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Home My WebLink About7-6-011:011 Bldg AOur 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 IMPORTANT: In these spaces, copy the corresponding Information from Section A. I For Insurance Company use: or State Hawaii AEL SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) INK both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. The base flood elevation was determined using the field location of the structure which has a calculated distance of 68 feet the downstream from Station 75+60 which has a 100 year BFE of 860.5. The Cross-section at station 74+10 has a BFE of 831.7 aq sych the.galcujftd BFE of Structure "A" is 847.4. Cross-sections are from the North Kona Flood Study. February 14, 2008 SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, S, and C. For Items Et -E4, use natural grade, ff available. Check the measurement used. in Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (Including basement, crawl space, or enclosure) Is _ _ ❑ feet ❑ meters ❑ above or ® below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is _ _ El feet El meters El above or below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in SectiQILA Items 6�r Q/or 9 (see Pane 8 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the building Is _ E] feet LJ meters L� above or LJ below the HAG. E3. Attached garage (top of slab) Is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building Is_._[:] feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number Is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this Information In Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements /n Sections A, B, and E are correct to the best of my knowledge. or Owner's Authorized Representative's Name ZIP Code Signature Date Telephone SECTION G - COMMUNITY INFORMATION (OPTIONAL) he local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B. C (or E), nd G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G6. and G9. 1. ❑ The Information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized bylaw to certify elevation information. (Indicate the source and dale of the elevation data in the Comments area below.) .2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -Issued or community -issued BFE) or Zone AO. .3. ❑ The following information (Items G4. -G9.) is provided for community floodplain management purposes. G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued ,7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement 8. Elevation of as -built lowest floor (including basement) of the building: ❑ feel ❑ meters (PR) Datum 9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date ants ❑ Check here If attachments EMA Form 81-31, February 2006 Replaces all previous editions