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U.S4.DEPARMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB.No. 1660-0008 Expires February 28.2009 Federal Emergency Management Agency National Flood Insurance Program important Read the instructions on pages 1-8. " SECTION A-PROPERTY INFORMATION For insurance Company Use: Al. Building Owner's Name VIRGINIA KAI Policy Number • A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 607-A IWALANI ST. City HILO State HI ZIP Code 96720 A3. Property Description(Lot and Block Numbers,Tax.Parcel Number,Legal Description,etc.) . TMK(3)-2-4016:016 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Lohgiude:Lat NI9-40.637' Long.W155-4.789' Horizontal Datum: 0 NAD 1927 ® 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 crawl space or enclosure(s),provide , A9. For a building with an attached garage,provide: +'J`/1, a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage 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)walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number. B2.County Name B3.State HAWAII COUNTY 155166 HAWAII COUNTY HAWAII ' B4.Map/Panel Number 65.Suffix 136.FIRM Index B7.FIRM Panel B8.Flood 69.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 1551 -890 C 4/02104 9-16-88 A 315, 1310. indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in item B9. 0 FIS Profile 0 FIRM ®Community Determined 0 Other(Describe) •7 611. Indicate elevation datum used for BFE in Item B9: is NGVD 1929 0 NAVD 1988 0 Other(Describe) . B12. Is the budding located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes No Designation Date 0 CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) -'Cl. Building elevations are based on: 0 Construction Drawings' 0 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 BFE),VE,V1 V30,V(with BFE),AR,AR/A,ARAE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized NO/\j_Vertical Datum 341-46' (-(o o r to PI t Resititea Si- ink Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 316.23 ®feet 0 meters(Puerto Rico only) b) Top of the next higher floor NA. 0 feet 0 meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) •• NA. • Ca'feet 0 meters(Puerto Rico only) - d) Attached garage(top of slab) (Car port.) 3.007 ®feet 0 meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building ! feet 0 meters(Puerto Rico only) (Describe type of equipment in Comments) '' f) Lowest adjacent(finished)grade(LAG) 3A Z. ®feet 0 meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 314,95 ®feet 0 meters(Puerto Rico only) 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. l understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. 0 Check here if comments are provided on back of form. . Certitier's Name PAU i A. iJ AS ►1 P.f.. c-nse Number 74(x9 °F' Title CIVIL ENGINEER i1TLA S Name G( � .R.i &c LLC City •' Ste HI ZiP Code Add ! `O 60)4 l 1 l 4 (1-0 rte (v-7 Signet Datq Tel hone �il� *. ii3. 6eg965 -735 ) FEMA Form 81-31,February 2006 See reverse side for continuation. Replaces all previous editions 1 i