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Home My WebLink About1-4-068:046William P. Kenoi Mavor Walter K. M. Lau Managing Direcwr Count Jai n��I `l 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.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 - PROPERTYINFORMA77ON I For insurance Comoanv Use: At. 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 _ IA)A1 0PAE AD PWtA 0 A HStI 9 6l l 8 A3. Property Description (L t and Block Numbel Tax Parcel Number, Legal Description, etc.) 9�. 12. WUN4. "i.y .. bu iri.y., flash -6, Fuca, 7'fiFi $3ii3$i YiiAi, ii iiti�r;, tttx:eSs'or'y, 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, 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 enciosure(s) walls within i.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 B1. 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) 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 89: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) 812. 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 BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to p e b ' mg diagram s m Item A7. Benchmark Utilize ertical Datu Conversion/Comments County of Hawaii is an Equal Opportunity Provider and Employer. COMMENTS: , C 2.-0t 5HauLh aE 18 %+ � �ti272- Date of Review: _/ L2- iz 3 Community Official: c�--�- 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. U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 .Federal Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION For{nsursnce Company Use Al. Building Owner's Name PHILLIPS FAMILY TRUST 71 ,Number ' A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Compeny;NAICNumber WAI OPAE RD City PAHOA State HI ZIP Code 96778 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) TMK(3) -1-4-068:046 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. N119,29,341 Long. W154-49.233 Horizontal Datum: ❑ NAD 1927 ®NAD 1983 A8. Attach at bast 2 photographs of the building If the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 5 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crewlspaoe or encosure(s) ]_3� sq it a) Square footage of attached garage NA s b) No. of permanent flood openings In the crawls ece or q it P b) No. of permanent flood openings in the attached garage enclosures) within 1.0 foot above adjacent grade $ within 1.0 foot above adjacent grade NA_ c) Total net area of flood openings in A8.b 144 sq in - c) Total net area of flood openings in A9.b NA_ d) Engineered flood openings? ® Yes [I No d) Engineered flood openings? ❑ Yes ❑ No sq In SECTION IS - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Cnmmunev N., . ....,.��y ,. .. W. State HAWAII COUNTY 155166 HAWAII COUNTY HAWAII B4. Mep/Panel Number 65. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 155166-1400 C Date Effective/Revised Date Zone(s) A0, use base flood depth) 4/02/04 9-16.88 AE 14.5 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _ B11. Indicate elevation datum used for BFE In Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) _ 812. Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ® No 1 Designation Date _ [ICBRS EDOPA SECTION C - INFORMA C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' '® Finished Construction *Anew Elevation Certificate will be required when construction of the building Is complete.- - - C2. Elevations - Zones A1 -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARAE, 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 _Vertical Datum _ Conversion/Comments III. wW.Jv Uvn is to oe slgnea ana Sealed by a land surveyor, engineer, or architect authorized by law to certify elevation I nformation. I certify that the inPormation on this Certiricate represents my best efforts to interpret the data available.I . 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 forth. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes ® No Certifier's Name RONALD D. NICKEL License Number 8846-C FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions Check the measurement used. a) Top of bottom floor (Including basement, crawlspeoe, or enclosure floor) 6.92 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor L.84 ® feet ❑ meters (Puerto Rico only) C) Bottom of the lowest horizontal structural member (V Zones only) N6._ ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) NA._ ❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building ]8.84 2 feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) I) Lowest adjacent (finished) grade next to building (LAG) 4.0 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 5.72 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, Including §.22 Z feet ❑ meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION III. wW.Jv Uvn is to oe slgnea ana Sealed by a land surveyor, engineer, or architect authorized by law to certify elevation I nformation. I certify that the inPormation on this Certiricate represents my best efforts to interpret the data available.I . 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 forth. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes ® No Certifier's 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. For Insurance Company Use: " Building Street Address (including Apt., Unit, Suite, end/or Bldg. No.) or P.O. Route and Box No. PolleyNumber, WAI OPAE RD City PAHOAState HI ZIP Code 96778 Comp anyNAICNumber SECTION D - Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. Comments THE BENCH MARK USED IS A SURVEYOR SET BENCH MARK BASED ON A USGS BENCH MARK. THE EQUIPMENT CONSIST OF A HOT WATER HEATER, A SMALL COMPRESSER AND THE CONTROL FOR THE AEROBIC SEPTIC SYSTEM AND NORMAL KITCHEN APPLIANCES. no 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, crawlspace, 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 correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's City Date Comments State ZIP Code SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable Rem(s) and sign below. Check the measurement used in Items GB 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 I 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: G10. Community's design flood sieve*% Department of Local Official's Name Community Name ❑ feet ❑ meters (PR) Datum _ ❑ feet ❑ meters (PR) Datum D0}84•kiorsrescsas® fl Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. rig weer f+aaress (lnciuding Apt., Unit, Suite, IPAE RD PAHAO State HI ZIP Code 9ws If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the Instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, If required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. 0