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• Environmental <br /> Assessment Checklist <br /> pie 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 /> t Mines to Serve Project Projected Demand per Day Length of Lines to be Capacity of Lines Envircednemally Sensitive Areas <br /> Constructed (inches diameter) to be Cut(for Utility acres <br /> Electric N/A <br /> Potable Water N/A <br /> UNK 3/000 L.F. 8" <br /> Soiid Waste Disposal N A <br /> 3. Land Alterations <br /> • <br /> Alteration Present Use Previous Use Precent of <br /> (planned use) (before change) (historical) Acres Project Area <br /> o Be Acquired <br /> • - r ' . . -• r,•• ' - . u :: " , - r e <br /> o Be Developed N/A N/A " <br /> o Be Originally Cleaned Nn " n <br /> • <br /> O Bs Landscaped Nei rr " n <br /> . <br /> • <br /> • (mare bet) No " n " <br /> o Be Cut(cubic yards) No u n n <br /> o Be Feed(cubic yards) No " <br /> 4. Cultural Resources(archeological,historical,architectural) <br /> a)Please give any known archoelogical or historical,sites on project land: <br /> None <br /> b)What kind,if any,site preparation has already been conducted <br /> . c)Has area been Previously surveyed by archeologist?If so,give name of principal hwesdgator and date of survey: <br /> d)D YES O NO Are structures on site now?(abandausd barns,faun bridges,etc.) <br /> e)Ages of each building/structure: <br /> • <br /> f)Will any of these structures be demolished?(indicate which): <br /> g)Will any of these structures be rehabilitated or renovated?(aulcate which): <br /> I ' <br /> 'h)Please include photographs of any buildings constructed prior to WWU if probed activities include Rehabilitation,Acquisition,' <br /> Clearance or Demolition.__. ._ __• _ _ _ <br /> 27 <br />