S02 NEPA Evaluation Form_ E85 tank removal OCT2023.pdf

ATTACHMENT A

COATESVILLE NEPA ASSESSMENT FORM

Project: Location:

Project #:

Type of Project: Project Description:

Operation and Maintenance Activities

Repairs/Renovation Project

New Construction Project

Lease

Other

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

Categorical Exclusion

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 Liquid RCRA or including GHGs Effluent CERCLA Sites

Asbestos Petroleum Wetlands

Storage

Excess Noise Solid Waste Permit

Modification

Utility Hazardous Chemical

Modification Waste Use/Storage

Soil Disturbance Biological Aesthetics

Resources

Water Treatment Radioactive Water/Well Use

Waste

Water Flow Mixed Waste

Modification

DETERMINATION

I find the proposed project qualifies as a CATEGORICAL EXCLUSION with no extraordinary circumstances. Specify which CATEX: _______________________

I find the proposed project MAY have a significant effect on the environment; therefore, an

ENVIRONMENTAL ASSESSMENT will be prepared

ENVIRONMENTAL IMPACT STATEMENT

Recommended by:__________________________ Project Mgr Date: ________________

Approved by: ______________________________ GEMS Date: ________________

Date:

ATTACHMENT B

ATTACHMENT C

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 sidewalks, patios, fences, retaining walls, curbs, water distribution lines, and sewer lines which involve work totally within VA property boundaries;

3. Routine VA grounds and facility maintenance activities;

4. Procurement 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.

VA Categroical Exclusions List

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

Extraordinary Circumstances

connected dispensing unit, as well as all associated appurtenances and replaces the existing Diesel and Gasoline dispensers and monitoring systems with new systems.