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Home My WebLink About2-4-037:054L ELEVATION- CERTIFICATE O.M.B. No. 3067-007/ FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 1999 NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to pro- vide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form. Instructions for completing this form can be found on the following pages. - SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER K.N.T. Partners STREET ADDRESS (Including Apt.. Unit. Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc.) Lot 17, Waiakea Heights. Subdivision; Unit 1, TMK: 3rd Div. 2-4-37: 54- CITY STATE ZIP CODE Hilo HI 96720 SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AD use depth) 155166 0890 C Sept. 16, 1988 _ AH ; YY _. 60fi 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevatiolis (BFE): NNGVD '29 ❑Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: I I I I I I .0 feet NGVD (or other FIRM datum—see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION'"4 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level 5 2(a.). FIRM Zones Ai -A30, AE, AH, and A (with BFE). The top of the-referericedevel floor from the selected diagram is at an elevation of ! 1 161 O! 71 AJ feet NGVD (or other FIRM datum—see Section B, Item 7): (b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of UJJ_1 J.JJ,feet NGVD (or.other FIRM datum—'see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is L11.0 feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. ' (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is UJ.IJ feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ® NGVD '29 ❑ Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes I—IX_ No (See Instructions on Page 4) 5. The reference level elevation is based on: X❑ actual construction ❑. construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: 1 1 16101(9J feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: ! I ! ! I I .L! feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31, MAR 97 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a favid surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),Vl—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the' certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference levei diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C. Item t, must still be entered. I c6aily that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. I understand that any lalse statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'$ NAME LICENSE NUMBER (or Affix Seal) _ Clyde K. Matsunaga 4328 TITLE COMPANY NAME Licensed Professional Land Surveyor Imata & Associates, Inca _ ADDRESS CITY STATE ZIP 171 Kapiolani Street Hilo HI 96720 SIGNATURE 0N� /� f'7_ DATE PHONE /� �jt 12/01/99 - (808) 935-6827 Copies should be made of this Certificate for: 1) community official, 2) insurance agenVcompany, and 3) building owner. COMMENTS: __ The Department of Public Works Engineering Division has reviewed theFIcs— eyatataon cart=4' enter and recornmends oes not -recommend final approval Date l kok 00 ON WITH ON PILES. SLAB BASEMENT PIERS, OR COLUMNS A V A A v ZONES ZONES ZONES ZONES ZONES REFERENCE ' REFERENCE WASE LEVEL LEVEL FLOOD REFERENCE LEVEL ELEVATION : " N.. T 3 :::�•:' DASE. BASE .. REFERENCE FLOOD "•'"' ADJACENT •:_ i.;: ELEvAION GRAD E., ; LEVEL REFERENCE FLOOD ELEVATION ADJACENT LEVEL GRADE ;•; �•: •'='i-jc.:'i[t�;.: r':i _: . ...r • .ADJACENT:; (.•: ,n GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations'lor all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural membei. Page 2