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<br />Owe NO. I~~O 11& <br /> <br />PART II <br />PROJECT APPROVAL INFORMATION <br /> <br />It em .l <br />Dot, thi, auiltan" rlClu..I require Sial., local, <br />"gionol, or 0"''' priOfity roling? <br /> <br />_V.,_No <br /> <br />Nom. of Gov.ming Body <br />Priority Rating <br /> <br />It'm 2. <br /> <br />Dou Ihis ouilton" r.que,1 rtqlli" StOl., or local <br /> <br />adyilory, educollonol or h.olth duroncu? <br /> <br />_Vu__No <br /> <br />Nome 01 Ag.ncy or <br />Boord <br /> <br />IAllach Docum.ntotion) <br /> <br />h,m 1 <br />DOli Ihll oHiltonc, rcquII' rcqui" c1,oringhouu <br />"YI'W In ~((ordonct '!'II,h OMB ("culor A.9S? <br /> <br />- V" No <br /> <br />~ <br />Don Ihi I 0 ui I 10nc. rcquIII "qui" 5101., loe 01. <br />"gionol or other planning opproyol? . <br />_VII_No <br /> <br />IAlloch (ommenh) <br /> <br />Nom' of Apptoying Ag.ncy <br />Dol, <br /> <br />It'm 5. <br /> <br />If Ih. propoud ptOI,ct coy."d by on opprov.d COflIp,.. <br />h.nlIY, plan? <br /> <br />_Y'I_No <br /> <br />Ch.d on.: Stol. <br />Locol <br />R~ionol <br />Locotion 01 Pion <br /> <br />r . <br />. . <br />r:1 <br />rl <br /> <br />It.m 6. <br />Willth. ouil'once "quul.d I!ry, 0 F.deral <br />installation' _ y" _No <br /> <br />Naill' 01 F.deroll'lltallolion <br />F,derol Population b.n,flting frOlll Prol,CI <br /> <br />Item ]. <br />Willlh, ouillonc. "qullt,d be on F.derallond or <br />in,tollotlon? <br /> <br />----, Y'I_No <br /> <br />Nom, of F.derollnllollotion <br />Location of Federal land <br />Percent of Project <br /> <br />It.m 8. <br />Willlh, ouiltonce r.quIII,d hay, on impocl or .flect <br />on the .nYllonm.nl? <br /> <br />_Y'I_No <br /> <br />5.. inltructionl lor odditionollnformolion 10 b. <br />proYid.d. <br /> <br />It.m 9. <br />Willlh. ouistanCl r.qullled COull th, dilplacement <br />01 individuols_ 'omili... bUlin..,,,. or larm,? <br /> <br />_V,,_No <br /> <br />Number 01: <br />Individual, <br />Falllili" <br />BUlin..", <br />Farm, <br /> <br />~ <br />II Iher. oth.r r.lal.d oui,tonce on thil project previous. <br />~ndlng,or anlicipol.d? <br /> <br />_ V,,_No <br /> <br />5.. inllruclionl for odditionol inlorlllOt;on 10 be <br />proyid.d. <br /> <br />~ <br />It Ih, proj,cl in. d'llgntled flood htllrd Irll7 <br /> <br />_V'I_No <br /> <br />SI. Inltruclionl lOt IddlllonallnlOtllllllon 10 <br />be pi 0\1 idtd. <br /> <br />CJD-4 <br /> <br />Next page number is CJD-6 <br />