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Proje ct No. 16095.2 FEDERAL EMERGENCY MANAGEMENT AGENCY <br /> O.M.B. No. 3067-0077 t <br /> NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 <br /> ELEVATION CERTIFICATE <br /> Important: Read the instructions on pages 1 -7. <br /> SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: <br /> BUILDING OWNER'S NAME Policy Number <br /> Roman Catholic Church -RE-LOCATED OLD CHURCH <br /> BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg. No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number <br /> 65-1235 Kawaihae Road <br /> CITY STATE ZIP CODE <br /> Kamuela, Hawaii 96743 <br /> PROPERTY DESCRIPTION(Lot and Block Numbers.Tax Parcel Number,Legal Description,etc.) <br /> Lot 13. Block 4 of Waimea Homesteads (HTS Plat 405-A) Grant 10324 TMK: 6-5-03: 029 (3' Division) <br /> BUILDING USE(e.g..Residential.Non-residential,Additio .Accessory,etc. Use Cojments section if necessary.) <br /> CHURCH ( t�V o.�.A,4 w�o,,e. ch/ova. <br /> LATITUDE/LONGITUDE(OP11ONAL) HORIZ NTAL DATUM: SOURCE: 1_1GPS(Type). <br /> ( ##°-##'-##.##" or ##.4##/##°) l i NAD 1927 i_I NAD 1983 i_I USGS Quad Map U Other: <br /> SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION <br /> B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER 82.COUNTY NAME B3.STATE <br /> Hawaii 15S164 Hawaii Hawaii <br /> B4.MAP AND PANEL B5.SUFFIX B6.FIRM INDEX B7.FIRM PANEL 88.FLOOD B9.BASE FLOOD ELEVATION(S) <br /> NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding) <br /> 155166 0168 E June 2, 1995 May 16, 1994 AE 2663.0 <br /> B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in 89. <br /> L FIS Profile 1_1 FIRM I Community Determined LI Other(Describe): <br /> B11. Indicate the elevation datum used for the BFE in B9: L NGVD 1929 LI NAVD 1988 IJ Other(Describe): <br /> B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? I—I Yes 0 No <br /> Designation Date: <br /> • <br /> SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) <br /> Cl.Building elevations are based on: I_IConstruction Drawings` 1'Building Under Construction' IJFinished Construction <br /> *A new Elevation Certificate will be required when construction of the building is complete. <br /> C2. Building Diagram Number 5 (Select the building diagram most similar to the building for which this certificate is being completed-see <br /> pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) <br /> C3. Elevations–Zones A1-A30,AE, AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,ARAE,AR/A1-A30,AR/AH,AR/AO <br /> Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used.If the datum is different from <br /> the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion <br /> calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate,to document the datum conversion. <br /> Datum Conversion/Comments <br /> Elevation reference mark used Local Bench MarkDoes the elevation reference mark used appear on the FIRM? IJ Yes I )i No / <br /> ❑ a)Top of bottom floor(including basement or enclosure) 2664.93 ft.(d() W/' <br /> ❑ b)Top of next higher floor n/a _ft.(m) 4 <br /> 0 c)Bottom of lowest horizontal structural member(V zones only) n/a _ft.(m) Q-� > <br /> LIC <br /> ID d)Attached garage(top of slab) n/a •_ft.(m) E g /��' P. � � . �t <br /> ❑ 4 <br /> e)Lowest elevation of machinery and/or equipment ``' - r t <br /> servicing the building Ellac. P,tiVgnL 2667.5 ft.(m)c . * - <br /> Cl —f)Lowest adjacent grade(LAG) 2661:8 ft.(%0 z ' , <br /> R(g)Highest adjacent grade(HAG) 2E62'0_ft.(m) <br /> ❑ h)No. of permanent openings(flood vents)within 1 ft. above adjacent grade 0 b II'I tie 0S. <br /> ❑ i)Total area of all permanent openings(flood vents)in C3h 0 sq. in.(sq. cm) Sep - , 2002 <br /> SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br /> This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. <br /> I certify that the information in Sections A, B. and C on this certificate represents my best efforts to interpret the data available. <br /> I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. <br /> CERTIFIER'S NAME LICENSE NUMBER <br /> Chrystal Thomas Yamasaki LS-4331 <br /> TITLE COMPANY NAME <br /> Land Surveyor WF,S THOMAS & ASSOCIATES, INC.. <br /> CITYSATE ZIP CODE <br /> AD.- S 49 Kalawa Street Kail»a-Kn a Hawaii 96740-1.817 <br /> SI•�'tl*E / DATE TELEPHONE <br /> September 13, 2002Project No. 808-329-2353 <br /> FFMA -Arm R1-11 OCI <br /> SPF PPVFRSP SIr1F F(1R((1NTINI IATI(1N PFPI A(.PS Al I PRF1/I(11 IS FrIITIANS <br />