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<br /> U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE I OMB No. 1660-0008
<br /> Federal Emergency Management Agency
<br /> Expires March 31,20
<br /> National Flood Insurance Program Important: Read the instructions on pages 1-9.
<br /> SECTION A-PROPERTY INFORMATION
<br /> For Insurance Company Use:
<br /> Al. Building Owner's Name
<br /> Hualalai Investors LLC Policy Number
<br /> A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIL Number
<br /> 72-100 Kaupulehu Drive, Suite 1 (Bridge Suite 6)
<br /> City State ZIP Code
<br /> Kailua-Kona_, Hawaii 96745
<br /> A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
<br /> TMK: 3 7-2-010:004 101 'Af,R/n `�f0 55‘ ) n
<br /> A4. Building Use(e.g.,Residential,Non-R sidential,Addition,Accessory,
<br /> ry,etc.) Hote
<br /> . A5. Latitude/Longitude:Lat. 19.8281° N Long. 155.9920° W Horizontal Datum: ❑NAD_1927 E NAD 198
<br /> A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
<br /> A7. Building Diagram Number I
<br /> A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
<br /> a) Square footage of crawlspace or enclosure(s) sq ft a) Square footage of attached garage sq ft
<br /> b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage
<br /> enclosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade
<br /> c) Total net area of flood openings in A8.b sq in c) Totnet ef d on9sq in
<br /> d) Engineered flood openings? ❑Yes ❑No d) ET on ar
<br /> floodaoflood
<br /> openings?penigs❑in AYes.b
<br /> ❑ No
<br /> SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
<br /> 81.NFIP Community Name 8 Community Number B2.County Name B3.State
<br /> Hawaii County 155166 .Hawaii Count Hawaii
<br /> B4.Map/Panel Number B5.Suffix B6.FIRM Index B7. FIRM Panel 88.Flood B9.Base Flood Elevation(s)(Zone
<br /> 155166478 C Date Effective/Revised Date Zone(s) AO,use base flood depth)
<br /> 4/02/04 9/16/1988 AE 9.0
<br /> B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
<br /> 0 FIS Profile ®FIRM Community Determined 0 Other(Describe)
<br /> B11. Indicate elevation datum used for BFE in Item B9: ®NGVD 1929 0 NAVD 1988 ❑Other(Describe)
<br /> 812. Is the building located in a Coastal Barrier Resources System(CBRS)area orOtherwise Protected Area(OPA)? 0 Yes ® No
<br /> Designation Date 0 CBRSOPA
<br /> SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
<br /> C1. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction' i Finished Construction
<br /> •A new Elevation Certificate will be required when construction of the building is complete.
<br /> 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
<br /> below according to the building diagram specified in Item A7. Use the same datum as the BFE.
<br /> Benchmark Utilized RM 65 Vertical Datum NGVD 1929
<br /> Conversion/Comments
<br /> Check the measurement used.
<br /> a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 12. 86E feet 8•�meters(Puerto Rico only)
<br /> b) Top of the next higher floor 22. 840 feet LJ meters(Puerto Rico only)
<br /> c) Bottom of the lowest horizontal structural member(V Zones only) 1-'/A ._❑feet 0 meters(Puerto Rico only)
<br /> d) Attached garage(top of slab) • NIA . ❑feet 0 meters(Puerto Rico only)
<br /> e) Lowest elevation of machinery or equipment servicing the building 12. 860 feet 0 meters(Puerto Rico only)
<br /> (Describe type of equipment and location in Comments)
<br /> f) Lowest adjacent(finished)grade next to building(LAG) 1 7_ 5 5®feet 0 meters(Puerto Rico only)
<br /> g) Highest adjacent(finished)grade next to building(HAG) 17 .19_111 feet D meters(Puerto Rico only)
<br /> h) Lowest adjacent grade at lowest elevation of deck or stairs,including NSA ._❑feet ❑meters(Puerto Rico only)
<br /> structural support
<br /> SECTION D-SURVEYOR,ENGINEER, OR ARCHITECT CERTIFICATION
<br /> This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
<br /> information. l certify that the information on this Certificate represents my best efforts to interpret the data available. O��T K Y
<br /> I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. O
<br /> Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a Q` �F
<br /> ED
<br /> licensed land surveyor? ®Yes 0 No LICEfSION
<br /> PROFESSIONAL
<br /> Certifier's Name License Number * LAND
<br /> Robert K.Y. Lee L.S. 5075 SURVEYOR
<br /> Title Company Name
<br /> President Towill, Shigeoka & Associates, Inc. \\ , ,io.5O75
<br /> Address City State ZIP Code
<br /> 2153 N. King Street, S-308 Hawaii 96819 y"Rr
<br /> Honolulu, c,A
<br /> Signature , O Date Telephone (I. 6"
<br /> April 7• , 7009 808-5_38-3857
<br /> FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions
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