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Home My WebLink About6-9-005:003Project No. 13558.4 .W NUMBER FE'RAL EMERGENCY MANAGEMENT AG6" ,Y ATIONAL FLOOD INSURANCE PROGRA... , . ELEVATION CERTIFICATE on woes t - 1, O.M.B. No. 3087-0077 A� Expires July 31, 2002 v SECTION A - PROPERTYOWNER INFORMATION _ For Irawenae Comoern UM: (Including Apt.. Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 96743 . -• •^" nvmcun i n uA I um: SOURCE: LI GPS (TYpek or #e.#) I J NAD 1927 L NAD 1893 LI usos Daae Map LJ ower: SECTION B - FLOOD INSURANCE RATE MAP (FIRMI INFORMATION Hawaii DATEEFFECTIVErttEV1SED DATE ZONES) (Zbns AO, use dopN ct a oNng) 16, 1988 Sept. 161988 VE 8 B10. Indlcate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 89. JJ FIS Profile IJ FIRM 1_1 Community Determined LXOther (Describe): USGS Data 611. Indicate the elevation datum used for the BFE in B9: I_X NGVD 1929 L_J NAVD 1989 LJ Other (Describe): 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Othenvise Protected Area (OPA)? Lj Yee Lj No Designation Date: C1. Building elevations are based on: LlConstruction Drawings' LJBuikiing Under Construction* JJFintahed Construction 102. 'A new Elevation Certificate will be required when construction of the building Is complete. Building Diagram Number _1 (Select the budding 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.) C3. Elevations — Zones Al -A30, AE, AH. A (with BFE), VE, Vl-V30. V (wilh BFE), AR, AR/A, 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 spa�c�yeers vided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum A/4 j0 /915 Conversion/Comments Elevation reference mark used I oral gnnrh MarlAoes the elevation reference mark used appear on the FIRM? Li Yes L29 No ❑ a) Top of bottom floor (including basement or enclosure) _ ft.(m) y T. Y O b) Top of next higher floor _ ft.(m) Jf gqP I c) Bottom of lowest horizontal structural member (V zones only) 8.1_ ft.04 0 d) Attached garage (top of slab) _ ft.(m) � O e) Lowest elevation of machinery and/or equipment e servicing the building ft.m ( ) qt f) Lowest adjacent grade (LAG) 6.2 ft.(i% 4rg) Highest adjacent grade (HAG) 6.8 ft.(r4ijl(N0' 4881 P O h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade y'1wAN, VS O 1) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. am) ovem , 2000 This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation Information. I certil)r that rhe information in Sections A, B. and C on this certificate represents my best ellbris to interprat the data available. I understand that any false statement may be punishable by Aire or imprisonment under 18 U. S. Code. Section 1001. A1-31 IMPORTANT: In these spaces, copy thr' irresponding Information from Section A..' For Insurance Company Use: BUILDING STREET ADDRESS (Including Apt; ..,lit, Suite, and/or Bi No.) OR P.O. ROUTE AND uX NO. Policy Number CITY STATE ZIP CODE Company NAIC umber SECTION D -SURVEYOR. ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. I I Check here if attachment 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 El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMB -F, Section C must be completed. El. 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 top of the bottom floor (including basement or enclosure) of the building is LIJ IL(m) IJJin.(cm) 1J above or 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 IJJ ft•(m) I- JJin.(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 floodplain management ordinance? I I Yes I I No I I Unknown. The local official must certify this information in Section G. F- I ne properry 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 OWN R'S OR OWN R'S AUT ORIZED REPR NTAJIVE'S NAM ADDRESS CITY STATE ZIP CODE L-1 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law 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. G1. 1J The information in Section 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.) G2.1 I A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. ` G3. 1J The following information (Items G449) is provided for community floodplain management purposes. ISSUED G7. This permit has been issued for. jJ New Construction 1_1 Substantial Improvem"6 nei".Itmatit of PubFib \Vbrks G8. Elevation of as -built lowest floor (including basement) of the building is:g ,�-"A% CRWiok3eWatL— G9. BFE or (in Zone AO) depth of flooding at the building site is: #41 Lml0aturn, I I Check here if attachments cF�Ip Lnrn, At.'!t pll!_ pD GCDI arFc DI I GPcwiniic PruTinkiQ