"CDBG Form 15 Slum or Blight Target Area Benefit"
FORM 15 NATIONAL OBJECTIVE COMPLIANCE SLUM OR BLIGHT/TARGET AREA BENEFIT 1. Applicant: 2. Activity Name: 3. Attach: a. current or past resolution creating a Target Area pursuant to A.R.S. § 36-1473 (as page ) b. a corresponding map indicating the target area boundaries and location of the activity (as page ) c. Certificate of mailing (as page ) d. Evidence of posting – at least three locations (as page ) e. Evidence of publication – affidavit or tear sheet from newspaper of general circulation (as page ) 4. Complete a OR b, AND c a. There are at least 25% deteriorating or deteriorated buildings in the target area. Total Number of Buildings Number of Deteriorated Buildings Percent of Deteriorated Buildings Definition of Deterioration attached as page number . Pictures attached as page number b. At least two public improvements (e.g. streets and sewers, etc.) are in a general state of deterioration and note the definition of deterioration. Public Improvement Total Number Deteriorated % Deteriorated (at least 25%) % % Definition of Deterioration attached as page number . Pictures attached as page number c. Source of the information (or page number): 5. Indicate how the proposed activity will address and eliminate or assist in eliminating at least one of the conditions contributing to the deterioration of the Target Area as described above. 6. Information regarding the total number of persons to be served and LM population MUST be provided. All applicants must complete 6 a, and b or c as applicable. Total % Low & CT/BG Low & Moderate Moderate Identification Low/Mod Income Population Population Income Universe a. Census Tract (CT) and Block Group (BG) data as page TOTALS b. SS is attached as page c. WS is attached as page Page 1 of 6 10-05 FORM 15a NATIONAL OBJECTIVE COMPLIANCE SPOT SLUM OR BLIGHT 1. Applicant: 2. Activity Name: SPOT SLUM OR BLIGHT 3. Attach a map indicating the location of the activity (as page ) 4. Describe the conditions detrimental to Public Health and Safety (or attached as page ) 5. Provide the name, title, phone, e-mail of the person who determined that these conditions are detrimental to public health and safety. Name and title: Phone number: E-mail address: 6. Indicate how the proposed activity will be limited to only actions required to eliminate conditions detrimental to public health and safety, and indicate the name, title, address, phone, email of the person who verified this information. How is activity limited? Name and title: Phone number: E-mail address: 7. Information regarding the total number of persons to be served and LM population MUST be provided. This information is for statistical purposes only. Total % Low & CT/BG Low & Moderate Low/Mod Moderate Identification Population Income Population Universe Income a. Census Tract (CT) Block Group (BG) data as page TOTALS b. SS is attached as page c. WS is attached as page Page 2 of 6 10-05 FORM 15 (Target Area) NATIONAL OBJECTIVE COMPLIANCE SLUM OR BLIGHT/TARGET AREA BENEFIT 1. Enter name of applicant. 2. List the name of the activity with CDBG funds are being applied for. This description will be the same as on other application pages. 3. Attach a map indicating the location of the activity. Ensure that the description of the Slum/Blight Target Area in the resolution is consistent with that indicated on the Target Area map. The resolution is valid for five years from the date passed by the applicant’s governing body. 4. Applicant should complete sections a. or b., and c. Document the deteriorating or deteriorated conditions in the blighted area. These conditions MUST be related to the current proposed activity. Before completing this section, decide on the type of public improvement to be measured. The type of public improvement must include the objects that the CDBG activity will eliminate or assist in eliminating. a. If the proposed activity relates to buildings, e.g., rehabilitation, demolition, code enforcement, complete this item to include the number of buildings and an objective definition of deterioration. Characteristics of dilapidated housing: a. Walls bulging, leaning, missing materials b. Roof sagging, buckling c. Broken windows d. Obvious vermin or rodent infestation e. Porch, step or sidewalk present danger of tripping or falling f. Obviously unhealthy/unsafe amounts of garbage, refuse, abandoned vehicles on property g. Evaporative water cooler obviously not working properly, potential need for replacement OR water heater obviously in need of attention h. Obvious electrical problems, bare wires i. Foundation crumbling, house sinking If any two of the above conditions are met, the structure can be considered dilapidated. b. If the proposed CDBG activity does NOT relate to buildings, then at least one public improvement (other than the proposed activity) must be documented to be in a general state of deterioration, and an objective definition of such must be included. If the proposed activity is for public improvements, there must be evidence that THE PUBLIC IMPROVEMENTS, AS A WHOLE, IN THE TARGET AREA are deteriorating or deteriorated. The CDBG Program has defined "as a whole" as including at least two items which must include the proposed activity. That is, if the proposed activity is street improvements, there must be at least one other deteriorating or deteriorated public improvement in the Target Area, such as water lines or parks. Page 3 of 6 10-05 The only exception to the requirement that several improvements be deteriorated or deteriorating, is if the proposed activity is commercial rehab or demolition/clearance. In those instances, the only object that must be quantified and defined is the activity to be undertaken. Examples of ACCEPTABLE RESPONSES: Total number in Service Area: Quantify the objects you are going to measure water, sewer, utility line, streets or sidewalks - use linear feet building demolition or commercial rehab - use the number of buildings in the target area. parking lot construction - use the number of unpaved, poorly maintained, or vacant lots in the target area. Define the "condition" of the object that will trigger a determination that it is "deteriorating or deteriorated." While the applicant should define its own conditions, below are some examples: For a street project: If a street was not paved, or if it was paved but had one of the following conditions: more than one pothole per block broken asphalt more frequently than once each block drainage conditions that left standing water after rainstorms For a demolition project: If the building had two or more of the following: broken windows leaning, sagging, or incomplete walls sagging roof For Spot and Target Area Slum and Blight, please describe the specific conditions of physical blight or decay. If for a building, please describe the specific conditions detrimental to public health and safety. For either Spot or Target Area Slum and Blight, the information must be certified by an engineer/architect/building inspector/ or fire chief. Pictures of the deterioration should be included with the application. For a waterline project: If the water line was: under 2" size line; broken more frequently than once every 100 feet; non-existent (using garden hose or other illegal method) State the total number of each improvement (or buildings) in the area; the number that are "deteriorating or deteriorated" based on the community's definition; divide that number by the total and multiply by 100 to obtain the percent (which must be at least 25%). c. Indicate the source of the information and the page number, if applicable. This should include: the method used to determine the numbers above, which will usually be a walk or drive through of the target area, or a written study or survey relating to public works or housing. It should also include the name of the person who gathered the information and the date the survey was performed or the information was gathered Page 4 of 6 10-05 (which must be within the past five (5) years. If a written document is identified as a source, the name and date of publication must be included. Indicate the physical location of the written records with a street address, and the name of the building and office (i.e., City Hall, 100 N. Pine, City Manager's Office). All documents must be maintained for at least five years after project closeout to verify that the activity met the Slum/Blight National Objective. 5. See instructions on the form. EXAMPLE: There are no sidewalks in much of the downtown portion of this community. This results in residents and visitors walking in the street, which is dangerous and slows traffic. Thus, the construction of sidewalks will eliminate one of the areas blighting conditions. OR The dilapidated buildings to be demolished create a health and safety hazard to the area residents. They are an "attractive nuisance" for area children, several of whom have been hurt while playing there; and the fire department has been called in several times to extinguish small fires which endangered other area buildings and contributed to increased fire insurance costs for such. The demolition of the five buildings identified will remove these hazards and increase the attractiveness of the area to both tourists and local residents. 6. See instructions on the form. Page 5 of 6 10-05 FORM 15a (Spot) NATIONAL OBJECTIVE COMPLIANCE SPOT SLUM OR BLIGHT 1. Indicate name of the applicant. 2. Indicate the name of the Activity. 3. Attach a map indicating the location of the activity. 4. Describe the conditions detrimental to public health and safety or attach documentation that serves to support. 5. Indicate the name, title, phone, email of person(s) who determined that these conditions were of detriment to public health and safety. 6. Indicate how the proposed activity will eliminate the conditions and only those conditions detrimental to public health and safety. Indicate the name, title, address, phone and email of the person who verified this information. 7. See instructions on form. Page 6 of 6 10-05