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U G O.M.S. NO. 3067-0077 FEDERAL EMERGENCY MANAGEMENT AGENCY E+Pir"May 31, 1996 NATIONAL FLOOD INSURANCE PROGRAM FLOODPROOFING CERTIFICATE FOR NON-RESIDENTIAL STRUCTURES e floodproofing of non-residential buildings may be permitted as an alternative to elevating to or above the Base Flood Elevation; however, a floodprooling design certification is required. This form is to be used for that certification. Floodproofing of a residential building does not alter a community's floodplain management elevation requirements or effect the insurance rating unless the community lies been issued adexception by FEMA to allow lloodprooled residential basements. The permitting of a floodproofed residential basement requires a separate certification specifying that the design complies with the local floodplain management ordinance. FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER County of Hawaii STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER 45 Kumu. Street I TFU_ 2-Z—011 % OOI' OTHER DESCRIPTION (Lot and Block Numbers, sic.) CITY STATE ZIP CODE Hilo Hawaii 96720 SECTION I FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM: COMMUNITY NUMBER 155166 PANEL NUMBER I 0880 SUFFIX C DATE OF FIRM INDEX 9/16/88 FIRM ZONE VE BASE FLOOD ELEVATION (in AO Zones, use deem) 17 SECTION II FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect) Floodproofing Design Elevation Information: ` Jtf, VApAija AJ?L(CIT?OtJ IPATC* Aff4 I / tggb Building is floodproofed to an elevation of l 1 1 12 it feet NGVD. (Elevation datum used must be the same as that on the FIRM.) Height of floodproofing on the building above the lowest adjacent grade is RL1. LJ feet. (NOTE: for insurance rating purposes, the building's lloodprooled design elevation must be at least one foot above the Base Flood Elevation to receive rating credit. If the building is loocorooled only to the Base Flood Elevation, then the building's insurance rating will result in a higher premium.) SECTION III CERTIFICATION (By a Registered Professional Engineer or Architect) Non -Residential Floodproofed Construction Certification: I certify that based upon development and/or review of structural design, specifications, and plans for construction that the design and methods of construction are in accordance with accepted standards of practice for meeting the following provisions: The structure, together with attendant utilities and sanitary facilities, is watertight to the floodproofed design elevation indicated above, with walls that are substantially impermeable to the passage of water. All structural components are capable of resisting hydrostatic and hydrodynamic flood forces, including the effects of buoyancy, and anticipated debris impact forces. 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 iB U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) _ B(Gda1 Y KAJ1KAu/A /alb hr, -874/- TITLE OMPANV NAME A�01 CT > RJnN Y k4J1R4VJA lGde� n ESS CITY LlJ TATE ZIP 5r AWALd s __ u 161zo SIGNATURE DAT PHONE L8 11 All -8063 Copies should be ade of is Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner. EMA Fnrm RIAS MA V On Pool Arcc crvn. , r.c .................. ,...,..