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<br />. <br /> <br />,1' . <br /> <br />" <br /> <br />[ ] [ <br />[ ] [ <br /> <br />[ ] [ <br /> <br />[ ] [ ] <br />[ ] [ I <br />[ ] [ ] <br /> <br />. <br /> <br />. <br /> <br />(iii) Potential for degradation, even though slight, of already existing poor environmental <br />conditions; <br />(iv) Employment of unproven technology with the potential adverse effects or actions involving <br />Wtique or unknown environmental risks; <br />(v) Presence of endangered or threatened species or their critical hahitat, or archaeological <br />cnltural, historical or other protected resources; <br />(vi) Presence of hazardous or toxic substances at levels which exceed Federal, state, or local <br />regulations or standards requiring action or attention; <br /> <br />(vii) Actions with the potential to affect special status areas adversely or other critical <br />resources such as wetlands, coastal zones, wildlife refuge and wilderness areas, wild <br />and scenic riven, sole or principal drinking water aquifers; <br />(viii) Potenlial for adverse effects on hea1th or safety; and <br />(ix) Potenlial to violate a federal, state, local, or tribal law or requirement imposed for the <br />. protection of the environment. <br />(x) Potential for significant cumulative impact when the proposed action is combined with <br />other past, present and rea5QIlahly foreseeal1le future actions, even though the impacts of <br />the proposed action may not be sigllifiCllnt by them elves. <br /> <br />" <br /> <br />IV. REVIEW OF PROJECT CONDITIONS & ASSURANCES <br /> <br />...........- <br /> <br />YES NO <br />ilfJ <br /> <br />[ ] [ ] <br /> <br />[ ][ I <br /> <br />Project conditions and assurances included in application. <br />If ground distUIbing activities occur during implementation, the applicant will <br />monitor excavation activity, and if any artifacts or Iwman remains are found during the excavation <br />process, all work is to cease and the applicant will notify FEMA, Grantee, and SHPO, <br /> <br />If deviations from the proposed scope of work result in substantial design changes, the need for <br />additional ground disttubance, additional removal of vegetation, or result in any other <br />unanticipated changes to the physical environment, the Grantee must contact FEMA, and a re- <br />evaluation under NEP A and other applicable environmenta1laws will be conducted by FEMA. <br /> <br />If the action is in a identified wetland or waters of the U.S., the applicant will seek and comply <br />with a 404 permit or other permit as appropriate. <br /> <br />v. OTHER COMMENTS <br /> <br />The above list of environmental statutes and Executive Orders is not ALL INCLUSIVE. Other <br />laws may apply depending upon the project application. Some of these may be: <br /> <br />SectWn 4(f) of the Dept. of TransporltJtion Act-Recreational Areal Parkland/ Protected Land <br />Section 402 of the Federal Clean Water Act-Sewage Disposal Discharge Permits <br />Section 313 of the Federal Dean Water Act-Stormwater Mgt. and Erosion Sediment Control <br />SectWn 10 of the Rivers and Harbors Act-Navigable Waters <br />cOmprehensive Environmental Response, cOmpensation and Liabillity Act-Hazardous Waste <br />EPA Underground Storage Tank Reguliltions <br />Federal Safe Drinking Water Act <br />Applicable State & Local Requirements <br /> <br />4 <br />