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<br />Pro)# 16379.3'-
<br />.U.S. DEPARTMENT OF HOMELAND SECURITY , , .ELEVATION 'CERTIFICATE OMB N0. 1860.0008
<br />FEDERAL EMERGENCY MANAGEMENT AGENCY - Expiretl0n Date; July 31, 2015
<br />- - Inatruodons on pages 1-9.. `
<br />Natlooal Flood lawhmxr Pr°gmx IMPORTANT: Fallow the , ..
<br />SECTION A PROPERTYINFORMATION- FOR INSURANCE COMPANY USE
<br />Al; Building owner's Name Jeffrey and Melinda Keane'(Orlglnal;Structure AND Addition) PokcYNumb°`
<br />.. .
<br />A2... Bulldl 5916 0118'ri(VB lading Apt., Unit, Suite, and/or Bldg. No.) or P.O._ Route. and Box No. company NAIC Number.,
<br />City K81IuaKona State HI ZIP Code 96740
<br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
<br />Lot C-1 c. TMK: 3/7-6-018: 076 "
<br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
<br />AS. Latltude/Longitude: Lat. W 19 697gt Long. W 166 Q8797 Horizontal Datum: ❑ HAD 1927 (M HAD 1983
<br />A6. Attach at least 2 photograph* of the building If the Certificate Is being used to obtain flood. insurance,
<br />A7. Building Diagram Number F
<br />A8. For a building with a crewtspace or enclosure(s): - - A9. For a -building with an attached garage:
<br />a) Square footage of crawlspece or enclosure(*) n!a soft a) Square footage of attached garage Na sq ft
<br />b) No, of permanent Hoed openings In the crawlapace or`fig b) Number of ermanem flood open)ng9 in the attached garage
<br />enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade Ni
<br />c) Total net area of flood openings In AS.b n/a act In, c) Total net alae of flood openings In A9.b nla sq in
<br />d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No
<br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
<br />81. NFP Cc muni Name & Community Number
<br />HAWA)rdy_f{ama
<br />UNTY,
<br />WAN,
<br />84, Map/Psnel Number
<br />55. Suffix
<br />B6. FIRM Index Date
<br />107. FIRM Panel Effective/
<br />B8.. Rood Zonate)
<br />89. Base Rood Elevations) (Zone
<br />Revised Date-
<br />AE *see
<br />A0, use base flood depth)
<br />1
<br />166166 0713
<br />D
<br />0410212004.
<br />05/16/1994
<br />comments
<br />10.0 *see comments
<br />810.Indlcate the source of the Base flood Devotion (BF'E) data or base flood depth entered In Item S9:
<br />❑ RS Profile Co FIRM []Community Determined ❑ OtheflSource:
<br />Oil. Indicate elevation datum used for SFE In Item 89: ® NGVO 1929 ❑ NAVO 1988 ❑ Other/Source:
<br />IWAs the building located Ina Coastal Beeler Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes N No
<br />Designation Date: _ / —/ — ❑ CBRS , ❑ ORA
<br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
<br />Cl. Building elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction- N 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, V1430, V (with 8FE), All, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items
<br />C2.s-h below according to the building diagram specified In Item A7. In Puerto Rico only, enter meters.
<br />Benchmark Utilized: USGS SM Kallua Plat Vertical Datum: Mean Sea Level
<br />Indicate elevation datum used for the elevations In Items a) through h) below. ❑ NGVD 1829 ❑ NAVD 1988 N Other/Source: Locai Tidal Doll m
<br />Datum used to building elevations must be the same as that used for the SFE. Check the measurement used.
<br />a) Top of bottom floor (including basement, crawlspace, or enclosure floor) I1 . 9 ®feet ❑ meters
<br />b) Top of the next higher floor - 12 .4 - ® feet ❑ meters
<br />c) Bottom of the lowest horizontal structural member (V Zones only) n/a . N feet ❑ meters
<br />d) Attached garage (top of slab) n a . ® feet ❑ meters
<br />e) Lowest elevation of machinery or equipment servicing the building 9 . 8 N feet ❑ meters
<br />(Describe We of equipment and location In Comments) -
<br />f) Lowest adjacent (finished) grade next to building (LAG) — 8 . 2 N feet ❑ meters
<br />g) Highest adjacent(flnlshed) grade next to building (HAG) 9. 7 Nfeet ❑meters
<br />h) Lowest adjacent grade at lowest elevation of deck or stairs, Including _6_ . 3 N feet ❑ meters
<br />structural support -
<br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
<br />This certiflcatlon Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
<br />Information. I certify that the Information on this CertMoate represents my best efforts to Interpret the data available, T• h(
<br />I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section I00I.
<br />® Check here If comments are provided on back of form. Were latitude end longitude In Section A provided by a -\� S
<br />® Check here If attachments. licensed land surveyor/? N Yea ❑ No a' LICENSED
<br />S __.�, ..nuL.
<br />086033 (7/12) U See reverse aide for continuation. W Replaces all previous editions.
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