Attachment 5 and 6 - Doc Potential Impacts and Environmental Checklist.pdf

Section J

DOCUMENTATION OF POTENTIAL ENVIRONMENTAL IMPACTS

AND CERTIFICATION OF COMPLIANCE

Activities which are implemented, in whole or in part, with Federal funds must comply with applicable statutes and regulations established to protect the human and physical environment. Such statutes often include, but are not limited to, the National Environmental Policy Act (NEPA), the Clean Air Act, the Clean Water Act, the Safe Drinking Water Act, the Endangered Species Act, the National Historical Preservation Act, the Archeological Resource Protection Act, Native American Graves Protection and Repatriation Act, and other applicable environmental and cultural laws, regulations and requirements.

A completed Environmental Checklist must be submitted with all proposals. This document will be evaluated to determine whether any additional environmental analysis is necessary in accordance with NEPA. As an example, an Environmental Assessment (EA) or an Environmental Impact Statement (EIS) may be required if your proposal involves new construction, substantial modification to an existing structure, construction near a National Historic Site, in a flood plain, on or near critical habitat for endangered species, etc. Other proposals may also require an EA or additional documentation following review of your submitted checklist by the Federal Bureau of Prisons.

Please fill out the attached Environmental Checklist and provide certification, by signing below, that applicable environmental laws and regulations have and will continue to be complied with, and that the information provided in the Environmental Checklist, and, if applicable, other documentation that is provided, is complete and accurate. Failure to accurately complete the environmental checklist may result in your proposal being removed from the competitive range.

Name of Certifying Official Date (Authorized Negotiator)

ENVIRONMENTAL CHECKLIST - FEDERAL BUREAU OF PRISONS

COMMUNITY CORRECTIONS PROGRAM

PURPOSE: This checklist has been prepared and is supplied to potential bidders to assist in the evaluation of proposed actions. Use of the checklist by potential participants in the development of proposals is required as a means of complying with NEPA, comparing alternatives, identifying potential environmental issues early in the process and taking steps to avoid the potential for impacts. Submissions of the completed checklist is mandatory.

OFFEROR:__________________________________________________________________

SUMMARY DESCRIPTION OF THE PROPOSED PROJECT, (i.e., Facility, number of beds, etc.: ________________________________________________________________________

SITE LOCATION:

Site Address: ___________________________________________________________

City, County, State, Zip Code: _____________________________________________ Block/Lot Number: ______________________________________________________ Land Area (Acres): ______________________________________________________

DETAILED DESCRIPTION OF THE PROJECT AND SCOPE OF WORK: (Including, but not limited to, a description of the physical surroundings [residential, rural, business district]; whether it is an existing or new structure, size of the existing or proposed facility (square footage, # of floors, whether it has a parking lot); if it is a new facility, a detailed description of the layout of the facility; if construction is required to modify, rehabilitate or adapt it, a drawing or photograph of the facility/proposed facility, floor diagrams, etc. If additional space is needed, please attach any additional pages, diagrams, photographs, etc. that will fully answer this question)

COMMUNITY CORRECTIONS PROGRAM

PART A.

1. EXTENT OF NEW CONSTRUCTION, RENOVATION AND/OR SITE

DEVELOPMENT

1.1 Does your proposal include any: Yes No

New Construction? G G Renovations/Rehabilitation of an existing facility? G G Additions to an existing facility? G G Site development? G G

If you answered yes to any of the above questions, please describe in detail below or attach additional pages, diagrams, drawings etc. necessary to explain what your proposal involves so that someone who is unfamiliar with your proposal and this site will be able to understand it. If permits or variances are required, please identify what those are (or will be):

1.2 Do you anticipate that your proposal has a potential for impacting the environment either on or near your proposed site?

Yes No

Water Quality G G Are there any creeks, streams, ponds, lakes, rivers, G G etc., on or adjacent to your property?

Is Potable Water available to the site G G Air Quality? G G Will it require the removal or treatment of

COMMUNITY CORRECTIONS PROGRAM

Asbestos/Lead? G G Hazardous Materials? G G Hazardous Waste? G G Will there be sewage hookup for wastewater? G G Will it use or impact a Septic Tank/Field? G G Solid Waste? G G Historical or Cultural Resources within a ½ mile radius? G G Will it have above Ground or Underground

Storage Tanks? G G Wetlands? G G Will it be in a flood plain? G G Endangered Species or their Critical Habitat? G G Is any part of your proposed facility more than 50 years old or adjacent to buildings or structures which are 50 years or older? G G

1.3. Describe the zoning for the proposed site and whether it or other applicable laws, ordinances, regulations, etc. currently permit use of this site as a halfway house. Please identify the applicable law, ordinance, regulation, etc. which describes the authorized uses at the proposed site and attach a copy of the relevant section. ________________________________

Yes, it is a permitted use: G No, it is not currently a permitted use: G

1.4. Please identify below or, if necessary, attach additional pages, maps, diagrams, etc.

which show all public uses of land within a ½ mile radius of your proposed site. Such uses shall include, but will not be limited to: public or private schools; pre-school or after-school, or day care facilities; churches; hospitals; parks; libraries; museums; historical sites or markers, historical districts, archaeological or cultural sites; etc.

IF YOU ANSWERED “YES” TO ANY PORTION OF QUESTIONS 1.2 YOUR

PROPOSAL WILL REQUIRE COMPLETION OF PART B

COMMUNITY CORRECTIONS PROGRAM

Part B.

1. POTENTIAL IMPACTS ON STRUCTURES/CULTURAL RESOURCES/ NATURAL

RESOURCES (Attach additional pages, maps, photographs, diagrams, etc. as necessary to adequately describe the situation.) For each question which you answered yes to in question 1.2 please describe in detail what impact your proposed project may have.