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U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
<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 (Fof litiarertee "' °h_'a':
<br />Al. Budding Owner's Name Fairytale at Kahaluu Beech Inc. ,p I, r�bfW. , y;, ,y,jjf{ �by��A,��
<br />A2. Building Street Address (Including Apt., Unit, Suds, and/or Bldg. No.) or P.O. Route and Box No. J10MMIM
<br />„yk, N,77-230 Ke Alohl Kai Place ,t.nS+;':�arin. eii."..moi:±t✓w4!:�
<br />City Keilua Kona State
<br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, ate.)
<br />3.7.7-024-005
<br />A4. Building Use (e.g.. Residential, Non -Residential, Addition, Accessory, etc.) Residential
<br />A5. Latitude/Longitude: Let. 19. 35'47.60" Long. 155.58'31.88"W Horizontal Datum: ❑ NAD 1927 ® NAD 1983
<br />A8. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood Insurance.
<br />A7. Budding Diagram Number ¢
<br />A8. For a building with a crewlspace or enclosure(e): A9. For a building with an attached garage:
<br />a) Square footage of crawispace or enclosure(s) _ sq ft a) Square footage of attached garage sq f
<br />b) No. of permanent flood openings In Me crawlepaco or b) No. of permanent flood
<br />openings In IM 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 food openings in A8.b _ eq in c) Total net area of flood openings In A9.b __ sq in
<br />d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yea ❑ No
<br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
<br />B55t FIP Community Name & Community Number 82. County Name B3. State
<br />Hawaii
<br />B4. Map/Panel Number
<br />65. Suffix
<br />B6. FIRM Index
<br />B7. FIRM Panel
<br />B8. Flood89.
<br />Base Flood Elevations) (Zone
<br />1551660926
<br />E
<br />Date
<br />EffedivelRevised Date
<br />Zone(s)
<br />AO, use base flood depth)
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />April 2, 2004
<br />June 2, 1995
<br />AENE
<br />12 Feet
<br />8110. Indicate the source or the Base Flood Elevation (BFE) data or bass flood depth entered In Item 89.
<br />❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _
<br />811. Indicate elevation datum used for BFE In Item 89: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
<br />101112, Is the building located Ina Coastal Barrier Resources System(CBRS) area or Otherwise Protected Area (OPA)? 13Yes ® No
<br />Designation Date _ ❑ CBRS ❑ OPA
<br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
<br />Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ,:19 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, V1430, V (with BFE), AR, ARIA, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete items C2.0 -h
<br />below according to the building diagram specified in Item AT Use the some datum as the BFE.
<br />Benchmark Utilized LA!W Street PC Sla. Vertical Datum NGVD29
<br />ConversionlComments Street Monument
<br />Check the measurement used.
<br />a)
<br />Top of bottom floor (including basement, crewispace, or enclosure floor)1j.Q
<br />® feet
<br />❑ meters (Puerto Roo only)
<br />b)
<br />Top of the next higher floor
<br />hM._
<br />❑ feet
<br />❑ meters (Puerto Rico only)
<br />c)
<br />Bottom of the lowest horizontal structural member (V Zones only)
<br />12.92
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />d)
<br />Attached garage (top of slab)
<br />PIE._
<br />❑ feet
<br />❑ meters (Puerto Rico only)
<br />e)
<br />Lowest elevation of machinery or equipment servicing the budding
<br />12.1
<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 />5.¢
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />Highest adjacent (finished) grade next to building (HAG)
<br />,IZ.Q
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />VVV
<br />Lowest adjacent grade at lowest elevation of deck or stairs, including
<br />-L ._Y.,2 QFfeet
<br />❑ meters (Puerto Rloo only)
<br />structural support -
<br />SECTION D - SURVEYOR. ENGINEER. OR ARCHITECT CFRTIFit ATrnu
<br />1114 cernumuuun m ru 0e wuneo anu seareu oy a rend surveyor, engineer, o arcmtea authorized by law to certify elevation
<br />IMormation. I certify that the Information on this Certificate represents my best efforts to Interpret the data aveflebled
<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 />Cerdfiaes Name All Ghalamfarsa License Number 7496
<br />_ Title Architect Company Name AIPI Architects, Inc.
<br />_ Address 75-143 Hualalai Road Ste 301 City Kallua Kona State HI ZIP Code 96740
<br />LICkNBBD
<br />PHOPB4AL
<br />ARCHrfBCf
<br />No.74%
<br />FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions
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