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4M <br />C-1 <br />Bart 2. Environmental Certincation (to be completed by responsible entity) <br />With reference to the above Program Activity(ies)/Project(s), 1, the undersigned officer of the responsible entity, certify that: <br />1. The responsible entity has fully carried out its responsibilities for environmental review, decision-making and action pertaining <br />to the project(s) named above. <br />2. The responsible entity has assumed responsibility for and complied with and will continue to comply with, the National <br />Environmental Policy Act of 1969, as aalended, and the environmental procedures, permit requirements and statutory obligations <br />of the laws cited in 24 CFR 58.5; and also agrees to comply with the authorities in 24 CFR 58.6 and applicable State and local <br />laws. <br />3. After considering the type and degree cf environmental effects identified by the environmental review completed for the proposed <br />project described in Part I of this request, i have found that the proposal ❑ did ❑ did not require the preparation and <br />dissemination of an environmental impact statement. <br />4, The responsible entity has disseminated and/orpublished in the manner prescribed by 24 CFR 58.43 and 58.55 a notice to the public <br />in accordance with 24 CFR 58.70 and as evidenced by the attached copy (copies) or evidence of posting and mailing procedure. <br />5. The dates for all statutory and regulatory time periods for review, comment or other action are in compliance with procedures and <br />requirements of 24 CFR Part 58. <br />6. In accordance with 24 CFR 58.71(b), the responsible entity will advise the recipient (if different from the responsible entity) of <br />any special environmental conditions that trust be adhered to in carrying out the project.. <br />As the duly designated certifying official of the responsible entity, I also certify that: <br />7. I am authorized to and do consent to assume the status of Federal official under the National Environmental Policy Act of 1969 <br />and each provision of law designated in the 24 CFR 58.5 list of NEPA-related authorities insofar as the provisions of these laws <br />apply to the HUD responsibilities for environmental review, decision-niaking and action that have been assumed by the responsible <br />entity. <br />8. 1 am authorized to and do accept, on behalf of the recipient personally, the jurisdiction of the Federal courts for the enforcement <br />of all these responsibilities, in my capacity as certifying officer of the responsible entity. <br />Signature of Certifying Officer of the Responsible Entity <br />x 1 <br />Address of Certifying Officer <br />TNN of Ccttiiying 0friear <br />Dalesigned + <br />Part 3. To be completed when the Recipient is not the Responsible Entity _ <br />The recipient requests the release of funds for the programs and activities identified in Part l and agrees to abide by the special <br />conditions, procedures and requirements of the environmental review and to advise the responsible entity of any proposed change in <br />the scope of the project or any chane in environmental conditions in accordance with 24 CFR 58.71(b). <br />Signature of Authorized Officer of the Recipient <br />Ti9e of Authorized t]Bfieer <br />Dale signed <br />Warning: HUD VAilprosecute Wsedaimaand stalementa. Comictionmay resuttincriminalandforcivilpenalkies. (18U.S.C.1001,1010,1012; 31 U.S.C.3729.3802) <br />Previous edilions are obsolate porn HUD-7Ci5.1 S (1499) <br />