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U.S. DE&TMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />National Flood Insurance Program <br />(Including <br />ELEVATION CERTIFICATE <br />-Important: Read the instructions on pages 1-9. <br />and/or Bldg. No.) or P.O. Route and Box No.. <br />OMB No. 1880.0008 <br />Expires March 31, 2012 <br />City State HI ZIP Code <br />KAILUA KONA <br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, 1M710 <br />(3) 7.54M5-018; LOT 48 OF L.C. APP. 1318 <br />Legal Description. eta) <br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) ACCESSORY - POOL HOUSE <br />A5. LatldidelLongttude: Let. 19.63860 Long. -108.00180 Horizontal Datum: ❑ NAD 1927 JE,NAD 1083 <br />A8. Attach at least 2 photographs of the building If the Certificate IS being used to obtain Rood insurance. <br />AT Building Diagram Number 1A AS. For a building with a craNAspece or enclosure(s): A8. For a building with an attached garage; <br />a) Square footage of crew 809 or enclosure($) W ft s) Square footage of attached garage sq fl ' <br />D) No. of permanent flood openings in the crewlapace or b) No. of permanent flood openings In the attached garage <br />enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot 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' <br />sq d) Engineered flood openings? [:]Yes E] No d) Engineered flood openings? ❑ Yea_ No . in <br />SECTION B - FLOOD INSURANCE RATE MAP WIRMI INFORMATION <br />81. NFIP Community Name 6 Community Number B2. County Name B3. State <br />HAWAII COUNTY -168188 HAWAII COUNTY 'ueweu <br />B4. MaplPanel NumberB5. <br />SufBx <br />Bit. FIRM Index <br />B7. FIRM Panel <br />Bit. Flood <br />89. Base Flood FJevation(s) (Zone <br />Benchmark Utilized USOB SM AT KAILUA PIER - <br />. Date <br />Effective/Revised Date <br />2nne(e) <br />AO, use base flood depth) <br />0661 <br />C <br />APR 02, 2004 <br />SEPTEMBER 16,1666 <br />rAE <br />10 FEET <br />MIA. _ feet <br />meters (Puerto Rico only) <br />c) Bottom of the lowest horizontal Structural member (V Zones only) <br />WA._❑ feet <br />❑ meters (Puerto Rico only) <br />uw euww ul um case 1`1900 nevaaon (1s1`t) data or base flood depth entered in Iters 89. <br />❑ FIS Profile Q FIRM ❑ Community Determined - ❑ Ogler (Describe) <br />Bit. Indicate elevation datum Lead for BFE in Item Bit: El NGVD 1929 ❑ NAVD Wes ❑ Other (Describe) . <br />B12. Is the building located Ina Coastal Bartter Resources System (CBRS) area or OMervilse Protected Area (OPA)? ❑ Yes ❑x No <br />Nk Designation Date ❑ CBRS ❑ OPA <br />C1. Building elevations are based on; ❑ Construction Drawings' ❑ Building Under Consbuotlon• <br />•A <br />Q Finished Construction <br />new Elevation Certificate will be required when construction of the building Incomplete. <br />C2. Elevations— Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/AI-A30, AR/AH, ARIAO. 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 USOB SM AT KAILUA PIER - <br />Vertical Datum NtiVD 29 <br />ConvereloNConhmente <br />. <br />Check the measurement used. <br />a) Top of bottom floor (including basement, crawbpace, or encceure.floor) <br />b) Top of the next higher floor <br />12.0 x feet <br />meters (Puerto Rice only) <br />® <br />MIA. _ feet <br />meters (Puerto Rico only) <br />c) Bottom of the lowest horizontal Structural member (V Zones only) <br />WA._❑ feet <br />❑ meters (Puerto Rico only) <br />d) Attached garage (top of slab) <br />WA._❑feet <br />motors (Puerto Rico only) <br />e) Lowest elevation of machinery or equipment Servicing the building <br />x <br />12, 0 feet <br />❑ meters (Puerto Rico only) <br />(Describe type of equipment and location in Comments) <br />' <br />f) Lowest adjacent (finished) grade next to building (LAG) <br />8, 0 x feet <br />❑ meters (Puerto Rico only) <br />g) Highest adjacent (finished) grade next to building (HAG) <br />h) Lowest adjacent grade at lowest elevation of deck including <br />k--Jfl fast <br />WA,_LJfeet <br />❑ meters (Puerto Rico only) <br />or Stake, <br />❑ meters (Puerto Rico ordy) <br />structural support <br />una w, nnwuun 1e to ue elgneu ana Sealed Dy a land surveyor, engineer, or architect authorized by law to ce" eleh <br />Information. I certify that His Information on Mia CerMoSte represents my beat ellorts to kilerpret the date avellebfe. <br />I understand! that any false Statement may be punishable by fine Orlmpdsonment under 18 U.S. Code. Section 1001. <br />x❑ Check here If comments are provided on back of form. <br />Form <br />Were latitude and langftWe In Section A Eovided by a' <br />licensed land surveyor? QYes 0 No <br />See reverse side for continuation. ' . <br />G. PArT� <br />s <br />PRO SESSIED <br />ONAL OZ <br />so :R <br />Na 10743 <br />s <br />Replacesall <br />