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0.41++WtARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
<br />Federal Emergency Management Agency Expires March 31, 2012
<br />National Flood Insurance Program Important: Read the instructions on pages 1-9.
<br />SECTION A- PROPERTY INFORMATION a i .: n^bR s s:;r:..:777-x
<br />A2. Building
<br />Apt., Unit,
<br />No.) or P.O. Route
<br />HILO ___ Icy 96720
<br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
<br />(3) 2-4-W7:061
<br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
<br />A5. LatitudeA606 .ongitude: Lat. 19.6419-'rS•43.11i'Loroc -155.1Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983
<br />A8. Attach at least 2 photographs of the building if the Certificate is being used to obtain food Insurance.
<br />AT Building Diagram Number 1A
<br />A8. For a building with a crawlspece or endosure(e): Ag. For a building with an attached garage:
<br />a) Square footage of crawlspace or endosure(s) NA sq fl a) Square footage of attedied garage 484 eq it
<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 />e) Total net area of flood openings in A8.b NA eq in c) Total net area of flood openings in A9.b NA aq In
<br />d) Engineered flood openings? ❑ Yes x❑ No d) Engineered flood openings? [:]Yes x❑ No
<br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
<br />B1. NFIP Community Name 6 Community Number 82. County Name B3. State
<br />HAWAII COUNTY .155 1 HAWAII COUNTY I HAWAII
<br />B4. Map/Panel Number
<br />B5. Suffix
<br />Bit. FIRM Index
<br />87. FIRM Panel
<br />B8. Flood
<br />89. Bele Food Elevatbn(s) (Zone
<br />8 meters (Puerto Rico only)
<br />Date
<br />I
<br />ElfectNelRevlaed Date.
<br />Zone(e)
<br />AO, use base Hood depth)
<br />0690
<br />C
<br />APR 04 2004
<br />SEPTEMBER 16. 1998
<br />A
<br />1,010
<br />urs eaurue ur me Base Rood tievaoon (BFI) data or base flood depth entered In Item B9.
<br />❑ FIS Profile ❑ FIRM ® Community Determined ❑ Other (Describe)
<br />811. Indicate elevation datum used for BFE in hem Bit: ❑ NOVO 1929 ❑ NAVD 1988 ❑ Other (Describe) NA
<br />•B12. Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 11 Yes x❑ No
<br />Designation Date [3 CB[:]RS OPA
<br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
<br />C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction' Q 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 BFE), VE, V1430, V (with BFE), AR, ARIA, AR/AE, ARIA? -A30, AR/AH, ARIAO. Complete Items C2.a-h
<br />below according to the building diagram specified In Item AT Use the same datum as the BFE.
<br />Benchmark Utilized BM set by Philip Yoshimura, PE Vertical Datum NOVO 1929
<br />..o o,e„e., = - ooe,w uy a lana surveyor, engineer, or architect authorized bylaw to comfy elevati
<br />Information. I cattily, 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 A rovided by a
<br />licensed land surveyor? ❑Yes [X No
<br />Pshoa
<br />Lido
<br />PROFAROL
<br />LAtVE
<br />SURVEYOR
<br />No, 11868 /
<br />r \ 412612010 808) 6406057 '
<br />FEMA Form 81-31, Mar OfSee reverse side for continuation. Replaces all previous editions
<br />Check the measurement used.
<br />a)
<br />b)
<br />Top of bottom floor (Including basement, crawlspace, or enclosure floor)
<br />Top of the next higher floor
<br />1065.2 __2 feat
<br />8 meters (Puerto Rico only)
<br />NA _ feet
<br />meters (Puerto Rim only)
<br />c)
<br />Bottom of the lowest horizontal structural member (V Zones only)
<br />NA.-Elfeet
<br />❑ meters (Puerto Rico only)
<br />d)
<br />Attached garage (top of slab)
<br />1064.6 0 feet
<br />❑ meters (Puerto Rico only)
<br />e)
<br />Lowest elevation of machinery or equipment servicing the building
<br />1064.0 x feet
<br />❑ meters (Puerto Rico only)
<br />(Describe type of equipment and location In Comments)
<br />f)
<br />Lowest adjacent (finished) grade next to building (LAG)
<br />11064,L -El feat
<br />❑ meters (Puerto Rico only)
<br />g)
<br />Highest adjacent (finished) grade next to building (HAG)
<br />1064.3 x feet
<br />❑ meters (Puerto Rico only)
<br />h)
<br />Lowest adjacent grade at lowest elevation of dodo or stairs, Including
<br />NA,_❑ feet
<br />❑ meters (Puerto Rim only)
<br />structural support
<br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
<br />..o o,e„e., = - ooe,w uy a lana surveyor, engineer, or architect authorized bylaw to comfy elevati
<br />Information. I cattily, 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 A rovided by a
<br />licensed land surveyor? ❑Yes [X No
<br />Pshoa
<br />Lido
<br />PROFAROL
<br />LAtVE
<br />SURVEYOR
<br />No, 11868 /
<br />r \ 412612010 808) 6406057 '
<br />FEMA Form 81-31, Mar OfSee reverse side for continuation. Replaces all previous editions
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