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ENVIRONMENTAL ASSESSMENT CHECKLIST <br />Are any of the following eight critical elements present? YES N <br />O <br /> <br />a. <br />Endangered/threatened species ~ <br />/ <br />y <br />b. Cultural resource values _~~ <br />c. Areas of critical environmental concern <br />d. Wilderness values _~~ <br />e. Roadless areas (5000 acres +) <br />f. Significant agricultural lands <br />g. Floodplain/flood hazard land <br />h. Wild and scenic rivers <br />Would this action adversely affect the following YES NO <br />two Critical elements? <br />i. Water quality _~ <br />j. Air quality _~ <br />Reviewer's Name Date <br />