NEPA Autoclave Steam Filter Installation Signed kw tj jv.pdf

VHA CATEX form

Updated: 09/24/2013

Type of Project:

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

Level of NEPA Analysis: Other Environmental Permits/Analysis Categorical Exclusion Needed:

Environmental Assessment Needed Environmental Impact Statement Needed

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 GHGs

Liquid Effluent RCRA or CERCLA Sites

Asbestos Petroleum Storage Wetlands

Excess Noise Solid Waste Permit Modification

Utility Modification Hazardous Waste Chemical Use/Storage

Soil Disturbance Biological Resources

Aesthetics

Water Treatment Radioactive Waste Water/Well Use

Water Flow Modification

Mixed Waste Other

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

Recommended by: Date:

Approved by: Date:

Approved by: Chief, Eng. Service Date:

Project Description:

Project Manager

GEMS

Location:

Project Number:

Project:

Determination:

VABHS CATEX Form Categorical Exclusions List

*38CFR 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 sidewalk, patios, fences, retaining walls, curbs, water distribution line and sewer lines which involve work totally within VA property boundaries;

3. Routine VA grounds and facility maintenance activities;

4. Procurement and 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.

Examples of VA's Extraordinary Circumstances The following examples are illustrative of Extraordinary Circumstances where an action would typically require further NEPA evaluation (an EA or EIS).

These are not intended to be comprehensive, but they will help you to identify extraordinary circumstances when they exist.

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, archaeological remains, or other protected resources

6. Potential presence of hazardous or toxic substances

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