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U.S. -DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE • Federal Emergency Management Agency National Flood,lnsurarri Program Important: Read the Instructions on pages 1-9. SECTION A • PROPERTY INFORMATION •At. Building Ownera Nam SHANNON NORTHROP A2. Building Strout Address (including Apt.. Unit, Suite, andror Bldg. No.) or P.O. Route and Box No. 60 HOAKA ROAD City HILO Slate HI ZIP Care 96720 _-. _.. A3- Property Description (Lot and Block Numbers, Tax Parcel tVirinber, Legal Description. etc.) _-- TMK(3)24.6-153 OMB No. 1660-0008 Expires March 31. 2012 A4. Building Use (e.g.. Residential, Non -Residential. Addition, Accessory, etc,) RF$ID NTIAL A6. Latitude/Longitude: Lat. N19" 59', 46.A^ Long. W155' 06'53,9' Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach M least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number to A8. For a building with a cmwlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace orenclosure(s) NA sq ft a) Square footage of attadmd garage J,�A sq R b) No. of permanent flood openings In the crowlspace or b) No. of permanent flood openings in the attached garege enclosuro(s) within 1-0 fool above adjacent grade leg within 1,0 foot above adjacent grade NA C) Total not area of flood openings in A8.b NA act in c) Total net area of flood openings In A9.b Ne sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION 6 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Commxmily Nemo 8 Community Number 82. County Name B3. Stats 1 HAWAII, 155166 HAWAII Ht 04. MeplPenal Number 65. Suflbc B6. FIRM Index 97. FIRM Pmol R8. Flood 89. Base Flood Ebvation(s) (Zona - 1551660890 C Date ElfectivetRevlsed Date Zone(a) AO, use base flood depth) I APRIL 2,2004 SEPTEMBER 16 1988 I A,X NA 610. Indicate the source of the Baso Rood Elevation (BFE) data of base Rood depth entered in Item B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ O1her (Dsscibo) _ B11, Indicate elevation datum used for BFE in Item B9: ® 14GVD 1929 ❑ NAVO 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CSRS) area or Otherwiso Protected Area (OPA)? ❑ Yes ❑ No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY.RFQUIRED) C1. 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 At -A30, AE, AH, A With BFE). VE. VI -V30, V (with BFE), AR, AWA. ARAE, AR+Al-A30, ARIAH, AR/AO. Complete Items C2.a-h below according to rhe building diagram specified in Liam A7. Use the same datum as the BFE. Benchmark Utilized 5.79 USGS IPIRT00029)Vertical Datum LOCAL TIDAL Convorsion/Comments Check the measurement used. a) Top of bottom floor (Including basement, cfawlspece, or enclosure floor) 73$.ti,5 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor .-741.74 ® feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal Structural member (V 'Lutes only) Jam._ ❑ lest ❑ motors (Puerto Rico only) d) Aftachod garage (top of stab) NA._ ❑ feet ❑ meters (Puerto Rico only) a) Lowest elevation of machinery or equipment servicing the building jg,.)j� ® feet ❑ motors (Puerto Rico only) (Describe type of equipment and location In Comments) f) Lowest adjacent (finished) grade next to building (LAG) 739„M ® feet ❑ meters (Puerto Rico only) III Highest adjacent (finished) grade next to building (HAG) M&4 ® feet ❑ motors (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of dock or stairs. including NA.__ ❑ feet ❑ motors (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER. OR ARCHITECT CERTIFICATION This certification is to be Signed and Seated by a land surveyor, engineer, or arch tied authorizod by 19w to certify elevatir intonnation. l cerbYy that the information can Rds Canfficatd represents my best &flats to interpret the data evafiabria I understand that any false statement my be punishable by firs at imprisonment ureter 18 U.S. Cnde, Section 1001.E3 Chock here it comments are provided on book of tern. Were latitude and longitude in Section A providod by a Licensed land surveyor? 0 Yes ❑ No Certifrer's Name RICHARD SUNDEN Leone Number 12746 - Tole IA -W6 -SURVEYOR Company Name THE INDEPENDENT HAWAII SURVEYORS __.. Address P.O. BOX 577 _ City HiLO � State HI ZIP Coda 96721 rLR Mb PRD�MS�IONAL SU1110F No. 12748 Signaler - Date 31 JAN. 2011 Telephone 808 959. r FEMA Form 81-31, Mar 09 See reverse side fnr continuation. Replaces all previous editions