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<br />Attachrrent M <br /> <br />PART II <br />PROJECT APPROVAL INFORMATION <br /> <br />OM6 NO. eOoAO 186 <br /> <br />h_ I. <br /> <br />Does tht~ as.sl stonce request require State, local, <br />regionol. or other pftotlty foting? <br /> <br />~Yes_Na <br /> <br />Reg; on.gl r.ollfwi 1 <br /> <br />Nome af Governing Bady <br />Priority Rating <br /> <br />!,!em 2. <br />Does thi~ assis.tance request require State, or local <br />advisory, educational or health clearances? <br /> <br />xx <br />_Ve,__Na <br /> <br />Nome af Agency ar <br />Board Regional and CJD Advisory Board <br /> <br />(Attach Dacumentalian) <br /> <br />(Anach Cemmenl') <br /> <br />Item 3. <br />Does this Q5.S1 stance-request require clearinghouse <br />review in accordance with OMB Circular A-95? <br /> <br />.....JQL Yes <br /> <br />Item 4. <br />~his OSslstonce request require State, local, <br />r"gianal ar ather planning approval? <br />---1ClL Y es _No. <br /> <br />No. <br /> <br />Name af App'oving Agency <br />Date <br /> <br />CJD <br /> <br />~ <br />I ~ the prapased praject cavered by on oppraved compr.... <br />hen.ive plan' <br /> <br />~Ye.______Na <br /> <br />Check ane: 510te <br />Local <br /> <br />Regianol <br />Lacation af Plan <br /> <br />r~ j <br />X1Ct <br /> <br />Item 6. <br /> <br />Will the assistance requested .erve 0 Federal <br />installatian' _ Yes LX No <br /> <br />Nome af Federal Instollalian <br />Federal Papulatian benefiting from Praject <br /> <br />Item 7. <br /> <br />Will the assistance leque.ted be an Federal land or <br />in.tollation' <br /> <br />_ Yes~Na <br /> <br />Nome af federal In.tollotian <br />Lacatian af Fe-deral Land <br />Percer>t af Praject <br /> <br />Item 8. <br /> <br />Willlhe assi,tance reque.ted hove on impact 0.1 effect <br />on the ~nvironment? <br /> <br />_Yes~Na <br /> <br />See instructions fo, additional information to be <br />p<avided. <br /> <br />Item 9. <br />Will the ani stonce requested cou.. the di sploc.....nt <br />of individuals, fomilies, busine-sses, ar forms? <br /> <br />_y".~No <br /> <br />Number of: <br />Individual s <br />Families <br /> <br />Busine\s~s <br />Forms <br /> <br />Item 10. <br /> <br />I. there other related ossistonce on this project pl"vious, <br />pending, ar onticipoted? <br /> <br />__Y..s~Na <br /> <br />5ee instructions fOl odditionol informatian to be <br />pravided. <br /> <br />~ <br />I. tt..., p<oject in a d...ignltted flood hazard "",..7 <br /> <br />_Y"S~Na <br /> <br />See instrtJ(':tlOf'lS for additional infOfMation to <br />be p<ovided. <br /> <br />Exhibit M-3. Application for Federal Assistance (Nonconstructicn <br />Pr~arns) <br />(Page 5 of 13) <br /> <br />15 <br />