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Home My WebLink About1-4-068:028William P. Kenoi Mayor Walter K. M. Lau Managing Director Gunt Jaf&'421 11 DEPARTMENT OF PUBLIC WORKS Aupuni Center 101 Pauahi Street, Suite 7 - Hilo, Hawai'i 96720-4224 (808) 961-832 1 , Fax (808) 961-8630 www.co.hawaii.hims 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 - PROPERTY INFORMATION I For Insurance Comoanv Use: I Al. Building Owner's Name A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number V0N1 OfAr-- R-0 Citv .State ZIP Code 3. Property Description Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) T►r iJ, (3) 1 -- Ar -obA :02$ A4. Builditlg Use (e.g., Residerlbal, Nw-Residential, Aft.: n, A 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. A7. Building Diagram Number A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: 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 the attached garage enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION I B1. NFIP Community Name & Community Number I B2. County Name I B3. State B4. Map/Panel NumberI B5. Suffix I B6. FIRM Index I B7. FIRM Panel B8. Flood B9. Base Flood Elevabon(s) (Zone Date Effective/Revised Date Zone(s) I AO, use base flood depth) i B10. 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 B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. 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) Ci. 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 SFE), VE, Vi -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/A0. Complete Items C2.a-g below according to the building diagram spe,014,d in Item A7. Benchmark Utilized Vertical Datu Conversion/Comments County of Hawai'i is an Equal Opportunity Provider and Employer. COMMENTS: Auk Date of Review: g / a +/i3 Community official: L Lit--, All 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. I.i S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency I Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name TED 8 KATIE MOEWS Policy Number K. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC:Number; AI OPAE ROAD City PAHOA State HI ZIP Code 96778 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) TMK(3) 11.068:028 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Let. N19 29.319' Long. W154 49.328Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs f the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number A8. For a building with a crawlspace or enclosure(s): - A9. For a building with an attached garage: a) Square footage of crawlspace or enclosures)sq ft a) Square footage of attached garage NA sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade Ng within 1.0 foot above adjacent grade NA c) Total net area of flood openings in A8.b N9 sq in c) Total net area of flood openings in A9.b NA sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION HAWAII COUNTY 155166 1 HAWAII COUNTY I HAWAII B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 155166.1400 C Date Elfedive/Revised Date Zone(s) AO, use base flood depth) ❑ feet ❑ meters (Puerto Rico only) 4/02/04 9/16/88 AE 13.8 B10. 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) _ 811. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No _ DesignationDate _ ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. 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 At -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized VS GSVertical Datum Conversion/Comments Check the measurement used. a) Soo rea wn a sign ed and sealed architect authorized elevation Top of bottom floor (including basement, crawlspace, or enclosure floor) I¢.g ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor N6.- ❑ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) NA._ ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) Ng._ ❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 16Z ❑ feet ❑ meters (Puerto Rico only) (Describe type of equipment and location In Comments) 0 Lowest adjacent (finished) grade next to building (LAG) 2.92 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 5.5-5 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, Including 2. L9 ® feet ❑ meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION Thl rtif t'rs to be d b land uryr an !near r b law t n' sea a y a an s eyo , g ea , o a ooze It a o ce dye e information. I car* that the Information on this Certificate represents my best efforts to interpret the data avallable.l understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Check here If comments are provided on back of form. Were latitude and longitude In Section A provided by a licensed land surveyor? ❑ Yes ® No Certifiers Name RONALD D. NICKEL License Number 8846-C FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. 1.'For )nsurenns crvrimnv I nunamg btreet Atioress (incwamg Apt., unit, suite, anmor bldg. No.) or P.O. Route and Box No. 4P.oliey Number','t-" WAI OPAE ROAD City PAHOAState HI ZIP Code 96778 .;Comoanv.NAM Nrrmhar, -i .dilk_ SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) 1W both sides of this Elevation Certificate for (1) community official, (2) insurance agent/cempany, and (3) building owner. Comments HE BENCH MARK USED IS A SURVEYOR SET BEANCH MARK BASED ON A USG5 BENCH MARK. THE EQUIPMENT CONSIS OD A HOT WATER HEATER, A SMALL COMPRESSOR AND THE CONTROLS FOR THE AEROBIC SEPTIC SYSTEM AND NORMAL KITCHEN APPLIANCES n Signature Date 3/31/2010 ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. 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. E1. 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, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, erawlspaoe, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided In Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is _ _ ❑ feet ❑ meters ❑ 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. E5. 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 certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -Issued or community -issued BFE) or Zone AO must sign here. The statements In Sections A, B, and E are coned to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name as City State ZIP Code Signature Date Telephone Comments or and G of this Elevation Certificate. ❑ Check he it attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) �mmance, to aammrster me communnys n000pmm management ordinance can complete 5 the applicable item(s) and sign below. Check the measurement used In Items G8 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 Zone AO. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: _ _ ❑ feet ❑ meters (PR) Datum _ G9. BFE or (in Zone AO) depth of flooding at the building site: _ _ ❑ feet ❑ meters (PR) Datum _ G10. Community'e design flood elevation Us' DrepOrfinert of P:;bk—W*&9 ❑ feet ❑ meters (PR) Datum _ Local Official's Name i Tmir - __ _fiie Efevafion Corrificnfe and recommends Signature Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions r,.«: �:.; , , �. i ��,.�„ � x )tom*, .:: � �� ,