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U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />National Flood Insurance Program <br />Al. Building Owner's Name <br />•. <br />ELEVATION CERTIFICATE <br />Important Read the instructions on pages 1-8. <br />OMB No. 1880-0008 <br />EXDires February 26. 2009 <br />For Insurance Comoanv Use: <br />Building Street <br />Address ya Drive <br />Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No. I Company WUC Number " I <br />State Hawaii ZIP Code 96740 <br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br />Lot 4 of Lanihau Point Subdivision Tax Map Key (3)75005:090 <br />A4. Building Use (e.g., Residential, Non-Residentlat, Addition, Accessory, etc.) Residential <br />A5. Latltude/Longdude: Lat..N 19 38' 30,8436' Long. W 156 00' 26,161T Horizontal Datum: ❑ NAD 1927 X NAD 1983 <br />Ail. Attach at bast 2 photographs of the building it the Certificate is tieing used to obtain flood Insurance.. <br />AT Building Diagram Number 1 <br />Ail. For a building with a crawl apnea or enclosure(s), provide A9. For a budding with an attached garage, provide: <br />a) Square footage of crawl space or endosure(s) g/g , eq R a) Square footage of sued" garage liZ eq fl <br />b) No. of permanent flood openings In the crawl space or b) No. of pemnanerd flood openings in the attached garage <br />endosum(s) walls within 1.0 foot above adjacent grade _ weds w8hbh 1.0 foot above adjacent grade j) <br />c) Total net area of flood openings in AB.b _ sq In c) Total not area of flood opeNngs h A9b gk aq In <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRMI INFORMATION <br />1 155186 HAWAII I Ha sad I Hawaii 4 1 <br />B4. MaplPanel Number <br />B5. Suffix <br />B6. FIRM Index <br />B7. FIRM PanelBit. <br />Flood <br />69. Base Food Elevation(s) (Zone <br />Date <br />I <br />Effective/Revised Date <br />Zone(s) <br />AO, use base food depth) <br />0694 <br />C <br />04/02/2004 <br />1 09/16/1988 <br />AIE <br />9.5 (INTERPOLATED) <br />B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89. <br />❑ FIS Profile X FIRM ❑ Community Determined ❑ Older (Describe) _ <br />B11. Indicate elevation datum used for BFE In Item 89: XNGVD 1929 ❑ NAVD 1998 ❑ Other (Describe) <br />B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑Yes XNo <br />Designation Date ❑ CBRS ❑ OPA <br />Wk <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' X Finished Construction <br />•A new Elevation Certificate will be required when construction of the building Is complete. <br />C2. Elevations —Zonas At -A30, AE, AH, A (with BFE), VE, V1 ­V30. V (with BFE), AR AR/A, ARAE, AR/AI-A30, AR/AH, AR/AO. Complete Mems C2.a-g <br />below according to the building diagram specified in Item AT <br />Benchmark Utilized USGS SM at Kailua Pie Vertical Datum NGVD 1929 <br />:. Converelon/Comments <br />Check the measurement used. <br />a) Top of bottom floor (including basement, crawl space, or enclosure floor). <br />b)Top of the next higher floor <br />c) Bottom of the lowest horizontal structural member (V Zones only) <br />d) Attached garage (top of slab) <br />e) Lowest elevation of machinery or equipment servicing the building <br />(Describe type of equipment in Comments) <br />0 Lowest adjacent (finished) grade (LAG) <br />g) Highest adjacent (finished) grade (HAG) <br />12.99 X feet ❑ meters (Puerto Rico only) <br />22.sZ X feet ❑ meters (Puerto Rico only) <br />_ ❑ feet ❑ meters (Puerto Rico only) <br />12.29 X feet ❑ meters (Puerto Rico only) <br />19.AQ X feet ❑ meters (Puerto Rloo only) <br />9.99 X feet ❑ meters (Puerto Rico only) <br />11.49 X feet ❑ meters (Puerto Rion only) <br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />This certification is to be signed and sealed by a Iano surveyor, engineer, or 8rmitecr sumonzed oy raw w canary era <br />information. I certify Met the information on this Certificate represents my best efforts to interpret the data. available. <br />I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. <br />X Check here If comments are provided on back of forth. <br />Certifier's Name Thomas G. Pattison License Number 10743 <br />Title Presiders Company Name Pattison Land Surveying _ <br />'@sG. PATT�s <br />LICENSED Oy <br />PROFESSIONAL <br />LAND' <br />SURVEvOR <br />NU.1D74a d <br />FEMA Form 81-31, February 2006 See reverse side for conlinuation. Replaces all previous editions <br />