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+J.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 Cornea* sie
<br /> Al. Building Owner's Name ;,. k
<br /> LARRY POZNER P rcy Nrilttber"'
<br /> A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAlC'Numb-Pt;
<br /> ADDRESS NOT FOUND
<br /> ZIP Code
<br /> City KAILUA KONA State HI 96740
<br /> A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
<br /> (3)7-5-005-015,LOT 48 OF L.C.APP.1318
<br /> A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
<br /> A5. Latitude/Longitude:Lat. 19.63850 Long. -156.00180 Horizontal Datum: 0 NAD 1927 0 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 5 - •
<br /> A8. For a building with a crawlspace or endosure(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 crawlspace or b) No.of permanent flood openings in the attached garage
<br /> endosure(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 0 No
<br /> SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION '
<br /> 131.NFIP Community Name&Community Number B2.County Name B3.State
<br /> HAWAII COUNTY-155166 HAWAII COUNTY HAWAII
<br /> B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone
<br /> Date Effective/Revised Date' Zone(s) AO,use base flood depth)
<br /> 0694 C APR 02,2004 SEPTEMBER 16,1988 VE/AE 10 FEET
<br /> B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
<br /> 0 FIS Profile 0 FIRM 0 Community Determined 0 Other(Describe)
<br /> B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 0 NAVD 1988 0 Other(Desaibe)
<br /> B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or erwise Protected Area(OPA)? 0 Yes x0 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* 0 Building Under Construction' 0 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 USGS BM AT KAILUA PIER . Vertical Datum NGVD 29
<br /> Conversion/Comments
<br /> Check the measurement used.
<br /> a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 12.0 © feet H meters(Puerto Rico only)
<br /> b) Top of the next higher floor 23.0 Cl feet meters(Puerto Rico only)
<br /> c) Bottom of the lowest horizontal structural member(V Zones only) 10.29 D feet 0 meters(Puerto Rico only)
<br /> d) Attached garage(top of slab) N/A.__0 feet 0 meters(Puerto Rico only)
<br /> e) Lowest elevation of machinery or equipment servicing the building 11.0 0 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) 5.0 ED feet 0 meters(Puerto Rico only)
<br /> g) Highest adjacent(finished)grade next to building(HAG) 9.0 © feet 0 meters(Puerto Rico only)
<br /> h) Lowest adjacent grade at lowest elevation of deck or stairs,including 5.0 0 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. /certify that the information on this Certificate represents my best efforts to interpret the data available. AS G,p
<br /> I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001.
<br /> (Ci ,�Tx0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided byia ' : I,
<br /> 1p
<br /> licensed land surveyor? 0Yes 0 No L/CEN OOFE- SDCertifiers Name License Number LA.-$ZONAL 2
<br /> Thomas G.Pattison 10743 SU>iVEroR
<br /> title Company Name N
<br /> ind Surveyor Pattison Land Surveying Inc. . •:, 1-
<br /> 0), x0743
<br /> ,ddress City State ZIP Code • -1
<br /> 73-5618 MAIAU SIRE KAILUA-KONA Hawaii 96740 6L
<br /> " •
<br /> Signature ,. Date Telephone , ,:•• U.S P
<br /> dill/i' 3-8-2011 ,, ,
<br /> FEMA Form 81-31, Mar .09 See reverse side for continuation. Replaces all previous editions
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