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Our Proj# 18140 j U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION g131«1<,aP 1p`C ll r,a q 1. 41. Building Owner's Name Ei Ilty' lbi4i it � ' Walter P and Deanna L Zivalicf A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. t-,2 ��1 IRS�_a4 11 .1 1 1n,k 1 64-645 Mamalahoa Highway ba. City Kamuela State Hawaii ZIP Code 96743 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) TMK: 3/6-4-018: 070 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential A5. Latitude/Longitude:Lat.N 20 01' 10.7287" Long. W 155 37' 28.8480" Horizontal Datum: ❑NAD 1927 Q 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 7 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: N/A a) Square footage of crawispace or enclosure(s) n/a sq ft a) Square footage of attached garage -Garlaerrt'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 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 d) Engineered flood openings? ❑Yes ❑No d) Engineered flood openings? ❑YesNo SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 81.NFIP Community Name&Community Number 82.County Name 83.State HAWAII 155166 Hawaii County _ State of Hawaii B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel 88.Flood 89.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) A0,use base flood depth) 0167 C* 04/02/2004 09/16/1988* A 2898* B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑FIS Profile ❑✓ FIRM ❑Community Determined ❑Other(Describe) *See Comments re Flood Study B11. Indicate elevation datum used for BFE in Item 89:❑✓ NGVD 1929 ❑NAVD 1988 DOther(Describe) B12. Is the building located in a Coastal Barrier Resources System(C )area or Otherwise Protected Area(OPA)? ID Yes 0 No Designation DateCBRS El OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) - C1. Building elevations are based on: ❑Construction Drawings* El Building Under Construction* ❑✓ 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 Brass Pins aPuuNani Drive & Hohola Dr Vertical Datum (NGVD 1929) Conversion/Comments No conversion needed Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 2894.02 p feet 8 meters(Puerto Rico only) b) Top of the next higher floor 2903.03 rg feet meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) _p feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) ' NiA - DeFte feet 0 meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 2896.65 p feet 0 meters(Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 2894.9 p feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 2900.0 IN feet 0 meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 2896.4 p feet 0 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 PL T. Y4 `r * information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. . ' S I understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code,Section 1001. �Q' LICENSED ✓❑Check here if comments are provided on back of form. Were latitude and longitude in Section A rovided by a U PR9FLE 3J , '. licensed land surveyor? Wes b No 88 sir' Certifier's Name Chrystal T. Yamasaki License Number LS-4331 * S TitleLicensed Professional Land o mrVaNrme Wes Thomas Associates I'/. * 4 SP• Address City State ZIP Code i► 'vAil,� 75-5749 Kalawa Street Kailua-Kona Hawaii 96740 Signatu /' ,�;� - - •• NDovember 9, 2009Telephone(808) 329-2353 /November 9, 2009 FEMA Form c -31,Mar 09 See reverse side for continuation. Replaces all previous editions