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CITY CLERK
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32b <br />'USDA Position 3 <br />FORM APPROVED <br />Form RD 1940 -20 REQUEST FOR ENVIRONMENTAL INFORMATION OMB No. 0575 -0094 <br />(Rev. 6 -99) Name of Project <br />Revolvina Loan <br />Fund <br />Location <br />City of <br />Paris <br />Item Ia. Has a Federal. State, or Local Environmental Impact Statement or Analysis been prepared for this project? <br />❑ Yes E3 No ❑ Copy attached as EXHIBIT 1 -A. <br />lb. If "No." provide the information requested in Instructions as EXHIBIT I. <br />Item 2. The State Historic Preservation Officer (SHOP) has been provided a detailed project description and has been requested <br />to submit <br />comments to the appropriate Rural Development Office. ❑ Yes ® No Date description submitted to SHPO <br />Item 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 appropriate box for every item of the following checklist). <br />Yes No Unknown Yes <br />No Unknown <br />1. <br />Industrial ............. ............................... ❑ El ❑ 19. Dunes .................. ............................... ❑ <br />El <br />❑ <br />2. <br />Commercial ......... ............................... ❑ ® ❑ 20. Estuary ................ ............................... ❑ <br />® <br />❑ <br />3. <br />Residential .......... ............................... ❑ ® ❑ 21. Wetlands.............. ............................... ❑ <br />!j <br />❑ <br />4. <br />Agricultural ......... ............................... ❑ ® ❑ 22. Floodplain ........... ............................... ❑ <br />P <br />❑ <br />5. <br />Grazing .............. ............................... ❑ Z.l ❑ 23. Wilderness........... ............................... ❑ <br />6c7 <br />❑ <br />(designated or proposed under the <br />6. <br />Mining. Quarrying ............................. ❑ ® ❑ Wilderness Act) <br />7. <br />24. Wild or Scenic River .......................... ❑ <br />Forests ❑ ® E3 <br />EX <br />❑ <br />................. ............................... <br />(proposed or designated tinder the Wild <br />8. <br />Recreational ........ ............................... El [x-1 ❑ and Scenic Rivers Act) <br />25. Historical, Archeological Sites ........... ❑ <br />fl <br />❑ ; <br />9. <br />Transportation ..... ............................... ❑ ® ❑ (Listed on the National Register of <br />_ <br />Historic Places or which may be <br />10. <br />Parks ................... ............................... ❑ ® ❑ eligible for listing) <br />11. <br />Hospital ❑ ® ❑ 26. Critical Habitats .. ............................... ❑ <br />(3 <br />❑ <br />(endangered /threatened species) <br />12. <br />Schools ............... ............................_,. ❑ ® ❑ <br />. . ............................... <br />27. Wildlife .............. ❑ <br />f 7 <br />❑ <br />13. <br />Open spaces .................................... ❑ ® ❑ <br />- 28. Air Quality .......... ............................... ❑ <br />;9 <br />❑ <br />14. <br />Aquifer Recharge Area ....................... ❑ ® ❑ 29. Solid Waste Management................... ❑ <br />❑ . <br />15. <br />Steep Sl opes ........ ............................... ❑ ® ❑ 30. Energy Supplies .. ............................... ❑ <br />l <br />❑ <br />16. <br />Wildlife Refuge ... ............................... ❑ R] ❑ 31. Natural Landmark .............................. ❑ <br />® <br />❑ <br />(Listed on National Registry of Natural <br />17. <br />Shoreline .......................... ❑ 0 ❑ Landmarks) <br />18. <br />Beaches ............... ............................... ❑ ER ❑ 32. Coastal Barrier Resources System ..... ❑ <br />Q <br />❑ <br />Item 4. Are any facilities under your ownership, lease, or supervision to be utilized in the accomplishment of this project, either listed or under <br />consideration for listing on the Environmental Protection Agency's List of Violating Facilities? ❑ Yes KR No <br />(Date) <br />Signed: <br />(Applicant) <br />Michael E. Malone, City 11anager <br />(Title) <br />According to the Paperwor4 Reduction Act oJ199S, an agencymay not conduct or sponsor, and a person is not required to respond to, a collection of information <br />unless it Alspinys a valid Od/B control nttntber. The valitf OhIB Control number ;i' this injormation cotfections is 0575 -oo94. The time r7uired to complete this <br />information collection is estimated to avers a /S minutes Per response, irtcludin the time for reviewing instructions, searching existing data sources, gathering <br />and .....raining the d.t. needed, and competing and reviewing the collection onjormatton. <br />
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