the lowest horizontal structural member (V Zones only) ® feet ❑ meters (Puerto Rico only)
<br />d) Attached garage (top of slab) 9 ® feet ❑ meters (Puerto Rico only)
<br />e) Lowest elevation of machinery or equipment servicing the building 17 _.2J0 feet ❑ meters (Puerto Rico only)
<br />(Describe type of equipment and location In Comments)
<br />f) Lowest adjacent (finished) grade next to building (LAG) 13 1 X❑ feet ❑ meters (Puerto Rico only)
<br />g) Highest adjacent (finished) grade next to building (HAG) _ 15 LN] feet ❑ meters (Puerto Rico only)
<br />h) Lowest adjacent grade at lowest elevation of deck or stairs, including _�4 0 0 feet ❑ meters (Puerto Rico only)
<br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
<br />This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
<br />Information. I certify that the Information on this Certificate represents my beat efforts to Interpret the data available.
<br />I understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001.
<br />❑ Check here if comments are provided on back of form. Were latitude and longitude inSection Ar,P�rovided by a
<br />licensed land surveyor? ❑ YL
<br />e5 _I No
<br />Certifier's Name ROBERT T. SHIRAI License Number T q–SQAq
<br />PRESIDENT
<br />FEMA Form 81-31, Mar 09
<br />ISLAND SURVEY. INC.
<br />02/22/11 """ 808-935-9105
<br />See reverse side for continuation.
<br />FD 1`\
<br />FRC`^.iEkI.)NU.L 1
<br />?. KZIRD 4
<br />Cull: ii:Y'Ji{
<br />Replaces all previous editions
<br />B4: Map/Panel Number
<br />B5: Suffix
<br />B8: FIRM Ind gx/�o,;
<br />Date rt/of.
<br />" B7. FIRM Panel
<br />Effective/Revised
<br />B8. Flood
<br />B9. Base Flood Elevation(s) (Zone
<br />Date
<br />Zone(s)
<br />AO, use base flood depth)
<br />155166.
<br />0880C
<br />0971 6
<br />09/16/88
<br />VE
<br />12.9
<br />B10. Indicate the source of the Base Flood Elevation (BRE) data or base flood depth entered In Item 89.
<br />[I FIS Profile FIRM Community Determined ❑ Other (Describe)
<br />all. Indicate elevation datum used for BRE In Item B8: F3 NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
<br />•B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
<br />Designation Date ❑ CBRS ❑ OPA
<br />SECTION C - BUILDING ELEVATIONINFORMATION (SURVEY REQUIRED) .
<br />Cl. Building elevations are based on: ❑ Construction Drawings' . ❑ Building Under Construction' 4: Finished Construction
<br />•A new Elevation Certificate will be required when construction of the building Is complete. -
<br />C2. Elevations –Zones Al -A30, AE, AH, A (with BRE), VE, V1 -V30, V (with BRIE), AR, ARIA, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.8 -h
<br />below according to the building diagram speclfied In Item A7. Use the same datum as the BRE.
<br />Benchmark Utilized USGS BM STAMPED NO.4 Vertical Datum MEAN SEA LEVEL
<br />Conversion/Comments
<br />Check the measurement used.
<br />a) Top of bottom floor (Including basement, crawispace, or enclosure floor) 16 —LE feet El meters (Puerto Rico only)
<br />b) Top, of the next higher floor - 18 ._g_LYJ feet LJ meters (Puerto Rico only)
<br />c) Bottom of the lowest horizontal structural member (V Zones only) ® feet ❑ meters (Puerto Rico only)
<br />d) Attached garage (top of slab) 9 ® feet ❑ meters (Puerto Rico only)
<br />e) Lowest elevation of machinery or equipment servicing the building 17 _.2J0 feet ❑ meters (Puerto Rico only)
<br />(Describe type of equipment and location In Comments)
<br />f) Lowest adjacent (finished) grade next to building (LAG) 13 1 X❑ feet ❑ meters (Puerto Rico only)
<br />g) Highest adjacent (finished) grade next to building (HAG) _ 15 LN] feet ❑ meters (Puerto Rico only)
<br />h) Lowest adjacent grade at lowest elevation of deck or stairs, including _�4 0 0 feet ❑ meters (Puerto Rico only)
<br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
<br />This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
<br />Information. I certify that the Information on this Certificate represents my beat efforts to Interpret the data available.
<br />I understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001.
<br />❑ Check here if comments are provided on back of form. Were latitude and longitude inSection Ar,P�rovided by a
<br />licensed land surveyor? ❑ YL
<br />e5 _I No
<br />Certifier's Name ROBERT T. SHIRAI License Number T q–SQAq
<br />PRESIDENT
<br />FEMA Form 81-31, Mar 09
<br />ISLAND SURVEY. INC.
<br />02/22/11 """ 808-935-9105
<br />See reverse side for continuation.
<br />FD 1`\
<br />FRC`^.iEkI.)NU.L 1
<br />?. KZIRD 4
<br />Cull: ii:Y'Ji{
<br />Replaces all previous editions
<br />
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