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HomeMy WebLinkAboutC14-403 Exhibit IV-B EXHIBIT N-B Categorical Exclusion for Projects/Activities Not Subject to 24 C.F.R.Part 58.35(b), But Which Are Subject to the Other Requirements Found at 24 C.F.R. Part 58.6 1 Proiect/Activity Informa ion: c � c ‘ — 74, Project Name: e/arfi 6 04/14 b'kl }� ktiki Project/Contract#: VI. D ., 11 Grantee: 1p C jvt rn ai f (Compliance with 24 C.F.R. Part 58.6(special f/oo azards, coastal barriers resources,and airport/airfield clear zone hazards)is required for certain§58.35(b)activities. Complete Part 3.below,only for 58.35(6)(5)activities. 2 Classification of Proiect/Activity: 24 CFR Part 58.35(b)(1): Tenant-based rental assistance 24 CFR Part 58.35(b)(2): Supportive services including, but not limited to: • Health Care • Short-term payments for rent/mortgage/utility • Housing Services costs • Permanent housing placement • Assistance in gaining access to local,State, • Day Care and federal government benefits and services • Nutritional services 24 CFR Part 58.35(b)(3): Operating costs, including: • Maintenance • Equipment • Security • Supplies • Operation • Staff training/recruitment • Utilities • Other incidental costs • Furnishings 24 CFR Part 58.35(b)(4): Economic development activities including but not limited to: • Equipment purchase • Similar costs not associated with construction • Inventory financing or expansion of existing operations • Interest subsidy �/ • Operating expenses J� *24 CFR Part 58.35(b)(5): Activities to assist homebuyers to purchase existing dwelling units or dwelling 1 units under construction, including: • Closing costs • Similar activities that result in the transfer of • Down payment assistance title • Interest buy downs (*Also complete Section 3—Other requirements,below.) 24 CFR Part 58.35(b)(6): Affordable housing pre-development costs including: • Legal,consulting,developer and other related costs related to obtaining site options,project financing,administrative costs and fees for loan commitments, zoning approvals,and other related activities which do not have a physical impact 24 CFR Part 58.35(b)(7): Approval of supplemental assistance(including insurance or guarantee)to a project previously approved under 24 CFR Part 58 if the approval is made by the same responsible entity that conducted the environmental review on the original project and re-evaluation of the environmental findings is not required under 24 CFR Part 58.47. Based on the environmental review record(ERR)for earlier project# Project name ERR date: HUD ERR Guide#2 Page 1 of 2 Revised 01/14 EXHIBIT IV-B 3 *Rem'la ory Checklist(ref.: 24 C.F.R. Part 58.6—Other requirements): (*Com lets only for§58.35(b)(5)activities) _°-""124 CFR.Part 58.6(a): Flood Disaster Protection Act of 1973,as amended: I (NOTE: Applicable ONLY when project/activity site is located in a community participating in the National Flood insurance Program,administered by the Federal Emergency Management Agency.) Is the project/activity located within a Special Flood Hazard Area(SFHA)as mapped by the Federal Emergency Mana9ement Agency(FEMA)? --_._. Yes II 1 No FEMA Map Number: `— If the a r swer to this question is yes,the project/activity cannot proceed unless flood insurance is obtained through the nal Flood Insurance Program. Insurance Policy Number: 24 CFIR Part 58.6(b): National Flood Insurance Reform Act of 1994,Section 582,(42 U.S.C.5154a): (NOTE: Applicable ONLY when the project site is located in an area where HUD disaster assistance is being made available.) is the project located within a Special Flood Hazard Area(SFHA)as mapped by the Federal Emergency.._ Management Agency(FEMA)? Yes, ' NoI FEMA Map Number: If"Yes",would the HUD disaster assistance be made to a person who had previously received Federal flood disaster assistance conditioned on obtaining and maintaining flood insurance and that person failed to obtain and maintain the flood insurance? Yes! I No I 4 If"Yes",the HUD disaster assistance cannot be made to that person in the Special Flood Hazard Area to make a payment(including any loan assistance payment)for repair,replacement,or restoration for flood damage to any personal,residential,or commercial property.— Insurance Policy Number: NIA 24 CFI4 Part 58.6(c): Coastal Barrier improvement Act of 1990,as amended: Not applicable in HUD Region VIII. -. 1 24 CFI4 Part 58.6(d): Civilian Airport Runway Clear Zone and/or Military Airport Clear Zone: _j (NOTE: Applicable ONLY if the project/activity involves HUD assistance,subsidy,or insurance for the purchase or sale of an existing property in a Runway Clear Zone or Clear Zone pursuant to 24 CFR Part 51,Subpart D.) Does the project involve HUD assistance,subsidy,or insurance for the purchase or sale of an existing property in,a Runway Clear Zone or Clear Zone pursuant to 24 CFR Part 51,Subpart D? Yes! I No' Source documentation:i If yes,tee responsible entity must advise the buyer that the property is in a runway clear zone or clear zone,what the implications of such a location are,and that there is a possibility that the property may,at a later date,be acquired by the airport operator.The buyer must sign a statement acknowledging receipt of this information. Environmental Review Preparer's Information-printed or typed: Name: Title: Phone: Environmental Freparer's organization: Environmental Freparer's signature: Date: ■ Responsible Edtity,Representative's Information/Certification(Certifying Officer)-printed or typed: _ Name: -,. .-1 i.}kA. N j-{, 1,44.1 • e:CiAM OVEAcli Phone:"I`40•JZIa-eooc. Representative's organization: Vt� ( 1 )0-ru� Representat've'¢signature: G ./ Date: 1,0)20 14 / Ple se forward questions and route completed forms to the appropriate contact person below: DOLAIDOH GRANTEES OEDIT GRANTEES Tamra Hoop r,Environmental Compliance Officer Bob Todd,CDBG Manager Business Programs Department f Local Affairs Office of Economic Development&International Trade 1313 Sherm n Street,Room 521,Denver,CO 80203 1625 Broadway 2700,Denver,CO 80202 303-864-7734 or tam ra.hooper(a state.co.us 303-892-3840 or robert.todd@state.co.us HUD ERR Guide#2 Page 2 of 2 Revised 01/14