Part-58-EA-Format.pdf

U.S. Department of Housing and Urban Development

451 Seventh Street, SW Washington, DC 20410 www.hud.gov espanol.hud.gov

Environmental Assessment Determinations and Compliance Findings for HUD-assisted Projects

24 CFR Part 58

This is a suggested format that may be used by Responsible Entities to document completion of an

Environmental Assessment.

Project Information

Project Name:

Responsible Entity:

Grant Recipient (if different than Responsible Entity):

State/Local Identifier:

Preparer:

Certifying Officer Name and Title:

Grant Recipient (if different than Responsible Entity):

Consultant (if applicable):

Direct Comments to:

Project Location:

Description of the Proposed Project [24 CFR 50.12 & 58.32; 40 CFR 1508.25]:

Statement of Purpose and Need for the Proposal [40 CFR 1508.9(b)]:

Existing Conditions and Trends [24 CFR 58.40(a)]:

Funding Information

Grant Number HUD Program Funding Amount

Estimated Total HUD Funded Amount:

Estimated Total Project Cost (HUD and non-HUD funds) [24 CFR 58.32(d)]:

Compliance with 24 CFR 50.4, 58.5, and 58.6 Laws and Authorities

Record below the compliance or conformance determinations for each statute, executive order, or regulation. Provide credible, traceable, and supportive source documentation for each authority. Where applicable, complete the necessary reviews or consultations and obtain or note applicable permits of approvals. Clearly note citations, dates/names/titles of contacts, and page references. Attach additional documentation as appropriate.

Compliance Factors:

Statutes, Executive Orders, Are formal compliance steps or

Compliance determinations and Regulations listed at 24

CFR §58.5 and §58.6 mitigation required?

STATUTES, EXECUTIVE ORDERS, AND REGULATIONS LISTED AT 24 CFR 50.4

and 58.6

Airport Hazards

24 CFR Part 51 Subpart D

Yes No

Coastal Barrier Resources

Coastal Barrier Resources Act, as amended by the Coastal Barrier

Improvement Act of 1990 [16

USC 3501]

Flood Insurance

Flood Disaster Protection Act of

1973 and National Flood

Insurance Reform Act of 1994

[42 USC 4001-4128 and 42 USC

5154a]

STATUTES, EXECUTIVE ORDERS, AND REGULATIONS LISTED AT 24 CFR 50.4

& 58.5

Clean Air

Clean Air Act, as amended, particularly section 176(c) & (d);

40 CFR Parts 6, 51, 93

Coastal Zone Management

Coastal Zone Management Act, sections 307(c) & (d)

Contamination and Toxic

Substances

24 CFR Part 50.3(i) & 58.5(i)(2)

Endangered Species

Endangered Species Act of 1973, particularly section 7; 50 CFR

Part 402

Explosive and Flammable

Hazards

24 CFR Part 51 Subpart C

Farmlands Protection

Farmland Protection Policy Act of 1981, particularly sections

1504(b) and 1541; 7 CFR Part

Floodplain Management

Executive Order 11988, particularly section 2(a); 24 CFR

Part 55

Historic Preservation

National Historic Preservation

Act of 1966, particularly sections

106 and 110; 36 CFR Part 800

Noise Abatement and Control

Noise Control Act of 1972, as amended by the Quiet

Communities Act of 1978; 24

CFR Part 51 Subpart B

Sole Source Aquifers

Safe Drinking Water Act of 1974, as amended, particularly section

1424(e); 40 CFR Part 149

Wetlands Protection

Executive Order 11990, particularly sections 2 and 5

Wild and Scenic Rivers

Wild and Scenic Rivers Act of

1968, particularly section 7(b) and (c)

ENVIRONMENTAL JUSTICE

Environmental Justice

Executive Order 12898

Environmental Assessment Factors [24 CFR 58.40; Ref. 40 CFR 1508.8 &1508.27] Recorded below is the qualitative and quantitative significance of the effects of the proposal on the character, features and resources of the project area. Each factor has been evaluated and documented, as appropriate and in proportion to its relevance to the proposed action. Verifiable source documentation has been provided and described in support of each determination, as appropriate. Credible, traceable and supportive source documentation for each authority has been provided. Where applicable, the necessary reviews or consultations have been completed and applicable permits of approvals have been obtained or noted.

Citations, dates/names/titles of contacts, and page references are clear. Additional documentation is attached, as appropriate. All conditions, attenuation or mitigation measures have been clearly identified.

Impact Codes: Use an impact code from the following list to make the determination of impact for each factor.

(1) Minor beneficial impact

(2) No impact anticipated

(3) Minor Adverse Impact – May require mitigation

(4) Significant or potentially significant impact requiring avoidance or modification which may require an Environmental Impact Statement

Environmental

Assessment Factor

Impact

Code

Impact Evaluation

LAND DEVELOPMENT

Conformance with

Plans / Compatible

Land Use and Zoning

/ Scale and Urban

Design

Soil Suitability/

Slope/ Erosion/

Drainage/ Storm

Water Runoff

Hazards and

Nuisances including Site Safety and Noise

SOCIOECONOMIC

Employment and

Income Patterns

Demographic

Character Changes, Displacement

Justice

COMMUNITY FACILITIES AND SERVICES

Educational and

Cultural Facilities

Commercial

Facilities

Health Care and

Social Services

Solid Waste

Disposal / Recycling

Waste Water /

Sanitary Sewers

Water Supply

Public Safety -

Police, Fire and

Emergency Medical

Parks, Open Space and Recreation

Transportation and

Accessibility

NATURAL FEATURES

Unique Natural

Features, Water Resources

Vegetation, Wildlife

Other Factors

CLIMATE AND ENERGY

Climate Change

Impacts

Energy Efficiency

Additional Studies Performed:

Field Inspection (Date and completed by):

List of Sources, Agencies and Persons Consulted [40 CFR 1508.9(b)]:

List of Permits Obtained:

Public Outreach [24 CFR 50.23 & 58.43]:

Cumulative Impact Analysis [24 CFR 58.32]:

Alternatives [24 CFR 58.40(e); 40 CFR 1508.9]

No Action Alternative [24 CFR 58.40(e)]:

Summary of Findings and Conclusions:

Mitigation Measures and Conditions [40 CFR 1505.2(c)]

Summarize below all mitigation measures adopted by the Responsible Entity to reduce, avoid, or eliminate adverse environmental impacts and to avoid non-compliance or non-conformance with the above-listed authorities and factors. These measures/conditions must be incorporated into project contracts, development agreements, and other relevant documents. The staff responsible for implementing and monitoring mitigation measures should be clearly identified in the mitigation plan.

Law, Authority, or Factor

Mitigation Measure

Determination:

Finding of No Significant Impact [24 CFR 58.40(g)(1); 40 CFR 1508.27]

The project will not result in a significant impact on the quality of the human environment.

Finding of Significant Impact [24 CFR 58.40(g)(2); 40 CFR 1508.27]

The project may significantly affect the quality of the human environment.

Preparer Signature: __________________________________________Date:________

Name/Title/Organization: __________________________________________________

Certifying Officer Signature: ___________________________________Date:________

Name/Title: ______________________________________________________________

This original, signed document and related supporting material must be retained on file by the

Responsible Entity in an Environmental Review Record (ERR) for the activity/project (ref: 24

CFR Part 58.38) and in accordance with recordkeeping requirements for the HUD program(s).