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Home My WebLink About6-5-003:029 Detached GarageProject,No. 16095.2 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number Roman Catholic Church -DETACHED GARAGE' BUILDING STREET ADDRESS (Including Apt.. Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number CITY Kamuela. Hawaii 96743 STATE ZIP PROPERTY DESCRIPTION (Lot and Block Numbers. Tax Parcel Number, Legal Description, etc. Lot 13, Block 4 of Waimea Homesteads (HTS Plat 405-A) Grant 10324 TMK:' 6-5 03 029 (31 Division) BUILDING USE „(e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) . Storage Shed'' LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: IJ GPS (Type). ( ##° - ##'- ##.##" or ##.#####0) 1 J NAD 1927 1_1 NAD 1983 1_I USGS Quad Map IJ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION I B1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER I B2. COUNTY NAME I B3. STATE I L_ _ Hawaii ( Hawaii I Hawaii B4. MAP AND PANEL •135. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) 155166 0168 E June 2 1995 May 16, 1994 AE ° 2658.2 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 89. 1_X1 FIS Profile I—I FIRM 1_1 Community Determined Ll Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: 1_)f NGVD 1929 1_1 NAVD 1988 1J Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1 Yes L No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) doC1. Building elevations are based on: 1_1Construction Drawings' IJBuilding Under Construction* IJFinished Construction •A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1 (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, V1 -V30, 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 field 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 Local Bench MarkDoes the elevation reference mark used appear on the Yes 1 % N ❑ a) Top of bottom floor (including basement or enclosure) 2659.18 ft.(X) � cod Ql, ❑ b) Top of next higher floor n/a _ ft.(m) -k. ❑ c) Bottom of lowest horizontal structural member (V zones only) n/a — ft.(m) A _Q= LICENSED EM ❑ d) Attached garage (top of slab) n/a — ft.(m) E o U PMF ❑ e) Lowest elevation of machinery and/or equipment t m P servicing the building n/a ft.(m) a {� ❑ f) Lowest adjacent grade (LAG) 2658.4 ft. (X4 z.5-- NO. �•`'1 Q.• 9(g) Highest adjacent grade (HAG) 2658,3— ft.00 6yAft �5, ❑ h) No. of permanent openings (flood vents) within 1 ft_ above adjacent grade 8 $ ❑ i) Total area of all permanent openings (flood vents) in C3h 416 sq. in. (sq. cm) J August 19, 2002 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. l certify that the information in Sections A, B. and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section' 1001. CERTIFIER'S NAME LICENSE NUMBER nd Surveyor WES THOMAS & A-SSOCTATES � !N��ATE ZIP CODE S CITY =9749 Kalawa Street tr„ 1.,n_x.,n_ u.,__.. ; _- ncII.n_, Q, A FEMA F rm R1_11 At ir. oq CFF RFvFRRF RIIIF Fr1R r.nNTIN1 IATInN RFPI Ar.FR Al I PRPmol m FnlTlr1NR Cl �Iwnvu sv Ktt r °ADDRESS (Including=APL; ' Suite,;aiid/or Bldgr No:) OR P.O. ROUTE STA ZIP CODE _... ,mal ly,vse: Policy Number 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 I_I Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT SFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. !f the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. 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 IJ—I ft.(m) IJJin.(cm) U above or 1__1 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 U_1 ft.(m) U_1in.(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? 1_1 Yes 1^1 No 1_1 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. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS U 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. U 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. U 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. LJ O.G3.1_1 The foil 0wing information (Items G4-139) is provided for community floodplain management purposes. ISSUED G7. This permit has been issued for: 1_1 New Construction 1_1 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: ft.(m)Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _ ft.(m)Datum: Engineering Division has reviewed 1116C COMMUNITY NAME the Elevation Certificate and TELEPHONE SIGNATURE reMinmends DATE does not recommend COMMENTS final approval PrIMA Pnrm R1_ 21 AI Ir, as Check here if attachments RGDI Ar`GC Al 1 PPM/Ir1114Z Gr11T1(IAI4Z