> ![](media/image1.emf){width="0.6652777777777777in"
> height="0.6583333333333333in"}**U.S. Department of Housing and Urban
> Development** Seattle Regional Office
>
> 909 First Avenue, Suite 255
>
> Seattle, Washington, 98104

**Environmental Assessment**

**for HUD-funded Proposals**

Recommended format per 24 CFR 58.36, revised February 2004

\[Previously recommended EA formats are obsolete\].

Project Identification:

Preparer:

Responsible Entity:

Month/Year:

**Environmental Assessment**

**Responsible Entity:**
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\[24 CFR 58.2(a)(7)\]

**Certifying Officer:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

\[24 CFR 58.2(a)(2)\]

**Project Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Project Location:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Estimated total project cost:**
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Grant Recipient:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

\[24 CFR 58.2(a)(5)\]

**Recipient Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Project Representative:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Telephone Number:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Conditions for Approval:** (List all mitigation measures adopted by
the responsible entity to eliminate or minimize adverse environmental
impacts. These conditions must be included in project contracts and
other relevant documents as requirements). \[24 CFR 58.40(d), 40 CFR
1505.2(c)\]

**FINDING:** \[58.40(g)\]

**\_\_\_ Finding of No Significant Impact**

(The project will not result in a significant impact on the quality of
the human environment)

\_\_\_ **Finding of Significant Impact**

(The project may significantly affect the quality of the human
environment)

**Preparer Signature:**
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**Date:**\_\_\_\_\_\_\_\_

**Name/Title/Agency:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**RE Approving Official Signature:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_Date:\_\_\_\_\_\_\_\_**

**Name/Title/
Agency:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Statement of Purpose and Need for the Proposal:** \[40 CFR 1508.9(b)\]

**Description of the Proposal:** Include all contemplated actions which
logically are either geographically or functionally a composite part of
the project, regardless of the source of funding. \[24 CFR 58.32, 40 CFR
1508.25\]

**Existing Conditions and Trends:** Describe the existing conditions of
the project area and its surroundings, and trends likely to continue in
the absence of the project. \[24 CFR 58.40(a)\]

### Statutory Checklist

\[24CFR §58.5\]

Record the determinations made regarding each listed statute, executive
order or regulation. Provide appropriate source documentation. \[Note
reviews or consultations completed as well as any applicable permits or
approvals obtained or required. Note dates of contact or page
references\]. Provide compliance or consistency documentation. Attach
additional material as appropriate. Note conditions, attenuation or
mitigation measures required.

**Factors** **Determination and Compliance Documentation**

+------------------------+---------------------------------------------+
| **Historic             |                                             |
| Preservation**         |                                             |
|                        |                                             |
| \[36 CFR 800\]         |                                             |
+------------------------+---------------------------------------------+
| **Floodplain           |                                             |
| Management**           |                                             |
|                        |                                             |
| \[24 CFR 55, Executive |                                             |
| Order 11988\]          |                                             |
+------------------------+---------------------------------------------+
| **Wetlands             |                                             |
| Protection**           |                                             |
|                        |                                             |
| \[Executive Order      |                                             |
| 11990\]                |                                             |
+------------------------+---------------------------------------------+
| **Coastal Zone**       |                                             |
|                        |                                             |
| **Management Act**     |                                             |
|                        |                                             |
| \[Sections             |                                             |
| 307(c),(d)\]           |                                             |
+------------------------+---------------------------------------------+
| **Sole Source          |                                             |
| Aquifers**             |                                             |
|                        |                                             |
| \[40 CFR 149\]         |                                             |
+------------------------+---------------------------------------------+
| **Endangered Species   |                                             |
| Act**                  |                                             |
|                        |                                             |
| \[50 CFR 402\]         |                                             |
+------------------------+---------------------------------------------+
| **Wild and Scenic**    |                                             |
|                        |                                             |
| **Rivers Act**         |                                             |
|                        |                                             |
| \[Sections 7 (b),      |                                             |
| (c)\]                  |                                             |
+------------------------+---------------------------------------------+
| **Air Quality**        |                                             |
|                        |                                             |
| \[Clean Air Act,       |                                             |
| Sections 176 (c)       |                                             |
|                        |                                             |
| and (d), and 40 CFR 6, |                                             |
| 51, 93\]               |                                             |
+------------------------+---------------------------------------------+
| **Farmland Protection  |                                             |
| Policy**               |                                             |
|                        |                                             |
| **Act** \[7 CFR 658\]  |                                             |
+------------------------+---------------------------------------------+
| **Environmental        |                                             |
| Justice**              |                                             |
|                        |                                             |
| \[Executive Order      |                                             |
| 12898\]                |                                             |
+------------------------+---------------------------------------------+

**HUD Environmental Standards Determination and Compliance
Documentation**

+------------------------+---------------------------------------------+
| **Noise Abatement      |                                             |
| and**                  |                                             |
|                        |                                             |
| **Control** \[24 CFR   |                                             |
| 51 B\]                 |                                             |
+------------------------+---------------------------------------------+
| **Toxic                |                                             |
| /Hazardous/Radioactive |                                             |
| Materials,             |                                             |
| Contamination,         |                                             |
| Chemicals or Gases**   |                                             |
|                        |                                             |
| **\[24 CFR             |                                             |
| 58.5(i)(2)\]**         |                                             |
+------------------------+---------------------------------------------+
| **Siting of            |                                             |
| HUD-Assisted Projects  |                                             |
| near Hazardous         |                                             |
| Operations** \[24 CFR  |                                             |
| 51 C\]                 |                                             |
+------------------------+---------------------------------------------+
| **Airport Clear Zones  |                                             |
| and**                  |                                             |
|                        |                                             |
| **Accident Potential   |                                             |
| Zones**                |                                             |
|                        |                                             |
| \[24 CFR 51 D\]        |                                             |
+------------------------+---------------------------------------------+

**Environmental Assessment Checklist**

\[Environmental Review Guide HUD CPD 782, 24 CFR 58.40; Ref. 40 CFR
1508.8 &1508.27\]

Evaluate the significance of the effects of the proposal on the
character, features and resources of the project area. Enter relevant
base data and verifiable source documentation to support the finding.
Then enter the appropriate impact code from the following list to make a
determination of impact. **Impact Codes**: (**1)** - No impact
anticipated; (**2)** - Potentially beneficial; (**3)** - Potentially
adverse; (**4)** - Requires mitigation;

(**5)** - Requires project modification. Note names, dates of contact,
telephone numbers and page references. Attach additional material as
appropriate. Note conditions or mitigation measures required.

**Land Development Code Source or Documentation**

+-----------------------+---+-------------------------------------------+
| Conformance with      |   |                                           |
| Comprehensive Plans   |   |                                           |
|                       |   |                                           |
| and Zoning            |   |                                           |
+-----------------------+---+-------------------------------------------+
| Compatibility and     |   |                                           |
|                       |   |                                           |
| Urban Impact          |   |                                           |
+-----------------------+---+-------------------------------------------+
| Slope                 |   |                                           |
+-----------------------+---+-------------------------------------------+
| Erosion               |   |                                           |
+-----------------------+---+-------------------------------------------+
| Soil Suitability      |   |                                           |
+-----------------------+---+-------------------------------------------+
| Hazards and Nuisances |   |                                           |
|                       |   |                                           |
| including Site Safety |   |                                           |
+-----------------------+---+-------------------------------------------+
| Energy Consumption    |   |                                           |
+-----------------------+---+-------------------------------------------+

+-----------------------+---+-------------------------------------------+
| **Noise -**           |   |                                           |
| Contribution to       |   |                                           |
| Community Noise       |   |                                           |
| Levels                |   |                                           |
+-----------------------+---+-------------------------------------------+
| **Air Quality**       |   |                                           |
|                       |   |                                           |
| Effects of Ambient    |   |                                           |
| Air Quality on        |   |                                           |
|                       |   |                                           |
| Project and           |   |                                           |
| Contribution to       |   |                                           |
| Community Pollution   |   |                                           |
| Levels                |   |                                           |
+-----------------------+---+-------------------------------------------+
| **Environmental       |   |                                           |
| Design**              |   |                                           |
|                       |   |                                           |
| Visual Quality -      |   |                                           |
| Coherence, Diversity, |   |                                           |
| Compatible Use and    |   |                                           |
|                       |   |                                           |
| Scale                 |   |                                           |
+-----------------------+---+-------------------------------------------+

**Socioeconomic Code Source or Documentation**

  ----------------------- --- --------------------------------------------
  Demographic Character       
  Changes                     

  Displacement                

  Employment and Income       
  Patterns                    
  ----------------------- --- --------------------------------------------

**Community Facilities**

and Services Code Source or Documentation

+-----------------------+---+-------------------------------------------+
| Educational           |   |                                           |
| Facilities            |   |                                           |
+-----------------------+---+-------------------------------------------+
| Commercial Facilities |   |                                           |
+-----------------------+---+-------------------------------------------+
| Health Care           |   |                                           |
+-----------------------+---+-------------------------------------------+
| Social Services       |   |                                           |
+-----------------------+---+-------------------------------------------+
| Solid Waste           |   |                                           |
+-----------------------+---+-------------------------------------------+
| Waste Water           |   |                                           |
+-----------------------+---+-------------------------------------------+
| Storm Water           |   |                                           |
+-----------------------+---+-------------------------------------------+
| Water Supply          |   |                                           |
+-----------------------+---+-------------------------------------------+
| Public Safety         |   |                                           |
|                       |   |                                           |
| \- Police             |   |                                           |
+-----------------------+---+-------------------------------------------+
| \- Fire               |   |                                           |
+-----------------------+---+-------------------------------------------+
| \- Emergency Medical  |   |                                           |
+-----------------------+---+-------------------------------------------+
| Open Space and        |   |                                           |
| Recreation            |   |                                           |
|                       |   |                                           |
| \- Open Space         |   |                                           |
+-----------------------+---+-------------------------------------------+
| \- Recreation         |   |                                           |
+-----------------------+---+-------------------------------------------+
| \- Cultural           |   |                                           |
| Facilities            |   |                                           |
+-----------------------+---+-------------------------------------------+
| Transportation        |   |                                           |
+-----------------------+---+-------------------------------------------+

Natural Features Source or Documentation

  ----------------------- --- --------------------------------------------
  Water Resources             

  Surface Water               

  Unique Natural Features     
  and Agricultural Lands      

  Vegetation and Wildlife     
  ----------------------- --- --------------------------------------------

**Other Factors Source or Documentation**

+-----------------------+---+-------------------------------------------+
| Flood Disaster        |   |                                           |
| Protection Act        |   |                                           |
|                       |   |                                           |
| \[Flood Insurance\]   |   |                                           |
|                       |   |                                           |
| \[§58.6(a)\]          |   |                                           |
+-----------------------+---+-------------------------------------------+
| Coastal Barrier       |   |                                           |
| Resources Act/        |   |                                           |
|                       |   |                                           |
| Coastal Barrier       |   |                                           |
| Improvement Act       |   |                                           |
|                       |   |                                           |
| \[§58.6(c)\]          |   |                                           |
+-----------------------+---+-------------------------------------------+
| Airport Runway Clear  |   |                                           |
| Zone or Clear Zone    |   |                                           |
| Disclosure            |   |                                           |
|                       |   |                                           |
| \[§58.6(d)\]          |   |                                           |
+-----------------------+---+-------------------------------------------+
| Other Factors         |   |                                           |
+-----------------------+---+-------------------------------------------+

**Summary of Findings and Conclusions**

**ALTERNATIVES TO THE PROPOSED ACTION**

**Alternatives and Project Modifications Considered** \[24 CFR 58.40(e),
Ref. 40 CFR 1508.9\] (Identify other reasonable courses of action that
were considered and not selected, such as other sites, design
modifications, or other uses of the subject site. Describe the benefits
and adverse impacts to the human environment of each alternative and the
reasons for rejecting it.)

**No Action Alternative** \[24 CFR 58.40(e)\]

(Discuss the benefits and adverse impacts to the human environment of
not implementing the preferred alternative).

**Mitigation Measures Recommended** \[24 CFR 58.40(d), 40 CFR 1508.20\]

(Recommend feasible ways in which the proposal or its external factors
should be modified in order to minimize adverse environmental impacts
and restore or enhance environmental quality.)

## Additional Studies Performed

(Attach studies or summaries)

**List of Sources, Agencies and Persons Consulted** \[40 CFR 1508.9(b)\]