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U.S. DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY ELEVATION CERTIFICATE OMB No. 1660-0008
National Flood Insurance Program IMPORTANT: Follow the instructions on pages 1-9. Expiration Date: July 31, 2015
SECTION A - PROPERTY INFORMATION
Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.)
FOR INSURANCE COMPANY USE
Al. Building Owner's Name St. Michael's Church
Latitude/Longitude: Lat. 19.6386 Long. -155.99117
Policy Number:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or PO. Route and Box No.
75-5769 Alii Drive
Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
Company NAIC Number:
City Kailua Kona State Hl
ZIP Code 96740
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
For a building with a crawlspace or enclosure(s):
TM K: 3/7-5-008: 006
❑ meters
A4.
Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.)
B3. State
I
A5.
Latitude/Longitude: Lat. 19.6386 Long. -155.99117
Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983
A6.
Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7.
Building Diagram Number 1 R
B8. Flood Zone(s)
A8.
For a building with a crawlspace or enclosure(s):
A9. For a building with an attached garage:
❑ meters
a) Square footage of crawlspace or enclosure(s) n/a• sq ft
a) Square footage of attached garage n/a. sq ft
A0, use base flood depth)
b) No. of permanent flood openings in the crawlspace or n/a
b) Number of permanent flood openings in the attached garage
04/02/2013
enclosure(s) within 1.0 foot above adjacent grade
within 1.0 foot above adjacent grade n/a,
20
c) Total net area of flood openings in A8.b n/a sq in
c) Total net area of flood openings in A9.b n/a- sq in
❑ meters
d) Engineered flood openings? ❑ Yes ❑ No
d) Engineered flood openings? ❑ Yes ❑ No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Name
B3. State
I
HAWAII 155166
HAWAII COUNTY
HAWAII
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index Date
B7. FIRM Panel Effective/
B8. Flood Zone(s)
B9. Base Flood Elevation(s) (Zone
Licensed Professional Land Surveyor
N feet
❑ meters
Revised Date
Address
A0, use base flood depth)
155166 0713
D
04/02/2013
05/16/1994
AE/Floodway
20
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
❑ FIS Profile N FIRM ❑ Community Determined ❑ Other/Source: LOMB Case 11-09-0229R (6/14/1995) & 14-09-1104P (1/26/15)
Bll. Indicate elevation datum used for BFE in Item 69: K NGVD 1929 ❑ NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No
Designation Date: / / ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* N Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/A0. Complete Items
C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: Kailua Pier BM#4 Vertical Datum: Mean Sea Level
Indicate elevation datum used for the elevations in items a) through h) below. ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor)
b) Top of the next higher floor
c) Bottom of the lowest horizontal structural member (V Zones only)
d) Attached garage (top of slab)
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG)
g) Highest adjacent (finished) grade next to building (HAG)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support
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 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.
❑x Check here if comments are provided on back of form.
❑x Check here if attachments.
Were latitude and longitude in Section A provided by a
licensed land surveyor? ® Yes ❑ No
Certifier's Name
Check the measurement used.
22
. 1
N feet
❑ meters
33
, 2
N feet
❑ meters
n/a.
Licensed Professional Land Surveyor
N feet
❑ meters
n/a..
Address
N feet
❑ meters
23
_2
® feet
❑ meters
22
. 0
N feet
❑ meters
22
1
N feet
❑ meters
12
. 1
® feet
❑ meters
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 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.
❑x Check here if comments are provided on back of form.
❑x Check here if attachments.
Were latitude and longitude in Section A provided by a
licensed land surveyor? ® Yes ❑ No
Certifier's Name
License Number
Chrystal Thomas Yamasaki
LS -4331 Hawaii
Title
Company Name
Licensed Professional Land Surveyor
Wes Thomas Associates
Address
City
State
ZIP Code
75-5749 Kalawa Stre t, Suite 201
Kailua Kona
HI
96740
S' a
Date
Telephone
03/04/2015
(808) 329-2353
Z LICENSED y
UZ PROFESSIONA
* SU
AIS, v5P
03/04/2015
FEMA Form 086-0-33 (7/12)x/ See reverse side for continuation. 'f Replaces all previous editions.
ELEVATION CERTIFICATE, page 2
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P0. Route and Box No. Policy Number:
75-5769 AN Drive
City State ZIP Code Company NAIC Number:
Kailua Kona HI 96740
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 LOMR Case 11-09-0229R (6/14/1995) & Case 14-09-1104P (1/26/15)
Lowest electrical is an outlet on the East side of the structure.
SECTION E - BUILDING ELEVATRW INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C.
For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions),
the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E5. 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? ❑ Yes ❑ No ❑ 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. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑ 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. Check the measurement used in Items G8 -G10. In Puerto Rico only, enter meters.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect
who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone A0.
G3. ❑ 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 —71
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum
G10. Community's design flood elevation: ❑ feet ❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
❑ Check here if attachments.
FEMA Form 086-0-33 (7/12) Replaces all previous editions.
WITCHER ENGINEERING LLP
Principal Consulting Civil Engineers
Bruce E. Witcher, P.E. Construction Managers
ENGINEERING "NO -RISE" CERTIFICATION
This is to certify that I am a duly qualified engineer licensed to practice in the State of Hawaii.
It is to further certify that the attached technical data supports the fact that the proposed St. Michael
Oe Archangel Catholic Church, TMK (3) 7-5-008:006, will not impact the 100 -year flood elevations,
floodway elevations and floodway widths on Keopu Stream at published sections in the Flood
Insurance Study for Hawaii County, dated June, 1995 and will not impact the 100 -year flood
elevations, floodway elevations, and floodway widths at unpublished cross-sections in the vicinity
of' the proposed development.
March 5, 2015
P.O. Box 4692, Camp Verde, AZ 86322
(928) 554-1312
15-01220
Principal Engineer
WITCHER ENGINEERING LLP
P.O. Box 4692
Camp Verde, AZ 86322
Email: bewitch@ilhawaii.net
Website: witcherengineering.com