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ENVIRONMENTAL COMPLIANCE RECORD
SINGLE FAMILY PROPERTY DISPOSITION

FHA CASE NUMBER:
PROPERTY ADDRESS:
COMPLIANCE FINDINGS		SOURCE DOCUMENTATION
1. HISTORIC PRESERVATION Property is is not listed on the National Register of Historic Places. Property is is not located in an Historical District. Note: An appropriate deed restriction will be required if property meets either of the foregoing conditions.		Checked National Register of Historical Places Checked National Register of Historical Places
2. FLOODPLAIN Property is is not located within the 100-year floodplain (Zones A & V). Note: Flood insurance may be required.		Panel #:
		Map #:
		Date of Map:
3. AIRPORT RUNWAY CLEAR ZONES (24 CFR 51D) Property is is not located within boundary of runway zones. If so, has the airport operator declined to acquire the property? Yes No a signed disclaimer is required (24 CFR Part 51D).		Property not within 3,000 feet of the runway clear zone.
4. SUMMARY Additional actions are are not required on the basis of the findings above. If additional actions are required, describe them in an attachment.
NOTE: OTHER ENVIRONMENTAL STATUTES, EXECUTIVE ORDERS AND AUTHORITIES The remaining statutes and authorities cited at 24 CFR 50.4 do not require compliance because they are not relevant to property disposition actions which do not involve new construction.
Preparer:	Title:	Date:
Supervisor:	Title:	Date: