Va Form 10-0388-5 - Additional Documents And Information Required For State Home Construction And Acquisition Grants Application Page 2

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SECTION IV - REQUIREMENTS IF FEDERAL FUNDS ARE AVAILABLE
If the State is notified that federal funds are available, the State must provide these items:
1.
Requirements Schedule
A schedule of when each of the remaining requirements to receive a proposed grant will be met.
2.
Phase I - Environmental Survey
Site plan/map, site survey, and soil investigation (if applicable). Design development site plan. The applicant shall submit a site
survey, which has been performed by a licensed land surveyor. A description of the site shall be submitted noting the general
characteristics of the site. This should include soil reports and specifications, easements; main roadway approaches,
surrounding land uses, availability of electricity, water and sewer lines, and orientation. The description should also include a
map locating the existing and/or new buildings, major roads, and public services in the geographic area. Additional site plans
should show all site work including property lines, existing and new topography, building locations, utility data, and proposed
grades, roads, parking areas, walks, landscaping, and site amenities.
3.
Phase II - Environmental Assessment
This requirement applies only if the outside construction exceeds 75,000 gross square feet (GSF)). The environmental
documentation will require approval by VA before a final award of a construction or acquisition grant for a state veterans home
(see 26.6 of this chapter for compliance requirements.) When the application submission requires an environmental
assessments, the state shall describe the possible beneficial and/or harmful effect which the project may have on the following
impact categories:
1.
Transportation
2.
Air Quality
3.
Noise
4.
Solid Waste
5.
Utilities
6.
Geology (Soils/Hydrology/Flood Plains)
7.
Water Quality
8.
Land Use
9.
Vegetation, Wildlife, Aquatic, and Ecology/Wetlands
10. Economic Activities
11. Cultural Resources
12. Aesthetics
13. Residential Population
14. Community Services and Facilities
15. Community Plans and Projects
16. Other
If an adverse environmental impact is anticipated, the action to be taken to minimize the impact should be explained in the
environmental assessment.
If construction outside the walls of an existing structure will involve more than 75,000 GSF, the application shall include an
environmental assessment to determine if an environmental impact statement is necessary for compliance with section 102(2)
(c) of the national environmental policy act of 1969. If the proposed actions involving construction or acquisition do not
individually or cumulatively have a significant effect on the human environment or if the outside construction does not exceed
75,000 GSF, the applicant shall submit a letter noting a categorical exclusion, subject to approval by VA.
4.
State Historical Preservation Letter
Letter from the state historical preservation officer (SHPO) and subsequent clearance from the VA historical preservation
officer and a copy from the SHPO stating whether the project area includes any properties on, eligible for, or likely to meet the
criteria for the national register of historic places. If the property does, or may include, national register quality properties, the
letter from SHPO should discuss the determination of effect of the proposed project on such property.
VA FORM
10-0388-5
PAGE 2 OF 4
MAR 2005

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