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2-2-039:093
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4/12/2016 10:49:48 AM
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Date
1/3/2012
Type
Elevation Certificate
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U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />National Flood Insurance Program <br />Building Street Address (Including Apt., <br />City <br />11, Block 401, Walakea <br />ELEVATION CERTIFICATE <br />Important: Read the instructions on pages 1-9. <br />Bldg. No.) or P.O. Route and Box No. <br />State <br />Island of Hawaii, Hawaii; Tax <br />OMB No. 1660.0008 <br />Expires March 31, 2012 <br />A4. Building Use (e.g., Residential, Non-Residentlal, Addition, Accessory, etc.) Residential <br />A5, Latitude/Longitude; Lat. 19°41'56.3" N Long, 155°04'08.8" W Horizontal Datum: ❑ NAD 1927 x❑ NAD 1983 <br />A6. Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood insurance. <br />AT Building Diagram Number 1B <br />A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: <br />a) Square footage of crawlspaca or enclosure(s) PUA sq It a) Square footage of attached garage 400 sq it <br />b) No. of permanent flood openings In the crawlspace or b) No. of permanent flood openings in the attached garage <br />enclosures) within 1.0 foot above adjacent grade NIA within 1.0 foot above adjacent grade NIA <br />c) Total net area of flood openings in A8.b NIA sq in c) Total net area of flood openings in A9.b NIA act In <br />d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes x❑ No <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />B1. NFIP Community Name & Community Number 82. County Name B3. State <br />HAWAII COUNTY -155188 HAWAII COUNTY I HAWAII <br />B4. Map/Panel Number <br />B5. Suffix <br />Be. FIRM Index <br />B7. FIRM Panel <br />B8. Flood <br />89. Base Flood Elevatlon(s) (Zone <br />below according to the building diagram specified In Item A7. Use the same datum as the BFE. <br />Data <br />Effective/Revised Date <br />Zones) <br />1 <br />AO, use base flood depth) <br />0880 <br />C <br />APR 02, 2004 <br />SEPTEMBER 16, 1988 <br />AE <br />49.5 <br />B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item B9. <br />❑x FIS Profile ❑ FIRM ❑ Community Determined 0 Other (Describe) See Section D. <br />BI 1. Indicate elevation datum used for BFE in Item 89: ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) <br />Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes x❑ No <br />Designation Date N/A ❑ CBRS ❑ OPA <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />Ct. Building elevations are based on: ❑ Construction Drawings- ❑ Building Under Construction' <br />Q Finished Construction <br />'A new Elevation Certificate will be required when construction of the building Is complete. <br />C2. Elevations - Zones Ai -A30, AE, AH, A (with BFE), VE, VI -V30, V (with BFE), AR, AR/A, ARAE, AR/Al-A30, AR/AH, AR/AD. Complete Items C2.a-h <br />below according to the building diagram specified In Item A7. Use the same datum as the BFE. <br />Benchmark Utilized 4 YY USGS 1957 Vertical Datum NGVD 1929 <br />Conversion/Comments Bench Mark Is located 0.22± mile south of Pualnako Strest along Kilauea Avenue. <br />Check the measurement used. <br />a) Top of bottom floor (Including basement, crawlspaoe, or enclosure floor) 52.,L- Exfeet <br />[J meters (Puerto Rico only) <br />b) Top of the next higher floor 52, S feet <br />meters (Puerto Rico only) <br />c) Bottom of the lowest horizontal structural member (V Zones only) N/A. ❑ feet <br />11 meters (Puerto Rico only) <br />d) Attached garage (top of stab) 52.0 Q feet <br />[-]meters (Puerto Rico only) <br />e) Lowest elevation of machinery or equipment servicing the building 51, 9 0 feet <br />❑ meters (Puerto Rico only) <br />(Describe type of equipment and location in Comments) <br />0 Lowest adjacent (finished) grade next to building (LAG) 51,1x❑ feet <br />❑ meters (Puerto Rico only) <br />g) Highest adjacent (finished) grade next to building (HAG) 51'.7 x❑ feet <br />❑ meters (Puerto Rico only) <br />h) Lowest adjacent grade at lowest elevation of deck or stairs, Including NIA,_❑ feet <br />❑ meters (Puerto Rico only) <br />SECTION D - <br />I ne oenmcason Is to oe signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevafi, <br />Information. I certify that the information on this Certificate represents my best 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 />x❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A6,Pr,ovided by a <br />licensed land surveyor? 0 Yes LJ No <br />FEMA Form 81F31/Mar 09 See reverse side for continuation. <br />'r- <br />\ tb. am / <br />Renlnrns all nravlrn Is <br />
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