County of Hawaii
DEPARTMENT OF PUBLIC WORKS
RESIDENTIAL FLOOD MAPPING QUESTIONNAIRE
(Pu'ukapu Flood Mapping Study)
To assist us in better identifying and mapping special flood hazard areas, please
complete the following questionnaire and submit by e-mail.
1. Street address of your home:
2. Years you lived at the above address?
3. Do you have flood insurance? Yes No
4. Has your residence ever been flooded by a storm event? Yes No
5. If item 4 is "yes" in the table below, please provide us with the date(s) flooding occurred
and the water level rise relative to the first floor of your home.( A reasonable estimate,
based on your memory is acceptable).
Water Level Rise Relative to the First Floor
Flooding Occurred Below Above
Month Year Feet Inches Feet Inches
SUBMIT RESET FORM