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Home My WebLink About6-6-007:01515991.1 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE on paces 1 - 7. O.M.B. No. 3067-0077 Expires July 31, 2002 I. SECTION A - PROPERTY OWNER INFORMATION I For Insurance CompanvUse: BUILDING STREET Apt.. Unit, Suite, and/or Bldg. No.) OR etc. AND BOX NO. OF V 11. vc,LVlvvu we%ur nvNAy nUKICVN 1 AL VA I um: SOURCE: LI GPS (Typal ( W - ft' - #M.##' or ##.###W) I J NAD 1927 Li NAD 1983 1_I USGS Oued Map LJ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B2. COUNTY NAME B3. STATE Hawaii I Hawaii 84. MAP AND PANEL 85. SUFFIX B6. FIRM INDEX 87. FIRM PANEL B8. FLOOD 89. BASE FLOOD ELEVATIONS) NUMBER 1 DATE I 1 EFFECTIVE/REVISED DATE. ZONE(S) (Zone AO, use depth of (boding) 1 155166 0164 D MAY 16 1994 JULY 16,19 0 A da 2273 Biu. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 89. 1_1 FIS Profile LJ FIRM LL Community Determined LX Other (Describe): USGS Data 811. Indicate the elevation datum used for the BFE in 89:11( NGVD 1929 (J NAVD 1988 (_L Other (Describe): 812. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? LL Yes LJ No Designation Date: C - BUILDING C1. Building elevations are based on: L_LConstruction Drawings* LJBuilding Under Construction* LX Finished Construction A new Elevation Certificate will be required when construction of the building is complete. uniting Diagram Number 1 (Select the building diagram most similarto the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum Is different from the datum used for the BFE in Section B. convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G. as appropriate, to document the datum conversion. Datum Conversion/Comments Elevation reference marc used 1 nCnI Rpnrh Mar(Does the elevation reference mark used appear on the FIRM? Yes )1( No (X a) Top of bottom floorlinduding basefnent or enclosure) 2273.E fl.(t>V O b) Top of next higher floor _ , —fL(m) 43 O c) Bottom of lowest horizontal structural member (V zones only) _ IL(m) Q d) Attached garage (top of slab) 2273,E fL(nX g O e) Lowest elevation of machinery and/or equipment 4 servicing the building , _ fL(m) I 4C })Lowest adjacent grade (LAG) 2212.0 ft (ng i a 9C g) Highest adjacent grade (HAG) ?272.9.— ft -(01) %� N KrAN, %3- 0 h) No. of permanent openings (flood vents) within 1 fl. above adjacent grade O 1) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm) October 21, 2000- SECTION 000SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information I Certify that the inrormation in Sections A. B. and C on this certificate represents my best efforts to interpret the data available. _JI)ES THOMAS R ASSOCIA�Fq TN - - -- CIT'Y RTA ATE ZIP CODE Ri.'11 AI VS QQ (`/ CFF PF VF RGF CIr1F Frlr7 f:f1NTINl IATIriN Ar -P1 Ar;FC At (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 CITY STATE ZIP CODE Company NAIC Number SECTION D - SURVEYOR, ENGINEER. OR ARCHITECT CERTIFICATION ICONTINUE01 Wboth sides of this Elevation Certificate for (1) community official, (2) insurance agent/company. and (3) building owner. — 1_1 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items Et through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. Et. Building Diagram Number _ (Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The lop of the bottom floor (including basement or enclosure) of the building is LI_I ftdm) I._Llin•(cm) 1_I above or IJ below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is 1-1-1 ft•(m) I_I_lin.(cm) above the highest adjacent grade. E4. For Zone AO only. If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's No must 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. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME COMMENTS 11 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) he local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete iections A, B. C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. 311. (_( The information in. Se"d1oh C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who Is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) '2. 1_1 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. i3. 1_1 The following information (Items G4 -G9) is provided for community floodplain management purposes. ISSUED t7. This permit has been issued for: 1_1 New Constructionp I_I Substantial Improvement i8. Elevation of as -built lowest floor (including basement) of the building is: _ _ ft.(m)Dalum: i9. BFE or (in Zone AO) depth of flooding at the building site is: _ _ ft.(m)Dalum: LOCAL OFFICIAL'S NAME The Deparilmen?Public WORI; TITLE COMMUNITY NAME Engineering-Divis;en has Ieyielied TELEPHONE the Elevation Certificate and .,i ocoi Arte Ar r