Sample Application (Simple Project)

This application is from the fictional Town of Simplicity, located in
Prosperity County in the State of Any State (AS). It is intended to
represent any community that might apply for funding under the Hazard
Mitigation Grant Program (HMGP).

Simplicity is a small town of approximately 5,000 citizens. It is
located in the valley of the Quake River, approximately 8 miles
downstream from the larger city of Adversity. The heart of Simplicity, a
small historic, downtown area, was built in the early nineteenth
century, approximately a half a mile from the river. Surrounding
downtown Simplicity is approximately 50 square miles of fairly rural,
moderate- to low- income suburbs. Most property owners maintain mobile
homes or small houses on 1/8- to 2-acre lots. Approximately 100 property
owners own land adjacent to the river. Many of these residents
periodically (every 5-10 years) suffer flood damage, while 50 regularly
(every 1-2 years) fight rising waters. Most recently, the Quake River
flooded in April 1998, causing substantial damage to over 15 residential
properties located adjacent to the river, south of Simplicity. This
project proposes acquisition of those 15 properties, all of which are
located in the Southby neighborhood, which were substantially damaged in
this event and are flooded regularly. Simplicity's Mayor, Margaret
Mayhem, is leading efforts to implement the property acquisition
project.

*Hazard Mitigation Grant Program*

Sub-Grant Application

<table style="width:100%;">
<colgroup>
<col style="width: 10%" />
<col style="width: 8%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 8%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 3%" />
<col style="width: 7%" />
<col style="width: 13%" />
<col style="width: 2%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="21"><strong>THIS SECTION FOR STATE USE ONLY</strong></td>
</tr>
<tr class="even">
<td colspan="3"></td>
<td colspan="3"><p>Standard HMGP</p>
<p>Initial Submission</p></td>
<td colspan="2"><p>or</p>
<p>or</p></td>
<td colspan="8"><p>5% Initiative Application</p>
<p>Resubmission</p></td>
<td colspan="5"><ul>
<li><p>Application Complete</p></li>
</ul></td>
</tr>
<tr class="odd">
<td colspan="5"><ul>
<li><p>Conforms with State Plan</p></li>
<li><p>In Declared Area</p></li>
<li><p>Statewide</p></li>
</ul></td>
<td colspan="13"><p>Applicant Type:</p>
<ul>
<li><p>State or Local Government</p></li>
<li><p>Private Non-Profit (Tax ID Received)</p></li>
<li><p>Recognized Indian Tribe or Tribal Organization</p></li>
<li><p>Special District/Other</p></li>
</ul></td>
<td colspan="3"><p>Project Type(s)</p>
<p>Flood Seismic</p>
<p>Other: Wind ­</p>
<p>________________________</p>
<p><em>(Other)</em></p></td>
</tr>
<tr class="even">
<td colspan="4">Community NFIP Status:</td>
<td colspan="6">NFIP Participant</td>
<td colspan="11">Community ID: _________________________________</td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="6">In Good Standing</td>
<td colspan="11">Non-Participating</td>
</tr>
<tr class="even">
<td colspan="2">State Application ID</td>
<td colspan="9"></td>
<td></td>
<td colspan="5">Application Rec’d (Date)</td>
<td colspan="3"></td>
<td></td>
</tr>
<tr class="odd">
<td>Signed</td>
<td colspan="13"></td>
<td></td>
<td colspan="2">Date</td>
<td colspan="3"></td>
<td></td>
</tr>
<tr class="even">
<td><p>State</p>
<p>Reviewer</p></td>
<td colspan="6"></td>
<td colspan="2"></td>
<td colspan="4"><p>Reviewer</p>
<p>Phone #</p></td>
<td colspan="4"></td>
<td colspan="2"><p>Reviewer</p>
<p>Fax #</p></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="21"></td>
</tr>
</tbody>
</table>

  ------------------------- ------------------ ------------ ---------------
  *1. FEMA -*               1769               *-DR-*       AS

  ------------------------- ------------------ ------------ ---------------

## Part 1: Applicant Data {#part-1-applicant-data .unnumbered}

  --------------- --------------------- ----------- ------------- ---------- -------- ---------- --------------- -- ------------ ------- ------------ ------- ------------- ---------- ------
  2\. Applicant                                     Town of                                                                                           3\.     987-65-4321              
  Name:                                             Simplicity,                                                                                       TIN:                             
                                                    AS                                                                                                                                 

  4\. County                                        Prosperity                        5\. County                                                      6\.                              AS
  Name:                                                                               Code:                                                           State                            
                                                                                                                                                      Code:                            

  7\. State                                                       8^th^                          8\. U. S.                                                                  31^st^     
  Legislative                                                     District                       Congressional                                                              District   
  District:                                                                                      District:                                                                             

  9\. FIPS Code:                        098-09145                            10\.                                                                     11\.                             
                                                                             Public                                                                   CID:                             
                                                                             Entity                                                                                                    
                                                                             ID:                                                                                                       

  12\. Primary                                                                                                                                                                         
  Point of                                                                                                                                                                             
  Contact                                                                                                                                                                              

  Name:           Terry Gilcrest                                                                                    Nickname:                                                          

  Organization:   Town of Simplicity                                                                                Job Title:           Property &                                    
                                                                                                                                         Restaurant                                    
                                                                                                                                         owner                                         

  Address:        Town Hall, Room 3                                                                                 Telephone:           \(111\)                                       
                                                                                                                                         986-4993                                      

                  100 Main Street                                                                                   Fax:                 \(111\)                                       
                                                                                                                                         986-4000                                      

                  Simplicity, AS 40013                                                                              Email:               None                                          

  Directions:     [From route 27, take                                                                                                                                                 
                  Simplicity exit. At                                                                                                                                                  
                  stop sign, turn right                                                                                                                                                
                  onto US 41. Follow 2                                                                                                                                                 
                  miles. US 41 turns                                                                                                                                                   
                  into Main Street. The                                                                                                                                                
                  Town Hall is at the                                                                                                                                                  
                  corner of Main and                                                                                                                                                   
                  3^rd^.]{.underline}                                                                                                                                                  

  13\. Alternate                                                                                                                                                                       
  Point of                                                                                                                                                                             
  Contact                                                                                                                                                                              

  Name:           NA                                                                                                Nickname:                                                          

  Organization:                                                                                                     Job Title:                                                         

  Address:                                                                                                          Telephone:                                                         

                                                                                                                    Fax:                                                               

                                                                                                                    Email:                                                             

  14\.                                                                                                                                                                                 
  Application                                                                                                                                                                          
  Preparer                                                                                                                                                                             

  Name:           Terry Gilcrest                                                                                    Job Title:           See above                                     

  Organization:   See above                                                                                         Telephone:           See above                                     

  Address:        See above                                                                                         Fax:                 See above                                     

                  See above                                                                                         Email:               See above                                     
  --------------- --------------------- ----------- ------------- ---------- -------- ---------- --------------- -- ------------ ------- ------------ ------- ------------- ---------- ------

  ---------------------------------------------- --------- --- --------- ----- --- ----
  15\. Does your community participate in the                            Yes       No
  NFIP?                                                                            

  16\. If yes, what date did your community      January                           
  enter the NFIP?                                1975                              

  17\. If no, when do you anticipate entering    N/A                               
  the NFIP?                                                                        

                                                                                   

  18\. What is the date of your community's most               October             
  recent Community Assistance Visit?                           1993                

                                                                                   

  19\. Is your community a private, nonprofit                            Yes       No
  organization?                                                                    

  20\. Is your community an American Indian or                           Yes       No
  Alaska Native tribal government?                                                 
  ---------------------------------------------- --------- --- --------- ----- --- ----

### 21. Assurances {#assurances .unnumbered}

If the project is funded, the applicant must adopt an ordinance or other
policy that demonstrate the community shall comply with the following
(applicant, not preparer, must initial each item):

+----+-----------------------------------------------------------------+
| MM | Designate Authorized Agent for Project.                         |
+----+-----------------------------------------------------------------+
| MM | All participants must sign a statement acknowledging the        |
|    | program is voluntary and, therefore, are not entitled to        |
|    | relocation assistance under the URA.                            |
+----+-----------------------------------------------------------------+
| MM | Each potential property owner must be notified in writing that  |
|    | for the purpose of this program the community shall not use its |
|    | power of eminent domain to acquire the properties if a          |
|    | voluntary agreement is not reached.                             |
+----+-----------------------------------------------------------------+
| MM | > The following restrictive covenants shall be conveyed in the  |
|    | > deed to any property acquired:                                |
+----+-----------------------------------------------------------------+
|    | 1.  The property shall be dedicated and maintained in           |
|    |     perpetuity for uses compatible with open space,             |
|    |     recreational or wetlands management practices; and          |
|    |                                                                 |
|    | 2.  No new structure(s) shall be built on the property except   |
|    |     as indicated below:                                         |
|    |                                                                 |
|    | ```{=html}                                                      |
|    | <!-- -->                                                        |
|    | ```                                                             |
|    | A.  A public restroom; or                                       |
|    |                                                                 |
|    | B.  A structure that is compatible with open space,             |
|    |     recreational or wetlands management usage and proper        |
|    |     floodplain management policies and practices, which the     |
|    |     Director approves in writing before the construction of the |
|    |     structure begins.                                           |
|    |                                                                 |
|    | ```{=html}                                                      |
|    | <!-- -->                                                        |
|    | ```                                                             |
|    | 3.  The premises shall remain in public ownership.              |
|    |                                                                 |
|    | 4.  After completion of the project, no application for         |
|    |     additional disaster assistance shall be made for any        |
|    |     purpose with respect to the property to any Federal entity  |
|    |     or source, and no Federal entity or source will provide     |
|    |     such assistance.                                            |
+----+-----------------------------------------------------------------+
|    | In general, allowable open space, recreational and wetland      |
|    | management uses include parks for outdoor recreational          |
|    | activities, nature reserves, cultivation, grazing, camping      |
|    | (except where adequate warning time is not available to allow   |
|    | evacuation), temporary storage in the open of wheeled vehicles  |
|    | which are easily movable (except mobile homes), unimproved,     |
|    | pervious parking lots, and buffer zones.                        |
+----+-----------------------------------------------------------------+
| MM | Any structures built on the property according to the above     |
|    | stipulations (see 2 above), shall be floodproofed or elevated   |
|    | to the Base Flood Elevation plus one foot of freeboard.         |
+----+-----------------------------------------------------------------+

*In addition, upon successful project approval and funding, the
applicant will approve a formal, written policy, which will include all
required ordinance language and applicable state policies. Applicant
will be required to submit its policy to state for final approval
(applicant, not preparer, must initial each):*

  ------ ----------------------------------------------------------------
  MM     A public meeting shall be conducted to explain policy and
         procedures.

  MM     Priority of acquisition or relocation of properties shall be
         established.

  MM     All structures to be demolished or relocated, including garages
         or outbuildings, shall be located on the acquired property.

  MM     A standard policy of appraisal will be established. Based on
         this appraisal, owners will be offered a fair market value (FMV)
         less any duplication of benefits as identified by FEMA.

  MM     In the event that the appraisal less duplication of benefits is
         a negative figure or less than the land only value, and the
         property owner still desires to sell the property, the property
         owner will be offered the FMV of the land only (not the
         structure). However, the community will take deed to both the
         structure and land.

  MM     If subject property was purchased after the flood/event on an
         "as is" basis, the amount of the new post-flood owner paid for
         the property plus any verifiable improvements will be the FMV
         offered. The post-flood property owner will not be offered the
         pre-flood FMV if they were not the property owner during/before
         the event. In addition, any benefits the previous owner received
         for repair of the property will not be deducted from the offer.
         In no event, will the offer to the post-flood owner exceed the
         pre-flood FMV.

  MM     Any tenants renting properties 90 days prior to the start of
         negotiations with the owner will be offered relocation
         assistance. Renter relocation assistance is formula driven but
         in no event will the relocation payment exceed \$5,250 plus
         actual moving expenses.

  MM     Each property closing will be preceded by a title search. The
         title must be clear of all liens before the community will take
         title to the property.

  MM     The property owner will agree to satisfy all liens or have the
         lien amount deducted from the purchase offer at the time of
         closing.

  MM     Current property owners will be responsible for the property
         taxes from the first of the tax year through the date specified
         by the community buyout policy (e.g. either the date of closing
         or the date of the event) on a pro-rated basis.

  MM     Until the title is transferred, the property owner remains
         solely responsible for the property.
  ------ ----------------------------------------------------------------

###  22. Authorized Agent of the Applicant/Community

  -------------- ---------------------------------- -- --------------------------- ---
  Should our                                                                       
  community be                                                                     
  awarded FEMA                                                                     
  funds to                                                                         
  implement a                                                                      
  property                                                                         
  acquisition                                                                      
  project, we                                                                      
  agree to the                                                                     
  above                                                                            
  stipulations                                                                     
  as conditions                                                                    
  of receiving                                                                     
  funds and                                                                        
  implementing                                                                     
  said project.                                                                    

                 Margaret Mayhem                       June 3, 1998                

                 ***Authorized Agent's Signature***    ***Date***                  

                 Margaret Mayhem                       Mayor                       

                 ***Name (printed or typed)***         ***Title***                 
  -------------- ---------------------------------- -- --------------------------- ---

## Part 2: Problems and Solutions

+-----------------------------------------------------------------------+
| ### 23. Project Location                                              |
+-----------------------------------------------------------------------+
| *Describe, in detail, the location of your community's project.       |
| Include its topography and a map indicating all affected properties.  |
| If possible, use a flood insurance rate map (FIRM). Identify any      |
| properties located in a floodplain or floodway. Demonstrate how       |
| location contributes to the problem. FIRMs typically are available    |
| from your local floodplain administrator, often within the planning,  |
| zoning, or engineering office. You also can order maps from FEMA's    |
| Map Service Center at 1-800-258-9616. (For more information, contact  |
| your SHMO or visit FEMA's web page at                                 |
| http://www.fema.gov/home/MSC/hardcopy.htm.)*                          |
+-----------------------------------------------------------------------+
| Located in southeastern Simplicity, in the neighborhood of Southby,   |
| the proposed project location is a relatively flat lowland area with  |
| an overall slope towards the river. The properties to be acquired are |
| in the 10-year floodplain running parallel to the Quake River with    |
| banks generally 1 to 3 feet above normal (non-flood) river level,     |
| with a sharp drop off just prior to the water. They are scattered     |
| along a 3-mile segment of the Quake River, with 8 homes closely built |
| on the most northern 1 mile stretch of River Road, and the remaining  |
| properties on larger lots along the next 2 miles of the same road.    |
| (See attached area map.) This area is considered a Zone X by flood    |
| insurance rate maps of the area. The first floor elevations of these  |
| properties range from 85 to 92 feet above sea level. The base flood   |
| elevations range from 87 to 95 feet above sea level. (See attached    |
| FIRM.)                                                                |
+-----------------------------------------------------------------------+
| ### 24. Explanation of the Problem/Event                              |
+-----------------------------------------------------------------------+
| *Describe in detail the event precipitating the need for this project |
| and its effects on the community. Indicate if the event is a 100- or  |
| 500-year flood, etc., as appropriate. Describe the historical effects |
| of similar events during the past 25 years. As supporting             |
| documentation, enclose photographs, scientific data (e.g. documented  |
| health risks, the number of homes or businesses destroyed by each     |
| event), etc.*                                                         |
+-----------------------------------------------------------------------+

In April 1998, much of Prosperity County suffered immense damage due to
a 50-year flood of the Quake River. In Simplicity, the flood caused the
most damage to properties along the river, south of town. A preliminary
evaluation of post-flood structural conditions found 15 homes with
significant damage from flood depths of 8 feet or more inside the
structures, sustained for no less than 7 days. All 15 homes have shifted
from their foundations, have deterioration of major portions of their
roofs and walls, and have significant health and safety risks due to
sewage contamination from flooded a sewage system.

Due to Simplicity's proximity to the Quake River, the community has
experienced flooding on an average of once every three to five years for
over half a century. As exhibited in the attached Flood Insurance Study
(FIS) for the area, the floods have crested from depths of 33 to over 50
feet at Lock 9, although the majority peak between 33 and 40 feet. With
this flooding comes repeated physical, emotional, and economic damage
totaling over 15 million dollars in just the last 25 years.

### 25. Solutions to the Problem

+------------+---------------------+----------------------------------+
| #### Alter | Property            |                                  |
| native #1: | Acquisition         |                                  |
+------------+---------------------+----------------------------------+
| *Describe  |                     |                                  |
| in detail  |                     |                                  |
| the        |                     |                                  |
| property   |                     |                                  |
| a          |                     |                                  |
| cquisition |                     |                                  |
| alt        |                     |                                  |
| ernative.* |                     |                                  |
|            |                     |                                  |
| -   *How   |                     |                                  |
|     will   |                     |                                  |
|     your   |                     |                                  |
|     c      |                     |                                  |
| ommunity's |                     |                                  |
|     a      |                     |                                  |
| cquisition |                     |                                  |
|     (or    |                     |                                  |
|     a      |                     |                                  |
| cquisition |                     |                                  |
|     and    |                     |                                  |
|     r      |                     |                                  |
| elocation) |                     |                                  |
|            |                     |                                  |
|    project |                     |                                  |
|     solve  |                     |                                  |
|     the    |                     |                                  |
|            |                     |                                  |
|    problem |                     |                                  |
|     d      |                     |                                  |
| escribed?* |                     |                                  |
|            |                     |                                  |
| -          |                     |                                  |
|   *Explain |                     |                                  |
|     how it |                     |                                  |
|     is     |                     |                                  |
|            |                     |                                  |
|  effective |                     |                                  |
|     in     |                     |                                  |
|            |                     |                                  |
| addressing |                     |                                  |
|     a      |                     |                                  |
|            |                     |                                  |
|  recurrent |                     |                                  |
|     or     |                     |                                  |
|            |                     |                                  |
| repetitive |                     |                                  |
|            |                     |                                  |
|  problem.* |                     |                                  |
|            |                     |                                  |
| -          |                     |                                  |
| *Calculate |                     |                                  |
|     the    |                     |                                  |
|            |                     |                                  |
|  estimated |                     |                                  |
|     cost   |                     |                                  |
|            |                     |                                  |
|  including |                     |                                  |
|     the    |                     |                                  |
|            |                     |                                  |
|    present |                     |                                  |
|     cost   |                     |                                  |
|     of     |                     |                                  |
|     impl   |                     |                                  |
| ementation |                     |                                  |
|     and    |                     |                                  |
|     the    |                     |                                  |
|     future |                     |                                  |
|     cost   |                     |                                  |
|     of     |                     |                                  |
|     m      |                     |                                  |
| aintenance |                     |                                  |
|     of the |                     |                                  |
|            |                     |                                  |
|   acquired |                     |                                  |
|            |                     |                                  |
|  property, |                     |                                  |
|     as     |                     |                                  |
|     well   |                     |                                  |
|     as the |                     |                                  |
|            |                     |                                  |
|  potential |                     |                                  |
|     future |                     |                                  |
|     losses |                     |                                  |
|     from   |                     |                                  |
|            |                     |                                  |
|    natural |                     |                                  |
|     d      |                     |                                  |
| isasters.* |                     |                                  |
+------------+---------------------+----------------------------------+

The mitigation and disaster relief plan for the 1998 flooding is a
program to offer acquisition to affected property owners on a voluntary
basis. All 15 properties in the Southby neighborhood are eligible since
each has sustained over 50% damage in the flood of 1998, is located in
the 10-year floodplain and has sustained at least 25% damage in at least
3 other floods over the past 20 years. Due to the extent of the damage
and imminent health risks, relocation is not a viable option. To date,
11 of the eligible property owners have voluntarily submitted offers to
either sell their home to the Town of have expressed a potential
interest in participating.

By acquiring the proposed properties, Simplicity will remove flood-prone
structures from the floodplain, thereby eliminating future damages, and
health and safety risks for those homeowners and any potential rescuers.
This includes eliminating the need to provide emergency response
services, subsidized flood insurance and federal disaster assistance to
the residents.

As noted previously, all of these properties sustained considerable
damage on numerous occasions. Including the costs of the most recent
disaster, the total amount of disbursed disaster assistance far exceeds
the fair market value of the properties. The table below illustrates the
cost of repairing these homes from just the two most recent events.
However, this does not illustrate the entire cost of hazard mitigation
because it does not include the cost of emergency response services,
replacing personal property, nor the emotional strain of living in a
disaster-prone area.

+---------+--------+---------+--------+--------+--------+-------------+
| **      | **Est  | **Est.  | **%    | **\$   | **%    | **Est.      |
| Owner's | imated | \$ Loss | Da     | Loss   | Da     | Replacement |
| Name**  | FMV**  | in      | mage** | in     | mage** | Value as of |
|         |        | 1998**  |        | 1991** |        | June 1998** |
+---------+--------+---------+--------+--------+--------+-------------+
| 1.  C   | \$     | \       | 95%    | \      | 13%    | \$51,898    |
| labaugh | 54,630 | $52,000 |        | $7,300 |        |             |
+---------+--------+---------+--------+--------+--------+-------------+
| 2.      | \$     | \       | 83%    | \$     | 29%    | \$47,680    |
| Florman | 50,724 | $42,000 |        | 14,500 |        |             |
+---------+--------+---------+--------+--------+--------+-------------+
| 3.      | \$     | \       | 100%   | \$     | 31%    | \$38,920    |
|  Morris | 41,850 | $42,000 |        | 13,000 |        |             |
+---------+--------+---------+--------+--------+--------+-------------+
| 4.      | \$     | \       | 87%    | \      | 11%    | \$56,411    |
|   Banks | 60,012 | $52,000 |        | $6,500 |        |             |
+---------+--------+---------+--------+--------+--------+-------------+
| 5.      | \$     | \       | 70%    | \      | 8%     | \$53,298    |
| Schafer | 56,104 | $39,000 |        | $4,300 |        |             |
+---------+--------+---------+--------+--------+--------+-------------+
| 6.      | \$     | \       | 95%    | \$     | 50%    | \$69,473    |
| Astatke | 73,908 | $70,000 |        | 37,000 |        |             |
+---------+--------+---------+--------+--------+--------+-------------+
| 7.      | \$     | \       | 81%    | \      | 11%    | \$69,236    |
|  Blanca | 74,448 | $60,000 |        | $8,000 |        |             |
+---------+--------+---------+--------+--------+--------+-------------+
| 8.      | \$     | \       | 67%    | \      | 22%    | \$38,736    |
|   Smith | 41,652 | $28,700 |        | $9,000 |        |             |
+---------+--------+---------+--------+--------+--------+-------------+
| 9.      | \$     | \       | 58%    | \$     | 25%    | \$65,209    |
|   Kagan | 69,372 | $40,000 |        | 17,000 |        |             |
+---------+--------+---------+--------+--------+--------+-------------+

+---------+--------+---------+--------+--------+--------+-------------+
| **      | **Est  | **Est.  | **%    | **\$   | **%    | **Est.      |
| Owner's | imated | \$ Loss | Da     | Loss   | Da     | Replacement |
| Name**  | FMV**  | in      | mage** | in     | mage** | Value as of |
|         |        | 1998**  |        | 1991** |        | June 1998** |
+---------+--------+---------+--------+--------+--------+-------------+
| 10.     | \$     | \       | 54%    | \$     | 15%    | \$60,632    |
| Nazario | 65,196 | $35,000 |        | 10,000 |        |             |
+---------+--------+---------+--------+--------+--------+-------------+
| 11. S   | \$     | \       | 58%    | \      | 8%     | \$52,343    |
| ternman | 55,098 | $32,000 |        | $4,250 |        |             |
+---------+--------+---------+--------+--------+--------+-------------+
| 12.     | \$     | \       | 67%    | \      | 9%     | \$51,700    |
|  Elkins | 55,000 | $37,000 |        | $5,000 |        |             |
+---------+--------+---------+--------+--------+--------+-------------+
| 13.     | \$     | \       | 52%    | \$     | 22%    | \$74,432    |
|  Goodin | 78,350 | $41,000 |        | 17,000 |        |             |
+---------+--------+---------+--------+--------+--------+-------------+
| 14.     | \$     | \       | 61%    | \$     | 28%    | \$43,681    |
|  Weiner | 45,980 | $28,000 |        | 13,000 |        |             |
+---------+--------+---------+--------+--------+--------+-------------+
| 15.     | \$     | \       | 96%    | \$     | 62%    | \$64,383    |
|  London | 67,772 | $65,000 |        | 42,000 |        |             |
+---------+--------+---------+--------+--------+--------+-------------+
| **T     | *      | **\$66  |        | *      |        | **          |
| otals** | *\$890 | 3,700** |        | *\$207 |        | \$838,032** |
|         | ,096** |         |        | ,850** |        |             |
+---------+--------+---------+--------+--------+--------+-------------+

The combined total of the fair market values of these 15 properties is
\$890,096. The combined total of damages paid in just the last five
years is \$871,550. Thus, in just the last five years, these property
owners have collected disaster assistance approximately equal to the
fair market value of all of their properties combined. If Simplicity
acquires these properties, we will eliminate the need for this type of
payment in the future, despite any flooding in the area.

+------------+---------------------+----------------------------------+
| #### Alter | Floodwall or Berm   |                                  |
| native #2: |                     |                                  |
+------------+---------------------+----------------------------------+
| *Describe  |                     |                                  |
| in detail  |                     |                                  |
| another    |                     |                                  |
| mitigation |                     |                                  |
| measure    |                     |                                  |
| (e.g.,     |                     |                                  |
| elevation, |                     |                                  |
| wet or dry |                     |                                  |
| floo       |                     |                                  |
| dproofing, |                     |                                  |
| detention  |                     |                                  |
| ponds,     |                     |                                  |
| drainage   |                     |                                  |
| ditches,   |                     |                                  |
| etc.) that |                     |                                  |
| is a       |                     |                                  |
| feasible   |                     |                                  |
| a          |                     |                                  |
| lternative |                     |                                  |
| solution   |                     |                                  |
| to the     |                     |                                  |
| problem    |                     |                                  |
| d          |                     |                                  |
| escribed.* |                     |                                  |
|            |                     |                                  |
| -   *How   |                     |                                  |
|     will   |                     |                                  |
|     this   |                     |                                  |
|            |                     |                                  |
| mitigation |                     |                                  |
|            |                     |                                  |
|    measure |                     |                                  |
|     solve  |                     |                                  |
|     the    |                     |                                  |
|            |                     |                                  |
|    problem |                     |                                  |
|     d      |                     |                                  |
| escribed?* |                     |                                  |
|            |                     |                                  |
| -          |                     |                                  |
|   *Explain |                     |                                  |
|     how it |                     |                                  |
|     is     |                     |                                  |
|            |                     |                                  |
|  effective |                     |                                  |
|     in     |                     |                                  |
|            |                     |                                  |
| addressing |                     |                                  |
|     a      |                     |                                  |
|            |                     |                                  |
|  recurrent |                     |                                  |
|     or     |                     |                                  |
|            |                     |                                  |
| repetitive |                     |                                  |
|            |                     |                                  |
|  problem.* |                     |                                  |
|            |                     |                                  |
| -          |                     |                                  |
| *Calculate |                     |                                  |
|     the    |                     |                                  |
|            |                     |                                  |
|  estimated |                     |                                  |
|     cost   |                     |                                  |
|            |                     |                                  |
|  including |                     |                                  |
|     the    |                     |                                  |
|            |                     |                                  |
|    present |                     |                                  |
|     cost   |                     |                                  |
|     of     |                     |                                  |
|     impl   |                     |                                  |
| ementation |                     |                                  |
|     and    |                     |                                  |
|     the    |                     |                                  |
|     future |                     |                                  |
|     cost   |                     |                                  |
|     of     |                     |                                  |
|     ma     |                     |                                  |
| intenance, |                     |                                  |
|     as     |                     |                                  |
|     well   |                     |                                  |
|     as the |                     |                                  |
|            |                     |                                  |
|  potential |                     |                                  |
|     future |                     |                                  |
|     losses |                     |                                  |
|     from   |                     |                                  |
|            |                     |                                  |
|    natural |                     |                                  |
|     d      |                     |                                  |
| isasters.* |                     |                                  |
+------------+---------------------+----------------------------------+

Building a floodwall or berm would solve the flooding problem if it were
long enough and high enough to protect the entire area. However, the
proposed project area is three miles long. A floodwall of this size
could not maintain the necessary stability to provide protection to such
a large area. Likewise, the high cost and the time necessary to build
such a large floodwall reduces the feasibility and practicality of such
a project. By the time the building could be completed, it is likely
that the area would suffer at least one more devastating flood. In
addition, the possibility still exists that floodwaters could rise above
it.

A berm is also not guaranteed protection. There is the possibility that
flood waters could rise above it. In addition, berms erode, becoming
less reliable as time goes by. Thus maintenance of a berm would increase
costs, and decrease reliability of protection.

An appropriate estimate for construction of a berm of this size is
approximately \$1,000,000. Annual maintenance can be estimated at
approximately \$10,000-\$20,000. Over a 100-year lifetime, total
maintenance will cost approximately \$1,500,000. Potential damages are
more difficult to estimate because they depend partially on the quality
of maintenance. However, assuming a high quality is maintained, only
100-year or 500-year floods are likely to exceed the berm. Based on
previous history, it is likely that six to eight floods will exceed the
berm over a period of 100 years. Depending on the actual flood depths,
estimated damages from each of these events is from
\$200,000-\$1,000,000. Total potential future damages from the 100-year
life of the project can therefore be estimated at approximately
\$2,000,000.

A floodwall of the same size could cost \$3,000,000-\$4,000,000 to
implement, and another \$100,000-\$200,000 per year to maintain. Over a
100-year project lifetime, implementation and maintenance could total
over \$15,000,000.

+------------+----------------------+----------------------------------+
| #### Alter | No Action            |                                  |
| native #3: |                      |                                  |
+------------+----------------------+----------------------------------+
| *Describe  |                      |                                  |
| in detail  |                      |                                  |
| the        |                      |                                  |
| "          |                      |                                  |
| no-action" |                      |                                  |
| a          |                      |                                  |
| lternative |                      |                                  |
| solution   |                      |                                  |
| to the     |                      |                                  |
| problem    |                      |                                  |
| d          |                      |                                  |
| escribed.* |                      |                                  |
|            |                      |                                  |
| -          |                      |                                  |
|   *Explain |                      |                                  |
|     the    |                      |                                  |
|            |                      |                                  |
|    present |                      |                                  |
|     and    |                      |                                  |
|     future |                      |                                  |
|            |                      |                                  |
|    effects |                      |                                  |
|     of     |                      |                                  |
|     doing  |                      |                                  |
|            |                      |                                  |
|    nothing |                      |                                  |
|     to     |                      |                                  |
|     solve  |                      |                                  |
|     the    |                      |                                  |
|            |                      |                                  |
|  problem.* |                      |                                  |
|            |                      |                                  |
| -          |                      |                                  |
|  *Identify |                      |                                  |
|     the    |                      |                                  |
|            |                      |                                  |
|  estimated |                      |                                  |
|            |                      |                                  |
|    present |                      |                                  |
|     and    |                      |                                  |
|     future |                      |                                  |
|     costs  |                      |                                  |
|     and    |                      |                                  |
|     losses |                      |                                  |
|     of     |                      |                                  |
|     doing  |                      |                                  |
|            |                      |                                  |
|  nothing.* |                      |                                  |
+------------+----------------------+----------------------------------+

Calculations based on the history of flooding in Simplicity indicate
that, with no action, Simplicity could expect to suffer further damage,
injury or death of even greater magnitude in the future. Assuming
property owners would collect a similar amount of disaster assistance
every five years, and assuming a 100-year lifetime of the project, the
no action alternative could result in future disaster assistance
payments of approximately \$14,000,000 over the next 100 years.

Rescue services and utility repairs can cost up to \$500,000 per event.
Repair to damaged properties can cost up to \$1,000,000 per event.
Assuming one event every five years, and assuming disaster and repair
services cost from \$100,000-\$500,000 per event, and assuming property
repairs cost from \$100,000-\$1,000,000 per event, over a project
lifetime of 100 years, these services would total approximately
\$14,000,000.

+---------------------------+----------------------+------------------+
| Average cost              | Number of events in  | Total average    |
|                           | 100 years            | cost             |
+---------------------------+----------------------+------------------+
| \$300,000 per event       | x 20                 | = \$6,000,000    |
|                           |                      |                  |
| (for disaster and repair  |                      |                  |
| services)                 |                      |                  |
+---------------------------+----------------------+------------------+
| \$400,000 per event       | x 20                 | = \$8,000,000    |
|                           |                      |                  |
| (for property repairs)    |                      |                  |
+---------------------------+----------------------+------------------+
| Total potential losses    |                      | = \$14,000,000   |
| over 100-year project     |                      |                  |
| lifetime                  |                      |                  |
+---------------------------+----------------------+------------------+

###   {#section .unnumbered}

### 26. Proposed Solution

**Of the three alternative solutions described above, which does your
community propose is the best?**

The Hazard Mitigation Plan developed by the State has established
acquisition of flood-prone properties as its highest priority. In
addition, as individual residents and local officials became aware of
the extent of damage again inflicted by spring flooding, they became
increasingly interested in an acquisition project as a possible
solution. This was confirmed at town meetings held on May 26, May 28,
and May 30. Representatives of FEMA, the State, and the Town met and
discussed how property acquisition could greatly reduce future disaster
losses, save lives, and lessen overall taxpayer costs. Therefore,
Simplicity has determined that an aggressive program of acquisition of
flood-prone properties is its best alternative for reducing future
losses.

**Explain why your community proposes that solution over the other two
alternatives. Demonstrate that it is the best solution of the three.
Compare the costs of future floods (e. g., disaster response, recovery,
repair, reconstruction, etc.) to demonstrate its cost-effectiveness.**

Owners of this project area have reported repeated physical danger,
monetary loss and emotional stress due to repeated flooding.

No Action: The No action option does nothing to reduce or eliminate
future risk to residents or damage to their property. Nor does it offer
a means to reduce or eliminate the need for future disaster assistance.

Building a Floodwall or Berm: A floodwall is not a feasible option due
to the lack of stability of a floodwall large enough to protect the area
that must be protected , and to the extremely high cost of building such
a floodwall. A berm could reduce the risk and danger to property owners,
but would not eliminate it. A Benefit-Cost Analysis would show that the
cost of building a berm is almost equal to the cost of acquiring the
properties; But the benefit of permanently removing property owners from
the path of the flood is much greater than trying to control the river
and possibly failing. If the people are moved out of harm's way, there
is no chance of failure.

Property Acquisition: Acquiring this property and converting it to open
space in perpetuity is the only means of ensuring the safety of
residents and eliminating future government disaster assistance and
repair expenses. The present cost of repair is over 50% of the cost
required to fund a property acquisition project. By removing residents
from the path of danger, we will ensure that no future aid is required.

## Part 3: Estimated Budget

### 27. Budget Worksheet

  ----------------------- -------------------------- ------- -------- -------- -------- -----------
                                                     *Unit            *\# of   *Total   
                                                     Cost*            Units*   Cost*    

  *Site Acquisition                                                            \$       890,096
  (total estimated FMV's                                                                
  from Property                                                                         
  Inventory---Summary)*                                                                 

  *Appraisal*                                        \$      500      15       \$       7,500

  *Property Survey*                                  \$      500      4        \$       2,000

  *Title Search and                                  \$      1,000    15       \$       15,000
  Closing*                                                                              

  *Structure Demolition*                             \$      10,000   15       \$       150,000

  *Structure Relocation*                             \$      0        0        \$       0

  *Tenant or Housing                                 \$      6,000    3        \$       9,000
  relocation assistance*                                                                

  *Legal fees*                                                                 \$       4,500

  *Other:*                NFIP insurance premium                               \$       32,274
                          reimbursements (for 11                                        
                          people at 5 years each)                                       

  *Other:*                                                                     \$       

  *Total Cost Estimate                                                         \$       1,110,370
  (sum of all total                                                                     
  costs)*                                                                               

  **NOTE: Administrative                                                                
  funds will be provided                                                                
  in addition to grant                                                                  
  award if project is                                                                   
  approved. Do not                                                                      
  include administrative                                                                
  expenses in above Total                                                               
  Cost Estimate.**                                                                      
  ----------------------- -------------------------- ------- -------- -------- -------- -----------

+-------------+----------------------+---+------+---+----------------+
| ### 28. Ba  |                      |   |      |   |                |
| sis of FMV: |                      |   |      |   |                |
+-------------+----------------------+---+------+---+----------------+
| Fair market |                      |   |      |   |                |
| value will  |                      |   |      |   |                |
| be based on |                      |   |      |   |                |
| po          |                      |   |      |   |                |
| st-disaster |                      |   |      |   |                |
| property    |                      |   |      |   |                |
| values. The |                      |   |      |   |                |
| application |                      |   |      |   |                |
| preparer    |                      |   |      |   |                |
| used        |                      |   |      |   |                |
| property    |                      |   |      |   |                |
| tax         |                      |   |      |   |                |
| assessment  |                      |   |      |   |                |
| data to     |                      |   |      |   |                |
| estimate a  |                      |   |      |   |                |
| working     |                      |   |      |   |                |
| budget.     |                      |   |      |   |                |
| However, we |                      |   |      |   |                |
| plan to     |                      |   |      |   |                |
| base final  |                      |   |      |   |                |
| purchase    |                      |   |      |   |                |
| offers on   |                      |   |      |   |                |
| appraisals  |                      |   |      |   |                |
| completed   |                      |   |      |   |                |
| by a State  |                      |   |      |   |                |
| licensed    |                      |   |      |   |                |
| p           |                      |   |      |   |                |
| rofessional |                      |   |      |   |                |
| appraiser   |                      |   |      |   |                |
| from        |                      |   |      |   |                |
| Prosperity  |                      |   |      |   |                |
| County. For |                      |   |      |   |                |
| those       |                      |   |      |   |                |
| property    |                      |   |      |   |                |
| owners who  |                      |   |      |   |                |
| are         |                      |   |      |   |                |
| interested  |                      |   |      |   |                |
| in          |                      |   |      |   |                |
| obtaining a |                      |   |      |   |                |
| second      |                      |   |      |   |                |
| appraisal,  |                      |   |      |   |                |
| we will     |                      |   |      |   |                |
| provide a   |                      |   |      |   |                |
| list of     |                      |   |      |   |                |
| appraisers  |                      |   |      |   |                |
| from the    |                      |   |      |   |                |
| county      |                      |   |      |   |                |
| whose       |                      |   |      |   |                |
| appraisals  |                      |   |      |   |                |
| will be     |                      |   |      |   |                |
| considered  |                      |   |      |   |                |
| acceptable. |                      |   |      |   |                |
+-------------+----------------------+---+------+---+----------------+
| #           |                      |   |      |   |                |
| ## 29. Proj |                      |   |      |   |                |
| ected Sourc |                      |   |      |   |                |
| e of Funds: |                      |   |      |   |                |
+-------------+----------------------+---+------+---+----------------+
|             | *Source*             |   | *    |   | *Amount*       |
|             |                      |   | Perc |   |                |
|             |                      |   | ent* |   |                |
+-------------+----------------------+---+------+---+----------------+
| *Federal    | FEMA                 |   | 75%  | \ | 832,778        |
| Share:*     |                      |   |      | $ |                |
+-------------+----------------------+---+------+---+----------------+
|             |                      |   |      |   |                |
+-------------+----------------------+---+------+---+----------------+
| *           | State                |   | 22%  | \ | 244,281        |
| Non-federal |                      |   |      | $ |                |
| Share:*     |                      |   |      |   |                |
|             |                      |   |      |   |                |
| *(State,    |                      |   |      |   |                |
| local,      |                      |   |      |   |                |
| private)*   |                      |   |      |   |                |
+-------------+----------------------+---+------+---+----------------+
|             | CDBG                 |   | 3%   | \ | 33,311         |
|             |                      |   |      | $ |                |
+-------------+----------------------+---+------+---+----------------+
|             |                      |   |      | \ |                |
|             |                      |   |      | $ |                |
+-------------+----------------------+---+------+---+----------------+

###  30. Work Schedule:

> Include a work schedule showing milestones and their anticipated
> periods of performance.

+-------------------------------------------+--------------------------+
| Projected Work Schedule                   |                          |
+-------------------------------------------+--------------------------+
| Task                                      | Estimated time to        |
|                                           | complete                 |
+-------------------------------------------+--------------------------+
| 1.  Announce receipt of grant             | 1 week                   |
|                                           |                          |
| ```{=html}                                | 1 week                   |
| <!-- -->                                  |                          |
| ```                                       | 3-6 weeks                |
| 1.  Update list of interested property    |                          |
|     owners                                | 1-3 weeks                |
|                                           |                          |
| 2.  Appraise properties                   | 1-3 weeks                |
|                                           |                          |
| 3.  Distribute offer letters              | 1 week                   |
|                                           |                          |
| 4.  Accept any second appraisals          | 2-4 weeks                |
|                                           |                          |
| 5.  Begin closing proceedings             | 3-6 weeks                |
|                                           |                          |
| 6.  Close on properties                   | 6-12 weeks               |
|                                           |                          |
| 7.  Relocate or demolish any remaining    | Ongoing                  |
|     structures                            |                          |
|                                           |                          |
| 8.  Implement open space plan             |                          |
|                                           |                          |
| 9.  Maintain open space                   |                          |
+-------------------------------------------+--------------------------+
| Total Time Estimate                       | 6-9 months               |
+-------------------------------------------+--------------------------+
| \*Please note that some tasks may overlap |                          |
| or occur simultaneously.                  |                          |
+-------------------------------------------+--------------------------+

## Part 4: Property Inventory

*Use the property inventory forms (items 31, 32, and 33) to document
properties targeted for acquisition. Make copies of the forms, as
necessary, number copies, and attach.*

*Also please answer the following questions. If the question is not
applicable to your project, write "N/A" or "not applicable" in the
blank.*

+------------------+---+--------------------+----+--------+---+-------+
| *The average     |   |                    |    | Simp   | * | \$    |
| cost of one      |   |                    |    | licity | i | .4    |
| square foot of   |   |                    |    |        | s | 5-.55 |
| residential      |   |                    |    |        | * |       |
| rental property  |   |                    |    |        |   |       |
| in*              |   |                    |    |        |   |       |
+------------------+---+--------------------+----+--------+---+-------+
| *FOR PUBLIC      |   |                    |    |        |   |       |
| FACILITIES ONLY  |   |                    |    |        |   |       |
| (attach          |   |                    |    |        |   |       |
| additional       |   |                    |    |        |   |       |
| pages, if        |   |                    |    |        |   |       |
| necessary, to    |   |                    |    |        |   |       |
| answer for each  |   |                    |    |        |   |       |
| public facility  |   |                    |    |        |   |       |
| to be            |   |                    |    |        |   |       |
| acquired):*      |   |                    |    |        |   |       |
+------------------+---+--------------------+----+--------+---+-------+
| > *Type of       |   |                    | N  |        |   |       |
| > facility (e.g. |   |                    | /A |        |   |       |
| > fire station,  |   |                    |    |        |   |       |
| > community      |   |                    |    |        |   |       |
| > center,        |   |                    |    |        |   |       |
| > etc.):*        |   |                    |    |        |   |       |
+------------------+---+--------------------+----+--------+---+-------+
| > *Annual        | * |                    |    |        |   |       |
| > Budget:*       | \ |                    |    |        |   |       |
|                  | $ |                    |    |        |   |       |
|                  | * |                    |    |        |   |       |
+------------------+---+--------------------+----+--------+---+-------+
| > *Rental Income | * |                    |    |        |   |       |
| > (if any):*     | \ |                    |    |        |   |       |
|                  | $ |                    |    |        |   |       |
|                  | * |                    |    |        |   |       |
+------------------+---+--------------------+----+--------+---+-------+

+------+--------+-----------------+------------------------+---------+
| ###  |        |                 |                        |         |
| 31.  |        |                 |                        |         |
| Prop |        |                 |                        |         |
| erty |        |                 |                        |         |
|  Inv |        |                 |                        |         |
| ento |        |                 |                        |         |
| ry-- |        |                 |                        |         |
| -Sum |        |                 |                        |         |
| mary |        |                 |                        |         |
+------+--------+-----------------+------------------------+---------+
| *    | ***Lot | ***Property     | ***Property's Street   | ***Es   |
| **Se | or     | Owner's Name*** | Address & Zip Code***  | timated |
| quen | Parcel |                 |                        | FMV***  |
| tial | \#***  |                 |                        |         |
| \    |        |                 |                        |         |
| #*** |        |                 |                        |         |
+------+--------+-----------------+------------------------+---------+
| 1    | 412-00 | Todd Clabaugh   | 1421 River Road        | \       |
|      | 91-037 |                 |                        | $54,630 |
+------+--------+-----------------+------------------------+---------+
|      |        |                 | 40232                  |         |
+------+--------+-----------------+------------------------+---------+
| 2    | 412-00 | Mrs. Tammy      | 1572 River Road        | \       |
|      | 91-041 | Florman         |                        | $50,724 |
+------+--------+-----------------+------------------------+---------+
|      |        |                 | 40232                  |         |
+------+--------+-----------------+------------------------+---------+
| 3    | 412-00 | Mr. and Mrs. D. | 1583 River Road        | \       |
|      | 91-048 | Morris          |                        | $41,850 |
+------+--------+-----------------+------------------------+---------+
|      |        |                 | 40232                  |         |
+------+--------+-----------------+------------------------+---------+
| 4    | 412-00 | Leslie and Jim  | 1591 River Road        | \       |
|      | 91-052 | Banks           |                        | $60,012 |
+------+--------+-----------------+------------------------+---------+
|      |        |                 | 40232                  |         |
+------+--------+-----------------+------------------------+---------+
| 5    | 412-00 | Mr. Joel        | 1596 River Road        | \       |
|      | 91-059 | Schafer         |                        | $56,104 |
+------+--------+-----------------+------------------------+---------+
|      |        |                 | 40232                  |         |
+------+--------+-----------------+------------------------+---------+
| 6    | 412-00 | Mr. and Mrs.    | 1600 River Road        | \       |
|      | 91-060 | Haluyante       |                        | $73,908 |
|      |        | Astatke         |                        |         |
+------+--------+-----------------+------------------------+---------+
|      |        |                 | 40232                  |         |
+------+--------+-----------------+------------------------+---------+
| 7    | 412-00 | Mr. and Mrs.    | 1654 River Road        | \       |
|      | 91-066 | Dano Blanca     |                        | $74,448 |
+------+--------+-----------------+------------------------+---------+
|      |        |                 | 40232                  |         |
+------+--------+-----------------+------------------------+---------+
| 8    | 412-00 | Ms. Patrice     | 1679 River Road        | \       |
|      | 91-067 | Smith           |                        | $41,652 |
+------+--------+-----------------+------------------------+---------+
|      |        |                 | 40232                  |         |
+------+--------+-----------------+------------------------+---------+
| 9    | 412-00 | Steven and Lisa | 1700 River Road        | \       |
|      | 91-070 | Kagan           |                        | $69,372 |
+------+--------+-----------------+------------------------+---------+
|      |        |                 | 40232                  |         |
+------+--------+-----------------+------------------------+---------+
| 10   | 412-00 | Isabel Nazario  | 1833 River Road        | \       |
|      | 91-083 |                 |                        | $65,196 |
+------+--------+-----------------+------------------------+---------+
|      |        |                 | 40232                  |         |
+------+--------+-----------------+------------------------+---------+
| 11   | 412-00 | Mr. John        | 1887 River Road        | \       |
|      | 91-088 | Sternman        |                        | $55,098 |
+------+--------+-----------------+------------------------+---------+
|      |        |                 | 40232                  |         |
+------+--------+-----------------+------------------------+---------+
| 12   | 412-00 | Lee and Toni    | 1901 River Road        | \       |
|      | 91-090 | Elkins          |                        | $55,000 |
+------+--------+-----------------+------------------------+---------+
|      |        |                 | 40232                  |         |
+------+--------+-----------------+------------------------+---------+
| 13   | 412-00 | Mr. and Mrs.    | 2006 River Road        | \       |
|      | 92-000 | Robert Goodin   |                        | $78,350 |
+------+--------+-----------------+------------------------+---------+
|      |        |                 | 40232                  |         |
+------+--------+-----------------+------------------------+---------+
| 14   | 412-00 | Mr. Alex Weiner | 2099 River Road        | \       |
|      | 92-009 |                 |                        | $45,980 |
+------+--------+-----------------+------------------------+---------+
|      |        |                 | 40232                  |         |
+------+--------+-----------------+------------------------+---------+
| 15   | 412-00 | Charles London  | 2100 River Road        | \       |
|      | 92-010 |                 |                        | $67,772 |
+------+--------+-----------------+------------------------+---------+
|      |        |                 | 40232                  |         |
+------+--------+-----------------+------------------------+---------+
| T    |        |                 |                        | \$      |
| otal |        |                 |                        | 890,096 |
| E    |        |                 |                        |         |
| stim |        |                 |                        |         |
| ated |        |                 |                        |         |
| FMVs |        |                 |                        |         |
| this |        |                 |                        |         |
| page |        |                 |                        |         |
+------+--------+-----------------+------------------------+---------+

<table>
<colgroup>
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 17%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 14%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 4%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 4%" />
<col style="width: 5%" />
<col style="width: 5%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="27"><h3 id="property-inventoryindividual">32. Property
Inventory—Individual</h3></td>
</tr>
<tr class="even">
<td colspan="21">Sequential #:</td>
<td colspan="3">1</td>
<td>of</td>
<td colspan="2">15</td>
</tr>
<tr class="odd">
<td colspan="27"><h5 id="a.-owners-data">A. Owner(s) Data</h5></td>
</tr>
<tr class="even">
<td colspan="3">Name:</td>
<td colspan="13">Todd Clabaugh</td>
<td colspan="3">Social Security #:</td>
<td colspan="8">224-09-7654</td>
</tr>
<tr class="odd">
<td colspan="3">Phone</td>
<td colspan="2"><em>Day:</em></td>
<td colspan="4">(111) 678-9012</td>
<td colspan="7"><em>Evening:</em></td>
<td colspan="3">(111) 426-1134</td>
<td colspan="8"></td>
</tr>
<tr class="even">
<td colspan="7">Mailing Address:</td>
<td colspan="12">511 Tyler Lane</td>
<td colspan="8"></td>
</tr>
<tr class="odd">
<td colspan="7"></td>
<td colspan="12">Simplicity, AS 40222</td>
<td colspan="8"></td>
</tr>
<tr class="even">
<td colspan="3">Name:</td>
<td colspan="13">N/A</td>
<td colspan="3">Social Security #:</td>
<td colspan="8"></td>
</tr>
<tr class="odd">
<td colspan="3">Phone</td>
<td colspan="2"><em>Day:</em></td>
<td colspan="5"></td>
<td colspan="6"><em>Evening:</em></td>
<td colspan="3"></td>
<td colspan="8"></td>
</tr>
<tr class="even">
<td colspan="7">Mailing Address:</td>
<td colspan="12"></td>
<td colspan="8"></td>
</tr>
<tr class="odd">
<td colspan="7"></td>
<td colspan="12"></td>
<td colspan="8"></td>
</tr>
<tr class="even">
<td colspan="27"><h5
id="b.-tenant-data-if-applicable-if-more-than-one-tenant-use-33-property-inventorytenant-data-sheet.">B.
Tenant Data (if applicable) (If more than one tenant use 33, Property
Inventory—Tenant Data sheet.)</h5></td>
</tr>
<tr class="odd">
<td colspan="3">Name:</td>
<td colspan="13">N/A</td>
<td colspan="3">Social Security #:</td>
<td colspan="8"></td>
</tr>
<tr class="even">
<td colspan="3">Phone</td>
<td colspan="2"><em>Day:</em></td>
<td colspan="5"></td>
<td colspan="6"><em>Evening:</em></td>
<td colspan="3"></td>
<td colspan="8"></td>
</tr>
<tr class="odd">
<td colspan="7">Mailing Address:</td>
<td colspan="12"></td>
<td colspan="8"></td>
</tr>
<tr class="even">
<td colspan="7"></td>
<td colspan="12"></td>
<td colspan="8"></td>
</tr>
<tr class="odd">
<td colspan="27">Identify Possible Sources of Disaster Assistance for
DOB (check all that apply):</td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="6">NFIP Settlement</td>
<td colspan="4"></td>
<td colspan="6">State IFG Program</td>
<td colspan="2"></td>
<td colspan="7">SBA Loans</td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="6">Disaster Housing (DH) Program</td>
<td colspan="4"></td>
<td colspan="6">Hazard Minimization Funds</td>
<td colspan="2"></td>
<td colspan="7"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="2">Other:</td>
<td colspan="23"></td>
</tr>
<tr class="odd">
<td colspan="27">Summarize building permit data below (include date of
permit and purpose).</td>
</tr>
<tr class="even">
<td></td>
<td colspan="26">N/A</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="26"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="26"></td>
</tr>
<tr class="odd">
<td colspan="11" rowspan="2">Has this structure ever been flooded
before?</td>
<td colspan="3" rowspan="2">Yes</td>
<td rowspan="2"></td>
<td colspan="12"></td>
</tr>
<tr class="even">
<td colspan="12"><strong>FOR BUSINESSES ONLY:</strong></td>
</tr>
<tr class="odd">
<td colspan="14">If yes, complete the following:</td>
<td></td>
<td colspan="2">Type of business:</td>
<td colspan="9">N/A</td>
<td></td>
</tr>
<tr class="even">
<td rowspan="2"></td>
<td colspan="5" rowspan="2"><strong>Date</strong></td>
<td colspan="7" rowspan="2"><strong>Water depth above first finished
floor</strong></td>
<td colspan="2" rowspan="2"></td>
<td colspan="7">Monthly cost of rental space:</td>
<td colspan="4"></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="7">Estimated value of contents:</td>
<td colspan="4"></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td colspan="5">1998</td>
<td colspan="7">7 ½ feet</td>
<td colspan="2"></td>
<td colspan="12" rowspan="4">Description of contents:</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="5">1991</td>
<td colspan="7">6 inches</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="5">1989</td>
<td colspan="7">15 inches</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="5">1984</td>
<td colspan="7">3 ½ feet</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="5">1978</td>
<td colspan="7">2 feet</td>
<td colspan="2"></td>
<td colspan="7">Number of lost business days:</td>
<td colspan="4"></td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="5"></td>
<td colspan="7"></td>
<td colspan="2"></td>
<td colspan="12"></td>
</tr>
<tr class="even">
<td colspan="18">Attach a detailed street map with exact location of
property. Is map attached?</td>
<td colspan="5">YES</td>
<td colspan="4"></td>
</tr>
</tbody>
</table>

<table style="width:100%;">
<colgroup>
<col style="width: 4%" />
<col style="width: 14%" />
<col style="width: 7%" />
<col style="width: 0%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 5%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 0%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 5%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="32"><h5 id="c.-property-data">C. Property Data </h5></td>
</tr>
<tr class="even">
<td colspan="2">Lot or Parcel #:</td>
<td colspan="5">412-0091-037</td>
<td colspan="25"></td>
</tr>
<tr class="odd">
<td colspan="2">Street Address:</td>
<td colspan="16">1421 River Road</td>
<td colspan="2"></td>
<td colspan="5">Zip Code:</td>
<td colspan="7">40232</td>
</tr>
<tr class="even">
<td colspan="32">Type of Property (check one):</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="3">Single-family Home</td>
<td></td>
<td colspan="10">House of Worship</td>
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="12">Mobile Home with Pad</td>
</tr>
<tr class="even">
<td></td>
<td colspan="3">Multiple-family Home</td>
<td></td>
<td colspan="10">Vacant Lot</td>
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="12">Own home pad</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="3">Commercial</td>
<td></td>
<td colspan="4">Other</td>
<td colspan="6"></td>
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="12">Rent home pad</td>
</tr>
<tr class="even">
<td colspan="8">Number of stories? <em>(Not including
basement)</em></td>
<td colspan="3">1</td>
<td colspan="10">Does the building have a basement?</td>
<td colspan="2"></td>
<td colspan="3">Yes</td>
<td colspan="3"></td>
<td colspan="3">No</td>
</tr>
<tr class="odd">
<td colspan="15">Type of Construction (e.g. wood frame, masonry,
etc.)</td>
<td colspan="16">Wood frame</td>
<td></td>
</tr>
<tr class="even">
<td colspan="15">Type of Foundation (e.g. post and pier, continuous
perimeter, etc.)</td>
<td colspan="16">Continuous perimeter</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="12">What is the date of initial construction?</td>
<td colspan="6">1975</td>
<td colspan="14"></td>
</tr>
<tr class="even">
<td colspan="12">What is the total square footage of all buildings?</td>
<td colspan="2">850</td>
<td colspan="18">square feet</td>
</tr>
<tr class="odd">
<td colspan="22">As of the date of application, are any structures on
the property 50 years old or older?</td>
<td colspan="2"></td>
<td colspan="3">Yes</td>
<td colspan="3"></td>
<td colspan="2">No</td>
</tr>
<tr class="even">
<td colspan="13">What is the property’s Flood Zone Symbol or
Designation?</td>
<td colspan="3">B</td>
<td colspan="16"></td>
</tr>
<tr class="odd">
<td colspan="3">Is property in a floodway?</td>
<td colspan="3"></td>
<td colspan="4">Yes</td>
<td colspan="2"></td>
<td>No</td>
<td colspan="15">What percentage of the property is damaged?</td>
<td colspan="2">95</td>
<td colspan="2">%</td>
</tr>
<tr class="even">
<td colspan="3">Is property in a floodplain?</td>
<td colspan="3"></td>
<td colspan="4">Yes</td>
<td colspan="2"></td>
<td>No</td>
<td colspan="15">If yes, describe floodplain (e.g., 10-, 25-, 50-, 100-,
or 500-year):</td>
<td colspan="2">10</td>
<td colspan="2">-year</td>
</tr>
<tr class="odd">
<td colspan="13">What is the first floor elevation (FFE) of the
property?</td>
<td colspan="6"></td>
<td colspan="13">feet above sea level (NGVD)*</td>
</tr>
<tr class="even">
<td colspan="13">What is the base flood elevation (BFE) of the
property?</td>
<td colspan="6"></td>
<td colspan="13">feet above sea level (NGVD)</td>
</tr>
<tr class="odd">
<td colspan="13">What is the flood water elevation for the current
event?</td>
<td colspan="6"></td>
<td colspan="13">feet above sea level (NGVD)</td>
</tr>
<tr class="even">
<td colspan="32"></td>
</tr>
</tbody>
</table>

\**National Geodetic Vertical Datum*

## Attach color photographs. 

## Part 5: Environmental and Sociological Considerations

For each Hazard Mitigation alternative your community is considering,
answer "Yes," "No," or "Possibly," or "Don't Know" to each question.
Then compare the columns. The column with the most "No" answers is the
most community-friendly alternative.

### 34. Matrix of Environmental and Sociological Effects 

+-----------------------------------------+--------+--------+--------+
|                                         | **Pr   | *      | **No   |
|                                         | oposed | *Alter | Ac     |
|                                         | Ac     | native | tion** |
|                                         | tion** | #2**   |        |
+-----------------------------------------+--------+--------+--------+
| ***Land Use & Socioeconomic Issues***   |        |        |        |
+-----------------------------------------+--------+--------+--------+
| *1. Will project hinder or violate      | No     | Yes    | No     |
| general land use in the area?*          |        |        |        |
+-----------------------------------------+--------+--------+--------+
| *2. Will project conflict with local    | No     | Po     | No     |
| zoning ordinances?*                     |        | ssibly |        |
+-----------------------------------------+--------+--------+--------+
| *3. Will any structures be relocated?*  | No     | No     | No     |
+-----------------------------------------+--------+--------+--------+
| *4. Will project negatively affect area | Po     | No     | Po     |
| economic activities?*                   | ssibly |        | ssibly |
+-----------------------------------------+--------+--------+--------+
| *5. Will project have a                 | No     | No     | No     |
| disproportionately high or adverse      |        |        |        |
| affect on a minority/low-income         |        |        |        |
| population?*                            |        |        |        |
+-----------------------------------------+--------+--------+--------+
| ###                                     | No     | Don't  | No     |
| ## *6. Will project decrease or hinder  |        | Know   |        |
| prime farmland?* {#will-project-decreas |        |        |        |
| e-or-hinder-prime-farmland .unnumbered} |        |        |        |
+-----------------------------------------+--------+--------+--------+
| ***Natural Resources***                 |        |        |        |
+-----------------------------------------+--------+--------+--------+
| *7. Will marine, aquatic or terrestrial | No     | Po     | No     |
| vegetation be removed?*                 |        | ssibly |        |
+-----------------------------------------+--------+--------+--------+
| *8. Will there be construction in       | No     | Yes    | No     |
| marshlands or wetlands? Will the        |        |        |        |
| project adversely affect any wetlands   |        |        |        |
| areas?*                                 |        |        |        |
+-----------------------------------------+--------+--------+--------+
| *9. Do endangered or rare species live  | Po     | Po     | Po     |
| in the project area?*                   | ssibly | ssibly | ssibly |
+-----------------------------------------+--------+--------+--------+
| *10. Is the project area in or near a   | No     | No     | No     |
| wildlife conservation area?*            |        |        |        |
+-----------------------------------------+--------+--------+--------+
| ***Archeological and Historical         |        |        |        |
| Resources***                            |        |        |        |
+-----------------------------------------+--------+--------+--------+
| *11. Does project area have any         | No     | No     | No     |
| archeological, cultural or historical   |        |        |        |
| significance?*                          |        |        |        |
+-----------------------------------------+--------+--------+--------+
| *12. Will project require excavation or | No     | Yes    | No     |
| disturbance of soil?*                   |        |        |        |
+-----------------------------------------+--------+--------+--------+
| **Total "No" Responses:**               | 11     | 5      | 11     |
+-----------------------------------------+--------+--------+--------+

Also consider hazardous materials that may be found on the properties
you plan to acquire. Answer "Yes," "No," or "Possibly," or "Don't know"
to each of the following questions. If the answer is "Yes" for even one
property, then answer "Yes" to the question. For any question to which
your answered "Yes" or "Possibly," please attach additional pages
explaining each hazardous material and planned abatement of each.

  ----------------------------------------------------------- -----------
  ***Hazardous Materials***                                   

  *1. Were the properties previously or are the properties    No
  currently used for commercial, light industrial,            
  transportation or institutional purposes?*                  

  *2. Are there any above ground storage tanks, underground   Possibly
  storage tanks, or leaking storage tanks present on the      
  properties?*                                                

  *3. Is there presently, or has there been in the past, any  Don't Know
  generation, treatment, storage, disposal, release, or spill 
  of petroleum products, solid or hazardous substances and/or 
  wastes, other than normal quantities of household           
  substances on the properties?*                              

  *4. Have unusual odors or discoloration been noticed in the No
  soil, or drinking or surface water on or near the           
  properties?*                                                

  *5. Are there any past or ongoing environmental             No
  investigations conducted by federal, state, local           
  government agencies, or private firms; or Occupational      
  Safety and Health Administration (OSHA) citations or        
  notices of violation on the properties related to           
  environmental or toxic hazards?*                            

  *6. Are there any other issues or concerns associated with  No
  hazardous or toxic materials on the properties?*            
  ----------------------------------------------------------- -----------

### 35. Agency Contacts

Identify the state and federal agencies contacted in the development of
the project and in the preparation of this environmental analysis. In
Part 6: Attachments, be sure to include letters from the State Historic
Preservation Officer regarding historic buildings and archeological
resources; and the U.S. Fish and Wildlife Service regarding endangered
and threatened species, and fish and wildlife conservation issues.

+---+------------------------------+---+--------------------------------+
|   | *State Historic Preservation |   | *U.S. Department of the        |
|   | Office*                      |   | Interior*                      |
|   |                              |   |                                |
|   | *U.S. Fish and Wildlife      |   | *U.S. Environmental Protection |
|   | Service*                     |   | Agency*                        |
|   |                              |   |                                |
|   | *State Division of           |   | *U.S. Geological Survey*       |
|   | Environmental Protection*    |   |                                |
|   |                              |   | *U.S. Natural Resources        |
|   | *State Division of Natural   |   | Conservation Service*          |
|   | Resources*                   |   |                                |
|   |                              |   | *Other: State Dept. of Social  |
|   |                              |   | Services*                      |
+---+------------------------------+---+--------------------------------+

###  36. Sociological Questions

Please respond to the following in regards to your community's proposed
solution.

1.  Identify and describe any historic resources on or near any of the
    properties. Explain how the project will effect those historic
    resources.

  -----------------------------------------------------------------------
  The project area has no historical significance.

  -----------------------------------------------------------------------

2.  Identify and describe any archeological sites on or near any of the
    properties. Explain how the project will effect those archeological
    sites.

  -----------------------------------------------------------------------
  The closest archeological sites are over 15 miles from the project
  area. According to the SHPO (see attached letter), this project should
  have no effect on those sites or any other areas of archeological
  significance.

  -----------------------------------------------------------------------

3.  Identify and explain any significant cultural or social issues that
    might affect or be affected by the project.

  -----------------------------------------------------------------------
  There are no minority families living in the project area. Some
  properties are owned by low-income residents, however it is the
  position of the Town that acquisition of their properties will benefit
  them by providing an opportunity to purchase a new residence where they
  will not have to live with the fear and trauma associated with living
  in a floodplain.

  -----------------------------------------------------------------------

4.  Identify and explain any economic concerns or issues that might
    affect or be affected by the project.

  -----------------------------------------------------------------------
  The county has no major economic concerns or issues as no business
  areas are affected by this project. However, 11 property owners living
  in project properties will probably qualify as low-to-moderate income
  (LMI) and may require additional relocation assistance.

  -----------------------------------------------------------------------

5.  Identify and describe abatement of any hazardous materials (e.g.,
    lead, asbestos, septic tanks, heating oil tanks, etc.) on any of the
    properties.

  -----------------------------------------------------------------------
  At present, property owners are responsible for appropriate disposal of
  any known hazardous materials that they are capable of removing (paint,
  pesticides, etc.). Other known hazardous materials include septic
  tanks, heating oil tanks and asbestos. Included in the estimated cost
  of demolition are funds to hire a special contractor to drain and fill
  all underground septic tanks and heating oil tanks, to drain and remove
  all above-ground septic tanks, and to properly collect and dispose of
  any asbestos coated building materials. If any other hazardous
  materials are found during demolition, either the demolition contractor
  will dispose of them appropriately or the Town will extend the scope of
  work for the special contractor.

  -----------------------------------------------------------------------

## Part 6: Authorized Signatures

### 37. Project Official Chief Executive Officer of the Applicant/Community

  -------------- --------------- ------------------------------------ -- -- ------------- ---------------------------- --
  I certify that                                                                                                       
  I am the                                                                                                             
  authorized                                                                                                           
  agent for the                                                                                                        
  applicant                                                                                                            
  having purview                                                                                                       
  over the                                                                                                             
  development                                                                                                          
  and completion                                                                                                       
  of this                                                                                                              
  application,                                                                                                         
  and all                                                                                                              
  statements and                                                                                                       
  information                                                                                                          
  contained                                                                                                            
  herein are                                                                                                           
  true and                                                                                                             
  accurate.                                                                                                            

                                 Margaret Mayhem                            June 3, 1998                               

                 ***Authorized                                              ***Date***                                 
                 Agent's                                                                                               
                 Signature***                                                                                          

                                 Margaret Mayhem                            Mayor                                      

                 ***Name (typed                                             ***Title***                                
                 or printed)***                                                                                        

  I certify that                                                                                                       
  I am the chief                                                                                                       
  executive                                                                                                            
  officer of the                                                                                                       
  applicant and                                                                                                        
  the above                                                                                                            
  named                                                                                                                
  individual is                                                                                                        
  the authorized                                                                                                       
  agent acting                                                                                                         
  on our behalf                                                                                                        
  for this                                                                                                             
  application.                                                                                                         

                                 Margaret Mayhem                                          June 3, 1998                 

                 ***CEO's                                                   ***Date***                                 
                 Signature***                                                                                          

                                 Margaret Mayhem                                          Mayor                        

                 ***Name (typed                                             ***Title***                                
                 or printed)***                                                                                        
  -------------- --------------- ------------------------------------ -- -- ------------- ---------------------------- --

  -----------------------------------------------------------------------
  ***Before submitting this application, ensure you have provided all
  requested information. An incomplete application may result in an
  unfavorable evaluation, or delay of HMGP funding. List all attachments
  and enclosures on the next page.***

  -----------------------------------------------------------------------

##  Part 7: Attachments and Enclosures

### 38. Attachments

+-------+-----------------------+-------------------------------------+
| *Use  |                       |                                     |
| the   |                       |                                     |
| space |                       |                                     |
| below |                       |                                     |
| to    |                       |                                     |
| name  |                       |                                     |
| and   |                       |                                     |
| n     |                       |                                     |
| umber |                       |                                     |
| all   |                       |                                     |
| a     |                       |                                     |
| ttach |                       |                                     |
| ments |                       |                                     |
| and   |                       |                                     |
| e     |                       |                                     |
| nclos |                       |                                     |
| ures. |                       |                                     |
| Use   |                       |                                     |
| as    |                       |                                     |
| many  |                       |                                     |
| pages |                       |                                     |
| as    |                       |                                     |
| nece  |                       |                                     |
| ssary |                       |                                     |
| to    |                       |                                     |
| list  |                       |                                     |
| all   |                       |                                     |
| docu  |                       |                                     |
| ments |                       |                                     |
| n     |                       |                                     |
| eatly |                       |                                     |
| and   |                       |                                     |
| co    |                       |                                     |
| mplet |                       |                                     |
| ely.* |                       |                                     |
|       |                       |                                     |
| *Be   |                       |                                     |
| sure  |                       |                                     |
| to    |                       |                                     |
| in    |                       |                                     |
| clude |                       |                                     |
| c     |                       |                                     |
| opies |                       |                                     |
| of    |                       |                                     |
| the   |                       |                                     |
| f     |                       |                                     |
| ollow |                       |                                     |
| ing:* |                       |                                     |
+-------+-----------------------+-------------------------------------+
| Maps  |                       | Other supporting documentation:     |
| of    |                       |                                     |
| pr    |                       | -   Copies of letters from          |
| oject |                       |     environmental agencies          |
| area: |                       |                                     |
|       |                       | ```{=html}                          |
| -   S |                       | <!-- -->                            |
| treet |                       | ```                                 |
|       |                       | -   Advertisements for project      |
|   map |                       |     meetings                        |
|       |                       |                                     |
| ```{= |                       | ```{=html}                          |
| html} |                       | <!-- -->                            |
| <!-   |                       | ```                                 |
| - --> |                       | -   Photographs of damage and other |
| ```   |                       |     evidence                        |
| -     |                       |                                     |
|  FIRM |                       | ```{=html}                          |
|       |                       | <!-- -->                            |
| ```{= |                       | ```                                 |
| html} |                       | -   Property data                   |
| <!-   |                       |                                     |
| - --> |                       |                                     |
| ```   |                       |                                     |
| -     |                       |                                     |
|   Top |                       |                                     |
| ograp |                       |                                     |
| hical |                       |                                     |
|       |                       |                                     |
|   and |                       |                                     |
|       |                       |                                     |
| other |                       |                                     |
|       |                       |                                     |
| maps, |                       |                                     |
|       |                       |                                     |
|    if |                       |                                     |
|       |                       |                                     |
|  avai |                       |                                     |
| lable |                       |                                     |
+-------+-----------------------+-------------------------------------+
| ###   |                       |                                     |
|  List |                       |                                     |
|  of A |                       |                                     |
| ttach |                       |                                     |
| ments |                       |                                     |
|  and  |                       |                                     |
| Enclo |                       |                                     |
| sures |                       |                                     |
+-------+-----------------------+-------------------------------------+
| ### N | ###                   |                                     |
| umber |  Title or Description |                                     |
+-------+-----------------------+-------------------------------------+
|       |                       |                                     |
+-------+-----------------------+-------------------------------------+
|       |                       |                                     |
+-------+-----------------------+-------------------------------------+
|       |                       |                                     |
+-------+-----------------------+-------------------------------------+
|       |                       |                                     |
+-------+-----------------------+-------------------------------------+
|       |                       |                                     |
+-------+-----------------------+-------------------------------------+
|       |                       |                                     |
+-------+-----------------------+-------------------------------------+
|       |                       |                                     |
+-------+-----------------------+-------------------------------------+
|       |                       |                                     |
+-------+-----------------------+-------------------------------------+
|       |                       |                                     |
+-------+-----------------------+-------------------------------------+
|       |                       |                                     |
+-------+-----------------------+-------------------------------------+
|       |                       |                                     |
+-------+-----------------------+-------------------------------------+
|       |                       |                                     |
+-------+-----------------------+-------------------------------------+
|       |                       |                                     |
+-------+-----------------------+-------------------------------------+
|       |                       |                                     |
+-------+-----------------------+-------------------------------------+
|       |                       |                                     |
+-------+-----------------------+-------------------------------------+
|       |                       |                                     |
+-------+-----------------------+-------------------------------------+