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28 <br />Environmental <br />Assessment Checklist <br />(continued. page 9) <br />10. Give name, position and office telephone number of an individual in the a <br />confirm the compatibility of the proposed activity with existing and /or poraprrate local government unit that can <br />plans: g Proposed land use economic development <br />Name: <br />Tara L. Fixes <br />Lnst all iv.L. btate permits, <br />activity: <br />Position: Housing /Community Phone: ( 9 <br />or <br />and license that must be- acquired to initiate and comoli <br />Permit <br />a) Stationary Air Contaminant Source <br />b) Air Quality Complex Source <br />c) Construction of Wastewater Pretreatment Facilities <br />d) Wastewater Discharge (to surface waters) <br />e) Approval to Construct Public Waters Facility <br />0 Dredge and Fill <br />g) Withdrawal of Water from "Capacity Use Area" <br />h) Erosion Control Plan <br />0 Zoning Change or Variance <br />j) Coastal Resource Commission <br />k) Noise Control Regulations <br />1) Others (list) <br />I. Is project in compliance with applicable laws and <br />regulations? ® Yes ❑ No <br />2. Is an EIS required? ❑ Yes ENO <br />NC General Statute <br />143.215.108 <br />143.215.109 <br />143.215.1 <br />143.215 <br />97 <br />113.229 <br />143.2— 5.15 <br />113 <br />113A.118 <br />153A.113 <br />3. A Finding of No significant lmpanct (FONM can be made. pact will not <br />significantly affect the quality of the human ertvironment. 13 Yes ❑ No <br />Application Date I Approval Date <br />4. Send 14 copies of this ERR for State E vironntental/Clearinghouse Review To: Director, Division of Community Assistance. <br />Suite 250. 1307 Glenwood Avenue, Raleigh, N.C. 27605 <br />Prepared by Title <br />i H i <br />for <br />Date: 5/5/91 <br />29 <br />