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<br />. " .. <br /> <br />YES NO N/A <br />[][][ ] <br />[ ] [ ] [ ] <br />[][][ ] <br /> <br />. <br /> <br />. <br /> <br />WILD AND SCENIC RIVERS ACT - EOC <br />Is project located along or impact a designated wild and scenic river? <br />Was consultation conducted? <br />Comments attached? <br /> <br />Administerine Aeencv: Dept. of the Interior through the National Pm Service, Bureau of Land <br />Management and U.S. Fish and WUdlife Service. A1so the Dept. of Agriculture through the U.S. Forest <br />Service within their jurisdiction. <br /> <br />YES NO N/A <br />[][][ ] <br />[ ][][.] <br />[ ] [ ] [ ] <br /> <br />WILDERNESSACT-EOC <br />Is the project located in a designated wilderness or coastal wildlife area? <br />Was consultation conducted? <br />Comments attached? <br /> <br />Administerine Aeencv: Dept. of the Interior through the National Pari< Service, Bureau of Land <br />Management, and U.s. Fish & WUdlife Service <br /> <br />YES NO N/A <br />[][][ ] <br />[][][ ] <br />[][][ ] <br />[][][] <br /> <br />." <br /> <br />......--- <br /> <br />FARMLANDS PROTECTION POLICY ACT <br />Is the project located in designated prime & unique farmlands? <br />Any unnecessary or irreversible conversion of prime & unique farmlands? <br />Was consultation with SCS conducted? <br />Comments attached? <br /> <br />'" <br /> <br />Administerine Aeencv: Dept. of Agriculture through the Natura! Resources Con5enoation Service <br /> <br />YES NO N/A <br />[ ] [X] [X] <br /> <br />YES NO N/A <br />[ ] [Xl [X] <br /> <br />COASTAL ZONE MANAGEMENT ACT - EOC <br />Project impacts coastal zone? <br /> <br />COASTAL BARRIERS RESOURCES ACT - EOC <br />Project promotes development in the coastal zone? <br /> <br />YES NO r!{A CLEAN AIR ACT <br />[ ] [ ] [] Will the project result in pennantmt air emissions? .- <br />[ ] [ ] [ ] Was consultation conducted? <br />[ ] [ ] [] Comments attached? <br /> <br />I Administerine Alrencv: U.S. Environmental Protection Agency <br /> <br />CLEAN WATER ACT (See. 404), , <br />Will the project dredging or disposal of dredged material, or excavation, <br />filling or other modifications to the waters of the U.S.? <br />Will the project result in piers, wharves, breakwaters, bulkheads, jetties, <br />weirs, transmissions lines or bank stabilization in waters of the U.S.? <br />NOTE: "WATERS" includes waters subject to ebb and flow of tide; wetlands; lakes, rivers, streams, mudflats, <br />sloughs, prnirie potholes, wet meadows, playa lakes, natuIal ponds, impoundments, tributaries, territorial seas, and <br />wetlands adjacent to waters previously identifies. <br />[ ] [ ] [] Was consultation cQnducted with the USACE. <br />[ ] [ ] [] Comments or permit attached? <br />[ ] [ ] [] Does NATIONWIDE PERMIT apply? <br /> <br />YES NO N/A <br />[][][] <br />[][][ ] <br /> <br />2 <br />