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<br />Project Number
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<br />HUD Program:
<br />
<br />PrOtect Name
<br />
<br />Location (street. City, county/slate. & liP code)
<br />
<br />New cons:......Iction
<br />
<br />Project site is In a location descnbed as'
<br />- Central City - Subur:Jan
<br />-Infill urban development In developing rural area
<br />= In undeveloped area
<br />
<br />Number of O.....ell''''; Unrts
<br />
<br />Renabdl:a:'Jn
<br />
<br />:"ote to R~ader: ,-\n Envuonmen::ll Assessi:1ent fE,-\ \ is 2. -:on-:ise pu~li-: document LIUI a FC.:h:LlI a:;en-:y must prep:.:re :n ord;;-, :,'
<br />comply with the :\ational Environmental Policy Act (:\EPA) and the related Federal environmental laws and authorities, The E,-\
<br />must support decision making process and provide a clear rationale. justification. and documentation for ratings assigned,
<br />
<br />Instructions
<br />It is recommended that this checklist be used by HUD staff who tion to cite the information source used (e,g,. title oi a technic3.1
<br />prepare the En\'uonmental Assessment (EA: fonn HUD-4128), It report. map. or special study: site inspectionltield observation:
<br />will constitute ru;l documentation for many factors on the EA, and n;lme and location of the qualitied d3.til source(s) that provid.:d :.he
<br />partial documentation for others, It will avoid narrative reports iniormation, for example. the local planning agency, the lcx:al
<br />and expedite the en\ironmental review process, This checklist. housing and/or conununity develop:nen: agency, th~ State ~n\'i-
<br />which is a slightly revised \'ersion of Appendi:, C of Handbook ronment2.! prot~ction agency, th~ State Historic Pres~rva~i0n
<br />1390,2. should be used pending revision of Handbook 1390,2, Officer, or oth~r qualified data source.)
<br />. The number for each checksheet topic is the number that , "
<br />f HUD-4I?8 AI h h kJ' 'leJh d' Preparers are to obuIn and use, as appropnate. any envlIonmental
<br />appears on onn _, so, eac c ec 1st tit ea Ing
<br />, C' II d b C' h h' , .1. report (Federal. State. or local) that may have already been
<br />IS 10 owe y a re1erence to were t e tOpiC appears In Ule ,
<br />H dbook 1390 2 prepared for the property or area In which the propelTv' is located,
<br />current an , , '
<br />B f th ' " , h Ph I d II b k d Several different types of maps will be useful in completing the
<br />e ore e sHe VISIt, reView tease an a ac 'groun , , , -
<br />, f ' b' d '.1. h I" ('f t' bl) D reView, such as the project plan or plot map. a locarton map
<br />tn ormation su ffiltte Wlul t e app Icauon I app tca e, ur- ,. ' ". . , , .
<br />. h ' " h f - HU'D-4I?S (') showlne major features and facilities In the VICInitY, the L~SGS
<br />mg t e site VISH. t e preparers 0 torm ' - are to: I answer - h' d FE' (A flood f th: d
<br />]] 1 ' h' h kl' (") h oded topograp IC map an ,"1 map or e site area. an
<br />a re eva'1t questions on t IS C ec 1St: 11 use t e spaces pro\'j '-_11 d lL.r h d" --' h ldb
<br />, ., zomn2; Ian use maps. ;nany OJ t e con mons can arw S OU e
<br />for comments to Include supplemental mfonnatlOn as well as to d- d d' I h ' La D' . f
<br />" . ,recor e lrect y on t e prOject p n. Istances to major earures
<br />record any recommended IT1ttlgatIon measures or requirements for d f 'j" (' hId Ii ' d d " .
<br />. p' , an acl lUes e.g,. sc 00 s an lIe statIOns) an a escnptlon ot
<br />prOject approvaL (Ill) key your answers to the relevant questions th d' ~~.... I Th I -, th..' ..,'..
<br />, dd" al f 'd '{ d . f e surroun 109 ar~a ar~ examp es, e p an ,-an ~n De r~,~r-
<br />(USl~g a 1ti0~ sheets 0 paper to P:OVl ~ more detal e In or- enced as "sou~e documentation"' on fonn HUD-4128,
<br />matJon): and (IV) use the spaces prOVided tor source documenta.
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<br />9. En\'ironmental Report
<br />List the Federal. State. or local agencies contacted to obtain th.:ir e',jsting ~n...ironmentaI reports and other data for the HL'D
<br />environmen:.:.! re...:e..... for the proposed project:
<br />List the major reports obtained: (attach the report(s) or otherv.'is~ list the title. author, publication date)
<br />
<br />10. Planning Findings
<br />Is the project in compliance or confonnance with th~ local zoning:
<br />- Yes - ~o - 0:ot Applicable ([f no or not applicable. expl3.inl
<br />
<br />[s the project located within a coast2.1 managemer:t zone lCZ.\fl:
<br />- Yes - 0:0 - ~ot Applicable
<br />[fyour all;v.er is YES, the State Coastal Zone Managem~nt (Cn.1) ,-\gency must make a
<br />finding that the project is consistent with the approved State CZM program
<br />Is the State"s finding attached to this checksheet?
<br />- Yes-:-\o
<br />
<br />Is the project in compliance with the air qualityStat~ Implementation Plan (SIP))
<br />- Yes -:\0 - Not Applicable
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