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U.S.pFPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 4 Federal Emergency Management Agency Expires March 31,2012 f National Flood Insurance Program Important: Read the instructions on pages 1-9. vU SECTION A-PROPERTY INFORMATION For:ins ranceY.`orrtpanylisePi ` Al. Building Owner's Name Pofic Nu •e Steven Jacunski mak : ?. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. C® •an N40 a 1985 Kalanianaole Street CiCity i IO State ZIP Code 96720 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Portion of Lot 75, Lehia Park Residence Lots TMK : 2-1-017 : 056 A4. ilcuRnL4Ine .g kaii�eIrAe NonS-Pesh tia, Lditi n'ia so fetc.awaii Hawaii New Residence A5. Latitude/Longitude:Lat. 1.9° 43' 54.0" N_. -Long. 155° 011 17.8" W Horizontal Datum:E_NAD 1927 0 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 5 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) n/a sq ft a) Square footage of attached garage n/a sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade n/a within 1.0 foot above adjacent grade n/a c) Total net area of flood openings in A8.b 1-1.71- sq in c) Total net area of flood openings in A9.b n/a sq in d) Engineered flood openings? ❑Yes ❑No d) Engineered flood openings? ❑Yes 0 No SECTION B -FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State Hawaii County 155166 Hawaii County HI B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 155166 0885 C 4/2/04 9/16/88 VE 23.0 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑FIS Profile M FIRM Community Determined ❑Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑NAVD 1988 ❑Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No Designation Date n/a ❑CBRS ❑OPA SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑Construction Drawings* ❑ Building Under Construction* E Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized E 2 Vertical Datum NGVD 1929 Conversion/Comments BM E 2 established by USC&GS: located near Peir 1 at Port of Hilo Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 25 7 feet ❑meters(Puerto Rico only) b) Top of the next higher floor n/a _ feet 0 meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 2 3 4 ®feet 0 meters(Puerto Rico only) d) Attached garage(top of slab) n/a _❑feet 0 meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building n/a _❑feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 1 1, 1 ®feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 12. 4 ®feet 0 meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 1 1. 9 ®feet ❑meters(Puerto Rico only) structural support SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. N Z.IA/At? ❑Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a P PI ACE 1 licensed land surveyor? ❑Yes ❑ No O !SEED Certifiers Alan me Z. Inaba License Number P r DONAL 5626 LPLS * SURVEYOR # p y Name Licensed Professional Land Surveyor Inaba Engineering, Inc. Address City State ZIP Code Ne.5626 27 ,Waianu, n Ave. Hilo HI 96720 ' q cQ'• Signatu(e/(/fjpt1 �ult� 24, 2009 96�hone WAII,V' FEMA Form 81-304ar 9 See reverse side for continuation. Replaces all previous editions