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U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
<br />Federal, Emergency Management Agency Expires March 31, 2012
<br />National Flood Insurance Program Important: Read the instructions on pages 1-9.
<br />SECTION A - PROPERTY INFORMATION IT60neurepcefi ompany,Use
<br />Al. Building Owner's Name FLORA B SOLOMON y Polloy Number ,
<br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. `C NTMOM NAIL Number:, r
<br />City HILO State HI ZIP Code 96720
<br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
<br />LOT 12-A, AINAKO SUBDIVISION, SERIES 2, FILE PLAN 427, TAX MAP KEY(3) 2-5-024:012
<br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
<br />A5. Latitude/Longitude: Lat. 1912-30 N Long. 155-07-26W Horizontal Datum: ❑ 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 />A7. Building Diagram Number Q
<br />A8. For a building with a crawlepace or enclosure(s): A9. For a building with an attached garage:
<br />a) Square footage of crawlspace or enclosure(s) _ sq ft a) Square footage of attached garage 560 eq It
<br />b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings In the stteched garage
<br />enctosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade _
<br />c) Total net area of flood openings In A8.b _ eq in c) Total net area of flood openings In A9.b _ eq In
<br />d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No
<br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
<br />131. NFIP Community Name 6 Community Number 82. County Name 7B3. State
<br />HAWAII COUNTY 155166 1 HAWAII COUNTY I HAWAII
<br />B4. Map/Panel Number
<br />B5. Suffix
<br />B6. FIRM Index
<br />B7. FIRM Panel
<br />B8. Flood
<br />B9. Base Flood Elevation(s) (Zone
<br />® feet
<br />155166
<br />0859-D
<br />Date
<br />Effective/Revised Date
<br />Zone(s)
<br />AO, use base flood depth)
<br />1
<br />c)
<br />Bottom of the lowest horizontal structural member (V Zones only)
<br />NIA ._
<br />2 -APR -04
<br />16 -SEP -09
<br />A
<br />654
<br />655 AS
<br />B10. Indicate the source of the Bess Flood Elevation (BFE) data or base flood depth entered in Rem B9.
<br />❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _
<br />811. Indicate elevation datum used for BFE In Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) _
<br />B12. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
<br />ft Designaflon Date _ ❑ CBRS ❑ OPA
<br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
<br />Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction' ® Finished Construction
<br />•A new Elevation Certificate will be required when construction of the building Is complete.
<br />C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AD. Complete.items C2.a-h
<br />below according to the building diagram specified in Item A7. Use the same datum as the BFE.
<br />Benchmark Utilized P 1 NAIL 411 KAPAA ST Vertical Datum _
<br />ConversionlComments
<br />i nis cemncaaon is to De signea ane seaiea Dy a lana surveyor, engineer, or architect authorized by low to certify elevation
<br />information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available.)
<br />understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.®
<br />Check here if comments are provided on back of form. Were latitude and longitude In Section A provided by a
<br />licensed land surveyor? IS Yes ❑ No
<br />Cenlfler's Name PAUL H MURRAY LPLS License Number LS -7589
<br />PLACE
<br />Lr.,ENSED
<br />PROFESSIONAL
<br />Nt4D-
<br />SURVEYOR
<br />No. LS -7589 ,
<br />FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions
<br />Check the measurement used.
<br />a)
<br />Top of bottom floor (Including basement, crawlspace, or enclosure floor) §§L-. 15
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />b)
<br />Top of the next higher floor
<br />t '_.$it_
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />c)
<br />Bottom of the lowest horizontal structural member (V Zones only)
<br />NIA ._
<br />❑ feet
<br />❑ meters (Puerto Rico only)
<br />d)
<br />Attached garage (top of slab)
<br />655 AS
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />e)
<br />Lowest elevation of machinery or equipment servicing the building
<br />655 .gg_
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />(Describe type of equipment and location in Comments)
<br />f)
<br />Lowest adjacent (finished) grade next to building (LAG)
<br />- 653 .5
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />g)
<br />Highest adjacent (flnished) grade next to building (HAG)
<br />654 .
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />h)
<br />Lowest adjacent grade at lowest elevation of deck or stairs, Including
<br />10_. 1
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />structural support
<br />SECTION D - SURVEYOR ENGINEER. OR ARCHITECT CERTIFICATION
<br />i nis cemncaaon is to De signea ane seaiea Dy a lana surveyor, engineer, or architect authorized by low to certify elevation
<br />information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available.)
<br />understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.®
<br />Check here if comments are provided on back of form. Were latitude and longitude In Section A provided by a
<br />licensed land surveyor? IS Yes ❑ No
<br />Cenlfler's Name PAUL H MURRAY LPLS License Number LS -7589
<br />PLACE
<br />Lr.,ENSED
<br />PROFESSIONAL
<br />Nt4D-
<br />SURVEYOR
<br />No. LS -7589 ,
<br />FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions
<br />
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