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FEDERAL EMERGENCY MANAGEMENT AGENCY <br />NATIONAL FLOOD INSURANCE PROGRAM <br />FLOODPROOFING CERTIFICATE <br />FOR NON-RESIDENTIAL STRUCTURES <br />O.M.B. NO. 3067.0077 <br />Expires July 31, 1999 <br />IF floodprooling of non-residential buildings may be permitted as an alternative to elevating to or above the Base Flood elevation; <br />however, a Hoodprooling design certification is required. This form is to be used for that certification. Floodproorrng of a residential <br />building does not alter a community's floodplain management elevation requirements or effect the insurance rating unless the <br />community has been issued an exception by FEMA to allow floodproofed residential basements. The permitting of a floodprooled <br />residential basement requires a separate certification specifying that the design complies with the local floodplain management <br />ordinance. I FOR INSURANCE COMPANY USE <br />BUILDING OWNER'S NAME POLICY NUMBER <br />Horoulu Lahui, Inc. (Kua 0 Ka La Public Charter Sch.) <br />STREET ADDRESS (Including Apt.. Unit. Suite anNor Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIL NUMBER <br />OTHER DESCRIPTION (Lot and Block Numbers, etc.) <br />TMK 1-4-002: Por 15 Composting Tank Enclosure <br />CITY - STATE ZIP CODE. <br />Pkhoa, Hawaii 96778 <br />SECTION I FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />Provide the following from the proper FIRM: <br />SECTION II FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect) <br />Floodproofing Design Elevation Information: <br />Building is floodproofed to an elevation ofI I 1 1 1171.L11 feet NGVD. (Elevation datum used must be the same as that <br />on the FIRM.) <br />Height of floodproofing on the building above the lowest adjacent grade is L_L�:U feet. <br />(NOTE: for insurance rating purposes, the building's floodprooled design elevation must be at least one loot above the <br />Base Flood Elevation to receive rating credit. if the building is floodproofed only to the Base Flood Elevation, then the <br />building's insurance rating will result In a higher premium.) <br />SECTION 111 CERTIFICATION (By a Registered Professional Engineer or Architect) <br />Non -Residential Floodproofed Construction Certification: <br />I certify that based upon development and/or review of structural design, specifications, and plans for construction that <br />the design and methods of construction are in accordance with accepted standards of practice for meeting the following <br />provisions: <br />The structure, together with attendant utilities and sanitary facilities, is watertight to the floodproofed design <br />elevation indicated above, with walls that are substantially impermeable to the passage of water. <br />All structural components are capable of resisting hydrostatic and hydrodynamic flood forces, Including the <br />effects of buoyancy, and anticipated debris impact forces. <br />I certity that the information on this certificate represents my best efforts to interpret the data available. i, <br />any false statement maybe punishable byline or imprisonment under 18 U.S. Code, Section 100f. �P Old <br />CERTIFIER'S NAME LICENSE NUMBER for Affix Sed) � - <br />PRCFc3.IC1AL <br />V Tprip Rimganns Arrhi+ r+ Aha <br />TITLE _ COMPANY NAME AR -8330 / <br />5/12/03 (808 <br />DATE <br />Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) bulidtng owner. <br />FEMA Form 81.65, FEB. 97 REPLACES ALL PREVIOUS EDMONS 00005612/971 <br />COMMUNITY NUMBER <br />PANEL NUMBER <br />SUFFIX <br />DATE OF FIRM MOM <br />FIRM ZONE <br />BASE FLOOD ELEVATION <br />to AO Zones. use depth) <br />155166 <br />1400 <br />C1 <br />9/16/88 <br />AE <br />16.0 <br />SECTION II FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect) <br />Floodproofing Design Elevation Information: <br />Building is floodproofed to an elevation ofI I 1 1 1171.L11 feet NGVD. (Elevation datum used must be the same as that <br />on the FIRM.) <br />Height of floodproofing on the building above the lowest adjacent grade is L_L�:U feet. <br />(NOTE: for insurance rating purposes, the building's floodprooled design elevation must be at least one loot above the <br />Base Flood Elevation to receive rating credit. if the building is floodproofed only to the Base Flood Elevation, then the <br />building's insurance rating will result In a higher premium.) <br />SECTION 111 CERTIFICATION (By a Registered Professional Engineer or Architect) <br />Non -Residential Floodproofed Construction Certification: <br />I certify that based upon development and/or review of structural design, specifications, and plans for construction that <br />the design and methods of construction are in accordance with accepted standards of practice for meeting the following <br />provisions: <br />The structure, together with attendant utilities and sanitary facilities, is watertight to the floodproofed design <br />elevation indicated above, with walls that are substantially impermeable to the passage of water. <br />All structural components are capable of resisting hydrostatic and hydrodynamic flood forces, Including the <br />effects of buoyancy, and anticipated debris impact forces. <br />I certity that the information on this certificate represents my best efforts to interpret the data available. i, <br />any false statement maybe punishable byline or imprisonment under 18 U.S. Code, Section 100f. �P Old <br />CERTIFIER'S NAME LICENSE NUMBER for Affix Sed) � - <br />PRCFc3.IC1AL <br />V Tprip Rimganns Arrhi+ r+ Aha <br />TITLE _ COMPANY NAME AR -8330 / <br />5/12/03 (808 <br />DATE <br />Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) bulidtng owner. <br />FEMA Form 81.65, FEB. 97 REPLACES ALL PREVIOUS EDMONS 00005612/971 <br />