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ENVIRONMENTAL EVALUATION CHECKLIST <br />Refuges and Wildlife <br />Region 6 <br />Proposed Action: <br />Submitted by: <br />(Field Station) <br />EFFECTS <br />Short Long <br />Term Term Magnitude <br />Wetlands <br />Uplands <br />T & E and Candidate Species <br />Other Wildlife <br />Cultural Resources <br />Water Quality <br />Water Quantity <br />(conserve=+ deplete=-) <br />Air Quality <br />Socio-Economic <br />Controversial <br />Cumulative <br />Y=Yes; N=No; +=Beneficial; -=Detrimental; O=None <br />NEPA Compliance Decision <br />• <br />• <br />Action is categorically excluded from NEPA documentation <br />Start environmental assessment (EA) 40 <br />By <br />Project Leader Date