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County of Hawaii DEPARTMENT OF PUBLIC WORKS RESIDENTIAL FLOODING QUESTIONNAIRE To assist us in better identifying special flood hazard areas, please complete the following questionnaire <br />and mail to: Department of Public Works Engineering Division 101 Pauahi Street, Suite 7 Hilo, Hawai‘i 96720 Street address of your home: Years you lived at the above address? <br /> Years Do you have flood insurance?  Yes  No Describe your flood issue: Did you live at the above address during the Nov. 28 or Dec. 5 & 6, 2007 storm?  Yes  No Was <br />the above address flooded during the Nov. 28 or Dec. 5 & 6, 2007 storm?  Yes  No If item 6 is “yes,” please indicate in the table below, how high the water level rose relative to the <br />first floor of your home (A reasonable estimate, based on your memory is acceptable). Water Level Rise Relative to First Floor  Below -or- Above  Feet Inches  Feet Inches         <br />Has the above address been flooded before?  Yes  No If item 8 is “yes,” in the table below, please provide us with the date(s) flooding occurred and the water level rise relative to <br />the first floor of your home (A reasonable estimate, based on your memory is acceptable). Flooding Occurred Water Level Rise Relative to First Floor   Below -or- Above  Month Year Feet Inc <br />hes  Feet Inches