COMBINED NOTICE FOR CDBG
NORTH DAKOTA DEPARTMENT OF COMMERCE/DCS
SFN 52333 (11/04)
NOTICE TO PUBLIC OF FINDING OF NO SIGNIFICANT IMPACT
AND NOTICE OF INTENT TO REQUEST RELEASE OF FUNDS
Name and Address of Applicant
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)
(County) of .
On or about ***(date) the above-named (City) (County) will request the North Dakota Division
of Community Services (DCS) to release Federal funds under Title I of the Housing and
Community Development Act of 1974 as amended for the following project:
(Project Title and Name)
(Purpose or Nature of Project)
(Location-City, County, State-of Project)
(Estimated Cost of Project)
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
(City) (County) has decided not to prepare an Environmental Impact Statement under the
National Environmental Policy Act of 1969 (PL 91-190).
The reasons for such decision not to prepare such Statement are as follows:
(set forth reasons for decision)
An Environmental Review Record respecting the within project has been made by the above-
named (City) (County) 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 and .
If (applicable) No further Environmental Review of such project is proposed to be conducted
prior to the request for release of Federal funds.
All interested agencies, groups, and persons disagreeing with this decision are invited to submit