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Page 1 of 10 <br />Full Environmental Assessment Form <br />Part 2 - Identification of Potential Project Impacts <br />Part 2 is to be completed by the lead agency. Part 2 is designed to help the lead agency inventory all potential resources that could <br />be affected by a proposed project or action. We recognize that the lead agency=s reviewer(s) will not necessarily be environmental <br />professionals. So, the questions are designed to walk a reviewer through the assessment process by providing a series of questions that <br />can be answered using the information found in Part 1. To further assist the lead agency in completing Part 2, the form identifies the <br />most relevant questions in Part 1 that will provide the information needed to answer the Part 2 question. When Part 2 is completed, the <br />lead agency will have identified the relevant environmental areas that may be impacted by the proposed activity. <br />If the lead agency is a state agency and the action is in any Coastal Area, complete the Coastal Assessment Form before proceeding <br />with this assessment. <br />Tips for completing Part 2: <br />Review all of the information provided in Part 1. <br />Review any application, maps, supporting materials and the Full EAF Workbook. <br />Answer each of the 18 questions in Part 2. <br />If you answer “Yes” to a numbered question, please complete all the questions that follow in that section. <br />If you answer “No” to a numbered question, move on to the next numbered question. <br />Check appropriate column to indicate the anticipated size of the impact. <br />Proposed projects that would exceed a numeric threshold contained in a question should result in the reviewing agency <br />checking the box “Moderate to large impact may occur.” <br />The reviewer is not expected to be an expert in environmental analysis. <br />If you are not sure or undecided about the size of an impact, it may help to review the sub-questions for the general <br />question and consult the workbook. <br />When answering a question consider all components of the proposed activity, that is, the Awhole action@. <br />Consider the possibility for long-term and cumulative impacts as well as direct impacts. <br />Answer the question in a reasonable manner considering the scale and context of the project. <br />1. Impact on Land <br />Proposed action may involve construction on, or physical alteration of, NO YES <br />the land surface of the proposed site. (See Part 1. D.1) <br />If “Yes”, answer questions a - j. If “No”, move on to Section 2. <br />Relevant <br />Part I <br />Question(s) <br />No, or <br />small <br />impact <br />may occur <br />Moderate <br />to large <br />impact may <br />occur <br />a. The proposed action may involve construction on land where depth to water table is <br />less than 3 feet.E2d <br />b. The proposed action may involve construction on slopes of 15% or greater.E2f <br />c. The proposed action may involve construction on land where bedrock is exposed, or <br />generally within 5 feet of existing ground surface. <br />E2a <br />d. The proposed action may involve the excavation and removal of more than 1,000 tons <br />of natural material. <br />D2a <br />e. The proposed action may involve construction that continues for more than one year <br />or in multiple phases. <br />D1e <br />f. The proposed action may result in increased erosion, whether from physical <br />disturbance or vegetation removal (including from treatment by herbicides). <br />D2e, D2q <br />g. The proposed action is, or may be, located within a Coastal Erosion hazard area.B1i <br />h. Other impacts: _______________________________________________________ <br />___________________________________________________________________ <br />"HFODZ6TF0OMZ<*GBQQMJDBCMF> <br />1SPKFDU <br />%BUF <br />✔ <br />✔ <br />✔ <br />✔ <br />✔ <br />✔ <br />✔ <br />✔