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PROJECT WORKSHEET REPORT <br />jRATION NO. FEMA -MN - DR1333 <br />!� FIPS NO. 123- 37502 -00 <br />'APPLICANT NAME LITTLE CANADA CITY OF <br />SUBDIVISION <br />FEMA PW # 136 VSN 0 REF# 74 <br />PREPARED DATE 08/11/2000 <br />REPORT DATE 09/07/2000 17:58 <br />O INF <br />NON -INF <br />O REC <br />SPECIAL CONSIDERATIONS <br />2 Is the damaged facility located within a floodplain or coastal high hazard area and /or does it have an O Yes • No 0 Unsure <br />impact on a floodplain or wetland? <br />3 Is the damaged facility or item of work located within or adjacent to a Coastal Barrier Resource System 0 Yes • No 0 Unsure <br />Unit or an Otherwise Protected Area? <br />4 Will the proposed facility repairs /reconstruction change the pre - disaster conditions (e.g., footprint, 0 Yes • No 0 Unsure <br />material, location, capacity,use or function)? <br />6 Does the applicant have a hazard mitigation proposal or would the applicant like technical assistance 0 Yes • No 0 Unsure <br />for a hazard mitigation proposal? <br />COMMENTS : APPEARS TO NO MITIGATION OPPORTUNITIES FOR DEBRIS MANAGEMENT. <br />D. QUAN 8/16/00 <br />6 Is the damaged facility on the National Register of Historic Places or the state historic listing? Is it older 0 Yes • No 0 Unsure <br />than 50 years? Are there more,similar buildings near the site? <br />7 Are there any pristine or undisturbed areas on, or near, the project site? Are there large tracts of <br />forestland? <br />8 Are there any hazardous materials at or adjacent to the damaged facility and /or item of work? <br />O Yes • No 0 Unsure <br />O Yes • No 0 Unsure <br />g Are there any other environmental or controversial issues associated with the damaged facility and /or 0 Yes • No 0 Unsure <br />item of work? <br />PW REQUIRED REVIEWS <br />REVIEW ASSIGNED DATE DATE <br />REVIEW STATUS RECOMMENDATION REVIEWER REVIEWER SUBMITTED REVIEWED <br />Initial Complete Eligible wpowers 08/15/2000 08/16/2000 <br />Environmental Complete Eligible KATHLEEN GAYNOR kgaynor 08/16/2000 08/16/2000 <br />Mitigation Staff Complete Eligible DENNIS QUAN dquan 08/16/2000 08/16/2000 <br />Final Complete Eligible rdodini 08/16/2000 08/16/2000 <br />'AP Complete Eligible aosburn 08/18/2000 08/19/2000 <br />GENERAL COMMENTS <br />08/16/2000 - BASED ON INFORMATION PROVIDED BY THE APPLICANT, THE SCOPE OF WORK FOR THIS PROJECT <br />QUALIFIES AS A STATUTORY EXCLUSION (STATEX) UNDER 44 CFR PART 10. ANY CHANGE TO THE APPROVED <br />SCOPE OF WORK WILL REQUIRE RESUBMISSION FOR RE- EVALUATION FOR COMPLIANCE WITH THE NATIONAL <br />ENVIRONMENTAL POLICY ACT. NON - COMPLIANCE WITH THIS REQUIREMENT MAY JEOPARDIZE THE RECEIPT OF <br />FEDERAL FUNDING. THE APPLICANT IS REQUIRED TO OBTAIN AND COMPLY WITH ALL LOCAL STATE AND <br />FEDERAL PERMITS. KGAYNOR, ENV'L SPECIALIST <br />Page 67 <br />