Form 2-1 - Designation Of Certifying Officer And Environmental Responsibility Certification - Office Of Community Renewal
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1DESIGNATION OF CERTIFYING OFFICER AND
ENVIRONMENTAL RESPONSIBILITY CERTIFICATION
_____________
(Date)
_____________________________________
(Name of OCR Community/Economic Developer)
Office of Community Renewal
Hampton Plaza
th
38-40 State Street, 4
Floor
Albany, New York 12207
RE: CDBG Project Number: _____________________
:
Dear _______________
,
,
I
_______________________________________
the
authorized
signatory
for
(Name of Chief Elected Official)
_______________________________________
do attest that:
(Name of CDBG Recipient)
I understand that any projects that include CDBG funds must be assessed in accordance with the
National Environmental Policy Act of 1969 (NEPA) and the related authorities listed at 24 CFR Part
58.
I understand that, except for actions involving activities determined to be Exempt (per 24 CFR 58.34
and NYS Office of Community Renewal procedures), no physical alteration to individual sites can
occur nor can funds for those activities be committed or expended until receipt of an environmental
clearance letter from the Housing Trust Fund Corporation and, for any subsequently identified specific
sites, site-specific reviews are completed for which the Certifying Officer determines that there are no
unanticipated impacts nor impacts not adequately addressed in the program review related to the
environmental clearance letter and said Officer certifies such determination.
I understand that should any part of a project site be physically altered, funds be committed, or funds
be expended prior to receiving the appropriate environmental clearances, that the site will not be
____________________________________________
eligible for CDBG funding and the
may be responsible for any costs incurred except under the following circumstance: in the case of
Exempt activities, concurrence from the NYS Office of Community Renewal that the particular action
is Exempt prior to any physical alterations unless that action is taken to address an emergency situation
in which case concurrence must be obtained no later than the first regular business day following such
an event,
_______________________________________,_____________,
I also notify you that
is
(Name of Certifying Officer)
(Title)
designated as the Certifying Officer responsible for all activities associated with the environmental
review
process
to
be
completed
in
conjunction
with
NYS
CDBG
project
number
__________________
____________________________.
awarded to
(CDBG Project Number)
(Name of CDBG Recipient)
Sincerely,
________________________________
Signature of Chief Elected Official
________________________________
Typed Name and Title
Office of Community Renewal
Form 2-1 Designation of Certifying Officer
1
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