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<br /> 1 III. PROG~ ~~Q~ (Change in scope or t~e ot ' or n , 'I '" - 1. 'r <br /> YES NO <br /> activity(ies)) ( X 1 ( 1 <br /> If yes, please answer the questions under this section and provide the <br /> documentation listed below. <br /> Required Documentation tor proqram Amendm.nt~ <br /> 1. ~ev~~ed ~~~t9rrn~Dc~ Sta~eID~p~ that indicates all physical changes <br /> in the project, including but not limited to, changes in <br /> location(s), linear footage, number of sub-activities (fire <br /> hydrants, lift stations, etc.), changes in system capacity, etc. <br /> 2. lWt showing (a) locations of oric¡inal project activities and <br /> proposed amended activities, (0) original and amended target areas, <br /> (c) geographical area covered in original environmental assessment. <br /> 3. L9ca1 resol~~i9n o{ support of proposed program amendment. <br /> <br /> YES NO <br /> A. Change in Scope/Type of ~ctivity(i.8) <br /> 1. Increase in scope [ ) [X) <br /> 2. Decrease in scope [ ] [ ] <br /> :3. Change/addition of type of activity(ies) <br /> change from water/sewer to streets [ X) ( ) <br /> 4. Design modification/change In location (X) ( ] <br /> <br /> S. tow/Moderate Income Benetit <br /> 1. Is there a change in the number and/or <br /> percentage of low/moderate income <br /> beneficiaries? ( J [X J <br /> If yes, include s~tV~Y of additional/removed beneficiaries to ! <br /> Texas Department of Commerce and document the amended! <br /> low/moderate income beneficiaries (LMIB) in the space below: <br /> t{~mbet o~ !J1¡B . % !..MIS / . , <br /> - <br /> Total Beneficiaries <br /> co ..- -.. <br /> C. Re-evaluation ot Environmental ClearaDC8 <br /> 1. Is the geographical area ot the YES NO <br /> proposed amendment addressed in the <br /> original environmental assessment? t J (x J <br /> 2. Are all types of activities <br /> (e.g., water/sewer, streets) proposed <br /> in the amendment addresseo in the <br /> .' <br /> 4 . e <br />