Arizona Department of Transportation/Arizona State Parks · Office or Tribal Historic Preservation...

ArizonaDepartmentofTransportation/ArizonaStateParks

CategoricalExclusion–CEChecklistForProjectsPreparedUnder23CFR771.117(c)(23)

FortheRecreationalTrailsProgram

ADOT Environmental Planning 041216

I. ProjectIdentification:

ProjectName:DenaliTrail

Federal-AidNumber:(XXX)

StateParksProjectNumber:(XXX)

STIP/TIPIDNumber:(XXX)

ProjectSponsor:DenaliPreservationSociety

SponsorMatchSource:(XXX)

ProjectCost:$(XXX)

RTPProjectCategory: Educational/SafetyorAdministration

IfthisboxischeckedthenSectionIVdoesnotneedtobeevaluatedandtheCEcanbeapproved.

II. LocationandLimits:

[Referencethecity/townand/orcountynameasapplicable],Arizona.USGSquadanddescribethelocationasneeded.Referenceattachedmaps.]

DenaliNationalParkandPreserve;DenaliBorough,Alaska;Township11S,Range9WSections20;W½21;andSE¼22ontheUSGSMelozitnaB-3SEtopographicmap.

III. PurposeandDescription:

[AddProjectCategoryinformationhere]Thepurposeofthisprojectistomaintainexistingtrailfacilitiesandeducatetrailusers.Projectactivitiesinclude:

• purchasingtrailmaintenanceequipmentmaterials,andsupplies(suchasmowers,tractors,shovels,hammers,etc.);• renovatingandrestoringoftrailsandtrailaccessroutes;• regardingoftrailand/orparkingareaswithinestablishedtrailway;• installingorreplacingsigns,kiosks,andmarkers;and• developingeducationalmaterials

AllworkactivitieswillbeonlandsownedormanagedbytheNationalParkServiceandtheAlaskaDepartmentofNaturalResources.

IV. CEChecklist: Yes No1. Doestheprojectinvolveanypermanenteasementoracquisitionofright-of-way?

V. ApplicantCertification:

Icertifythattheinformationprovidedonthisformandanysupplementaldocumentsareaccurateandcompletetothebestofmyknowledge.Signature:_____________________________________________________________________________Date: Name: Title:

ContactInformation:

2. ArethereNationalRegisterlistedoreligiblesitesintheProjectArea?

3. WilltheprojectaffectanyNationalRegisterlistedoreligiblesites?

If“yes”toeitheroftheabovequestions,brieflysummarizeandattachthefollowing:surveyreports,determinationsandconcurrencesfromtheStateHistoricPreservationOfficeorTribalHistoricPreservationOffice,andanyagreementsforresolutionofadverseimpacts.

(XXX)

4. DoestheprojectrequireaU.S.ArmyCorpsofEngineersSection404permit?

5. AretherethreatenedorendangeredspeciesorcriticalhabitatdesignatedorproposedundertheEndangeredSpeciesActpresent?

6. If“yes”doestheprojecthaveadeterminationof“mayaffect,likelytoadverselyaffect”?

DescribeimpactsandattachthemostrelevantbiologysurveyanddocumentationofconsultationwithU.S.Fish&WildlifeServiceorTribalWildlifeService.

(XXX)

7. Doestheprojectinvolveconstructionin,acrossoradjacenttoarivercomponentdesignatedorproposedforinclusionintheNationalSystemofWildandScenicRivers?

8. Willtheprojectresultin1ormoreacresofgrounddisturbance?If“yes”describetheimpacts,listpermits,andattachdocumentationofconsultations.

(XXX)

9. Doestheprojectinvolveanyotherimpactsthatmaybeconsideredunusual?

If“yes”explainbelow:

(XXX)

IftheanswertoalloftheabovequestionsisNO,theproposedactionqualifiesforprocessingasaC-listCategoricalExclusionactionunder23CFR771.117(c)(23).IftheanswertoanyoftheabovequestionisYES,contacttheRecreationalTrailProgramCoordinatortoconfirmthelevelofenvironmentaldocumentation.

ForOfficialUseOnlyADOTCertifiedorFHWAApproved

ADOTCertified:Checkingthisboxcertifies that this isaRecreationalTrailsProgram(RTP)projectreceiving less than$5,000,000 of federal funds and meets the definition for a Categorical Exclusion under 23 CFR 771.117(a), does notinvolveanyofthecircumstancesdefinedunderSectionI(F)andI(G)oftheRTPMemorandumofUnderstanding,doesnotrequirepreparationofanEnvironmental ImpactStatementorEnvironmentalAssessment, andapproval fromFHWA isnotrequiredFHWAApproved:CheckingthisboxcertifiesthatthisisaRecreationalTrailsProgram(RTP)projectreceivinglessthan$5,000,000offederalfundsandtheprojectmeetsthedefinitionforaCategoricalExclusionunder23CFR771.117(a),butinvolves a circumstance defined under Section I(F) and I(G) of the RTPMemorandum of Understanding that requiresapprovalfromFHWA.

CategoricalExclusionApproval

ADOTCertifiedCategoricalExclusionNEPAPlanner:_____________________________________________________________________________Date: Name: Title:

FHWAApproval(ifapplicable)ApprovedBy:________________________________________________________________________________________Date: Name:

Title: Attachments:Checkonlythosethatapplyandattachallcorrespondingdocumentation. MitigationMeasures ProjectLocationMaps AdditionalDocumentation(asrequired)

• Listofapplicabledocumentationhere

cc: LaynePatton,FHWA TremaineWilson,FHWA MickRogers,ASP