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Our Proj# 17881 <br />U.S. DEPP;2TM FNT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB N 1660.0 <br />o. 008 <br />Federaltmergency Management Agency EXpifee February 28. 2009 <br />National Flood Insurance Program Important: Read the instructions on pages 1-8. <br />me <br />SECTION A - PROPERTY INFORMATION For Insurance Company Use: <br />Building Owner's Na <br />Smith Family Living Trust Dated July 10, 1999 Policy Number <br />. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIL Number <br />76- 70 Huala a' Road GAZEBO ON Y <br />cit Kailua Kona State Hawaii ZIP code 96740 <br />A3. Property Des cri Bon (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br />Lot 6 �ax Map Key: 7-6-011: 011 (3rd Division) <br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.).ACQeSs01Y (QaZet)O� <br />A5. Latftude/Longitude: Lat.. N 19 37' 18.1429" Long. �1/ 155 �� 28 2 tai u_Hzon•al Datu . NAD 1927 rn 983 <br />As. Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood Insurance.. .. u v.� lJ ,...� raoo <br />A7. Building Diagram Number 5 <br />A8. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide: <br />a) Square footage of crawl space or enclosures) n/a sq fl a) Square footage of attached garage n/a sq ft <br />b) No. of permanent flood openings In the crawl space or b) No. of permanent flood openings in the attached garage <br />enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade <br />c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings In A9.b sq In <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />B1. NFIP Communay NN�ame 8 Community Number 62. County Name 83. state <br />155166 HAWAII Hawaii <br />Date EffeelNe/Revtsed Date Zones) ..� AO, use base flood depth) one <br />714 and 927 C / D 04/02/2004 9/16/88 8c' 06/02/95 AE 859.8 (see comments) <br />310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. <br />❑FIS Profile QFIRM ❑Community Determined ❑Other(Describe) <br />311. Indicate elevation datum used for BFE In Item 89: Q NGVD 1929 ❑NAVD 1988 Other (Describe) <br />a the building located in a Coastal Barrier Resources System (CBRS) areaerwise Protected Area (OPA)7 ❑ Yes No <br />esignation Date ❑ CBRS LJOO PA <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />A. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction* ❑✓ Finished Construction <br />A new Elevation Certificate will be required when construction of the building is complete. <br />:2. Elevations—Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g <br />below according to the building diagram specified in Item AT <br />Benchmark Utilized I ISGS 13Pnrh Mark Data Vertical Datum_M -an Spa I a sol <br />Conversion/Comments n/a <br />Check the measurement used. <br />a) Top of bottom floor (Including basement, crawl space, or enclosure floor) 862. feet ❑ meters (Puerto Rico only) <br />b) Top of the next higher floorfeet El meters (Puerto Rico only) <br />c) Bottom of the lowest horizontal structural member (V Zones only) n�feet ❑ meters (Puerto Rico only) <br />d) Attached garage (top of slab) n/a 1lfeet ❑ meters (Puerto Rico only) <br />e) Lowest elevation of machinery or equipment servicing the building n/A nfeet meters (Puerto Rim only) <br />(Describe type of equipment in Comments) <br />0 Lowest adjacent (flnished) grade (LAG) _$`s / feet ❑ meters (Puerto Rim only) <br />g) Highest adjacent (finished) grade (HAG) 862-321feet [] meters (Puerto Rim only) <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 />nformation. 1 ceriily that the information on this Certificate represents my best efforts to interpret the data available. <br />' understand that any false statement may be punishable by fine or Imprisonment under 18 U. S. Code, Section 1001. <br />Check here if comments are provided on back of forth. 1, <br />"""" Chrystal T. Yamasakj License Number LS -4331 <br />Wes Thomas Associates "V'"Nany name Wes Thomas Associates <br />kddress 75-5749 Kalawa Street city Kailua-Kona state Hawaii ZIP Code 96740 <br />25,200-9 .. ....... (808) 329-2353 A nj,ff January 25, 2008 <br />TMA Form 81-31. FRhnrary 7h4l'r cee .a„ rd- l_. <br />