***Appendix A: Suggested Template for Project Description/Scope of
Work***

Below is a suggested format for describing a proposed project. The
project description should provide information for the parcel(s) to be
acquired or for which an easement is being obtained with CELCP, as well
as for matching funds. If the non-Federal match will be provided through
in-kind contribution of another parcel, the project description should
also provide information about the match parcel(s).

**Number range CHAPTERTITLE OF PROJECT**

**[Project Description/Scope of Work]{.underline}**

-   *Project Size and Relationship to the Coast and/or Estuary --*
    Include the total acreage and length of frontage on coastal waters
    and/or describe the site's proximity and relationship to a coastal
    or estuarine area.

-   *Legal Rights to Be Acquired* -- Describe if the property will be
    held in fee simple ownership or if a conservation easement and/or
    public access easement will be acquired.

-   *CELCP Goals --* What values are contained within the proposed
    project or property to be acquired? (Please identify which ONE of
    the following values best describes the project's primary purpose
    for protection under the CELCP: ecological, conservation,
    recreation, historic, or aesthetic. Please provide any applicable
    information on how the project contributes to each of these values.
    Each project will be judged first on how the project furthers its
    primary purpose and also how well it furthers the other four
    purposes.)

PRIMARY PURPOSE is \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.

-   **Ecological**

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-   Describe the different habitat types that are found on the project
    site (e.g. upland forest, scrub/shrub, fields), provide information
    on the habitat quality, including any impairments such as
    invasive/exotic species, and provide estimated acreages for the
    different habitat types.

-   Describe the ecological importance of the acquisition for the
    region, particularly in relation to coastal and estuarine resources
    and ecosystems. For example, discuss the species diversity on the
    project site, and/or if the site contains habitat of specific
    importance to the region, and/or if protecting the site is an
    important part of protecting ecological connections in the region.
    If the project site is part of a network of existing or proposed
    protected areas, describe how the project will enhance linkages
    among ecologically important areas in the region.

-   Describe how the habitat supports, or may support, Federal or state
    listed, threatened or endangered species. For example, does the site
    provide enough acreage to support a viable population of an
    endangered species or will it enhance existing protected areas that
    already provide habitat for a viable population of an endangered
    species?

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-   **Conservation**

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-   Describe how acquisition of the site will help establish corridors
    and/or linkages among areas of significant conservation, ecological,
    recreational or aesthetic values that are already protected.

-   Indicate whether restoration is planned for the site, and if so,
    describe the potential for successfully restoring ecological values
    that have been impaired due to circumstances that have affected the
    site\'s integrity (such as invasive/exotic species and/or other
    alterations such as dikes or clearing for agricultural and
    silvicultural uses). Please also describe the plan, timeline and
    source of financial support for the proposed restoration.

-   Describe whether the project exhibits a mix of ecological,
    recreation, historic and aesthetic values that together contribute
    important benefits to the coastal and estuarine environment that are
    not provided by those values individually.

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-   **Recreational**

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-   Describe the property's significance or contribution with regard to
    coast-dependent or nature-based recreation and whether the project
    supports priorities for recreational access identified in a state's
    CELCP plan or other assessment of needs for coastal recreation.

-   Describe whether the site's coastal access is located in an area of
    determined need at the local, regional, or national level.

-   Describe whether the project site will be easily accessible to many
    people and/or whether there will be any limits on accessibility for
    recreation, for example, only allowing guided tours or having the
    site open only at certain times of the year.

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-   **Historical**

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-   Please describe the historical, cultural, or archaeological features
    of significant value, for example, features that are designated or
    could be designated as a National Historical Landmark or are listed
    on the National Register of Historic Places or a State or Local
    Register of Historic places. Please include information about any
    formal designation the site has received.

-   If applicable, explain whether the site contains evidence of
    historical, cultural, or archaeological features that have not been
    formally evaluated.

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-   **Aesthetic**

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-   Describe the views to be preserved by this acquisition and the
    contribution this property makes to the surrounding area.

-   Describe whether the project protects a site designated nationally
    as a scenic byway or wild and scenic river, or a buffer adjacent to
    designated areas.

-   Describe whether the project supports a local or state designated
    scenic route, river trail, or other cultural landscape.

-   Describe any other significant contribution(s) this property makes
    to the aesthetic character of the surrounding area.

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-   *Relevance to CELCP Plan*

    -   Describe the specific project area and priority land type(s) or
        value(s) in the state CELCP plan that the proposed acquisition
        supports, and include references to maps or page numbers
        wherever possible;

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-   *Relevance to Other State/Local Plans*

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-   Describe how the project contributes to a state's coastal management
    plan and/or NERR management plan (if applicable) approved under the
    CZMA.

-   Describe how the project supports a regional and/or state watershed
    planning effort.

-   Describe how the project supports a local watershed or coastal
    planning effort.

-   Describe how the project fits into any other relevant conservation
    plans.

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-   *Manageability of the Project Site*

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-   Describe the current use and/or condition of the site.

-   Describe the current or proposed uses of the area surrounding the
    site (e.g. development plans or uses allowed by zoning).

-   Describe the degree of non-native species found in the different
    habitats on the project site.

-   Describe whether any restoration is needed and planned, as well as
    whether funding has been secured for that purpose.

-   Describe any environmental remediation that has taken place and/or
    is needed on the project site.

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-   *Long-term Use of the Site*

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-   Describe the uses that are proposed for the project site.

-   Describe how proposed uses are compatible with the primary purpose
    of the project.

-   Describe the long-term stewardship strategy for the site, i.e., how
    the ecological, conservation, recreation, historic, and aesthetic
    values present on the project site will be maintained or improved,
    as well as how enforcement against illegal uses will be supported.

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-   *Threat of Conversion*

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-   Describe the current development pressures in the project area.

-   Describe the development potential of the site, including current
    zoning and developable area.

-   List the current status of the property, such as whether listed for
    sale and/or whether any subdivision or development plans are pending
    for the site.

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-   *Project Readiness --* Briefly describe:

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-   Whether parcels or project sites have been identified;

-   The stage of discussion with landowners, such as whether preliminary
    contacts have been made or whether negotiations have resulted (or
    are likely to result) in a purchase and sale agreement;

-   Whether supporting documentation has been completed; whether the
    property is subject to litigation, liens, judgments or other
    situations that may affect the likelihood that a project could be
    completed within the award period; and

-   Whether the site has had or currently has contamination or other
    environmental hazards that must be resolved before it would be
    suitable for public use.

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-   *Ability to Acquire Land* -- Briefly describe:

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-   The organization's legal authority, personnel and expertise for
    acquiring lands for long-term conservation, either directly or
    through partnerships with another organization; and

-   The organization's previous success in acquiring lands, or interests
    in lands, for long-term conservation purposes.

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-   *Ability to Manage Land* -- Briefly describe:

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-   The organization's capacity, in terms of funding, personnel and
    expertise to manage the property or whether the property will be
    managed through a partnership or stewardship agreement with another
    organization; and

-   The organization's success in managing other properties for
    conservation purposes.

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-   *Other Pertinent Information --* If available, please include
    photographs of the project site that document the values described
    above.

**[Project Timeline]{.underline}**

Please specify a proposed award period for the grant, and include a
project timeline with discrete benchmarks for completing the project
within the requested award period. The proposed project timeline should
assume a start date between March 1, 2009 and October 1, 2009. The
financial assistance award period is 18 months. NOAA may extend project
grants up to an additional 18 months (for a total project period of 3
years maximum) if circumstances warrant.

Example: June 1, 2010 -- December 31, 2011

-   *Benchmarks --* Describe the steps required to bring your project to
    closure during the timeframe of the award. Include target dates by
    which you expect to complete each of these steps and close on the
    property. Examples of benchmarks include:

    -   Identify site(s) for purchase

    -   Acquire appraisal, title opinion

    -   Complete negotiations with landowner(s)

    -   Restoration plan/timeline, if any

    -   Submit documentation to NOAA for approval

    -   Close on property

***Appendix B: Suggested Template for Project Budget and Justification
of Proposed Costs***

Below is a suggested format for providing information about the
project's budget (*see* Section IV(B)(2), "Required Elements," Item
(2)). Please keep in mind:

-   The total budget needs to reflect the 1:1 match requirement.

-   Grants from other Federal funding sources may not be used to meet
    state/local match except as allowed by law.

-   Match may not have been used previously for any other project.

-   If any in-kind match is to be used (including donated land value,
    staff support or other services), the budget narrative should
    specify the amount and explain the relevance to the project.

-   If the budget includes costs other than purchase price, (such as
    costs for title opinion, appraisal, environmental assessment, etc.),
    please explain them in the budget narrative.

-   The proposed budget should be consistent with the eligibility
    information described in section III of the Full Funding Opportunity
    notice.

**TITLE OF PROJECT**

**[Budget Narrative]{.underline}**

-   *Federal Share* -- For the parcel(s) to be acquired with CELCP
    funds, please describe how the project costs were estimated,
    including:

    -   What legal rights will be acquired (fee title or conservation
        easement);

    -   The basis for establishing the land acquisition costs (if based
        on appraised value, please explain when the appraisal was
        conducted and what appraisal standards were used; if based on
        market price or other estimate of fair market value, please
        explain the basis for this estimate); and

    -   Any other costs included within the requested Federal share of
        CELCP funding to document that they are reasonable costs and
        necessary for the successful completion of the project.

> If the requested funding from CELCP is only a portion of the total
> purchase price of the property, please explain whether or how the
> project would be viable if remaining funds cannot be secured. For
> example, could the property be acquired in phases? Would the CELCP
> funds be used to acquire an easement on a portion of the property?

-   *Non-Federal Matching Funds*

    -   Describe the source of matching funds and whether they are they
        are in the form of cash, in-kind contributions, donated land
        value (from a bargain sale), or value of lands that were
        acquired or received as a donation up to 3 years prior to the
        date of final grant application that are substantially related
        to the property to be acquired with CELCP funding.

    -   If cash contribution, please discuss whether the funds are
        currently available or expected to be available within the
        performance period. What is the source of funding? Have actions
        been taken to secure the necessary funds within the proposed
        award period?

    -   If in-kind contribution of land or donated land value, please
        explain:

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    ```
    -   Whether the property has already been acquired (through purchase
        or donation) and, if so, when;

    -   What legal rights were acquired or will be acquired;

    -   Who holds title to or will hold title to the property or
        conservation easement;

    -   The distance and physical or strategic connection between the
        match property and the property(ies) to be acquired with CELCP
        funds; and

    -   The basis for establishing the land acquisition costs or donated
        land value. If based on appraised value, please explain when the
        appraisal was conducted and what appraisal standards were used.
        If based on market price or other estimate of fair market value,
        please explain the basis for this estimate.

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    ```
    -   If other in-kind services such as direct staff support,
        acquisition-related expenses (such as title, appraisal, etc.) or
        restoration or remediation of the property to be acquired with
        CELCP funds, please provide details to document that they are
        reasonable costs and necessary for the successful completion of
        the project.

-   *Other --* Please also provide the following information:

    -   Whether the property will be leased or rented (for example, if
        already subject to a term lease). If so, please explain how
        revenues will be used in support of the project.

    -   Whether the public will be charged a user fee for access to or
        activities on the proposed property. If so, please explain how
        revenues will be used in support of the project.

    -   Whether the proposed project been submitted to or is it
        currently under consideration by other programs for funding. If
        yes, please also list which program(s) and fiscal year(s), and
        whether the funding requested from other programs duplicates or
        complements the funding requested under CELCP. *\[Note: This
        information will enable NOAA to coordinate with the relevant
        program to avoid duplication if a proposed project is selected
        and approved for funding by another program in an earlier
        funding cycle.\]*

**[Budget Overview Table -- Suggested Format]{.underline}**

Please fill out a Budget Overview Table only if the total cost of the
project is greater than the requested CELCP funding (plus required
matching funds). Otherwise, please fill out only the CELCP Budget Table.

Using the template below, please identify the costs associated the full
project, including funding from other sources.

  -------------- --------------- ------------------------ ----------------
  **Category**   **Amount *(Note **Funding Source(s)      **Funds Already
                 if cash or      *(Include information    Expended?
                 in-kind value   from all contributors to *(yes/no) If so,
                 of land/        the project) ***         when?***
                 services)***                             

                 \$                                       

                                                          

                                                          

                                                          

                                                          

  **TOTAL                                                 
  Cost:**                                                 
  -------------- --------------- ------------------------ ----------------

*(Suggested Categories: Land, Appraisals, Title Opinion, etc...)*

**[CELCP Budget Table -- Suggested Format]{.underline}**

Using the template below, please identify the costs associated only with
requested CELCP funding and required matching funds.

+-----------+--------+--------+---------+-------------------+---------+
| **C       | **F    | **S    | **      | **Funding Source  | **Funds |
| ategory** | ederal | tate/L | Total** | (for Non-Federal  | Already |
|           | Share  | ocal** |         | share) *(Note     | Ex      |
|           | from   |        |         | whether funding   | pended? |
|           | C      | **Matc |         | is from cash or   | *(      |
|           | ELCP** | hing** |         | in-kind value of  | yes/no) |
|           |        |        |         | land or           | W       |
|           |        | **S    |         | services)***      | hen?*** |
|           |        | hare** |         |                   |         |
+-----------+--------+--------+---------+-------------------+---------+
| Land      | \$     | \$     | \$      |                   |         |
| Ac        |        |        |         |                   |         |
| quisition |        |        |         |                   |         |
+-----------+--------+--------+---------+-------------------+---------+
|           |        |        |         |                   |         |
+-----------+--------+--------+---------+-------------------+---------+
|           |        |        |         |                   |         |
+-----------+--------+--------+---------+-------------------+---------+
|           |        |        |         |                   |         |
+-----------+--------+--------+---------+-------------------+---------+
|           |        |        |         |                   |         |
+-----------+--------+--------+---------+-------------------+---------+
| *         |        |        |         |                   |         |
| *TOTAL:** |        |        |         |                   |         |
+-----------+--------+--------+---------+-------------------+---------+

*(Suggested Categories: Land, Appraisals, Title Opinion, etc...)*

OMB Control \# 0648 -0459

Expires 4/30/2009

***Appendix C: Project Application Checklist***

This checklist is used: (1) to indicate which materials are included
with the project application and (2) to determine whether additional
information is needed to comply with the requirements of the National
Environmental Policy Act or other applicable Federal authorities. The
project applicant must complete and sign this Project Checklist and
submit it to the National Oceanic and Atmospheric Administration, along
with the other required application materials.

######## Applicant and Project Information 

**1. State/Territory: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**2. Project Title**:
[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

**3. Project
Location:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**
Congressional District of Project \_\_\_\_\_\_

(City, County, Major Intersections)

**4. Project Applicant(s): Applicant (CELCP lead agency):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

> **Sub-Applicant, if applicable (must be a public entity at the state
> or local level responsible for executing the project):
> [\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**5. Total Cost**: \$\_\_\_\_\_ **CELCP Federal share (requested amt)**:
\$\_\_\_\_\_\_\_\_\_\_

**CELCP State/Territorial/Local Match Contributions:**
\$\_\_\_\_\_\_\_\_\_

**Other Federal:** \$\_\_\_\_\_\_\_\_\_\_

**Other Non-Federal:** \$\_\_\_\_\_\_\_\_\_\_\_

I ATTEST THAT THE STATEMENTS MADE AND OTHER INFORMATION PROVIDED IN THIS
CHECKLIST ARE, TO THE BEST OF MY KNOWLEDGE, TRUE AND ACCURATE.

X\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Signature of Eligible Applicant or Sub-Applicant Date

*Name of Signatory (please print or type):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_*

*Title:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_*

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

*Phone Number: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
E-mail\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_*

##### Eligibility of Project  {#eligibility-of-project .unnumbered}

**6. Project Eligibility:** (Check all that apply)

The proposed project:

\_\_\_\_ is located in a coastal or estuarine area (that has been
designated as part of a state's approved coastal and estuarine land
conservation (CELC) plan or within a state's coastal watershed
boundary);

\_\_\_\_ matches federal funds with non-federal funds at a ratio of at
least 1:1;

\_\_\_\_ will be held in public ownership and provide conservation in
perpetuity;

\_\_\_\_ will provide for access to the general public, or other public
benefit, as appropriate and consistent with resource protection.

\_\_\_\_ protects important coastal and estuarine areas that have
significant conservation, ecological, historical, aesthetic, or
recreation values, or that are threatened by conversion from their
natural or recreational state to other uses;

\_\_\_\_ can be effectively managed and protected;

\_\_\_\_ directly advances the goals, objectives or implementation of
state coastal management plan or program or NERR management plan
approved under the Coastal Zone Management Act (CZMA), national
objectives of the CZMA, or a local, regional or state watershed
protection plan involving coastal states with approved coastal
management programs

\_\_\_\_ is consistent with the state's approved coastal management
program.

**[Land Acquisition]{.underline}**

**7. Location and Site Maps:** Site location maps are attached.
\_\_\_Yes \_\_\_ No

The applicant should attach a map of the state or coastal county showing
the general location of the project, and a map of the project site,
which shows the location and extent of the proposed acquisition, as well
as relationship to significant natural features (slope, wetlands, dunes,
floodplains, access, etc.).

**8. Title Opinion and Appraisal:**

**a**. Documentation of the current owner's intent or willingness to
sell at a mutually agreeable price is attached. (This documentation may
be in the form of a letter of intent, option letter, contract, or
similar form.) \_\_\_Yes \_\_\_ No

**b.** The applicant has obtained and attached an independent appraisal
performed by a state certified appraiser. \_\_\_Yes \_\_\_ No

**c.** A title opinion or title insurance report is attached. \_\_\_Yes
\_\_\_ No

**9. Public Benefit**:

> **a.** The acquisition will be publicly held or under
> publicly-controlled easement and is for public benefit. The project
> does not improve private property for private or commercial gain.
>
> \_\_\_Yes \_\_\_ No

**b.** The property will be accessible to the general public. \_\_\_Yes
\_\_\_ No

> **c.** If the answer to the question above (10.b) is No, check any of
> the following reasons that apply and explain why access to the
> property will be limited.

\_\_\_\_\_ Public Safety \_\_\_\_\_ Resource Protection \_\_\_\_\_
Geographically Isolated/Inaccessible

> \_\_\_\_\_ School Outings Only \_\_\_\_\_ Scientific Research
> \_\_\_\_\_ Other (please explain): \_\_\_\_\_\_\_\_\_

**d.** The property will be leased or rented. \_\_\_Yes \_\_\_ No If
yes, please explain.

**e**. The public will be charged a user fee for access to or activities
on the proposed property.

\_\_\_Yes \_\_\_ No

If Yes, provide a description of the user fee which includes: how much,
differential fees (if any), the need for the fees, and proposed use of
the revenue.

######### Compliance with Other Federal Authorities  {#compliance-with-other-federal-authorities .unnumbered}

**10. State Historic Preservation Officer's (SHPO's) Clearance and
National Historic Preservation Act:**

**a.** The project will affect properties listed on the National
Register of Historic Places (www.cr.nps.gov/nr/), eligible to be listed,
or otherwise protected by section 106 of the National Historic
Preservation Act
([www2.cr.nps.gov/laws/NHPA1966.htm](http://www2.cr.nps.gov/laws/NHPA1966.htm))
or a similar State Preservation Act. \_\_\_Yes \_\_\_ No

**b.** The Recipient has on file the SHPO's clearance. \_\_\_Yes \_\_\_
No (If No, the Recipient certifies, by signing this checklist, that the
SHPO clearance is being sought and that work will not begin and land
will not be purchased until SHPO clearance is received by the
Recipient.)

**11. National Flood Insurance Program:**

**a.** Is the project located in a designated special flood hazard area,
floodway or "V" zone on a National Flood Insurance Program Floodway Map
(www.fema.gov/maps)? \_\_\_Yes \_\_\_ No

(If No, go to 11)

**b.** Is the community in which the project is located in special flood
hazard areas shown on an FIA map is participating in the Flood Insurance
Program (www.fema.gov/nfip). \_\_\_Yes \_\_\_ No

**12. Coastal Barriers Resource Act:** The project is located on an
undeveloped coastal barrier designatedby the Coastal Barriers Resources
Act
([www.fws.gov/cep/cbrunits.html](http://www.fws.gov/cep/cbrunits.html)).

\_\_\_Yes \_\_\_ No

If the answer is Yes, provide a brief statement below or attach to this
checklist a brief analysis as to how the proposed project is consistent
with the three CBRA purposes: to minimize (1) the loss of human life,
(2) wasteful federal expenditures, and (3) damage to fish, wildlife and
other natural resources.

**13. Endangered Species Act:** May the proposed project adversely
affect threatened or endangered species or critical habitat under the
jurisdiction of the National Marine Fisheries Service (NMFS) or U.S.
Fish and Wildlife Service (USFWS) as defined by the Endangered Species
Act? (www.fws.gov/endangered) or
([www.nmfs.noaa.gov/pr/species](http://www.nmfs.noaa.gov/pr/species)).
\_\_\_Yes \_\_\_ No

If the answer is No, provide a brief statement below explaining the
basis for the conclusion. If the answer to 12 is Yes, provide a
description of the adverse effects (minor and significant effects), the
species or habitat affected, and any coordination between the state and
the USFWS or NMFS. OCRM will not approve a project that USFWS or NMFS
has determined will significantly adversely affect threatened or
endangered species or critical habitat.

**14. Magnuson-Stevens Fishery Conservation and Management Act.**

Does the proposed project include essential fish habitat for federally
managed fish?

\_\_\_\_ Yes \_\_\_\_ No \_\_\_\_ Not yet determined (please explain).

Could the proposed project have significant adverse impacts on essential
fish habitat for federally managed fish? \_\_\_Yes \_\_\_ No

**15. National Environmental Policy Act:**

**a.** The proposed project may significantly affect the human
environment. \_\_\_Yes \_\_\_ No

**b.** The proposed project involves unresolved conflicts concerning
alternative uses of available resources. \_\_\_Yes \_\_\_ No

**c.** This action would have significant adverse effects on public
health and safety. \_\_\_Yes \_\_\_ No

**d.** This action will have highly controversial environmental effects.
\_\_\_Yes \_\_\_ No

**e.** This action will have highly uncertain environmental effects or
involve unique or unknown environmental impacts. \_\_\_Yes \_\_\_ No

**f.** The project will have significant adverse impacts on other
natural resources not covered elsewhere in this checklist, e.g., beaches
and dunes, wetlands, estuarine areas, wildlife habitat, wild or scenic
rivers, reefs, or other coastal resources. \_\_\_Yes \_\_\_ No

**g.** The project will have insignificant effects when performed
separately, but will have significant cumulative effects. \_\_\_Yes
\_\_\_ No

If the answer to any one subpart of 13. is Yes, then an Environmental
Assessment (EA) or Environmental Impact Statement (EIS) may be required.
For items answered Yes, please attach a description of the resource(s)
affected and the nature and scope of the effects.

**16. Uniform Relocation Assistance and Real Property Acquisitions
Policies Act of 1970.** If the proposed project involves the acquisition
and/or modernization of real property, will the proposed project cause
the displacement of:

Persons, \_\_\_Yes \_\_\_ No

Businesses, or \_\_\_Yes \_\_\_ No

Farm Operations? \_\_\_Yes \_\_\_ No

If yes to any of the above, please explain: the number of displaced
persons, including businesses and farm operations; what fair and
reasonable relocation payments and advisory services will be provided to
any displaced persons; and what provisions will be made to ensure that
safe, decent, and sanitary replacement dwellings will be available to
such persons within a reasonable period of time prior to displacement.

**17. Handicapped accessibility:** Will the proposed project be
handicapped accessible?

\_\_\_Yes \_\_\_ No \_\_\_ N/A

If No or N/A, provide a brief explanation below (or attach separately)
as to why the project does is not required to meet ADA handicapped
accessibility requirements.

**18. Environmental Justice.** Will the project have disproportionately
high and adverse human health or environmental effects on minority or
low-income populations? \_\_\_Yes \_\_\_ No

**19. State, Local and Tribal Laws.** The project is consistent with
state, local and tribal laws to protect the environment. \_\_\_Yes
\_\_\_ No

**20. Contamination/Environmental Hazards (CERCLA/RCRA)**

**a.** Are there any known or suspected contaminants on the project
site? \_\_\_Yes \_\_\_ No

If yes, please discuss what type of contamination is on the site, or
suspected to be on the site, and the status of clean-up activities.

**b.** Has the site been investigated, identified and/or designated as
having hazardous waste contamination issues by a federal, state, or
local agency (for example superfund site)?

\_\_\_Yes \_\_\_ No

If yes, please explain the basis for the designation, the status of
clean-up activities, and whether there are any legal liens or judgments
affecting the property.

**21. Public Coordination**

Has the project for which you propose to use CELCP funds been subject to
public scrutiny and coordination through a public notice or other public
review process? \_\_\_Yes \_\_\_ No

If yes, please describe the results of that process and note when the
coordination occurred.

######  If no, please explain.  {#if-no-please-explain. .unnumbered}

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NOAA is requesting this information in order to adequately assess the
eligibility of proposed projects. Public reporting burden for this
collection of information is estimated to average 10 hours 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. Send comments regarding this
burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden, to Elaine Vaudreuil,
OCRM, 1305 East-West Hwy (N/ORM7), Silver Spring, Maryland 20910. This
reporting is authorized under P.L. 107-77 and has been approved under
OMB #0648-0459. Information submitted will be treated as public record.
Notwithstanding any other provision of the law, no person is required to
respond to, nor shall any person be subject to a penalty for failure to
comply with, a collection of information subject to the requirements of
the Paperwork Reduction Act unless that collection displays a currently
valid OMB Control Number.

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