SF429B-V1.0.pdf

Standard Form PDF 73 KB Posted Mar 25, 2021

Attached to: Cooperative Endangered Species Conservation Fund: Recovery Land Acquisition Grants
Opportunity number: F21AS00172
Issued by: Department of the Interior Fish and Wildlife Service

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SF429B-V1.0.pdf

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Other versions and copies of SF 429B

5 government files on GovTribe name SF 429B. Different revisions are separate documents; copies of this exact file point search engines to its first posting.

File	Revision	Posted	Attached to
SF429B and Cover-V1.0 (1).pdf	Revision not stated	Nov 7, 2023	Round 7 Outdoor Recreation Legacy Partnership Program
SF429B and Cover-V1.0 (1).pdf	Revision not stated	Jul 29, 2022	Land and Water Conservation Fund Outdoor Recreation Legacy Partnership Program
SF429B-V1.0.pdf	Revision not stated	Feb 10, 2022	White-nose Syndrome Grants to States and Tribes 2022
SF429B-V1.0.pdf Same revision and size as this file	Revision not stated	Mar 25, 2021	Cooperative Endangered Species Conservation Fund: Habitat Conservation Plan Land Acquisition Grants

Who attaches SF 429B

Agency	Files
Department of the Interior Fish and Wildlife Service	3
Department of the Interior National Park Service	2

Other files

File	Type	Posted
SF424D-V1.1.pdf	PDF	Mar 25, 2021
SF424C_2_0-V2.0.pdf	PDF	Mar 25, 2021
SF424_3_0-V3.0.pdf	PDF	Mar 25, 2021
SF429-V1.0.pdf	PDF	Mar 25, 2021
FY21 RLA FAQs .pdf	PDF	Jan 8, 2021
RLA Foa_Content_of_F21AS00172.FINAL.pdf	PDF	Jan 8, 2021

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RR_SF424 Page 1 mhughes D:20061211100100- 05'00' D:20061211100100- 05'00' Real Property Status Report

ATTACHMENT B

(Request to Acquire, Improve or Furnish) SF-429-B OMB Number: 4040-0016 Expiration Date: 02/28/2022 Federal Grant or Other Identifying Number Assigned by Federal Agency (#2 on cover page) Complete the applicable blocks below for each parcel of real property for which you are requesting to acquire, improve, or furnish (duplicate this page to provide information for each parcel of real property under the Federal financial assistance award identified in section 2):

13a. Description of Real Property:

13b. Address of Real Property (legal description and complete address including zoning information):

Street1:

Street2:

City:

State:

ZIP / Postal Code:

Country:

County:

Province:

Zoning Information:

GPS Location Longitude:

GPS Location Latitude:

14a. Describe the intended use of the real property and how it will benefit the program:

14b. Proposed Real Property Ownership Type(s):

14c. Proposed Acquisition Date (MM/DD/YYYY):

14d. Land Acreage or Square Units:

14e. Gross and Usable Square Footage/Meters (i.e., of building, house, etc.):

Enter Amount:

Select units:

Enter Amounts:

Gross Usable Select units:

14f. Appraised Value (Valuation):

Federal Share:

Share Percentage %:

Non-Federal Share:

Total (sum of Federal and Non-Federal Share):

14g. Are there any Uniform Relocation Act (URA) requirements applicable to this real property?

14h. Are there any environmental compliance requirements related to the real property?

If yes, describe them:

14i. In accordance with the National Historic Preservation Act (NHPA), does the property possess historic significance, and/or is it listed or eligible for listing in the National Register of Historic Places?

If yes, describe them:

14j. Does the proposed action employ green/sustainable practices (check all that apply)?

14k. What was the cumulative energy consumption for the facility in the past 12 months?:

A. Electric (kWh) or (Btu) B. Petroleum (Gal) C. Natural Gas (cu ft) D. Other (Specify) 14l. What is the anticipated cumulative energy use for the 12 months following completion of the proposed acquisition/construction/renovation project?

A. Electric (kWh) or (Btu) B. Petroleum (Gal) C. Natural Gas (cu ft) D. Other (Specify)

15. Remarks:

Mandatory:

Federal Grant or Other Identifying Number: Enter Federal Grant or Other Identifying Number Assigned by Federal Agency. This field is required.:

Description of Real Property: Enter Description.:

dataEntered:

Street1: Enter the first line of the Street Address. :

Street2: Enter the second line of the Street Address.:

City: Enter the City. :

County: Enter the County.:

State: Select the state, US possession or military code from the provided list.:

Province: Enter the Province. :

Country: Select the Country from the provided list. :

Zip / Postal Code: Enter the Postal Code (e.g., ZIP code). :

Zoning Information: Enter the Zoning Information.:

GPS Location Longitude: Enter the GPS Location Longitude.:

GPS Location Latitude: Enter the GPS Location Latitude.:

Intended Use: Describe the intended use of the real property and how it will benefit the program.:

Real Property Ownership Type(s) - A. Owned: Check to select.:

Real Property Ownership Type(s) - D. Corporate: Check to select.:

Real Property Ownership Type(s) - B. Co-Owned: Check to select.:

Real Property Ownership Type(s) - E. Joint Tenancy: Check to select.:

Real Property Ownership Type(s) - C. Fee Simple: Check to select.:

Real Property Ownership Type(s) - F. Partnership: Check to select.:

Real Property Ownership Type(s) - G. Limited Liability Partnership: Check to select.:

Real Property Ownership Type(s) - H. Co-Operative: Check to select.:

Real Property Ownership Type(s) - I. Government Furnished Property: Check to select.:

Real Property Ownership Type(s) - J. Other (Describe): Check to select.:

Description: If "other" is selected, enter text to explain.:

Proposed Acquisition Date: Enter the Date as mm/dd/yyyy. :

Amount: Enter Land Acreage or Square Units.:

Units: Select one.

Square Meters: Check to select.:

Gross: Enter the Gross Amount.:

Usable: Enter the Usable Amount.:

Units: Select one.

Square Feet: Check to select.:

Federal Share: Enter the Federal Share.:

Share Percentage: Enter the Federal Share Percentage.:

Non-Federal Share: Enter the Non-Federal Share.:

Share Percentage: Enter the Non-Federal Share Percentage.:

Total (sum of Federal and Non-Federal Share): This is a calculated field.:

Total (sum of Federal and Non-Federal Share) Percentage: This is a calculated field.:

Are there any Uniform Relocation Act (URA) requirements applicable to this real property? - No: Check to select.:

Are there any environmental compliance requirements related to the real property? - No: Check to select.:

FileName:

MimeType:

href:

hashAlgorithm:

HashValue_data:

Environmental Compliance Requirements:

If Yes, attach description.:

Environmental Compliance Requirements - Add Attachment:

If Yes, attach description.:

Environmental Compliance Requirements - Delete Attachment:

Environmental Compliance Requirements - View Attachment:

In accordance with the National Historic Preservation Act (NHPA), does the property possess historic significance, and/or is it listed or eligible for listing in the National Register of Historic Places? - No: Check to select.:

NHPA Description:

If Yes, attach description.:

NHPA Description - Add Attachment:

If Yes, attach description.:

NHPA Description - Delete Attachment:

NHPA Description - View Attachment:

A. Integrated Design Principles: Check to select.:

B. Enhances Indoor Environmental Quality: Check to select.:

C. Protects and Conserves Water (anticipated water reduction): Check to select.:

D. Reduces Environmental Impact of Materials: Check to select.:

E. Optimizes Energy Performance (anticipated energy reduction): Check to select.:

A. Electric (kWh): Enter the anticipated cumulative energy use for the 12 months following completion of the proposed acquisition/construction/renovation project.:

or Btu: Enter the anticipated cumulative energy use for the 12 months following completion of the proposed acquisition/construction/renovation project.:

B. Petroleum (Gal): Enter the anticipated cumulative energy use for the 12 months following completion of the proposed acquisition/construction/renovation project.:

C. Natural Gas (cu ft): Enter the anticipated cumulative energy use for the 12 months following completion of the proposed acquisition/construction/renovation project.:

D. Other: Enter the anticipated cumulative energy use for the 12 months following completion of the proposed acquisition/construction/renovation project.:

Other Specify: Specify, if Other.:

Remarks: Attach remarks.:

Remarks - Add Attachment:

Attach remarks.:

Remarks - Delete Attachment:

Remarks - View Attachment:

File details come from the government source that posted it. Updated Mar 26, 2021.