Flooding Questionnaire
Hackensack Meadowlands Regional Floodplain Management Plan
Property Address
*
Municipality
*
Please Select
Carlstadt
East Rutherford
Jersey City
Kearny
Little Ferry
Lyndhurst
Moonachie
North Arlington
North Bergen
Ridgefield
Rutherford
Secaucus
South Hackensack
Teterboro
Contact Information:
Name
*
Email Address
example@example.com
Company Name (if applicable)
1. Has your building or property ever been flooded since 2016?
*
Yes
No
If "Yes", please complete this entire questionnaire.
If "No", please complete questions 6-8.
2. What were the dates of flood(s)? Please enter up to three using the additional fields below and in MM/YY format.
2nd flooding date (if any):
3rd flooding date (if any):
3. Where did you get water and how deep did it get?
In basement
Yes
No (skip field for depth below)
How many feet deep for the worst occurrence? (enter as number only e.g., 2, 2.5)
In crawl space
Yes
No (skip field for depth below)
How many feet deep for the worst occurrence? (enter as number only e.g., 2, 2.5)
Over first finished floor
Yes
No (skip field for depth below)
How many feet deep for the worst occurrence? (enter as number only e.g., 2, 2.5)
On land only
Yes
No (skip field for depth below)
How many feet deep for the worst occurrence? (enter as number only e.g., 2, 2.5)
Water kept out of building by sandbagging, sewer valve or other measure
Yes
No
Other measures (if any):
4. What do you feel was the cause of your flooding? (Check all affecting your building)
Storm sewer backup
Standing water next to building
Saturated ground/leaks in basement walls
Sump pump failure/power failure
Tidal flooding
After rainfall event
Overbank flooding from creek/river (Enter name of creek/river directly underneath checkbox options)*
Other
*Creek/River name (if applicable)
5. Have you installed any flood protection measures on your property?
Sump pump
Tide gate / inline tide gate
Regraded property to keep water away from the building
Back up power system / generator
Waterproofed walls
Other
6. When did you move into or occupy the building? Please enter in MM/YY format
*
7. What type of foundation does your building have?
*
Slab
Crawlspace
Basement
8. Do you have flood insurance?
*
Yes
No
Please upload up to 5 photos of the flooding incident(s). (please use JPG or PNG format only.)
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