GCHNA · 2023 Firewise Property Self Assessment

Greater Cement Hill Neighborhood Association

Firewise USA Community
Homeowner or Renter Self-Assessment Survey

We are required to ask all residents in the greater Cement Hill neighborhood to provide information about the characteristics of their homes and the vegetation management within their home ignition zones.

Please submit your form by July 1, 2023.

To more easily respond to some of the questions,
answer as if it is July 1st.

This information, as percentages, will be compiled for inclusion in GCHNA's application to qualify again as Firewise Community.

Nothing in this document will be used for any other reason. Please be honest in your answers.

If you would like to print out a copy of the survey to send by mail instead, click here to download the printable form.

If you have any questions, contact Ellen Hagan, firewise@gchna.com.

Thank you!

Contact Information

Name

First Name

Last Name

Property Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Verify Email

Are you the owner of the property or a renter?

Owner

Renter

A. HOME CHARACTERISTICS

Roof Materials

Is roof made of non-combustible materials?

(for example, composite shingles, metal, cement tile or clay)

Yes

Vents

Soffit vents (screened vents under the eaves which allow air to flow into the attic) and Foundation Vents

Do you have metal screen vents?

Yes

Are the metal screens 1/8 inch?

(also known as hardware cloth)

Yes

Siding

Is the siding non-combustible (stucco, masonry, plaster or cement)?

Yes

Skirting

(lattice or other wood planks under deck or porch)

Is the skirting under your deck or raised floor fire safe?

(closely spaced wood boards or non-combustibles)

Yes

Attachments to the house (decks, fences)

Is your deck made of sealed/treated wood, plastic composite, or other non-combustible materials?

Yes

Windows

Are your windows dual-paned or tempered glass?

Yes

Gutters

Are your gutters non-combustible (metal)?

Yes

Are your gutters covered?

Yes

B. AREAS OUTSIDE THE HOME

To more easily respond to some of the questions, answer as if it is July 1st. For NO answers only, indicate what percentage is or meets the requirement.

Immediate Zone (0-5 ft)

Have you cleared dead vegetation, dried leaves, pine needles, etc. from near the foundations?

Yes

Percent (%) cleared

What percentage is cleared?

Is there hardscaping for 5 feet around the perimeter of your house?

(hardscaping includes concrete, stone or gravel)

Yes

Percent (%) Hardscaping

What percentage is hardscaped?

Have wood mulch products been replaced with non-combustible alternatives?

(for example stone or gravel)

Yes

Percent (%) replaced

What percentage has been replaced?

Have trees and shrubs next to the home been removed or trimmed up?

Yes

Percent (%) removed or trimmed up

What percentage has been removed or trimmed up?

Have branches overhanging the roof and/or within 10 ft of chimneys been removed or trimmed?

Yes

Percent (%) above roof removed/trimmed

What percentage has been removed or trimmed up ?

Intermediate Zone (5-30 ft)

Are there fuel breaks in this zone?

(such as driveways, walkways, paths, patios and decks)

Yes

Are lawns and native grasses maintained in this zone?

(kept to a maximum height of 4 inches)

Yes

Percent (%) maintained

Is the vegetation in this zone spread out?

It is recommended that trees/shrubs be limited to small clusters of a few each to break up continuity. Trees (and groups) should be spaced to a minimum of 18 feet between crowns.

Yes

Percent (%) that is as recommended

What percentage is spread out/spaced apart as recommended?

Have ladder fuels (vegetation under trees) been removed so that a surface fire cannot reach the crowns?

Yes

Percent (%) of ladder fuels removed

Have trees been limbed up?

6 to 10 feet from the ground. For young trees, not more than 1/3 of overall tree height.

Yes

Percent (%) limbed up

Are plants, trees and lawns watered to keep them from becoming dry?

Yes

Percent (%) that is watered

Extended Zone (30-100 feet)

Have heavy accumulations of ground litter/debris, dead plants and/or tree stumps/materials been removed?

Yes

Percent (%) that has been removed

Are storage sheds and/or other out buildings in this zone clear of vegetaion for 10 feet?

Yes

Percent (%) that are clear

Is there adequate space between mature trees in this zone?

(No small conifers or small brush growing in between)

Yes

Percent (%) with adequate space

Do trees that are 30-60 feet from the home have at least 15 feet between their canopy tops?

Yes

Percent (%) that do

Is there at least 10 feet between canopy tops of trees located 60-100 feet from the home?

Yes

Percent (%) that have 10 feet between

Roads, Driveways and Access Roads

Do the driveways/roads have 10 ft clearance on each side?

Yes

Percent (%) with 10 ft clearance

Have over-hanging trees been cleared up to 15 feet from the ground?

(along roads and driveways)

Yes

Percent (%) that are 15 feet up

C. DEFENSIBLE SPACE VISIT

Have you had a Defensible Space Visit by the Fire Department or Other

Yes

COMMENTS

Comments/Notes