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William P. Kenoi Mavor Walter K. M. Lau Managing Director Count .af �Xafvn `C DEPARTMENT OF PUBLIC WORKS Aupuni Center 101 Pauahi Street, Suite 7 • Hilo, Hawaii 96720-4224 (808) 961-8321 • Fax (808) 961-8630 www.co.hawaiibi.us MEMO OF REVIEW FOR CORRECT,'dESS AND COMPLETION Warren H. W. Lee Director Brandon A. K. Gonzalez Deputy Director In accordance with this community's participation in the National Flood Insurance Program's Community Rating System, all FEMA Elevation Certificates must be correct and complete. The attached Certificate has some incorrect items which are noted here. SECTION - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Policy Number A2. Buildintreet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 14 -S1?2 4uit'T1 PT RD - City State ZIP Code P AN 4# 1+1 9/6-73S A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Tm k (3) ,-4- 027:o03 A4. Building Use (e.g., Rcsdatttiai, Aron-R"denti ;, Addition, Accessory, etc.) A5. LaBtude/Longitude: Lat. Long. Horizontal Datum: ❑ 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 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) sq it a) Square footage of attached garage sq It 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 walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b 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 B4. Map/Panel Number 05. Suffix B6. FIRM Index Date 57. FIRM Panel Effective/Revised Date B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone AO, use base flood depth) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building Dated in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ❑No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Ci. Building elevations are based on: ❑ Construction Drawings` ❑ Building Under Construction" ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations —Zones At -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized Vertical Datum —q,LV-b 101 2.9 Conversion/Comments County of Hawai `i is an Equal Opportunity Provider and Employer.