Laserfiche WebLink
<br />I <br /> <br />I <br /> <br />Appendix III: <br />Environmental Assessment Worksheet <br /> <br />I <br /> <br />I <br /> <br />Environmental Assessment WorKsheet (EA W) <br /> <br /> <br />NOTE TO PREPARERS <br />This worksheet is to be completed by the Responsible Governmental Unit (RGm or its agents. The project proposer must supply <br />any reasonably accessible data necessary for the worksheet, but is not to complete the final worksheet itself. If a complete answer <br />does not fit in the spac:.e allotted, attach additional sheets as necessary. <br /> <br />For assistance with this worksheet contac:t the MiMesota Environmental Quallty Board (EQB) at (612) 296-8253 or (toll.free). <br />1-800-652.9747 (ask operator for the EQB envinmmental review program) or consult "EA W Guidelines," a book1et available (rom the EQB. <br /> <br />NOTE TO REVIEWERS <br />Comments must be submitted to the RCU (see Item 3) during the 3O-day comment period following notice of the EAW In the EQB <br />Monitor. (Contac:t the RGU or the EQB to learn when the comment period ends.) Comments should address the accuracy and <br />completeness of the Information, potentia1lmpacts that may warrant further investigation, and the need for an EIS. If the EA W has <br />been prepared for the 1e0plng of an EIS (see item 4), comments should address the accurac:y and completeness of the Information <br />and suggest issues for investigation In the as. <br /> <br />1. Project nu. <br /> <br />2. Propo.... <br /> <br />Contac:t person <br />Address <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />3. RGU <br />Contac:t person <br />and title <br />Address <br /> <br />Phone <br /> <br />I <br /> <br />Phone <br /> <br />I <br /> <br />4. R_n for EAW PnplfllIon <br />o as leoping 0 mandatory EA W 0 citizen petition 0 RCU discretion 0 Proposer volunteered <br /> <br />If EA W or E1S. is mandatory give EQB rule category number(s) <br /> <br />5. ProJect LccatIon <br />_ 1/4 _ 1/4 Section <br /> <br />County <br /> <br />Atlllch copies of fIId& of the follDrDing to the EA W: <br />a. a county map showing the general location of the project; <br />b. copy(ies) of uses 7.5 minute, 1:24,000 scale map (photocopy is 010 indicating the project boundaries; <br />C. a site plan showing all significant project and natural features. <br /> <br />6. DtscrlpUon Give a complete description of the proposed project and ancillary facilities (attach additional sheets as necessary). <br />Emphasize construction and operation methods and features that will cause physical manipulation of the environment or <br />produce wastes. Indicate the timing and duration of construction activities. <br /> <br />Township <br /> <br />Range <br />CitylTwp <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />Provide a 50 or fewer word abstract for use in EQB Monitor notice: <br /> <br />I <br /> <br />1 <br /> <br />I <br /> <br />39 <br /> <br />I <br />