FREE
FEMA FLOODED HOME BUYOUT APPLICATION
(Submit via certified mail to FEMA, your local planning
Department and your City Council / County Commissioners)
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NOTICE TO PROPERTY OWNERS IN
THE CITY OF GREENVILLE WHO HAVE
BEEN AFFECTED BY FLOODING FROM HURRICANE FLOYD As a recipient of this notice, the City of Greenville has
identified you as a potential victim of Hurricane Dennis and/or
Hurricane Floyd, or you have identified yourself to us. While we know your first concern is the safety of your loved ones and
cleaning up after the floods. an important secondary question in your
mind may be "Can I prevent this from happening again:'" The Federal Emergency Management Agency (FEMA) offers funding under a
program called the Hazard Mitigation Grant Program (HMGP) that may be
able to help you do just that. The purpose of the HMGP is to provide funding assistance to local
governments, who, in turn, provide assistance to individual property
owners to help minimize or eliminate the risks associated with
disasters BEFORE the next hurricane or flood strikes. The City of Greenville is in the process of developing an application
to FEMA, through the State of North Carolina, in order to obtain HMGP
funding to acquire flood‑prone properties and/or elevate
flood‑prone structures. Either of these actions will help
minimize or eliminate your damages from floods and hurricanes in the
future. PLEASE KEEP IN MIND THAT THE CITY OF GREENVILLE HAS NOT RECEIVED ANY
FUNDING FOR THE ACQUISITION OR ELEVATION OF
YOUR STRUCTURE AND/OR PROPERTY AT THIS TIME ‑ AND THERE IS
NO GUARANTEE THAT ANY FUNDS WILL BE RECEIVED!!! The attached survey is
only an expression of your interest in acquisition or elevation of
your flood‑prone structure so that the city may develop a HMGP
application on your behalf. The following is a brief description of acquisition and elevation: Acquisition "Acquisition" refers to the purchase of your structure and
real property by the City of Greenville. This process would work
more.or less like a "normal" real estate transaction, in
which the City of Greenville would provide you with the pre-flood
fair market value for
your structure and real property as established by a State certified
property appraiser. Your structure would be demolished and your land
would be preserved as open space in the ownership of the City of
Greenville. |
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City of Greenville Public Information Notice Page 2 It is important to know that the acquisition of
your property with HMGP funds would be STRICTLY
VOLUNTARY on your part and on the part of the City of Greenville.
The City of Greenville will not force you to sell your property
through use of eminent domain under the mgp If tenants occupy your property, they will be
provided with notification and relocation assistance as prescribed by
Federal law. DO NOT EVICT YOUR
TENANTS BECAUSE OF THIS APPLICATION!!! At this time, there have been no funds identified
to provide you as a property owner with relocation assistance above
and beyond the purchase price for your property. The City of
Greenville is working very hard to identify funds for this purpose. Elevation "Elevation" refers to the raising of
the lowest finished floor of your structure to the base flood
elevation. "Base flood elevation" is the depth of flooding
that is expected to be exceeded only once every 100 years. This
activity, therefore, prevents damage to your structure from most flood
events. Any repairs or rehabilitation work needed to make
your structure structurally sound enough to be elevated are not HMGP
eligible costs. The City of Greenville is working very hard to
identify funds for this purpose. Some
Things to Keep In Mind
You must be a property owner to participate in the HMGP.
Tenants can not
directly participate in the HMGP.
Only property owners within the city limits of Greenville and
its Extraterritorial
Planning and Zoning Jurisdiction (ETJ) are eligible to apply
for assistance under
the HMGP.
Completion of this survey is simply an expression of your
interest in the activities
discussed above. Therefore, if you are at all interested in the
acquisition or
elevation of your property, you should complete and sign the
attached survey form
and return it to the HMGP Application Assistance Center by mail
or in person.
Completion of this survey DOES
NOT imply
a commitment by the city to elevate
or acquire your property. The city will have to apply for funds
and compete
against all of the other flooded communities in Eastern North
Carolina for funding.
Furthermore, each individual property will have to be found to
be eligible for funding by FEMA. The city has not received any
funds as of this time for the
activities described above. |
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City of
Greenville Public Information Notice Page 3
At this point in the application process, it is acceptable for
you to express your
preference in both the acquisition AND the
elevation options for further
consideration. However, in the future you may be offered only one
of these two options
for consideration, IF you are offered ANY HMGP assistance options.
This offer, IF ANY, will be based on Federal,
State and local priorities, policies,
laws, and regulations.
If you receive (or plan to receive) any Federal disaster relief
or related assistance
‑ such as National Flood Insurance Program settlements,
Small Business
Administration (SBA) loans, FEMA Individual and Family Grant,
Minimal Repair,
or Disaster Housing Assistance funds, for example ‑
please keep ALL receipts for
items which these funds are expended. If you do eventually
participate in a HMGP
funded acquisition or elevation project, you will be required
to disclose the amount
of funds you received and you will be required to account for
the expenditure of
these funds. Your potential benefits under the hmgp maybe
reduced if you do not
expend these funds for their intended purpose and keep receipts!!
A property surveyor may need to come to your property to
establish the elevation
of the lowest finished floor of your structure. This
information is necessary in
order to establish the eligibility of your home for assistance
under the HMGP. The
surveyor will have identification and should not have to enter
your structure.
Please complete one application for each property that you are
interested in having
acquired or elevated. Please submit the attached survey form, by
mail to: City of Greenville HMGP, Planning and CD Department, Post
Office Box 7207, Greenville, NC 27835, or in person at: The
Flood Recovery Center, Second Floor of the Community Building, 306
South Greene Street, Greenville, NC. The Flood Recovery Center (Inspections) can be
reached by telephone at (252) 329‑4466 if you have additional
questions or if you need additional assistance. The Flood Recovery Center (Inspections) is open 8
‑ 5, Monday through Friday, if you need assistance or have
questions about the HMGP or the HMGP application. The Flood Recovery
Center is located on the Second Floor of the Community Building. 306
South Greene Street. Greenville, NC. THIS
APPLICATION SHOULD BE COMPLETED AS SOON AS POSSIBLE, BUT MUST BE
SUBMITTED TO THE HMGP APPLICATION ASSISTANCE CENTER NO LATER THAN NO VEMBER
30, 1999. |
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The City of Greenville Hazard Mitigation Grant Program Applicant Survey Today's
Date: 1. Yes
No I/we own a property within the city limits of the City of Greenville
or in the Extraterritorial Planning and Zoning Jurisdiction (ETJ) of the City of
Greenville. IF
"NO". PLEASE DO NOT RETURN FORM YOU ARE NOT ELIGIBLE FOR ASSISTANCE
UNDER THE HAZARD MIITIGATION GRANT PROGRAM IF
"YES", PLEASE CONTINUE THIS SURVEY WITH QUESTION #2 2. Yes
No I/we own a property in the City of Greenville or its ETJ that
sustained damage from flood waters in September, 1999. IF
"NO". PLEASE DO NOT RETURN FORM, YOU ARE NOT ELIGIBLE FOR ASSISTANCE
UNDER THE HAZARD VITIGA TION GRANT PROGRAM IF
"YES", PLEASE CONTINUE THIS SURVEY WITH QUESTION #3 3. Yes
No The property we own in the City of Greenville or its ETJ which was
flooded in September of 1999 was the primary residence of myself/us in September of 1999 or
was occupied by a tenant as a primary residence at the time of the flooding in
September of 1999. IF
"NO", PLEASE EXPLAIN USE OF THE PROPERTY (e.g., vacant at
time of flood, second or vacation home, less than half time residence,
business, etc.) 4.
Property Owner Names) Spouse Name _
‑ ‑ Date(s) of Birth:
Homeowner
Spouse Home
Mailing Address (Please include City/Town and ZIP code): Applicant's
Telephone Numbers (PLEASE
INCLUDE AREA CODE): Residence (Permanent): Business/Work Phone:
Temporary (if different than permanent): Alternate Contact Phone: Name
and Relation of Alternate Contact: (e.g., friend, son/daughter, etc.) |
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The
City of Greenville Hazard mitigation Grant Program Applicant Survey
Page 2 Address of Flooded Property (If different than mailing address above
‑‑ Please include City/Town and ZIP code): Yes
No I/we have read the attached public information notice and I/we are
interested in having our property and real property acquired by the
City of Greenville at pre‑flood fair market value as established
by a certified property appraiser. 6.
Yes
No I/we have read the attached public information notice and I/we are
interested in having our property elevated to the 100‑year (or "base") flood
elevation with funds provided by the City of Greenville. 7.
Yes
No Did you own the above referenced flooded property on September 1,
1999? 8.
Yes
No Did you inherit the above listed flood‑prone property? IF "YES", please indicate the name of the person from whom
the property was inherited and the year in which you inherited it Name Year of Inheritance 9.
Yes
No
Don't Know Was the above referenced flooded property occupied by a tenant in
September of 1999? IF
YOU ANSWERED "NO" TO THIS QUESTION, PLEASE SKIP TO QUESTION
#11 10. What
was the name(s) of the tenants that occupied your property in
September of 1999? Name
Yes
No Are the same tenants still occupying the property as of today's date? If not, when did the tenant who occupied the property in September of
1999 move out and why? Date moved Explanation 11.
Yes
No Is your property currently occupied by tenants? IF
YOU ANSWERED "NO" TO THIS QUESTION, PLEASE SKIP TO QUESTION
#13 |
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The
City of Greenville Hazard Mitigation Grant Program Applicant Survey
Page 3 12. What
is the name(s) of the tenants that currently occupy your property? How
many persons occupy the property? What is the monthly rent that you charge these tenants? $ PLEASE
SKIP TO QUESTION #14 UPON COMPLETION OF THIS QUESTION 13.
Yes
No Do you currently occupy your. property? If not, on what date did you move? (Month and Year) 14. Which
of the following describes your flood damaged property (please check
only one): Single‑Family
detached (not mobile or manufactured) Single‑Family attached
(condominium or townhouse) Multi‑Family (two or more residential
units) ‑‑ Number of Units? Mobile or Manufactured Home
Vacant Parcel Other (Please describe): 15.
Yes
No Was your structure completely destroyed by the flooding caused by the
September, 1999, flooding and has been demolished and/or removed from the lot? 16. Please
provide the following information regarding your structure and lot: Lot size (acres) Number of Out Buildings (e.g., sheds, detached garages) Please Describe (e.g., sheds, detached garages, etc.) Total heated square feet (please approximate if necessary) Number of Stories 17. Which
of the following describes the foundation of your structure? Slab on Grade Elevated on Pilings or Piers Crawl Space |
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The
City of Greenville Hazard Mitigation Grant Program Applicant Survey
Page 4 18.
Yes
No Did you carry a flood insurance policy on the damaged structure at the
time of the flooding in September of 1999? (PLEASE NOTE THAT THIS WILL NOT
DISQUALIFY YOU FROM
PARTICIPATION IN THE HMGP PROGRAM) IF
YO U ANS WERED "NO " TO THIS QUESTION PLEASE SKIP TO QUESTION #21 19. Flood Insurance Policy Number: 5‑Digit Company Code: Agent's Name: Agent's Telephone Number: Yes
No Have you applied for a flood insurance settlement for structural
damage to your property due to flooding damage you received in
September of 1999? (NOTE: Do
not include settlements for
contents damage) Amount applied for: $ Yes
No Have you received a flood insurance settlement for structural damage
to your property due to flooding damage you received in September of 1999?
(NOTE: Do not include settlements for
contents damage) Amount received:
$ 20.
Yes
No
Not Applicable
If you have received flood insurance proceeds for flooding
suffered in September of 1999,
have you used these funds to make structural repairs to your damaged
property?
Yes
No
Not Applicable
IF YES, have you maintained receipts documenting the expenditure
of these funds on
structural repairs to your damaged property? 21. Please
indicate any other assistance that you have applied for and/or
received due to Hurricane Dennis‑ or Floyd‑related flooding in September
of 1999 on the table below. Please mark the columns entitled "applied for" and
"received" with an "X" as appropriate (PLEASE
NOTE THAT THE RECEIPT OF
SUCH ASSISTANCE WILL NOT DISQUALIFY
FROM PARTICIPATION IN THE
HMGP): |
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The City of Greenville Hazard Mitigation Grant Program Applicant Survey Page 5 Assistance Program
Dollar Amount Applied For
Dollar Amount Received Disaster
Housing Program Grant Individual
and Family Grant (IFG) (Structural Only) Hazard Minimization Grant Small Business Administration (SBA) Loan Other
(specify): Yes
No
Not Applicable Have you maintained receipts that document the
expenditure of these funds on their authorized purpose? 22.
On the following chart, please describe the damages that have
been suffered at your
flooded property. Please fill in any other flood events, not
listed. Use approximates and
estimates when filling in this chart if you do not have precise
figures for damages and/or
flood depths.
TOTAL
Cost of
Repairs to Your
House and
Depth of Water in
Replacement of
Your House
Description of
Flood‑Damaged
(please note if
Damages (items
Items, including
flooding was yard
damaged, Flooding Event
Date
insured losses
or sub‑floor only)
destroyed) Hurricane Floyd
September, 1999 Hurricane Dennis
September, 1999 Hurricane Bonnie
August, 1998 Tropical Storm
October, 1996 Josephine Hurricane Fran
September, 1996 Hurricane Bertha
July, 1996 Other (specify)
Please provide date Other (specify)
Please provide date Other (specify)
Please provide date |
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The Citv of Greenville Hazard .Mitigation Grant Program Applicant Survey Page 6 23.
Property Owner Signature and Certification The city certifies that any subsequent acquisition of property
utilizing Hazard Mitigation Grant Program Funds are strictly voluntary
and our powers of eminent domain will not be used. By signing this survey document, I/we, the undersigned, acknowledge
that all information is true
and correct to the best of my/our knowledge. I/we acknowledge that my/our signing of this survey document does not
imply any additional obligation to participate in any subsequent
property acquisition program undertaken by the city and does not imply
an obligation by the city to purchase my property. By signing this survey document, I/we, the undersigned, agree to allow
access to my/our property for the purpose of data collection needed to
review any future application for funding assistance. Property Owner Signature Social Security Number: Date: Property Owner Signature Social Security Number: Date: |
FORM USED FOR WAYNE COUNTY
________________ COUNTY
HAZARD MITIGATION GRANT PROGRAM
ACQUISITION of PRIMARY RESIDENCES APPICANT SURVEY
_____
Yes
_____ No
I/WE ARE INTERESTED IN __________ COUNTY ACQUIRING
OUR HOME AT PRE-FLOOD FAIR MARKET VALue?
_____
Yes
_____ No
I/WE ARE INTERESTED IN ___________ COUNTY ELEVATING
OUR HOME
(IF
NO TO THE ABOVE, DO NOT COMPLETE ANY ADDITIONAL INFORMATION)
NOTE:
FEMA HAS DETERMINED THAT STRUCTURES LOCATED WITHIN A REGULATORY
FLOODWAY
WILL NOT BE ELIGIBLE FOR ELEVATION.
Date:
__________________________
Applicants
Name _________________________________________________
Last
First
MI
Date
of Birth Yr. ________________ Mo.____________________
Applicant
Social Security Number: _______________________________________________
Spouse's
Name: ____________________________________ Date of Birth Yr._______ Mo.
___________
Spouse's
Social Security Number: ________________________________________
Address
of Damaged Property: _____________________________________________ Street Unit #
____________________________________________________________________________
City
County
State
Zip
Current Address:
________________________________________ Street/Unit #
________________________________________ City/State/Zip
Phone
Number
AC (
) ________________________ Residence
AC (
) ________________________ Work
AC (
) ________________________ Alternate Contact (Friend, Family, Neighbor,
etc.)
_____
Yes
_____ No
Did you own the flood damaged home listed above at the time of the
disaster (September/October 1999 Hurricane FLOYD or flooding after)
_____
Yes
_____ No
Did you apply for state or federal disaster assistance ?
_____
Yes
_____ No
Did you receive a grant from a federal, state, or local government
agency?
FEMA / Other Control Number __________________________
Amount $ ___________________________________
PAGE
BREAK
_____
Yes
_____ No
Did you receive a LOAN from a federal, State, or local governmental
agency?
SBA/Other file
Number ___________________
Amount $ _____________________________
_____
Yes
_____ No
Did you maintain receipts for all assistance from federal, state or
local
government agencies?
_____
Yes
_____ No
Did you have Flood insurance in 1999?
_____
Yes
_____ No
Did you receive Flood Insurance proceeds following
Hurricane Fran?
Structural $ ___________________ / $ __________________________
Contents $
___________________ / $ __________________________
_____
Yes
_____ No
Do you currently have Flood Insurance?
FLOOD
INSURANCE :
If Applicable
Agent/Company:
_________________________________________
Policy:
___________________________________________
What
was the water depth in you home (Generally describe damage)
_____________________________________________________________________________
_____________________________________________________________________________
Has
your home been determined to be substantially damaged by your city or local
planning
Zoning
department
_____ Yes
_____ No
Give
general directions to your damaged property.
_____________________________________________________________________________
_____________________________________________________________________________
_____
Yes
_____ No
Have complete repairs been made to your home ?
What
was the dollar amount expended to repair your home to date?
$
________________________
_____
Yes
_____ No
Are you able to live in your home?
_____
Yes
_____ No
Are you or any member of your household disabled?
PAGE
BREAK
HOW
MANY PERSONS ARE LIVING IN YOUR HOUSEHOLD?
Name
Relationship
Sex
Age
Dependent
_______________________
__________
____
_______
______ Yes/No
_______________________
__________
____
_______
______ Yes/No
_______________________
__________
____
_______
______ Yes/No
_______________________
__________
____
_______
______ Yes/No
_______________________
__________
____
_______
______ Yes/No
_______________________
__________
____
_______
______ Yes/No
_______________________
__________
____
_______
______ Yes/No
_______________________
__________
____
_______
______ Yes/No
HOME
INFORMATION (FOR FLOOD DAMAGED PROPERTY)
__________
Mobile/Manufactured Home
__________
Single Family
__________
Multi‑Family
__________
Commercial Rental (Landlord)
__________
Year of Construction
__________
Heated Square Feet in Structure
Is
your home currently occupied by a tenant?
_____
Yes
_____ No
Was
your home occupied by a tenant at the time of the flooding in September/October,
1999?
_____
Yes
_____ No
DWELLING
INFORMATION (FOR FLOOD DAMAGED PROPERTY)
__________
Slab on Grade foundation
__________
Crawl Space
__________
Elevated on Pilings
__________
Total Square Feet (Heated Area)
__________
Number of Stories
__________
Out Buildings
__________
Lot Size (Acres)
The
City of _____________________ and ___________________ County certify that any
subsequent acquisition
of
property utilizing Hazard Mitigation Grant Program Funds are strictly voluntary
and
our
powers of eminent domain will not be
used.
By signing this survey document, I/we, the undersigned, acknowledge that all information provided above is true and correct to the best of my/our knowledge. Completing this application does not imply any additional obligation to participate in any subsequent property acquisition program undertaken by the County and does not imply an obligation by the County to purchase your property.
PAGE
BREAK
Additionally,
by signing this survey document, I/We the undersigned agree to allow access to
my property for the purpose of providing data collection.
____________________________________________
Signature
____________________________________________
Date
____________________________________________
Signature
____________________________________________
Date
ATTACHMENTS
(To be Completed by City Officials Only)
_____
Yes
_____ No
PROPERTY APPRAISERS TAX CARD
_____
Yes
_____ No
FINISHED FLOOR ELEVATION FLOOD CERTIFICATE
_____
Yes
_____ No
SUBSTANTIAL DAMAGE LETTER ISSUED
_____
Yes
_____ No
FLOOD MAP COMMUNITY NO. _____
PANEL NO. ______
_____
Yes
_____ No
PHOTOGRAPHS
_____
Yes
_____ No
PRIVACY ACT STATEMENT (FEMA & SBA)
COMMENTS:
(To be Completed by City Officials Only)
COMMENTS
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
DATE:
_____________________________________________________________________________
_____________________________________________________________________________
DATE:
_____________________________________________________________________________
_____________________________________________________________________________
DATE:
_____________________________________________________________________________
_____________________________________________________________________________
compiled
for FREE DISTRIBUTION as a pro bono project by:
Hugh D.
Cox
Attorney at Law
321 Evans Street
Greenville NC 27858
Tel: 252-757-3977
Fax: 252-757-3420
Filename: C:\msoffice\website\FEMA
dwelling Buyout form.doc
visitors since October 21, 1999