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U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1860-00008 <br />,Federal Emergency Management Agency Expires March 31, 2012 <br />'National Flood Insurance Program Important: Read the instructions on pages 1-9. <br />SECTION A - PROPERTY INFORMATION ,. For. nsurance Company.Use: <br />1. Building Owner's Name BIG SURF TRUST Poliq;Number ' <br />W. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and 'Bgz NyV n)i v. ii Company NAIL Number <br />75-5572 KUAKINI HIGHWAY ' <br />City KAILUA-KONA State HI ZIP Code 96740 . <br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) l lima <br />TMK(3)7.6-005:012 <br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) BEACH HALE <br />A5. Latitude/Longitude: Lat. 19d38'20.18"N Long, 155d59'56.34'W Horizontal Datum: ❑ NAD 1927 ® NAD 1983 <br />As. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood Insurance. <br />AT Building Diagram Number ;i <br />A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: <br />a) Square footage of crawlspace or enclosures) _ sq ft a) Square footage of attached garage sq It <br />b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings In the attached garage <br />enclosure(s) within 1.0 foot above adjacent grade within 1.0 fool above adjacent grade <br />c) Total net area of flood openings in A8.b -sq In c) Total net area of flood openings in A9.b _ sq in <br />d) Engineered flood openings? [3Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />St. NFIP Community Name & Community Number 82. County Name 63. State <br />HAWAII COUNTY 155166 HAWAII HAWAII <br />84. Map/Penel Number <br />85. Suffuk <br />Bit. FIRM Index <br />B7. FIRM Panel <br />B8. Flood <br />B9. Base Flood Elevations) (Zone <br />155166 <br />0894C <br />Date <br />Effective/Revised Date <br />Zone(s) <br />AO, use base flood depth) <br />® feet <br />❑ meters (Puerto Rico only) <br />4/02/04 <br />91/16188 <br />VENAE . <br />10 Feet <br />810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. <br />❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _ <br />B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) _ <br />Is the building located in a Coastal Samar Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No <br />Designation Date _ ❑ CBRS ❑ OPA <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* 0 Finished Construction <br />'A new Elevation Certificate will be required when construction of the building is complete. <br />C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-h <br />below according to the building diagram specified In Item AT Use the some datum as the BFE. <br />Benchmark Utilized USGS BM at Kailue PierVertical Datum NGVD 1929 <br />Conversion/Comments_ .- <br />Check the measurement used. <br />a) <br />Top of bottom floor (including basement, crawlspaoe, or enclosure floor) 11.12 <br />® feet <br />❑ meters (Puerto Rico only) <br />b) <br />Top of the next higher floor <br />N-6 <br />❑ feet <br />❑ meters (Puerto Rico only) <br />c) <br />Bottom of the lowest horizontal structural member (V Zones only) <br />19.20 <br />® feet <br />❑ meters (Puerto Rico only) <br />d) <br />Attached garage (top of slab) <br />N-60 <br />feet <br />❑ meters (Puerto Rico only) <br />e) <br />Lowest elevation of machinery or equipment servicing the building <br />aLi.1 <br />® feet <br />❑ meters (Puerto Rico only) <br />(Describe type of equipment and location in Comments) <br />f) <br />Lowest adjacent (finished) grade next to building (LAG) <br />919 <br />® feet <br />❑ meters (Puerto Rico only) <br />g) <br />Highest adjacent (finished) grade next to building (HAG) <br />919 <br />® feet <br />❑ meters (Puerto Rico only) <br />h) <br />Lowest adjacent grade at lowest elevation of deck or stairs, including <br />¢.§o <br />® feet <br />❑ meters (Puerto Rico only) <br />structural support <br />SECTION D - SURVEYOR. ENGINEER. OR ARCHITECT CERTIFICATION I <br />This certification is to be signed and sealea by a lane surveyor, engineer, or architect authorized by law to certify elevation <br />Information. I certify that the information on this Certificate represents my best efforts to interpret the data avadeble.l <br />understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.0 <br />Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a <br />licensed land surveyor? ® Yes ❑ No <br />Certifier's Name Thomas G. Pattison License Number 10743 <br />/t,-1 LICENSED <br />PROFESSIONAL <br />* LAND <br />SURVEYOR <br />t No. 10743 <br />FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous <br />