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. `-`M,M=NrVrHVMELANUSECURITY f=LcVAI'IVNCERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Exoires February 28. 2009 National Fldod Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use Al Building Owner's Name TJ. 8 ELL SPRINTZ/DHHt City HI ZIP Code 96720 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) ACCESSORY A5. Latitude/Longitude: Let. N19 43.871Long. W155 2.721' Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood Insurance. A7. Building Diagram Number $ 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) JN sq ft e) Square footage of attached garage s ft b) No. of permanent flood openings In the crawl space or — b) No. ot q enclosure(s) walla within 1.0 foot above adjacent rade Permanent flood openings In the attached garage c) Total net area of flood openings In A8.b ) 9 BQg sq In 0(�X c) Total it area of Hood owithin 1.0 foot penings adjacent grade _ sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION .. _..uuq ,'amc B3. State -- HAWAII COUNTY 155166 HAWAII COUNTY HAWAII M. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel Be. Flood B9. Base Flood Elevatir Date Effective/Revised Date. Zone(s) AO, use base flood 155186 -885 C 4/02/04 9.16-68 16 B10. ••.i__.e the source a - the Bass Flood _r evatlon (BFE) data or base flood depth entered In Item 89. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _ B11. Indicate elevation datum used for BFE In Item Be: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 y❑Yea ®No Designation Date _ ❑ CBRS [IOPA C2. SECTION C - BUILDING Building elevations are based on: jI Construction Drawings -Building Under Construction' ® Finished Construction •A new Elevation Certificate will be required when construction of the building is complets.- Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AD. Complete Items C2.a g below according to the building diagram specified In Item AT Benchmark Utilized USGS Vertical Datum _ Conversion/Comments i nis cemncatlon Is to be signed and sealed by eland surveyor, engineer, or architect authorized by law to certify ele) information. l certify that the irt/ormetion on this Certificate represents my best efforts to interpret the data available. I understand that any /else statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1 o01. ® Check here If comments are provided on back of forth. Certifier's Name RONALD D. NICKEL License Number 8846-C Title CIVIL ENGINEER Company Name RONALD NICKEL P.E. LLC FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions Check the.measurement used. e) Top of bottom floor (Including basement, crawl space, or enclosure floor)_ 1Q.Z ® feet ❑ meters (Puerto Rico only) b) c) Top of the next higher floor Bottom of the lowest horizontal structural member (V Zones only) Nom._ ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) NSP._ ❑ feet ❑ meters (Puerto Rico only) a) Lowest elevation of machinery or equipment servicing the building j I6._ ❑ feet ❑ meters (Puerto Rico only) ❑meters (Puerta Rico only) (Describe (Describe type of equipment in Comments) 0 Lowest adjacent (finished) grade (LAG) Highest 9.4 ® feet ❑ meters (Puerto Rico only) g) adjacent (finished) grade (HAG) ® feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER. OR ARCHITECT CERTIFICATrnN i nis cemncatlon Is to be signed and sealed by eland surveyor, engineer, or architect authorized by law to certify ele) information. l certify that the irt/ormetion on this Certificate represents my best efforts to interpret the data available. I understand that any /else statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1 o01. ® Check here If comments are provided on back of forth. Certifier's Name RONALD D. NICKEL License Number 8846-C Title CIVIL ENGINEER Company Name RONALD NICKEL P.E. LLC FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions