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U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1-9. or P.O. Route and Box No. OMB No. 1e60-0008 " Expires March 31, 2012 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) GARAGE A5. Latitude/Longitude: Lat. 19'38'20.18"N Long. 155'5756.34"W 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. Building Diagram Number lg A8. For a building with a crawlspace or enclosure(e): A9. For a building with an attached garage: a) Square footage of crawlspece or enciosure(s) _ sq ft a) Square footage of attached garage eq R b) No. of permanerd 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 within 1.0 That above adjacent grade _ e) Total net area of flood openings in A8.b _ 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 165188 1 HAWAII I HAWAII 135166 I 0694C I 4N2/04 I Effective/Revised9/ Date I () I AO, use 9 FEES r 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In hem B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _ B71. Indicate elevation datum used for BFE in Item 89: ® NGVD 1929 ❑ NAVD 1966 ❑ Other (Describe) _ B12. Is the building located in a Coastal Barrier Resources System(CBRS) area or Otherwise Protected Area (OPA)? ❑ Yea ❑ No ft Designation Date _ O CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings• ❑ Building Under Construction' ® Finished Construction A new Elevation Certiflcate will be required when construction of the building Is complete. C2. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, VI 430. V (with BFE), AR, ARM, ARAE, AR/A1-AW, AR/AH, AR/AD. Complete Items C2.a-h below according to the building diagram speelNod In Item AT Use the same datum as the BFE. Benchmark Utilized USGE BM AT KAILUA PIERVertical Datum NGVD 1929 Conversion/Comments Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 2.AQ ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor NA ❑ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) 2.211! ® feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) NA ❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building NA ❑ feet ❑ meters (Puerto Rico only) (Describe type of equipment and location In Comments) f) Lowest adjacent (finished) grade next to building (LAG) 1.¢9 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 2.0-0 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, Including 2.jg ® feet ❑ meters (Puerto Rico only) structural support 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 CertlNcate represents my best efforts to interpret the data evallable.l understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.❑ G. G. PATI/S Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No � LICENSED �2 Certifier's Name THOMAS G. PATTISON License Number 10743 PROFESSIONAL LAND k LAND SURVEYOR Company Name PATTISON LAND SURVEYING SURVEYOR No. 10743 reverse side for continuation. Replaces all previous