Environmental Checklist
Environmental Checklist
Environmental Checklist
Requires Modification
Needs Mitigation
Potentially Beneficial
No Impact Anticipated
IMPACT CATEGORIES
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)
Requires Modification
Needs Mitigation
Potentially Beneficial
No Impact Anticipated
IMPACT CATEGORIES
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)
Requires Modification
Needs Mitigation
Potentially Beneficial
No Impact Anticipated
IMPACT CATEGORIES
SOURCE OF DOCUMENTATION
(Note date of contact or page reference).
Additional material may be attached.
IV-I-3
(Revised 4/01)
Requires Modification
Needs Mitigation
Potentially Beneficial
No Impact Anticipated
IMPACT CATEGORIES
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)
IV-I-5
(Revised 4/01)
1.
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)