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r <br />U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />National Flood Insurance Program <br />A2. Building Street Address (Inc <br />72-100 Kaupulehu Drive, Suite 1 <br />City Keilua-Kone State <br />Apt., <br />ZIP Code <br />ELEVATION CERTIFICATE <br />Important: Read the instructions on pages 1-9. <br />1*1441i(•):I_IE <br />No.) or P.O. Route and Box No. <br />OMB No. 1660-0008 U <br />Expires March 31, 2011' <br />TMK: (3) 7-2-010:004 11 <br />A4. Building Use (e.g., Rei nti, No a idential, Adtll n, Ar eesory, etc.) Hotel (Non ResMentia0 <br />A5. Latitude/Longltude: Lat. 19.8171• N Long.165.98g7'W Horizontal Datum: ❑ NAD 1927 ® HAD 1989 <br />A8. Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood Insurance. <br />A7. Building Diagram Number 2 <br />AS. For a building with a crewlepace or enclosure(s): A9. For a building with an attached garage: <br />a) Square.footage of rxawlspece or enclosure(s) _ sq fl a) Square footage of attached garage sq 11 <br />b) No. of permanent flood openings In the crawlspece or b) No. of permanent flood openings In the attached garage <br />enclosure(e) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade <br />c) Total net area of flood openings in AB.b _ sq In c) Total net area of flood openings in A9.b sq in <br />d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />B1. NFIP Community Name &,Community Number - <br />82. County Name <br />B3. State <br />I <br />Hewell County 165188 <br />I Hawali County <br />Hawall <br />B4. Map/Panml Number <br />B.S. Suflbk <br />Be. FIRM Index <br />137. FIRM Panel <br />S6. Flood <br />Be. Base Flood Eleva"s) (Zone) <br />155188478 <br />C <br />Date <br />I <br />Effective/Revised Date <br />1 <br />Zone(s) <br />AO, use base flood depth) <br />4/02/04 <br />9/18/1988 <br />AE <br />9.0 <br />810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Ilam B9. . <br />❑ FIS Prefile ® FIRM ❑ Community Determined ❑ Other (Describe) <br />811. Indicate elevation datum used for BFE in Item Bit: ® NGVD 1929 ❑ NAVD 1968 ❑ Other (Describe) <br />is the building located in a Coastal Banter Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ 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 Construction' ® Finished Construdbn <br />'A new Elevation Certificate will be required when construction of the building Is complete. <br />C2. Elevations —Zones AI -A30, AE. AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1,A30, AR/AH, AR/AO. Complete Items C2.a-h <br />below according to One building diagram specified in Item A7. Use the some datum as the BFE. <br />Benchmark Utilized )2M 65 Vertical Datum NGVD 1929 <br />Conversion/Comments <br />Check the measurement used. <br />a) Top of bottom floor (including basement, crawlspaw, or enclosure floor) ¢.1.j ® feet ❑ meters (Puerto Rico only) <br />b) Top of the next higher floor feet ❑ meters (Puerto Rio* only) <br />c) Bottom of the lowest horizontal structural member (V Zones only) _ _ ❑ feet ❑ meters (Puerto Rico only) <br />d) Attached garage (top of slab) _ _ ❑ feet ❑ meters (Puerto Rico only) <br />e) Lowest elevation of machinery or equipment servicing One building 2.29 ® feet ❑ meters (Puerto Rico only) <br />(Describe type of equipment and location In Comments) <br />1) Lowest adjacent (finished) grade next to building (LAG) 542 ® feet ❑ meters (Puerto Rico only) <br />g) Highest adjacent (finished) grade next to building (HAG) j.;)Q ® feet ❑ meters (Puerto Rio* only) <br />h) Lowest adjacent grade at lowest elevation of deck or stairs, Including _ _ ❑ feet ❑ meters (Puerto Rico only) <br />structural support <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 />K. y <br />thebest t1the data available.P <br />�n s <br />I understand that an false statement may be punishable by fine or/mpdonmenfgnder a U.S. Code, Section 11. <br />fan <br />AFF <br />® Check here O comments are provided on back of form. Were latitude and longitude In Section A provided by a <br />LICENSW <br />licensed land surveyor? ®Yes ❑ No <br />PROfEK)NAL <br />* SU <br />No. 5075 <br />rtiflees Name Robert K.Y. Lee License Number L.S. 5075 <br />Title President Company Name Towill, Shigeoka & Associates, Inc. a, ; <br />yQ wall, U. <br />Address 2153 North King Street, Suite 306 City Honolulu State HI ZIP Code 96819 <br />Signature Date July 2, 2009 Telephone 808-538-3857 <br />FFMAForm 51-31. Mar 09 See reverse side for continuation. Reolaces all orevious eclitionsil <br />