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<br />. USDA <br />Form RD 1940-20 <br />(Rev. 6-99) <br /> <br />Item <br /> <br />lb. <br />2. <br /> <br />FORM APPROVED <br />OMS No. 0575-0094 <br />ameo Project <br />Revolvin9 Loan Fund <br />Location <br />Ci ty of Pari s <br />Has a Federal, State, or Local Environmental Impact Slatement or Analysis been prepared for this project? <br />DYes 9 No 0 Copy attached as EXHIBIT I-A. <br />If "No." provide the information requested in Instructions as EXHIBIT I. <br />The State Historic Preservation Officer (SHOP) has been provided a detailed project description and has been requested to submit <br />comments to the appropriate Rural Development Office. 0 Yes 1]1 No Date description submitted to SHPO <br />3. Are any of the following land uses or environmental resources either to be affected by the proposal or located within or adjacent to the <br />project site(s)? (Check appropriare boxforevery item ofrhefollowing checklist). <br /> <br />Position 3 <br /> <br />REQUEST FOR ENVIRONMENTAL INFORMATION <br /> <br />Item la, <br /> <br />Item <br /> <br /> Yes No Unknown Yes No Unknown <br />1. Industrial. ...............................".......... 0 ~ 0 19. Dunes ................................................. 0 0 0 <br />2, Commercial. .........."'...."'................... 0 ~ 0 20, Estuary ............................................... 0 0 0 <br />3. Residential.. ."'...."...."......................, 0 KJ 0 21. Wetlands ........................................"", 0 \lJ 0 <br />4, Agricultural ...."......".....,..",..,......,..... 0 KJ 0 22. Floodplain .................,........................ 0 \lJ 0 <br />5. Grazing ........".."."...."........"."."'...." 0 El 0 23. Wilderness ..................,..........,.,.......... 0 f{J 0 <br /> (designared or proposed under the <br />6. Mining. Quarrying .."...,..................... 0 1XI 0 Wilderness Act) <br /> 0 !Xl 0 24. Wild or Scenic River .......................... 0 !(l 0 <br />7. Forests................................................ (proposed cr designated under the Wild <br /> Recreational ....................................... 0 [Xl 0 and Scenic Rivers Act) <br />8. <br /> 25. Historical, Archeological Sites ........... 0 El 0 <br />9. Transportation .................................... 0 lXI 0 (Lisred on the National Regisrer of <br /> Historic Places or which may be <br />10, Parks ........".".....""...""""...........",... 0 lXI 0 eligible for listing) <br />11. Hospital........."......""'.""............"...., 0 liD 0 26, Critical Habitats ................................. 0 DI 0 <br /> (endangered /threatened species) <br />12. Schools ..........................................~'. 0 IKJ 0 0 y;J 0 <br /> 27. Wildlife ......................"...................... <br />13, Open spaces ........"'........"'................, 0 I[] 0 28. Air Quality..........,......."..................... 0 :KlI 0 <br />14. Aquifer Recharge Area.........".........,.. 0 I[] 0 29. Solid Waste Management ......,............ 0 [jl 0 <br />15. Steep Slopes "............,.."...............,.... 0 Kl 0 30, Energy Supplies ................................. 0 Yl 0 <br />16. Wildlife Refuge ....................".........,.. 0 ~ 0 31. Natural Landmark .............................. 0 Oil 0 <br /> 0 El 0 (Listed on National Registry of Natural <br />17. Shoreline .................."......................., Landmarks) <br />18. Beaches .............................................. 0 ~ 0 32. Coastal Barrier Resources System ..... 0 Gil 0 <br /> I <br />Item 4. Are any facilities under your ownership, lease, or supervision to be utilized in the accompli.hment of this project, either listed or under <br /> consideration for listing on the Environmental Protection Agency's List of Violating Facilities? 0 Yes fa No <br /> <br />Signed: <br /> <br />(Date) <br /> <br />(Applicant) <br /> <br />Michael Eo Malone, City t1anager <br />mtle) <br />According to the Paperwork Reduction Act of /99S, an agency may not conduct or sponsor, and a person Is not required to respond to, a collection ofinformatio~ <br />unless it displtJys a valid OMS control number. The valia OMS control number for this informalion cot/eelions is OS7S-0094. The time required to complete tlus <br />information collection is est/mated '0 average I S minutes per response, Includin the time for reviewing instructions, searching exist/ng data sourees, ga,hering <br />and maintainin the data needed, and com 'Ieting and reVIewing the collection 0 in orma,{on. <br />