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FA8650-19-S-5010

Appendix VII

As of 09 December 2019

DEFENSE PRODUCTION ACT (DPA) TITLE III

RARE EARTH ELEMENT (REE) SEPARATION AND PROCESSING FACILITY

APPENDIX VII: ENVIRONMENTAL QUESTIONNAIRE AND DOCUMENTATION

Offerors must respond to all questions in Section A of this Appendix. Information submitted in this form should cover all relevant work proposed. There is no page limit for responses to this Appendix Item.

Technical proposals shall include the responses to the below as an attachment. The Environmental Questionnaire and Documentation does not count towards page limitations.

A. GENERAL INFORMATION

1. Summarize, in 120 words or less, the intended use of Government funding in your proposed work.

2. Does any part of your proposed work require assessment or permitting by any federal, state, or local environmental agencies? If yes, please describe.

3. Have any assessments been completed by environmental agencies for your proposed work? If yes, offerors must complete Sections B – D of this Appendix and provide all applicable documentation as a part of this Appendix Item in your proposal.

B. SURVEY

Check the appropriate box that indicates the documented environmental effects, including cumulative effects that your proposed work will have on each of the areas.

+ = positive effect; 0 = no effect; - = adverse effect; U = unknown + 0 - U AIR INSTALLATION COMPATIBLE USE ZONE/LAND USE (Noise, accident potential, encroachment, etc.)

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

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

SAFETY AND OCCUPATION HEALTH (Asbestos/radiation/chemical exposure, explosives safety quantity-distance, etc.)

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

BIOLOGICAL RESOURCES (Wetlands/floodplains, flora, fauna, etc.)

CULTURAL RESOURCES (Native American burial sites, archaeological, historical, etc.)

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

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

OTHER (Potential impacts not addressed above.)

C. GENERAL INFORMATION

1. For all answers in Section B where an adverse (-) effect is indicated, please detail why this determination was made. Include the impacts, the findings, and the actions proposed or pursued to address the adverse effects on the environment.

D. ADDITIONAL CONSIDERATIONS

1. Please indicate in Section C if any of the following conditions or special areas is present, required, or could be affected by your proposed work.

a. Clearing or Excavation (indicate if greater than 1 acre)

b. Dredge and/or Fill. Specify the number of acres.

c. New or Modified Federal/State Permits and/or Requests for Exemptions

d. Pre-Existing Contamination

e. Asbestos

f. Criteria Pollutants

g. Non-Attainment Areas

h. Class I Air Quality Control Region

i. Navigable Air Space

j. Areas with Special Designation (e.g., National Forests, Parks, Trails)

k. Prime, Unique or Important Farmland

l. Archeological/Cultural Resources

m. Threatened/Endangered Species and/or Critical Habitat

n. Other Protected Species (Wild Burros, Migratory Birds)

o. Floodplains

p. Special Sources of Groundwater (e.g., Sole Source Aquifer)

q. Underground Extraction/Injection (non-hazardous substances)

r. Wetlands

s. Coastal Zones

t. Public Issues or Concerns

u. Noise

v. Depletion of a Non-Renewable Resource

w. Aesthetics

x. Odor

2. Please indicate in Section C if your proposed work will use, disturb, or produce any of the following chemicals or biological substances (i.e.

solvents, pesticides, industrial process, fuels, lubricants, bacteria).

i. Polychlorinated Biphenyls (PCBs)

ii. Import, Manufacture, or Processing of Toxic Substances

iii. Chemical Storage, Use, and Disposal

iv. Pesticide Use

v. Hazardous, Toxic, or Criteria Pollutant Air Emissions

vi. Liquid Effluent

vii. Underground Extraction/Injection (hazardous substances)

viii. Hazardous Waste

ix. Underground Storage Tanks

x. Biological Materials. Indicate if genetically modified organisms (GMOs) or materials are involved.

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