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BUILDING STREET <br />CITY <br />FEDERAL EMERGENCY MANAGEMENT AGENCY <br />NATIONAL FLOOD INSURANCE PROGRAM <br />ELEVATION CERTIFICATE - <br />Read the instructions on canes 1- -7. <br />O.M.B. No. 3067-00771 <br />E )V res July 31, 2002 <br />SECTION A - PROPERTY OWNER INFORMATION «ii#t <br />Qncdudng Apt. Unit. Suite, andt" Bldg. No.) OR P.O. ROUTE AND BOX NO. <br />LATITUDEILONGITUDE (OPTIONAL) <br />( Ili►° - #' - #-W or 100AWN) <br />STATE <br />Accessory, etc. Use <br />HORIZONTAL DATUM: <br />❑ NAD 1927 ® NAD 1983 <br />ZIP CODE <br />Description, etc.) <br />SOURCE 0 GPS (Type): <br />0 USGS Quad Map ❑ Other: <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />Hawaii County 155166 1 Howl I HI <br />N IMBER I C ( D ' EFFECTNIUREVIMSED DATE ZONE(S)AE <br />(Zone AO. use depth of floodni <br />1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. <br />13 FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): <br />B11: Indicate the elevation datum used for the BFE in 89: [a NGVD 1929 [3NAVD 1988 E3Other (Describe): <br />B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No <br />Designation Date <br />C1. Building elevations are based on: ❑ Construction Drawings` ❑ Building Under Construction' ® Finished Construction <br />aunnew Elevation Certificate will be required when construction of the building is complete. <br />ding QiagramNumber 5 (Select the building diagram most similar to the building for which this certificate is being completed - see <br />pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) <br />C3. Elevations - Zones Al -A30, 4E AH, A (.with BFE), VE, V1430. V (with BFE), AR, AR/A, ARAE, AR/AI-A30, AR/AH, AR/AO <br />Complete Items C3a4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from <br />the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion <br />calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversio <br />Datum USES Conversion/Comments NIA 7'uq KO -rxl d <br />Elevation reference mark used =Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No . <br />10 a) Top of bottom floor (including basement or enclosure) j(. 0 ft(m) F �� �� - <br />0 b) Top of nerd higher floor N&I�3';� " <br />0 cj Bottom of lowest horizontal structural member (V zones only)t1�A;LIt (rtr <br />0 d) Attached garage (top of stab) LA _R(m) e <br />t] e) Lowest elevation of machinery and/or equipmentG� ,fid e r` rI f 06 '. ° s UCEN3ED g <br />servicing the building. _ (m) 5 PROF <br />Q Lowest adjacent grade (LAG) QR.(m) H ENG EER <br />191 g) Highest adjacent grade (HAG) 4. IL(m) ` <br />O h) No. of permanent openings (flood vents) within 1 It. above adjacent grade Sv • se <br />0 1) Total area of all permanent openings (flood vents) in Ch WA sq. in. (sq. cm) q i`I/Ail, V' <br />D -SURVEYOR ENGINEER, OR <br />This certification is -to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. <br />I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data avagable. <br />I understand that any false statement maybe punishable by fineoriniprisonment under 18 U.S Code, Sectio» 10101. <br />CERTIFIER -S NAME Bruce E. Welcher, P.E. LICENSE NUMBER 8522-C <br />TITLEPdWpal COMPANY NAME Witcher Engineering LLP <br />TMA Form-IrIP-31. AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITION <br />