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2-4-020:025
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Last modified
4/12/2016 9:54:50 AM
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Date
1/22/2008
Type
Elevation Certificate
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tom. ,ar. <br />• <br />U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />National Flood Insurance Program <br />Gly <br />ELEVATION CERTIFICATE <br />Important: Read the instructions on pages 1-8. <br />Bag. Nu.) or <br />AC Building Use (e.g., Residif Bel on -Re Mentlel,«AddBbn, Acer <br />AS. LothudelLongItude: Let. ` 8 Long., <br />A8. ,Attach at lent 2 photogrephV the building If tib Certificate is <br />A7. Bufiding Diagram Number_(L <br />A8. For a building with a crawl space or enclosure(s), provide: <br />8) Square footage of crawl space or anclosure(s) _ <br />b) No. of permanent flood openings in the crawl space or <br />enclosure(s) walls within 1.0 foot above adjacent grade _ <br />C) Total net area of flood openings In AS.b <br />State <br />OMB No. 1860-0008 <br />Expires February 28.2009. <br />r' nce. <br />HcrizOmal Datum: L] NAD 1927 Q NAD 1989 <br />used to obtain Insura <br />A9. For a buadpq with an attached garage, provide: <br />sq R a) Square footage of attached garage eq ft <br />b) No. of permanent flood openings In are enacted garage <br />walls within 1.0 foot above adjacent grade <br />aq In e) Total net area of flood oportIgs In A9.D eq in <br />SECTION B • FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />Hawaii County <br />Hawaii <br />tame t Date a) ADA <br />be flood depth) <br />155166 D 4/02/04 q is be <br />B10. Indicate the source of the Base Flood Elevation (BFE) date or base flood rdered In Item SO <br />❑ FIS Profile ❑ FIRM ❑Community DelennirmeE (Describe) OAK 61-61-444.f <br />811. Indicate elevation datum used for BFE In Item 89: ❑ NGVD 1929 1988 ❑ Other (Describe) <br />B12. Is Bre building located Ina Coastal Bartter Resources System (CORS) area or Otherwise Protected Area (OPA)7 ❑ Yes ® No <br />Designation Date ❑ CBRS ❑ OPA <br />• SECTION C . BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />C1. Building elevations are based on: U Construction Drawings- <br />❑ Building Under Construction' <br />[$Finished Construction <br />'A new Elevetion 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, ARIAE, AR/A1-A30,AR/AO. Complete Items Clay <br />me Dulltlirg Qierrpm p uln m A - <br />below accomark <br />(AR/AdH, <br />Ung a <br />Benchmark Utilized AJd � lR,� <br />VeNcel Datum JIf <br />• �7 <br />ConverslonlComments <br />a) Top of bottom floor (including basement, crawl space, or enclosure <br />Check the measurement used. <br />door) .�❑ feet ❑ meters (Puerto Rico only) <br />b) Top of the next higher floor <br />_❑ feet <br />❑ meters (Puerto Rico only) <br />c) Bottom of the lowest horizontal structural member (V Zones only) <br />._❑ feet <br />❑ meters (Puerto Rbc only) <br />d) Attached garage (top of slab) <br />_❑ feet <br />❑ meters (Puerto Rica only) <br />e) Lowest elevation of machinery or equipment servicing the building <br />TSL ,ILO feet <br />❑ meters (Puerto Rio only) <br />(Describe type of equipment In Comments) <br />• , <br />0 Lowest adjacent (finished) grads (LAG) <br />❑ feel <br />❑ meters (Puerto Rico only) <br />g) Highest adjacent (finished) grade (HAG) <br />_. <br />/_s r . D ❑ feel <br />❑ meters (Puerto Rico only) <br />r no cermiceoon b to oe agnea ana seaiea by a land surveyor, engineer, or architect authorized by low to certify elet <br />Information. I car* that the information on this Certificate represents my beat efforts to Interpret the date available. <br />I understand that any false statement may be punishable by fine orimprisonment under 18 U. S. Code, Section 1001. <br />❑ Check here B comments are provided on back of form. <br />No.OW-C <br />FEMA Form 8 31, February 2080 See reverse side for continuation. Replaces all previous <br />
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