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Home My WebLink About6-5-003:029 Re-Located Old Church Proje ct No. 16095.2 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 t 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 -RE-LOCATED OLD CHURCH BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg. No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 65-1235 Kawaihae Road CITY STATE ZIP CODE Kamuela, Hawaii 96743 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 (3' Division) BUILDING USE(e.g..Residential.Non-residential,Additio .Accessory,etc. Use Cojments section if necessary.) CHURCH ( t�V o.�.A,4 w�o,,e. ch/ova. LATITUDE/LONGITUDE(OP11ONAL) HORIZ NTAL DATUM: SOURCE: 1_1GPS(Type). ( ##°-##'-##.##" or ##.4##/##°) l i NAD 1927 i_I NAD 1983 i_I USGS Quad Map U Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER 82.COUNTY NAME B3.STATE Hawaii 15S164 Hawaii Hawaii B4.MAP AND PANEL B5.SUFFIX B6.FIRM INDEX B7.FIRM PANEL 88.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 2663.0 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in 89. L FIS Profile 1_1 FIRM I Community Determined LI Other(Describe): B11. Indicate the elevation datum used for the BFE in B9: L NGVD 1929 LI NAVD 1988 IJ Other(Describe): B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? I—I Yes 0 No Designation Date: • SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl.Building elevations are based on: I_IConstruction Drawings` 1'Building Under Construction' IJFinished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 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 A1-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 FIRM? IJ Yes I )i No / ❑ a)Top of bottom floor(including basement or enclosure) 2664.93 ft.(d() W/' ❑ b)Top of next higher floor n/a _ft.(m) 4 0 c)Bottom of lowest horizontal structural member(V zones only) n/a _ft.(m) Q-� > LIC ID d)Attached garage(top of slab) n/a •_ft.(m) E g /��' P. � � . �t ❑ 4 e)Lowest elevation of machinery and/or equipment ``' - r t servicing the building Ellac. P,tiVgnL 2667.5 ft.(m)c . * - Cl —f)Lowest adjacent grade(LAG) 2661:8 ft.(%0 z ' , R(g)Highest adjacent grade(HAG) 2E62'0_ft.(m) ❑ h)No. of permanent openings(flood vents)within 1 ft. above adjacent grade 0 b II'I tie 0S. ❑ i)Total area of all permanent openings(flood vents)in C3h 0 sq. in.(sq. cm) Sep - , 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. I 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 Chrystal Thomas Yamasaki LS-4331 TITLE COMPANY NAME Land Surveyor WF,S THOMAS & ASSOCIATES, INC.. CITYSATE ZIP CODE AD.- S 49 Kalawa Street Kail»a-Kn a Hawaii 96740-1.817 SI•�'tl*E / DATE TELEPHONE September 13, 2002Project No. 808-329-2353 FFMA -Arm R1-11 OCI SPF PPVFRSP SIr1F F(1R((1NTINI IATI(1N PFPI A(.PS Al I PRF1/I(11 IS FrIITIANS IMPORTANT:,•In thesespaces,copy the corresponding information from Section A. .• For Insurance Company lice. BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Policy Number CITY STATE ZIP CODE Company NAIC 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 BFE) For Zone AO and Zone A(without BFE),complete Items El.through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,Section C must be completed. El.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 I__I__I ft.(m)I (�lin.(cm) I__I above or I—I below (check one)the highest adjacent grade. (Use natural grade,if available.) E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is 1_1_1 ft.(m)l--l--lirt.(cm)above the highest adjacent grade. Complete Items C3.h and C3.i on front of form. 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?I_I Yes I_.1No II 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 C3.i only),and E for Zone A (without a FEMA-issued or community-issued BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are correct to the best of my knowledge. 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.I__I The information in Section C was taken from other documentation that has been signed and embossed bye 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.I=_I The following information(Items G4-G9)is provided for community floodplain management purposes. • G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issued for: LI New Construction I__I Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building is: ___ft.(m)Datum: G9.BFE or(in Zone!O).depth of flooding at the building site is: ft.(m)Datum:_________ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE The Department of Pdbtic Vi-crridE COMMENTS Engineering Divisien has- reviewwccd the Elevation Certificate and I recommends ID does not recommend I__I Check here if attachments finul upptuvul FPIAA Fetrm R1-'%1 II ti nn PFPI A(:FC AI I PRF\/t ll IC Pr11TIr1NC By Date Ct, S( 02--