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Out Prop •17537. U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program A2. Kamuela ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION state OMB No. 1880-0008 Expires March 31, 2012 A4. Building Use (e.g., Residential, Non-Reeldemlel Addition, Accessory, etc.)"W""p1LMI A3. Latitude/Longitude: Let, N 19 58 03.38 91 Long. W 5 Horizontal Datum: NAD 1927 NAD 1983 A8. Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood Insurance. A7. Buitding Diagram Number 6_ A8. For a building with a crawiepace or enclosure(s): A9. For a building with an attached garage: ey Square footage of crewlepece or enclosures) n a eq fl a) Square footage of attached garage 918 aq R b) No. of permanent flood openings in the crewlspace or b) No. of permanent flood openings In the attached gara� rae enclosures) within 1.0 loot above adjacent grade within 1.0 fool above adjacent grade c) Total net area of flood openings In A8.b sq In c) Total net aof flood openings in A9,b n7a eq in d) Engineered flood openings? [JYes LJNo d) Engineered flood openings? []Yes No SECTION S - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Communlly Name 8 Community Number B2. l:ounty Name B3. State HAWAII 155166 Hawaii Count State of Hawaii B4. Map/Panel Number as. Suffix Be. FIRM FIRM Panel B% Flood B9. BaseBaFl Flood eev llodn(es)(Zone eIndex Elle87. ctivelRevlead Dete 155166 0277 C 04/02/2004 09/16/1988 AE / VE 8 B10. 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)� 811. Indleate elevetion datum used for BFE In Ilem 89: ❑✓ NGVD 1929 []NAVE) 1988 []Other (Describe) . 812. Is the building located Ina Coastal Barrier Resources System (CM) srea or Othenslee Protected Area (OPA)7 ❑ Yes ❑✓ No Designation Date "CBRS ❑OPA Cl. Building elevations are based on: ,Construction Drawings' ❑ Building Under Construction* Q Finished Construction •A new Elevation Certificate will be required when constnx0on of the building Is complete. C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, AR/AH„ARIAO. Complete Items C2.0 -h below according to the building diagram specified In Item Al. Use the same datum as the BFE. Benchmark Utilized Pt 'a Statinn w/ MSI Elav VeAcal Datum (NGVD 1929) ConvenlonlComments Nont3 Check the measurement used. e) Top of bottom floor (Including basement, crawlepace, or enclosure floor) 5.4�2�IP��1i feet 8 meters (Puerto Rico only) b) Top of the next higher floor 10.red feet meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) 9.61-1 �0� feet ❑ meters (Puerto Rico only) d) Attached garage (top of slob) 5.42 feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 10.64 M foot ❑ meters (Puerto Ria only) (Describe type of equipment and location In Comments) 0 Lowest adjacent (finished) grade next to building (LAO) 3.66 feet r��+ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 5.02 feet IJ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, Including 4.66 feet ®meters (Puerto Rla only) structural su000rt SECTION D • SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification Is to be signed and sealed by a lend surveyor, engineer, or architect suthonzed by law to cerufy elevation Information. I cerliy that the Information on this CertiOcate repreaenta my beat efforts to Interpret the date available.T. I understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001. Yq Q Check here If comments are provided an back of form. Were latitude and longitude In Section Aprovided by a Qy licensed lend surveyor? Oyes ❑ No VZ PR Certlflees Name License Number Chrystal T. Yamasaki LS -4331 * U OR en Nema ntieLicensed Professional Land ru Pie�ior Wes Thomas Associates 4331 Address 75-5749 Kalawa Street cltyKailua-Kona state Hawaii zlpcode96740 41 gWAtI,%3.S.* FEMA Forth 81 -31 -,Mar 09k / see reverse