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U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8. OMB No. 1660-0008 6 Expires February 28. 2009 V SECTION A - PROPERTY INFORMATION I For Insurance Company Use: I 1W. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 576 KUKUAU ST City HILO State HI ZIP Code 96720 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) TMK(3)-23043:018 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Lathude/Longitude: Lat. N19 42' 41.8" Long. W155 05' 38.7" Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A8. Attach at least 2 photographs of the building H the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 5 A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) 544 sqft a) Square footage of attached garage sq It b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings In the attached garage enclosure(s) walls within 1.0 foot above adjacent grade 2 walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.1b 1� sq in 'j-`9 )r c) Total net area of flood openings in A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION St. NFIP Community Name & Community Number B2. County Name B3. State HAWAII COUNTY 155166 1 HAWAII COUNTY HAWAII B4. Map/Panel Number 155188 880 B5. Suffix C B6. FIRM Index Date 4/02/04 87. FIRM Panel Effective/Revised Date 9/16/88 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 199.00 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _ 811. Indicate elevation datum used for BFE in Item 89: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) 812. lathe building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ®No dilk Designation Date _ ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVA C1. Building elevations are based on: 4a Construction Drawings* ❑ Building Under Construction` ® Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized TOP RING OF SEWER MANHOLE Vertical Datum USGS Conversion/Comments a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ b) Top of the next higher floor c) Bottom of the lowest horizontalstructural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment In Comments) f) Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) Check the measurement used. x,4.5 ® feet ❑ meters (Puerto Rico only) NA._ ❑ feet ❑ meters (Puerto Rico only) NA._ ❑ feet ❑ meters (Puerto Rico only) _ _ ❑ feet ❑ meters (Puerto Rico only) 199.4._ ® feet ❑ meters (Puerto Rico only) 153.4 ® feet ❑ meters (Puerto Rico only) 1$5.5 ® feet ❑ meters (Puerto Rico only). SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification Is to he signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elek Information. I car* that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. ❑ Check here if comments are provided on back of forth. Cert8lefs Name RONALD D. NICKEL License Number 8846-C qa rr3 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions