Attachmennt XII - NEPA Repair and Replace Doors.pdf

Cincinnati VA Medical Center – NEPA form

Project: Location: Date:

Project #:

Type of Project:

Operation and Maintenance Activities Repairs/Renovation Project New Construction Project Lease Other______________________________

Project Description:

Level of NEPA Analysis:

Categorical Exclusion (CATEX) Environmental Assessment Needed (EA) Environmental Impact Statement Needed (EIS)

Other Environmental Permits/Analysis Needed:

POTENTIAL PROJECT IMPACTS

Would the proposed activity involve or generate any of the following?

Source Yes No Source Yes No Source Yes No Air Emissions Including GHG’s Liquid Effluent RCRA or CERCLA

Sites

Asbestos Petroleum Storage Wetlands

Excess Noise Solid Waste Permit Modification

Utility Modification

Hazardous Waste

Chemical Use/Storage

Soil Disturbances Biological Resources Aesthetics

Water Treatment

Radioactive Waste

Water/Well Use

Water Flow Modification Mixed Waste Other:

DETERMINATION

I find the proposed project qualifies as a CATEGORICAL EXCLUSION with no extraordinary circumstances. Specify which CATEX:___________________________________________

I find that the proposed project MAY have a significant effect on the environment; therefore, an ENVIRONMENTAL ASSESSMENT will be prepared.

EIS

Project Engineer GEMS Program Manager

Rev. 7/2020

VA Categorical Exclusion List Found in 38 CFR Part 26.6(b)(1)

1. Repair, replacement, and new installation of primary or secondary electrical distribution systems;

2. Repair, replacement, and new installation of components such as windows, doors, roofs; and site elements such as sidewalks, patios, fences, retaining walls, curbs, water distribution lines, and sewer lines which involve work totally within VA property boundaries.;

3. Routine VA grounds and facility maintenance activities;

4. Procurement activities for goods and services for routing facility operations maintenance and support;

5. Interior construction or renovation;

6. New construction of 75,000 gross square feet or less;

7. Development of 20 acres of land or less within an existing cemetery, or development on acquired land of five acres or less;

8. Actions which involve support or ancillary appurtenances for normal operation;

9. Leases, licenses, permits, and easements;

10. Reduction in force resulting from workload adjustments, reduced personnel or funding levels, skill imbalances or other similar causes;

11. VA policies, actions and studies which do not significantly affect the quality of the human environment;

12. Preparation of regulations, directives, manuals or other guidance that implement, but do not substantially change, the regulations, directives, manuals, or other guidance of higher organizational levels or another Federal agency; and

13. Actions, activities, or programs that do not require expenditure of Federal funds.

Extraordinary Circumstances List Found in 38 CFR Part 26.6(b)(1)

1. Greater scope or size than normally experienced for a particular categorical exclusion

2. Actions in highly populated or congested areas

3. Potential for degradation, although slight, or existing poor environmental conditions

4. Use of unproven technology

5. Potential presence of an endangered species, archeological remains, or other protected resources

6. Potential presence of hazardous or toxic substances