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U.S. DEPARTMENT of HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Mortagemont Agency Expires February 28, 2009, Nkdoflel A066 atsuranaa-..Program Important: Read the instructions on pages 1-8. and/or Bldg. Nc.) or P.O. Route and Box A4. Building Use (e.g„ Residential, Non•Resld9ndal, Addition, Accessory, eta) RESIDENTIAL A5. Latitude/Longlnrde: Let, Long A6. Attach at $98612 photographs a1 the building If the Certificate Is being used to obtain flood Insurance, Horizontal Datum: NAD 1927 ❑NAD 1983 A7. Building Diagram Number—L Ail. For a building with a crawl space or endosure(s), provide: e) Square footage of crwd apace or enclosure(&)Ail. For a building with an attached garage, provide: b) No. of permanent flood openings in the crawl apace or eq ft a) Square footage of attached garage ' aq fl entlosure(s) wells within 1A foot above adjacent grade b) No. of permanent flood openings In the attached garage e) Total net area of flood opersngs in AB.bwalls within 1.0 foot above adjacent grade eq In c) Total net area of flood openings In A9.b Sq In uam/ Ir1rWMrV1A IJUN 87. NFIP Communlry Nems 6 Communly Number B2. burly Name Hawaii CDunt 155166 Hawaii County B3. state Hawaii B4. MaplPenel Number B5. Suffer B5. FIRM Intlex B7. FIRM Panel B8. Flood Ba. Bele 1:: Elevation a 155166. 885C De$9 EffectiveNsvised Date Zones) AO, use base flood depgl�ra 4/02/04 09/16/88 B10. Indicate the source of the Base Flood Elevation (BFE) data or baseflood tlepth entarad In Item Be. ❑FIS Profile 15 ® FIRM ❑ Community Determined ❑ ONer (Describe) B11. Indicate elevation datum used for BFE in Item Be: ❑ NGVD 1929 ® NAVD 1988 ❑ Other (Describe) B12. Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑® Designation Date ❑ CBRS I]OPA Yes No SECTION C •BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) :1 A now l vations era based on ❑Construction Drawings- ❑ Building Under Construction• 'A new Elevation CertMcote will be required when construction of tit building is complete. ®Finiahetl Construction C2. Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (whh BFE), AR, AR/A, ARAE, AR/At-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified In Item A7. Benchmark Utilized USGS BM MARKED "NO. 4" Verucel DatumNA 9 Converalon/Commenta a) Top of bosom floor (Including basement, crawl space, or enclosure Boor) Check the M-11' 17, 2 ® feet b) C) Top o1 the next higher floor Bottom of the lowest horizontal structural member NA ,—❑ feat mPgterVsa(tp�k warnto miters BRo d) e) (V Zones only) Attached garage (top of slab) Lowest elevation —❑ feet tae❑feet mP0illito t I❑S *04, }PSV@pl of machinery or equipment servicing the building (Describe type of equipment in Comments) --�� 4 ® feet ❑ meters (Puerp 0 Lowest adjacent (finlshed).grade (LAG) Highest 6 ® feet 9) adjacent (snished) grade (HAG) ❑ meters (Puerto SECTION D - S OR res cemocation is to be signed and sealed by a lend surveyor, engineer, or architect authorized b law to oe information. 1 cenlyy that the information on this Certificate represents my best extorts to interpret the data eve bleevaton I understand that any false statement may be punishable by fine orimpdsonment under 18 U. S. Code, Section 1001. Check here If comments are Pr Wded on back of form. I i Certifier's Name ROBERT T. SHIRAI License Number ale LS -5985 LAND SURVEYOR Company Neme Atltlress ISLAND SURVEY, INC. r � � . HI "' "... 96720 12/18/08 'wopnone 935-9105 =.i Wbo only) Rlifibm erld Rion only) r LitL;bl $'ED PRI:SESS.IONAL HIPAP SURVEYOR No. 5985 , February 2006 See reverse Side for continuation. Replaces all previous editions