This page presents a template for an Environmental Assessment Evaluation Sheet.
NOTE: To Print, set margins to 0.5" on the left and right sides.
Project Title:___________________________________________________________
Reviewer: _______________ Date received:_______ Date reviewed: ________
| Adequate | Inadequate | List Items |
|---|---|---|
| _______ | _______ | 1. Title - Disaster, Program, Location |
| _______ | _______ | 2. Purpose and Need: |
| _______ | _______ | Need - Description of project area problems |
| _______ | _______ | Goals for taking action (not focused on proposed project) |
| _______ | _______ | 3. Proposed Action and Alternatives: |
| _______ | _______ | Enough alternatives |
| _______ | _______ | All alternatives feasible |
| _______ | _______ | Level of detail: |
| _______ | _______ | --All components of full scope of action (clearly described, site maps/plans, etc.) |
| _______ | _______ | --Details (amounts, sizes, acres, locations, etc.) |
| _______ | _______ | --Construction/Implementation (equipment, methods/timing) |
| _______ | _______ | No Action Description |
| _______ | _______ | Alternatives Considered but Dismissed |
| _______ | _______ | 4. Affected Environment Impacts of Proposed Action and Alternatives |
| _______ | _______ | No action, proposed action, and alternatives clearly identified |
| _______ | _______ | Affected environment description incorporated |
| _______ | _______ | Impacts of no action, proposed, and alternatives evaluated |
| _______ | _______ | --Level of analysis |
| _______ | _______ | --Information distinguishes differences between impacts of alternatives. |
| _______ | _______ | Analysis, discussion, and citation of authority/reference for: |
| _______ | _______ | --E.O. 12898 (Low Income & Minority) (required) |
| _______ | _______ | --E.O. 11988 (Floodplains) and 11990 (Wetlands) |
| _______ | _______ | --Geology (hazards, resources) |
| _______ | _______ | --Soils (erodability, hydric, load bearing capacity, Prime) |
| _______ | _______ | --Special Land/Natural Features |
| _______ | _______ | --Water Resources (surface and ground) |
| _______ | _______ | --Biotic Resources (plants, fish, wildlife, T&E species, habitat) |
| _______ | _______ | --Climate and Air Quality (dust, odor, humidity, temp.) |
| _______ | _______ | --Cultural (Historic and Archeological) Resources |
| _______ | _______ | --Socioeconomics (neighborhoods, businesses, politics, zoning and |
| _______ | _______ | --Visual Resources |
| _______ | _______ | --Solid Waste and Hazardous/Toxic Materials |
| _______ | _______ | Complete consultation from: |
| _______ | _______ | --USACE (CWA § 404 Wetlands, RHA § 10 Waterways) |
| _______ | _______ | --USFWS and/or NMFS (FWCA § 7; ESA T&E Species) |
| _______ | _______ | --SHPO (NHPA § 106 Cultural Resources) |
| _______ | _______ | --Federal, State, or local agencies, as required, for other resource issues (e.g.,stormwater management, water quality, Prime other farmlands) |
| _______ | _______ | 5. Mitigation measures |
| _______ | _______ | Described in project or alternative description |
| _______ | _______ | Clear description and rationale related to impacts |
| _______ | _______ | Measures required to mitigate below significance identified |
| _______ | _______ | 6. EA should not: |
| _______ | _______ | Eliminate alternatives |
| _______ | _______ | Indicate selection of an action |
| _______ | _______ | 7. Appropriate level of public notice/involvement (EA addresses public comments) |
| _______ | _______ | 8. Attachments and Appendices |
| _______ | _______ | 9. Other Areas Adequate? |
Last Updated:
04/22/2015 - 14:23