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U.S. DEPARTMENT OF HOMELAND SECURITY FederalEmergency Management Agency fWatlonal Flood Insurance Program Building Street Address (Includh MWAPUHI ST City HILO State HI ZIP ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8. OMB No. 1660-0008 Exoires February 28. 2009 SECTION A - PROPERTY INFORMATION I For Insuranoe'Comoanv Use: and/or Bldg. No.) or and Box No. A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) TMK(3) 2-2.040:104 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. N 19 41.40' Long. W 155 3.93, Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A8. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood Insurance. A7. Building Diagram Number I A8. For a building with a crew) space or enclosure(s), provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or encosure(s) N6 sq ft a) Square footage of attached garage NA sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) wells within 1.0 foot above adjacent grade NA walls within 1.0 foot above adjacent grade t6 c) Tota( net area of flood openings in A8.b INA sq in c) Total net area of flood openings in A9.b N6 sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State HAWAII COUNTY 155186 1 HAWAII COUNTY HAWAII B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel BB. Flood B9. Base Flood Elevation(s) (Zone ® feet ❑ meters (Puerto Rico only) Date Effective/Revised Date Zone(s) AO, use base flood depth) 155166/880 C - 4/02/04 9.16-88 AE 88.0 Biu. inaicare the source or the ease Roca elevation (BFE) data or base flood depth entered in Item 89. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _ 811. Indicate elevation datum used for SFE In Item B9: ® NGVD1929 ❑ NAVD 1988 - ❑ Other (Describe) _ 812. Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑Yes ®No Designation Date _ - ❑ CBRS ❑ OPA C - INFORMATION C1. Building elevations are based on: ❑ Construction Drawings- ❑ Building Under Construction* ® Finished Construction •A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones Al -A30, AE, AH, A (with SFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.ag below according to the building diagram specified in Item AT Benchmark Utilized SURVEY SET SUBDIVISION BM Vertical Datum _ Conversion/Comments I nis certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elek Information. I car* 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. CertKer's Name RONALD D. NICKEL License Number 8846-C Title CIVIL ENGINEER Company Name RONALD NICKEL P.E. LLC FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ 21.7 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor NA._ ❑ feet ❑ meters (Puerto Rico only) C) Bottom of the lowest horizontal structural member (V Zones only) NA._ ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 21.2 ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building $1.1 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) 0 Lowest adjacent (finished) grade (LAG) 22.¢ ® feet ❑ meters (Puerto Rica only) g) Highest adjacent (finished) grade (HAG) $Q.¢ ® feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION I nis certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elek Information. I car* 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. CertKer's Name RONALD D. NICKEL License Number 8846-C Title CIVIL ENGINEER Company Name RONALD NICKEL P.E. LLC FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions