HomeMy WebLinkAbout7-5-022:065PIFOj@Ct NO. 10973.1F' "RAL EMERGENCY MANAGEMENT AGI 'Y
14ATIONAL FLOOD INSURANCE PROGRAm
ELEVATION CERTIFICATE
Read the Instructions on please 1 -7.
OWNER INFORMATION
BUILDING STREET ADDRESS (Including Apt., Unit. Suite. and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
etc. Use
necessary.
O.M.B. No. 3067-0077
Expires July 31, 2002
For Insurance Company Use:
_-
LATITUDEILONGITUDE (OPTIONAL) . HORIZONTAL DATUM: SOURCE: 1_1 GPS (Type).
( W -W' - ##.W or ##,###W) I _..I NAD 1927 1_1 NAD 1983 1_1 USGS Quad Map 1_I Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME 8 COMMUNITYNUMBER �j 8�2. COUNTY NAME B3. STATE
Hawaii _ I Hawaii Hawaii
84. MAP AND PANEL
B5. SUFFIX -]'"B6.
FIRM INDEX
87. FIRM PANEL
B8. FLOOD
89. BASE FLOOD ELEVATION(S)
NUMBER
I
DATE
EFFECTIVEIREVISEDDATET
ZONES)
(ZOrIe AO, use tie M Of flootlklg)
155166 0713
D 1.4une
2 1995
Ma 16 1994
AE/X Shade
62 (RE).
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B8.
1J FIS Profile LXJ FIRM 1J Community Determined LI Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: i_Z NGVD 1929 I_I NAVD 1988 1J Other (Describe): _
812. Is the building located tni a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
1J Yes LI No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: I—IConslruction Drawings' IJBuikting Under Construction' I_ Finished Construction
A new Elevation Certificate will be required when construction of the building is complete.
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.)
C3. Elevations - Zones Al -A30, AE, AH. A (with BFE), VE, V1430, V (with 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 fleld 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 mark used I oral Rene -.h MarkDoes the elevation reference mark used appear on the FIRM? 1J Yes LX No
'J( a) Top of bottom floor (including basement or enclosure) 66,Q_ ft. 4
O b) Top of next higher floor ft ( A ygI T. yq�
❑ c) Bottom of lowest horizontal structural member (V zones only) Ana,,ft.(m)
Q LICENSE
�( d) Attached garage (top of slab) Parking under bldg5= ft.(X� 81. � �
Q e) Lowest elevation of machinery and/or equipment r Conditioning Slabs e
servicing the building 55.7156.1. 55.9 and 57.2 ft.(d)4X 61 fir
LA f) Lowest adjacent grade (LAG) 52.9 ft.Z rili
OA g) Highest adjacent grade (HAG) 58,E ft.(= I . 4331
O h) No. of permanent openings (flood vents) within 1 R. above adjacent grade ni ai'Vgit, t).
U i) Total area of all permanent openings (flood vents) in C311 sq. In. (sq. cm) Ugus , 001
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 certify that the information in Sections A. S. and C on this certificate represents my best efforts to interpret the data available.
fine or
1001.
_ Chrystal Thomas Yamacaki_ _.• �,. �� 15-4331
TLEa
TICOMPANY NAME
IN
DCITY ATE ZIP CODE
5T''9749Kalaw Kai1VIA-Knna Hawal 96240--11112
Sig?y�vRE1 _ �� DATE ELEPHONE
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