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Home My WebLink About6-9-003:035U.a DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 Notional Flood Inrumrn Progmm Important: Read the Instructions on pages 1-9. Expiration Date: Juy31, 2015 SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owners Name Jon Hall and Edward Grant Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number. 59-1703 Puako Beach Road A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) TMK 6-0-003: 035 (3b Division), Puako Beach Lots. Lot 35, Lelamllo. South Kohab, Howell A4. Building Use (e.g., Residential, Non-Residenl(al, Addition, Accessory, etc.) ResWemiel A5. LalidMe(Longil Lat. 19-50-11.1 N Long. 155-30.34.5 W Horizontal Datum: ❑ NAD 1927 ® HAD 1983 AS. Attach at batt 2 photographs of the building ff the Certificate Is being used to obtain flood Insurance. A7. Building Diagram Number 5 AS. For a building with a craaeepece or enclosure(s): A9. For a bulking with an attached garage: a) Square footage of crawbpece or enclosures) NA sq It a) Square footage of attached garage eq It b) Number of permanent flood openings in the crewlepace b) Number o/ permanent flood openings In Me attached garage or encbsure(s) within 1.0 foot above adjacent grade N,B, within 1.0 foot above adjacent grade e) Total net area of flood openings in A8.b NA aq In Q Total net area of flood openings in A9.b So In d) Engineer ed food openings? ❑ Yes ❑ No NA d) Engineer atl flood openings? ❑ Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name 8 Community Number 82. County Name B3. State Howell County 155 166 0277 C I Hewell HI 84. MSPIPRW Number 85. Suffix 88. FIRM Index Data 87. FIRM Panel B8. Flood 69. Base Flood Elevation(s) (Zone 155166 0277 C 1 4/2/2004 Date EftacthrelR ave Zone(s) AO, use ba food depth) a 7.664' ® feet ❑ meters 0 34 OW ❑ maters BID. Indicate the source of the Babe Flood Elevation (BFE) data or hese flood depth entered In Item 89. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Olher/Souroe: 811. Indicate elevation datum used for BFE in Item 89: ® NGVD 1929 ❑ NAVD 1988 ❑ OthedSource: 812. Is the building located in a Coastal Barder Resources System (CSRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: ❑ CSRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction` ® Finished Conaftotlon 'A new Elevalbn Certificate will be required when construction of the building Is complete. C2. Elevations - Zones At -A30, AE, AH, A (with BFE), VE, VI -V30, V (with SFE), AR, ARIA, ARAE, AR/AI-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram epecfied in Item A7. In Puerto Rico only, amour meters. Benchmark Utilized: "PUAKO" USCSG Bross Disk Vertical Datum: NGVD 1629 Indicate elevation datum used for the elevatlom in #am a) through h) below. ® NGVO 1929 ❑ NAVD 1088 ❑ Other/Source: Datum used for bulkkg elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (Including basement, aawlapace, or enclosure floor) b) Top of the next higher floor C) Bottom of the kwvast horizontal structural member (V Zones any) d) Attached garage (top of slab) a) Lowest elevatkm of machinery or equipment servicing the building (Describe type of equipment and location In Comments) 4 Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to bulking (HAG) III Lowest adjacent grade at lowest elevation of deck or stairs. Including structural support 17.1112 ® feet ❑ meters NL.-.__ ® feet ❑ meters NA. ® feat ❑ meters 7.45 ® bat ❑ meters 7.664' ® feet ❑ meters 0 34 OW ❑ maters Z-42 ® feet ❑ meters 7.41 ® feet ❑ meters SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This Cerofcalbn is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to car* elevation I wralarstinformatia rd run y see slotethat ft ��r�may pmt byrtificate finerepresents my t beat pInterpret s u s 1the dateCoode, Section ,moot.LICENS Lt rFPROFCESSICN!L McMI(�y® Check here if comments are provided on back ofform. Were latitude and longitude in Sectio+ A provided bya ® Check here tt attachments. Licensed land surveyor? ®Vee ❑ No ICE Cenifor's Name NGVD 1929 License Number Hawaii LS 9040 I �� Title Owner - Principal Company Name KKM Surveys Address PO Box 2494 City Koilua Kona State HI ZIP Code 88745 LAND SURVEYOR NO. 9040 FEMA Form 086-0.33 (7/12) See reverse side for cominuafbn. Replaces of previous editions. ELEVATION CERTIFICATE, pap 2 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.I Policy Number. W1703 Puako Beach Road City Waikoios State HI ZIP Code 98738 1 Company NAIC Number. SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUwmpany, and (3) building owner. Comments ' Per Section C. Item C2.e. Lowest equipment is an aerobic pump servicing a 1000 gallon aerobic: septi: tank. Its bottom eivatron Is 7.80. The lowest elevatl" of other egipmem In the area are Elev. 11.85, a Trot water pump, Elev. 7.70, a hot water tank, Elev. 9.15, a 1000 gallon aerobic septic tank. Also, attached is a specification of lowered doors at the utility equipment room. SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zeros AO and A (without SFE), compleM Items Et -E5. N 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, N 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 ekwsWn is above or below the highest adlacent grade (FAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement. crawlspece, or enclosure) is ❑ feet ❑ mekrs ❑ above or ❑ below the FAG. b) Top of bottom Noor (including basement, dawrlepam, or enclosure) Is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Bu9Nng Diagrams 8-9 with permanent flood openings provided in Section A Nems 8 and/or 9 (see p#s 8-4 of Instructions), the next higher Icor (elevation C2.b In the diagrams) of the building is ❑ feet ❑ meters ❑ above or p below Me HAG. E3. Attached garage (top of slob) 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 FAG. ES. Zone AO only: It no food depth number Is available, to the top of the bottom floor elevated In aocoMenoe with the community's floodplain management ordinenae7 ❑ Yes ❑ No ❑ Unknown. The local official must oertify this Information in Section G. The property owner or owner's autlwnzed representative who completes Sections A. B. and E for Zone A (without a FEMAassued or commumfy-Issued BFE) or Zone AO must sign here. The statements In Sections A, B, and E are torted to the best of my knowledge. Property Owners or Owners Authorhed Representative's Name Kevin McMillen Address PO Box 2494 City Kellus Kona State HI ZIP Code 98745 Signature ]/ _ . \t'. \.- , fj in Date 12!07113 Telephone 0083284833 Comments The local official Who Is eNtlonied by law or ordinance to sammrstar no communny'a twooptsin management oxamanf a Can complete rremctts A, 0. 4 (or t), ane C of this Elevation Certificate. Complete the applicable dem(s) and sign below. Check the measurement used in hems G"10. In Puerto Rim only, ender melers. G1. ❑ The intormaWn 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-Inued ormmmuntty-Issued BFE) or Zone AO. G3. ❑ The folowing information (Items G4 -G10) is provided for community floodplain management purposes. Penni Number G7. This permit has been Issued for. ❑ New Construction ❑ Substantial Improvement Go. Elevation of as -but@ lowest floor (including basement) ofthe building: ❑ fast ❑ meters Datum G9. BFE or(In Zone AO) depth of flooding at the bubdhV she: ❑ feet ❑ meters Datum G10. Community's designa"flon,rtmant of Public Works ❑ The 0 maters Datum Local Official's Name EtI9rnee:n9 'vision has reviewed This e,ifficute and Community Name Pf.Rccr7in�E^^'a Telephone Signature [J do3s rot recommend Data Comments :ncl O tprovsa ; 400�± FEMA Form 086-0.33 (f i�j °•� ..� Replaces all previous edkbns. V1 o zou