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<br />U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
<br />Federal Emergency Management Agency
<br />National Flood Insurance Program Important: Read the instructions on pages 1-8.
<br />SECTION A - PROPERTY INFORMATION
<br />Al. Building Owner's Name Hale Kai o' Kona AOAO
<br />Building Street Address (including ApL, Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No.
<br />76-6204 All Drive: Units 3 it a
<br />city Kailua-Kona state Hi ZIP code 96740
<br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc,)
<br />TMK: (?17-6-017: Por. 027
<br />VVV 1VVi/VVV 1 VVV
<br />OMB No. 1660.0008
<br />Expires February 28. 2009
<br />Fot Inskirana@ Compamr. Use:
<br />Folicy:fJ4m , r •• .: ;
<br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
<br />A5. LathudelLongiwde: Lat. 19036'35.536" N Long.155°58'44.Sdx6g1V Horizontal Datum; ❑ NAD 1927 ® NA01983
<br />A6, 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 />A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide;
<br />a) Square footage of crawl space or enclosure(s) sqft a) Square footage of attached garage sq ft
<br />b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage
<br />enclosures) walls within 1.0 foot above adjacent grade walls within 1,0 foot above adjacent grade
<br />c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9rb sq in
<br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
<br />81. NFIP Community Name 8 Community Number 82. County Nama133• State
<br />Hawai County 155166 Hawaii Hawaii
<br />84. Map/Panel Number
<br />85, Suffix
<br />86, FIRM Index
<br />67. FIRM Panel
<br />88. Flood
<br />S. 0ese Flood Elevations) (Zone
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />Date
<br />Effective/Revised Date
<br />Zone(s)
<br />AO, use base %cod depth)
<br />155, 0926
<br />E
<br />June 2, 1895
<br />June 2,1995
<br />AE
<br />11.0
<br />B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in hem B9.
<br />❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe)
<br />Bit, Indicate elevation datum used for BFE in item 88; ® NGVD 1928 ❑ NAVD 1988 ❑ Other (Describe)
<br />612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)9 []Yes ®No
<br />Designation Date ❑ CBRS ❑ OPA
<br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
<br />C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Comaructlon' ® Finished Construction
<br />'A new Elevation Certificate will be required when construction of the building is complete.
<br />C2. Elevations – Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, AR/AE. A;UAt-A30, AR/AH, AR/AO. Complete Items C2.5-9
<br />below according to the building diagram specified in Item A7,
<br />Benchmark Utilized BM No.B 1971 Vertical Datum NGVD 1929
<br />Conversion/Comments
<br />SECTION 0 - SURVEYOR ENGINEER, OR ARCHITECT CERTIFICATION i
<br />This certification is to be signed and seated by a land surveyor, engineer, or architect authorized by law to certify elevation
<br />information. 1 certify that the information on this Certificate represents my best efforts to interpret rhe data available.
<br />I understand that any false statement maybe punishable by fine or imprisonment under 18 U,Sr Code, Section 1001,
<br />® Check here if comments are provided on back of form,
<br />Certifiers Name Robert K.Y. Lee License Number LS 5075
<br />Title President Company Name Towill, Shigeoka & Assoc., Inc.
<br />r ss 2153 N. King St., Ste. 308 City Honolulu state H1 ZIP Code 96819
<br />Signature u` r Date April 3, 2009 Telephone (808) 538-3857
<br />LICEN�Efl
<br />PROF ONAL
<br />SURVEY6FI
<br />No. 5075
<br />SP
<br />y"��fiII.V.
<br />EMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
<br />Check the measurement used.
<br />i) Top of bottom floor (including basement, crawl space, or enclosure floor)
<br />Q1_
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />b)
<br />Top of the next higher floor
<br />222.87
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />c)
<br />Bottom of the lowest horizontal structural member (V Zones only)
<br />❑ feet
<br />❑ meters (Puerto Rico only)
<br />d)
<br />Attached garage (top of slab)
<br />❑ feet
<br />❑ meters (Puerto Rico only)
<br />e)
<br />Lowest elevation of machinery or equipment servicing the building
<br />12,18
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />(Describe type of equipment in Comments)
<br />f)
<br />Lowest adjacent (finished) grade (LAG)
<br />—1.4_
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />g)
<br />Highest adjacent (finished) grade (HAG)
<br />—1.9
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />SECTION 0 - SURVEYOR ENGINEER, OR ARCHITECT CERTIFICATION i
<br />This certification is to be signed and seated by a land surveyor, engineer, or architect authorized by law to certify elevation
<br />information. 1 certify that the information on this Certificate represents my best efforts to interpret rhe data available.
<br />I understand that any false statement maybe punishable by fine or imprisonment under 18 U,Sr Code, Section 1001,
<br />® Check here if comments are provided on back of form,
<br />Certifiers Name Robert K.Y. Lee License Number LS 5075
<br />Title President Company Name Towill, Shigeoka & Assoc., Inc.
<br />r ss 2153 N. King St., Ste. 308 City Honolulu state H1 ZIP Code 96819
<br />Signature u` r Date April 3, 2009 Telephone (808) 538-3857
<br />LICEN�Efl
<br />PROF ONAL
<br />SURVEY6FI
<br />No. 5075
<br />SP
<br />y"��fiII.V.
<br />EMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
<br />
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