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7-5-022:065
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Last modified
4/1/2015 8:49:33 AM
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4/8/2014 10:05:54 AM
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Date
8/13/2001
Type
Elevation Certificate
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PIFOj@Ct NO. 10973.1F' "RAL EMERGENCY MANAGEMENT AGI 'Y <br />14ATIONAL FLOOD INSURANCE PROGRAm <br />ELEVATION CERTIFICATE <br />Read the Instructions on please 1 -7. <br />OWNER INFORMATION <br />BUILDING STREET ADDRESS (Including Apt., Unit. Suite. and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. <br />etc. Use <br />necessary. <br />O.M.B. No. 3067-0077 <br />Expires July 31, 2002 <br />For Insurance Company Use: <br />_- <br />LATITUDEILONGITUDE (OPTIONAL) . HORIZONTAL DATUM: SOURCE: 1_1 GPS (Type). <br />( W -W' - ##.W or ##,###W) I _..I NAD 1927 1_1 NAD 1983 1_1 USGS Quad Map 1_I Other: <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />B1. NFIP COMMUNITY NAME 8 COMMUNITYNUMBER �j 8�2. COUNTY NAME B3. STATE <br />Hawaii _ I Hawaii Hawaii <br />84. MAP AND PANEL <br />B5. SUFFIX -]'"B6. <br />FIRM INDEX <br />87. FIRM PANEL <br />B8. FLOOD <br />89. BASE FLOOD ELEVATION(S) <br />NUMBER <br />I <br />DATE <br />EFFECTIVEIREVISEDDATET <br />ZONES) <br />(ZOrIe AO, use tie M Of flootlklg) <br />155166 0713 <br />D 1.4une <br />2 1995 <br />Ma 16 1994 <br />AE/X Shade <br />62 (RE). <br />810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B8. <br />1J FIS Profile LXJ FIRM 1J Community Determined LI Other (Describe): <br />B11. Indicate the elevation datum used for the BFE in B9: i_Z NGVD 1929 I_I NAVD 1988 1J Other (Describe): _ <br />812. Is the building located tni a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? <br />1J Yes LI No <br />Designation Date: <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />C1. Building elevations are based on: I—IConslruction Drawings' IJBuikting Under Construction' I_ Finished Construction <br />A new Elevation Certificate will be required when construction of the building is complete. <br />Building Diagram Number �$_ (Select the building diagram most similar to the building for which this certificate is being completed -see <br />pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) <br />C3. Elevations - Zones Al -A30, AE, AH. A (with BFE), VE, V1430, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO <br />Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from <br />the datum used for the BFE in Section B. convert the datum to that used for the BFE. Show fleld measurements and datum conversion <br />calculation, Use the space provided or the Comments area of Section D or Section G. as appropriate, to document the datum conversion. <br />Datum Conversion/Comments <br />Elevation reference mark used I oral Rene -.h MarkDoes the elevation reference mark used appear on the FIRM? 1J Yes LX No <br />'J( a) Top of bottom floor (including basement or enclosure) 66,Q_ ft. 4 <br />O b) Top of next higher floor ft ( A ygI T. yq� <br />❑ c) Bottom of lowest horizontal structural member (V zones only) Ana,,ft.(m) <br />Q LICENSE <br />�( d) Attached garage (top of slab) Parking under bldg5= ft.(X� 81. � � <br />Q e) Lowest elevation of machinery and/or equipment r Conditioning Slabs e <br />servicing the building 55.7156.1. 55.9 and 57.2 ft.(d)4X 61 fir <br />LA f) Lowest adjacent grade (LAG) 52.9 ft.Z rili <br />OA g) Highest adjacent grade (HAG) 58,E ft.(= I . 4331 <br />O h) No. of permanent openings (flood vents) within 1 R. above adjacent grade ni ai'Vgit, t). <br />U i) Total area of all permanent openings (flood vents) in C311 sq. In. (sq. cm) Ugus , 001 <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 information. <br />I certify that the information in Sections A. S. and C on this certificate represents my best efforts to interpret the data available. <br />fine or <br />1001. <br />_ Chrystal Thomas Yamacaki_ _.• �,. �� 15-4331 <br />TLEa <br />TICOMPANY NAME <br />IN <br />DCITY ATE ZIP CODE <br />5T''9749Kalaw Kai1VIA-Knna Hawal 96240--11112 <br />Sig?y�vRE1 _ �� DATE ELEPHONE <br />AI Ir: QQ U CFF RFVFRCF CInF: Fr1R r.ONTIN1 IATION RFPI Ar:FC AI I PRF1rl(N IC <br />
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