Laserfiche WebLink
<br />PROJECT APPROVAL INFORMATION <br /> <br />1. Will the assistance requested serve or be located on a federal installation? <br />Yes_ No_ <br /> <br />Name of Federal Installation: <br /> <br />Location of Federal Land: <br /> <br />Percent of Project: <br /> <br />2. Will the assistance requested have any negative impact(s) or effect(s) on the <br />environment? Yes No . Enter a brief description of potential <br />environmental probleiTi5.lf any.-- <br /> <br />NOTE: All applicants funded will have to comply with federal regulations <br />regarding environmental clearance before funds are released. <br /> <br />3. Will the assistance requested cause the displacement of individuals, families, <br />businesses, or farms? Yes_ No_ <br /> <br />Number of: <br /> <br />Individuals <br /> <br />Families <br /> <br />Businesses <br /> <br />Farms <br /> <br />4. Has the business or principal(s) included in this project ever been involved in <br />bankruptcy or insolvency proceedings? <br /> <br />Chapter 7 - No Yes Date <br />Chapter 11 - No Yes Date <br />Chapter 12 No -Yes Date <br />Chapter 13 - No -Yes Date <br />- <br />Other - No -Yes Date <br /> <br />If any of the above are checked yes, explain reason or reasons why, and <br />current legal status. <br /> <br />5. Are you or your business involved in any pending lawsuits? Yes <br />If yes, explain. <br /> <br />No_ <br /> <br />16 <br />