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U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 i Federal Emergency Management Agency Expires March 31, 20 ' National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Hualalai Investors,LLC Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number 72-100 Kaupulehu Drive,Suite 1 (Bridge Suite 5) City Kailua-Kona State HI ZIP Code 96745 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) TMK:(3)7-2-010:004 l' ANNi It" K5t" 5,1 II,�a„ A4. Building Use(e.g., Residential, on-Residential,Addition,Accessory,etc.)Hotel A5. Latitude/Longitude:Lat. 19.8170°N Long. 155.9886°W 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 1 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) sq ft a) Square footage of attached garage 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? 0 Yes 0 No d) Engineered flood openings? 0 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 Hawaii B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 155166478 C Date Effective/Revised Date Zone(s) AO,use base flood depth) 4/02/04 9/16/1988 AE 9.0 810. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. 0 FIS Profile ® FIRM 0 Community Determined 0 Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 0 NAVD 1988 0 Other(Describe) .912. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes ® No Designation Date 0 CBRS 0 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 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 RM 65Vertical Datum NGVD 1929 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)12.87 ®feet 0 meters(Puerto Rico only) b) Top of the next higher floor 22.87 ®feet 0 meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) . 0 feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 0 feet 0 meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 12.87 ®feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 12.42 ®feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 17.60 ®feet 0 meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 0 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 information. /certify that the information on this Certificate represents my best efforts to interpret the data available. ��r K. ). I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Q`' . Z4` 0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a LICENSED <C.' licensed land surveyor? ® Yes 0 No PROFESSIONAL i <Certifier's Name Robert K.Y.Lee License Number L.S.5075 LAND J*) SURVEYOR f itle President Company Name Towill,Shigeoka&Associates, Inc. No.507 Address 2153 North King Street,Suite 308 City Honolulu State HI ZIP Code 96819=_ ' i SignatureC.Po.a....1/4... .._ ' 26,,,_ Date June 25,2009 Telephone 538-3857 FEMA Form 81-31. Mar 09 See reverse side for continuation. Reolaces all previous editions