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Our Proj# 17881 U.S. DEPARTMENT OF HOMELAND SECURITY Federal`Emergency Management Agency National Flood Insurance Program A4. A5. A8. A7. A8. ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8. OMB No. 1660-0008 Expires February 28. 2009 SECTION A - PROPERTY INFORMATION I For Insurance Company Use: D""""'a """ ° """` Smith Family Living Trust Dated July 10, 1999 I runty imumuer I Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I Company NAIC Number city Kailua Kona state Hawaii ZIP code 96740 N Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.). MOSIC8ntl81 Latitude/Longhude: Lat N 19 37' 18.1429" Long. _ W 155 57' 28.2292" Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood Insurance. Building Diagram Number 5 Horizontal Datum: L I NAD 1927 I V I NAD 1983 For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) We sq ft a) Square footage of attached garage n/a sq It b) No. of permanent flood openings In the crawl space or b) No. of permanent flood openings In the attached garage enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq In c) Total net area of flood openings in A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Hawaii B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 714 and 927 C / D 04/02/2004 [09/16/88&06/02/95 AE 861.8 (see comments) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. [_]FIS Profile [Z]FIRM ❑Community Determined ❑Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑� NGVD 1929 ❑NAVD 1988 ❑Other (Describe) B}Z Is the building bated In a Coastal Barrier Resources System (CBRS) area therwise Protected Area (OPA)T ❑Yes Q No •Designation Data ❑CBRS �OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑Building Under Construction' Q Finished Construction 'A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARAE, AR/AI-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item AT Benchmark Utilized I1SGS Rench Mark Data Vertical Datum Mann Sea t. nynl Conversion/Comments n/a ,,,,,, Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) 869.3 r''' P,/feet ❑ meters (Puerto Rico only) b) Top of the next higher floor n Lj feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) njl�fset ❑. meters (Puerto Rico only) d) Attached garage (top of slab) feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building n/a nfeet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) _ 5UMfeet 11 meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 867.2r,71feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation Information. I certify that the information on this Certificate represents my best efforts to interpret the date available. /understand that any false statement maybe punishable by tine or Imprisonment under 18 U.S. Code, Section 1001. ❑✓ Check here if comments are provided on back of form. Q' LICENSED PROFESS_Ki Certfier's Name Chrystal T. Yamasaki _ License Number LS -4331 1rf Wes Thomas Associates Company Name Wes Thomas Associates 4331 Aad sa75-5749 Kalawa Street cit' Kailua-Kona state Hawaii ZIP Code9674 All. V n re '-February 14, 20�phone (808) 329-2353 February 14, 2008 ov 161 FEMA Forth 81-31, February 2006 See reverse side for continuation. Replaces all previous editions