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U.S. DEPARTMENT OF HOMELAND SECURITY "ELEVATION CERTIFICATE OMB No.1St30.0008
<br />Federal EmagWM Management Agency I Expires March 31, 2012
<br />National Flood Insurance Program Important: 'Read the insinictlons on pages 1-9.
<br />SECTION A - PROPERTY INFORMATION For insurance Company Use:
<br />Al.
<br />Richard
<br />and/or Bldg. No.) or P.O. Route and Box No.
<br />1111 Werale'ale Piece I I
<br />City Hilo State HI ZIP Code 987220
<br />A3. Property Description (Lot and Bbclk Numbers, ax Parcel Number, Legal , eta)
<br />Lot 224 of Land Court Appllcatton 292, Map 14 TW V DN. 2-5459:041
<br />A4. Building Use (e.g.. Residential, Non-Resklentlal, Addition, Accessory, etc.) gQgildenfla
<br />AS. Letitude/Longltude: Let 19.711¢$ Long. 21 Horizontal Datum: ❑ NAD 19210 NAD 1983 ,.
<br />A8. Attach at least 2 photographs of the building If the CertMoste is being used to obtain flood insurance.
<br />A7. 8ufiding Diagram Number 16
<br />Ae. For a building with a crawrispece or anclosure(s): A9. For a building with on attached garage:
<br />a) Square footage of orewlspaoe or endosure(s) W► *q ft a) Square footage of attached garage Mg aq It
<br />b) No. of permanent flood openings In the c rowlepece or b) No. of permanent flood openings In the attached garage
<br />enclosure(*) within 1,0 foot above adjacent grade jffi within 1.0 foot above adjacent grade WA
<br />c) Total net area of flood openings in A8.b hffi eq M c) Total net area of flood openings In A9.b jyffi sq In
<br />d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No
<br />SECTION 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
<br />81. NFIP Community Name & Community Number B2 Munty Name T 83. State
<br />Hawafi County 155166 I County of Hawalt I Hawali
<br />84. MeplPenel Number
<br />85. Suffix
<br />136. FIRM Index
<br />87. FIRM Panel138.
<br />load
<br />B9. SonFlood Elevation(*) (Zone
<br />t 551860859
<br />D
<br />Dab
<br />ElfecNe/Revlaed Dab
<br />Zone(*)
<br />AO, use base flood depth)
<br />❑ feet
<br />❑ meters (Puerto Rico only)
<br />April 2,2004
<br />August 23,2010
<br />X & AE
<br />655
<br />810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89.
<br />❑ FIS Profile ® FIRM ❑ Community Oetennined ❑ Other (Describe) ,
<br />811. Indicate elevation datum used for BFE in Item 89: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
<br />812. 1* the building located Ina Coastal Senior Resources System (CSRS) area or Otherwise Protected Area (OPA)? ❑ Yes IN No
<br />Designation Date WA ff CORS ❑ OPA
<br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
<br />Cl. Building elevations are based on: ❑ Construction Drawings• ❑ Bulldbhg Under Construction' ® Finished Construction
<br />•A new Elevation Certlflcate wm be required when constructim of the building Is complete.
<br />C2. Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARIAE, AR/Al-A30, ARIAH, AR/AO. Complete items C2."
<br />-below ecoording to the building diagram specified in item A7. Use the same datum as the BFE.
<br />Benchmark Udltzed PIIHONU -1t) Vertical Datum NGW1229
<br />ComerelonlComments
<br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
<br />This certification Is to be signed and sealed by a landsurveyor, ON!neer, W prphttect authorized by law to ceNy ektvatlon
<br />Information. I Coro that the lnfomsallon on MIS Cerfllfcate represents my best enbrta to Interpret the are evelts /e.l
<br />understand that any false afefemant maybe punishable by Finns or hriFsr $0aMnt under f8 U.S. Code, Secom 1001. ❑
<br />Check hero If comments are provided on back of farm. Were latitude and longitude In Section A provided by a
<br />licensed land rsunroyor? 0 Yee ❑ No
<br />Certifiets Name Wayne A Subica Jr. License Number 13717
<br />Itle Land Surveyor Company Name Imets & Assoc., Inc.
<br />FEMA Form W-311. Mar 09
<br />See reverse side for continuation.
<br />Py�� pP,. sue,
<br />Lto
<br />PRO NAL
<br />* SURVEYOR
<br />No. 13717
<br />y�WAit, U U.
<br />Replaces ell previous editions
<br />Check the measurement used,
<br />e) Top of bottom floor (including basement, cnWspace, or enclosure floor) =.Q
<br />® The
<br />❑ meters (Puerto Rico only)
<br />b) Top of the next higher floor
<br />MA
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />c) Raom of the lowest horizontal structural member (V Zones only)
<br />&A
<br />❑ feet
<br />❑ meters (Puerto Rico only)
<br />d) Attached garage (top of slab)
<br />Q$¢.$
<br />® feet
<br />0 meters (Puerto Rico only)
<br />e) Lowest elevation of rnaclih"iy or equipment servicing the building
<br />§H.i
<br />® feet
<br />❑ meters (Puerto Rion only)
<br />(DeauU type ofequlpment and locatlon In Comments)
<br />Q Lowest adjacent (finished) grade next to building (LAG)
<br />01.2
<br />® feet
<br />❑ meters (Puerto Rico only)
<br />g) Highest adjacent (finished) grade next to building (HAG)
<br />$Qg.$
<br />®/lest
<br />❑ meters (Puerto Rbc only)
<br />h) Lowest adjacent grade at lowest elevation of deck or stairs, including
<br />jy(0
<br />❑ feet
<br />❑ meters (Puerto Rbc only)
<br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
<br />This certification Is to be signed and sealed by a landsurveyor, ON!neer, W prphttect authorized by law to ceNy ektvatlon
<br />Information. I Coro that the lnfomsallon on MIS Cerfllfcate represents my best enbrta to Interpret the are evelts /e.l
<br />understand that any false afefemant maybe punishable by Finns or hriFsr $0aMnt under f8 U.S. Code, Secom 1001. ❑
<br />Check hero If comments are provided on back of farm. Were latitude and longitude In Section A provided by a
<br />licensed land rsunroyor? 0 Yee ❑ No
<br />Certifiets Name Wayne A Subica Jr. License Number 13717
<br />Itle Land Surveyor Company Name Imets & Assoc., Inc.
<br />FEMA Form W-311. Mar 09
<br />See reverse side for continuation.
<br />Py�� pP,. sue,
<br />Lto
<br />PRO NAL
<br />* SURVEYOR
<br />No. 13717
<br />y�WAit, U U.
<br />Replaces ell previous editions
<br />
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