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U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />National Flood Insurance Program <br />48 <br />ELEVATION CERTIFICATE <br />Important: Read the Instructions on pages 1-9. <br />Bldg. No.) or P.O. <br />OMB No. 1880-0008 I <br />Expires March 31, 2012 <br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) GARAGEIGUEST QUARTERS •. <br />A5. Latitude/Longitude: Let. 18.83848 Long. 468.00180 Horizontal Datum: ❑ NAD 1927x❑ NAD 1983 <br />A8. Attach at least 2 photographs of the building If the Certificate is being used to obtain flood insurance. <br />A7. Building Diagram Number.lA <br />A8. For a building with a rrewlepace or enclosure(s): A9. For a building with an attached garage: <br />a) Square footage of crawlepsoe or endosure(s) 678 aq it e) Square footage of atleched garage sq ft <br />b) No. of permanent flood openings In the crawlspaos or b) No. of permanent flood openings in the attached garage <br />enclosure(s) within 1.0 foot above adjacent grade 4 within 1.0 foot above adjacent grade <br />C) Total net area of flood openings In A8.b 800 act in c) Total net area of flood openings in AB.b eq In <br />d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yea 0 No <br />SECTION S - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />St. NFIP Community Name 8 Community Number 82. County Name B3. Stale <br />HAWAII COUNTY -166166 1 HAWAII COUNTY I HAWAII <br />B4. Map/Panel Number <br />B5. Suffix <br />BB. FIRM Index <br />87. FIRM Panel <br />88. Flood <br />B9. Base Flood Elev&Uon(e) (Zona <br />1. <br />Date <br />Effective/Revised Date <br />:Zone(s) <br />AO, use base flood depth) <br />061 <br />C <br />APR 02, 2004 <br />8EPTEMBER Is, Igoe <br />I IAE <br />9 FEET <br />ntu. indicate the source or the Base Flood Elevation (BFE) date or base good depth entered In Item Be. <br />❑ FIS Profile x❑ FIRM ❑ Community Determined ❑ Other (Describe) <br />Bit. Indicate elevation datum used for BFE In Iters S9: El NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) <br />B12. Is the building located Ina Coastal Barrier Resources System (CBRS) mea or Otherwise Protected Area (OPA)? ❑ Yes ❑x No <br />11, Designation Data ❑ CBRS ❑ OPA <br />C1. Building elevations are based on: ❑ Construction Drawings- ❑ Building Under Construction- <br />Finished Construction <br />•A new Elevation Certificate will be required when construction of the building to complete. <br />C2. Elevaflons - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete Gems C2." <br />below according to the building diagram specified In Item AT Use the some datum as the BFE. <br />Benchmark Utilized USO" BM AT KAILUA PIER <br />Vertical Datum NOVD 29. <br />" <br />ConversioNComdhents <br />Check the measurement used. <br />a) Top of bottom floor (Induding basement, crawlspaoe, or enclosure floor) <br />b) Top of the higher floor <br />8.11-3_E lestmeters <br />x <br />(Puerto Rico only) <br />B <br />nerd <br />18.23 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 />8.23 x fast <br />❑ meters (Puerto Rico only) <br />e) Lowest elevation of machinery or equipment servicing the building <br />10.0 x feet <br />❑ meters (Puerto Rico only) <br />(Describe type of equipment and location In Comments) <br />f) Lowest adjacent (finished) grade next to building (LAG) <br />7.8 x feet <br />❑ meters (Puerto Rico orgy) <br />g) Highest adjacent (fmlehed) grade rued to building (HAG) <br />9,0 x teat <br />meters (Puerto Rico only) <br />h) Lowest adjacent grade at lowest elevation of deck or stairs, Including <br />1 7.1- feet <br />)ILJ meters (Puerto Rico only) <br />,ensu„ is ru w mantes ami searee oy a rano surveyor, engineer, or architect authorized by law to Certiy elevab <br />Information. I car* Mat the Irnf rrmatlun on 6da Cert6cats represents my best efforts to Interpret the dale avalleb/a. <br />I understand that any false statement may be punishable by fine orbhpdaonment under f8 u.a Code, Section foot. <br />❑x Check here 8 comments are provided on back of form. Were latitude and longitude in Section A aided by a <br />licensed land surveyor? QYes No <br />1.�L �(EpONAL <br />P�FtS,p,Nfl�p <br />5� 101A3 <br />Form 81'-3T, War 09 See reverse side for contnuatbm. <br />