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U.S. DEPARTMENT OF HOMELAND SECURITY Federol Emergency Management Agency National Flood Insurance Program Building Street Address Kalanianaole Ave. City Hilo State HI TMK: (3) 2-1-014: ELEVATION CERTIFICATE Important: Read the Instructions on pages 1-9. SECTION A - Suite, and/or Bldg. No.) or P.O. Route and Box No. OMB No. 1880-0008 Expires March 31, 2012 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) 3 -Story ResloentiegCondo Buldinc B fUnft 3) A6. Latitude/Longitude: Let 1&44-0e Long. 165.02-23 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A8. Attach at least 2 photographs of the building If the Certificate is being used to obtain food Insurance. A7. Building Diagram Number fl A8. For a building with a crawispace or enclosure(e): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 92.0 sq It a) Square footage of attached garage eq ft b) No. of permanent flood openings In the orawlapece or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade5,� within 1.0 foot above adjacent grade _ c) Total net area of flood openings In A8.b Z¢¢ sq In,, I rg " 1 c) Total net area of flood openings In A9.b _ d) Engineered flood openings? ® Yes [I No d) Engineered flood openings? C] Yes [3 No In SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name 8 Community Number B2. County Name B3. State Hawall County 166166 County of Hawaii Hawail B4. Map(Panel Number B6. Suffix B8. FIRM Index B7. FIRM Panel B8. Flood 89. Base Flood Elevation(s) (Zone 1551660886 C I Date L Effective/Revised Date Zone(s) AO, use base flood depth) ApN12, 2004 Sept. 18, 1989 AE 14.0 o rv. rralcam the source or me base Flood aevallon (BFE) data or base flood depth entered in Item B9. ❑. FIS Profile I@ FIRM ❑ Community Determined ❑ Other (Describe) _ B11. Indicate elevation datum used for BFE In Item 89: ® NGVD 1929 ❑ NAVD 19118 ❑ Other (Describe) B12. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date _ ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations - Zones At -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, ARAE, ARAt-A30, ARAH, ARAO. Complete Items C2.a-h below according to the building diagram specified In Item A7. Use the same datum as the BFE. Benchmark Utilized POI A-1 Vertical Datum 5.60 Conversion/Comments P.K. Nall at Comer of Machida Lnand Onekahakaha Rd "provided by County Surveyor Check the measurement used. a) Top of bottom floor (Including basement, crawlspace, or enclosure floor) &Q ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor ?1.2 ® feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) _JUL._ ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 9.9 ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 91.0 ® feet ❑ meters (Puerto Rloo only) (Describe type of equipment and location in Comments) 0 Lowest adjacent (finished) grade next to building (LAG) 2.¢ ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 9.2 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade a; lowest elevation of deck or stairs, including Q.§ ® feet [3 motors (Puerto Rico only) _ structural au r SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION r ns cnrtmunon w to De srgnec and 668160 Dy a rand surveyor, engineer, or architect authorized by law to certify elet Information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by fine or Imprisonment under 18 U.S. Code, Section 1001. ® Check here If comments are provided on back of form. Were latitude and longitude In Seaton A provided by a licensed land surveyor? ❑ Yes ® No Cartifier's Name Yen Wen Fang License Number 9361-C 81-31, Mar 09 U reverse side for `EUR 1g " P U� Replaces all previous editions