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Pasdian J <br /> USDA•FmHA ? ~ oMe <br /> No <br /> oRS°s <br /> ao°as <br /> Form FmHA 1941}20 r <br /> (Rev. I.92) REQUEST FOR ENVIRONMENTAL INFORMATION Name of Project <br /> Preservation Grant _ <br /> Location <br /> Item la. Has a Federal, State, or Local Environmental Impact Statement or Analysis been prepared for this project? <br /> Yes BI No ? Copy attached as EXHIBIT I-A. <br /> lb. If "No," provide the information requested in Instructions as EXHIBIT <br /> Item 2. -The State Historic Preservation Officer (SHOP) has been provided a detailed project description and has been requested to submit <br /> comments to the appropriate FmHA Office. ~~Yes ? No Date description submitted to SHPO <br /> Item 3. ,Are any of the following land uses or environmental resources zither to be affected by the proposal or located within or adjacent to the <br /> project site(s)? (Check appropriate bos for every item of the fa !/awing checklistj. <br /> Yes No Unknown Yes No Unknown <br /> 1. Industrial.._ ? ? ~ I8. Beaches.................................................-......... ? ~ ? <br /> 2. Commercial ? C ® l9. Dunes ? ~ <br /> 3. Residential ? ? i%1 20. Estuary.................................._........................ ? ® ~ <br /> 1. Agricultural ? C XI 2l. Wetlands................_..-..............-..................._ ? ~ <br /> 5. Grazing ? ~ ? 22. Floodplairs...................................................... ? '%I <br /> 6. Mining. Quarrying ? '%I ? 23. Wilderness ? <br /> /designated nr proposed under the Wilderness <br /> 7. Forests ? ? ~ Acrl <br /> 24. Wild or Scenic River ? <br /> g. Recreational ? ? r$I (proposed or designated under the Wild and J <br /> ScertFc' Rivers Acr) <br /> 9. Transportation ? ? IX <br /> 25. Historical, Ale~teological Sites ? ? (X <br /> (Listed on the Natrona! Register of Historic <br /> I Parks ? ~ 'gl Places or which may he eligible for listing) <br /> <br /> I L Hospitals ? ? 26. Critical Habitats......................_.................... ? ® ? <br /> (ertdangrredlthreaterted species) <br /> <br /> !2. Schools ? '81 27. Wildlife........................................................... ? n <br /> <br /> 13. Open spaces C C ~'i 28. Air Quati[y ? !X <br /> <br /> I1. Aquifer Recharge Area ? ? $ 29. Solid Waste blanagement............................ ? ? <br /> 30. Energy Supplies ? <br /> 5. Steep Slopes ? ~ <br /> 31. Natural Landmark....._..._.. _ ? <br /> !Listed on ;V¢uonal Registry of Naru rat <br /> 6. Wildlife Refuge._ ? ~ <br /> Landmarks) <br /> Shoreline.._...._ ? ~ 32. Coastal Barrizr Resources System............. ? ~ ? <br /> tem .Are any facilities under your ownership, lease, or supervision to be utilized in the accomplishement of this project, either listed or <br /> • under consideration for listing on the Environmental Protection Agency's Lis[ of Violating Facilities? C Yes ~ No <br /> Signed: County of Hawai' i <br /> (Date! (Applicant! <br /> Stephen K. Yamashiro• Mayor <br /> (Title) <br /> Public npar[iny burden (or this collet Lion o/ in/orma NOn is estimated to avemye 10 to JO hours per reapome, including the Hma /or reviewmy m- <br /> struetlons, seaxhing axis [ing data souxes, yatherinQ and moire [dining the data needed, and eompk tlnq and reviewing the collae HOn o/ in /ormatlon. Sand <br /> comments regarding this burden ea fimata or any other mpec[ o/ lh4 col/ae Han o/ in/o rma HOn, mcludm wggestloru for reducing this burden, to DeparE <br /> moot o/ Agriculture. C!e¢rance O/ricer, DrR,N, Room 404-W, Wmhingtan, D. C. 20250: and to the O//ice o/.Nanagement and Budge[. Papertuork Re~ <br /> disc HOn Projeel (OMB ,YO. 057500941. Wmhinaton, D. C._0507. P(eme DO .VOT RETL'R.Y this !arm to ei/her these addreues. Farruard to Fm HA <br /> <br />