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Project No. 10180.13
Kona, Hawaii 96740
FEDERAL EMERGENCY MANAGEMENT AGENCY
NA71ONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
SECTION A -
Re -located Air
O.M.B. No. 3067.0077
Expires July 31, 2002
LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: GPS (Type):_____
( W -W - wife' or fl7. #w� L_I NAD 1927 L_I NAD 1983 �,( USGS Arad Map LJ 071st.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME. B3. STATE
HAWAII HAWAII HAWAII
NUMBER DATE EFFECTIVEREVISED DATE ONES) (Zone AO,use depth offloodni
155166 0926 E 05/16/94 06/02/95 A 11
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
I__I FIS Profile JAI FIRM I-1 Community Determined l—I Other (Describe):_______�__��
811. Indicate the elevation datum used for the BFE in B9: [XI NGVD 1829 L -I NAVO 19118 1-1 Other (Descrbe):—
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 I—I Yes I__I No
Designation Date:__
SECTION C - BUILDING
C1. Building elevations are based on: L_IConstrucdon Drawings' 1__18ulldlg Under Construction' I,&IFinished Construction
'A new Elevation Certificate will be required when construction of the building Is complete.
C2. Building Diagram Number __1 _ (Select the building diagram most similar to the building for which this certificate is being completed - i
pages 8 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
C3. Elevations -Zones At -A30, AE, AH, A (with BFE), VE, VI -V30, V (with BFE), AR, ARIA, ARAE, ARIA1-A30, AR/AH, ARIAO
Complete Items 03.a4 below according to the building diagram specified In Item C2. State the datum used. If the datum Is different trop
the datum used for the BFE In Section B, convert the dattan to that used for the BFE. Show field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum convers
Datum Conversion/Comments
Elevation reference mads used USES BIVI-Does the elevation reference mark used appear on the FIRM? L_j Yee 1X1 ,
O a) Top of bottom Noor (including basement or enclosure) __-------- 13.44 ft.(m)
❑ b) Top or next higher floor __ _ 91 AA fl.(rn) T• Yq
O c) Bottom of lowest horizontal structural member (V zones only) r1Ig_ . _ ft.(m) LI ENS 9
❑ d) Attached garage (top of slab) 13.11 fl.(m) S
O e) Lowest elevation of machinery and/or equipment @ U PR
servicing the building (Describe In a Comments area.) -&Q- nk-U.8.3- ft(m) tD
l7 f) Lowest adjacent (finished) grade (LAG) ,�..�_ it.(m) z' % RVEYOR
O g) Highest adjacent (finished) grade (HAG) _ __'(2•Z_ ft.(m) No. 4331
❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade -- ----- S y 5?
O 1) Total area of all permanent openings (flood vents) in C3.h--, sq. in. (sq. cm) Ove UO2
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 certify, that the information in Sections A. 8, and C on this cerNlrcate represents my best efforts to Interpret the date available.
I understand that any false statement may be punishable by Ane or imprisonment under 18 U.S. Code, Section 1001.
Professional Land Su
40-1817
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