HomeMy WebLinkAbout6-9-003:018 ResidentialBUILDING STREET
CITY
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE -
Read the instructions on canes 1- -7.
O.M.B. No. 3067-00771
E )V res July 31, 2002
SECTION A - PROPERTY OWNER INFORMATION «ii#t
Qncdudng Apt. Unit. Suite, andt" Bldg. No.) OR P.O. ROUTE AND BOX NO.
LATITUDEILONGITUDE (OPTIONAL)
( Ili►° - #' - #-W or 100AWN)
STATE
Accessory, etc. Use
HORIZONTAL DATUM:
❑ NAD 1927 ® NAD 1983
ZIP CODE
Description, etc.)
SOURCE 0 GPS (Type):
0 USGS Quad Map ❑ Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Hawaii County 155166 1 Howl I HI
N IMBER I C ( D ' EFFECTNIUREVIMSED DATE ZONE(S)AE
(Zone AO. use depth of floodni
1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
13 FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B11: Indicate the elevation datum used for the BFE in 89: [a NGVD 1929 [3NAVD 1988 E3Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date
C1. Building elevations are based on: ❑ Construction Drawings` ❑ Building Under Construction' ® Finished Construction
aunnew Elevation Certificate will be required when construction of the building is complete.
ding QiagramNumber 5 (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, 4E AH, A (.with BFE), VE, V1430. V (with BFE), AR, AR/A, ARAE, AR/AI-A30, AR/AH, AR/AO
Complete Items C3a4 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 conversio
Datum USES Conversion/Comments NIA 7'uq KO -rxl d
Elevation reference mark used =Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No .
10 a) Top of bottom floor (including basement or enclosure) j(. 0 ft(m) F �� �� -
0 b) Top of nerd higher floor N&I�3';� "
0 cj Bottom of lowest horizontal structural member (V zones only)t1�A;LIt (rtr
0 d) Attached garage (top of stab) LA _R(m) e
t] e) Lowest elevation of machinery and/or equipmentG� ,fid e r` rI f 06 '. ° s UCEN3ED g
servicing the building. _ (m) 5 PROF
Q Lowest adjacent grade (LAG) QR.(m) H ENG EER
191 g) Highest adjacent grade (HAG) 4. IL(m) `
O h) No. of permanent openings (flood vents) within 1 It. above adjacent grade Sv • se
0 1) Total area of all permanent openings (flood vents) in Ch WA sq. in. (sq. cm) q i`I/Ail, V'
D -SURVEYOR ENGINEER, OR
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, B, and C on this certificate represents my best efforts to interpret the data avagable.
I understand that any false statement maybe punishable by fineoriniprisonment under 18 U.S Code, Sectio» 10101.
CERTIFIER -S NAME Bruce E. Welcher, P.E. LICENSE NUMBER 8522-C
TITLEPdWpal COMPANY NAME Witcher Engineering LLP
TMA Form-IrIP-31. AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITION