HousingRehabTier1SignedFullyWithCover
U.S. Department of Housing and Urban Development 451 Seventh Street, SW Washington, DC 20410 www.hud.gov espanol.hud.gov
Tiered Environment Review
for Activity/Project that is
Categorically Excluded Subject to Section 58.5
Pursuant to 24 CFR 58.35(a)
Project Information
Project Name: Housing-Rehabilitation
HEROS Number:
900000010242801
State / Local Identifier:
Project Location: Northampton , MA 01060
Additional Location Information:
Community Action is located at: 393 Main Street, Greenfield, MA 01301
Level of Environment Review Determination:
Categorically Excluded per 24 CFR 58.35(a), and subject to laws and authorities at §58.5:
58.35(a)(3)
Funding Information
Estimated Total HUD Funded Amount:
$100,000.00
Estimated Total Project Cost [24 CFR 58.2 (a) (5)]: $156,916.49
Description of the Proposed Project [24 CFR 50.12 & 58.32; 40 CFR 1508.25]:
Community Action Pioneer Valley (CAPV) will manage the City's Housing Rehabilitation Program to facilitate
home repairs essential to address unsafe, unhealthy, and substandard conditions affecting Northampton
homeowners. Program is for owner-occupied single-family units, duplexes, and condominiums (interior of
the unit only). Eligible home repairs and improvements may include: mold remediation, vermiculite and
asbestos removal, vents, air filters, carpet removal, debris removal, pest control, roof repair, floor and stair
repairs/replacements, window repair, emergency plumbing repairs (e.g. frozen/burst pipes), water quality
interventions (wells, failed water and septic systems), correction of code violations, and other repairs
necessary to maintain the integrity of the building envelope.
Grant Number HUD Program Program Name Funding Amount
14.218 Community Planning and
Development (CPD) Community Development Block
Grants (CDBG) (Entitlement)
DocuSign Envelope ID: 849758C7-77F0-42DB-B395-1719A3B6146C
Housing-Rehabilitation Northampton , MA 900000010242801
03/25/2022 13:05 Page 2 of 2
Mitigation Measures and Conditions [40 CFR 1505.2(c)]: Consult the completed environmental review
record for information on the mitigation measures adopted by the Responsible Entity to reduce, avoid,
or eliminate adverse environmental impacts and to avoid non-compliance or non-conformance with the
above-listed authorities and factors. These measures/conditions must be incorporated into project
contracts, development agreements and other relevant documents. The staff responsible for
implementing and monitoring mitigation measures should be clearly identified.
Determination:
☐ Extraordinary circumstances exist and this project may result in significant environmental impact. This project requires preparation of an Environmental Assessment (EA) ; OR
☐ There are no extraordinary circumstances which would require completion of an EA, and this
project may remain CEST.
Preparer Signature: __________________________________________ Date: __________________
Name / Title/ Organization: Keith Benoit / / NORTHAMPTON
Responsible Entity Agency Official Signature: ___________________________ Date: ____________
Name/ Title: __________________________________ _____________________________________
This original, signed document and related supporting material must be retained on file by the
Responsible Entity in an Environment Review Record (ERR) for the activity / project (ref: 24 CFR Part
58.38) and in accordance with recordkeeping requirements for the HUD program(s).
March 25, 2022
Wayne Feiden, FAICP, Director of Planning & Sustainability
DocuSign Envelope ID: 849758C7-77F0-42DB-B395-1719A3B6146C
3/25/2022 | 2:14 PM EDT
Certificate Of Completion
Envelope Id: 849758C777F042DBB3951719A3B6146C Status: Completed
Subject: Housing Rehab Tier 1 Env. Review
Source Envelope:
Document Pages: 2 Signatures: 1 Envelope Originator:
Certificate Pages: 2 Initials: 0 Keith Benoit
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-05:00) Eastern Time (US & Canada)
210 Main Street
Northampton, MA 01060
kbenoit@northamptonma.gov
IP Address: 50.235.91.10
Record Tracking
Status: Original
3/25/2022 1:08:41 PM
Holder: Keith Benoit
kbenoit@northamptonma.gov
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Storage Appliance Status: Connected Pool: City of Northampton Location: DocuSign
Status: Original
3/25/2022 1:10:56 PM
Holder: City Signatures Processing
cpo@northamptonma.gov
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Storage Appliance Status: Connected Pool: City of Northampton Location: DocuSign
Signer Events Signature Timestamp
Wayne Feiden
wfeiden@northamptonma.gov
Planning Director
Planning & Sustainability
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 50.235.91.10
Sent: 3/25/2022 1:10:56 PM
Viewed: 3/25/2022 2:14:17 PM
Signed: 3/25/2022 2:14:33 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Keith Benoit
kbenoit@northamptonma.gov
Community Development Planner
City of Northampton
Security Level: Email, Account Authentication
(None)
Sent: 3/25/2022 2:14:34 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Carbon Copy Events Status Timestamp
Nathan Chung
nchung@northamptonma.gov
OPD Grant Administrator
CONH
Security Level: Email, Account Authentication
(None)
Sent: 3/25/2022 2:14:35 PM
Viewed: 3/25/2022 3:20:21 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 3/25/2022 1:10:56 PM
Certified Delivered Security Checked 3/25/2022 2:14:17 PM
Signing Complete Security Checked 3/25/2022 2:14:33 PM
Completed Security Checked 3/25/2022 2:14:35 PM
Payment Events Status Timestamps