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Our Proj# 03857.5 U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY ELEVATION CERTIFICATE OMB No. 1660-0008 National Flood Insurance Program IMPORTANT: Follow the instructions on pages 1-9. Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) FOR INSURANCE COMPANY USE Al. Building Owner's Name St. Michael's Church Latitude/Longitude: Lat. 19.6386 Long. -155.99117 Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or PO. Route and Box No. 75-5769 Alii Drive Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. Company NAIC Number: City Kailua Kona State Hl ZIP Code 96740 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) For a building with a crawlspace or enclosure(s): TM K: 3/7-5-008: 006 ❑ meters A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) B3. State I A5. Latitude/Longitude: Lat. 19.6386 Long. -155.99117 Horizontal Datum: ❑ NAD 1927 ❑x 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 R B8. Flood Zone(s) A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: ❑ meters a) Square footage of crawlspace or enclosure(s) n/a• sq ft a) Square footage of attached garage n/a. sq ft A0, use base flood depth) b) No. of permanent flood openings in the crawlspace or n/a b) Number of permanent flood openings in the attached garage 04/02/2013 enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade n/a, 20 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 ❑ meters d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State I HAWAII 155166 HAWAII COUNTY HAWAII B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone Licensed Professional Land Surveyor N feet ❑ meters Revised Date Address A0, use base flood depth) 155166 0713 D 04/02/2013 05/16/1994 AE/Floodway 20 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile N FIRM ❑ Community Determined ❑ Other/Source: LOMB Case 11-09-0229R (6/14/1995) & 14-09-1104P (1/26/15) Bll. Indicate elevation datum used for BFE in Item 69: K NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No Designation Date: / / ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* N Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/A0. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: Kailua Pier BM#4 Vertical Datum: Mean Sea Level Indicate elevation datum used for the elevations in items a) through h) below. ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 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. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ❑x Check here if comments are provided on back of form. ❑x Check here if attachments. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No Certifier's Name Check the measurement used. 22 . 1 N feet ❑ meters 33 , 2 N feet ❑ meters n/a. Licensed Professional Land Surveyor N feet ❑ meters n/a.. Address N feet ❑ meters 23 _2 ® feet ❑ meters 22 . 0 N feet ❑ meters 22 1 N feet ❑ meters 12 . 1 ® feet ❑ meters 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. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ❑x Check here if comments are provided on back of form. ❑x Check here if attachments. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No Certifier's Name License Number Chrystal Thomas Yamasaki LS -4331 Hawaii Title Company Name Licensed Professional Land Surveyor Wes Thomas Associates Address City State ZIP Code 75-5749 Kalawa Stre t, Suite 201 Kailua Kona HI 96740 S' a Date Telephone 03/04/2015 (808) 329-2353 Z LICENSED y UZ PROFESSIONA * SU AIS, v5P 03/04/2015 FEMA Form 086-0-33 (7/12)x/ See reverse side for continuation. 'f Replaces all previous editions.