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U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />National Flood Insurance Program <br />ELEVATION CERTIFICATE <br />Important: Read the instructions on pages 1-8. <br />A -PROPERTY <br />OMB No. 1660-0008 J' <br />Expires February 28, 2009 U <br />For Insurance <br />A2' BuildingStreetAddress (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number <br />66-1711 ALANEO ST. (LOT 32) <br />city State ZIP Code <br />KAMUELA HI 96743 <br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description. etc.) <br />TMK: 6-6-004:135 <br />A4. Building Use (e.g.. Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL <br />A5. Lalltude/Longttude: Lat. 20-01-30.3 Long. 15542-13.7 Horizontal Datum: ❑ NAD 1927Y❑ NAD 1983 <br />A8. Attach at least 2 photographs of the building if the Certificate, Is being used to obtain flood Insurance. <br />A7. Building Diagram Number 1 _ <br />A8. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide: <br />a) Square footage of crawl space or enclosure(s) N/A sq It a) Square footage of attached garage 576 sq it <br />b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings In the attached garage <br />enclosure(s) walls within 1.0 fool above adjacent grade N/A walls within 1.0 foot above adjacent grade N/A <br />c) Total net area of flood openings In A8.b N/A aq In c) Total net area of flood openings in A9.b NIA sq in <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />Bl. NFIP Community Name & Community Number <br />B2. County Name <br />B3. State <br />HAWAII COUNTY / 155166 <br />1 HAWAII I <br />HI <br />84. MaplPanel Number <br />B5. Suffix <br />B6. FIRM Index <br />87. FIRM Panel <br />88. Flood <br />89. Base Flood Elevation(s) (Zone <br />0164 <br />D <br />Date <br />Effective/Revised Date <br />Zone(s) <br />1 <br />AO, use base flood depth) <br />04/02/2004 <br />07/16/1990 <br />A <br />2345.1 <br />610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. <br />❑FIS Profile []FIRM ❑ Community Determined W Other (Describe) CLOMR- F! Cjso t4 0'$-01) L4G <br />Bit. Indicate elevation datum used for BFE In Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) <br />�12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑ Yes Q No <br />Designation Date ❑ CBRS ❑ OPA <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />C1. Building elevations are based on: ❑ Construction Drawings- ❑ Building Under Construction' Q Finished Construction <br />•A new Elevation Certificate will be required when construction of the building is complete. <br />C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g <br />below according to the building diagram spdcifled in Item A7. <br />Benchmark Utilized HI DEPT OF TRANSp BM ON KAWAIHAE RD Vertical Datum NGVD 1929 <br />Conversion(Comments <br />Check the measurement used. <br />a) Top of bottom floor (including basement, crawl space, or enclosure floor) 2356 . 32 ®❑ feet ❑ meters (Puerto Rico only) <br />b) Top of the next higher floor N/A. -El feet ❑ meters (Puerto Rico only) <br />c) Bottom of the lowest horizontal structural member (V Zones only) N/A._E] feet ❑ meters (Puerto Rico only) <br />d) Attached garage (top of slab) 2356 ._O_Q feet ❑ meters (Puerto Rico only) <br />e) Lowest elevation of machinery or equipment servicing the building 2356. 35, feet ❑ meters (Puerto Rico only) <br />(Describe type of equipment in Comments) <br />0 Lowest adjacent (finished) grade (LAG) 2355. 49 Q feet ❑ meters (Puerto Rico only) <br />g) Highest adjacent (finished) grade (HAG) 2355. 70 Q feet ❑ meters (Puerto Rico only) <br />SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation <br />Information. 1 certify that the information on this Certificate represents my best efforts to Interpret the date available. <br />K NFy <br />- <br />Licensed <br />I understand that any false statement may be punishable by fine or mprisonment under 18 U.S. Code, Section foot. <br />0 Check here If comments are provided on back of form. <br />Professional <br />Engineer <br />Certifier's Name License Number <br />BRUCE K. MEYERS 8336-C <br />Title Company Name <br />IVIL ENGINEER OKAHARA&ASSOCIATES INC <br />No.8336-C <br />ress City State ZIP Code <br />00 KOHOLA ST. HILO HI 96720 <br />9 <br />WAIT, UA. <br />Signature Date Telephone <br />08-11-09 808.961-5527 <br />FEMA Fo 81-31, February 2006 See reverse side for continuation. Replaces all previous editions <br />