PARTF Castle Hayne Purchase Reimb RequestN. C. Parks and Recreation Trust Fund
Reimbursement Request for Land Acquisition
Grantee (Local Sponsor): New Hanover Count
Project Title: Castle Havre Park Expansion Project #: 2012 -696
Project Period: 7/1/2012 to 6/30/2015
(Beginning Date) (Ending Date)
PARTF assistance for land acquisition will be based on the approved appraisal value by the State
Property Office. If the negotiated purchase price or approved appraised value is greater than the
project cost as presented in the formal application, the Grantee must pay the additional cost.
Acquisition Documentation Requirements:
A. Supply two (2) copies of each of the following items:
a. Deed or Easement for each parcel acquired. Deed or Easement must contain the
relevant conversion protection restrictive clause listed below which is required by
the project agreement:
For donated property or property purchased with PARTF funds: "This
property was acquired with State financial assistance from the N.C. Parks and
Recreation Trust Fund, and pursuant to a contractual requirement this property
may not be converted to other than public recreation use (whether by transfer, sale
or in any other manner) without approval of DENR ", or
For an easement purchased with PARTF funds: "The property identified in
this easement was acquired with state financial assistance from the N.C. Parks and
Recreation Trust Fund and shall be dedicated in perpetuity for recreational use by
the general public unless a conversion is approved by the N.C. Department of
Environment and Natural Resources ", or
For a donated easement for a PARTF project : "The property identified in this
easement was donated as part of a grant from the N.C. Parks and Recreation Trust
Fund and shall be dedicated in perpetuity for recreational use by the general
public unless a conversion is approved by the N.C. Department of Environment
and Natural Resources."
b. Evidence of title for each parcel acquired (Letter from the County or City Legal
Officer, or certificate from the Title Guaranty Company).
c. Statement of Just Compensation or Offer to Acquire with Land Donation/Waiver
of Just Compensation for each parcel acquired.
d. Written offer to purchase.
e. Proof of payment. Canceled checks for land purchases (front and back).
f. Appraisal(s) required if only a Statement of Value was provided in the PARTF
application
B. Summary of Acquisition Costs: Supply a breakdown for each parcel acquired. Attach
supplemental pages if additional space is required. Place the "Actual Totals of Land
Costs" on the Detailed Expenditure Report under a Work Element entitled - Land
Acquisition.
Cost of Land
Parcel
Number
Date Acquisition
Costs were
Incurred
Acres
Acquired
Actual Total
Land Costs
Approved
Appraisal
Amount
Difference
(+ or -)
#1
6/30/11
6/22/11 (deposit)
33.1
504,667
5,000
515,000
-5,333
#2
#3
#4
#5
#6
Totals:
33.1
509,667
515,000
-5,333
I hereby certify that the expenses represented and the accompanying documents are true
and correct. I also certify the acquisition has been completed in accordance with the
project agreement.
Authorized Local Government Representative:
Name: Lisa Wurtzbacher
Title: Finance Director
Signature Date
----------- ------------------------------------ - - - --
For Use by the North Carolina Department of Environment and Natural Resources.
Approved for Reimbursement:
Regional RRS Consultant
Grants Program Manager
Date Date
8/5/04 NC Parks and Recreation Trust Fund Page_' of _1
Detailed Expenditure Report
Project Title: Castle Ha ne Park Acquisition
Project Number: 2012 -696
Request #: 1
Reporting Period
Start Date 7/1/2012 End Date 6/30/2015
(A) Total
Expenditures for
(B) Total
Name of a Work Element
this Reporting
Expenditures
(C) Cost
Percentage
from the Project Scope Invoice Invoice Date
Invoice Amount
Period
to Date
Estimate
Complete
Comments
_- _Number _ _ _ __
- - - --- - - -
_ - ^_ """"""'� 0005"
3600
Environmental study ($3,600), Register of Deeds ($28 and $1,020),
Associated acquisition costs 474415__- _____6121120111
---- 1--
--_
------- ---- - -0000 ---
Appraisals ($1,750 and $1,500)
_nla 1 6/30/20111
-- ------- - - ---- i---------------------1---------------------------
28
Na, 6130120111
1020
--------- - - - - -- 0000 - -- *0000 - 0000 -- _
16801 4/23/20131
--- -- - --
+--------------------------
1750
--- ------ --- -- - - - - -- ---
-- -- ------ --- --- - ----- ----- --------
12 -339 1/4/2013
1500
Total: $
$ 7,898.00
$ 7,898.00
100%
$ 7,898.00
------------------- --- *----- --- ------- 000-0 -11 -- -----'° °"" ° - - - - -" "5000
;a 1 6/22/20111 5000
Land Deposit ($5,000) and Land Purchase ($504,667)
Land acquisition
i 6130/2011 i 504667
n/a
---------------- ------
1 1
--------------------- F--------------------- .I----------------------------
1
--------------- - - - - -- --------------------- 4 ----------------------------
1
----------------------*---------------------y°°°---------------------
1
-------------------- -- --------------------- - -------------------------
1
---- ---------- -------- - -------------- - --- -- -------------- --- ---- - - - ---
1
$ 509,667.00
$ 509,667.00
100%
Total: $ $ 509,667.00
Page Total $ 517,565.00
$ 517,565.00
$ 517,565.00