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U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. •_...a --..._. �A i..G Polley Number A2. Building Street Address pndudlnp Apt., Un6, Suite, an for Bldg. No.) or P.O. Route and Box No 11 I �:i r. t _ _ Company MAIC Number Ity State f..J___L t�PVcolde r C Bt -D K Z imthecra"IsPaosor h Description (lot antl Blot+ u 's Tax Parcel Number, Legal Desai tion, 1�r SI.Ss� K T�s� d 1� T' Misr el �1 � {L• ng Use (e.g., Re entlal, Non -R sidential, AdtlPoon, Accessory, etc.)1� de/LongItude: La Lons�s� Horizontal Datum: ❑NAD 1927 NAD 1983t� at least 2 photographs of the building i{{the Certlflcete is being used to obtain flood Insurance. g Diagram Number building with a crewlspace Or endosure(s): A9. For a building wfth an attached garage: u� footage t ood op ni or endosure(s) � sq ft a) Square footage of attached garage Permanent flood openings in the crawlspace or b) No. of permanent flood openings In the attached garage ft enclosure(s) within 1.0 foot above adjacent grade within 1 A foot above adjacent grade _ c) Total net area of flood openings In AB.b njj� sq in c) Total net area of flood openings In A9.b sq in d) Engineered flood openings? ❑ yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 11:1Bt. NFC Community Name 8 Community Number 82. County Name Hawaii County 155166 B3. State Hawaii County Hawaii ,naruranei rv�krDer 85. Sutlix 06. FIRM Intlex 87. FIRM Panei B6. Flood 155166 /4� I G I Date B9. Bass Flood Elevadon(s) (Z E givv�e�RReWsed Date Zones) AO, use base flood depth) oaro2ngoa y Ilfi/19AAs d 9 C 810 Intlrceto the source of the Base Flood Elevaflon (BFE) date or base flootl depth entered in item 89. ❑ FIS Profile FIRM ❑Community Determined ❑Other (Describe) 611. Indicate elevatlOn datum used for BFE in Item 89: �y NGVD 1929 ❑ NAVD 1986 ❑Other (Describe) _ 612. Is the building located in a Coastal Banter Resources System (CBRS) area or Otherwise Protected Area (OPA)T ❑Yes Designa0on Date ❑ CBRS ❑ OPA No Ct. Building elevations are based on: ❑ Construction Drawings • ❑ Building Under Construction- Finished Construction A new Elevation Certificate will be required when construction of the building is Complete. C2. Elevations - Zones Al -A30, AE, AH, A (with SFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according tOtbat building diagram specified in Item AT Use the same datum as the SFE. Benchmark UtilizeVemcal Datum gyp (y2q Conversion/Comments _ S7 I. M--PtCheck the measurement used. a) Top of bottom floor (including basement, crawispace, or enclosure floor) * b) Top of the next higher floor � Do feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) ❑ feet El meters (Puerto Rico only) d) Attached garage (top of slab) ❑feet El meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building _ �I feet 11 meters (Puerto Rico only) (Describe type of equipment and location in Comments) /1 0 Lowest adjacent (finished) grade next to building (LAG) �,�_ feet ❑meters (Puerto Rico only) 9) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including N feet 11 meters (Puerto Rico only) structural support —rO+vQ_ I{ feet ❑ meters (Puerto RICO only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the date available.l understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.0 L [� Check here It comments are provided on back of form, Were latitude and longitude in Section A provided by a FbhhS404) licensed land surveyor? ❑ Yes 14 NoCertifler's Name% I 1A.�L� License NumDe 1 n-�hryCompany Name /11� 9�/�.ARCHII OXM20I C'ry%uwrk ,.�. �. state ... zl cH e _ - I Foran 81T1, Mar 09 See reverse side for continuation. Replaces a6 /Slo or-.y� rte / Gi✓r %o/.n3 lQer.M. f