LJYC101015-AFF 813 .pdf

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Repair Roof Building 877 Commissary
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FA5685-12-R-0011
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Air Force Form 813

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REQUEST FOR ENVIRONMENTAL IMPACT ANALYSIS Report Control Symbol

RCS:

INSTRUCTIONS: Section I to be completed by Proponent. Sections II and III to be completed by Environmental Planning Function. Continue on separate sheets as necessary. Reference appropriate item number(s).

SECTION I – PROPONENT INFORMATION

1. TO (Environmental Planning Function) 2. FROM (Proponent Organization and functional address symbol) 2a. TELEPHONE NO.

39 CES/CECV

39CES/CECEP

6-8021

3. TITLE OF PROPOSED ACTION

RPR ROOF, BLDG #877. PROJECT NO. LJYC 10-1015

4. PURPOSE AND NEED FOR ACTION (Identify decision to be made and need date)

(See attached)

5. DESCRIPTION OF ACTION AND ALTERNATIVES (DOPAA) (Provide sufficient details for evaluation of the total action)

See attached 332.

6. PROPONENT APPROVAL (Name and Grade) 6a. SIGNATURE 6b. DATE

Pinar Akyuz, Civ

20091005

SECTION II – PRELIMINARY ENVIRONMENTAL SURVEY (Check appropriate box and describe potential environmental effects including cumulative effects) (+=positive effect; 0=no effect; - = adverse effect; U=unknown effect) + 0 - U

7. AIR INSTALLATION COMPATIBLE USE ZONE/LAND USE (Noise, accident potential, encroachment, etc.) X

8. AIR QUALITY (Emissions, attainment status, state implementation plan, etc.) X

9. WATER RESOURCES (Quality, quantity, source, etc.) X

10. SAFETY AND OCCUPATIONAL HEALTH (Asbestos/radiation/chemical exposure, explosives safety quantity distance, bird/wildlife aircraft hazard, etc.) X

11. HAZARDOUS MATERIALS/WASTE (Use/storage/generation, solid waste, etc.) X

12. BIOLOGICAL RESOURCES (Wetlands/floodplains, threatened or endangered species, etc.) X

13. CULTURAL RESOURCES (Archaeological, historical, etc.) X

14. GEOLOGY AND SOILS (Topography, minerals, geothermal, Installation Restoration Program, seismicity, etc.) X

15. SOCIOECONOMIC (Employment/population projections, school and local fiscal impacts, etc.) X

16. OTHER (Potential impacts not addressed above.) x

SECTION III – ENVIRONMENTAL ANALYSIS DETERMINATION

17.

PROPOSED ACTION REQUIRES NO FURTHER ACTION

x PROPOSED ACTION QUALIFIES FOR CATEGORICAL EXCLUSION (CATEX) #___A2.3.8______; OR

PROPOSED ACTION DOES NOT QUALIFY FOR A CATEX; FURTHER ENVIRONMENTAL ANALYSIS IS REQUIRED.

18. REMARKS

1. Asbestos containing materials, Class I and Class II ODCs, lead based paints, PCBs/PCTs/PBBs and materials containing any of the EPA 17 chemicals must not be used within the scope of the project. The list of ODCs and EPA 17 compounds is attached.

2. All hazardous materials the will be used in the project must be submitted on an AF Form 3952 for authorization. The 3952 must be accompanied by MSDSs for the materials in both English and Turkish. If the materials are authorized, the completed forms and MSDSs must be submitted to the HazMat Pharmacy and the Fire Department.

3. All HazMat stored on the project site must comply with Air Force Standards. This includes secondary containment and flammable cabinets.

4. Contractor must use a tracking system for tracking and reporting HAZMAT transactions and shall submit a letter of HAZMAT usage upon the completion of the project to Environmental (39 CES/CECV). The letter shall list the HAZMAT, the individual components listed on the MSDS and the quantities used during all phases of the project.

5. All construction debris must be taken to an off base land fill. Disposal at the closed landfill on the base is not allowed. Disposal at the Roads and Grounds holding are is also not allowed.

19. ENVIRONMENTAL PLANNING FUNCTION CERTIFICATION

(Name and Grade)

Diondrae White, Chief of Environmental

19 a. SIGNATURE 19 b. DATE

10/07/2009

AF FORM 813, 19990901 (EF-V1) THIS FORM CONSOLIDATES AF FORMS 813 AND 814. PAGE OF PAGE(S)

4.0 PURPOSE AND NEED FOR ACTION

4.1 Purpose of the Action

Provide an Environmental Impact Analysis and check the project area if further study is needed. Project is programmed for FY 10.

4.2 Need for the Action

4.3 Related EISs/EAs and Other Documents

5.0 DESCRIPTION OF PROPOSED ACTION AND ALTERNATIVES

5.1 Description of the Proposed Action

See attach AF form 332.

5.2 Anticipated Environmental Issues

5.3 Design, Evaluation, and Selection Criteria

5.4 Description of Alternatives

5.4.1 No-Action Alternative

5.4.2 Proposed Action

5.4.3 Other Reasonable Action Alternatives

5.5 List of Required Permits

5.6 Recommended Level of Documentation

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