COMBINED NOTICE FOR HOME
NORTH DAKOTA DEPARTMENT OF COMMERCE/DCS
SFN 58734 (01/08)
COMBINED NOTICE
NOTICE TO PUBLIC OF FINDING OF NO SIGNIFICANT IMPACT
AND NOTICE OF INTENT TO REQUEST RELEASE OF FUNDS
*Date
Name and Address of Applicant
Telephone Number
TO ALL INTERESTED AGENCIES, GROUPS, AND PERSONS:
The purpose of this notice is to identify two separate but related actions to be taken by the City of
_______________________________.
On or about ***(date) the applicant will request the State of North Dakota, Division of
Community Services (DCS) to release Federal funds under the HOME Investment Partnerships
Program, Title II of the Cranston-Gonzalez National Affordable Housing Act of 1990, for the
following project:
(Project Title and Name)
(Purpose or Nature of Project)
(Location-City, County, State-of Project)
(Estimated Cost of Project)
This activity (will or will not) be undertaken over multiple years. It has been determined that
such request for release of funds will not constitute an action significantly affecting the quality of
the human environment and accordingly the above-named applicant has decided not to prepare an
Environmental Impact Statement under the National Environmental Policy Act of 1969 (PL 91-
190).
(If applicable) The following negative impacts have been identified, as well as the means to
mitigate their effect:
________________________________________________________________
________________________________________________________________
An Environmental Review Record pertaining to this project has been made by the above-named
Applicant/Responsible Entity which documents the environmental review of the project and more
fully sets forth the reasons why such Statement is not required. This Environmental Review
Record is on file at the above address and is available for public examination and copying upon
request at
between the hours of