Please answer the following questions: Are the personnel preparing this form familiar with the site, and/or has a site visit been conducted? (Attach additional pages noting when site visit took place, staff attending, etc.) Has consultation with all affected agencies or tribes been completed? (Attach additional pages detailing the consultation, including the name, date, and summary of comments from other agency or tribal contacts.) SHPO/THPO SIGNATORY Based on the environmental impact information contained in the statutory compliance file and in this environmental screening form, environmental documentation for the subject project is complete. Recommended Action: Approved: SHPO/THPO ____________________________________________ Date Type Name:
Please answer the following questions: Are the personnel preparing this form familiar with the site, and/or has a site visit been conducted? (Attach additional pages noting when site visit took place, staff attending, etc.) Has consultation with all affected agencies or tribes been completed? (Attach additional pages detailing the consultation, including the name, date, and summary of comments from other agency or tribal contacts.) SHPO/THPO SIGNATORY Based on the environmental impact information contained in the statutory compliance file and in this environmental screening form, environmental documentation for the subject project is complete. Recommended Action: Approved: SHPO/THPO ____________________________________________ Date Type Name:
NEPA-Environmental-Screening-Worksheet%20for%20Grants.%20docx.docx