Local Government NEPA Study Checklist

Project ______

Introduction. The purpose of this checklist is to ensure that a consistent level of information is provided to the Planning & Research Division Environmental Studies Branch for the initiation of NEPA studies. This is intended to expedite the field review of proposed projects, minimize requests for additional information, and reduce the incidence of repeated field investigations or followup interagency consultation. This checklist will be completed by the NEPA Coordinator in Planning & Research Division upon receipt of environmental clearance requests. The Coordinator will simply check if the information has been provided, not enter data on this form. While not required, it is recommended that the originating Division/unit review this checklist prior to submission of study requests to Planning & Research Division to minimize delays in the NEPA process. Study requests which do not contain ALL the information or attachments identified on this checklist will be returned, with an explanation of what is needed before NEPA clearance can begin. The effective start date for the NEPA process is when all required information has been received by the Planning & Research Division.

I. Project Information The following information must be present:

____ Federal or SAP Project #____ State J/P#_____County(s)

____State Highway# or County Road#

II. Description of Existing facility (Roadway) If a roadway project, project description or plans must include the following:

___ # lanes____Shoulders/type____Functional classification ____ Present ADT

III. Description of Existing facility (Bridge) If a bridge project, project description or plans must include the following:

___NBIS#___Location#____ Structure type____Existing roadway type/lanes

___ Sufficiency rating___ Date built____Name of water body or facility crossed (RR, etc)

IV Proposed Work The following must be indicated (Check all that apply)

___ Roadway Capacity Expansion ___ Auxiliary lanes___Add/improve shoulders

___ Overlay___Signalization___ BR replacement ___BR rehab

___New/temporary R/W required

V. Type of Detour The following must be indicated (Check one)

___None, road closed

___ Road closed, traffic detoured on existing roads (alternate detour routes must be identified on maps or plans)

___ shoofly requiring permanent or temporary new R/W

___ keep existing facility open within existing R/W

VI. Location Map

___Section of County Map, Plan cover sheet, or equivalent showing location of project with respect to identified county roads, towns, features, and legal locations (township, range, sections)

VII. Detailed Project Footprint Map (Can be one of the following):

___Set of preliminary or P-I-H plan/profile sheets showing existing facility and proposed improvements, proposed new R/W, and any temporary R/W expected for shoofly detours or channel work..

Effective 4/3/06

___ Preliminary study area based on reasonable estimate of proposed/anticipated new/temporary R/W. Must include a project study footprint drawn to scale on a suitably enlarged USGS 7.5 minute quadrangle or a study footprint shown to scale on an excellent-quality aerial photograph. Scale and quality must be adequate to allow field personnel to easily correlate the project area to existing facility, adjacent landforms and structures. If the study footprint is significantly larger than the actual final impact area for the selected construction alternative, it is likely additional field visits or interagency consultation will be necessary to develop an accurate assessment of project impacts. For some issues, preliminary design/R/W plans will be necessary to determine effects and will be requested as soon as this becomes apparent.

___ No footprint map required. Project is a simple pavement overlay or bridge rehabilitation entirely within the existing R/W and constructed footprint of the existing facility. No widening or reconstruction on areas outside of the present road surface is anticipated.

VIII. Copy of Engineering Survey Request or Survey Report (only required for projects entailing additional new or temporary R/W)

___ Attached

IX. Relocations/Structure removals (check one)

___ Project will require relocations/demolitions of adjacent structures (show on attached map or plans)

___ Project will not require relocations/demolitions

X. Public Involvement (check one and attach required correspondence)

___ For rural County projects, attach a letter from the County Commissioners that all property owners in the study area have been notified of the proposed project and are aware that ODOT specialists will be accessing their property to perform follow up studies

___ For urban capacity expansion projects which would normally require a public meeting or notice, attach a letter indicating the Local Authority has already, or intends to, conduct a public involvement program.

XI. Noise (check if project is in an urban/suburban area and involves capacity expansion)

___ Current and future design traffic data is provided

XII. Section 4(f) and 6(f) Properties

___ None known in area

___ Yes. If any known public parks, recreation areas, and wildlife/waterfowl refuges are present, show on attached quads or aerials

XIII. Floodplains

___The project is NOT in a 100-year floodplain

___The project is in a 100-year floodplain

Comments (If submission is incomplete, please return to originating Division/unit. If appropriate, provide a detailed explanation below):

______

Environmental Review cannot begin until all necessary information is provided.

______

NEPA CoordinatorDate Additional info requested

______

Date Accepted and NEPA Initiated

Effective 4/3/06