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06/18/2004 10:40 <br />BUILDING OWNER'S NAME <br />BUILDING STREET ADORES <br />CITY <br />9618933 <br />COH-DPW-ENG <br />FEDERAL EMERGENCY MANAGEMENT AGENCY <br />NATIONAL FLOOD INSURANCE PROGRAM <br />ELEVATION CERTIFICATE <br />Important: Read the instructions on oases 1 - 7. <br />SECTION A - PROPERTY OWNER INFORMATION <br />Bldg. -No.) OR P.O. ROUTE AND BOX NO <br />STATE <br />area, if necessary. <br />PAGE 02 <br />O.M.S. No: 3067-0077 `J <br />Expires December 31, 2005 <br />Policy Number <br />Company NAIC Number <br />LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: <br />or #01.40#w) ITI NAD 1627' i_I NAD 1983 SOURCE: I—fGPS (Type): <br />I_I USGS Quad Mep MOthar <br />SECTION S - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION. <br />Bt. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2. COUNTY NAME 83. STATE <br />Hawaii County 155166. Hawaii CDLMty Hawaii <br />84. MAP AND PANEL <br />B5. SUFFIX <br />B6. FIRM INDEX <br />67. FlkM PANEL_. <br />D"" <br />B9, BAS FLOOD ELEVATIONS) <br />NUMBER <br />G <br />'DATE <br />EFFECTIVE/REVISED DATE <br />ZONES) '; <br />(Zone AO, use d8oh of flooding) <br />155166 o <br />4/02/04 <br />9140 <br />B10. Indicate the source of the Base Flood Elevation (BFE) data or base ood depth entered. in B9, <br />IJ FIS Profile 1J FIRM IJ Community Determined I_I Other (Describe): <br />B11. Indicate the elevation datum used -for the BFE In 89: 1_I NGVD 1929 I_I NAVD 1988 "Other (Describe): <br />B12, Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? I—I Yes IX I No. <br />Designation Date: <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />Ci, Building elevations are based. -on: IJConstruction Drawings' iJBuilding Under Construction' LIFinished Construction <br />'A new Elevation Certificate will be required when construction of the building is complete. <br />02, Building Diagram Number _J_(Select the building diagram most similar to the building for which thls 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 -.Zone's Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARIAE, AR/Ai-A30, AR/AH; AR/AO <br />Complete Items C3.9 -i below according to the building diagram specified in Item C2. Stato 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 field measurements and datum conversion <br />calculation s t e space provided or the Commen area Section D or Sec n G, as'a prl tee,/to d menthe d�I conversion. <br />Datum Conversion/Comments fd (iV 1• _ ltle) AU fi V 1"D `�. <br />Elevation reference mark used 1f�s1� �� Do s the elevation referencemar used appear on the FlFtIZ. Yes ) No <br />O a) Top of bottom floor (including basement or enclosure) <br />O b) Top of next higher -floor _ ft,(m)o t0i{/c <br />U c) Bottom of lowest horizontal structural member (V zones only) .— ft.(m) o LICENSED <br />O d-) Attached garage (top of slab) ----7 n.(m) e <br />.0 e) Lowest elevation of machinery and/or equipment w A _ �� <br />servicing the building (Describe in a Comments area.) �j'2 3 ft.(m) �e', =` �:NGINEER � <br />0 f) Lowest adjacent (finished) grade (LAG) 7 tt.(m) 2k k T <br />❑ g) Highest adjacent (finished) grade (HAG) � ` • h_(�/o <br />Q h) No, of permanant openings (flood vents) within 1 ft. above adjacent gra e <br />❑ 1) Total area of all permanent openings (flood vents) In C3.h sq. In. (sq. Cm) . �- i <br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT Ci iRTIFICATION % e—Z <br />This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by taw to 4rtify elevation I i tion, <br />/ Certify that"the information In Sections A, B, and C on this Certificate represents my best efforts to interpret the data evailabitf <br />