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U.S. DEPARTMENT OF HOMELAND SECURITY .oFederal Emergency Management Agency National Flood Insurance Program 1 N. Wilder R, ty State ilo HI' ELEVATION CERTIFICATE Important: Read the Instructions on pages 1-9. and/or Bldg. No.) or P.O. Route and Box No. Tax Map Key Number: 3rd Division 2-5-004:025 OMB No. 1660-0008 Expires March 31, 2012 f A4. Building Use (e.g.. Residential, Non -Residential, Addition, Accessory, etc.)g,raidential A5. Labtude/Longitude: Lata9.e863 Long. 155.3427 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood Insurance. A7. Building Diagram Number '1_ A8. For a building with a crawlspace or endosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) n/a sq it a) Square footage of attached garage n(,L sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade n(a- within 1.0 foot above adjacent grade n a c) Total net area of flood openings in A8.b n/a sq In c) Total net area of flood openings In A9.b n j sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No . SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION I Hawaii County 155166 1 Hawaii County I Hawaii I B4. Map/Panel Number B5. Suffix 86. FIRM Index 87. FIRM Panel B8.Floo B9. Base Flood Elevation(s) (Zone 155166 859 D Date Effeclive/Revised Date Zones)d AO, use base flood depth) ❑ meters (Puerto Rico only) (Describe type of equipment and location In Comments) 04/022004 12/17/2009 AE 1126.25 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item B9. ® FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe) _ Bt 1. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)_ B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? [IYes ® No kii Designation Date _ . ❑ CBRS ❑ OPA SECTION C - C1. Building elevations are based on: ❑ Construction Drawings• ❑ Building Under Construction* !, IM Finished Construction _ 1 •A new Elevation Certificate Will be required when construction of the building is complete. - _ - - 1 C2. Elevations - Zones A1-A30,'AE,'AH, A (with BFE), VE, VI -V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2." below according to the building diagram specified In Item AT Use the same datum as the BFE. Benchmark Utilized USGS Vertical Datum NGVD 29 Conversion/Comments n/a a) Top of bottom floor (Including basement, crawlspace, or enclosure floor) 112 B 05 b) Top of the next higher floor n/a c) Bottom of the lowest horizontal structural member (V Zones only) n%a d) Attached garage (top of slab) n/aa e) Lowest elevation of machinery or equipment servicing the building 1125. 02 ❑ meters (Puerto Rico only) (Describe type of equipment and location In Comments) ❑ meters (Puerto Rico only) 0 Lowest adjacent (finished) grade next to building (LAG) 1123..18 g) Highest adjacent (finished) grade next to building (HAG) 1125,.73 h) Lowest adjacent grade at lowest elevation of deck or stairs, Including 1125..02 Check the measurement used. ® feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ❑ feel ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Moo only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feel ❑ meters (Puerto Rice only) OR ARCHITECT CERTIFICATION i his cenmeauon is to oe signea and seaiea Dy a rano surveyor, engineer, or architect authorized by law to certiry elevation Information. I certify that the information on this Certificate represents my best efforts to interpret the data avallable.l understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.® �� T. /4f Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a -4 F 'Q licensed land surveyor? ® Yes ❑ No DP ED Certifier's Name License Number PR :i MAL p .David T. Imata 5105-C ry (( tie Company Name NO. 5105-C ce President. P.E. Imata & Associates. Inc. Q Address City State ZIP Code121=KaRiolagi Street Hilo HI 96720 :ifs Jtg• Signa re a Telephone a FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions