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<br />aile NO. .~ A 0 III <br /> <br />PART II <br />PROJECT APPROVAllHFORMATIOH <br /> <br />It em l. <br />Do.. this auislon" .~u..I ..qui.. Stale, local, <br />..gionol, O' oth.. pliOlity .allng? <br /> <br />_ Y.i _No <br /> <br />Nom. 01 Goy.ming Body <br />Prlo.ity Rating <br /> <br />hem 2. <br />Dou ,h'i OUlilonCI ..qutll.tqulle Slot., o. local <br />odYlio,y, educational or hlahh d.alOncu? <br /> <br />__Vu__No <br /> <br />NOIIIf 01 Aglncy a. <br />Boo.d <br /> <br />IAlloch Documlnlationl <br /> <br />hem 1 <br />Doti this OUlilonc. rcquUllCqui.. c1,o"nghouse <br />,evI,W In oc<ordonce wllh OMB ("<ulor A.95' <br /> <br />_ Y.. No <br /> <br />It.m t <br />00" Ihu aUI,lonce .cqu..' ..qui.. Stole, 10<01, <br />,.glonol 0' olher plonnlng opproval' " <br />-Y.,_No <br /> <br />(Alloch Commtnhl <br /> <br />Nome 01 Apjlfoy;ng Aglncy <br />Dole <br /> <br />Itlm 5. <br />- <br />II Ih. p.opoud prOlect cov.,ed by on approved compr.. <br />h.nSIVe plan? <br /> <br />______Y.i______No <br /> <br />.' <br /> <br />" <br /> <br />Ch.d one: Stol. <br />Lo<al <br />Regional <br />Location 01 Plan <br /> <br />r: : <br />rl <br />rl <br /> <br />I' <br /> <br />Ilem 6. <br />Willlh. aUlSlonce request.d serve 0 F.dl/al <br />installation' _ YeI_No <br /> <br />Nom. 01 f IdtlOl Installation <br />f.dllal Population b.n.l,ting IrOln Pralect <br /> <br />It em 7. <br />W.!I ,he oui,'on" "ques,.d be on Fedl/ollond or <br />instollotlon? <br /> <br />- Vis_No <br /> <br />No",. 01 F .d"o Ilns 10 110' ion <br />L ocol ion 01 F tdllO I L ond <br />PIIClnl 01 PrOllCI <br /> <br />It.m 8. <br />Wdllhe aUUIOnct rcquesled hove on impact or elleel <br />on the Invllonmenl? <br /> <br />_Y'i_No <br /> <br />See initruclioni lor odditionollflformation to b. <br /> <br />jlfovlded. <br /> <br />Itlm 9. <br />Will ,h. os...tancr rcqu....d COUit "" d'iplacemlOt <br />01 IndiVidual" lomili.., bUiin."", or lorm,? <br /> <br />_Y.s______No <br /> <br />Nu",b" of: <br />Indiyiduall <br />F omil," <br />Bu.in."" <br />Forml <br /> <br />It.m 10, <br />I. Ih." oth.r "lol.d oUislonCl on thil project P"ViOUI, <br />pending, or onticipat.d? <br /> <br />_ VII_No <br /> <br />S.. instructionl lor additional inlorlllOlion to be <br />p.ovid.d. <br /> <br />~ <br />11th. projlcl in I d..ignlled flood h.urd .,..1 <br /> <br />_VI._No <br /> <br />S.. In.truction. tOt .ddltlol\lllnlOtmtllOn to <br />lit pr 0\1 idld. <br /> <br />CJU-4 <br /> <br />Next page number ;s CJD-6 <br />