A. Owner Information Property Owner's Name(Required)
First
Last
Suffix
Is there more than one owner? If there is more than one person listed on the recorded official deed of ownership, then provide that second person's name. Common co-owners include family members such as parents, children, siblings, or spouses (or former spouses members, in certain cases).
Co-Owner's Name
First
Last
Suffix
Please indicate relationship of individual(s) listed on deed Property Owner's Mailing Address
If applicable, check if the property is owned by a(n)
B. Affected Property Information Property Address(Required)
Was this property someone's primary residence at the time of the last flood event? If yes, what type? Were there any structures located on the property at the time of the last flood? If yes, what type of structure? Describe Commercial Property
Please provide the following information, which is available from your most recent tax bill(s). If you do not have a copy of your tax bill, you can also look up your block and lot by pasting the following web address into a new browser window: { https://newjersey.maps.arcgis.com/apps/webappviewer/index.html?id=3a4290e1b3d64094a8b8a127965ab43a }. Instructions for how to use this mapping tool are on the right side panel. Use the address search tool to look up your property's address. The map will zoom in to the property. Click on the highlighted parcel, and an info box will pop up, which will show the block and lot of the property. The block and lot information will also appear underneath the search bar where you typed the property address.
Flood Zone for your Building
PLEASE SELECT THE FIRST CHOICE THAT ACCURATELY DESCRIBES YOUR FLOOD ZONE.
If there is more than one building on your property, do not count sheds, detached garages, etc. Please give the Flood Zone for buildings that people live in or work in, ONLY.
Are there any leases, rental agreements, easements, or deed restrictions affecting the property? Does the property have any mortgages or liens? Is the property subject to any pending litigation? If the property has a mortgage, is it in forbearance, pre-foreclosure, or foreclosure? If yes to any of the above, please describe
Have you ever applied here or elsewhere to sell this property for preservation? (This includes Green Acres, Sandy-Blue Acres, a County or local buyout program, or any other NJDEP program) Have you ever applied for a publicly-sponsored elevation program? (This includes elevation via your county, OEM, FMA, DCA-MAP, HARP, or other program) If yes, please provide details about any programs you have previously applied to below:
Do you have a completed elevation certificate? Is the property insured with a flood insurance policy under the National Flood Insurance Program? Note 1) If you have a WYO policy issued by a private insurance company but underwritten by the NFIP, then you have NFIP insurance. Note 2) Private Flood Insurance and Homeowner's Insurance are NOT the same thing.
Have you received a flood claim payment from the National Flood Insurance Program? Have you pursued, or are you pursuing, any subdivision or development approvals on the property? If yes, please describe the project approvals
Is the property currently listed for sale with a real estate agent? If yes, please provide the agent's name and phone #
First
Last
Please tell us about your property, including any unique or special environmental features, known historical associations, and any bodies of water on the property or bordering the property.
Do you authorize a person to act as your representative in all matters pertaining to this application? Name of Representative
First
Last
Suffix
Representative's Address
Signature of Representative
First
Last
Suffix
If photos provided, do you consent to Blue Acres using them for educational and marketing purposes? Note: The decision to grant or withhold permission to share these images will not influence Blue Acres grant funding decisions
regarding the buyout of your property in any way. Address or owner name will not be shared with photos. Permission may be
rescinded at any time by emailing BlueAcres@njdepwptest.net.
Other Attachments
E. Owner Certification Certification Statement(Required)
Signature of Owner (Applicant)(Required)
First
Last
Suffix
Signature of Owner (Co-Applicant)(Required)
First
Last
Suffix
gform.addFilter( 'gform_datepicker_options_pre_init', function( optionsObj, formId, fieldId ) {
optionsObj.showOtherMonths = false;
optionsObj.maxDate = 0;
return optionsObj;
} );