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Request for Release of Funds U.S. Department of Housing OMB No 2506-0087 <br />and Urban Development (exp. 07/31/2017) <br />and Certification Office of Community Planning <br />and Development <br />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 <br />requesting the authority to use such funds, for HUD programs identified by statutes that provide for the assumption of the environmental <br />review responsibility by units of general local government and States. Public reporting burden for this collection of information is estimated <br />to average 36 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and <br />maintaining the data needed, and completing and reviewing the collection of information. This agency may not conduct or sponsor, and <br />a person is not required to respond to, a collection of information unless that collection displays a valid OMB control number <br />Part 1. Program Description and Request for Release of Funds (to be completed by Responsible Entity) <br />1 Program <br />HUD/State <br />Florida Small Cities Community Development Block Grant 16DB-OK-10-40-01-N05 <br />3. Recipient Identification Number <br />(optional) <br />4. OMB Catalog Number(s) 5 Name and address of responsible entity <br />CFDA NO 14.218 Indian River County <br />6. For information about this request, contact (name & phone number) 1801 27th Street <br />Arjuna Weragoda ; Tel - 772-226-1821 Vero Beach, Florida 32960 <br />8. HUD or State <br />ano orrice unit to receive request <br />- <br />Florida Department of Economic Opportunity <br />7. Name <br />N/A <br />of recipient (if different than responsible <br />The recipient(s) of assistance under the program(s) listed above requests the release of funds and removal of environmental <br />grant conditions governing the use of the assistance for the following <br />V Program Acbvtty(ies)/Project Name(s) 10. Location (Street address, city, county, State) <br />Service Area 1 - boundary streets are in the area south of 510 between 64th Ave and <br />West Wabasso Phase 2 New Sewer Mains and <br />62nd Ave. Service Area 2 - general location is in the East Gifford area between 28th Ave. <br />New Sewer Hookups/ Gifford Flood and Drainage to the West, Old Dixie Hwy to the east, 43rd st. 42nd St., encompassing 42nd PI, 27th <br />Ave., 26th Ave., 25th Ave., 24th Ct. and 24th Ave. <br />11 Program Activity/Project Description <br />The project includes Phase II of the West Wabasso new sewer mains, 16 manholes and laterals and up to a possible 45 sewer <br />hook ups A complimentary benefit will be the reconstruction of streets and paving to modern standards. The Gifford Flood <br />and Drainage improvement project includes improving swales and new culverts in the East Gifford area. These re -graded <br />swales and new culvert pipes will convey stormwater flows to the existing wet detention pond located south of 42nd Street. <br />Activity CDBG <br />New Sewer Mains $720,000 <br />New Flood and Drainage $30,000 <br />Total CDBG Budget $750,000 <br />Previous editions are obsolete <br />form HUD -7015.15 (1/99) <br />67 <br />