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May-18-2009 03:50pm From-TOWILL,SHIGEOKA & ASSOC.,INC. 8085379478 T-916 P.004/007 F-861 <br /> U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 <br /> Federal Emergency Management Agency Expires March 31,2012 <br /> National Flood Insurance Program Important: Read the instructions on pages 1-9. <br /> SECTION A-PROPERTY INFORMATION For Insurance Company Use: <br /> — <br /> Al, Building Owner's Name Policy Number <br /> Hualalai Investors,- LLC <br /> A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No,)or P.O.Route and Box No. Company NAIC Number <br /> 72-100 Kaupulehu Drive, Suite 1 (Bridge Suite 1) _ <br /> City State ZIP Code <br /> Kai1ia-Kona, Hawaii 96745 <br /> A3.Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) <br /> TMC: 7-2-010:004 i' _ t _ n <br /> ..- , <br /> A4. Building Use(e,g.,Residential, on-Residential,'Ad•ition,Accessory,e .) Hotel . _ <br /> A5. Latitude/Longitude:Lat 19.8293° N Long. 155�2897° W Horizontal Datum: 0 NAD 1927 El NAD 1983 <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 <br /> AS. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage; <br /> a) Square footage of crawispace or enclosure(s) sq ft a) Square footage of attached garage sq ft <br /> b) No.of permanent flood openings in the crawispace 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) Total net area of flood openings In A9.b sq in <br /> d) Engineered flood openings? 0 Yes 0 No d) Engineered flood openings? 0 Yes []No <br /> SECTION 8-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION <br /> 51.NFIP Community Name&Community Number B2.County Name ' 83.State <br /> _ Hawaii County 155166 . Hawaa,i County Hawaii <br /> 84.Map/Panel Number B5.Suffix 86.FIRM Index 87.FIRM Panel 88.Flood 89.Base Flood Elevations)(Zone <br /> Date Effective/Revised Date Zone(s) AO,use base flood depth) <br /> ,155166478 C 4/02/04 9/16/1988 AE9.0 <br /> 510. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 139. <br /> ❑FIS Profile ®FIRM Community Determined 0 Other(Describe) - <br /> 611. Indicate elevation datum used for SPE in Item 89: 1 I NGVD 1929 0 NAVD 1988 0 Other(Describe) _ <br /> 812, Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes Cil No <br /> Designation Date 0 CBRS 0 OPA <br /> SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)_ _ <br /> Cl. Building elevations are based on: 0 Construction Drawings' ❑ Building Under Construction ] 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 NOVIZ 1929 <br /> Conversion/Comments _ <br /> Check the measurement used. <br /> a) Top of bottom floor(including basement,crawispace,or enclosure floor) 10, 95 feet ❑meters(Puerto Rico only) <br /> b) Top of the next higher floor 20 ..22 J feet ❑meters(Puerto Rico only) <br /> c) Bottom of the lowest horizontal structural member(V Zones only) 0 feet ❑meters(Puerto Rico only) <br /> d) Attached garage(top of slab) . ._❑feet ❑meters(Puerto Rico only) <br /> e) Lowest elevation of machinery or equipment servicing the building 10,,, .®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) 10,-U®feet ❑meters(Puerto Rico only) <br /> g) Highest adjacent(finished)grade next to building(NAG) _J 7;, 6.11)feet 0 meters(Puerto Rico only) <br /> h) Lowest adjacent grade at lowest elevation of deck or stairs,including `❑feet 0 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. I certify that the information on this Certificate represents my best efforts to Interpret the data available, �(�T�.)+ <br /> /understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. ��� 40 Check here if comments are provided on back of form. Were latitude and longitude in Section A,,PProvided by a LICENSED <br /> licensed land surveyor? ]Yes L]No PROFESSIONAL. <br /> Certifier's Name License Number -'- *I LAND * <br /> Rah�C. R.Y. Lee L.S. 5075 __._. SURVEYOR <br /> Title Company Name No.5075 <br /> President Towill,rShijeoka & Associates, Inc. <br /> Address, 5tatBP Code 1, p' <br /> 7153 IQ t, ' g Street, S-i Honolulu, Hawaii 9651Y ,,,,,, 4WAIIH-'----- .. <br /> QP" <br /> Signature Date Telephone <br /> April 28, 2009 808-5383857 ._ _FEMA Form 81-31,Mar09 See reverse side for continuation. Replaces all previous edtons <br />