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U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 4, Federal Emergency Management Agency Expires February 28, 2009 1/ Natio,ial Flood Insurance Program Important: Read the instructions on pages 1-8. 'o SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name JOY DILLON Policy Number '2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number APAI POINT 14-5i SS -j)) Jt�)4o y PAHOA State HI ZIP Code 96778 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) TMK(3)-1-4-027:035 A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude:Lat. N19 29.722 Long.W 154 48.977' Horizontal Datum: 0 NAD 1927 ® 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 7 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) 408 sq ft a) Square footage of attached garage 528 sq ft b) No.of permanent flood openings in the crawl space or , b) No.of permanent flood openings in the attached garage .a enclosure(s)walls within 1.0 foot above adjacent grade 9 , .w, walls within 1.0 foot above adjacent grade 10a t r. c) Total net area of flood openings in A8.b 648 sq in- '-n`''1, `t c) Total net area of flood openings in A9.b 720 of ,2'sq in T SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State HAWAII COUNTY 155166 HAWAII COUNTY HAWAII B4.Map/Panel Number B5.Suffix 86. FIRM Index 67.FIRM Panel 68. Flood B9. Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 155166-1400 C 4/02/04 9/16/88 AE 16.0 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. 0 FIS Profile ®FIRM 0 Community Determined 0 Other(Describe) 611. Indicate elevation datum used for BFE in Item B9: ®NGVD 1929 0 NAVD 1988 0 Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ®No Designation Date 0 CBRS 0 OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construction Drawings' 0 Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. 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. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized USGS Vertical Datum Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)- 6.63 ®feet 0 meters(Puerto Rico only) b) Top of the next higher floor 18.04 ®feet 0 meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N//1 . 0 feet 0 meters(Puerto Rico only) d) Attached garage(top of slab) 6.63 ®feet 0 meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 18.04 ®feet 0 meters(Puerto Rico only) (Describe type of equipment in Comments) ,e`ylo>J f) Lowest adjacent(finished)grade(LAG) 6.0 ®feet 0 meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 6.60 ®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. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. • 0 Check here if comments are provided on back of form. Certifiers Name RONALD D.NICKEL License Number 8846-C Title CIVIL ENGINEER Company Name RONALD NICKEL P.E. LLC dress 12-7109 KALAUNU ST City PAHOA State HI ZIP Code 96778 Signat ; ) Da4 I up i jog Telephone 808-965-9911