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Home My WebLink About1-4-069:044William P. Kenai Mavor Walter K. M. Lau Managing Director (flannk of (Pufuni`i DEPARTMENT OF PUBLIC WORKS Aupuni Center 101 Pauahi Street, Suite 7 • Hilo, Hawaii 96720-4224 (808) 961-8321 • Fax (808) 961-8630 www.co.hawaii.hi.us MEMO OF REVIEW FOR CORRECTNESS AND COMPLEI70M 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 A -PROPERTY INFORMATION 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 WAt Qfht ►2O City State ZIP Coda A3. :a etc.) iii, 13un E}g Use (va,g., IP a vfaf, Twos uariiiil, A Ili i 7, 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, provide: a) Square footage of crawl space or enclosure(s) sq it a) Square footage of attached garage sq it 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 B1. NFIP Community Name & Community Number B2. County Name B3. State 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) 1311. Indicate elevation datum used for BFE in Item 69: ❑ 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 Al -A30, AE, AH, A (with FE), VE, V1 430, V (with BFE), AR, AR/A, ARAE, AR/Ai-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram sp n Item AT Benchmark Utilized Vertical Datum ConversioNComments County of Hawai `i is an Equal Opponunity Provider and Employer. 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) 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) 1311. Indicate elevation datum used for BFE in Item 69: ❑ 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 Al -A30, AE, AH, A (with FE), VE, V1 430, V (with BFE), AR, AR/A, ARAE, AR/Ai-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram sp n Item AT Benchmark Utilized Vertical Datum ConversioNComments County of Hawai `i is an Equal Opponunity Provider and Employer. COMMENTS: Date of Review: 9 7-t/13 Community Official:--1--YZ— 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 Federal Emergency Management Agency National Flood Insurance Program OPAE ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. SECTION A - No.) or P.O. Route and Box No. OMB No. 1660 0008 Expires March 31, 2012 A4. Building Use (e.g., Residential, Non -Residential; Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: let. N19$9.326' Long, W154449,344' Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A8. Attach at bast 2 photographs of the building H the Certificate is being used to obtain flood Insurance. A7. Building Diagram Number g As. For a building with a crewispace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspece or enclosure(s) N6 sq ft a) Square footage of attached garage jye eq R P) No. of permanent flood openings In the crawlspace or b) No. of permanent flood openings in the attached garage encbaure(s) within 1.0 That above adjacent grade N6 within 1.0 foot above adjacent grade N6 c) Total net area of flood openings In A8.b N6 sq in c) Total net area of flood openings in A9.b N6 sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name 8 Community Number B2. County Name B3. State - HAWAII COUNTY 155155 HAWAII COUNTY I HAWAII 64. Map/Panel Number B5. Suflbn Be. FIRM Index B7. FIRM Panel S8. Flood 89. Base Flood Elevation(s) (Zone 155165.1400 C Date I Effective/Revised Date Zone(s) AO, use base flood depth) d) Attached garage (top of slab) 1 4/02/04 9/16/88 AE 13.3 810. 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) _ Bt 1. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) . Is the building located in a Coastal Beller Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Ih Designation Date _ ❑ CBRS ❑ OPA C1. SECTION C • BUILDING 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 A1 -A30, AE, AH, A (with BFE), VE, V11430, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AD. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized jJSGSVertical Datum Conversion/Comments n ms cenmcaaon Is to be sgneo ana sealea by a land surveyor, engineer, or architect authorized by law to certify elevation Information. I certify that th Information on this Certificate represents my best efforts to interpret the date evailable.l understand that any false statement maybe punishable by fine or impnsonment under 18 U.S. Code, Section 1001.0 Check Mire if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes ® No Certfier's Name RONALD D. NICKEL License Number 8846-C Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) feet ❑ meters (Puerto Rico only) b) Top of the next higher floor g@.4jt ® 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) 1 N6.- ❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 16.45 ❑ feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 4.0 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 4.9 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, Including 4.j) ® feet ❑ meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION n ms cenmcaaon Is to be sgneo ana sealea by a land surveyor, engineer, or architect authorized by law to certify elevation Information. I certify that th Information on this Certificate represents my best efforts to interpret the date evailable.l understand that any false statement maybe punishable by fine or impnsonment under 18 U.S. Code, Section 1001.0 Check Mire if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes ® No Certfier's Name RONALD D. NICKEL License Number 8846-C FEMA Form 81-31, Mar 09 See reverse side for continuation. Replace all previous editions c4 .z: -v FEMA Form 81-31, Mar 09 See reverse side for continuation. Replace 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, and/or Bldg. No.) or P.O. Route and Box No. Policy Number, WAIOPAEROAD ., City PAHOASWe HI ZIP Code 96778 I Company.NAIC Number I Efty 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 BEANCH MARK BASED ON A USGS 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 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 Et -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 Rim 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, crawlspace, or enclosure) is — _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (Incuding 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 0 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 ownel'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 Name Signature um Date btate ZIP Code Telephone The local official who is authorized by low 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 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 hes 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 oommunity-issued OFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of 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's design flood elevation _ _ ❑ feet ❑ meters (PR) Datum The Department nf Pr,611e Works Local Official's Name Engineering Divitiorr has reviewed Tine Community Name theXlevation Cartifiecie and Telephone does rot approval FEMA Forn', F 1-31, Mar 09 Check here If attachments Replaces all previous editions