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This is a NEPA Compliance Checklist used to determine whether a grant or agreement proposal qualifies for a categorical exclusion under the National Environmental Policy Act (NEPA). The checklist requires applicants to identify the state, grant/agreement title, and whether the proposal is not completely covered by a categorical exclusion under 516 DM 8.5. If a categorical exclusion cannot be identified, an Environmental Assessment (EA) must be prepared before completing the remainder of the checklist.

The checklist contains twelve extraordinary circumstances items that must be evaluated to assess whether a proposal has significant adverse environmental effects. These circumstances include impacts on public health or safety, natural resources, environmental quality, historic or cultural resources, species listed or proposed for listing under the Endangered Species Act, Indian sacred sites, and the potential for introduction of noxious or invasive species. The applicant must check "Yes" or "No" for each item and provide supporting information if any extraordinary circumstances apply. If any of the twelve criteria receive a "Yes" response, an EA must be prepared. The checklist must be signed by an authorized Service Approval authority and includes a final certification statement confirming that the proposal is completely covered by the categorical exclusion as provided in 516 DM 8.5, Appendix 1, and/or 516 DM 2, Appendix 1, or that an EA will be prepared if the categorical exclusion does not apply.

NEPA Checklist 3-2185.pdf

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