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Our Proj# 17881 4 U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emero�lcy Management Agency Expires February 28, 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Building Owner's Name Smith Family Living Trust Dated July 10, 1999 Policy Number Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number v^ 79n U....l..l..: r]—A 01111 MIKIr 11An city Kailua Kona state Hawaii ZIP Code 96740 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 6 Tax Map Key: 7-6-011: 011 (3rd Division) A4. A5. A8. AT A8. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Resldentlal Latitude/Longitude: 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 umber5 Horizontal Datum: I I NAD 1927 I ✓ 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) n/a sq ft a) Square footage of attached garage n/a sq ft 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 AS.b sq In c) Total net area of flood openings in A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 155166 HAWAII I Hawaii I Hawaii B4. Map/Panel Number B5. Suffix B5. 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 109/16/88&06102/95 AE 847.4 (see comments) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑FIS -Profile ❑✓ FIRM ❑Community Determined [—]Other (Describe) 811. Indicate elevation datum used for BFE in Item B9: ❑✓ NGVD 1929 ❑NAVD 1988 ❑Other (Describe) Is the building located in a Coastal Barrier Resources System (CBRS) areatherwise Protected Area (OPA)? ❑ Yes Q No Designation Date ❑CBRS �OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. Building elevations are based on: ❑ Construction Drawings' [:]Building Under Construction- ❑✓ Finished Construction 'A new Elevation Certificate will be required when construction of the building Is complete. 02. Elevations— Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item AT Benchmark Utilized (ISrS Bench Mark Data vertical Datum Mean Sea Level Conversion/Comments n/a Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) 847.5 b) Top of the next higher floor n✓feet 1:1 meters (Puerto Rico only) feet 1:1 meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) n a feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) n as feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building n/a ❑feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) 845.6 feet ❑ meters (Puerto Rico only) g) Highest adjacent (flnished) grade (HAG) 845.7 flfeet ❑ 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. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. LICENSED Q Check here if comments are provided on back of form. U� PROFS to Certifler's Name Chrystal T. YamaSaki License Number LS -4331 Name Wes Thomas Associates Company Wes Thomas Associates � W ' S. Address 75-5749 K lawa Street city Kailu -Kona State Hawaii ZIP Code 96740 si yyyys� ehntary 14. 2nWphone (8081329-2353 Al ill February 14, 2008 FEMA Form 81-31, February 2b86 See reverse side for continuation. Replaces all previous editions