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DocuSign Envelope ID:B663A826-96F2-42AC-9318-450A8E98CC55 <br /> Environmental Review Form <br /> Pursuant to 24 CFR Part 58.34(a) and 58.35(b) <br /> COMPLETE ONLY THE HIGHLIGHTED <br /> Project Information <br /> Grant Recipient: <br /> Funded Activity 2RRH El so El ES ❑PRV ❑HMIS <br /> Responsible Entity: NC DHHS— DAAS ESG Office <br /> State/Local Identifier (LPA) <br /> Preparer Name &Title: Corey Root, Coordinator <br /> Certifying Officer Name and Title: Lisa Worth, ESG Homeless Programs Coordinator <br /> Consultant (if applicable): N/A <br /> Physical Address of Funded Activity: <br /> *If multiple locations, please list all below. <br /> 300 W Tryon St. Hillsborough, NC 27278 <br /> Description of the Proposed Project: <br /> The Orange County Housing Help RRH program is inclusive of the three core elements of RRH:flexible services, housing <br /> search,and financial assistance.This program uses trauma-informed care and progressive engagement to meet clients <br /> where they are and offer a flexible mix of the above listed RRH core elements,determined by individual household need. <br /> Orange County currently has two case managers for this program,one paid via local County funds, and the other via ESG-CV <br /> Round 1 funding.Currently,the program uses HOME TBRA and CARES Act funding for financial assistance.Awarded ESG <br /> FY20-21 funds will add needed financial assistance to this program as CARES Act funding ends on December 31, 2020. <br /> If this project anticipates the use of funds or assistance from another Federal agency in addition to <br /> HUD (if applicable list sources): <br /> The RRH project uses several other funding sources-project was awarded$19,337 in financial assistance through <br /> DHHS Coronavirus Relief Funds(CRF) (additional$30,000 awarded by CRF used for prevention activities via the <br /> Ornage County Emergency Housing Assistance program)and also uses HOME TBRA for housing assistance for <br /> another case manager. <br /> Estimated Total Project Cost (HUD and non-HUD funds): <br /> $728,200 �DocuSignedby: <br /> (,oV r6bf <br /> PreparerSignature: ossiacsEF1—IFS Date: 11 18 20 <br /> Name/Title/Organization: Corey Root/ Coordinator/ Orange County <br /> 3 <br />