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Home My WebLink About6-9-004:012fI U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 ' Federal Emergency Management Agency I Expires February 28. 20091 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: I HA2. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 69-1736 Puako Beach Drive Hawaii A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessoryetc.) Resiciential I A6. Latitude/Longitude: Lat. 19°58'07" N Long. 155050'4 Horizontal Datum: ❑ NAD 1927 m NAD 198: A8. 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 endosure(a), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) sq 8 a) Square footage of attached garage sq R 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 c) Total net area of flood openings in AB.b sq in c) Total net area of flood openings In A9.b sq In SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION I 84. Map/Panel Number B6. Suffix B6. FIRM Index B7. FIRM Panel 88. Flood B9. Base Flood Elevation(s) (Zone 22.79® feet 1 Date 14-02-2004 EBechvelRevised Date Zone(s) AO, use base flood depth) 1 155 166 277 C %,-N® feet 9-16-1988 VE 8.00' B10. Indicate the source of the Base Flood Elevation (BFE) data or base food depth entered in Item 89. ❑ FIS Profile JZ FIRM ❑ Community Determined ❑ Other (Describe) 811. Indicate elevation datum used for BFE In Rem B9: m NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) I Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑ Yes ® No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION iSURVEY REQUIRED) I C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction* ® Finished Construction C2. 'A new Elevaflon Certificate will be required when construction of the building Is complete. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, VI -V30, V (with BFE), AR, ARIA, ARAE, AR/Ai-A30, AR/AH, AR/AO. below according to the bulldindiagram specified In Rem A7. Benchmark Utilized PUakO hew Vertical Datum NGVD Converslon/Comments Check the measurement used. Complete Items C2.a-g a) Top of bottom floor (including basement, crawl space, or enclosure floor) 11.08 ® feet ❑ meters (Puerto Rioo only) b) Top of the next higher floor 22.79® feet ❑ meters (Puerto Rioo only) c) Bottom of the lowest horizontal structural member (V Zones only) 9 ® feet ❑ meters (Puerto Moo only) d) Attached garage (top of slab) %,-N® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building �0 �_� feet ❑ meters (Puerto Rico only) q (Describe type of equipment in Comments) Lowest adjacent (finished) grade (LAG) 586 ® feet -9T® ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) feet ❑ meters (Puerto Rloo only) SECTION D - SURVEYOR, ENGINEER. OR ARCHITECT CERTIFICATION I his cennicaDOn Is to De signed 2nD Sealea by a land surveyor, engineer, or architect authorized by law to certify ele0 Information. I certify 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. ❑ Check here if comments are provided on back of form. Fleenor "alliffWner -..... .... ....... iooer Dean Fleenor LPLS LLC TIT ox 38J414 � * v' vVaikoloa .,Fly "r )3 %38-3414 6-2009 L•1L)EtiVS�f'O �� LEUNO.7276 * WA 11, U35 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editioni IMPORTANT: In these spaces, copy the corresponding information from Section A. I For Insurance ComDanv Use: II or P.O. Route and Box CityKamuela Stat%waii §g V I Company NAIC Number II SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. omm to op on wall 40 ft. seaward of dwelling and on property is 8.34 ft. GFI outlet servicing AC units and pool equipment at elevation 10.86 ft. On demand,49t water heater ayelevation 11.40 ft. ),.,,SCJ fi,Gr:&ss= 1-16-2009 E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR For Zones AO and A (without BFE), complete Items Et -E5. If the Certificate Is Intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items Et -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation Is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is _ ❑ feet ❑ meters ❑ above or® below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) Is _ ❑ feet ❑ meters ❑ above or below the LAG. E2. For Building Diagrams 6.8 with permanent flood openings provided in Sect l�4 Items 8 @�,Qlor 9 (see a e 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building Is _ ❑ feet L� meters L -J above or U below the HAG. E3. Attached garage (top of slab) is . _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery andlor equipment servicing the building is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5, Zone AO only: If no flood depth number Is available, Is the top of the bottom floor elevated In accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this Information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION' The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -Issued or community -Issued BFE) y,Zone AO must sign here. The statements In Sections A, B, and E are eared to the best of my knowledge. Owner's or Owners Authorized Representauve's Name Address City State ZIP Code Signature Date Telephone Comments The local offidal who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sk and G of this Elevation Certificate. Complete the applicable Item(s) and sign below. Check the measurement used in Items G8. and G9. G7. ❑ The Information in Section C was taken from other documentabon that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation Information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located In Zone A (without a FEMA -Issued or community -Issued BFE) or Zone AO. G3. ❑ The following information (Items G4: G9.) Is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (Including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Name Reviewed Telephone r Building Photographs See Instructions for Item A6. (including :h Drive or If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs'than will fit on this page, use the Continuation Page, following. Westerly Side Easterly Side & Electrical Equipment Seawall Northerly Side Dwelling 0 • r � U Northerly Side Dwelling