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Home My WebLink About2-4-020:025tom. ,ar. • U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program Gly ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8. Bag. Nu.) or AC Building Use (e.g., Residif Bel on -Re Mentlel,«AddBbn, Acer AS. LothudelLongItude: Let. ` 8 Long., A8. ,Attach at lent 2 photogrephV the building If tib Certificate is A7. Bufiding Diagram Number_(L A8. For a building with a crawl space or enclosure(s), provide: 8) Square footage of crawl space or anclosure(s) _ b) No. of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade _ C) Total net area of flood openings In AS.b State OMB No. 1860-0008 Expires February 28.2009. r' nce. HcrizOmal Datum: L] NAD 1927 Q NAD 1989 used to obtain Insura A9. For a buadpq with an attached garage, provide: sq R a) Square footage of attached garage eq ft b) No. of permanent flood openings In are enacted garage walls within 1.0 foot above adjacent grade aq In e) Total net area of flood oportIgs In A9.D eq in SECTION B • FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Hawaii County Hawaii tame t Date a) ADA be flood depth) 155166 D 4/02/04 q is be B10. Indicate the source of the Base Flood Elevation (BFE) date or base flood rdered In Item SO ❑ FIS Profile ❑ FIRM ❑Community DelennirmeE (Describe) OAK 61-61-444.f 811. Indicate elevation datum used for BFE In Item 89: ❑ NGVD 1929 1988 ❑ Other (Describe) B12. Is Bre building located Ina Coastal Bartter Resources System (CORS) area or Otherwise Protected Area (OPA)7 ❑ Yes ® No Designation Date ❑ CBRS ❑ OPA • SECTION C . BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: U Construction Drawings- ❑ Building Under Construction' [$Finished Construction 'A new Elevetion Certificate will be required when construction of the building Is complete. C2.. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30,AR/AO. Complete Items Clay me Dulltlirg Qierrpm p uln m A - below accomark (AR/AdH, Ung a Benchmark Utilized AJd � lR,� VeNcel Datum JIf • �7 ConverslonlComments a) Top of bottom floor (including basement, crawl space, or enclosure Check the measurement used. door) .�❑ feet ❑ meters (Puerto Rico only) b) Top of the next higher floor _❑ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) ._❑ feet ❑ meters (Puerto Rbc only) d) Attached garage (top of slab) _❑ feet ❑ meters (Puerto Rica only) e) Lowest elevation of machinery or equipment servicing the building TSL ,ILO feet ❑ meters (Puerto Rio only) (Describe type of equipment In Comments) • , 0 Lowest adjacent (finished) grads (LAG) ❑ feel ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) _. /_s r . D ❑ feel ❑ meters (Puerto Rico only) r no cermiceoon b to oe agnea ana seaiea by a land surveyor, engineer, or architect authorized by low to certify elet Information. I car* that the information on this Certificate represents my beat efforts to Interpret the date available. I understand that any false statement may be punishable by fine orimprisonment under 18 U. S. Code, Section 1001. ❑ Check here B comments are provided on back of form. No.OW-C FEMA Form 8 31, February 2080 See reverse side for continuation. Replaces all previous zr-, ANT: In th@se spaces, copy the corresponding Information from Section A. For Insurance Comnanv u..• State Zip SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTII both sides of this Elevation Certificate for (1) community official, (2) Insurance agentfcompany, end (3). building owner. nents Signature Date M— SECTION E -BUILDING ELEVATION INFORMATION (SURVEY NOT,REOUIRED) FOR ZONE AO AND ZOMBI 1vAT14rttrr ace For Zonas AO and A (without BFE), complete Items E1 -E6. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B, end C. For Items Et -E4, use natural grade, If available. Check the measurement used. In Puerto RICO only, enter motors. E1. Provide elevation Information for the following and Check the apPropdate 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 crawl space, or enclosure) Is _ feet 11 meters above or below the NAG. D) Top of Dollom floor (kcWtllnp basement, crawl space, or enclosure) Is _ _ ❑ fast ❑ meters � above or ® below the LAG. E2. For Building Diagrams 8-8 with permanent flood openings provided In Sectltp , Items 8 or 9 (see s 8 of Instructions), the next higher floor (elevation C2.D In the diagrams) of the building is . _ ❑leaf LJ meters L.J above or Lj below the HAG. E3. Attached garage (top of slab) Is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery endlor equipment seMclng the building Is . _ fast C] meters [3 above or [-] below the HAG. ES. Zone nc only: If no flood depth number le avalleble, le the op w the bosom floor elevated in accordance with the communitys floodplain management ordinance? El Y84 ❑ No ❑ Unknown. The local official must certify this Information M Section G. occ r WN r-10KOPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representatdre who completes Sections A. S. and E for Zone A (without a FEMA -Issued or community4acued BFE) or Zone AO. must sign here. The statements N Sections A, S. and E ere CWOdt to the best of my knowledge. Property Owners or Owners Authorized Representetiva•s Name ZIP • ••- ••�� .• ., .,nv . ekAnum a oy raw or ordinance to administer the community's floodplain management ordinance can complete Sections A, S. C (or E), and G of thle Elevason Certificate. Complete the applicable Item(s) and sign below. Check the measurement used In Items G8. end G9. Gt. ❑ 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 a Wrorized by law to ca" 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 communiy-lasued BFE) or Zone AO. G3. ❑ The following information (Items G4.-Gg.) Is provided for community floodplain management purposes. 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) depjlhpfailgotirilifff&~ WWbiic Works • — ❑ feel ❑ meters (PR). Datum Local Official's Name Title Name ® recommends FEB 2 0 FEMA Form 81-31, February 2006 Replaces all