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Home My WebLink About6-9-004:018Our Proj#p1 )j4p U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Federal Emergency Management Agency National Flood Insurance Program Important: Read the Instructions on pages 1-9. SECTION A - PROPERTY INFORMATION Al. Building Owners Name Hawaii Visions LLC 115. Bullding Street Address _(including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Kamuela OMB No. 1660-0006 y Expires March 96743 A4. Building Use (e.g., Realdential, Non-Realdermal, Addition, Axecaon, etc.)) rNOWLI V r nrar A5.. Latitude/Lorgltude:. LeL N 19 58' 10.10914" tang. 155 5 ._ Horizontel Datum: NAD 1827 NAD 1883 AB. Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood Insurance. AT. Building Diagram Number 1 A8. For a building with a aawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawispace or enclosure(s) n/a eq it a) Square footage of attached garage 389 aq It b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached gore enclosure(s) within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade W c) Total net area of flood openings In AS.b �%8 sq In c) Total net area of flood openings In A9.b �nTa sq In d) Engineered flood openings? ❑ Yea Q No d) Engineered flood openings? ❑ Veit GL No SECTION 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NF IP Community Nemo 8 Community Number 82. County Name 83. State HAWAII 155166 1 Hawaii County State of Hawaii 84. Map/Panel Number B5. Suffix Be. FIRM Index ST. FIRM Penal Bit. Fkwd B9. Son Flood Elevedon(s) (Zone AR, ARIA, ARAE, AR/AI-MO, AR/AH, AR/AO. Complete Items C2." below according to the building diagram specified In Item AT. Use the owns datum at; the BFE. Data EftectNNRevhed Dela Zors(s) AO, use base flood depth) 155166 0277 C 04/02/2004 05/12/2006 LOMA AE/X-Shaded 6.7 610. Indicate Oa source of the Base Flood Elevation (BFE) data crone flood depth entered In Item Bit. ❑FIS Profile . QFIRM ❑Communiy DetenMned ❑Other (Describe) all. Indicate elevation datum used for BFE in Item 69: Q NOW 1929 ❑NAVD 1998 ❑Other (Describe) B12. Is the building located Ina Coastal Barrier Resources System (C ) area Protected Area (OPA)? [:]Yee [Z] No Designation Date �CBRS OPA Cl. Bufldbg elevelorm are based on: LJComsbuction Drawings• UButiding Under Construction' LLJ 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 BFE), VE, V1430, V (with BFE). AR, ARIA, ARAE, AR/AI-MO, AR/AH, AR/AO. Complete Items C2." below according to the building diagram specified In Item AT. Use the owns datum at; the BFE. Benchmark Utinzed LISGS BM elevation ca_rriad to Ptnaka jjig.Vsrlical Datum�NGVD 1929) ConverolWComments None Check One measurement used. a) Top of bottom floor (including basement, crawlepace, or enclosure floor) 10.00 0 fast 17.01 8maters (Puerto Rico any) b) Top of the next higher few heat meters (Puerto Rico only) e) Bottom of One lowest horizontal structural member (V Zones only) n/a + feet ❑ maters (Puerto Rico only) d) Attached garage (top of slab) 7.85 fest (3melons (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 8.20 M feet ❑ maters (Puerto Rico only) (Describe type of equipment and location In Comments) f) Lowest adjacent (finished) grade next to building (LAO) 7.2teat meters (Puerto Rico only) g) Highest ad)seeM (finished) grade next to building (HAG) 8.1 feat In (Puerto Rico only) h) Lowest adjacent grade at kwreet elevation of deck or stairs, Including 7.7 feet meters (Puerto Rico only) SECTION 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 cerdfy that the Information on this C"Acete represents my beat elrorts to Interpret the date avalleb/e. I understand that any false statement mey be punishable by line or Imprisonment under 18 U.S. Code, Section 1001, Q Check here If comments are provided on back of form. Were latitude and longitude In Section ARrovtoed by e licensed land surveyor?MYes U No r9fWa Name Nicolas K. Yarrasaki License Number LS -12052 icensed Professional Land Su'IIGe, 6.." Wes Thomas Associates se 75-5749 Kellam Street cry Kailua-Kona state Hawaii ZIP code 96740 Duly 21, 2009 Telephone (808) 329-2353 Form 81-31, Mar W See reverse side for continuation. 1*52 ZIP Code 1pI�bpy both aides of Mofficial, Elevation Certificate for (1) community otial, (2) Insurance agent/compeny, and (3) building owner. Comments ^ LI / RIA •A- I^ ^^^^ ! Y L_J Photos of the exterior of the residence are attached e lowest LlectricalEquipment Is a Water Heater located In the Northwest corner ot the Uarage Ei��IL•7:140-]MIll•117M44AMI dr-lAi"11•1:7'r_� 'L�];IEPl 'L31 L•yi1�•lrll��]li•1 �311�L•LLI•ti•7 I II'il►1:I�1r1iZ-7i�� For Zones AO and A (without SFE), complete hems Et -E8. If the Certificate Is Intended to support a LOMA or LOMR-F request, complete Sections A, S, and C. For Items E t{4, use natural grade, If avallable. Check the measurement used. In Puerto Rloo only, enter meters. Et. Provide stevation Information for the following and check dw appropriate boxes to show whether the elevation Is above or below the highest adjacent grade (HAG) and the lowest s*oanl grade (LAO). e) Top of bottom floor (including basement crewfepece, or enclosure) Is—. _ ❑feet ❑meters Clabove orbelow the HAG. bot b) Top of tom floor (Including basement crawlapooe, or enclosure) Is — _ [3W ❑meters or ®below the LAG. E2. For Building Diagrams 8.9 with permanent flood openings provMedJh, Seetlgp,N Items 8 �/or 9 (see ggpea 8A of IneWdlane). Me next higher door (elevation C2.b In the diagrams) of the building Is LJ feet LJ meters U above or U below Me HAG. E3. Attached garage Bop of slab) Is _ ❑ fast ❑ metere ❑ above or ❑ below the HAG. E4. Top of platform of machinery andfor equipment servicing the building Is ' _ ❑ feet ❑ maters ❑ above or ❑ below the HAG. E5. Zone AO onIf no flood depth number Is avertable, Is the top of the bottom door elevated In eccordamx with the community's floodplain management ordinance? b yes ❑ No ❑ Unknown. The local official must certify this Information In Section G. SECTION F • PROPERTY OWNER IOR OWNER'S REPRESENTATIVEI CERTIFICATION The property owner or owners ouMoliBd representative who completes Sections A, 8, and E for Zone A (without a FEMA4seusd or communtty-leaued BFE) or Zone AO must sign here. The statements In Sections A, A and E are consof to the beat of my knowledge. ' Property Owners or Owner's Authorized Representative's Name Address Cly State ZIP Code lure Date Telephone Carthame and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Checli the measurement used In Items 08 and 09. 01. ❑ The Information In Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or mchllect who Is authorized by low to owdy elevation Information. (Indicate the source and date of the elevation date In the Comments area below.) G2. ❑ A community official completed Section E for a building looted In Zone A (without a FEMMasued or oommunily-lesued BFE) or Zone AO. G3. ❑ The following Information (Items G4 -G9) Is provided for community floodplain management purposes. G7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -bunt lowest Noor (Including basement) of the building ❑ feel ❑ meters (PR) Datum 09. SFE or (in Zone AO) depth of flooding at the building alta ❑ feet ❑ meters(PR) Datum — G10. Community's design flood OVAISIoDepartment of Public W-6 ❑ feet ❑ meters(PR) Datum Local Official's Name fij._. The Signature 7/2-7/0 FEMA Form 8141, ell M kit t �:1 A