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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