WA ST Dept of Commerce 10/15/2021

STATE OF WASHINGTON JUSTICE ASSISTANCE GRANT DEPARTMENT OF COMMERCE FORM 4 NATIONAL ENVIRONMENTAL POLICY ACT (NEPA) The following information is required from each federal grant recipient. The Department of Commerce will consolidate all responses and submit a consolidated response to the U.S. Department of Justice as required. Please check one of the blanks to the left of each item below to indicate whether or not the activity described is being undertaken to support or facilitate the federally funded activity by the grant recipient or any other party. (Note—the source of funds utilized is irrelevant to your response.) (Note—if the activity is being undertaken without regard to the presence or operation of a federally funded activity, the item should not be checked.) Yes Activity N/A 1. New Construction 2. Minor renovation or remodeling of a property either: n I I a. listed or eligible for listing on the National Register of Historical Places ❑ I I b. located within a 100-year flood plain 3. Renovation, lease, or any proposed use of a building or facility that will either: I I a. result in a change in its basic prior use (between industrial, office, residential, etc.) b. significantly changes its size (total structure, not program's portion thereof) 4. Implementation of a new program involving use of chemicals other than: I I a. chemicals purchased as an incidental component of the funded activity ❑ ❑ b. traditionally used(e.g., for office, household, recreational, educational environments) If any item above is checked, a clarification of the activity may be requested. Response is made related to the following Byrne funded program/project: Project: — Signature: Date: Typed Name: Title: Representing: 13