Loading...
NEPA Checklist TemplateENVIRONMENTAL ASSESSMENT CHECKLIST P. 1 Project Name and Identification No. Yelm Senior Multipurpose Center 1 2 3 4 5 6 7   Impact Categories No Impact Anticipated Potentially Beneficial Potentially Adverse Requires Documentation Only Potentially Adverse Requires More Study Needs Mitigation Requires Project Modification  Source or Documentation (Note date of contract or page reference) Addititional material may be attached.  Land Development         Conformance with Comprehensive Plans and Zoning         Compatibility and Urban Impact         Slope         Erosion         Soil Suitability         Hazards and Nuisances, including Site Safety         Energy Consumption         Noise         Effect of Ambient Noise on Project and Contribution to Community Noise Level         Air Quality         Effects of Ambient Air Quality on Project and Contribution to Community Pollution Levels         Environmental Design and Historic Values         Visual Quality--Coherence, Diversity, Compatible Use, and Scale         Historic, Cultural, and Archeological Resources          ENVIRONMENTAL ASSESSMENT CHECKLIST P. 2 Project Name and Identification No. Yelm Senior Multipurpose Center 1 2 3 4 5 6 7   Impact Categories No Impact Anticipated Potentially Beneficial Potentially Adverse Requires Documentation Only Potentially Adverse Requires More Study Needs Mitigation Requires Project Modification  Source or Documentation (Note date of contract or page reference) Addititional material may be attached.  Socioeconomic         Demographic/Character Changes         Displacement         Employment and Income Patterns         Community Facilities and Services      Educational Facilities         Commercial Facilities         Health Care         Social Services         Solid Waste         Waste Water         Storm Water         Water Supply          ENVIRONMENTAL ASSESSMENT CHECKLIST P. 3 Project Name and Identification No. Yelm Senior Multipurpose Center 1 2 3 4 5 6 7   Impact Categories No Impact Anticipated Potentially Beneficial Potentially Adverse Requires Documentation Only Potentially Adverse Requires More Study Needs Mitigation Requires Project Modification  Source or Documentation (Note date of contract or page reference) Addititional material may be attached.  Community Facilities and Services (Continued)   Public Safety: Police         Public Safety: Fire Protection         Public Safety: Emergency Medical         Open Space         Recreation         Cultural Facilities         Transportation         Natural Features         Water Resources         Surface Water         Floodplains         Wetlands         Coastal Zone         Unique Natural Features and Agricultural Lands         Vegetation and Wildlife          Environmental Assessment Checklist P. 4 Project Name and Identification No. Yelm Senior Multipurpose Center Summary of Findings and Conclusions: Summary of Environmental Conditions: Project Modifications and Alternatives Considered: Additional Studies Performed: (Attach study or summary) Mitigation Measures Needed: