Administrative Operations
APPLICATION INSTRUCTIONS
REAL PROPERTY PROGRAM FOR HOMELESS OR PUBLIC HEALTH PURPOSES (ON SITE)
Note: Homeless providers interested in acquiring property for
homeless purposes through the McKinney-Vento Act Title V Program must
respond, in writing, to PSC within 60 days following the Federal Register
notice. Providers interested in acquiring property for public health purposes
through the Federal Property Assistance Program (FPAP) must submit a written
expression of interest to PSC prior to submitting an application. An application
is only to be submitted after the written expression of interest has been
acknowledged by PSC. All unsolicited applications will be returned without
consideration.
Program Fact Sheet
List of Eligible Health Programs
Application Instructions
Applicant Certification (Attachment A)
Resolution (Attachment B)
Environmental Questionnaire (Attachment C)
Federal Property Management Regulations, Subpart
101-47.4913 (Attachment D)
PROGRAM FACT SHEET
Transfers of real property are generally made by quitclaim deed,1
and are subject to the following conditions which are contained in the
deed:
- For a period of 30 years from the date of the initial deed, the property
must be utilized in accordance with the approved application.
- Where construction or major renovation is not required or proposed,
the property must be placed into use within twelve (12) months from
the date of the deed. Where construction or major renovation is contemplated
at the time of transfer, the property must be placed into use within
thirty-six (36) months from the date of the deed.
- Grantee may not sell, lease, sublease, or otherwise encumber the
property without prior consent of the grantor in writing.
- Grantee must submit annual utilization reports.
- Grantee must comply with section 606 of the Federal Property and
Administrative Services Act of 1949; the Fair Housing Act (42 U.S.C.
§ 3601-19) and implementing regulations; and as applicable, Executive
Order 11063 (Equal Opportunity in Housing) and implementing regulations;
Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d to
d-4) (Nondiscrimination in Federally- Assisted Programs) and implementing
regulations; Title IX of the Education Amendments of 1972 (20 U.S.C.
§ 1681) and implementing regulations; the prohibitions against
discrimination on the basis of age under the Age Discrimination Act
of 1975 (42 U.S.C. § 6101-07) and implementing regulations; and
the prohibitions against otherwise qualified individuals with handicaps
under Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. §
794) and implementing regulations, and the Uniform Federal Accessibility
Standards (UFAS), 41 CFR Subpart 101-19.6, Appendix A, and all requirements
imposed by or pursuant to the Regulations of the grantor (45 CFR Parts
12, 80, 84 and 91) issued pursuant to said Acts and now in effect.
- Grantee must remain tax supported or a nonprofit tax-exempt organization
under section 501(c)(3) of the IRS code of 1986 throughout the period
of restrictions.
Upon breach of any of the conditions subsequent contained in the
deed of conveyance, title may revert to the Government. The grantee may
also be permitted to abrogate the conditions by:
- Obtaining the consent of the grantor, or its successor in function,
and
- Making payment to the United States of America of 1/360th of the
percentage public benefit allowance granted of the fair market value
as of the date of such requested abrogation, exclusive of the value
of improvements made by the grantee to the extent that they add to the
value of that portion of the property to be released, for each month
of the period to be abrogated.
If utilization of the property has not commenced within 12 months or
36 months where construction or major renovations is contemplated, payments
will be required for each month of the nonuse thereafter.
NOTE: Other covenants and conditions may be required
in the deed for such concerns as lead-based paint, environmental condition
of the property, historical preservation issues, etc.
1Transfers of real property for homeless
purposes may also be conveyed by lease as authorized under Title V of
the Stewart B. McKinney Homeless Assistance Act, as amended.
LIST OF ELIGIBLE HEALTH PROGRAMS
The following is a list of the common types of programs considered eligible
for real property grants. It is only a partial listing. Additional health
programs not listed may also be eligible.
- medical institutions
- hospitals
- health centers (i.e., related laboratories, administrative offices,
and public health nursing programs)
- mental health centers
- clinics
- nursing homes (i.e. long term care and convalescent facilities)
- medical, dental, nursing, and paramedic schools
- infirmaries
- diagnostic or treatment centers providing outpatient services and
care
- preventive medical/health care programs
- rehabilitation centers for mentally or physically disabled persons
which provide an integrated medical, psychological, social evaluation
and training program
- residences for physicians, nurses, paramedics, etc. in isolated areas
- pollution and pest control (related to public health)
- maternal and child health programs
- mental and physical hygiene training programs
- sanitary engineering and inspection
- health and nutrition education
- drug and alcohol abuse rehabilitation programs
- juvenile delinquent rehabilitation, diagnostic, and evaluation programs
- communicable and chronic disease control (i.e., immunization programs)
- migrant and Native American health programs
- sewage disposal systems
- storm sewer systems
- solid waste programs (i.e., sanitary landfills, incinerators, and
recycling facilities)
- water systems (i.e., wells, pumps, underground distribution mains,
purifiers, reservoirs, water towers, and protected watershed properties)
- paramedic emergency treatment programs
- health administrative offices
- facilities to assist the homeless (Title V of the McKinney Act)
- animal control facilities
- forensic laboratories and morgues
APPLICATION INSTRUCTIONS REAL PROPERTY
PROGRAM FOR HOMELESS OR PUBLIC HEALTH PURPOSES (ON SITE)
NOTE: Please read the instructions carefully before
preparing your application. As you prepare your application be aware that
it will be evaluated on the basis of the following factors:
- Services offered - The extent and range of proposed services such
as meals, shelter, job training, counseling, etc.;
- Need - The demand for the program and the degree to which the available
property will be fully utilized;
- Experience - Demonstrated prior success in operating similar programs
and recommendations attesting to that fact by local, State, and Federal
authorities;
- Financial Ability - The adequacy and availability of funding to fully
and properly run the programs and operate the facility; and
- Implementation Time - How soon each proposed service can be operational.
INSTRUCTIONS: Please provide complete responses to each
numbered item below. For ease of reference, begin each response with its
respective item number and heading. In an instance where a request for
information is not applicable to your program, please include the heading
and state “Not Applicable.” You must submit an original and
two (2) copies of the application, along with all attachments. Applications
found to be incomplete, may be denied or additional information may be
requested. Applications should be submitted to the Department of Health
and Human Services’ office listed below by . If this date cannot
be met, requests for extensions will be considered.
Real Property Section
Program Support Center, DHHS/PSC
Room 5B-17, Parklawn Building
5600 Fishers Lane
Rockville, MD 20857
Phone: (301) 443-2265
E-Mail: rpb@psc.gov
- Federal Installation
- State the official name and address of the Federal installation
where surplus property is located. (Include city, county, and State
when giving address.)
- Give GSA and/or landholding agency number assigned to the property.
- Identification of Applicant
- State the legal name of the applicant organization and state
whether the applicant is a State, political sub-division of the
State, or a private nonprofit organization, tax-exempt under section
501(c)(3) of the 1986 Internal Revenue Code. (If tax-exempt, include
a copy of the formal exemption letter from the Internal Revenue
Service.)
- Provide a copy of the document showing statutory or other authority
under which your organization is permitted to acquire and hold title
to real property for the proposed use. A copy of the applicable
citation from the Corporations Division of the Secretary of State’s
Office, where the applicant is registered,
will satisfy this requirement. If the applicant is a nonprofit corporation,
evidence must be presented that said corporation is authorized,
under its charter, to hold title to the real estate for which it
has applied. A copy of the charter and State certification should
be provided with the application.
- Give the name, title, and address of the person authorized to
complete this purchase. The authorized representative must be the
same as named in the governing board resolution.
- Give the address and telephone number of applicant organization.
- Identify all possible lessees, sub-organizations, affiliates,
etc., that may participate in and/or operate the proposed program
on the requested property, if any.
- Indicate whether the applicant organization is accredited, approved,
or licensed by Federal or State accrediting, approving, or licensing
authority. If so, give the name of such authority.
- Description of Real Property Requested
- Give a general description of the property being requested. The
amount of property requested should not exceed operating requirements.
The description should include the amount of acreage and improvements,
e.g., buildings, structures, etc. Identify buildings as follows:
Bldg. No Building Name Size (square feet)
NOTE: A legal description is not required at this
time, but may be requested at a future date.
- Give information for items (1), (2), (3) and (4) as applicable:
- Indicate the zoning restrictions, if any, that are applicable
to the subject property, and assure that the proposed program
will conform to such restrictions.
- State that the renovation of existing buildings (if any),
or construction of any new buildings, will meet State and local
building codes and/or regulations for the proposed program of
use.
- Report the exact description of utilities required and state
how arrangements will be made for securing all needed utility
services.
- Identify any easements, including overhead and underground,
which are reported with the property, or are to be otherwise
acquired for use in connection with the property.
- Related personal property included with the available real property
may generally be acquired if the need and use are specifically included
and justified in the application. It is subject to the same discount
allowance as the real property for which you have applied. Such
related personal property is to be identified by an inventory attached
to each copy of the application showing the description, serial
number, or other adequate identification. This information may be
obtained from the landholding and/or disposal agency.
- Proposed Program Brief for Property Requested - Brief must include
the following applicable information NOTE: An applicant must place the
property into its proposed use within 12 months from the date of transfer,
or 36 months where new construction or major renovations are required.
- Identify the services the applicant will provide through the
use of surplus Federal property. Also list other facilities in the
community that currently offer the same type of service you propose
to offer, including the number of clients and/or beds. Provide information
to support the need for additional services in the community. Include
any surveys, reports, or other documentation to support your analysis.
- Supply a detailed description of the proposed program showing
the specific use or need for the program to be realized by acquisition
of the property. Indicate any anticipated improvements, the time
required for completion of each component and for bringing the property
to full utilization. Indicate the service area population (city,
county, etc.) and the number of homeless or public health clients
to be served after full utilization. Applications must be adequately
documented to reflect well-planned utilization, and should be effectively
supported by written recommendations, endorsements, and studies
of appropriate State agencies, public officials of State and local
governments, and recognized national or local sponsoring associations
or organizations. Only information pertinent to the program of use
need be submitted.
- Demonstrate that the applicant is qualified to implement the
program of use. Include a description of the organization’s
present and proposed staff in terms of numbers and types of professionals
and technicians. Identify the range of services provided and the
length of time the program has been operating.
- If need stems from an emergency resulting from a disaster, explain
fully.
- If need is a result of requirements to comply with established
State standards, explain and enclose certifications from appropriate
State departments (i.e., State statutes, court decisions, etc.).
- Identify any real estate owned or leased by the applicant organization.
If applicable, include a statement that the real estate owned or
leased by the applicant organization is not suitable for the proposed
program of utilization.
- Physical Layout, Plans, and Cost Estimates
- State that the property is suitable for the proposed use and/or
provide plans for its conversion. If there are any easements, rights
of use, zoning regulations, or other encumbrances, existing or proposed,
which would impede the homeless/health program, please identify.
- Submit a rough draft plat of the property requested. Show the
location of existing improvements and identify any proposed new
improvements.
- Identify the proposed use of the property and give estimated
costs anticipated to prepare the property for full utilization:
- Existing facilities (identify each building and proposed
improvements);
- New facilities (i.e., building, structures, etc.); and
- Land areas (i.e., parking, recreational, open space, etc.).
- Ability to Finance and Operate
- Give a full and complete statement of the ability to finance,
operate, and maintain the property requested. Identify the source
of funding for converting the property for its intended use, including
any new improvements. Funding sources for program operations should
be identified separately. Be sure to include the capital outlay
budget and the following, if applicable:
- Special building funds;
- Undistributed reserve;
- Property tax rate;
- Funds available for personnel and maintenance;
- Amount raised by taxation;
- State appropriation; and
- Other (contracts, services, Federal payments, fund-raisers,
grants, etc.).
- If the applicant contemplates that major construction/renovation
is necessary to make the property suitable for full utilization,
and funds are not currently available, give plans and sources of
funding to carry out the proposed program and development. Please
include the estimated amount of funds to be obtained from each source.
- Local Government Notification The applicant must provide written
notification, of its proposed program, to the applicable unit of local
government responsible for providing sewer, water, police, and fire
services. Please provide copies of these notices.
- Applicant Certification The applicant must certify, by signature
on Attachment A, its assurance of compliance
with nondiscrimination, insurance, and protection and maintenance requirements.
Please provide a signed copy with the original and each copy of the
application.
- Governing Board Resolution Complete the governing board resolution,
enclosed as Attachment B, authorizing a representative
to act on behalf of the applicant organization. The certifying officer
must be an official other than the representative named in the Resolution.
Please provide an original and two copies with the application.
- Environmental Compliance The National Environmental Policy Act of
1969 (PL 91-190 42 U.S.C. Sections 4321-4347) requires consideration
of the environmental effects that may result from major Federal actions,
significantly affecting the quality of the human environment, including
real property conveyances. Your completion of the attached Environmental
Questionnaire (Attachment C) will assist
us in evaluating any potential environmental effects arising from your
proposal. You are required to provide the supporting documentation to
your questionnaire responses.
The application must be signed and dated by the official authorized
by the governing board resolution to act for the applicant institution.
NOTE: The Department of Health and Human Services’
(HHS) approval of this application does not constitute the final decision
on whether the property will ultimately be assigned to the applicant.
In the ordinary course, HHS will recommend that the disposal agency
assign the property to HHS for conveyance to the applicant. The disposal
agency will accept HHS recommendation, review any competing requests,
and exercise its assignment authority accordingly.
Attachment A - Applicant Certification
- The applicant certifies that it will comply with section 606 of the
Federal Property and Administrative Services Act of 1949; the Fair Housing
Act (42 U.S.C. § 3601-19) and implementing regulations; and as
applicable, Executive Order 11063 (Equal Opportunity in Housing) and
implementing regulations; Title VI of the Civil Rights Act of 1964 (42
U.S.C. § 2000d to d-4) (Nondiscrimination in Federally Assisted
Programs) and implementing regulations; Title IX of the Education Amendments
of 1972 (20 U.S.C. § 1681) and implementing regulations; the prohibitions
against discrimination on the basis of age under the Age Discrimination
Act of 1975 (42 U.S.C. § 6101-07) and implementing regulations;
and the prohibitions against otherwise qualified individuals with handicaps
under Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. §
794) and implementing regulations and the Uniform Federal Accessibility
Standards (UFAS), 41 CFR Subpart 101-19.6, Appendix A.
The applicant will not discriminate on the basis of race, color, national
origin, religion, sex, age, familial status, disability or handicap
in the use of the property, and will maintain the records required to
demonstrate compliance with Federal laws.
- The applicant agrees for itself, its successors and assigns, that
it shall cause any conveyed improvements to be insured against loss,
damage, or destruction. If any such loss, damage, or destruction shall
occur during the period grantee holds title to said property subject
to said conditions 1 through 5, said insurance and all monies shall
be held in trust by the grantee, its successors or assigns, and shall
be promptly used by the grantee for the purpose of repairing such improvements
and restoring the same to their former condition and use or for the
purpose of replacing said improvements with equivalent or more suitable
improvements or, if not so used, the grantee shall cause to be paid
over to the Treasurer of the United States that part of the insurance
proceeds that is attributable to the Government’s residual interest
in the property lost, damaged, or destroyed, determined on the basis
of the fair market value of the facilities at the time of the loss,
damage, or destruction.
- The applicant covenants and agrees for itself, and its successors
and assigns that in the event the grantor exercises its option to revert
all right, title, and interest in the property, to the grantor, or the
grantee voluntarily returns title to the property in lieu of a reverter,
then the grantee shall provide protection to and maintenance of the
property at all times until such time as the title reverts to and is
accepted by the grantor. Such protection and maintenance shall, at a
minimum, conform to the standards prescribed by the General Services
Administration in its regulations FPMR 101-47.4913 (41 CFR 101) in effect
as of the date of the deed, a copy of which is attached (Attachment
D) to the application.
(Organization Name) ________________________________
(Signature) _______________________________________
(Title) ____________________________________________
(Date) ___________________________________________
Attachment B
RESOLUTION FORMAT FOR PROPERTY TO BE ACQUIRED
BY DEED
Whereas, certain real property owned by the United States, located in
the County of _______________________,State of ______________________,
has been declared surplus and is subject to assignment for disposal for
homeless or public health purposes by the Secretary of Health and Human
Services under the provisions of Section 203(k)(1) of the Federal Property
and Administrative Services Act of 1949, as amended, and rules and regulations
promulgated pursuant thereto, more particularly described as follows [Please
insert property name and description below (full legal description is
not required at this time)]:
Whereas, ____________________________________(Legal name of applicant),
needs and can utilize said property for public health purposes in accordance
with the requirements of said Act and the rules and regulations promulgated
thereunder of which this Board is fully informed, including commitments
regarding use and time such use shall commence.
Now, Therefore, Be It Resolved, that ___________________________(Legal
name of applicant) has legal authority, is willing, and is in
a position financially and otherwise to assume immediate care and maintenance
of the property, and that ________________________________(Name
of Official(s) (legally authorized),
________________________(Title of Official(s)), _________(is/are),
hereby authorized, for and on behalf of the ____________________________________(Legal
name of applicant), to do and perform any and all acts and things
which may be necessary to carry out the foregoing resolution, including
the preparing, making, and filing of plans, applications, reports, and
other documents; the execution, acceptance, delivery, and recordation
of agreements, deeds and other instruments pertaining to the transfer
of said property; and the payment of any and all sums necessary on account
of the purchase price thereof, including fees or costs incurred in connection
with the transfer of said property for surveys, title searches, appraisals,
recordation of instruments, or escrow costs, together with any payments
by virtue of nonuse or deferral of use of the property.
If the applicant is unable to place the property into use within the
time limitation indicated below (or determines that a deferral of use
should occur), it is understood that the _________________________________
(Legal name of the applicant), will pay to the Department
the sum of 1/360 of the fair market value for each month of nonuse, beginning
12 months after the date of the deed, or 36 months where construction
or major renovation is contemplated.
If the application is approved, a copy of the application and standard
deed will be filed with the permanent minutes of the Board.
Legal Title of Governing Body of Applicant _________________________________
Address ____________________________
City State Zip Code ____________________________
I, _____________________(Name of Certifying Officer),
hereby certify that I am the ___________________________________(Title
of Certifying Officer), of the _____________ (Title of
Governing Body) and that the foregoing resolution is a true and
correct copy of the resolution adopted by the vote of a
majority of members of said present at a meeting of said Board ______________
(Title of Governing Board) on _____________ day ________________,
20___ at which a quorum was present.
(Signature of Certifying Officer) ________________________________
Note: The person named in the Resolution cannot sign
as the Certifying Officer.
Attachment C
DEPARTMENT OF HEALTH AND HUMAN SERVICES
PROGRAM SUPPORT CENTER
FEDERAL PROPERTY ASSISTANCE PROGRAM
ENVIRONMENTAL QUESTIONNAIRE
PROPERTY NAME:
APPLICANT NAME:
Why is this information required?
The Department of Health and Human Services (HHS) is required to include
environmental information in its decision making activities, including
the consideration of applications for the use of excess and surplus real
property for public health purposes under the Federal Property Assistance
Program. It is therefore necessary for you, the applicant, to submit environmental
information for use by HHS in reaching a decision on your application.
The following guidance is provided to assist you in that effort. If difficulty
is encountered in acquiring the information or if questions arise, please
call 301-443-2265.
How will this information be used?
This information will be used by HHS to evaluate the potential environmental
impacts of your proposed program of use, as described in your application.
Hasn’t this already been done by GSA?
The General Services Administration (GSA), as well as other agencies,
have included environmental information in their management of the property,
including the decision to make it available for this program.
HHS must now consider your application, including your proposed program
of use. Your specific proposal may include various actions and/or activities
which were unknown to the other agencies.
Must I repeat what has already been done?
No. Please do not duplicate any efforts that may have been made elsewhere.
If an environmental assessment has been prepared on the proposed project
for another local, State, or Federal agency which addresses all of the
following information requirements, then simply include that assessment
in your application package. Otherwise, using the resources available
to you, answer the attached questions completely.
What is HHS’ responsibility in this?
Because this application is a request for HHS action, HHS retains the
responsibility to evaluate independently the adequacy and accuracy of
the information submitted, and to make its own evaluation of the environmental
issues which may arise. Therefore, please provide all the information
requested. Failure to provide this information will necessitate returning
the application to you for completion.
NOTE: Additional environmental information may be required
for major construction or renovation projects.
Supplemental Instructions
BASIS FOR DETERMINATION AND DOCUMENTATION
The basis for determination and documentation information must be traceable
and establish the factual data to support the response to each question.
Types of information to be included in this column are outlined below:
- PRINTED MATERIALS. These are useful sources of detailed
information materials such as comprehensive land use plans, zoning maps,
city master plans, environmental baseline survey, environmental assessments,
environmental impact statements and studies. Information must be current
and must represent accepted methodologies, i.e., not so old that changing
conditions make them irrelevant. Citations for the material should include
enough information so that an outside reviewer can locate the specific
reference, e.g., author, document title, publication date, and page
number.
Examples include the Record of Decision, Finding of Suitability to Transfer,
Finding of Suitability to Lease, GSA Property Suitability
Determination Form, Federal Property Information Checklist, Environmental
Baseline Surveys, Preliminary Assessments Reports, Environmental Assessments,
draft or final Environmental Impact Statements, and City/County master
plan or zoning map.
Possible sources of the above document include as appropriate, GSA,
HUD, the property owner, military base environmental
office, local governmental organizations, local public library, and
City/County planning office.
- PERSONAL CONTACT. Personal contacts are useful when
the individual contacted is an accepted authority on the subject(s),
and the interview is documented. Supporting documentation should include
the name, organization, and title of the person contacted and the date
of the conversation. Examples include officials from State and local
planning offices and environmental offices, or an environmental officer
of the agency that owns the property.
- SITE VISIT. A site visit does not usually involve
any testing or measurements. A site visit is an important method for
initial screening of the issues, but for some of the categories it may
be inadequate for final evaluation. Supporting documentation should
include the date of the site visit, by whom, and the support observation.
Pollution Prevention. The applicant is urged to include
pollution prevention considerations in the siting, design, construction,
and operation of the project or facility.
Are there any pollution prevention activities that can be included
in the applicant’s program of use (e.g., source reduction, recycling,
etc.)?
The questionnaire items on sedimentation and erosion control measures
and storm water control plans are also pollution prevention related.
ENVIRONMENTAL INFORMATION AND DOCUMENTATION
Property: ________________ Location: _______________ Applicant: _________________
Category |
Determination
(Yes or No) |
Basis for Determination
(Documentation, see last page) |
PART I |
1.
Historic Preservation. Will the proposed use of the
property adversely affect properties listed, or eligible for
listing on the National Register of Historic places (buildings,
archaeological sites, objects of significance)?
If a property is
more than 50 years old and no determination of eligibility was done,
contact the State Historic Preservation Officer (SHPO) and document
the contact and SHPO response. |
|
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2.
Will the proposed use of the property generate or use any hazardous
substances, hazardous wastes,
or medial wastes? Activities that
generate those items include dry cleaning, air conditioning
repair and service, motor pools,
automobile repair, welding, services stations,
gas stations, landscaping, agricultural and
farming activities, print shops, hospitals, clinics, medical
centers, etc. |
|
(If yes, state your proposed mitigation plan.) |
3.
Will the proposed use of the property result in a known violation
or continuance of a violation of applicable (Federal, Tribal, State,
or local) laws or requirements for protection of environment
or public health and safety? |
|
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4. Will the proposed
use of the property result in a conflict with existing or proposed
Federal, State, and local land use plans? |
|
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5. Is the proposed
use of the property significantly greater in scope than normal for
the area or does the proposed use of the property have significant
unusual characteristics? |
|
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6. Does the proposed
use of the property have significant adverse direct or indirect effect
on park land, other public lands, or areas of recognized scenic or
recreational value? |
|
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7. Is there controversy
with respect to environmental effects of the proposed use of the property
based on reasonable and substantial issues? |
|
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Property: ________________ Location: _______________ Applicant: _________________
Category |
Determination
(Yes or No) |
Basis for Determination
(Documentation, see last page) |
PART II |
8. Will the proposed use of the property
require major sedimentation and erosion control measures? |
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9. Will the proposed use of the property
adversely affect community noise levels? |
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10. Will the proposed use of the property
adversely affect community air pollution? |
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11. Will the proposed use of the property
create a need of additional capacity in educational facilities? |
|
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12. Will the proposed used of the property
create a need for additional capacity in health care facilities
and for health care services? |
|
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13. Will the proposed use of the property
create a need for additional energy supply or generation? (Contact
the local utility or supplier and document the name and date of
the contact) |
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14. Will the proposed use of the property
create a need for additional capacity at solid waste disposal facilities? |
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15. Will the proposed use of the property
create a need for additional capacity at wastewater treatment facilities? |
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16. Will the proposed use of the property
create a need for or require a storm water control plan? |
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17. Will the proposed use of the property
create a need for additional drinking water supply? |
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18. Will the proposed use of the property
create a need for additional capacity in transportation systems? |
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19. Are there other considerations
about the proposed program of use for the requested property that
could adversely affect the environment and/or public health and
safety? |
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Property: ________________ Location: _______________ Applicant: _________________
Category |
Determination
(Yes or No) |
Basis for Determination
(Documentation, see last page) |
PART III |
20. Safe Drinking Water. Will
the proposed use of the property impact an EPA designated sole source
aquifer? |
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21. Floodplains. Will the proposed
use of the property endanger people who occupy the property, involve
construction in a flood plain, or encourage floodplain development? |
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22. Wetlands and Water Resources
(lakes, rivers, streams, etc.). Will the proposed use of the
property adversely affect wetlands and water resources or will there
be construction in wetlands? |
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23. Coastal Zone Management.
Will the proposed use of the property directly affect a Coastal
Zone in a manner inconsistent with the State Coastal Zone Management
Plan? (Each coastal State should have a State office to manage its
coastal zone development and use.) |
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24. Wild and Scenic Rivers.
Will the proposed use of the property impact a wild, scenic, or
recreational river area or create conditions inconsistent with the
character of the river? |
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25. Farmland Protection. Will
the proposed use of the property convert significant agricultural
lands to non-agricultural uses? |
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26. Wilderness. Will the proposed
use of the property adversely impact a Wilderness Area? |
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27. Endangered Species. Is the
proposed use of the property likely to adversely affect a plant
or animal species listed on the Federal or State list of endangered
or threatened species or a specific critical habitat of an endangered
or threatened species? |
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I certify that to the best of my knowledge and ability the information
presented herein is true and correct.
Applicant’s signature ________________________
Title or Position ____________________________
Date _________________
Attachment D
101-47.4913 Outline for protection and maintenance of excess
and surplus real property.
- General. In protecting and maintaining excess and
surplus properties, the adoption of the principle of “calculated
risk” is considered to be essential. In taking what is termed
a “calculated risk,” the expected losses and deteriorations
in terms of realizable values are anticipated to be less in the overall
than expenditures to minimize the risks. In determining the amount of
protection to be supplied under this procedure, a number of factors
should be considered; such as, the availability of, and the distance
to, local, public, or private protection facilities; the size and value
of the facility; general characteristics of structures; physical protection
involving fencing, number of gates, etc.; the location and availability
of communication facilities; and the amount and type of activity at
the facility. Conditions at the various excess and surplus properties
are so diverse that it is impracticable to establish a definite or fixed
formula for determining the extent of protection and maintenance that
should be applied. The standards or criteria set forth in B and C, below,
are furnished as a guide in making such determinations.
- Protection Standards. The following standards are
furnished as a guide in determining the amount and limits of protection.
- Properties not Requiring Protection Personnel. Fire protection
or security personnel are not needed at:
- Facilities where there are no structures or related personal
property;
- Facilities where the realizable or recoverable value of the
improvements and related personal property subject to loss is
less than the estimated cost of protection for a one-year period;
- Facilities of little value located within public fire and
police department limits, which can be locked or boarded up;
- Facilities where the major buildings are equipped with automatic
sprinklers, supervised by American District Telegraph Company
or other central station service, which do not contain large
quantities of readily removable personal property, and which
are in an area patrolled regularly by local police; and
- Facilities where agreements can be made with a lessee of
a portion of the property to protect the remaining portions
at nominal, or without additional cost.
- Properties Requiring a Resident Custodian. A resident custodian
or guard only is required at facilities of the following classes:
- Facilities containing little removable personal property
but having a considerable number of buildings to be sold for
off-site use when (a) the buildings are of low realizable value
and so spaced that loss of more than a few buildings in a single
fire is improbable, or (b) the buildings are so located that
water for firefighting purposes is available and municipal or
other fire department services will respond promptly;
- Small, inactive industrial and commercial facilities which
must be kept open for inspection and which are so located that
public fire and police protection can be secured by telephone;
- Facilities where the highest and best use has been determined
to be salvage; and
- Facilities of little, or salvage, value but potentially dangerous
and attractive to children and curiosity seekers where the posting
of signs is not sufficient to protect the public.
- Properties Requiring Continuous Guard Service. One guard on duty
at all times (a total of 5 guards required) is required at facilities
of high market value which are fenced; require only one open gate
which can be locked during patrols; all buildings of which can be
locked; and where local police and fire protection can be secured
by telephone.
- Properties Requiring High Degree of Protection. More than one
firefighter-guard will be required to be on duty at all times at
facilities of the classes listed below. The number, and the assignment,
of firefighter-guards in such cases should be determined by taking
into consideration all pertinent factors.
- Facilities of high market value which are distant from public
assistance and require an on-the-site firefighting force adequate
to hold fires in check until outside assistance can be obtained.
- Facilities of high market value which can obtain no outside
assistance and require an on-the-site firefighting force adequate
to extinguish fires.
- Facilities of high market value at which the patrolling of
large areas is necessary.
- Facilities of high market value not fenced and containing
large quantities of personal property of a nature inviting pilferage.
- Facilities of high market value at which several gates must
be kept open for operating purposes.
- Standards for All Protected Properties.
- All facilities within the range of municipal or other public
protection, but outside the geographic limits of such public
body, should be covered by advance arrangements with appropriate
authorities for police and fire protection service, at a monthly
or other service fee if necessary.
- Patrolling of all facilities with large areas to be protected
should be accomplished by use of automotive vehicles.
- At fenced facilities, a minimum number of gates should be
kept open.
- Firefighter-Guards. Firefighters and guards are the normal means
for carrying out the fire protection and security programs at excess
and surplus real properties where both such programs are required.
The duties of firefighters and guards should be combined to the
maximum extent possible in the interest of both economy and efficiency.
Such personnel would also be available in many cases for other miscellaneous
services, such as, removing grass and weeds or other fire hazards,
servicing fire extinguishers, and other activities related to general
protection of property.
- Operating Requirements of Protection Units. Firefighter-guards
or guards, should be required to make periodic rounds of facilities
requiring protection. The frequency of these rounds would be based
upon a number of factors; such as, location and size of the facility,
type of structures and physical barriers, and the amount and type
of activity at the facility. There may be instances where some form
of central station supervision, such as American District Telegraph
Company, will effect reduction in costs by reducing the number of
firefighter-guards, or guards, required to adequately protect the
premises.
- Watchman’s Clock, To insure adequate coverage of the entire
property by the guards, or firefighter-guards, and approved watchman’s
clock should be provided, with key stations strategically located
so that, in passing from one to the other, the guards will cover
all portions of the property.
- Protection Alarm Equipment. Automatic detection devices and allied
equipment and services may materially assist in minimizing protection
costs. However, use of devices of this type, like guards, are purely
secondary fire protection and are primarily a means of obtaining
fire and police protection facilities at the property in an emergency.
There are various types of devices, each of which can be considered
separately or in combination as supplementing guard patrols, which
may assist in reduction of costs and, in some instances, it may
be possible to eliminate all guards.
- Sentry Dogs. Frequently there are facilities of high market value,
or which cover large areas, or are so isolated that they invite
intrusion by curiosity seekers, hunters, vagrants, etc., which require
extra or special protection measure. This has usually been taken
care of by staffing with additional guards so that the “buddy
system” of patrolling may be used. In such cases, the use
of sentry dogs should be considered in arriving at the appropriate
method of offsetting the need for additional guards, as well as
possible reductions in personnel. If it is determined to be in the
Government’s interest to use this type of protection, advice
should be obtained as to acquisition (lease, purchase, or donation),
training, use, and care, from the nearest police department using
sentry dogs. When sentry dogs are used, the property should be clearly
posted “Warning-This Government Property Patrolled by Sentry
Dogs.”
- Maintenance Standards. The following standards or criteria are furnished
as a guide in connection with the upkeep of excess and surplus real
properties.
- Temporary Type Buildings and Structures. Temporary buildings
housing personal property which cannot be readily removed to permanent
type storage should be maintained only to the extent necessary to
protect the personal property. Vacant temporary structures should
not be maintained except in unusual circumstances.
- Permanent Type Buildings and Structures.
- No interior painting should be done. Where exterior wood
or metal surfaces require treatment to prevent serious deterioration,
spot painting only should be done when practicable.
- Carpentry and glazing should be limited to: work necessary
to close openings against weather and pilferage; making necessary
repairs to floors, roofs, and sidewalls as a protection against
further damage; shoring and bracing of structures to preclude
structural failures; and similar operations.
- Any necessary roofing and sheet metal repairs should, as
a rule, be on a patch basis.
- Masonry repairs, including brick, tile, and concrete construction,
should be undertaken only to prevent leakage or disintegration,
or to protect against imminent structural failure.
- No buildings should be heated for maintenance purposes except
in unusual circumstances.
- Mechanical and Electrical Installations. These include plumbing,
heating, ventilating, air conditioning, sprinkler systems, fire
alarm systems, electrical equipment, elevators, and similar items.
- At facilities in inactive status, maintenance of mechanical
and electrical installations should be limited to that which
is necessary to prevent or arrest serious deterioration. In
most cases, personnel should not be employed for this work except
on a temporary basis at periodic intervals when it is determined
by inspections that the work is necessary. Wherever possible
electrical systems should be deenergized, water drained from
all fixtures, heat turned off, and buildings secured against
unauthorized entry. Sprinkler systems should be drained during
freezing weather and reactivated when danger of freezing has
passed.
- At facilities in active status, such as multiple-tenancy
operations, equipment should be kept in reasonable operating
condition. Operation of equipment to furnish services to private
tenants, as well as the procurement of utility services for
distribution to tenants, should be carried on only to the extent
necessary to comply with lease or permit conditions, or in cases
where it is impracticable for tenants to obtain such services
directly from utility companies or other sources.
- At facilities where elevators and/or high-pressure boilers
and related equipment are in operation, arrangements should
be made for periodic inspections by qualified and licensed inspectors
to insure that injury to personnel, loss of life, or damage
to property does not occur.
- Individual heaters should be used, when practicable, in lieu
of operating heating plants.
- Grounds, Roads, Railroads, and Fencing.
- Maintenance of grounds should be confined largely to removal
of vegetation where necessary to avoid fire hazards and to control
poisonous and noxious plant growth in accordance with local
and State laws and regulations; plowing of fire lanes where
needed; and removal of snow from roads and other areas only
to the extent necessary to provide access for maintenance, fire
protection, and similar activities. Wherever practicable, hay
crops should be sold to the highest bidders with the purchaser
performing all labor in connection with cutting and removal.
Also, agricultural and/or grazing leases may be resorted to,
if practicable, as other means of reducing the cost of grounds
maintenance. Any such leases shall be subject to the provisions
of 101-47.203-9 or 101-47.312.
- Only that portion of the road network necessary for firetruck
and other minimum traffic should be maintained. The degree to
which such roads are to be maintained should be only that necessary
to permit safe passage at a reasonable speed.
- Railroads should not be maintained except as might be required
for protection and maintenance operations, or as required under
the provisions of a lease or permit.
- Ditches and other drainage facilities should be kept sufficiently
clear to permit surface water to run off.
- Fencing, or other physical barrier, should be kept in repair
sufficiently to afford protection against unauthorized entry.
- Utilities.
- At inactive properties, water systems, sewage disposal systems,
electrical distribution systems, etc., should be maintained
only to the extent necessary to provide the minimum services
required. Buildings or areas not requiring electrical service
or water should be deenergized electrically and the water valved
off. Utilities not in use, or which are serving dismantled or
abandoned structures, should not be maintained.
- At active properties, water supply, electrical power, and
sewage disposal facilities frequently must be operated at rates
much below designed capacities. Engineering studies should determine
the structural and operating changes necessary for maximum economy.
Where leakage is found in water distribution lines, such lines
may be valved off rather than repaired, unless necessary for
fire protection or other purposes.
- Where utilities are purchased by contract, such contracts
should be reviewed to determine if costs can be reduced by revision
of the contracts.
- Properties to be Disposed of as Salvage. No funds should be expended
for maintenance on properties where the highest and best use has
been determined to be salvage.
- Repairs. Repairs should be limited to those additions or
changes the preservation and maintenance of the property to
deter or prevent excessive, rapid, or dangerous deterioration
or obsolescence and to restore property damaged by storm, flood,
fire, accident, or earthquake only where it has been determined
that restoration is required.
- Improvements. No costs should be incurred to increase the
sales value of a property, and no costs should be incurred to
make a property disposable without the prior approval of GSA.
(See 101-47.401-5.) (29 CFR 16126, Dec. 3, 1964, as amended
at 30 CFR 11281, Aug. 2, 1965
Paperwork Reduction Act Statement
A Federal agency may not conductor sponsor, and a person is not required
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valid OMB control number. Public reporting burden forth is collection
of information is estimated to vary from 20 to 1,000 hours with an average
of 200 hours per response, including the time for reviewing instruction,
searching existing datasources, gathering and maintaining the data necessary,
and completing and reviewing the collection of information. Send comments
regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing this burden to:
Program Support Center
Reports Clearance Officer
Room 17A-08, Parklawn Building
5600 Fishers Lane
Rockville, MD 20857
OMB # 0937-0191
Exp. Date: 7/31/200X
General Services Administration
Department of Housing and Urban Development
Last
revised:
September 2, 2004
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