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IMPORTANT: In these spaces, copy the corresponding Information from Section A °.;For Insurance Company Use „»' 1 Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 6:PaI1cy,Numberp, «'_•I , ;r'. 46 E DHEA STREET : 'j' r ;''.,' h ' ` :�•. �' T:`:;:f City state ZIP Code r,Cgmpany NAICiNur[W [j HILO HI 96720 - SECTION D • SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Mpy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/oompany, and (3) building owner. Comments A8. Let & Long calculated via AutoCad with Sofldeak Survey module. B10. SFE determined from FIS Profile "Patel Stream" 61P and Interpretation delineated by the County of Hawaii, Dept. of Public Works,Englneering Divlslon. C2.e) Lowest elevation of equipment servicing the building is 4 Air Condltlqping Unit on concrete pad at the west side of the building 201 south of the northwest corner. See attached map. Signature Date 01/03/12 ❑Q Check here If attachments SECTION EA StMLDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT SFE) For Zones AO and A (without BFE), complete Items Et -E5. If the Certificate Is Intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items Et -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. Et. Provide elevation information for the following and check the appropriate boxes to show whether the elevabon is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (Including basement, krawlspace, or enclosure) is . _ ❑feet ❑meters ❑above or below the HAG. b) Top of bottom floor (including basement, krawlspace, or enclosure) Is _ _ [:feet ❑meters ❑above or below the LAG. E2. For Building Diagrams 6.9 with permanent flood openings provided In SecdgILA Items 8 or 9 (see ass 8.9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ [:]feet Ll meters above or below the HAG. E3. Attached garage (top of slab) Is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building Is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zane AO only. If no flood depth number Is available, is the top of the bottom floor elevated In accordance with the community's floodplain management . ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this Information in Section G. SECTION F " The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -Issued or community -Issued BFE) or Zone AO must sign here. The statements In Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name uaty stare ur Uooe Signature Date Telephone The local official who Is authorized by law or ordinance to administer the community's noodpiam management oroinance can complete n and G of this Elevation Certificate. Complete the applicable Item(s) and sign below. Check the measurement used In Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who Is authorized by law to certify elevation Information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located In Zone A (without a FEMA4ssued or community -Issued BFE) or Zone AO. G3. ❑ The following Information (Items G4 -G9) is provided for community floodplain management purposes. G7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building ❑ feet ❑ meters(PR) Datum G9. BFE or (In Zone AO) depth��fiDD,,f flooding at the building site . _ El feet El meters (PR) Datum G70. Communitys design flood e & it"o)'fp°rtmcnt of Public Works . _ ❑ feet ❑ meters (PR) Datum Cerfificcito and � Title Telephone Signature final approvc.<1 p, L uaw aiommenka FFMA Fnrm R1 -A1 Mar DA Reolaces all Drevious editions