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2-4-063:001
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7/27/2016 10:41:56 AM
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Date
7/12/2016
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Elevation Certificate
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u: S. DEPARTMENT OF NGMELANG SECURITY ELEVATION CERTIFICATE <br />FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 <br />bbtlunul Flood hu-,luI P1,11111 Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015 <br />SECTION A- PROPERTY INFORMATION FOR INSURANCE COMPANY USE <br />At. Building Owners Name Colin Uemura and Joni Umnum Policy Number: <br />A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Hurl <br />1357 Matsu, Street <br />City Hilo State HI ZIP Code 96720 <br />A3, Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br />Tax Map Key (3) 24-063: 001 <br />A4. Building Use (e. g., Residential, Non -Residential, Addition, Accessory, etc.) Residential <br />A5. Lebtude/Longitutle: Lat. N 19"472T Long. W155-0644 Horizontal Datum: D NAD 1927 ® NAD 1983 <br />A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. <br />AT Building Diagram Number 1B <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 enclosures) _ sqR a) Square footage of attached garage 465 sq fit <br />b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage <br />or enclosure(s) within 1.0 foot above adjacent grade within 1.0 feet above adjacent grade 2 <br />c) Total net area of flood openings in AB.b _ sq in c) Total net area of flood openings in A9.b sq in <br />d) Engineered flood openings? 0 Yes D No d) Engineered flood openings? 0 Yes ® No <br />SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />Bt. NFIP Community Name 8 Community Number B2. County NameI B3. State <br />wa <br />Hawaii County, Hawaii 155166 Haii Hawaii <br />B4. Map/Panel Number <br />B5. Suffix <br />B6. FIRM Index Date <br />B7. FIRM Panel <br />Ell Flood <br />B9. Base Flood Elevation(s) (Zone <br />1551660890 <br />C <br />04/02/2004 <br />Effective/Revised Date <br />Zones) <br />AO, use base flood depth) <br />Na_ <br />D feet <br />D meters <br />09/16/1988 <br />AH <br />446.05 feet <br />610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. <br />D FIS Profile 0 FIRM ® Community Determined 0 Other/Source. <br />B11. Indicate elevation datum used for BFE in Item B9: D NGVD 1929 D NAVD 1988 ® Other/Source'. LTD <br />B12. Is Ne building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes ® No <br />Designation Date: _ 0 CBRS D EPA <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />Cl. Building elevations are based on: 0 Construction Drawings' D Building Under Construction' ® Finished Constmction <br />'A new Elevation Certificate will he required when construction of the building is complete. <br />C2. Elevations - Zones Al -A30. AE, Al A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, ARAE, AR/Al-A3Q AR/AH, AR/AO. Complete Items C2.a-h <br />below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. <br />Benchmark Utilized: Spike at KawailangOihana Vertical Datum'. LTD <br />Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 0 NAVD 1988 0 OlhodSource: LTD <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) <br />b) Top of the next higher poor <br />c) Bottom of the lowest horizontal structural member (V Zones only) <br />d) Attached garage (top of slab) <br />e) Lowest elevation of machinery or equipment servicing the building <br />(Describe type of equipment and location in Comments) <br />h Lowest adjacent (finished) grade next to building (LAG) <br />Ill Highest adjacent (finished) grade next to building (HAG) <br />h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support <br />446.32 <br />® feet <br />D meters <br />Na._ <br />D feet <br />0 meters <br />Na <br />D feet <br />D meter: <br />445.87 <br />0 feet <br />0 meters <br />Na_ <br />D feet <br />D meters <br />445 75 <br />® feet <br />0 meters <br />445.80 <br />® feet <br />0 meters <br />rSre.— <br />D feet <br />0 meters <br />SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />
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