A07.23_Attachment_2_Appendix_E_REC_Form.pdf

FC FORM 200-2, FEB 2015

v1.00

RECORD OF ENVIRONMENTAL CONSIDERATION (REC)

(Reference for this form is CAM Reg 200-1, The proponent of this form is DPW Environmental)

TO: DPW, Environmental Division ATTN: NEPA Program Building 871, Bastogne Ave.

Fort Campbell, KY 42223

FROM:

EIA# (FC Fm 200-1):

Attach

EIA-16-376

16-R-247

FE 16397 6J

Directorate Of Public Works Bldg. 865 Business Operations and Integration Division Attn: Mir Khan Fort Campbell, KY 42223

2016-09-26 2016-11-08 2018-11-08

Mitigate Energy Loss through Building Envelope by utilizing the Energy Loss Detection System

FY 2016

Bldgs. 867, 868, 869, 852, and 856 Yes No

Mitigate Energy Loss through Building Envelope by utilizing the Energy Loss Detection System - Perform the following Apply low-e Radiant Barrier Coating to the ceiling in Bldgs. 867 and 869.

Install 13 Ea.(Per Building) Smart windows in Bldgs 852 and 867.

Install meters, meet ventilation requirements, install 4 Ea.(Per Building) monitoring kits.

Pre. and Post Project Installation Infrared photos to be taken of all the buildings by deploying the drone(UAS).

Bldg. 868 will be the controls building for Bldgs. 867 and 869.

Bldg. 856 will be the controls building for Bldg. 852.

Note: Controls building will only have the monitoring equipment, hardware, software installed to track the progress.

The proposed action is considered categorically excluded under the provision of CX-E-4, 32 CFR part 651, Appendix B, and no extraordinary circumstances exist as defined in 651.29. However, the mitigation/minimization measures, as developed while using the attached REC checklist, must be implemented while this project is being accomplished.

REFERENCE NUMBERS:

TOTAL DISTURBED AREA:

Project Description:

TO BE COMPLETED BY NEPA PROGRAM

This REC is valid for up to 2 years from the date of the Installation Environmental Coordinator's (IEC) signature.

ATTACH DOCUMENT

(Previous Editions are Obsolete)

Reason for Using Record of Environmental Consideration

PEIS CHECKLIST ATTACHED:

PROJECT TITLE:

FY START DATE:DATE REC INITIATED: DATE FINALIZED: DATE EXPIRES:

REC# (FC Fm 200-2):

Compliance Review for Environmental Media

Environmental Program

Not Reviewed

No Issues

See Section II

Ag. Lease

Air Quality

Cultural Resources

Forestry

Hazardous Waste

Noise

Real Estate

Restoration

Solid Waste

Storage Tanks

TSCA

Water Quality

Wetlands

Wildlife

See Section III

Project#:

FC FORM 200-2, FEB 2015 Page 2 of 3

SECTION II - Environmental Compliance Requirements Any change to the footprint or scope of this project will result in a re-evaluation of its environmental impacts. The proponent is required to notify the Fort Campbell NEPA Program immediately if any modifications to the project contained within this Record of Environmental Consideration (REC) are considered. Compliance violations that result from a proponent failing to complete the required NEPA compliance or environmental compliance requirements rests solely on the proponent per 32

CFR 651.

WATER QUALITY: Repair any soil disturbance caused by the project.

TSCA: This project covers buildings or structures which contain known asbestos, lead-based paint and/or lead containing paint materials.

This project may also encounter materials that are unknown because destructive sampling methods were not used during initial inspections.

Limited, OSHA based, information is available through the TSCA Program. A walk through inspection was conducted and in accordance with the specified scope of work there will be no disturbance of known asbestos or suspect asbestos materials. Contracting actions must address these conditions and require the contractor to specify control measures IAW the FTC Technical Design Guide. In any case, coordination must be made with the Environmental Division, TSCA Program prior to disturbance of materials or demolition activities. Contact the TSCA office at 270-798-9604 or 270-798-9635. The following regulations may be applicable to this project: AR200-1, 29CFR1926, and 29CFR1910; as well as 40CFRParts 61(NESHAP reporting), & 745(LBP activity requirements). The following TN laws and regulations may also apply for LBP (1200-01-18 & 0400-13-01) & Asbestos (1200-01-03). Any change to the footprint or scope of this project will result in a re-evaluation of its environmental impacts.

Mir Khan Date: 2016-11-08

SUMMARY OF ENVIRONMENTAL COMMENTS:

This document DOES NOT relieve the proponent of compliance with all applicable Federal, State, and Local Laws and regulations. The Proponent must complete the environmental compliance requirements listed within the REC prior to initiating any action. Failure to complete required mitigation/minimization actions is a violation of NEPA and may result in environmental media area Notice of Violations.

I have read and understand the Environmental Compliance Requirements contained within SECTION II and SECTION III of the REC document.

Project Proponent: Signature:

IEC: Signature:Jeffrey J. Atkins Date: 2016-11-08

Date: 2016-11-04

(Previous Editions are Obsolete)

NEPA Program Manager:

KHAN.MIR.FASA

HAT.1187007972

Digitally signed by

KHAN.MIR.FASAHAT.1187007972

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=KHAN.MIR.FASAHAT.1187007972 Date: 2016.11.08 07:49:49 -06'00'

ATKINS.JEFFRE

Y.J.1253438831

Digitally signed by ATKINS.JEFFREY.J.1253438831 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=ATKINS.JEFFREY.J.1253438831 Date: 2016.11.08 11:44:30 -06'00'

CARR.TRUDY.

L.1252329028

Digitally signed by

CARR.TRUDY.L.1252329028

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=CARR.TRUDY.L.1252329028 Date: 2016.11.04 16:16:26 -05'00'

SECTION III- Standard Environmental Mitigation Requirements

Air Quality:

Request the proponent include the following statement in the SOW or contract language: The project, as described, requires coordination with the Air Quality program prior to construction. Fort Campbell was re-designated as an ozone attainment "maintenance" area in 2005. Section 176(c)(1) of the Clean Air Act (CAA) mandates the General Conformity Rule (GCR) analysis be completed by Fort Campbell to establish that any activity will not impede the continuation of the attainment status and ensure the action does not impede Kentucky or Tennessee air pollution control efforts in ozone “attainment maintenance areas”. The rule requires that an analysis and other procedures (if required as a result of the analysis) be completed prior to the commencement of any of the project activities. In order to make the determination, the contractor will need to acquire the General Conformity Rule Checklist from the Air Quality Program. The checklist concerns equipment types, hours of operation, number of personnel, etc. and is used to calculate estimated emissions. Please contact the Air Quality office at (270) 798-9598 for the checklist or with any questions.

Hazardous Materials:

No further action required as long as the following paragraphs are present in the Project Performance Work Statement (PWS):The Emergency Planning and Community Right-To-Know Act (EPCRA) require that site specific information concerning hazardous chemicals use and releases be provided. A hazardous material as per 29 CFR 1910.1200 is any substance which is a physical or health hazard. The Contractor is required to maintain an inventory of hazardous materials and associated MSDS sheets using the attached FTCKY Hazmat Inventory Form. This inventory shall be provided on a separate submittal sheet to the Contracting Officer at least 10 working days before the hazardous materials are brought on to the installation. Note: If no hazardous material IAW 29 CFR

1910.1200 is to be brought onto the installation note such on the inventory form and submit the form.

Questions in reference to the EPCRA can be directed to the Pollution Prevention Branch, Environmental Division, telephone 270-798-9771.

Hazardous Waste:

No further action required as long as the following paragraph is present in the Project Performance Work Statement (PWS): No liquids or hazardous waste created or used during construction of the facility shall be deposited in the landfill. Disposal of such waste shall be done in accordance with environmental regulations. Manifests for disposal must be coordinated through the DPW Environmental Division. If any fluorescent tubes or electrical ballasts are removed during renovation/demolition, they must be recycled by an approved facility. Any hazardous waste generated during renovation is the sole responsibility of the contractors in regard to regulatory storage and disposal requirements. All hazardous wastes generated during this contract must also be manifested off post. The manifest shall be submitted for review and signature prior to transporting any materials off the installation.

Solid Waste:

All Wastes & Recyclables generated from Construction and Demolition projects on Fort Campbell remains the property of the federal government until properly disposed of in an approved manner. The management of C&D waste/recyclables must be in compliance with the ACSIM policy “Sustainable Management of Waste in Military Construction, Renovation, and Demolition Activities”, dated Feb. 6, 2006 and Fort Campbell policy. A Construction and Demolition (C&D) Waste Management Plan is required. An approved C & D Waste Management Plan is required for all projects prior to beginning the projects. Contractors must have a Contracting Officer approved Waste Management Plan in hand prior to placing waste/recycling containers on the job site. NOTE: Waste Management guidance can be found in the Installation Technical Design Guide Sections: 02 41 00; 2.1.5 and Appendix A-7. No wastes or recyclables shall be disposed of at off-installation sites without prior approval of the Waste Management Plan by the contracting officer. No salvageable material. Waste must be taken to Woodlawn Landfill.

FC FORM 200-2, FEB 2015 (Previous Editions are Obsolete) Page 3 of 3