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Home My WebLink About7-5-005:096U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program Al. Building Owner's Name •. ELEVATION CERTIFICATE Important Read the instructions on pages 1-8. OMB No. 1880-0008 EXDires February 26. 2009 For Insurance Comoanv Use: Building Street Address ya Drive Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No. I Company WUC Number " I State Hawaii ZIP Code 96740 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 4 of Lanihau Point Subdivision Tax Map Key (3)75005:090 A4. Building Use (e.g., Residential, Non-Residentlat, Addition, Accessory, etc.) Residential A5. Latltude/Longdude: Lat..N 19 38' 30,8436' Long. W 156 00' 26,161T Horizontal Datum: ❑ NAD 1927 X NAD 1983 Ail. Attach at bast 2 photographs of the building it the Certificate is tieing used to obtain flood Insurance.. AT Building Diagram Number 1 Ail. For a building with a crawl apnea or enclosure(s), provide A9. For a budding with an attached garage, provide: a) Square footage of crawl space or endosure(s) g/g , eq R a) Square footage of sued" garage liZ eq fl b) No. of permanent flood openings In the crawl space or b) No. of pemnanerd flood openings in the attached garage endosum(s) walls within 1.0 foot above adjacent grade _ weds w8hbh 1.0 foot above adjacent grade j) c) Total net area of flood openings in AB.b _ sq In c) Total not area of flood opeNngs h A9b gk aq In SECTION B - FLOOD INSURANCE RATE MAP (FIRMI INFORMATION 1 155186 HAWAII I Ha sad I Hawaii 4 1 B4. MaplPanel Number B5. Suffix B6. FIRM Index B7. FIRM PanelBit. Flood 69. Base Food Elevation(s) (Zone Date I Effective/Revised Date Zone(s) AO, use base food depth) 0694 C 04/02/2004 1 09/16/1988 AIE 9.5 (INTERPOLATED) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89. ❑ FIS Profile X FIRM ❑ Community Determined ❑ Older (Describe) _ B11. Indicate elevation datum used for BFE In Item 89: XNGVD 1929 ❑ NAVD 1998 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑Yes XNo Designation Date ❑ CBRS ❑ OPA Wk SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' X Finished Construction •A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations —Zonas At -A30, AE, AH, A (with BFE), VE, V1 V30. V (with BFE), AR AR/A, ARAE, AR/AI-A30, AR/AH, AR/AO. Complete Mems C2.a-g below according to the building diagram specified in Item AT Benchmark Utilized USGS SM at Kailua Pie Vertical Datum NGVD 1929 :. Converelon/Comments Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor). b)Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) 0 Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) 12.99 X feet ❑ meters (Puerto Rico only) 22.sZ X feet ❑ meters (Puerto Rico only) _ ❑ feet ❑ meters (Puerto Rico only) 12.29 X feet ❑ meters (Puerto Rico only) 19.AQ X feet ❑ meters (Puerto Rloo only) 9.99 X feet ❑ meters (Puerto Rico only) 11.49 X feet ❑ meters (Puerto Rion only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a Iano surveyor, engineer, or 8rmitecr sumonzed oy raw w canary era information. I certify Met 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. X Check here If comments are provided on back of forth. Certifier's Name Thomas G. Pattison License Number 10743 Title Presiders Company Name Pattison Land Surveying _ '@sG. PATT�s LICENSED Oy PROFESSIONAL LAND' SURVEvOR NU.1D74a d FEMA Form 81-31, February 2006 See reverse side for conlinuation. Replaces all previous editions Building Street Address (Including Apt., unit, sues, arrow unog. no.r or r.v. Koure dna eoa no. roacy rnumwr 75.5572 Kona Bay Drive p98 - CiyKailueKonw State Hawaii ZIP Code 96740,. - ..__ .Company NAIC'Number ",... SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) both sides of MIs wenliftomparily, and (3) building owner - SECTION E - BDILDING ELEVATION INFORMATION (SURVEY'NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT: BFE) For Zones AO ane A (wplwlR BFE), oanpbte hens EI�E& a the CerBRcata is knternded to supporta LOAM orLOMR-F request; con I' SectIM A B, and C. For Werra EVE4, use natural grade, If available. Check the measurement used. in Puerto Rioo only, erdwmeters- A� . Et. Provide elevation Information ler the ban * and, the appropriate boxes to show whetlner the elevation is above or below the IQ' aoicerd grade (HAG) and the lowest akgeceN grade &A% ,.. ... a) Tap. of bottom floor (including, basement crawl space, w enclosure) Is_._ ❑ feet [I meters [3 above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure). is — ❑ feet ❑ meters ❑'above or ❑ below On LAG. E2. For Building Diagrams 8-b with permanent flood openings provided In Section A home 6 andfor 9 (see��9ee 8 of Instructions), the next higher flow (elevation C2.b In the diagrams) of the building is _._ ❑ feet ❑ meters ❑ above or [3 below the HAG, E3. Attached garage (top of slob) Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. ... E4. Top of platform of _ the HAG. ES. ZoneAD M Ono �deahNo � Dern available Is the top of to must ottom thisor elevated in n8ection G. community's floodplain management ordin SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who co npletes Sedlare A B. and E for Zone A (without a FE11110"nued or communfly-Iesued SFE) or Zone AO must sign here. The statements in SecUansA, 8, and E am conect6o the bed of my knowledge. _ Property Owner's or Owners Audmxtwd Represenleevds Nana ._._ City State mcode Signature Dale Telephone SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who to authorized by law or ordinance to admkdster the corrarak We 0 it I in management ordhmnos can complete Sections A, B. C (w E), and G of this Elevation Certificate. Complete the appIkable hern(e) and sign below. Check the mesaraemera used In NO s G8. and 09. - G1. ❑ The information in Section C was taken from other:documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify ebvollon information. (Indicate the source and data of the elevation date in the Commends area below.) G2. ❑ A community official completed Section E for a building located In Zane A (withouta FEMA -issued or community -Issued SFE) or Zone AO. G3. ❑ The following Information (hems G4. -G9.) is provided for community floodplain management purposes.. I I I I G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of Me,buBding: _ _ -0 feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth °fA Qt�n�NFub1,C Wends-'— []too ❑ meters (PR) Datum _ vity,Name a >le .. FEMA Form 81-31, February 2006 Replaces all previous