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Our Pruitt 18440
<br /> 1.1.5.DETA8TMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
<br /> r DERAL'EMERGENCY MANAGEMENT AGENCY
<br /> National Flood Insurance Program IMPORTANT:Follow the instructions on pages 1-9. Expiration Date: July 31, 2015
<br /> SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
<br /> Al. Building Owner's Name Kohanaiki Shores LLC (Restaurant Policy Number:
<br /> A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P0. Route and Box No. Company NAIC Number:
<br /> City Kailua Kona State HI ZIP Code 96740
<br /> A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
<br /> Lot 111 of The Shores at Koahaniki Resort(File Plan 2463) TMK:3/7-3-064: 021
<br /> A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)
<br /> A5. Latitude/Longitude: Lat. 1P RP1790 N Long. 156.038209 W Horizontal Datum: ❑NAD 1927 ❑x 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 1A
<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) n/a sq ft a) Square footage of attached garage n/a sq ft
<br /> b) No.of permanent flood openings in the crawlspace orn/a b) Number 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 n/a
<br /> c) Total net area of flood openings in A8.b n/a sq in c) Total net area of flood openings in A9.b n/a sq in
<br /> d) Engineered flood openings? ❑Yes 0 No d) Engineered flood openings? 0 Yes 0 No
<br /> SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
<br /> 61. NFIP Community Name&Community Number 82.County Name 63.State
<br /> HAWAII 155166 HAWAII COUNTY HAWAII
<br /> 84. Map/Panel Number 65.Suffix 66. ARM Index Date B7.FIRM Panel Effective/ B8. Flood Zone(s) B9.Base Flood Elevation(s)(Zone
<br /> Revised Date A0,use base flood depth)
<br /> 155166 0683 C 04/02/2013 09/16/1988 X n/a
<br /> B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89:
<br /> ❑FIS Profile �:FIRM 0 Community Determined 0 Other/Source:
<br /> 611.Indicate elevation datum used for BFE in Item 69: Ill NGVD 1929 0 NAVD 1988 ❑Other/Source:
<br /> 812.1s the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes ®No
<br /> Designation Date: / / ❑CBRS ❑OPA
<br /> SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
<br /> Cl. Building elevations are based on: 0 Construction Drawings* 0 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
<br /> C2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters.
<br /> Benchmark Utilized: Queen Kaahumanu Highway Control Vertical Datum: Mean Sea Level
<br /> Indicate elevation datum used for the elevations in items a)through h)below. ®NGVD 1929 0 NAVD 1988 0 Other/Source:
<br /> Datum used for building elevations must be the same as that used for the BFE. Check the measurement used.
<br /> a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 15 . 17 Q.feet 0 meters
<br /> b) Top of the next higher floor n/a , r-_feet 0 meters
<br /> c) Bottom of the lowest horizontal structural member(V Zones only) n/a . ®feet 0 meters
<br /> d) Attached garage(top of slab) n/a , ®feet 0 meters
<br /> e) Lowest elevation of machinery or equipment servicing the building 15 , 62 ®feet 0 meters
<br /> (Describe type of equipment and location in Comments)
<br /> f) Lowest adjacent(finished)grade next to building(LAG) 6 . 95 _ feet 0 meters
<br /> g) Highest adjacent(finished)grade next to building(HAG) 14 . 79 ®feet 0 meters
<br /> h) Lowest adjacent grade at lowest elevation of deck or stairs,including 9 . 38 ®feet 0 meters
<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. ,r
<br /> I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S.Code,Section 1001. T. Yq
<br /> 0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ycp
<br /> 0 Check here if attachments. licensed land surveyor? ►,..1 Yes 0 No fLICENSED r:
<br /> Certifier's Name License Number 'aC PROFS" : ,..'i
<br /> Chrystal Thomas Yamasaki LS-4331 Hawaii -
<br /> Title Company Name S ,1,'j
<br /> Licensed Professional Land Surveyor Wes Thomas Associates •
<br /> fr
<br /> Address CityState ZIP Code �,
<br /> / 5749 Kalawa S -et,Suite 201 Kilua Kona HI 96740 `y VS•
<br /> 1,'.."1,,,: ure t• Date Telephone ` ASI
<br /> i �tl)/ / 04/16/2013 (808 329-2353 i l / - •*013
<br /> FEMA Form 086-0-33(7/12) 4 See reverse side for continuation. I1 r eplaces all previous editions.
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