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X <br />U <br />y Project No. 16553.61 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 <br />• NATIONAL FLOOR INSURANCE PROGRAM <br />ELEVATION CERTIFICATE Expires: December 31, zoos <br />MAP (FIRM) INFORMATION <br />1 155166 0694 1 G I 04/U2JU4 I aePl 10, IaOO I AC I lu I <br />8/0. Indicate the source of the Base Flood Elevation (SFE) dam or base food depth entered In B9. <br />1_1 FIS Profile W FIRM I -I Community Determined L_1 Other (Describe): <br />Off. Indicate the elevation datum used for the BFE In B9: L&I NGVD 1829 L_I NAV01988 L_1 other (Describe): <br />B12. Is the building located Ina Coastal Banter Resources System (CBRS) arae or Otherwise Protected Arae (OPA)7 LJY88 L -I No <br />Designation Dem:_ . <br />• SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />C1. Building elevations are based on: L_(Construcflon Drawings' L_IBullding under Construction* L^1Finbhad Construction <br />'A new Elevation CorMicete will be required when construction ofthe building is complete. <br />C2. Building Diagram Number 5 (Salad the building diagram most sanRer to the building for which this certificate Is" oomphted -see <br />pages 6 and 7. If no diagram accurately represents the building, provide a sketch or phdogreph.) <br />C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, VI -V30. V (wlm BFE). AR, ARIA, ARAE, ARIAII-A30, ARIAH, ARIAO <br />Complete Nems 03.a4 below according to the building diagram specified In Item C2. Stam the datum used. If the datum Is di ferern from <br />the datum used for the BFE In Section S, convert the datum to that used for the BFE. Show field measurements and datum conversion <br />calculation. Use She apace provided or the Comments area of Section 0 or Section G, as appropriate, lo documenl the datum conversion. <br />Datum ! _ ConvemloNCommenM <br />Elevationreference mark used_ LJSG9 Does thef elevation reference mark used appear on Sha FI Yee I x l No <br />O a) Top of bottom moor (Including basement or enclosure) 11..05 fL(m) g <br />O b) Top of next higher floor 9-t,'An R"(m) <br />O e) Bottom d lowest horizontal structural member (V zones only) .n/a ft. (m) rQ' LICENSED <br />O d) Attached garage (tap of slab) + 1,05 fl.(m) CS PROF <br />O a) Lowest elevation of machinery and/or equipment <br />serAdng the building (Describe Ha comments area) —11.. 36 R(m) <br />O Q Lowest adjacent (finished) grade (LAO) $.3 fL(m) V No. 4331 <br />O g) Highest adjacent (finished) grade (HAG) .Q IL(m) <br />O h) No. of permanent openings (flood vents) within 1 R above adjacent grade <br />O i) Total ema d al p. m meritopedngs (flood vent) in C3.h n/a sq. i L (sq. cm) O . Fe 05 <br />r "-" " SECTION 0 -SURVEYOR, ENGINEER, OR ARCHITECTCERTIFICATION <br />This certification Is to be signed and sealed by a lend surveyor, engineer, or arrhited authorized by law to certify elevation Informeflon. <br />I cerh7y that the Information in Sections A. B, and C on MIs cartC/cate represents my best eHata to Interpret the dam eva9abfa <br />1 understand that = false statement may unl*wbfe by Me or Imprisonment under 19 U.S. Code Section 1001. <br />as Yamasaki L <br />121Mnsed Professional Land Surveyor COMPANY NME WES THOMAS ASSOCIATES <br />• 9 V?49 Kalawa treet, Kailua Kona, Hawaii 96T40 <br />-MFuary 7, 2005 TLEP <br />LLI <br />`(Mr- J-5-005:052- <br />