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Home My WebLink About6-9-003:007Our A 14731.2 U.S..DEPA MENTOF HOMELAND SECURITY ? ELEVATION CERTIFICATE I OMB No. 1660-0008 Federal Emergency Management Agency I Expires February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION .Far,'Ineyreriae Comphny,Ude:;.,;,',, �.;. 1. Building Owner's Name PoBuy Number - Guy & Linda Startsman A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 69-1680 Puako Beach Drive city Kamuela State Hawaii ZIP code 96743 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 68 of Puako Beach Lots TMK: 3/6-9-003: 007 AC Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Laatude/Longitude: Lal. N19 58' 16.43496" Long. W 155 50' 30.89556" Hor zontal Datum: NAD 1927 Q NAD 1983 A8. Attach at least 2 photographs of the building If the Certificate is being used to obtain flood Insurance. A7. Building Diagram Number I A8. For a building with a crawl space or enclosure(s). provide: A9. For a building with an attached garage. provide: a) Square footage of crawl space or enclosure(s) n/a sq R a) Square footage of attached garage 678 sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings In the attached garage endosure(s) walls within 1.0 foot above adjacent grade n/a walls within 1.0 fool above adjacent grade 0 c) Total net area of food openings in A8.b n/a sq in c) Total net area of flood openings in A9.b _Q sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bi. NFIPCommunity Name 8 Community Number 82. County Name B3. State HAWAII 155166 Hawaii County State of Hawaii B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 0277 C Date ERective/Revlsed Date Zone(s) 1 AO, use base flood depth) 04/02/2004 09/16/1988 AE 6 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑FIS Profile [Z]FIRM QCommun)ty Determined Other (Describe) 811. Indicate elevation datum used for BFE in Item B9: ❑,r NGVD 1929 [:]NAVD 1988 Other (Describe) �2. Is the building located in a Coastal Barter Resources System (CRS) area r herwise Protected Area (OPA)7 Yes Q No Designation Date CBRS DOPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' []Building Under Construction' 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, AR/A, AR/AE. AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g . below according to the building diagram specified In Item A7. Benchmark Utilized MSL Flevatinns on Puakn Trig Rtatinn Vertical Datum (N(;VD 1929) Conversion/Comments Elevations Carried to Puako Triangulation Station for the Queen Kaahumanu HM Construction Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) 6.s a feet Elmeters(Puerto Rico only) b) Top of the next higher floor 16.!4g( feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 6.67 feet ❑ meters (Puerto Rico only) . e) Lowest elevation of machinery or equipment servicing the building fj,g0feet ❑ meters (Puerto Ricoonly) (Describe type of equipment in Comments) 0 Lowest adjacent (finished) grade (LAG) 5,Z8 rnfeet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 6. J lest ❑ meters (Puerto Rico only) SECTION D - SURVEYOR. ENGINEER. OR ARCHITECT CERTIFICATION Information. I certify that the information on this Certificate represents my best efforts to Interpret the data available. I understand that any false statement may be punishable by tine or imprisonment under 18 U. S. Code, Section 1001. ❑d Check here If comments are provided on back of form. """" Chrystal T. Yamasaki "'""""'"" LS -4331 )s Thomas Associates 75-5749 Kalawa Stree Wes Thomas Associates Kailua-Kona "'" Hawaii 2009 329-2353 A / i,yINJ March 2, 2009 Form 81-31, Febleef{ 2006 See reverse side for continuation. IV Replaces all previous editions IMPORTANT: In Section A. or State 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. Comments Garage wall are not mmnlete (seehn otos) Lowest Electrical Equipment is bottom of hot water heater which is 0.2 foot from concrete slab (see photo). 1014 -7 4 Off signature Dale March 2, 2009 Check here if attachments SECTION - BUILDING ELEVA ORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items Et -E5. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items El -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation Information for the following and check the appropriate 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 _ _ El feet El meters 11 above or El below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is _ _ ❑ feel ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided In SectigiLP Items 8 n /or 9 (see �a a 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ [:]feet �j meters above or (_I below the HAG. E3. Attached garage (top of slab) is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is _ ❑ feel ❑ meters ❑ above or ❑ below the HAG. E5. 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? ❑ Yes ❑ No ❑ Unknown, The local official must certify this Information in Section G. 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. The statements in Sections A, B, and E are coned to the best of my knowfedge. Property Owner's or Owner's Authorized Representative's Name - ress City State ZIP Code Signature Date Telephone Comments ❑ 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. Check the measurement used in Items G8. and G9. G1. ❑ The information In Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who M is authorized by law to certify elevation Information. (Indicate the source and date of the elevation data In the Comments area below.) qac. " n wunnunu7 mnuai wmpmtoa oa(.11iun c mr a uusumg iuualeu in Lune A twimom a rtmm-Issues or communityissuee oht) or Lone AV. G3. ❑ The following Information (Items G4. -G9.) Is provided for community floodplain management purposes. G5. Date Permit Issued I G8. Date 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) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Date FEMA form 81-31, Replaces all previous 02/26/2 :a;