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Request for Release of Funds U.S. Department of Housing OMB No.2506-0087 and Urban Development (exp 07/31/2017) and Certification Office of Community Planning and Development This form is to be used by Responsible Entities and Recipients (as defined in 24 CFR 58.2)when requesting the release of funds, and requesting the authority to use such funds,for HUD programs identified by statutes that provide for the assumption of the environmental review responsibility by units of general local government and States. Public reporting burden for this collection of information is estimated to average 36 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless that collection displays a valid OMB control number Part 1. Program Description and Request for Release of Funds (to be completed by Responsible Entity) 1 Program Title(s) 2. HUD/State Identification Number 3. Recipient Identification Number Florida Small Cities Community Development Block Grant 16DB-OK-10-40-01-N05 (optional) 4 OMB Catalog Number(s) 5. Name and address of responsible entity CFDA NO 14.218 Indian River County 6 For information about this request,contact(name&phone number) 1801 27th Street Arjuna Weragoda; Tel . 772-226-1821 Vero Beach, Florida 32960 8. HUD or State Agency and office unit to receive request 7 Name and address of recipient(if different than responsible entity) Florida Department of Economic Opportunity N/A The recipient(s)of assistance under the program(s) listed above requests the release of funds and removal of environmental grant conditions governing the use of the assistance for the following 9 Program Activity(ies)/Project Name(s) 10 Location(Street address,city,county, State) Service Area 1-boundary streets are in the area south of 510 between 64th Ave and West Wabasso Phase 2 New Sewer Mains and 62nd Ave. Service Area 2-general location is in the East Gifford area between 28th Ave. New Sewer Hookups/ Gifford Flood and Drainage to the west,Old Dixie Hwy to the east,43rd st.42nd St.,encompassing 42nd PI,27th Ave.,26th Ave.,25th Ave.,24th Ct.and 24th Ave. 11 Program Activity/Project Description The project includes Phase II of the West Wabasso new sewer mains, 16 manholes and laterals and up to a possible 45 sewer hook ups A complimentary benefit will be the reconstruction of streets and paving to modern standards The Gifford Flood and Drainage improvement project includes improving swales and new culverts in the East Gifford area. These re-graded swales and new culvert pipes will convey stormwater flows to the existing wet detention pond located south of 42nd Street. Activity CDBG New Sewer Mains $720,000 New Flood and Drainage $30,000 Total CDBG Budget $750,000 Previous editions are obsolete form HUD-7015.15(1/99)