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U �F"IRTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 16604)008 <br />Fade a 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 biBarano6C9inp61Al. ti <br />Al. Building Owner's Name Gary & Laurie Ann Tavares gPk>Oq Number ^ , <br />A2. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIL Number',?, <br />340 Hooks Road <br />City Hilo State HI ZIP Code 96720 <br />A3. Pp <br />'perty Description (Lot and Block Numbers, Tax Paroel Number, Legal Description, ate.) <br />TMK:3 Mv.2.1-008:180 <br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, ate.) Residential <br />A8. Latitude/Longituds: Lat. 19.882404 Long. 155.122217Horizontal Datum: ❑ HAD 1927 ® NAD 1983 <br />AS. Attach at best 2 photographs of the building H the Certificate to being used to obtain flood insurance. <br />A7. Building Diagram Number IS <br />AS. For a building with a crawlspeoe or anclosure(s): A9. For a building with an attached garage: <br />a) Square footage of croMepace or enclosures) M aq It a) Square footage of attached garage J= eq R <br />b) No. of permanent flood openings In the crawlspeoe or b) No. of permenerd flood.openings Init eiattoohed garage <br />enclosures) within 1.0 toot above adjacent gratia WA � within 1.0 foot above adjacent grade Q <br />c) Total net area of flood openings In A@b ; WA eq in c) Total not area of flood openings In. A9.b 1918 eq in <br />d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? "" ❑'Yes "® No <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />HAWAIICOUNTY "155108 . F' HAWAII _ HAWAII' <br />84. Map/Panel Number85. <br />Suflbk <br />Bit. FIRM Index <br />B7. FIRM Panel <br />Be. Flood <br />89. Base Flood'Elevation(s) (Zone <br />. 155188 0870 &155188 <br />C <br />Date <br />Effective/Revised Date <br />Zone(s) <br />AO, use,bese flood depth) <br />0890 <br />9/18/1988 <br />A <br />..' .'� �: •955: . • . <br />B10. Indicate the source of the Base Flood Elevation (SFE) date or base flood depth entered in Item 89. - <br />❑ FIS Profile ❑ FIRM ❑ Community Determined ® Other (Describe) Elevation Certificate Recon by CMF Enalneers (9/1 all 31 <br />811. Indicate elevation datum used for BFE in Item 89: ® NGVD 1929 ❑ NAVO 1988 ❑ Other (Describe) _ <br />812. Is the building located Ina Coastal Border Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No <br />Designation Date ❑ CBRS ❑ OPA <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />C1. Building elevation& are based on: ❑ Construction DrvMngs- ❑ Building Under Construction* ® Finished Construction <br />•A new Elevation Certificate will be required when construction of the building Is complete. <br />C2. Elevations -Zones At -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO. Complata Items C2.a-h <br />below according to the building diagram specified In Item A7. Use the some datum as the BFE. <br />Benchmark Utilized PI Sotke Vertical Datum NMM192B <br />Conversion/Comments See Section D comments. <br />Check the measurement used. <br />a) Top of bottom floor (Including basement, crawlspeoe, or enclosure floor) QQQ.4 ® feet ❑ meters (Puerto Rico only) <br />b) Top of the next higher floor $Z1.4 ® feet ❑ meters (Puerto Rico only) <br />c) Bottom of the lowest horizontal structural member (V Zones only) ❑ feet ❑ meters (Puerto Rico only) <br />d) Attached garage (top of slab) ¢¢j.@ ® feet ❑ meters (Puerto Rico only) <br />e) Lowest elevation of machinery or equipment servicing the building ¢!)Q.$ ® feet ❑ meters (Puerto Rico only) <br />(Describe type of equipment and location In Comments) <br />f) Lowest adjacent (finished) grade next to building (LAG) W-0 ® feet ❑ meters (Puerto Rico only) <br />g) Highest adjacent (finished) grade next to building (HAG) AN -1 ® feet ❑ meters (Puerto Rico only) <br />h) Lowest adjacent grade at lowest elevation of deck or stairs, Including NZ.4 ® fast ❑ meters (Puerto Rico only) <br />structural support <br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />i nis cerunceuon is to oe signea ana aearea by a uma surveyor, engineer, or arenaect aknnonzea by iaw to terry eievauon <br />Information. I cert y that the Information on this CerNBcete represents my best efforts to Interpret the data availab/e.l <br />understand that any false statement maybe punishable by fine orlmprtsonment under 18 U.S. Code, Section 1001.❑ <br />Check here It comments are provided on back of form. Were latitude and longitude In Section A provided by a <br />licensed land surveyor? ® Yea ❑ No <br />CerOflels Name Wayne A. Subica Jr. License Number 13717 <br />Tab Lend Surveyor Company Name Imata & Assoc., Inc. <br />A. Sti . <br />�Q. P1 Ar. " qv <br />LID 9 <br />PRO $�ONAL <br />It'AtV <br />A SURVEYOR N <br />No 13717 <br />y'�wnu.uSP <br />FEMA Form 81-3 , Mar 09 a See reverse side for continuatlon. Replaces all previous edi9ons <br />