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U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1860-0008 Federal Emergency Management Agency I Expires February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: . Building Stri Klose Street TMK (including Apt., Unit, Suite, and/or Bldg. HI ZIP Code or P.O. Route and Box No. A4. Building Use (e.g., Residential, Non•Reeldential, Addition, Accessory, etc.) Residential A8. Letitude/Longltuds: Let. SM43'61.1a Long. W166.01120.7" Horizontal Datum: ❑ NAD 1927 ® NAD 1S83 A8. Attach at least 2 photographs of the building H the Certificate is being used to obtain flood Insurance. A7. Building Diagram Number ji AS. For a building with a crawl space or endosure(e), provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) eq ft a) Square footage of attached garage eq ft b) No.enc of permanent flood openings in the crawl apace d b) No. of permanent flood openings In the attached garage ental net (s) walla within 1.0 foot above adjacent grade wells within 1.0 That above adjacent grade c) Total net area of flood openings In Ae.b _ eq in c) Total net area of flood openings In A9.b eq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. NFIP Community Name 8 Community Number B2. County Name S3, State Hawai1,1661661 Hawaii Hawaii B4. Map/Panel Number Be. Suffix Be. FIRM Index 87. FIRM Panel Be. Flood Be. Base Flood Elevations) (Zone 0686 Date Effect!"lRevleed Date Zone(s) AO, use base flood depth) C January 6,1970 September 16,1966 AE,x 22.3 FT. u,aa:aw um auu,ca w am Dose rwoa eievaaon (eFe) data or base flood depth entered in Item B9.4 ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _ 811. Indicate elevation datum used for BFE in Item Be: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located Ina Coastal Barrier Resources System ((CBRS) area or Otherwise Protected Area (OPA)7 ❑Yes ®No Designation Date ❑ CBRS ❑ OPA L SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construetlon' ® 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, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete Rome C2.a-g below according to the building diagram specified In Item A7. The Deporhnent of Public Works Benchmark Utilized 6.79 USGS (PID:T000291 Vertical Datum Local Tidal Engineering Division has reviewed ConversbNCommente Local Tidal accepted as equal to NOVO 29 datum In this areae ythn EI t,CheckeasBr%9t.04J erfifieate and recommen s e) Top of bottom floor (including basement, crawl apace, w enclosure floor)_ 3�1 .0 ®feet ❑re (P��4 q {�„mmend b) Top or the next higher flow ,Z@.0 ❑feet ❑(pus o cpnc) Bottom of the lowest horizontal structural member (V Zones only) ))$.22 ® feet ❑(fh�hiifi'tibnly) d) Attached garage (top of slab) IMA.— ❑ feet ❑ meters (Puerto Rica only) e) Lowest elevation of machinery or equipment servicing the building. 9ig.]Z ® feet ❑ r (PueRo Rico only) (Describe type of equipment in Comments) ^�� 0 Lowest adjacent (finished) grade (LAG) 31.Q$ ® feet ❑eters (Puerto Rio only g) Highest adjacent (finished) grade (HAG) -�,� ® feet ❑ �gro„en,. jgg „n1W 5 0 2n SECTION D - SURVEYOR ENGINEER. OR ARCHITECT CERTIFICATION ,,ea W. uuuauu„ W w ua shgnea ano seahea Dy a [Ono surveyor, engineer, or architect authorized by law to certify elet I nformation. I certify that the intormation on this Certificate represents my beat efforts to interpret the data available. / 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 form. Cerfifier's Name Richard Sunden License Number 12746 Tide Land Surveyor Company Name The Independent Hawaii Surveyors ass PO Box 077 City Hilo State HI ZIP Code 96720 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions