Intra-Service Sec 7 Consultation.docx

Intra-Service Section 7 Biological Evaluation Form Region 3

Originating Person: Rob Simmonds Telephone Number: 612-713-5114 Date Submitted:

Project Title:

This evaluation form will be submitted by the USFWS Project Officer to the appropriate USFWS Ecological Services Office. Your assistance is requested to complete as many of the items on this form as possible because as the grant applicant, you are the most familiar with your project, project area, and potential effects on listed species. Given this is a consultation between USFWS Offices (thus an “Intra-Service Section 7”), the USFWS Project Officer/Originating Person will review (and potentially modify) any information you provide and will complete any items that you do not. To generate a threatened and endangered species list for your project area, please utilize: https://ecos.fws.gov/ipac/

I. Service Program and Geographic Area or Station Name: Fisheries

II. Project Location. Include state, county, township, section and range:

III. Species/Critical Habitat. List all federally-listed, proposed and candidate species or designated or proposed critical habitat that may occur within the project area:

IV. Project Description. Describe proposed project or action, including all conservation elements. If referencing other documents, prepare an executive summary. Include map and photos of site, if possible. Attach additional pages as needed:

V. Determination of Effects A. Description of Effects. Describe how the action(s) will affect the species and critical habitats listed in item III. This includes a full description of your rationale for the Section 7 determination made in the next section.

B. Determination. Indicate the anticipated effects of the proposed project on species and critical habitats listed in item III by marking each applicable “effect” and the species or critical habitat to which it pertains (or attach a list indicating the same).

Mark all that apply:

( ) No Effect. This determination is appropriate when the proposed project will not directly or indirectly affect (neither negatively nor beneficially) individuals of listed/proposed/candidate species or designated/proposed critical habitat of such species. No concurrence from Ecological Services Field Offices (ESFO) required.

List species/critical habitat in this determination:

· Critical habitats

( ) May Affect but Not Likely to Adversely Affect. This determination is appropriate when the proposed project is likely to cause insignificant, discountable, or wholly beneficial effects to individuals and designated critical habitat. Concurrence from ESFO required.

List species/critical habitat in this determination:

· Critical habitats

( ) May Affect and Likely to Adversely Affect. This determination is appropriate when the proposed project is likely to adversely affect individuals of listed species or designated critical habitat of such species. Concurrence from ESFO required.

List species/critical habitat in this determination:

Signature (Supervisor at originating station):

Date:

Reviewing Ecological Services Office Evaluation (check all that apply):

( ) Concurrence.

( ) Nonconcurrence.

Explanation for nonconcurrence:

( ) Formal consultation required.

List species or critical habitat unit(s):

( ) Conference required.

List species or critical habitat unit(s):

Name of Reviewing ES Office:

Signature:

Date: