ENVIRONMENTAL ASSESSMENT FORM (E.A. Form)

Transcription

1 3930-PM-WM0017A ev. 11/2001 MMWATH F PYVAIA DPATMT F VIMTA PTTI and.. AMY P F GI VIMTA AMT FM (.A. Form) PAT 1 - IDTIFIATI 1. Indicate water resources which exist on the project site. ame of streams(s) and/or body of water (including wetlands) Allegheny iver ize of body of water (in acres) ee enclosures Wetland - If wetlands are present at the project site, provide the following information relative to the person(s) or organization performing the wetland identification, delineation and related work: teve Pernick kelly and oy, Inc. ame rganization/ompany 2500 ldo oad, uite 2 Address Monroeville, PA Telephone QAIFIATI Mr. Pernick is a A Provisionally ertified Wetland Delineator (Baltimore District - WDP93MD ) and has been trained in the use of the WT 2.0 Predictive Model. He has over 13 years of experience and has delineated over 400 wetlands. Mr. Pernick has been trained in stream ecology and assessment techniques and has participated in the assessment of over 300 perennial streams. If wetlands are present, attach a copy of the wetland delineation report identified and labeled as nclosure A. Include all field data sheets, denote the size (in acres) of the wetland. If this information details any physical information or features not shown in the site plan please attach additional plans which illustrate these features. nclosure A - 1 -

2 3930-PM-WM0017A ev. 11/2001 VIMTA AMT FM, continued PAT 1 - IDTIFIATI (continued) Y 2. Is the site located within or adjacent to any of the following? Please mark either the yes or no column for each question. A. ational, state or local park, forest or recreation area B. atural, wild, or wilderness area. ational natural landmark D. ational wildlife refuge, or Federal, state, local or private wildlife or plant sanctuaries. tate Game ands F. Areas identified as prime farmland If not included in the permit application package, please attach a map (e.g. 1:2400 scale or greater) indicating the location of the project, all water resources and the features identified above. abel the map as nclosure B. B 3. Is the water resource listed as stocked waters by the Pennsylvania Fish and Boat ommission? 4. Is the water resource designated as a wild trout stream by the Pennsylvania Fish and Boat ommission? 5. Is the water resource listed as High Quality or xceptional Value in Title 25 Pa. ode hapter 93? Indicate the stream classification found in hapter 93. lassification Warm Water Fishes (WWF) 6. Is the water resource designated as a ational Wild or cenic iver or as part of the ommonwealth s cenic ivers ystem or classified as priority 1-A for inclusion in the system? 7. Is the water resource part of or located along a private or public water supply? (IF MPTIG A MA PJT APPIATI ADVA T PAT 3) 8. Provide a written narrative, identified and labeled as nclosure - Description of Aquatic Habitat, discussing the following ecological functions: A. Aquatic habitats including: (1) Food chain production (2) General habitat a. esting e. Migration b. pawning f. Feeding c. earing g. scape over d. esting h. ther (3) Habitat for threatened and endangered plant and animal species (Discuss results of upplement Form #1) (4) nvironmental tudy Areas a. anctuaries b. efuges (5) If project proposes a stream relocation, a stream enclosure, or dredging, provide a description of the instream macroinvertebrate community

3 3930-PM-WM0017A ev. 11/2001 VIMTA AMT FM, continued PAT 1 - IDTIFIATI (continued) B. Water Quantity and treamflow (1) atural drainage patterns (2) Flushing characteristics (3) urrent patterns (4) Groundwater discharge for baseflow (5) atural recharge area for ground and surface waters (6) torm and floodwater storage and control. Water Quality (1) Preventing Pollution (2) edimentation control and patterns (3) alinity distribution (4) atural water filtration D. ecreation (1) Game pecies (2) on Game pecies (3) Fishing (4) Hiking (5) bservation (plant/wildlife) (6) ther. pstream and Downstream Property F. ther nvironmental Factors Determined by ite Investigation Description of Aquatic Habitat PAT 2 - PJT DIPTI 9. Project Impacts For impacts to regulated waters of the ommonwealth, answer fully, completely and in detail the following questions; attach and label as nclosure D. A. Discuss the impacts on: (1) ational, state or local park, forest or recreation area (2) atural, wild, or wilderness area (3) ational, state, or local historic site (4) ational natural landmark (5) ational wildlife refuge D (6) ultural or archaeological landmarks (7) tate Game ands - 3 -

4 3930-PM-WM0017A ev. 11/2001 VIMTA AMT FM, continued PAT 2 - PJT DIPTI (continued) (8) Federal, state, local or private plant or wildlife sanctuaries (9) Areas identified as prime farmland B. Discuss the environmental impacts on: (1) Aquatic habitats including: a. Food hain production b. General habitat (1) esting (5) Migration (2) pawning (6) Feeding (3) earing (7) scape over (4) esting (8) ther c. Habitat for threatened and endangered plant and animal species d. nvironmental tudy Areas (1) anctuaries (2) efuges (2) Water Quantity and treamflow a. atural drainage patterns b. Flushing characteristics c. urrent patterns d. Groundwater discharge for baseflow e. atural recharge area for ground and surface waters f. torm and floodwater storage and control (3) Water Quality a. Preventing Pollution b. edimentation control and patterns c. alinity distribution d. atural water filtration (4) ecreation a. Game pecies b. on Game pecies c. Fishing d. Hiking e. bservation (wildlife) f. ther (5) pstream and downstream property (6) ther nvironmental Factors D Project Impacts - 4 -

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