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Our Proj# 16290.3 DEPARTMENT OF HOMELAND SECURITY ral Emergency Management Agency anal Flood Insurance Program =LEVATION CERTIFICATE Important: Read the instructions on SECTION A - PROPERTY INFOF OMB No. 1660-0008 Expires February 28. 2009 4 For Insurance Company Use: Al. bunting vwnere rvame Gary &Anne Borman Trust Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 69-1660 Puako Beach Drive city Kamuela state Hawaii ZIP Code 96743 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) � Lot 73 of Puako Beach Lots Tax Map Key -,6-9-003: 012'(3rd Division) A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. N 19 58' 19.67501" Long. W 155 50'2628538" Horizontal Datum: NAD 1927 Q NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood Insurance. A7. Building Diagram Number 5 A8. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) n/a sq fl a) Square footage of attached garage _ 7 7 soft b) No, of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade fir' c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9:b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 1 0277 C 04/02/2004 09/16/1988 AE 6 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item B9. ❑FIS Profile ❑✓ FIRM El Community Determined ❑Other(Describe) B11. Indicate elevation datum used for BFE in Item 139: 0 NGVD 1929 ❑NAVD 1988 []Other (Describe) Wthe building located in a Coastal Barrier Resources System (CBRS) area thenvise Protected Area (OPA)7 ❑ Yes ❑✓ No Designation Date ❑ CBRS "OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Ct. 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 Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.11-9 below according to the building diagram specified In Item AT Benchmark Utilized Puakn TrigSta_ilndatAd to MSL Allay vertical Datum Mean Sian Level Conversion/Comments n/a Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) 8.01 ❑✓ feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 18. feert ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) ✓ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 7.21 Mrset ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) 1) Lowest adjacent (finished) grade (LAG),5✓ feet Elmeters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) ✓ feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I car* that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Q LICENSED ❑Check here dcomments are provided on back of Corm. (� PROFESS CertiBefs Name License Number L.AT�O Chrystal T. Yamasaki LS -4331 1t su # Wes Thomas Associates Company Name Wes Thomas Associates 1 Address 7 -5 49 Kalawa Street city Kailua-Kona State Hawaii ZIP Code 96740 All' Signalu ��i4ne 7, 2007 Telephone (808) 329-2353 June 7, 2007 - FEMA Forint 81-31, February 2006—See reverse side for continuation. Replaces all previous editions