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U.S. DEaARr�teNr of HDMELlWD sEcuwTY, ELEVATION CERTIFICATE OMB No. 16510-0008
<br />B5. Suffer
<br />-+ Expires February 26 2009
<br />F �mergenayMermgemerrtAgency
<br />B7. FIRM Panel
<br />Nair Flood insurance Program , Itnportaflt . Read the instructions on pages "A ,
<br />B9; Base Flood Elevatlon(s) (Zone
<br />SECTION A -PROPERTY INFORMATION !;
<br />rFor,Irr�nsnoe"Compkny(lee-,t,
<br />Dale
<br />At Bulldin8 Owner's Name �Stetan BueMa ; r
<br />< "
<br />AO, ties base flood depth)
<br />m^<M 1 =ti +:gym •.I,, .
<br />A.1^�1��¢[
<br />k, SnY�R�'k��
<br />410212004
<br />Buildlnrp Street Addrew Qnduding Apt; Unit Suke, anNor Bldg. No) aP.O.Route and Box No.
<br />P
<br />'Kelonlena6li
<br />AE, VE •
<br />St
<br />Clly Hilo, State HI ZIP.Code '96720%,
<br />A3: `Properly Description (Lot and Block Numbers, Tax Parcel Number, Lagal Desalp0on, etc.)
<br />,. Lot 18, t ehle Park ResldendeLate: TMK (3) 2-1-17:5
<br />,
<br />A4 Builth e g ResldeMlel, Non-ReekbMlal AddBbn Aceeewry eie.) ReeldeMiel ,
<br />n0Use (
<br />.. . .•. . . ___...._.. � ... w. s, ems... _ _ cruse. wu w.,. ur__�, ��.�. 1"1 u.n..„nv v u.,..wa� '.
<br />A8. Attach at least 2 photographs of the buUEinug Hthe Certlfleete b being used io'obtalri flood insuraitco. , '
<br />A7' Baildgrg Diagram Numlxr � ?t � - ,, ( � `,
<br />Fa a building with a crawl space or endosnre(s) provide Ail. For in building with an attached garage, provide:
<br />a). Square footage of crawl space or encbsure(s) , '. . jl@S.ff , sq ft a) Square footage of attached garage Wji . , ,. aq ft
<br />b) No. of permanent flood openings In the crawl apace or b) No. of permanent flood openings In the attached. garage
<br />enclosure(s) walls wWrii t.0 foot above adjacent grade . ]¢ /�. walls MAthin 1.0 foot above adjacent grade 2 .
<br />e) Total net area of flood openings M A8b 1M eq In g 51i't' e) Total net area of flood openings In A9.b eq In
<br />"SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
<br />B1.NFIPCommunllyName&CommunityNumber 82.CourdyName B3.State
<br />Hewaltt:ouniY1ti5IN Howell Hawall
<br />B4: Map/Penel Number
<br />B5. Suffer
<br />B6. FIRM Index
<br />B7. FIRM Panel
<br />B8. Flood
<br />B9; Base Flood Elevatlon(s) (Zone
<br />Dale
<br />Efte cd e/Revised Date
<br />Zone(s)
<br />AO, ties base flood depth)
<br />0888
<br />C
<br />410212004
<br />.9116M88s
<br />AE, VE •
<br />23.0
<br />B/0. Indwete the source of the Base Flood Elevation (SFE) date a boas flood depth entered In Item B9.
<br />❑ FLS Profile X FIRM ❑,Community Determined ❑ Other (Describe)
<br />B11. Indicate elevation datum used for BFE In Item B9: X NGVD 1929 ❑ NAVD 1988 Other (Describe)
<br />Bt2. lathe building located Ina Coastal Baffler Resources System ((CBRS) area or Otherwise Protected Area (OPA)7 ❑Yes X No
<br />Designation' Date ❑ CSRS ❑ OPA
<br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
<br />91:, Budding elevations are based on: ❑ Construction DroxRnge• ❑Building Under Conebuction• XRfin shed Construction
<br />- •A new Elevation Certificate will be required when construction of the building Is complete.
<br />CZ Elevations -Zones At -A30'. AE, AH, A (with SFE), VE, V1430, V (with SFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete ftems C2.ay
<br />below awarding to the building diagram specified In Item A7.
<br />Benchmark Utilized 5.79 USGS WIDE T400291`Verdeal Datum ),mal
<br />ConverebNComments Local Tidel accented as sacral to NGVD 1929 In this area.
<br />Check the measurement used.
<br />a) Top of bottom floor (Including basement, crawl space, or enclosure float ig.;s, X feet ❑ meters (Puerto Rico only)
<br />b) Top of the next higher floor am X feet ❑ motors (Puerto Rico only)
<br />Q Bottom of the lowest horizontal structural member (V Zones only) zz.} X fee ❑ meters (Puerto Rico sky)
<br />d) Attached garage (top of slab)/p � X fact ❑ motors (Puerto Rico only)
<br />e) Lowest elevation of machinery or equipment servicing the building J�J- X feet ❑ meters (Puerto Rico only)
<br />(Describe type of equipment In Commends)
<br />Q Lowest adjacent (finished) grade (LAG) 8.3 X fee ❑ meters (Puerto Rico any)
<br />g) Highest adjacent (finished) grade (HAG) j,2.$ X fee ❑ meters (Puerto Rico only)
<br />`y
<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 elevation
<br />inforindom I eerily that the information on this Certificate represents my best efforts to Interpret the dale available.
<br />I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. L. L.
<br />i"Check here If comments are provided on track of form. QPNUU 1��
<br />CoMees Name Daniel Berg License Number LS 11245 L
<br />rrwrrr,.�eine7alAL
<br />L NDoc
<br />PO Box 577 CRY Hilo State HI ZIP Code 86721 y tVo• 11245
<br />P'
<br />Signature .Date 23 January 2009 Telephone 8089594360 9h'AIi, V S•
<br />Ent•. 4/aa/Sol0
<br />` ]A Form 81-31, February006 See reverse side for continuation. Replaces all previous editions
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