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Home My WebLink About6-9-006:037;' eP 29 05 03:09F Public Warks 808-327-3533 P"1 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 01F P 3 20()5 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - T. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Tho mo S 4 Ga Y bCA rq Na i i Policy Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or idg. No. OR P,O. ROUTE AND BOX NO Company NAiC Number 0q-192 >pUa1b 6,c Dr, A -P ,2 CITY [ iw n 0 Q 1 q STATE 14 T- ZIP CODE47 BUILDING Ubt (e.g tzesloenual, on-resiaenhai, A(tdtt n, Acce sory, etc. Use a Comments area, a necessary.) e�g L_I NAD 1927 L( NAD 1983 SOURCE: GPS e (_,_( USG5 Quad Map LI Outer SECTION 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER 1 82. COUNTY NAME B3. STATE Hawaii County 155166 Hawaii Colmt 7i' B10. indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. U FIS Profile I' FIRM L) Community Determined IJ Other (Describe): 1311- Indicate the elevation datum used for the BFE in B9: iyf NGVD 1929 I_( NAVD 1988 L.J Other (Describe): 812. is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? i_I Yes IX I No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: (_(Construction Drawings' LjBuilding Under Construction' Finished 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, ARIAH, ARiAO Complete Items C3.a-i below according to the building diagram specified in Item C2. State the datum used. H the datum is different from the datum used for the BFE in Section S. convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. U e the space provided or the Comments area of Section D or Section G. as appropriate, to document the datum conversion. Datums ConversioComments m Elevation reference ark used T C(ql Does the elevation reference mark used appear on the FIRM? {_,_I Yes IyI No a) Top of bottom floor (including basement or enclosure) 1� b) Top of next higher floor) � • f? � ft•(m) N m fts'�1'•-------•~.._.`r •'•;1• O c) Bottom of lowest horizontal structural member (V zones only) — ft•(m) O d) Attached garage (top of slab) ft.(m) r- JE>-' E; L.0 '41 ,I wry e) Lowest elevation of machinery and/or equipment , 1 servicing the building (Describe in a Comments area.) .36 ft.(m) s !(j VE fIf, =` ) f) Lowest adjacent (finished) grade (LAG) ft -(m) Z in 0.10743 ft.l►n g) Highest adjacent (finished) grade (HAG) Z 5g ) i b Q h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade O i) Total area of all permanent openings (flood vents) in C3.h sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is 10 be signed and sealed by a land surveyor, engineer, or architect authorized by taw 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. ! understand_ that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001• CER7IFIER'S NAME ThOm4s ia'1tI `S0 LICENSE NUMBER TITLE e$ i t em ��t t COMPANY NAME p�� ` S p V\ 0 e yn ADDRESS Sv- �y�,(j r� Q' Y > ®� CITY L A� Vuy ` �Y�Qi STATE "Ili ZIP CORE (I U-1 i Y 4D SIGNATURE V f DATEi TELEPHONE G®d _ 3`-_� C1 Li_(q FEMA Form 81-31, January 2003 See reverse side 1 conn uation. Replaces all previous editions B4, MAP AND PANEL J B5. SUFFIX I B6. FIRM INDEX B7. FIRM PANEL • B8. FLOOD B9. BASE FLOOD ELEVATION{S) NUMBER -Ig C DATE EFFECTIVEJR VISED DATE 1 I0- ZONE(S) (Zone AO, use depth of fkmd(ng) I 155166 02 4/ti: 1- B F B10. indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. U FIS Profile I' FIRM L) Community Determined IJ Other (Describe): 1311- Indicate the elevation datum used for the BFE in B9: iyf NGVD 1929 I_( NAVD 1988 L.J Other (Describe): 812. is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? i_I Yes IX I No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: (_(Construction Drawings' LjBuilding Under Construction' Finished 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, ARIAH, ARiAO Complete Items C3.a-i below according to the building diagram specified in Item C2. State the datum used. H the datum is different from the datum used for the BFE in Section S. convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. U e the space provided or the Comments area of Section D or Section G. as appropriate, to document the datum conversion. Datums ConversioComments m Elevation reference ark used T C(ql Does the elevation reference mark used appear on the FIRM? {_,_I Yes IyI No a) Top of bottom floor (including basement or enclosure) 1� b) Top of next higher floor) � • f? � ft•(m) N m fts'�1'•-------•~.._.`r •'•;1• O c) Bottom of lowest horizontal structural member (V zones only) — ft•(m) O d) Attached garage (top of slab) ft.(m) r- JE>-' E; L.0 '41 ,I wry e) Lowest elevation of machinery and/or equipment , 1 servicing the building (Describe in a Comments area.) .36 ft.(m) s !(j VE fIf, =` ) f) Lowest adjacent (finished) grade (LAG) ft -(m) Z in 0.10743 ft.l►n g) Highest adjacent (finished) grade (HAG) Z 5g ) i b Q h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade O i) Total area of all permanent openings (flood vents) in C3.h sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is 10 be signed and sealed by a land surveyor, engineer, or architect authorized by taw 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. ! understand_ that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001• CER7IFIER'S NAME ThOm4s ia'1tI `S0 LICENSE NUMBER TITLE e$ i t em ��t t COMPANY NAME p�� ` S p V\ 0 e yn ADDRESS Sv- �y�,(j r� Q' Y > ®� CITY L A� Vuy ` �Y�Qi STATE "Ili ZIP CORE (I U-1 i Y 4D SIGNATURE V f DATEi TELEPHONE G®d _ 3`-_� C1 Li_(q FEMA Form 81-31, January 2003 See reverse side 1 conn uation. Replaces all previous editions oSep 29 05 03:09p Public Works 808-327-3533 p•2 IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS (Including Apt., Unit, cite, and/or Bldg. No.) OR P.O. ROUTE ND BOX NO. Policy Number (n9 - { 92 Puq k5e c /� CITY mqQ l n STATE qZIP b14 Company NAIC Number rC` 1 ` 1 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 LJ Check here it attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REOUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zo a -AQ and Zone A (without BFE), complete Items E1. through E5. If the Elevation Certificate is intended -for use -as supporting information for a L'OMAor LOMB -F, Section C must be completed. `- E1. Building Diagram Nu, mb`et (Select the building diagram most similar to the building..forwvch this certificate is being completed -- see pages 6 and 7. If no diagram ci u Lely represents the building, provide a s�etch or photograph.) E2. The top of the bottom floor (including basement.pr enclosure) of the buil ' -it; L& ft- (m) j (- (in. (cm) L) above or L_I below (check one) the highest adjacent grade. (Use natu et -grade, if avaitgue.) E3. For Building Diagrams 6-8 with openings (seepage 7),..the n' kt higher floor or elevated floor (elevation b) of the building is (1 -71 ft. (m)11 12 din. (cm) above the highest-adtacent grade. Co pTete-Ile its C3.h and C3.i on front of form. E4. The top of the platform of machinery a+�dlor equipment servicing the building is Left (m) (l L( in. (cm) L)�J above or LI below (check one) the highest adj�nt reg de. (Use natural grade, if available.) ��—• E5. For Zone AO only. I�ffood depth number is available, is the top of the bottom Floor elevated in accordance with the community's floodplain managefneni ordinance? 1 ( Yes ( ( No i 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, C (items C3.h and C3J only), and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. rhe statements in Sections A. B, C, and E are correct to the best of my knowfedpe. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS 1_1 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. (^( 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. I I 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. 1_1 The foilowing information (Items 1134-139) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7. This permit has been issued for: 1_1 New Construction �,_I Substantial Improvement G8. Elevation of as-buitt 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: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS l _1 Check here if attachment; FEMA Form 81-31, January 2003 Replaces all previous editions