Real Property Status Report (Cover Page) Page 13

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3. Amount provided by the recipient or other non-Federal entities (i.e., non-Federal Share of Appraised Property
Value)
4.
Share percentage provided by the non-Federal entities, (i.e., non-Federal Share Percentage of Appraised
Property Value)
5. Total cost (i.e., Sum of Federal and non-Federal Share of the Appraised Value) and
6. Total share percentage (i.e., sum of share percentages of Federal and non-Federal Share of the Appraised
Property Value).
14f. Are there any Uniform Relocation Act requirements applicable to this real property? If the acquisition or
development of the real property involved the movement of any person who moved permanently from real property or
moved personal property from real property directly because of acquisition, rehabilitation, or demolition for an activity
undertaken with Federal assistance, the Uniform Relocation Act requirements may apply. Indicate if the Act does apply
by checking “yes or no”. If the Act does apply, the recipient must maintain records of compliance and make such
information available upon the request of the Federal government.
.
14g
Are there any environmental compliance requirements related to the real property? If yes, describe them.
Check either “yes” or “no” to indicate if there are any environmental compliance requirements related to the real property.
Describe any environmental compliance requirements related to the real property. The recipient must maintain records
of compliance with all environmental requirements related to the real property and make such information available upon
the request of the Federal government. (Attach additional sheets if necessary).
14h. In accordance with the National Historic Preservation Act (NHPA), does the property possess historic
significance, and/or is listed or eligible for listing in the National Register of Historic Places? In accordance with
the Section 106 of the National Historic Preservation Act (NHPA), does the property possess historic significance,
and/or is listed or eligible for listing in the National Register of Historic Places? Describe any historical significance,
National Register of Historic Places listing or eligibility for such listing, related to the real property. Note, any property
listed in, or eligible for listing in the National Register of Historic Places is considered historic. Section 106 protections
also extend to properties that possess significance but have not yet been listed or formally determined eligible for
listing.
15. If this is a request for a release from the obligation to report on the real property, describe the reasons for
the request. Describe the recipient’s reasons for requesting a release from the obligation to report. Examples of
acceptable reasons include but are not limited to, expiration of Federal interest, or the real property has been disposed in
accordance with agency direction. Attach additional sheets if necessary.
16. Remarks. Enter any explanations deemed necessary or information required by the Federal agency including any
remarks that the recipient would like to make to address issues that are not addressed elsewhere in this request. Attach
additional sheets if necessary.
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