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IMPORTANT: in these spaces, coPY the COrMPonding Infonmtlitfon from Section A. For Insurance Company Use: Building Street Address (irtduding Apt., Unit, Suite, andfor Bldg. No.) or P.O. Route and Box No. Policy Number 1111 warowsle Place Cfly Hilo State HI ZIP Code 96720 r..,..,,..,., MAR*- L....._. SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CER11FICATION (CONTINUED) Copy both aides of this Elevation Certificate for (1) oommuntty offldal, (2) Insurance agentloompany, and (3) building owner. Comments C2. Bench mark was established by the County of Hawaii Department of Public Work s(F=58). A metal plug in concrete located along the south edge of Lahl Street, approxfmately 300 feet wast of Afnakc Avenue. C2e. The lowest elevation of machinery and/or equlpmW serWdng the building b the liquid pro"as tank gp.tbe e)Mng concrete pavement on the south side of the building. The tank to visible In photo fabled "Left ViewV. R _Check here H attacnmenta SECTION E -BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, 8, and C. For items EI -E4, use natural grade, If available. Check the measuranent used. in Puerto Rico only, enter meters. Et. Provide elevation Information for the following and ceedk the appropdste boxes to show whsttror the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including baserneni, crewispace, or enclosure) is W. 0 feet 0 meters 0 above or ; below the HAG. b) Top of bottom floor (including basement. 00WISPOW, or enclosure) is W& 0 feet 0 masters 0 above or 0 below the IAO. E2. For Building Diagrams 8.9 with permanent flood openings provided to Section A Items 8 and/or 9 (see pages 6-9 of instructions), the next higher floor (elevation C2.b In the diagrams) of the building is WA. Q feet © meters 0 above or 0 below the HAG. • E3. Attached garage (top of stab) is WA. ❑ feat 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is W 0 feet 0 melena 0 above or 0 below the HAG. £5. Zone AO only: if no flood depth number is available, la the top of the bottom floor elevated In accordance with the communitys floodplain management ordinanoe4 C] Yes 0 No 0 Unknown. The local official must cer ft this information In Section G. SECTION F • PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners auft ted representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or oommunllyassued BFE) or Zone AO must sign hers. lbs statements In Sectibrrs A, 8, and E are correct to the best of my knowledge. Property Ownees or Owner's Authorized Representative's Name Address City Stats ZIP Code Signature Date Telephone Comments we `�� 11 Check here Math SECTION 0 w COMMUNITY INFORMATION (OPTIONAL,) ""— Thp iml 0fte1 who Is authorized by law or ordinance to administer the oOXrlmunffys floodplain management ordinance can oomplete Sacgons A. 8, C (or E), and Got this Elevation Certificate. Complete the applicable ftem(s) and sign below. Check the measurement used in items Go and Go. 01. j] The information In Section C was taken from other documentation that has been signed and seated by a licensed surveyor, engineer, or architect who Is authortzad by law to certify elevation information. (Indicate the source and date of the elevation data In the Comments area below.) 02.0 A community of iclal completed Section E for a building located In Zone A (without a FEMAdssued or communitydssued BFE) or Zone AO, G3.0 The following irfarmation (Items G4 -G9) Is provided for community PoWpietn management purposes. Deb Permit Issued IG5. Date Certiflaate Of COMPIMoatOocupancY Issued 07. This permit has been Issued for: j] New construction 0 Substantial improvermem G9. Etevadon Of as•buflt WOW floor {Inotuding basement) of the building: 0 feet 0 meters (PR) Datum G9. SFE or pn tone AO) depth of flooding at the building site: 0 feet 0 meters (PR) Datum GiO. Communkys design flood elevation 0 feet 0 meters (PR) Datum Local O fidars Name TRIO Community Name Telephone Slone" Dab f Comments Cfreck here /netts h�+•r�: FEMA Form 81.31, Mar ()9 Replaces all previous editions