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Environmental Checklist

This document is an environmental assessment checklist for a proposed project. It evaluates the project's potential impacts across multiple categories related to land development, noise, air quality, environmental design, socioeconomics, community facilities and services, natural resources, and environmental justice. For each impact category, it indicates whether the project would have no impact, a potentially beneficial impact, require documentation of a potentially adverse impact, require further study of a potentially adverse impact, need mitigation for an impact, or require modification. The checklist requires summaries of findings, environmental conditions, any considered modifications or alternatives, additional studies performed, and needed mitigation measures. It also requires confirmation that the project complies with applicable laws and regulations and whether an environmental impact statement is

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1K views6 pages

Environmental Checklist

This document is an environmental assessment checklist for a proposed project. It evaluates the project's potential impacts across multiple categories related to land development, noise, air quality, environmental design, socioeconomics, community facilities and services, natural resources, and environmental justice. For each impact category, it indicates whether the project would have no impact, a potentially beneficial impact, require documentation of a potentially adverse impact, require further study of a potentially adverse impact, need mitigation for an impact, or require modification. The checklist requires summaries of findings, environmental conditions, any considered modifications or alternatives, additional studies performed, and needed mitigation measures. It also requires confirmation that the project complies with applicable laws and regulations and whether an environmental impact statement is

Uploaded by

boopathi.n
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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EXHIBIT IV-I

ENVIRONMENTAL ASSESSMENT CHECKLIST

Requires Modification

Needs Mitigation

Potentially Adverse Requires


More Study

Potentially Beneficial

No Impact Anticipated

IMPACT CATEGORIES

Potentially Adverse Requires


Documentation

Project Name & Identification No.:

SOURCE OF DOCUMENTATION
(Note date of contact or page reference).
Additional material may be attached.

Land Development
Conformance with
Comprehensive Plans &
Zoning
Compatibility & Urban
Impact
Slope
Erosion
Soil Suitability
Hazards & Nuisances,
Including Site Safety
(See Exhibit IV-J-2)
Energy Consumption

Noise
Effects of Ambient Noise
on Project &
Contribution to
Community Noise Levels
(See Exhibit IV-J-3)

IV-I-1
(Revised 4/01)

EXHIBIT IV-I, Cont.


ENVIRONMENTAL ASSESSMENT CHECKLIST

Requires Modification

Needs Mitigation

Potentially Adverse Requires


More Study

Potentially Beneficial

No Impact Anticipated

IMPACT CATEGORIES

Potentially Adverse Requires


Documentation

Project Name & Identification No.:

SOURCE OF DOCUMENTATION
(Note date of contact or page reference).
Additional material may be attached.

Air Quality
Effects of Ambient Air
Quality on Project &
Contribution to
Community Pollution
(See Exhibit IV-C-5)
Environmental Design & Historic Values
Visual QualityCoherence, Diversity,
Compatible Use, &
Scale
Historical, Cultural, &
Archaeological
Resources
(See Exhibit IV-C-1)
Socioeconomic
Demographic /
Character Changes
Displacement
Employment & Income
Patterns
Community Facilities & Services
Educational Facilities
Commercial Facilities
Health Care
Social Services

IV-I-2
(Revised 4/01)

EXHIBIT IV-I, Cont.


ENVIRONMENTAL ASSESSMENT CHECKLIST

Requires Modification

Needs Mitigation

Potentially Adverse Requires


More Study

Potentially Beneficial

No Impact Anticipated

IMPACT CATEGORIES

Potentially Adverse Requires


Documentation

Project Name & Identification No.:

SOURCE OF DOCUMENTATION
(Note date of contact or page reference).
Additional material may be attached.

Community Facilities & Services (Continued)


Solid Waste
Waste Water
Storm Water
Water Supply
Public Safety - Police

Public Safety - Fire


Public Safety Emergency Medical
Open Space
Recreation
Cultural Facilities
Transportation

IV-I-3
(Revised 4/01)

EXHIBIT IV-I, Cont.


ENVIRONMENTAL ASSESSMENT CHECKLIST

Requires Modification

Needs Mitigation

Potentially Adverse Requires


More Study

Potentially Beneficial

No Impact Anticipated

IMPACT CATEGORIES

Potentially Adverse Requires


Documentation

Project Name & Identification No.:

SOURCE OF DOCUMENTATION
(Note date of contact or page reference).
Additional material may be attached.

Natural Resources
Water Resources
Surface Water
Floodplain
(See Exhibit IV-C-2)
Wetlands
(See Exhibit IV-C-2)
Unique Natural
Features & Agricultural
Lands
(Exhibit IV-C-6)
Vegetation & Wildlife
(See Exhibit IV-C-4)
Environmental Justice

IV-I-4
(Revised 4/01)

EXHIBIT IV-I, Cont.


ENVIRONMENTAL ASSESSMENT CHECKLIST
Continued - Page 5

Summary of Findings and Conclusions:

Summary of Environmental Conditions:

Project Modifications and Alternatives Considered:

IV-I-5
(Revised 4/01)

EXHIBIT IV-I, Cont.


ENVIRONMENTAL ASSESSMENT CHECKLIST
Continued - Page 6

Additional Studies Performed (Attach Study or Summary):

Mitigation Measures Needed:

1.

Is the project in compliance with applicable laws and regulations?

2.

A Finding of No Significant Impact can be made. Project will not significantly affect the quality of the
human environment.
Yes
No

3.

Is an EIS required?

Yes

Yes

No

No

________________________________________
Prepared by

_________________________________________________
Certifying Official: (Include Title)

_______________________
Date

IV-I-6
(Revised 4/01)

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