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fI U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 ' Federal Emergency Management Agency I Expires February 28. 20091 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: I HA2. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 69-1736 Puako Beach Drive Hawaii A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessoryetc.) Resiciential I A6. Latitude/Longitude: Lat. 19°58'07" N Long. 155050'4 Horizontal Datum: ❑ NAD 1927 m NAD 198: A8. Attach at least 2 photographs of the building If the Certificate Is being used to obtain flood Insurance. A7. Building Diagram Number 5 A8. For a building with a crawl space or endosure(a), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) sq 8 a) Square footage of attached garage sq R 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 walls within 1.0 foot above adjacent grade c) Total net area of flood openings in AB.b sq in c) Total net area of flood openings In A9.b sq In SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION I 84. Map/Panel Number B6. Suffix B6. FIRM Index B7. FIRM Panel 88. Flood B9. Base Flood Elevation(s) (Zone 22.79® feet 1 Date 14-02-2004 EBechvelRevised Date Zone(s) AO, use base flood depth) 1 155 166 277 C %,-N® feet 9-16-1988 VE 8.00' B10. Indicate the source of the Base Flood Elevation (BFE) data or base food depth entered in Item 89. ❑ FIS Profile JZ FIRM ❑ Community Determined ❑ Other (Describe) 811. Indicate elevation datum used for BFE In Rem B9: m NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) I Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑ Yes ® No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION iSURVEY REQUIRED) I C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction* ® Finished Construction C2. 'A new Elevaflon Certificate will be required when construction of the building Is complete. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, VI -V30, V (with BFE), AR, ARIA, ARAE, AR/Ai-A30, AR/AH, AR/AO. below according to the bulldindiagram specified In Rem A7. Benchmark Utilized PUakO hew Vertical Datum NGVD Converslon/Comments Check the measurement used. Complete Items C2.a-g a) Top of bottom floor (including basement, crawl space, or enclosure floor) 11.08 ® feet ❑ meters (Puerto Rioo only) b) Top of the next higher floor 22.79® feet ❑ meters (Puerto Rioo only) c) Bottom of the lowest horizontal structural member (V Zones only) 9 ® feet ❑ meters (Puerto Moo only) d) Attached garage (top of slab) %,-N® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building �0 �_� feet ❑ meters (Puerto Rico only) q (Describe type of equipment in Comments) Lowest adjacent (finished) grade (LAG) 586 ® feet -9T® ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) feet ❑ meters (Puerto Rloo only) SECTION D - SURVEYOR, ENGINEER. OR ARCHITECT CERTIFICATION I his cennicaDOn Is to De signed 2nD Sealea by a land surveyor, engineer, or architect authorized by law to certify ele0 Information. I certify 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 form. Fleenor "alliffWner -..... .... ....... iooer Dean Fleenor LPLS LLC TIT ox 38J414 � * v' vVaikoloa .,Fly "r )3 %38-3414 6-2009 L•1L)EtiVS�f'O �� LEUNO.7276 * WA 11, U35 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editioni