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12 <br /> Environmental <br /> Assessment Checklist <br /> (continued,psSe 7) <br /> 1.Supply a clear, legible map of the proposed site and surrounding area. Mark area to be acquired and construction site. <br /> 2 Utilities <br /> Utilities to serve Project Projected Demand Length of Linea to be Capacity of Linea Environmentally Sensitive Areas <br /> r Day Constructed inches diameter to be Cut for Utility acres <br /> Electric <br /> 1,000 kwh <br /> Potable Water <br /> Sewage <br /> 2 000 gal 8e <br /> Solid sere Dispose <br /> .002 tons <br /> Natural Gas <br /> N/A <br /> water ( 2 1/2" ( xisting line) <br /> 3. Land Alterations <br /> ` Alteration Present Use Previous Use Percent of <br /> armed use efore than . historical) Acres Pro' t Area <br /> To Be Acquired Vacant Vacant 4.67 100% <br /> To Be.Developed <br /> n n <br /> To Be Originally Cleared tt <br /> n <br /> To Be Landscaped It <br /> To Be.Covered by Imperme It <br /> able Surface(square feet <br /> To Be Cut(cubic yards) N/A <br /> N/A <br /> To Be.Mod(cubic yards) N/A N/A <br /> 4.Cultural Fhwources arch hisfiorioal amhitectu <br /> 1a)Please give any Wx wn archeological or historical, sites on project land: <br /> None <br /> b)What kind, if any,site preparation has already been conducted: <br /> None <br /> c)Has area been previously surveyed by archeologist?If so, give name of principal investigator and date of survey: <br /> N/A <br /> d)^YES X NO Are bu nx*um on site now?(abandoned barns,famlhouse,tobacco sheds,bridges, etc.) <br /> e)Ages of each building/structure: <br /> N/A <br /> f)Will any of these structures be demofished?(indicate which): <br /> N/A <br /> g)Will any of these structures be rehabilitated or renovated?(indicate which): <br /> N/A <br /> h)Please include photographs of any buildings constructed prior to WWII If project activities include Rehabilitation,Acquisition, <br /> Clearance or Demolition. <br /> N/A <br /> 8-28 <br />