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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 650-050-12(D4 Rev 12115) <br /> TYPE 1 CATEGORICAL EXCLUSION ENVIRONMENTAL MANAGEMENT <br /> 10!15 <br /> CHECKLIST - LAP PROJECTS <br /> 11 Does the action have known contamination sites which would have more than a <br /> minimal impact to design, and right-of-way or construction activities once assessed El C9 <br /> as described in Part 2, Chapter 22, Contamination Impacts of the PD&E Manual, <br /> and can't be avoided or remediated? <br /> 12 Will the action have substantial controversy on environmental grounds? <br /> IMPORTANT: If all answers are No, the project is a Type 1 Categorical Exclusion and this checklist will be <br /> the NEPA document. If the answer to any of these questions is Yes, follow the Minor Categorical Exclusion <br /> Determination Key and coordinate with FHWA as appropriate <br /> This project has been evaluated and has been determined to meet the conditions as set forth in Florida's <br /> Programmatic Agreement for Categorical Exclusions effective October 2015, as a Type 1 Categorical <br /> Exclusion <br /> Package prepared b <br /> LAP Reviewer: Date: <br /> Name. Andy Sobczak <br /> Company: IRC <br /> Address 1801 27th Street Vero Beach FI 32960). - <br /> LAP Administrator: ADate 3 i(b <br /> Chri ine asiska�nl <br /> FDOT Concurrence. L",,q Y Date Z�9 <br /> Ann Broadwell <br /> District 4 Environmental Administrator L(. <br /> The following is a list of any supporting activities (e g , field reviews, as appropriate, etc.), reports, or <br /> technical studies that were prepared and are included in the project file that were necessary to support <br /> the conclusions reached on the checklist. <br /> • Location Map <br /> e SHPO Letter <br /> o Flood Zone Map <br /> 2 <br />