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IMPORTANT: In these spaces,copy thhrresponding information from Section A. For Insurance Company Use: Building Street Address(including Apt,Unit,S and/or Bldg.No.)or P.O.Route and Box No. , Policy Number 69-1840 Puako Beach Drive City Kamuela State HI ZIP Code 96743 Company NAIC Number —4— SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Ar both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments Date of field survey May 1,2008. Structure is serviced by overhead cable utilities. Top of sea wall elevation=10.61 ft. Top of concrete pillars supporting first floor elevation=9.89 ft. 2- /7-4.-'' /$ G--Lt 7>4'/ c 0 Cv A,t,Ad,E kr,.57 MSL � Ge-`1'A77o.- is a� %4'c 57251770,y PC/AK0 6". — �J- Q� Signature Date 0 Check here if attachments. SECTION -BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. lithe Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B. and C. For Items EI-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawl space,or enclosure)is 0 feet 0 meters 0 above or❑below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is. . 0 feet ❑meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage(top of slab)is • 0 feet 0 meters 0 above or 0 below the HAG.E4. Top of platform of machinery and/or equipment servicing the building is . 0 feet 0 meters 0 above or 0 below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,B,and E we correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name .ress City State ZIP Code Signature Date Telephone Comments 0 Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable Item(s)and sign below. Check the measurement used in Items G8.and G9. 31.0 Theinformation in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 0 A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.0 The following information(Items G4.-G9.)is provided for community floodplain management purposes. 1 G4.Permit Number l G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued L G7.This permit has been issued for. 0 New Construction 0 Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building: JPfeet 0 meters(PR)Datum - Id 0 feet 0 meters(PR)Datum G9.BFE or(in Zone AO) 1 fi't�'i,tae p®mfFc Works Local Official's Name -'rli s-g rtrl9 iiviskag hus rryeviewOd Title re.r°iifi cn • Community Name � Telephone � ,"'P�iWYiY►Grp Signature WW1V4 1Ncicr Date , Comments I 0 Check here if attachments FEMA Form 81-31,February 2006 Replaces all previous editions