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O.M.B.NO. 3067-0077 <br /> r FEDERAL EMERGENCY MANAGEMENT AGENCY Expires May 31, 1996 <br /> NATIONAL FLOOD INSURANCE PROGRAM <br /> FLOODPROOFING CERTIFICATE <br /> FOR NON-RESIDENTIAL STRUCTURES <br /> ne floodproofing of non-residential buildings may be permitted as an alternative to elevating to or above the Base Flood Elevation; <br /> however,a Iloodprooling design certification is required. This form is to be used for that certification. Floodproofing 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 floodproofed <br /> residential basement requires a separate certification specifying that the design complies with the local floodplain management <br /> ordinance. <br /> FOR INSURANCE COMPANY USE <br /> BUILDING OWNER'S NAME POLICY NUMBER <br /> County of Hawaii <br /> STREET ADDRESS(Including Apt..Unit.Suite and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER <br /> 1241 Hilo Bayfront Highway '11`t- Z-2—kV ) : 027 <br /> OTHER DESCRIPTION(Lot and Block Numbers,etc.) .k 2.--2-002- 1 3 5 <br /> CITY STATE ZIP CODE <br /> Hilo Hawaii 96720 <br /> SECTION I FLOOD INSURANCE RATE MAP(FIRM)INFORMATION <br /> Provide the following from the proper FIRM: • <br /> COMMUNITY NUMBER PANEL NUMBER SUFFIX DATE OF FIRM INDEX FIRM ZONE BASE FLOOD ELEVATION <br /> (in AO Zones,use depth) <br /> 155166 0880 C 9/16/88 VE 28 <br /> SECTION II FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect) <br /> Floodproofing Design Elevation Information: rem V4F-14NCC, Ai?i''LLGATIocJ QAZO Az-ii- I( ta'g <br /> Building is floodproofed to an elevation of 1 1 I 111E3 J.I J 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 1210 1.15t1 feet. <br /> (NOTE:for insurance rating purposes, the building's floodproofed design elevation must be at least one foot 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 III 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 certify that the information on this certificate represents my best efforts to interpret the data available. /understand that <br /> any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. <br /> CERTIFIER'S NAME LICENSE NUMBER(or Affix Seal) <br /> — — R-1AI1 1: kAJ(ktl k6A, 414. AZ-6746, <br /> TITLE <br /> COMPANY NAME <br /> AgatfecT bec'A—Y V4.1(r4wA-D cGU <br /> Anr)RESS <br /> 3( AtOgo ST . . CITY STZIP <br /> (I` � <br /> SIGNATURE - - -� — -- — ------- AT ( -1 j] <br /> fJ1 C.V <br /> �� - .t:�� DATE Z sill <br /> "( csO UJONE _600 <br /> Copies should be m/de of t is Certificate for: 1)community official,2) insurance agent/company,and 3)building owner. <br /> i•MA L...... ol.zr ,, ,v n,) DM•/-rr CrITV1..1 rr ...v i' i.n.,,r-u,r',nee,r.-r rnn nnino IC/O1% <br />