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<br />Is the site located within 3,000 feet of a toxic or solid waste landfill site? <br />DYes DNo <br /> <br />Does the site bave an underground storage tank? <br />DYes DNo <br /> <br />If your answer is YES to any of the above questions, use current techniques by qualified professionals to undertake investiga- <br />tions determined necessary and comply with ~ 50.3(i). <br /> <br />Are there any unresolved concerns that could lead to HUn being determined to be a Potential Responsible Party (PRP)? <br />DYes DNo <br /> <br />Comments: <br /> <br />Source documentation: (attach ~ 55.20 analysis for new construction and/or filling) <br /> <br />24. Other <br /> <br />a. Endangered Species (see EF 3.4 of Handbook 1390.2) <br /> <br />Has the Department of Interior list of Endangered Species and Critical Habitats been reviewed? <br />DYes DNo <br /> <br />Is the project likely to affect any listed or proposed endangered or threatened species or critical habitats? <br />DYes DNo <br /> <br />If your answer is YES, compliance is required with Section 7 of the Endangered Species Act, which mandates consultation <br />with the Fish and Wildlife Service in order to preserve the species. <br /> <br />Comments: <br /> <br />Source documentation: <br /> <br />b. Sole Source aquifers <br />Will the proposed project affect a sole source or other aquifer? <br />=:J Yes 0 No <br /> <br />Comments: <br /> <br />Source documentation: <br /> <br />c. Farmlands Protection (see EF 3.3 of Handbook 1390.2) <br />If the site or area is presently being farmed., does the project conform with the Farmland Protection Policy Act and HUD <br />policy memo? <br />DYes DNo <br />If your answer is YES, compliance is required with 7 CFR Part 658, Department of Agriculture regulations implementing <br />the Act. <br /> <br />Comments: <br /> <br />Source documentation: <br /> <br />d. Flood Insurance <br />Is the building located or to be located within a Special Flood Hazard Area identified on a current Flood Insurance Rate <br />Map (FIRM)? <br />DYes DNo <br />If your answer is YES, flood insurance protection is required for buildings located or to be located within a Special Flood Hazard Area as a condition ofapproval of the project. In addition, compliance with ~ 55.12 and the floodplain manage. <br />ment decisionmaking process (~ 55.20) is required (refer to item #17 above). Document the map used to determine <br />Special Flood Hazard Area in above item #17 pertaining to community name and number, map panel number and date of <br />map panel. <br /> <br />6 <br /> <br />form HUD-4128 (10196) <br />ref. Handbook 1390.2 <br />