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FEDERAL EMERGENCY MANAGEMENT AGENCY } / NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-00 ELEVATION CERTIFICATE Expires July 31. 200.� Important Read the lnstructions.on pages 1-7. - - SECTION A-PROPERTY OWNER INFORMATION {?"'"`" " "?""""" WING OWNER'S NAME = ) l -'ssN }fes$.�-: Mahe!Kimball - f ";1 j� BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg. No.)OR P.O.ROUTE AND BOX NO. `a G b Puako Sands El - Lot B Unit A Puako Road "--- ernm #sl$ CrrY STATE ZIP CODE Kamuela • HI 96743 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) • TMKU3 6-9-003:18-1 CPR 1 BUILDING USE(e.g.,Residential.Non-residential,Addition,Accessory,etc. Use Comments section If necessary.) Garage /az area t H" LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( or-or-mils or #.i##') 0 NAD 1927 18I NAD 1983 0 USGS Quad Map 0 Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Bi. COY MUr 155IT NAME 8 COMMUNITY NUMBER 8822UNTY NAME . a STATE Hawaii HI B4.MAP AND PANEL 85.SUFFIX BB.FIRM INDEX 137:FIRM PANEL 88.FLOOD B9.BASE FLOOD ELEVATION(; NUMBER DATE EFFECTNE/REVISED DATE " ZONE(S) (Zone AO.use depth of flooding 0277 C 2Jun95 16Sep88 AE 6 310. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. 0 FIS Profile ® FIRM 0 Community Determined 0 Other(Describe): 311. Indicate the elevation datum used for the BFE in 89:®NGVD 1929 0 NAVD 1988 0 Other(Describe): 312. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes ® No Designation Date - • • SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) :1. Building elevations are based on:0 Construction Drawings* 0 Building Under Construction• ® Finished Construction 4 new Elevation Certificate will be required when construction of the building is complete. L. ,uilding Diagram Number§(Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) :3. Elevations—Zones A1-A30,(AF AH,A(with BFE), VE, V1-V30, V(with BFE),AR,AR/A,ARAE,AR/A1-A30,AR/AH,AR/AO Complete Items C3a-I below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the-BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G.as appropriate,to document the datum conversioi Datum USGS Conversion/Comments�/ 40 ?UAW-0 j hit Elevation reference mark.used_Does the elevation reference mark used appear on the FIRM? 0 Yes ®No Ia)Top of bottom floor(induding basement or enclosure) Z.kft.(m) O b)Top of next higher floor WA./tAt.(m)C v) E. O c)Bottom of lowest horizontal structural member(V zones only) i .loft( ��3!��' A JG� WfrC' O d)Attached garage(top of slab) N/A_ft(m) `' �`�`3i'a $ eP UCENSED y�9 0 e)Lowest ting the bond machinery and/or equipment '/;,� ( ,t) se °ROFE°.ONAL / .•—ft•(n7 4 I N os E-. iip ENG,PEER x, O f)Lowest adjacent grade(LAG) Q.QR(m) 1 sF \No• :l+ C /g)Highest adjacent grade(HAG) Z.Qft.(m) i e • I h)No. of permanent openings(flood vents)within 1 ft above adjacent grade A i-:�,`✓cam P- �4,d O i)Total area of all permanent openings(flood vents)in C3h N/A sq. in.(sq. cm) �� A•1• t- 'S SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICA'T''� This certification is to be signed and sealed by a landsurveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A. B, and Con this certificate represents my best efforts-to interpret the data available. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. - CERTIFIER'S NAME Bruce E.Witcher,P.E. UCENSE NUMBER 8522;C TITLEPrindpal COMPANY NAME Witcher Engineering LLP - A ESS CITY - STATE ZIP CODE SIGNATURE - , DATE TELEPHONE IP --1 —.... 23.1an01 0808334-0322 EMA Form 81-31,A s SEE REVERSE SIDE FOR CONTINUATION - REPLACES ALL PREVIOUS EDITION: