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U.S.'6EPhm' 4ENTOFHOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name John Acree and Barbara Bell Policy Number Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 14-4909 Alapai Point Place City Kapoho State HI ZIP Code 96778 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 12-C,Kapoho Beach Lots Subd.Extension 2(File Plan 579), TMK(3)1-4-027:034 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential A5. Latitude/Longitude:Lat.N 19°29'44' Long.W 154°49'02" Horizontal Datum: 0 NAD 1927 X NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 6 A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) n/a sq ft a) Square footage of attached garage n/a sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade n/a walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b n/a sq in c) Total net area of flood openings in A9.b sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State Hawaii County 155166 Hawaii Hawaii B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 155166 1400 C 4/0220/04 9/16/1988 VE 16.0 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑FIS Profile X FIRM 0 Community Determined 0 Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: X NGVD 1929 0 NAVD 1988 Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? + merg�f Public W or Designation Date 0 CBRS ❑OPA ITngineering Division has reviev,, e ElPuntz�n Ccrf�f�care and SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUI- ) recQm►„ond� C.I. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction' :� Fi01> Cq�trtinn mend 'A new Elevation Certificate will be required when construction of the building is complete. final app r ��RT C2. 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. Corti�1e Items C2.a-g below according to the building diagram specified in Item A7. r--> Benchmark Utilized 166 YY Vertical Datum Local(Hilo)Tidal Datum By 1\?1-✓,Dert. Conversion/Comments Local Tidal datum accepted as identical to NGVD29 datum on Hawaii Island. Cwc a� Check the measure�,used. 0 23 0 a) Top of bottom floor(including basement,crawl space,or enclosure floor) 10.6 X feet 0 meters(Puerto Rico only) I ��-- b) Top of the next higher floor 20.4 X feet 0 meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 17.6 X feet 0 meters(Puerto Rico only) d) Attached garage(top of slab) 10.6 X feet 0 meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 16.1 X feet 0 meters(Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent(finished)grade(LAG) 8_6 X feet 0 meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 9_9 X feet 0 meters(Puerto Rico only) 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. /certify that the information on this Certificate represents my best efforts to interpret the data available. /understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. �\�L L. e [ Check here if comments are provided n back of form. Q" �9 (�G 5"� LICENSED �' Certifier's Name Daniel Berg License Number LS 11245 PROFESSIONAL p4f3)/i * LAND * Title Land Surveyor Company Name The Independent Hawaii Surveyors SURVEYOR .ess PO Box 577 City Hilo State HI ZIP Code 96721 No.11245 Signature Date 19 August 2008 Telephone 808 959-0360 i'1�,1 II, t). * FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions