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Short Environmental Assessment Form Part 1 - Project Information Instructions for Completing Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part I. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part 1 - Project and Sponsor Information Five Below Name of Action or Project: Oustide Display of March Project Location (describe, and attach a location map): outside our front doors along the window Brief Description of Proposed Action: Name of Applicant or Sponsor: Telephone: 215-207-2589 Mercedes Rouse, Construction Admin Specialist E-Mail: [email protected] Address: 701 Market St. Suite 300 City/PO: State: Zip Code: Philadelphia PA I 19106 I. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES administrative rule, or regulation? Ill □ If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed action require a permit, approval or funding from any other government Agency? NO YES If Yes, list agency(s) name and pennit or approval: Ill □ 3. a. Total acreage of the site of the proposed action? 0.00115 acres b. Total acreage to be physically disturbed? Dacres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? 0.17867 acres 4. Check all land uses that occur on, are adjoining or near the proposed action: □ Urban □ Rural (non-agriculture) □ Industrial IZI Commercial D Residential (suburban) OForest □ Agriculture D Aquatic □ Other(Specify): □ Parkland Page 1 of 3 SEAF 2019