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U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
<br />Federal Emergency Management Agency
<br />National Flood Insurance Program Important: Read the Instructions on pages 1-9.
<br />SECTION A - PROPERTY INFORMATION
<br />O -Al. Building Owners Name Episcopal Church in Hawaii
<br />OMB No. 1660-0008
<br />Expires March 31.2012
<br />For Insurance Company, Use:
<br />A2. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.I Company.NA1C Number I
<br />65-1253 Kawaihae Road
<br />`'°y Kamuela 001110 HI ""'OOB 96743
<br />A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
<br />LOT 11-B-1 T.M.K. 3-6-5-003-007
<br />A4. Building Use (e.g., Residential, Non-Realdentlel, Addition, Aocessory, ate.) NON -Res
<br />A5. LatMWelLongit de: Let. 2 0 O l ' 151' W Long. 1.5 5 4n'19" W Horizontal Datum: ® NAD 1927 ❑ NAD 1963
<br />AT Building Diagram Number?
<br />AS. For a building with a aawlspooe or enclosure(s): A9. For a building with an attached garage:
<br />e) Square footage of crawlsp°oe or enclosure(s) sq ft a) Square footage of attached garage sqft
<br />b) No. of permanent flood openings In the aawlspace or b) No. of permanent flood openings in the attached garage
<br />endosure(s) within 1.0 fool above ad)eoam grade within 1.0 Mot above adjacent grade
<br />c) Total net area of flood openings In AS.b aq In c) Total net area of flood openings In A9.b sq In
<br />d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yea CrNa
<br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
<br />81. NFIP Community Name 6 Community Number B2• minty Name HAWAI I 83. State HAWAII
<br />HAWAII
<br />810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Rom B9.
<br />❑ FIS Profile ® FIRM Community Determined ❑ Other (Describe)
<br />811. Indicate elevation datum used for SFE In Item Bg: ® NGVD 1929 ❑ NAVO 1988 ❑ Other (Describe)
<br />�12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes No
<br />Designation Date ❑ CBRS ❑ OPA
<br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
<br />C1. Building elevations are based on: ❑ Construction Drawings• ❑ Building Under Construction' ® Finished Construction
<br />'A new Elevation Certificate will be required when construction of the building is complete.
<br />C2. Elevations - Zones At -A30, AE, AH, @A� (awipthhc13F�Ed), VE, VI -V30, V (with SFE), AR, ARIA, ARAE, AR/A1-A30, ARIAH, ARIAO. Complete Items C2.a-h
<br />below mark inti a USbuilding
<br />i SngBI Wm - k 1 , S tm BY eda e datum as me SFE. 2 66 9.3 7 Ft . N
<br />Benchmark Utilized a1 0 oa g Vertcal Datum 4�
<br />Ccrwersion/Comments
<br />Check the measurement used.
<br />a) Top of bottom floor (Including basement, craWspace, or enclosure floor)2657_ 54 ® feet 8 meters (Puerto Rico only)
<br />b) Top of the next higher floor feet meters (Puerto Rloo only)
<br />e) Bottom of the lowest horizontal structure! member (V Zones only) _❑ feet ❑ meters (Puerto Roo only)
<br />d) Attached garage (top of slab):❑ feet ❑ meters (Puerto Rico only)
<br />e) Lowest elevation of machinery or equipment servicing the budding feet ❑ meters (Puerto Rico only)
<br />(Describe type of equipment and location In Comments) 6 53 . 5
<br />Q Lowest adjacent (finished) grade next to building (LAG) 2feet ❑ motors (Puerto Rioo only)
<br />g) Highest adjacent (finished) grade next to budding (HAG)3- feet ❑ meters (Puerto Rico only)
<br />�
<br />h) , Lowest adjacent grade at lowest elevation of deck or stairs, Including � feet ❑ meters (Puerto Rico only)
<br />This certification is to be signed and seared by a Lend surveyor, engineer, or 8ronlrect aUmonzed oy raw to cerery exevauon
<br />Information. I car* that the Information on this Certificate represents my beat efforts to Into" the date available.
<br />I understand that any false statement may be punishable by fine or imprisonment under 19 U.S. Code, Sedan 1001.
<br />❑ Chack here if comments are provided on back of form. Were latitude and longitude In Section ARrovided by a
<br />licensed land surveyor? El Yes u No
<br />CodWsName Roger Dean Fleenor LS7 2 7 6 License Number
<br />Owner Company Name Roger Dean Fleenor LPLS LLC
<br />ass PO Box 383414 City Waikoloa state HI ZIP Code 967
<br />awre Date12-03-09 Telephone808-880-9441
<br />OL
<br />F rm 81-31, Mar 09 See reverse side for continuation.
<br />LICENSED O
<br />PROFESSIONAL
<br />LAND
<br />* SURVEYOR
<br />No. 7276
<br />Ilk II, USP
<br />editions
<br />B4. Map/Panel Number
<br />85. Suffix
<br />B8. FIRM Index
<br />B7. FIRM Panel
<br />138. Flood
<br />89. Base Flood Elovatim(s) (Zone
<br />155166
<br />0168E
<br />DOW
<br />Effective/Revised Date
<br />I
<br />Zone(s)
<br />1
<br />AD- : use base flood depth)
<br />y -y-_
<br />5-16-94
<br />AE
<br />24.5S
<br />810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Rom B9.
<br />❑ FIS Profile ® FIRM Community Determined ❑ Other (Describe)
<br />811. Indicate elevation datum used for SFE In Item Bg: ® NGVD 1929 ❑ NAVO 1988 ❑ Other (Describe)
<br />�12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes No
<br />Designation Date ❑ CBRS ❑ OPA
<br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
<br />C1. Building elevations are based on: ❑ Construction Drawings• ❑ Building Under Construction' ® Finished Construction
<br />'A new Elevation Certificate will be required when construction of the building is complete.
<br />C2. Elevations - Zones At -A30, AE, AH, @A� (awipthhc13F�Ed), VE, VI -V30, V (with SFE), AR, ARIA, ARAE, AR/A1-A30, ARIAH, ARIAO. Complete Items C2.a-h
<br />below mark inti a USbuilding
<br />i SngBI Wm - k 1 , S tm BY eda e datum as me SFE. 2 66 9.3 7 Ft . N
<br />Benchmark Utilized a1 0 oa g Vertcal Datum 4�
<br />Ccrwersion/Comments
<br />Check the measurement used.
<br />a) Top of bottom floor (Including basement, craWspace, or enclosure floor)2657_ 54 ® feet 8 meters (Puerto Rico only)
<br />b) Top of the next higher floor feet meters (Puerto Rloo only)
<br />e) Bottom of the lowest horizontal structure! member (V Zones only) _❑ feet ❑ meters (Puerto Roo only)
<br />d) Attached garage (top of slab):❑ feet ❑ meters (Puerto Rico only)
<br />e) Lowest elevation of machinery or equipment servicing the budding feet ❑ meters (Puerto Rico only)
<br />(Describe type of equipment and location In Comments) 6 53 . 5
<br />Q Lowest adjacent (finished) grade next to building (LAG) 2feet ❑ motors (Puerto Rioo only)
<br />g) Highest adjacent (finished) grade next to budding (HAG)3- feet ❑ meters (Puerto Rico only)
<br />�
<br />h) , Lowest adjacent grade at lowest elevation of deck or stairs, Including � feet ❑ meters (Puerto Rico only)
<br />This certification is to be signed and seared by a Lend surveyor, engineer, or 8ronlrect aUmonzed oy raw to cerery exevauon
<br />Information. I car* that the Information on this Certificate represents my beat efforts to Into" the date available.
<br />I understand that any false statement may be punishable by fine or imprisonment under 19 U.S. Code, Sedan 1001.
<br />❑ Chack here if comments are provided on back of form. Were latitude and longitude In Section ARrovided by a
<br />licensed land surveyor? El Yes u No
<br />CodWsName Roger Dean Fleenor LS7 2 7 6 License Number
<br />Owner Company Name Roger Dean Fleenor LPLS LLC
<br />ass PO Box 383414 City Waikoloa state HI ZIP Code 967
<br />awre Date12-03-09 Telephone808-880-9441
<br />OL
<br />F rm 81-31, Mar 09 See reverse side for continuation.
<br />LICENSED O
<br />PROFESSIONAL
<br />LAND
<br />* SURVEYOR
<br />No. 7276
<br />Ilk II, USP
<br />editions
<br />
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