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OurProj# ,10569.9 <br />U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />National Flood Insurance Program <br />ELEVATION CERTIFICATE <br />Important: Read the Instructions on pages 1-9. <br />OMB N11860-0008 <br />Expires Maroh 31, 2012 <br />City Kailua Kona sate Hawaii ZIP cede 96740 <br />A4. Building Use (e.g., Residential Non -Residential, Addition, Accessory, etc.Ltr%rnelurarnrdl <br />A5. latltude/Longlade: Lal N 14.62587 Long. W 155.98755 horizontal Datum: ❑ NAD 1927 0 NAD 1963 <br />A8. Attach at least 2 photographs of the building If Bre Certificate Is being used to obtain Mod Insurance. <br />A7. Building Diagram Number <br />A8. For a building with a crawlepaoe or enclosure(s): A8. For a building with an attached garage: r <br />a) square footage of crawlspece or endosure(s) n/a sq 8 a) Square footage of attached garage 5-7G - 418 <br />b) No. of permanent Mod openings In the crowlepace or b) No. of permanent flood openings In the attached garspa <br />endoeure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade V <br />e) Total net area of flood openings In AS.b aq a Q Total net area of flood openings a A9.b a sq in <br />d) Engineered flood openings? L3Vee p No d) Engineered flood openings? [:]Yes ♦ No <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRMI INFORMATION <br />of Hawaii <br />,84. Map/Panel Number <br />85. suffix <br />B6. FIRM Index <br />B7. FIRM Panel <br />88. Flood <br />B9. Base Flood Elevations) (Zone <br />below according to the building diagram specified In Item AT Use the same datum as the SFE. <br />Date <br />Effective/Revised Date <br />Zone(s) <br />AO, use base flood depth) <br />0713 <br />D <br />04/02/2004 <br />05/16/1994 <br />AE <br />10 <br />810. Indicate the source of the Base Flood Elevation (BFE) data or base Mod depth entered In Item 09. ' <br />❑FIS Profile QFIRM ❑Community Determined QOther (Describe) <br />811. Indicate elevation datum used for SFE in Item 89: Q NGVD 1929 ❑NAVD 1988 ❑Other (Describe) <br />812. Is the building located In a Coastal Barrier Resources System (CWW) area or Otherwise Protected Area (OPA)? E] Yes Q No <br />la, Designation Date �CBRS ❑OPA <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />Ci. Building elevations ere based on: ❑Construction Drawings' ❑Bulding Under Construction- <br />JL—] Finished Construction <br />'A new Elevation Certificate will be required when construction of the building Is complete. <br />C2. Elevations - Zones At -A30, AE, AH, A (with SFE), VE, V1430, V (with SFE), AR, AWA, 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 same datum as the SFE. <br />Benchmark utilized BM4 - Kailua Pier Vertical Datum (NGVD 1929) <br />Conversion/Comments Datum has heen nnnvarfPd from MI I W in MSI <br />Check the measurement used.. <br />a) Top of bottom floor (including basement, crawfspace, or enclosure floor) 14.82 feel <br />Q meters (Puerto Rico only) <br />b) Top of the next higher floor 13.81 fest <br />LJ meters (Puerto Rico only) <br />c) Bohm of the lowest horizontal structural member (V Zones only) 1211fest <br />❑ meters (Puerto Rico only) <br />d) Attached garage (top of slob) 13.73 fest <br />❑ meters (Puerto Rico only) <br />e) Lowest elevation of machinery or equipment servicing the building 12.78 , feel <br />❑ meters (Puerto Rico only) <br />(Desodbe type of equipment and location In Comments) <br />f) Lowest adjacent (Mlshed) grade next to Wilding (LAO) 12.06Q.,feet <br />meters (Puerto Rice only) <br />g) Highest adjacent (finished) grade next to building (HAG) 12.66fest <br />meters (Puerto Rico only) <br />h) Lowest adjacent grads at lowest elevation of deck or stairs, Including 13.19 ♦ feel <br />U meters (Puerto Rico only) <br />structural support <br />SECTION D • SURVEYOR. ENGINEER. OR ARCHITECT CERTIFICATION <br />This cemflcetion U to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation <br />information. 1 certify that the information on this Cerflfioete represents my best efforts to IMerpref the date ovelable. <br />I understand that any false statement may be punishable by fine or Impitsonment under 18 U.S. Code, Section 1001. <br />j] <br />Check here if comments are provided on back of form. Were latitude and longitude In Section AIded by e <br />licensed land surveyor! Dyes T No <br />Certifiers Name Chrystal T. Yamasaki Ucense Number LS -4331 <br />Professional Land <br />201 <br />09 / / \ See reverse <br />2010 <br />