CM-11-02-029ROUND ROCK, TEXAS
PURPOSE. PASSION. PROSPERITY
City Manager Approval Summary Sheet
Consider executing the HUD Form 7015 Request for Release of Funds for Round Rock
Item Caption: Housing Authority Facility Improvement Project 2010.
Approval Date:
February 4, 2011
Department: Finance / CDBG
Project Manager: Liz Alvarado
Item Summary:
CONSIDER EXECUTING THE HUD FORM 7015 REQUEST FOR RELEASE OF FUNDS 2010. NOTICE OF NO SIGNIFICANT IMPACT WAS
PUBLISHED JANUARY 15, 2011 AND THE PUBLIC COMMENT PERIOD ENDED FEBRUARY 3, 2011.
Strategic Plan Relevance: Goal 8
Cost:
Source of Funds:
N/A
N/A
REV. 6/10/10
, Request for Release of Funds
and Certification
U.S. Department of Housing
and Urban Development
Office of Community Planning
and Development
OMB No. 2506-0087
(exp. 3/31/2011)
This form is to be used by Responsible Entities and Recipients (as defined in 24 CFR 58.2) when requesting the release of funds, and
requesting the authority to use such funds, for HUD programs identified by statutes that provide for the assumption of the environmental
review responsibility by units of general local government and States. Public reporting burden for this collection of information is
estimated to average 36 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. This agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information unless that collection displays a valid OMB control number.
Part 1. Program Description and Request for Release of Funds (to be completed by Responsible Entity)
1. Program Title(s)
City of Round Rock
og Number(s)
2. HUD/State Identification Number
(HUD GRANT NUMBER)
B-10-MC48-0514
3. Recipient Identification Number
(optional)
6. For information about this request, contact (name & phone number)
Elizabeth Alvarado, CDBG Coordinator
(512) 341-3328
8. HUD or State Agency and office unit to receive request
U.S. Dept. of Housing & Urban Dev.
106 S. St Mary's St., Ste 405
San Antonio, TX 78205
DUNS#10-274-0792
5. Name and address of responsible entity
City of Round Rock
221 East Maln Street
Round Rock, TX 78664
7. Name and address of recipient (if different than responsible entity)
The recipient(s) of assistance under the program(s) listed above requests the release of funds and removal of environmental
grant conditions governing the use of the assistance for the following
9. Program Activity(ies)/Project Name(s)
City of Round Rock
Public Facility Improvements
Round Rock Housing Authority
10. Location (Street address, city, county, State)
1505 Lance Lane 1100 Westwood 1007 Cushing
Round Rock, TX 78664 Round Rock, TX 78681 Round Rock, TX 78664
11. Program Activity/Project Description (including grant amount)
Program Activity: Facility Improvements Round Rock Housing Authority
Project Description: Site preparation, purchase and installation of a play ground equipment ("playscape"), picnic
tables, picnic benches, trash receptacles, bike racks at 1505 Lance Lane; purchase and installation of picnic tables
and benches, bike racks, trash receptacles, gazebo at 1100 Westwood; purchase and installation of gazebo at 1007
Cushing.
Previous editions are obsolete
Page 1 of 2 form HUD -7015.15 (1/99)
• Part 2. Environmental Certification (to be completed by responsible entity)
With reference to the above Program Activity(ies)/Project(s), I, the undersigned officer of the responsible entity, certify that:
1. The responsible entity has fully carried out its responsibilities for environmental review, decision-making and action
pertaining to the project(s) named above.
2. The responsible entity has assumed responsibility for and complied with and will continue to comply with, the National
Environmental Policy Act of 1969, as amended, and the environmental procedures, permit requirements and statutory
obligations of the laws cited in 24 CFR 58.5; and also agrees to comply with the authorities in 24 CFR 58.6 and
applicable State and local laws.
3. After considering the type and degree of environmental effects identified by the environmental review completed for the
proposed project described in Part 1 of this request, I have found that the proposal did n did not Fi require the
preparation and dissemination of an environmental impact statement.
4. The responsible entity has disseminated and/or published in the manner prescribed by 24 CFR 58.43 and 58.55 a notice
to the public in accordance with 24 CFR 58.70 and as evidenced by the attached copy (copies) or evidence of posting and
mailing procedure.
5. The dates for all statutory and regulatory time periods for review, comment or other action are in compliance with
procedures and requirements of 24 CFR Part 58.
6. In accordance with 24 CFR 58.71(b), the responsible entity will advise the recipient (if different from the responsible
entity) of any special environmental conditions that must be adhered to in carrying out the project.
As the duly designated certifying official of the responsible entity, I also certify that:
7. I am authorized to and do consent to assume the status of Federal official under the National Environmental Policy Act
of 1969 and each provision of law designated in the 24 CFR 58.5 list of NEPA-related authorities insofar as the
provisions of these laws apply to the HUD responsibilities for environmental review, decision-making and action that
have been assumed by the responsible entity.
8. I am authorized to and do accept, on behalf of the recipient personally, the jurisdiction of the Federal courts for the
enforcement of all these responsibilities, in my capacity as certifying officer of the responsible entity.
Signature of Certifying Officer of the Responsible Entity
X
Name & Title of Certifying Offic
Steve Norwood, City Manag
Date signed
2-1-11
Address of Certifying Officer
221 East Main Street
Round Rock, TX 78664
Part 3. To be completed when the Recipient is not the Responsible Entity
The recipient requests the release of funds for the programs and activities identified in Part 1 and agrees to abide by the special
conditions, procedures and requirements of the environmental review and to advise the responsible entity of any proposed change in
the scope of the project or any change in environmental conditions in accordance with 24 CFR 58.71(b).
Signature of Authorized Officer of the Recipient
X
Name & Title of Authorized Officer
Date signed
Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C.
3729, 3802)
Previous editions are obsolete
Page 2 of 2 form HUD -7015.15 (1/99)