19E - SANTA ANA GRADE SEPARATION PROJECT

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Exhibit 6 -A Local Assistance Procedures Manual Preliminary Environmental Study (PES) Form Examine the project for potential effects on the environment, direct or indirect and answer the following questions. The "construction area," as specified below, includes all areas of ground disturbance associated with the project, including staging and stockpiling areas and temporary access roads. Each answer must be briefly documented on the "Notes" pages at the end of the PES Form. A. Potential Environmental Effects Yes To Be No Determined General 1. Will the project require future construction to fully utilize the design capabilities included in the ❑ ❑ M proposed project? 2. Will the project generate public controversy? ❑ ❑ M Noise 3. Is the project a Type I project as defined in 23 CFR 772.5(h); "construction on new location or the M El El physical alteration of an existing highway, which significantly changes either the horizontal or vertical alignment or increases the number of through - traffic lanes "? 4. Does the project have the potential for adverse construction - related noise impact ❑ M ❑ (such as related to pile driving)? Air Quality 5. Is the project in a NAAQS non - attainment or maintenance area? M ❑ ❑ 6. Is the project exempt from the requirement that a conformity determination be made? (If "Yes," state M ❑ ❑ which conformity exemption in 40 CFR 93.126, Table 2 applies): railroad/hiehwav crossing 7. Is the project exempt from regional conformity? (If "Yes," state which conformity exemption in 40 ❑ ❑ ❑ CFR 93.127, Table 3 applies): S. If project is not exempt from regional conformity, (If "No" on Question #7) Is project in a metropolitan non- attainment/mintenance area? ❑ ❑ ❑ Is project in an isolated rural non - attainment area? ❑ ❑ ❑ Is project in a CO, PMIO and/or PM2.5 non- attainment/mintenance area? ❑ ❑ ❑ Hazardous Materials /Hazardous Waste 9. Is there potential for hazardous materials (including underground or aboveground tanks, etc.) and/or ❑ M ❑ hazardous waste (including oil/water separators, waste oil, asbestos - containing material, lead -based paint, ADL, etc.) within or immediately adjacent to the construction area? Water Quality /Resources 10. Does the project have the potential to impact water resources (rivers, streams, bays, inlets, lakes, ❑ M ❑ drainage sloughs) within or immediately adjacent to the project area? 11. Is the project within a designated sole -source aquifer? ❑ ❑ M Coastal Zone 12. Is the project within the State Coastal Zone, San Francisco Bay, or Suisun Marsh? ❑ ❑ M Floodplain 13. Is the construction area located within a regulatory floodway or within the base floodplain (100 -year) ❑ ❑ M elevation of a watercourse or lake? Wild and Scenic Rivers 14. Is the project within or immediately adjacent to a Wild and Scenic River System? ❑ ❑ M Biological Resources 15. Is there a potential for federally listed threatened or endangered species, or their critical habitat or ❑ M ❑ essential fish habitat to occur within or adjacent to the construction area? 16. Does the project have the potential to directly or indirectly affect migratory birds, or their nests or ❑ M ❑ eggs (such as vegetation removal, box culvert replacement/repair, bridge work, etc.)? 17. Is there a potential for wetlands to occur within or adjacent to the construction area? ❑ ❑ M Page 6 -70 May 30, 2008 19E-63 EPP 08 -02