HomeMy WebLinkAbout1-4-011:024William P. Kenoi
Mayor
Walter K. M. Lau
Managing Director
Glunk of PZ1 `
DEPARTMENT OF PUBLIC WORKS
Aupuni Center
101 Pauahi Street, Suite 7 • Hilo, Hawai'i 96720-4224
(808) 961-8321 • Fax (808) 961-8630
www.co.hawaii.hi.us
MEMO OF REVIEW FOR CORRECTNESS AND COMPLETION
Warren H. W. Lee
Director
Brandon A. K. Gonzalez
Deputy Director
In accordance with this community's participation in the National Flood Insurance Program's Community
Rating System, all FEMA Elevation Certificates must be correct and complete. The attached Certificate has
some incorrect items which are noted here.
SECTION - PROPERTYINFORMATION For insurance Company Use:
Al. Building Owner's Name Policy Number
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number
4 l^ K t ►4NE LAI
_ City State _ ZIP Code
Legal
A4. Building Use (e,g., �,es �n w, °� f- ides , Addition, Accessory, etc.)
A5. Latitude/Longitude: Lat. Long. Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number
A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, pr �:
a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq ft
b) No. of permanent flood openings in the crawl space or ���/// b) No. of permanent flood openings in t attached garage
enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent g de
c) Total net area of flood openings in A8.b '7- sq in ? c) Total net area of flood openings in A9. sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
61. NFIP Community Name & Community Number 82. County Name B3. State
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
Date
Effective/Revised Date
Zone(s)
AO, use base flood depth)
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe)
B11. Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 ❑ NAVD 1988 34 Other (Describe)
612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ❑No
Designation Date ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction" ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations—Zones Ai -A30, AE, AH, A (with BFE), VE, Vi -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g
below according to the building diagram specified in Item AT
Benchmark Utilized Vertical Datum
Conversion/Comments
County of Hawai'i is an Equal Opportunity Provider and Employer.
COMMENTS:
Date of Review: /2.f I Zc)-3 Community Official: c �Yz
Aft elevation certificates shall be maintained by the community and copies with the attached memo made available upon request.
County of Hawaii is an Equal Opportunity Provider and Employer.
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-9.
OMB No. 1660-0008
Expires March 31, 2012
SECTION A - PROPERTY INFORMATION rdr"lneismrwsl'
Building Ownees Name Ronald D. Sokko Policy umber,,
. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company h1A1C NurrrbI
144717 Llkelike Ln. ;f
CRY Police State HI ZIP Code 96778
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
TMK(3)14-011: 024
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Reeldentlel
A5. Latitude/Longitude: Let. 19430'04.64"N Long. 15049'05.08"W Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A8. Attach at least 2 photographs of the building R the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number Z
A8. For a building with a crewlspaoe or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspeoe or enclosures) 0111 eq It a) Square footage of attached garage aq It
b) No. of permanent flood opening$ in the crawlspaoe or b) No. of permanent flood openings in the attached garage
enclosure(s) within 1.0 foot above adjacent grade 2 within 1.0 foot above adjacent grade
c) Total net area of flood openings In A8.b 2 aq In c) Total net area of flood openings In A9.b _ sq In
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ❑ No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Bt. NFIP Community Name 8 Community Number 82. County Name 83. State
Hawali County 155106 1 Hawall County I Hawaii
B4. Mep!Panel Number
85. Sufibr
88. FIRM Index
87. FIRM Panel
88. Flood
89. Base Flood Elevellon(s) (Zone
155188 1400
C
Date
1
Effectivertievised Date
ZI ne(s)
AO, use base flood depth)
(Describe type of equipment and location in Comments)
4/02104
Sep. 161988
AE
15.5
810. Indicate the source of the Base Flood Elevation (BFE) date or base flood depth entered in Item 89.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _
B11. Indicate elevation datum used for BFE In Item 139: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) Hawaii Tidlal Datum
.Is the building located In a Coastal Barrier Resources System(CBRS) area or Otherwise Protected Area (OPA)? [I Yes ® No
Designation Date _ ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings• ❑ Building Under Construction* ® Finished Construction
'A new Elevation Certificate will be required when construction of the building Is complete.
C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, VI -V30, V (with BFE), AR, ARIA, ARAE, AR/AII-A30, AR/AH, AR/AO. Complete items C2.s-h
below according to the building diagram specified in Item A7. Use the some datum as the BFE.
Benchmark Utilized NGS 186YY Vertical Datum Hawall Tidal Datum
Conversion/Comments Hawaii Tidal Datum is identical to HAVD88 and NGVD29 datums on Hawall Island
Check the measurement used.
a) Top of bottom floor (including basement, crawlspooe, or enclosure floor) 2..Q
® feet
❑ meters (Puerto Rico only)
b) Top of the next higher floor g 11.1
c) Bottom of the lowest horizontal structural member (V Zones only).p�l qA
® feet
I@ feet
❑ meters (Puerto RICO only)
❑ meters (Puerto Rloo only)
d `) Attached garage (top of slab) 6 L 2.2
® feet
❑ meters (Puerto Rloo only)
e) Lowest elevation of machinery or equipment servicing the building 1.9
® feet
❑ meters (Puerto Rico only)
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 1.2
® feet
❑ meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG) )).Q
® feet
❑ meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, Including 1.1
1@ feet
❑ metera (Puerto Rloo only)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. I cert & that the information on this Cert'Rcate represents my best efforts to interpret the data aveflab/ed
understand
Chock here o com�me� are providet mayd bapunishable
dy of form. fine Imprisonment
latitude under
e onp� in section Section .❑ a P�\�l L. g�9
�,� licensed lend surveyor? ®Yea ❑ No PROFESSIONAL
0rtifier a Name Daniel L. Berg License Number PLS 11245 u
* w4 r-
BUAV'EVOR
Licensed Land Surveyor Company Name dlb+assodates, LLC
Address PO Box 49-2281 City Keeau State HI ZIP Code 96749
No. 11245
Signature 9C__ Date Jan. 13, 2012 Telephone 805-9664206 y9wq 11, 0. P
FEMA Form 81-31,
See reverse aide for continuation.
Replaces all prevlous
I=
State. 'HI ZIP Code 98749
of this Elevation Certificate for (1) Community official, (2) Insurance egenucompany, and (3) building owner.
Jeal Datums are referenced to Hilo Tidal Datum, which is taken as Identical to NGVD29 and NAVD88 detun
Gauge (PID T00019)
otZL
For Zones AO and A (without BFE), complete hems E1 -E8. If the Certificate Is Intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items E1 -E4. use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters.
Et. Provide elevation Information for the following and check the appropriate boxes to show whether the elevation Is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (Including basement, crawlepace, or enclosure) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (Including basement, crawlspace, or enclosure) is — _ ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2. For Building Diagrams 8.9 with permanent flood openings provided in Section A Rams B and/or 9 (seepages 8-9 of Instructions), the next higher floor
(elevation C2.b In the diagrams) of the building Is _ _ ❑ feet ❑ meters ❑ above or p below the HAG.
E3. Attached garage (top of slab) is — _ ❑ feet ❑ matere ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E8. Zone AO only: If no flood depth number Is available, is the top of the bottom floor elevated In accordance with the community's floodplain management
ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must car* this Information in Section G.
The property owner or owner's authorized representative who Completes Sections A. S, and E for Zone A (without a FEMA -Issued or community -issued SFE)
or Zone AO must sign here. The statements In Sections A, B, and E are Cortod to the best of my lnrowledge.
or Owner's Authorized Representative's Name
Signature Date Telephone
Comments
❑ Check here B atiaelhmenta
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
r rre rocar oT=al wno is aumonzea Dy Jew or Oromance to acu m titer me Community -9 n000plam management oromenoe can Complete OeCUone A. B. U (or t),
end G of this Elevation Certificate. Complete the applicable Bemis) and sign below. Cheek the measurement used in Items 08 and G9.
G1. ❑ The Information In Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
Is authorized by law to certify elevation Information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official Completed Section E for a building located In Zone A (without a FEMA -Issued or community -Issued BFE) or tone AO.
G3. ❑ The following information (Items 04G9) is provided for community floodplain management purposes.
Permit Number
G8. Date Permit Issued
G7. This perch has been Issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of ss -bulli lowest floor (Including basement) of the building:_._ ❑ feet
09. BFE or (In Zone AO) depth of flooding at the building site: _ _ ❑ feet
G10. Community's design flood elevation _ _ ❑ feet
Title
Telephone
❑ meters (PR) Datum
❑ meters (PR) Datum
❑ meters (PR) Datum
FEMA Form 81-31, Mar 09 Replaces all previous editions