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7-8-021:001
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4/12/2016 10:47:27 AM
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Date
7/22/2011
Type
Elevation Certificate
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Our Proo 10040.9 <br />U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />National Flood Insurance Program <br />A2. <br />City Kailua Kona <br />Unit, <br />ELEVATION CERTIFICATE <br />Important: Read the instructions on pages 1-9. <br />or P.O. Route and <br />OMB No. 1660-0008 <br />Expires March 31, 2012 <br />A4. Building Use (e.g., Residential, Non-Residentlal, Addition, Accessory, etc.) Residential <br />A5. Labtude/Longitude: Lat. N 19.55994 Long, W155.§MU Horizontal Datum: ❑ NAD 1927 0 NAD 1983 <br />A8. Attach at toast 2 photographs of the building N the Certificate Is being used to obtain flood Insurance. <br />A7. Building Diagram Number 5 <br />As. For a building with a rxavdspece or enclosure(e): A9. For a building with an attached garage: <br />e)' Square footage of crawlepaoe or endosure(s) n/a eq ft a) Square rootage of attached garage n/a aq 1t <br />b) No. of permanent flood openings in the crewlspace or b) No. of permanent flood openings in the attached garage <br />enclosures) 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 eq In c) Total net area of flood openings In A9.6 sq In <br />d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? []Yes No <br />SECTION B • FLOOD INSURANCE RATE MIAP (FIRM) INFORMATION <br />St. NFIP Community Name & Community Number B2. Courcy theme B3. Stats <br />HAWAII 155166 Hawaii Coun State of Hawaii <br />B10. Indicate the source Of the Base Flood Elevation (BFE) data or base flood depth entered In Item B9. <br />❑FIS Profile . QFIRM ❑Community Determined ❑Other (Describe) <br />811. <br />te elevation datum used for BFE In <br />em Bg: <br />NAVD 1988 <br />er (Describe) <br />B72 Isthe building located n a'Coastal Barrier lResouh System (C� ) area or Otherwise Protected �Area (OPA)7 Yes <br />Designation Date �CSRS ❑OPA ❑ ❑Q No <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />B4. Map/Panel Number <br />B5. Suffix <br />B8. FIRM Index <br />87. FIRM Panel <br />68. Flood <br />B9. Base Flood Elovetlon(s) (Zone <br />Benchmark Utilized USGS RM at Kailua Pier veruceioatum_ (NGVD 1929) <br />Conversion/Commente None - haSed on moan cpa level <br />Data <br />EffedNe/Revlsed Date <br />Zone(s) <br />1 <br />AO, use base flood depth) <br />1 <br />b) Top of the next higher floor teat <br />929 <br />C <br />04/02/2004 <br />09/16/01988 <br />VE/AE <br />14 <br />B10. Indicate the source Of the Base Flood Elevation (BFE) data or base flood depth entered In Item B9. <br />❑FIS Profile . QFIRM ❑Community Determined ❑Other (Describe) <br />811. <br />te elevation datum used for BFE In <br />em Bg: <br />NAVD 1988 <br />er (Describe) <br />B72 Isthe building located n a'Coastal Barrier lResouh System (C� ) area or Otherwise Protected �Area (OPA)7 Yes <br />Designation Date �CSRS ❑OPA ❑ ❑Q No <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />Ct. Building elevations are based on: ❑Construcuon Drawings• F_] Building Under Construction- <br />Q Finished Construction <br />•A new Elevation Certificate will be required when construction of the building Is complete. <br />C2. Elevations - Zones Al -AW, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-h <br />below according to the building diagram speclfled in Item A7. Use the same datum as the BFE. <br />Benchmark Utilized USGS RM at Kailua Pier veruceioatum_ (NGVD 1929) <br />Conversion/Commente None - haSed on moan cpa level <br />Check the measurement used. <br />a) Top of bottom floor (including basement, crawispace, or enclosure floor) 17.31 feet <br />8 meters (Puerto Rico only) <br />b) Top of the next higher floor teat <br />meters (Puerto Rloo only) <br />c) Bottom of the lowest horizontal structural member (V Zones only) 16.35 feet <br />❑ meters (Puerto Rloo only) <br />d) Attached garage (top of slab) Na feet <br />❑ meters (Puerto Rloo only) <br />e) Lowest elevation of machinery or equipment servicing the building 14.30 feet <br />❑ meters (Puerto Rioo only) <br />(Describe type of equipment and location In Comments) <br />f) Lowest adjacent (finished) grade next to building (LAO) 11.55 feet <br />meters (Puerto Rico only) <br />g) Highest adjacent (finished) grade next to building (HAG) 13.61 feet <br />meters (Puerto Rico only) <br />h) Lowest adjacent grade at lowest elevation of deck or stairs, Including 12.07 feet <br />meters (Puerto Rico only) <br />h ma cemncenon is he ce signed ano sealed Dy a hand surveyor, engineer, or architect authorized by law to certify elevation <br />Information. I certify that the Information on this Certificate represents my beat efforts to Interpret the data available. <br />I understand that any false statement may be punishable by line or Imprisonment under 18 U.S. Code, Section 1001. <br />❑ Check here If comments are provided on back of form. Were latitude and longitude In Section A,RP.rovided by a <br />licensed land surveyor? ®Yes L.J No <br />Certlear's Name Chrystal T. Yarnasaki Llcense Number LS -4331 <br />Form <br />2 2011 <br />reverse e <br />96740 <br />LICENSED <br />2011 <br />all previous <br />
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