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IE <br /> 04/29/2005 06.34 FAX 2094663}�"" SJC-COMM-DEV_UEPT 0021005 <br /> " STATUTORY WORKSHEET <br /> evised Aprl 20001 <br /> Use this worksheet onlyfor HUD eats whish are Cate oricaIlExcluded Rer 24 M Section 58.35a. <br /> 24 CFR§58.5 STATMS,EXECUTIVE ORDERS & REGULAT1ONS <br /> TROJECT NAMEwad-DESCRIPTION--Luclude-all-con%mplated-actions which-logically arc either geog fly�er_ <br /> functionally f the� DEMOLTTiON SAND RECONSTRUCTION OFx'1'WO SINGLE FAMILY RBSII F,146 $ <br /> � f f --Y <br /> LOATE17 AT 1735_AND 1749 BRISTOLAVENVT,S'TOCXt TON. BONE fiends will lie used ee demolish axe exis <br />� reaiaenc.eand eonstrucr anew,ona,£ar a Io•w-i:ncou�e b�pmevvs�e�r. <br /> This project is deternuned to be categorically excluded according to: [Cite section(s)]_ S$,',15,(a}�41 <br /> Directions-Write"A"in the Status Column when the project,by its nature,does not affect the resource];under <br /> consideration;OR write"%"if the project triggers formal compliance consultation procedures with the oversight agency,or <br /> requires mitigation(see Statutory Worksheet Instructions): Compliance documentation mrstcontaia verifiable source <br /> documents and relevant base data. Attach reviews,consultations,and special studies as needed. <br /> Compliance Factors.- <br /> Statutes, <br /> actors:Statutes,Executive Orders, <br /> and Regulations(24CFR 58.5) Status <br /> !E. ntW D <br /> Historic Preservation <br /> [36 CF'R Part 800] A Supporting Documentation is accacbed. <br /> Floodplain Management <br /> [24 CFR 55,Executive Order 119681 A Supporting Documentation is attached. <br /> Wetlands Protection <br /> [Executive Order It 990] A Supporting Docum%tation is attached. <br /> E Coastal Zone <br /> [Sections 307(c),(d)] A Supporting Documentation is attached <br /> Sole Source Aguif`ers <br /> [40 CFR 1491 A Supporting Documentation is attached. <br />{ n <br /> Endingered Species Act <br /> [50 CFR 402] A Supporting Documentation,is attached. <br /> Wild and Scenic Rivers Act <br /> [Sections 7(b)and(c)] A Supporting Documentation is attached. <br />} Clean Air Act <br /> [Sectiones 176(c),(d),and 40 CFR 6,51,931 A Supporting Documentation is attached <br /> Farmland Protection <br /> [7 CFR 6581 A Supporting Documentation is attached. <br /> j <br />