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Home My WebLink About2-4-063:001u: S. DEPARTMENT OF NGMELANG SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 bbtlunul Flood hu-,luI P1,11111 Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015 SECTION A- PROPERTY INFORMATION FOR INSURANCE COMPANY USE At. Building Owners Name Colin Uemura and Joni Umnum Policy Number: A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Hurl 1357 Matsu, Street City Hilo State HI ZIP Code 96720 A3, Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Tax Map Key (3) 24-063: 001 A4. Building Use (e. g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Lebtude/Longitutle: Lat. N 19"472T Long. W155-0644 Horizontal Datum: D NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1B A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosures) _ sqR a) Square footage of attached garage 465 sq fit b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade within 1.0 feet above adjacent grade 2 c) Total net area of flood openings in AB.b _ sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? 0 Yes D No d) Engineered flood openings? 0 Yes ® No SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. NFIP Community Name 8 Community Number B2. County NameI B3. State wa Hawaii County, Hawaii 155166 Haii Hawaii B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel Ell Flood B9. Base Flood Elevation(s) (Zone 1551660890 C 04/02/2004 Effective/Revised Date Zones) AO, use base flood depth) Na_ D feet D meters 09/16/1988 AH 446.05 feet 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. D FIS Profile 0 FIRM ® Community Determined 0 Other/Source. B11. Indicate elevation datum used for BFE in Item B9: D NGVD 1929 D NAVD 1988 ® Other/Source'. LTD B12. Is Ne building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes ® No Designation Date: _ 0 CBRS D EPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construction Drawings' D Building Under Construction' ® Finished Constmction 'A new Elevation Certificate will he required when construction of the building is complete. C2. Elevations - Zones Al -A30. AE, Al A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, ARAE, AR/Al-A3Q AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: Spike at KawailangOihana Vertical Datum'. LTD Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 0 NAVD 1988 0 OlhodSource: LTD Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher poor 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) h Lowest adjacent (finished) grade next to building (LAG) Ill Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 446.32 ® feet D meters Na._ D feet 0 meters Na D feet D meter: 445.87 0 feet 0 meters Na_ D feet D meters 445 75 ® feet 0 meters 445.80 ® feet 0 meters rSre.— D feet 0 meters SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ELEVATION IMPORTANT: In these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Belong Street Address (including Apt.. Unit Suite, anchor Bldg. NO) or P.O. Route and Box No. Policy Number: 1357 Manors Street _ City Hila State HI ZIP Code 90720 Company NAC Number. SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agem/company, and (3) building owner. Comments Section As. The garage 1s fully open on the front and has partial openings on side. Date SECTION E - BUILDING ELEVATION 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 Et{4, use natural grade, it available. Check the measurement used. In Puene Rico only, enter meters. Et. Provide elevation information for the follovwng 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 a ❑ below the HAG. b) Top of bottom floor (including basement craw/space, or enclosure) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the iy G. E2, For Building Diagrams e-9 with permanent flood openings provided In Section A Items B and/or 9 (see pages 8-9 of Iretructior the next higher floor (elevation C2 to in the diagrams) titthe building is __ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is _ _ []feet ❑ meters ❑ above or ❑ beiow the HAG. E4. Top of platform of machinery ani equipment servicing the building is —_ ❑ feel ❑ meters ❑ shove or ❑ below the HAG. E5. Zone AO orly: If ne flood depth number is available. is the top of the bottom floor elevated in accordance win the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official meat cenify this information In Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner s auNorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or commundy-issued BFE) or Zone AO most sign here. The statements in Sections A. B. and E are correct to the best of my knowledge. Property Owners or Owner a Authorized Representative a Name J C Address 1'1_ I 1\'1 /Lll ll Ili �t City 'j. C State 111 ZIP Code Cil' Signature Dale Telephone 'I g" a�{ur,,,.a- Comments tic hi I.U.��.,.� �IrA r JCC('. Check here d attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) Ir—, arwlm..l.o m sumon:sa w ra ..—i saminumr the community's n x,d,min manwentern orinnovice con comaCm semorrn A. a. c car el. arw C of Ws Elevation Ceniflcate. Complete the applicable dem(s) and sign below. Check the measurement used In Items 38S310, In Puerto Rico only, enter meters. Gt. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a Idera nd surveyor, engineer, or architect who Is eufftonzed by law to mthly elevation information, (Indicate the source and date of the elevation dot. in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zane A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. ❑ The followlrg information (Items G 10) Is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issuetl G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement 38. Elevation of as -built lowest floor (including basement) of the building. ❑feet ❑meters Datum_ Go, BFE or (in Zone AO) depth Of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's ciogn 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.