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11/16/2015 12:30:51 PM
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Date
9/11/2009
Type
Elevation Certificate
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v C. vc) i- rcc:�fe jl= <br />Our ProJ#' 03072.5 <br />U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1680-0008 <br />Federal Emergency Management Agency Expires March 31, 2012 <br />National Flood Insurance Program Important: Read the instructions on pages 1-9. <br />and/or Bldg. No.) or <br />Kailua-Kona <br />A4. Building Use (e.g.; Realdential, Non-Resldentlsl, Addition, Accessory, ek.>mestaemlal <br />A5. Letm,deJLonglwoe: Let. N 19 35 27.2 Long, W 155 56 .9 Horizontal Datum: NAD 1927 0 NAD 1983 <br />A0. Attach at least 2 photographs of the building If the Certificate Is being used to obtain flood Insurance. <br />A7. Building Diagram Number 5 <br />AB. For a building with a crerMspace or endosure(e): A8. For a building with an attached garage: <br />a) Square footage of crErMspaoe or endosum(s) _ nil sqft a) Square footage of attached garage nil eq it <br />b) No. of permanent flood openings In the crowlspece or b) No. of permanent flood openings In the attached gars <br />enclosures) within 1.0 loot above adjacent grade na within 1.0 fool above adjacent grade nil <br />c) Total net area of flood openings In AB.b na eq in c) Total net area of flood openings in A9.b na aq In <br />d) Engineered flood openings? ❑ Yea ❑ No d) Engineered flood openings? ❑ Yea No <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />81. NFIP Community Name & Community Number 82. County Name B3. Siete <br />HAWAII 155166 Hawaii Court State of Hawaii <br />B4. Map/Panel Number <br />B5. Suffix <br />B8. FIRM Index <br />87. FIRM Panel <br />B8. Flood <br />BB. Base Food FJavetlon(e) (Zone <br />Benchmark Utilized USGS BM at Kailua Pier Vertical Deuan (NGVD 1929) <br />Date <br />E1fedlvelReNead Date <br />Zorre(s) <br />AO, use base flood depth) <br />155166 0926 <br />E <br />04/02/2004 <br />06/02/1995 <br />'AE <br />12 <br />B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item 89. <br />❑FIS Profile [Z]FIRM ❑Community Determined ❑Other (Describe) <br />611. Indicate elevation datum used for BFE In hem 69: ❑✓ NGVD 1929 ❑NAVD 1998 ❑Dther (Describe) <br />812. Is the building located Ina Coastal Barrier Resources System (C) area Otherwise Protected Area (OPA)? [3Y99❑ No <br />- Designation Dote 15CBRS Otherwise <br />C1. Building elevations are based on: L)Construcllon Drawings' LJ Building Under Construction. <br />Q Finished Construction <br />•A new Elevation Certificate will be required when construction of the building Is complete. <br />C2. Elevations - Zones A7 -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AWA, ARAE, AWA1-A30, AWAH, AR/AO. Complete Rema C2.a-h <br />below according to the building diagram specified In Item A7. Use the same datum as the BFE. <br />Benchmark Utilized USGS BM at Kailua Pier Vertical Deuan (NGVD 1929) <br />ConverelonlComments .None <br />Check the measurement used. <br />e) Top of bottom floor (including basement, crowlspaee, or enclosure fkor) 16.53 feat <br />8motors (Puerto Poco only) <br />floor <br />b) Top of the next higher 26.62 fast <br />meters (Puerto Moo only) <br />c) Bottom of the lowest horizontal structural member (V Zones only) nil feet <br />❑ meters (Puerto woo only) <br />d) Attached garage (top of stab) nil feel <br />❑ motors (Puerto Rlco only) <br />e) Lowest elevation of machinery or equipment servicing the bulidlni 1 5.53 feet <br />❑meters (Puerto Rico only) <br />(Describe type of equipment and location In Comments) <br />0 Lowest adjacent (finished) grade next to building (LAG) 144 <br />❑ metere (Puerto Poco only) <br />g) Highest adjacent (finished) grade next to building (HAG) 14.9 feet <br />meters (Puerto Rlcc only) <br />h) Lowest adjacent grade at lowest elevation or deck or stairs, Including 14.2 feet <br />ILJj meters (Puerto Rioo only) <br />structural support <br />SECTION D - SURVEYOR. ENGINEER. OR ARCHITECT CERTIFICATION <br />Information. I certify Net the Information on this Cert/Ncate, represents my beat efforts to Interpret the date available. <br />I understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001. <br />Q Check here 0 comments are provided on back of form. Were latitude and longitude In Section ARrovided by a <br />licensed land surveyor? E]Yes 1..1 No <br />Certifiers Name Nicolas K. Yamasaki License Number LS -12052 <br />Licensed Professional Land 9u Pie>Yio ma Wes Thomas Associates <br />'qml "' 75-5749 Kalawa Strees. "' Kailua-Kona "' Hawaii � -- 96740 <br />Form 81-31, Mar <br />See reverse <br />17052 <br />all previous editions <br />
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