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COPY
<br />U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
<br />Federal Emergency Management Agency
<br />National Flood Insurance Program Important: Read the instructions on pages 1-8.
<br />SECTION A - PROPERTY INFORMATION
<br />• Al. Building Owner's Name PATRICK 6 MARY ANN AMARAL
<br />A2.
<br />Unit, Suite, and/or Bldg. No.) or P.O. Route and Box
<br />AC Building Use (e.g., Residential, Non -Residential, Addition, Accessory, ate.) RESIDENTIAL
<br />A5. Lattude/Longituds: Lat. 19 ° 41' 18"N Lap, 155 ° OS -5 V W
<br />AS. Attach at least 2 photographs of the bulldog If the Certificate is being uses to obtain flood Insurance.
<br />A7, Building Diagram Numjar5
<br />OMB No. 18804008
<br />Expires February 28. 2009.
<br />Horizontal Datum: Q NAD 1827 ® NAD 1993
<br />A8. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide:
<br />a) Square footage of crawl space or enclosures) aq fl a) Square footage of attached garage sq ft
<br />b) No. of permanent flood openings In the crawl space or b) No. of permanent good openings M the attached garage
<br />enclosure(&) walls within 1.0 foot above adjacent grade waits within 1.0 foot above adjacerd grade
<br />e) Total net area of food openings In Ae.b sq In C) Total net area of flood openings In A9.b eq in
<br />81. NFIP Community Name 8 Communly Numbar B2. County Name B3. State
<br />Hawaii Count 155166 Hawaii County Hawaii
<br />SiO. indicate ear source or me case noon ,*",,on (BFE) data or base flood depth ordered In tern Be.
<br />❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe)
<br />B11. Indicate elevation datum used for SFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ other (Describe)
<br />B12. Is the building located Ina Coastal Barrer Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑ Yes ® No
<br />• Designation Date ❑ CBRS ❑ OPA
<br />SECTION C - BUILDING ELEVATION INFORMATInB (RURVFV RFntiinent
<br />C1. Buildingelevations are based on: .
<br />Cd when con Drawings- o Building Under Constiuctlon' ®Finished Construction
<br />•A new Elevation Certificate will be required when construction of the building Is complete. • _ " -
<br />C2. Elevations -Zones A11430, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, ARIAO. Complete Rema C2.e-g
<br />below according to the building diagram specified In Item A7.
<br />Benchmark Utilized USGS BM "5YY" VenicelDaturn MEAN SEA LEVEL
<br />Converelon/Commenls NA
<br />Check the measurement used,
<br />e) Top of bottom floor (Including basement, crawl space, or enclosure loot) 418 1—r®1 feet ❑ meters (Puerto Rico oft)b) Top of the next higher floor NA Ial feet ❑ meters (Puerto Rim only)
<br />c) Bottom of the lowest horizontal structural member (V Zones only) NA ,_® feet ❑ meters (Puerto Rico only)
<br />d) Attached garage (top of slab) 415 feel ❑ meters (Puerto Rico only)
<br />e) Lowest elevation of machinery or equipment servicing the building 416 .L® feet ❑ meters (Puerto Rico oily)
<br />(Describe type of equipment In Comments)
<br />fl Lowest adjacent (finished) grade (LAG) 406 , §_n feet E] meters (Puerto Rico only)
<br />g) Highest adjacent (lnlshed) grade (HAG) T, ® 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 car* that the intormafion on this Certificate represents my best efforts to interpret the data available.
<br />I understand that any false statement may be punishable by Me or Imprisonment under 18 U. S. Code, Section 1001. O��P • Syy9
<br />® Check here if comments are provided on back of form. Q' )E1C3E1;ISED
<br />Certifiers NameLicense NumPR($II;',SiONAL
<br />Number ROBERT T. SHIRAI LS -5985 * H;tgvD
<br />Title Company Name SURVEYOR
<br />PRESIDENT/LAND SURVEYOR ISLAND SURVEY, INC. No. 5985
<br />,Address P.% BOX 4215, HILO014I 96720 State ZIP Code < P,
<br />Date 01/22/ 10 Telephone 808-935-9105 ��All U C' •
<br />FEMA Form 81-31-315, February 2006 See reverse side for continuation. Replaces all previous editions
<br />B4. Map/Panel Number
<br />B5. SufAx
<br />B8. FIRM Index
<br />B7. FIRM Panel
<br />88. Flood
<br />69. Base Flood FJevatlon(a) Rona
<br />155166.
<br />0880C
<br />Date
<br />4/02/04
<br />EftspNelRevlaed Date
<br />09/16/88
<br />Zons(s)
<br />AH
<br />AO, use bete flood depth)
<br />405.0
<br />SiO. indicate ear source or me case noon ,*",,on (BFE) data or base flood depth ordered In tern Be.
<br />❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe)
<br />B11. Indicate elevation datum used for SFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ other (Describe)
<br />B12. Is the building located Ina Coastal Barrer Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑ Yes ® No
<br />• Designation Date ❑ CBRS ❑ OPA
<br />SECTION C - BUILDING ELEVATION INFORMATInB (RURVFV RFntiinent
<br />C1. Buildingelevations are based on: .
<br />Cd when con Drawings- o Building Under Constiuctlon' ®Finished Construction
<br />•A new Elevation Certificate will be required when construction of the building Is complete. • _ " -
<br />C2. Elevations -Zones A11430, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, ARIAO. Complete Rema C2.e-g
<br />below according to the building diagram specified In Item A7.
<br />Benchmark Utilized USGS BM "5YY" VenicelDaturn MEAN SEA LEVEL
<br />Converelon/Commenls NA
<br />Check the measurement used,
<br />e) Top of bottom floor (Including basement, crawl space, or enclosure loot) 418 1—r®1 feet ❑ meters (Puerto Rico oft)b) Top of the next higher floor NA Ial feet ❑ meters (Puerto Rim only)
<br />c) Bottom of the lowest horizontal structural member (V Zones only) NA ,_® feet ❑ meters (Puerto Rico only)
<br />d) Attached garage (top of slab) 415 feel ❑ meters (Puerto Rico only)
<br />e) Lowest elevation of machinery or equipment servicing the building 416 .L® feet ❑ meters (Puerto Rico oily)
<br />(Describe type of equipment In Comments)
<br />fl Lowest adjacent (finished) grade (LAG) 406 , §_n feet E] meters (Puerto Rico only)
<br />g) Highest adjacent (lnlshed) grade (HAG) T, ® 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 car* that the intormafion on this Certificate represents my best efforts to interpret the data available.
<br />I understand that any false statement may be punishable by Me or Imprisonment under 18 U. S. Code, Section 1001. O��P • Syy9
<br />® Check here if comments are provided on back of form. Q' )E1C3E1;ISED
<br />Certifiers NameLicense NumPR($II;',SiONAL
<br />Number ROBERT T. SHIRAI LS -5985 * H;tgvD
<br />Title Company Name SURVEYOR
<br />PRESIDENT/LAND SURVEYOR ISLAND SURVEY, INC. No. 5985
<br />,Address P.% BOX 4215, HILO014I 96720 State ZIP Code < P,
<br />Date 01/22/ 10 Telephone 808-935-9105 ��All U C' •
<br />FEMA Form 81-31-315, February 2006 See reverse side for continuation. Replaces all previous editions
<br />
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