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U.S. DEPARTMENT OF HOMELAND SECURITYELEVATION CERTIFICATE OMB No. 1660-0008
<br />FEDERAL EMERGENCY MANAGEMENT AGENCY
<br />Namcw, Fiord lawrame Program Expiration Date: July 31, 2015 IMPORTANT: Fallow the instructions on pages 1-9. I
<br />SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE
<br />Al, Building Owner's Name Reno Kai Lau Polley Number:
<br />A2. Buildin Str ei Address (including t., Unit, Suite, and/or Bldg. No.) or p0. Route and Box No. Company MAIC Number.
<br />City Hilo State Hi ZIP Code 96720
<br />A3. Property Description (Lot and Block Numbers. Tax Parcel Number, Legal Description, etc.)
<br />Por Gr 11062 to Ah Kul Aina; Waiakea, South Hilo, Hawaii, TMK(3) 2-1-016: 002 _
<br />A4. Building Use (e.g., Residential, Non -Residential. Addition, Accessory. etc.)
<br />Ab. Latitude/Longitude: Lat. N 1944',DLE Long. W 155-01'-46.3" Horizontal Datum: ExI NAD 1927 rj NAD 2983
<br />A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain 'toad insurance.
<br />A7. Building Diagram Number 5
<br />A8. For a building with a crawlspace or endosure(s): A9. For a bu:l&ng with an attached garage:
<br />a) Square footage of crawispace or enclosure(s) N/A sq ft a) Square footage of attached garage NIA sq ft
<br />b) No. of permanent flood openings in the crawispace or b) Number of permanent flood openings to the attached garage
<br />enclosure(s) within 1,0 foot above adjacent grade NIA 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 w_.__ sq in
<br />d) Engineered flood openings? ❑ Yes C No d) Engineered flood openings? ❑ Yes ®No
<br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
<br />B1. NFIP Community ame A om unity N 82. County Name I B3. State
<br />Hawall Goun 66 Hawaii Count _ _ _Hawaii
<br />84. Map/Panel Number B5. Suffix 86. FIRM index Date 67. FIRM Panel Effective/ 88. Flood Zones) 1 89. Base Flood Elevation(s) (Zone
<br />Revised Datei
<br />A0, use base flood depth)
<br />155166 C 04/02/2004 09/16/1988 VE 21.00
<br />810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69.
<br />_1 FIS Profile CR FIRM ❑ Community Determined [3 Other/Source'
<br />B11. Indicate elevation datum used for BFE in Item 89_ ® NGVD 1929! NAVD 1988 ❑ Other/ Source: _ w..._.
<br />B12. Is the building located in a Coastal Barrier Resources System (CORS) area or Otherwise Protected Area iOPA)? Yes LX No
<br />Designation Date: / % 0 CORS ❑ OPA
<br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
<br />C1. Building elevations are based on: ❑ Construction Drawings' Fl Building Under Construction, '29 Finished Construction
<br />'A new Elevation Certificate will be required when construction of the building is complete.
<br />C2. Elevations - Zones Ai -A30, AE, AH, A (with BFE), VE, Vi -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 Puertc Rico only, enter meters.
<br />Benchmark Utilized: E 2 Vertical Datum: NAVD 1929 _
<br />Indicate elevation datum used for the elevations in items a) through h) below. i8 NGVD 1929 ❑ NAVD 1988 ❑ Other/Source:
<br />Datum used for building elevations must be the same as that used for the BFE.
<br />Check the measurement used.
<br />a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 23 . 85 X feet [] meters
<br />b) Top of the next higher floor _ .._N/A . _ _ r- feet i`] ureters
<br />c) Bottom of the lowest horizontal structural member (V Zones only;, ______22 , .15 LR feet "] meters
<br />d) Attached garage (top of slab) ___ N/A_ , ...__ i._i feet ;_A meters
<br />e) Lowest elevation of machinery or equipment servicing the building 2 . 3 _._... __. (x feet -1 meters
<br />(Describe type of equipment and location in Comments)
<br />f) Lowest adjacent (finished) grade next to building (LAG) 6 . 5 X feet ❑ meters
<br />g) Highest adjacent (finished) grade next to building (HAG) _ _7_ . 2 feet E] meters
<br />h) Lowest adjacent grads at lowest elevation of deck or stairs. including __ 8 . 43 M feet (_j 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 elevatiin
<br />information. i certify that the information on this Certificate represents my hest efforts to tntprpretrPe data avadahie �t
<br />I understand that any false statement may be punishable by fine or irnprisunmenr under 18 U S Code Sec!toil I i01.
<br />J Check here if comments are provided on back of form. Were latitude and iongiltide in Section A Prov ded by a LI NSEO try
<br />u Check here if attachments. licensed land s irvevor? 9 Yes 7_1 No PROFESSIONAL
<br />i Certifier's Name. .-sir Sv p, r. 0, ___.�___._.�� -
<br />Wb I
<br />Shawn Christensen 12767 SURVEYOR
<br />_._.. -
<br />Title CompaayName _ tr(p, ,1,2767
<br />LPLS MANA LAND CONSULTANTS LLC.
<br />Adoress City at? /if, r ,nr
<br />POB X 1103 J KAPAA ; HI 96746.. j �i, f ( U ,S
<br />n D� ate -eeFrro,c-
<br />~" 104/02/2015_ i (808)430-5409
<br />FEMA Form 086-0.33 (7/12) See reverse side for continiabon. Replaces all previous editions.
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