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IMPORTANT: In these spaces. copy the correscondina Information from Section A. 158E iSeirpcS a GoTa"c rl er l 31 N HI 96720 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ((CONTII sides of this Elevation.Certificate for (1) community official, (2) Insurance agenHcompany, and (3) building owner. 1. Flood elevation survey by Iknata a Associates, Inc.(8.5 x 11) 2. FIRM May 155166 0859D revised to reflect LOMRR effective Dec. 17, 2009 by others 3. Corresponding Flood Profile (11 x 17) by others, INFORMATION For Zones AO and A (without SFE), complete Items E1 -E5. If the Certificate Is Intended to support a LOMA or LOMR-F request, complete Sections A, B, end C. For Items E1 -E4, use natural grade, N available. Check the measurement used. In Puerto Rice only, enter meters. Et. Provide elevation Information for the following and check the appropriate boxes to show whether the elevation Is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor pncluding basement, crewlspace, or enclosure) Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) Is _._ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 8-9 with permanent flood openings provided In Section A Items 8 and/or 9 (seepages 8-9 of Instructions), the next higher floor (elevation 02.b In the diagrams) of the building Is [Ifeet [I motors [Iabove 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. Zone 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 certiN this information In Section G. F. PROPERTY OWNER 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 SFE) or Zone AO must sign here. The statements In Sections A, B, and E are correct to gra best of my knowledge. or Signature Comments Representative's Name G - 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 FEMA -Issued or community -Issued BFE) or Zone AO. G3. ❑ The following Information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G8. Date Certificate Of Complianoe/Occupancy Issued . 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 of flooding at the building site: ^ _ ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation _ _ []feet ❑ meters(PR) Datum _ Local Official's Name This Community Name Telephone FEMA Form 81-31, Mar 09 Replaces all