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U.S.JitEPARTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 <br /> .Federal Emergency Management Agency Expires March 31,2012 <br /> National Flood Insurance Program Important: Read the instructions on pages 1-9. <br /> SECTION A-PROPERTY INFORMATION For&n1oe?Company Use: <br /> ''11. Building Owner's Name Gary&Laurie Ann Tavares P icyr)�Ittertbei <br /> A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NW Number <br /> 340 Hoaka Road <br /> City Hilo State HI ZIP Code 96720 <br /> A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) <br /> TMK:3Div.2-4-006:180 <br /> A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential Studio <br /> A5. Latitude/Longitude:Lat. 19.662648 Long, 155.122182 Horizontal Datum: 0 NAD 1927 ® NAD 1983 <br /> A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. <br /> A7. Building Diagram Number 1B <br /> A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: <br /> a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft <br /> b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage <br /> enclosure(s)within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A <br /> 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 <br /> d) Engineered flood openings? 0 Yes ® No d) Engineered flood openings? 0 Yes ® No <br /> SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION <br /> B1.NFIP Community Name&Community Number B2.County Name B3.State <br /> HAWAII COUNTY 155166 HAWAII HAWAII <br /> B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone <br /> 155166 0870&155166 C _ Date Effective/Revised Date Zone(s) AO,use base flood depth) <br /> 0890 9/16/1988 A 855 <br /> B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. <br /> 0 FIS Profile 0 FIRM 0 Community Determined ® Other(Describe)Elevation Certificate Report by CMF Engineers(9/18/13) <br /> B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 0 NAVD 1988 0 Other(Describe) <br /> "Al2. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes ® No <br /> Designation Date ❑ CBRS 0 OPA <br /> SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) <br /> Cl. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction* ® Finished Construction <br /> *A new Elevation Certificate will be required when construction of the building is complete. <br /> C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h <br /> below according to the building diagram specified in Item A7. Use the same datum as the BFE. <br /> Benchmark Utilized PI Spike Vertical Datum NGVD1929 <br /> Conversion/Comments See Section D comments. <br /> Check the measurement used. <br /> a) Top of bottom floor(including basement,crawlspace,or enclosure floor)858.6 0 feet 0 meters(Puerto Rico only) <br /> b) Top of the next higher floor N/A. 0 feet 0 meters(Puerto Rico only) <br /> c) Bottom of the lowest horizontal structural member(V Zones only) N/A. 0 feet 0 meters(Puerto Rico only) <br /> d) Attached garage(top of slab) N/A. 0 feet 0 meters(Puerto Rico only) <br /> e) Lowest elevation of machinery or equipment servicing the building 858.4 0 feet 0 meters(Puerto Rico only) <br /> (Describe type of equipment and location in Comments) <br /> f) Lowest adjacent(finished)grade next to building(LAG) 857.5 0 feet 0 meters(Puerto Rico only) <br /> g) Highest adjacent(finished)grade next to building(HAG) 858.3 0 feet 0 meters(Puerto Rico only) <br /> h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A. 0 feet 0 meters(Puerto Rico only) <br /> structural support <br /> SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION <br /> This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation <br /> information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available./ <br /> understand that any false statement maybe punishable by fine or imprisonment under 18 U.S.Code, Section 1001.❑ ,4E Q`' S Ue/C <br /> Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �J <br /> licensed land surveyor? 0 Yes 0 No ,,. • <br /> LICENSED ✓9 <br /> • <br /> Certifiers Name Wayne A.Subica Jr. License Number 13717 PROFESSIONAL <br /> LANG <br /> Title Land Surveyor Company Name (mate&Assoc.,Inc. * SURVEYOR * <br /> No.13711 <br /> Address 171 K--*Mani St City Hilo State HI ZIP Code 96720 <br /> Signature , Date 10/11/2013 Telephone 935-6827 1, . V • <br /> FEMA Form 81- Mar 09 See reverse side for continuation. Replaces all previous editions <br />