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<br />
<br />Attachrent M
<br />
<br />PART II
<br />PROJECT APPROVAL INFORMATION
<br />
<br />0... .0. ....0 'M
<br />
<br />1....,1,
<br />O;;;-;hi. ouiatonc. req~.t require State, local,
<br />...._1, 01 oth., "iOflty rahn,? X
<br />_V.s_Ho
<br />
<br />NaMe 01 eo..min9 BoGy
<br />priority Ratin,
<br />
<br />It..., 2.
<br />O;;;-;his OUistCMce ,~I,/e.t 'equi,. Stot., or local
<br />.d"iSOty, educational tj' h..,lth cleonrnce.?
<br />
<br />_Ve.-LNo
<br />
<br />No.... .f ApnCY' or
<br />Boord
<br />
<br />(~"Qch Doc"'....,ra.i~J
<br />
<br />(.ttoch COftlln.",)
<br />
<br />.
<br />
<br />II..,. 3.
<br />O:;;-;hit. ost.i UonCe'.,iI'q..-st tequ.,. c:I_rin9hou..
<br />r..,i.. in accoraance ..in, OMS Ci'c",lor A.9S?
<br />
<br />_v..
<br />
<br />x
<br />
<br />I."""...
<br />O;;;-;his assistance ,.,que.t '-.uir. Stat., locol,
<br />'e9ionoJ or oth. plan" '"9 ogprG'IJ'Ql? X
<br />_V..
<br />
<br />~o
<br />
<br />N",. of .Approwift9 A,.t'Icy
<br />Od'.
<br />
<br />~o
<br />
<br />It.... 5.
<br />I. th. p,opo..d project co..,.," by Oft .",....ed c""'pre.
<br />,,-"sill. pJon?
<br />
<br />_Y..
<br />
<br />x
<br />
<br />iteM 6.
<br />WTIi'"'th. Qui.ta~ce '.q",.s'ed ''''''.0 F.o.rcd X
<br />instollation? _ Y., _No
<br />
<br />It.,... 7.
<br />~ Quistonee 'eq"ested b. on F.der.llond' or
<br />in.tollation?
<br />
<br />X
<br />_Ves_Ho
<br />
<br />No
<br />
<br />CJ.ilec!r. one: St.,.
<br />Locol
<br />Regianol
<br />LdCG'ion of Pion
<br />
<br />r:,
<br />r.,
<br />n
<br />
<br />Na..... of Fed.rol Installotion
<br />F.oeraJ Popvlotion b.nefitin9 frDl'ft PrOiKt
<br />
<br />Narne of F-ed.rol In.tallotion
<br />Lo.c:ation 01 F.deral Land
<br />P.rc.m of Project
<br />
<br />It..". 8.
<br />Wijj'"';he assistonc. reql"lesred ha.. on impact Of' .H.ct
<br />on the .nvironment?
<br />
<br />X
<br />_Ves_No
<br />
<br />Se<l instNctions for additional informcrtion to be
<br />pro.ided.
<br />
<br />he'" 9.
<br />Will the auillOl"lc. ,eq",esr.d co..... the di.phlc;:-...t
<br />of individlolol s, families, b...sin"Ms, or fonna?
<br />
<br />X
<br />_V.,_No
<br />
<br />N",,,,b., of:
<br />l,.di.iduol,
<br />FOlllilie.
<br />BuaiMues
<br />Forms
<br />
<br />1,.",10.
<br />Is ,h.fe oth.r r.lot.d asSiuonc. an this project p"..ious.
<br />pendinv. Of on'icipa,.d?
<br />
<br />'h
<br />-----: Ves_ No
<br />
<br />s.. instructions for odditionol inforfMlion 10 be
<br />pro.nd.d.
<br />
<br />!!!!:..U.:
<br />I. rt'l8 project in . d.. igr'l.led flood hIIt:.rd .r..1
<br />
<br />_,...-!.... No
<br />
<br />s.. ina1tuctiona for additional infCltrMtion to
<br />be provided.
<br />
<br />Exhibit 1+-3. AFPlication for Federal Assistance (Nonconstructicn
<br />PrO:i.l. "illS)
<br />(Page 5 of 13)
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