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Project No. 16405.3 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 077 , 2 31 Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: UILDING OWNER'S NAME Policy Number _ 13 and H Rentals, LLC BUILDING STREET ADDRESS (Including Apt Unit. Suite. and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number .78-6622 Alii Drive CITY STATE ZIP CODE Kailua-Kona. Hawaii 96740 PROPERTY DESCRIPTION (Lot and Block Numbers Tax Parcel Number, Legal D Lot 6-A Kahaluu Beach Lots, TMMC: 7-8-14: OT5 {fir' Di BUILDING USE (e.g.. Residential. Non-residential. Addition. Accessory. eic. se C Residential _ LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: ( #fit° - ##' - ##.##" or ##.###W) I _ .I NAD 1927 IJ NAD 1983 etc. section if necessary.) SOURCE: "GPS (Type). 1_1 USGS Quad Map U Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2.OUNTY NAME I B3. STATE — H8W811 Hawaii B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. IJ FIS Profile LJ FIRM 1_1 Community Determined L-4 other (Describe): USGS Data 611. Indicate the elevation datum used for the BFE in 89: J_X NGVD 1929 IJ NAVD 1988 JJ Other (Describe): B12. Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? LJ Yes LJ No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 1_1Construction Drawings' LJBuilding Under Construction' LNFinished Construction 'A new Elevation Certificate will be required when construction of the building is complete. t,2. Building Diagram Number 5 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. if no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. if the datum is different from the datum used for the BFE in Section B. convert the datum 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 conversion. Datum Conversion/Comments Elevation reference mark used I oval Rpnch MarkDoes the elevation reference mark used appear on the FIRM? I_J Yes IX No a a) Top of bottom floor (including basement or enclosure) _ ,�j>49 _ ft.Ob>� t T. yq 0 b) Top of next higher floor _ ft.(m) aCO til CXc) Bottom of lowest horizontal structural member (V zones only) 19.0 _ ft.(Xx is Q' L'ICENS ❑ d) Attached garage (top of slab)_ ft -(M) w a U PROFES 0 e) Lowest elevation of machinery and/or equipment servicing the building ft. m .82 Ot f) Lowest adjacent grade (LAG) --��•� ft.( I y 4 1 Ek g) Highest adjacent grade (HAG) 17.8 ft.jK1�C Q►• 0 h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade '9 i�qy, tJ S• 0 i) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cin) OVember 22, 2000 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, B. and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may y be punishable by fine or imprisonment under 18 U.S. Code. Section 1001. CERTIFIER'S NAME LICENSE NUMBER Chrystal Thomas Yamas$ki_._ LS -43 -11 -- TITLE COMPANY NAME Land Surveyor _ _. �IiES THOMAS & ASSOCTATES, INr CITY STATE ZIP CODE ' 749 Kalawa Street. Kai Iiia—Knrna u�.,��; QA71Ln_1 Al 7 Fnrm 81_41 41 Ir: QQ F ISI 6R - I+I L -<o / CFF RFVFRCF .4;Ir1F Fr1R r.ONTINI IATIr1N RFP1 Ar'FC Al I PRF\/I()l IC r-nITIr)NC