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but Prole 15903.3
<br /> U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No.1660-0008
<br /> FEDERAL EMERGENCY MANAGEMENT AGENCY Expiration Date:July 31,2015
<br /> National Flood Insurance Program IMPORTANT:Follow the instructions on pages 1-9.
<br /> SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
<br /> Al. Building Owners Name Kona Bay 27 LLC do Bruce N.Correll Policy Number:
<br /> A2. BuildingStreet Addresslincludin Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number:
<br /> 7 -5484 Kona Bay Drive
<br /> City Kailua Kona State HI ZIP Code 96740
<br /> „ A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
<br /> Lot 13 Kona Bay Estates(FP 1813)and Lot 58 of Ld Ct App 1319 TMK:3-7-5-005:027
<br /> A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)
<br /> A5. Latitude/Longitude:Let. 1 q 63940 Nnrth Long. 156.00403 West Horizontal Datum: 0 NAD 1927 ❑x NAD 1983
<br /> A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood Insurance.
<br /> . A7. Building Diagram Number 'I A
<br /> A8. For a building with a crawispace or enclosure(s): A9.For a building with an attached garage:
<br /> a) Square footage of crawlspace or enclosure(s) n/a sq ft a) Square footage of attached garage n/a sq ft
<br /> b) No.of permanent flood openings in the crawlspace orn/a b) Number of permanent flood openings in the attached garage
<br /> enclosures)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade n/a
<br /> c) Total net area of flood openings in A8.b n/a sq in c) Total net area of flood openings in A9.b nfa sq In
<br /> d) Engineered flood openings? ❑Yes 0 No d) Engineered flood openings? ❑Yes 0 No
<br /> SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
<br /> B1. NFIP Community Name&Community Number 82.County Name 83.State
<br /> HAWAII 155'166 HAWAII COUNTY HAWAII
<br /> B4. Map/Panel Number B5.Suffix 86.FIRM index Date B7.FIRM Panel Effective/ B8.Flood Zone(s) 89.Base Flood Elevation(s)(Zone
<br /> ••,:...,, .- Revised Date A0,use base flood depth)
<br /> 155166 0694 C C 04/02/2013 09/16/1988 AE 10.
<br /> .) B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered In Item 89:
<br /> ❑FIS Profile IR FIRM 0 Community Determined ❑Other/Source: ,
<br /> 1311 Indicate elevation datum used for BFE in Item 89: 21NGVD 1929 0 NAVD 1988 0 Other/Source:
<br /> 612.1s the building located In a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ®No
<br /> Designation Date: / / ❑CBRS ❑OPA
<br /> SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
<br /> Cl. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction* ®Finished Construction
<br /> *A new Elevation Certificate will be required when construction of the building Is complete.
<br /> ', C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BEE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/A0.Complete items
<br /> C2.a-h below according to the building diagram specified in Item A7.in Puerto Rico only,enter meters,
<br /> Benchmark Utilized: USGS BM Kailua Pier Vertical Datum: Mean Sea Level
<br /> Indicate elevation datum used for the elevations In items a)through h)below. ®NGVD 1929 0 NAVD 1988 0 Other/Source:
<br /> Datum used for building elevations must be the same as that used for the BFE. Check the measurement used.
<br /> a) Top of bottom floor(including basement,crawispace,or enclosure floor) 13 , 51 ®feet 0 meters
<br /> b) Top of the next higher floor 24 . 48 ®feet 0 meters
<br /> c) Bottom of the lowest horizontal structural member(V Zones only) n/a . _ ®feet 0 meters
<br /> d) Attached garage(top of slab) n/a . 0 feet 0 meters
<br /> e) Lowest elevation of machinery or equipment servicing the building 13 , 51 ®feet 0 meters
<br /> (Describe type of equipment and location In Comments)
<br /> f) Lowest adjacent(finished)grade next to building(LAG) 13 . 43 ®feet 0 meters
<br /> g) Highest adjacent(finished)grade next to building(HAG) 13 , 57 ®feet 0 meters
<br /> h) Lowest adjacent grade at lowest elevation of deck or stairs,including n/a - ®feet 0 meters
<br /> structural support
<br /> SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
<br /> This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
<br /> information.I certify that the information on this Certificate represents my best efforts to Interpret the data available. ' '�
<br /> I understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. 7--�� Y'4/4,
<br /> ❑x Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by aQ LICENSED -
<br /> •
<br /> ©Check here if attachments. licensed land surveyor? ®Yes ❑No , PRO t
<br /> Certifier's Name License Number
<br /> Chrystal Thomas Yamasaki LS-4331 Hawaii t
<br /> Title Company Name •# U t, %' '- J *
<br /> Licensed Professional Land Surveyor Wes Thomas Associates A 4,7 4331
<br /> r-
<br /> Address City State ZIP Code 4 0
<br /> 75-5 49 Kalawa = Suite 201 Kallua Kona HI 96740 , All,kJ'.
<br /> Si Date Telephone I� ' r X13
<br /> 04/05/2013 (8081329-2353 0
<br /> FEMA F.rm 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions.
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