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NETL F 451.1 -1/3 <br />(11/2007) OPI =320 <br />(Page 3) U.S. DEPARTMENT OF ENERGY <br />ENVIRONMENTAL QUESTIONNAIRE <br />10. Identify major materials that would be used and produced by the project when projects are larger than lab or bench <br />scale. <br />�Mater,�als�sec� °(in ut) . „�Eshmafe Quantity` Mater,�als�P�r�a�duced,;(pu�nt) �zEst►matesQnanhty � 1. <br />❑ Coal ❑ Wastewater <br />❑ Natural Gas ❑ Air Emissions <br />❑ Oil ❑ Solid Waste <br />❑ Electricity ❑ Hazardous Waste <br />❑ Water ❑ Others -- List: <br />❑ Others -- List: <br />B. - PROPOSED PROJECT ALTERNATIVES <br />If applicable, list any project alternative considered to achieve the project objectives. <br />C. PROJECT LOCATION <br />1. Provide a brief description of the project location (physical location, surrounding area, adjacent structures). <br />2. Attach a project site location map of the project work area. Project site photos and topographical maps may be <br />requested for further review. <br />D. ENVIRONMENTAL IMPACTS <br />This section is designed to obtain information concerning environmental impacts and regulatory compliance of a proposed <br />project. NEPA procedures require evaluations of possible effects (including land use, energy resource use, natural, historic <br />and cultural resources, and pollutants) from proposed projects on the environment. The Environmental Virtual Campus <br />website has valuable information concerning environment impacts and regulatory compliance. <br />1. Land Use <br />a. Characterize present land use where the proposed project would be located. <br />❑ Urban ❑ Industrial ❑ Commercial ❑ Agricultural <br />❑ Suburban ❑ Rural ❑ Residential ❑ Research Facilities <br />Forest ❑ University Campus ❑ Other: <br />b. Identify the total size of the facility, structure, or system and what portion would be used for the proposed project. <br />3 <br />