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STATUTORY WORKSHEET 24 CFR 458 . 5 STATUTES , EXECUTIVE ORDERS & REGULATIONS Use this worksheet only for projects that are Categorically Excluded per 24 CFR § 58 . 35 ( a ) . NOTE : Compliance with the laws and statutes listed at 24 CFR § 58 . 6 must also be documented . PROJECT NAME and DESCRIPTION - CDBG Contract # B - 11 - UN - 12-022 . Activities 01 and 02 , Acquisition and Rehabilitation — Single Family . These activities include the following : The purchase of ten ( 10 ) foreclosed single family housing units that will be rehabilitated and sold to households who have incomes less than 120% of Area Median Income ; and the purchase of three ( 3 ) foreclosed single family housing units that will be rehabilitated and sold to households whose total household income is at or below 50% of Area Median Income . Unmet Need : The following activities will be pursued as NSP3 funds become available . Activities 01 and 02, Acquisition and Rehabilitation — Single Family . The purchase of eleven ( 11 ) additional foreclosed single family housing units . The housing units are to be rehabilitated and sold to households who have incomes less than 120% of Area Median Income ( some of these housing units may be sold to households whose total household income is at or below 50 % of Area Median Income ) . This proposal is determined to be Categorically Excluded according to : ( Cite Section (s ) ) 58 . 35 ( a) DIRECTIONS - Write " A" in the Status Column when the proposal , by its scope and nature , does not affect the resources under consideration ; or write " B " if the project triggers formal compliance consultation procedures with the oversight agency , or requires mitigation . Compliance documentation must contain verifiable source documents and relevant base data . Compliance Factors : STATUTES , EXECUTIVE ORDERS AND COMPLIANCE DETERMINATION REGULATIONS LISTED AT 24 CFR §58 . 5 A/ B AND DOCUMENTATION HISTORIC PRESERVATION B Possible mitigation required ; must be addressed on a site-by- 36 CFR PART 800 site basis . If a property that is selected is potentially historic or located in a historical area , pictures of the dwellings , the surrounding properties and an explanation of the scope of work to be addressed will be sent to the Dept. of State , Bureau of Historic Preservation . Sent e-mail to the Department of State , Bureau of Historic Preservation regarding the project on 4/ 12/ 11 . ( Exhibit 3) . Received return e-mails on 4/ 13/ 11 . ( Exhibit 3 .A) FLOODPLAIN MANAGEMENT B Possible mitigation required ; must be addressed on a site-by- 24 CFR § 55 & EXECUTIVE ORDER 11988 site basis . Once the properties which may be included in the Neighborhood Stabilization Program 3 project have been identified , a copy of the flood plain map for each property will be obtained to determine whether any of the dwellings are located within a Special Flood Hazard Area . An elevation survey will be carried out on those properties located within a Special Flood Hazard area to ensure the finished floor elevation in the living areas of the residences are above the properties ' flood plain elevation . Dwellings with living areas below the flood plain elevation will not be acquired . Two public floodplain notices have been published and are included in the Environmental Review Record . Page 4 of 10