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U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 <br />Federal Emergency Management Agency I Expires February 28, 2009 <br />National Flood Insurance Program Important: Read the instructions on pages 1-8. <br />SECTION A - PROPERTY INFORMATION For Insurance Company Use: <br />1. Buildingg Owner's Name Policy Number <br />AUNANI VANNATTA <br />A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No Company NAIC Number <br />66-1705 ALANEO ST. (LOT 36) <br />City State ZIP Code <br />KAMUELA HI 96743 <br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br />TMK: 6-6-004.139 <br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL <br />A5. Latitude/Longitude: Lat. 20-01-29.2 Long. 155-42-10.9 Horizontal Datum: ❑ NAD 1927 Q NAD 1983 <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 1 <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) N/A sq ft a) Square footage of attached garage 576 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 />enclosure(s) walls within 1.0 foot above adjacent grade N/A walls within 1.0 foot above adjacent grade N/A <br />c) Total net area of flood openings in A8.b NIA sq in c) Total net area of flood openings in A9.b N/A sq in <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />B1. NFIP Community Name & Community Number B2. County Name B3. State <br />HAWAII COUNTY / 155166 1 HAWAII HI <br />B4. Map/Panel Number <br />B5. Suffix <br />B6. FIRM Index <br />B7. FIRM Panel <br />68. Flood <br />B9. Base Flood Elevation(s) (Zone <br />0164 <br />D <br />Date <br />Effective/Revised Date <br />Zone(s) <br />1 <br />AO, use base flood depth) <br />04/02/2004 <br />07/16/1990 <br />A <br />2361.6 <br />B10 <br />Bit. <br />1312. <br />Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. <br />❑ FIS Profile ❑ FIRM ❑ Community Determined Q Other (Describe) CLOMR -F G2 A o os - O c) - 16 Z4 -G <br />Indicate elevation datum used for BFE in Item 139: 0 NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) <br />Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 0 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 Construction' Q 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, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g <br />below according to the building diagram specified in Item A7. <br />Benchmark Utilized HI DEPT OF TRANSP BM ON KAWAIHAE RD Vertical Datum NGVD 1929 <br />Conversion/Comments <br />a) Top of bottom floor (including basement, crawl space, or enclosure floor) <br />b) Top of the next higher floor <br />c) Bottom of the lowest horizontal structural member (V Zones only) <br />d) Attached garage (top of slab) <br />e) Lowest elevation of machinery or equipment servicing the building <br />(Describe type of equipment in Comments) <br />0 Lowest adjacent (finished) grade (LAG) <br />g) Highest adjacent (finished) grade (HAG) <br />Check the measurement used. <br />2364 73 ®feet <br />N/A .,❑ feet <br />N/A. feet <br />2364.44 feet <br />2364.73 feet <br />❑ meters (Puerto Rico only) <br />❑ meters (Puerto Rico only) <br />❑ meters (Puerto Rico only) <br />❑ meters (Puerto Rico only) <br />❑ meters (Puerto Rico only) <br />2363. 90 Q feet ❑ meters (Puerto Rico only) <br />2364 . 11 Q feet ❑ meters (Puerto Rico only) <br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation <br />information. I certify that the information on this Certificate represents my best efforts to interpret the data available. <br />l understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. <br />9 Check here if comments are provided on back of form. <br />Certifier's Name License Number <br />Title <br />'1111- EN <br />Jdress <br />FEMA <br />Date <br />08-11-09 <br />-5527 <br />81-31, Kebruary 2006 See reverse side for continuation. <br />Code <br />K W)" <br />Licensed <br />Prc`essionai <br />Engineer <br />No.8336-C <br />WA 1, U g% <br />Replaces all previous editions <br />