20231675 Ver 1_BRRCD_Small Streams NEPA checklist signed_20231206

NEPA COMPLIANCE CHECKLIST
State: NC
Federal Financial Assistance Grant/Agreement/Amendment Number:
Grant/Project Name:
PFW/BRRCD Long Hope Small Streams Restoration
This proposalvis; ❑ •is not completely covered by categorical exclusion 1.4(31n 516 DM 2, Appendix 1 ; and/or 516 DM 6,
Appendix 1
(check ( one (Review proposed activities. An appropriate categorical exclusion must be identified be ore completing the remainder of
the Checklist. If a categorical exclusion cannot be identified, or the proposal cannot meet the qualifying criteria in
the categorical exclusion, or an extraordinary circumstance applies (see below), an EA must be prepared.)
Extraordinary Circumstances:
Will This Proposal (check (✓) yes or no for each item below):
Yes No
❑ 1.
Have significant adverse effects on public health or safety.
❑ 2.
Have significant adverse effects on such natural resources and unique geographic characteristics as historic or cultural
resources; park, recreation or refuge lands; wilderness areas; wild or scenic rivers; national natural landmarks; sole or
princi al drinking water aquifers; prime farmlands; wetlands (Executive Order 11990); floodplains (Executive Order
11988�; national monuments; migratory birds (Executive Order 13186); and other ecologically significant or critical
❑ 3.
areas under Federal ownership or jurisdiction.
Have highly involve
controversial environmental effects or unresolved conflicts concerning alternative uses of
❑ 4.
available resources [NEPA Section 102(2)(E)].
Have highly involve
uncertain and potentially significant environmental effects or unique or unknown environmental
❑ 5.
risks.
Have a precedent for future action or represent a decision in principle about future actions with potentially significant
❑ 6.
environmental effects.
Have direct individually insignificant but
a relationship to other actions with cumulatively significant environmental
❑ 7.
effects.
Have significant adverse effects on properties listed or eligible for listin& on the National Register of Historic Places
as determined by either the bureau or office, the State Historic Preservation Officer, the Tribal Historic Preservation
❑ 8.
Officer, the Advisory Council on Historic Preservation, or a consulting party under 36 CFR 800.
Have listed, be listed, List Threatened
significant adverse effects on species or proposed to on the of Endangered or
❑ 9.
Species, or have significant adverse effects on designated Critical Habitat for these species.
Have the Federal law, State, local, tribal law imposed for the
❑ 10.
possibility of violating a or a or or requirement
protection of the environment.
Have the for a disproportionately high and adverse effect on low income or minority
❑ It.
possibility populations
(Executive Order 12898).
Have the to limit to Indian Federal lands by Indian
❑ 12.
possibility access and ceremonial use of sacred sites on religious
practitioners or significantly adversely affect the physical inte&rity of such sacred sites (Executive Order 13007).
Have the to to the introduction,
possibility significantly contribute continued existence, or spread of noxious weeds or
non-native invasive species known to occur in the area or actions that may promote the introduction, growth, or
expansion of the range of such species (Federal Noxious Weed Control Act and Executive Order 13112).
(If any of th above extraordinary circumstances receive a `Yes "check (4 , an EA must be prepared.)
El Yes r� No This grant/project includes additional information supporting the Checklist.
Cone urrences/A royal
Project Leader: Date:
State Authority Concurr Unce-Date:
(with financial assistance signature authority, if applicable)
Within the spirit and intent of the Council of Environmental Quality's regulations for implementing the National Environmental Policy Act
(NEPA) and other statutes, orders, and policies that protect fish and wildlife resources, 1 have established the following administrative record
and have determined that the grant/agreementlamendment:
❑ is a categorical exclusion as provided by 516 DM 6, Appendix 1 and/or 516 DM 2, Appendix 1. No further NEPA
documentation will therefore be made.
❑ is not completely covered by the categorical exclusion as provided by 516 DM 6, Appendix 1 and/or 516 DM 2, Appendix 1.
An EA must be prepared.
Service signature approval:
RO or WO Environmental Coordinator: Date:
Staff Specialist, Division of Federal Assistance: Date:
(or authorized Service representative with financial assistance signature authority)
FWS Form 3-2185 OMB Control Number 1018-0110
Revised 02/2004 Expiration Date 06/30/2007

NEPA COMPLIANCE CHECKLIST
State: NC
Federal Financial Assistance Grant/Agreement/Amendment Number:
Grant/Project Name:
PFW/BRRCD Small Streams Long Hope Retreat
This proposali(is; ❑
is not completely covered by categorical exclusion 1.4(3)ln 516 DM 2, Appendix 1 ; and/or 516 DM 6,
Appendix 1
(check(.,') one) (Review proposed activities. An appropriate categorical exclusion must be identified be ore completing the remainder of
the Checklist. If a categorical exclusion cannot be identified, or the proposal cannot meet the qualifying criteria in
the categorical exclusion, or an extraordinary circumstance applies (see below), an EA must be prepared.)
Extraordinary Circumstances:
Will This Proposal (check (✓) yes or no for each item below):
Yes No
❑ +� 1.
Have significant adverse effects on public health or safety.
❑ 2.
Have significant adverse effects on such natural resources and unique geographic characteristics as historic or cultural
resources; park, recreation or refuge lands; wilderness areas; wild or scenic rivers; national natural landmarks; sole or
principal drinking water aquifers; prime farmlands; wetlands (Executive Order 11990); floodplains (Executive Order
11988 ; national monuments; migratory birds (Executive Order 13186); and other ecologically significant or critical
❑ 3.
areas under Federal ownership or jurisdiction.
Have highly involve
controversial environmental effects or unresolved conflicts concerning alternative uses of
❑ 4.
available resources [NEPA Section 102(2)(E)].
Have highly involve
uncertain and potentially significant environmental effects or unique or unknown environmental
❑ 5.
risks.
Have a precedent for future action or represent a decision in principle about future actions with potentially significant
❑ 6.
environmental effects.
Have direct to individually insignificant but
a relationship other actions with cumulatively significant environmental
❑ 7.
effects.
Have significant adverse effects on properties listed or eligible for listing on the National Register of Historic Places
as determined by either the bureau or office, the State Historic Preservation Officer, the Tribal Historic Preservation
J
❑ 8.
Officer, the Advisory Council on Historic Preservation, or a consulting party under 36 CFR 800.
Have listed, be listed, List Endangered Threatened
significant adverse effects on species or proposed to on the of or
❑ 9.
Species, or have significant adverse effects on designated Critical Habitat for these species.
Have the Federal law, State, local, tribal law requirement imposed for the
❑ 10.
possibility of violating a or a or or
protection of the environment.
Have the for disproportionately high low income minority
Cl 11.
possibility a and adverse effect on or populations
(Executive Order 12898).
Have the to limit to Indian Federal lands by Indian
possibility access and ceremonial use of sacred sites on religious
❑ 12.
practitioners or significantly adversely affect the physical integrity of such sacred sites (Executive Order 13007).
Have the to to the
possibility significantly contribute introduction, continued existence, or spread of noxious weeds or
non-native invasive species known to occur in the area or actions that may promote the introduction, growth, or
expansion of the range of such species (Federal Noxious Weed Control Act and Executive Order 13112).
(If any of thg? above extraordinary circumstances receive a `Yes "check (✓) , an EA must be prepared.)
❑ Yes Gd'No This grant/project includes additional information supporting the Checklist.
Concurrences/Approva
Project Leader: Date: r 2A6,2_0
State Authority ConcurreV- v Date:
(with financial assistance signature authority, if applicable)
Within the spirit and intent of the Council of Environmental Quality's regulations for implementing the National Environmental Policy Act
(NEPA) and other statutes, orders, and policies that protect fish and wildlife resources, 1 have established the following administrative record
and have determined that the grant/agreement/amendment:
❑ is a categorical exclusion as provided by 516 DM 6, Appendix 1 and/or 516 DM 2, Appendix 1. No further NEPA
documentation will therefore be made.
❑ is not completely covered by the categorical exclusion as provided by 516 DM 6, Appendix 1 and/or 516 DM 2, Appendix 1.
An EA must be prepared.
Service signature approval:
RO or WO Environmental Coordinator: Date:
Staff Specialist, Division of Federal Assistance: Date:
(or authorized Service representative with financial assistance signature authority)
FWS Form 3-2185 OMB Control Number 1018-0110
Revised 02/2004 Expiration Date 06/30/2007

NEPA COMPLIANCE CHECKLIST
State: NC Federal Financial Assistance Grant/Agreement/Amendment Number:
Grant/Project Name: PFW/Russ and Stacey Oates Barrier Removal
This proposali(is; ❑ is not completely covered by categorical exclusion 1.4(3)ln 516 DM 2, Appendix 1 ; and/or 516 DM 6,
Appendix 1
(check (✓) one) (Review proposed activities. An appropriate categorical exclusion must be identified be ore completing the remainder of
the Checklist. If a categorical exclusion cannot be identified, or the proposal cannot meet the qualifying criteria in
the categorical exclusion, or an extraordinary circumstance applies (see below), an EA must be prepared.)
Extraordinary Circumstances:
Will This Proposal (check (✓) yes or no for each item below):
Yes No
❑ �p 1. Have significant adverse effects on public health or safety.
❑ 2. Have significant adverse effects on such natural resources and unique geographic characteristics as historic or cultural
resources; park, recreation or refuge lands; wilderness areas; wild or scenic rivers; national natural landmarks; sole or
princi al drinking water aquifers; prime farmlands; wetlands (Executive Order 11990); flood lams (Executive Order
11988 - national monuments; migratory birds (Executive Order 13186); and other ecologically significant or critical
areas under Federal ownership or jurisdiction.
❑ ,�i 3. Have highly controversial environmental effects or involve unresolved conflicts concerning alternative uses of
available resources [NEPA Section IO2(2)(E)].
❑ 4. Have highly uncertain and potentially significant environmental effects or involve unique or unknown environmental
risks.
❑ 5. Have a precedent for future action or represent a decision in principle about future actions with potentially significant
environmental effects.
❑ 6. Have a direct relationship to other actions with individually insignificant but cumulatively significant environmental
effects.
❑ 7. Have significant adverse effects on properties listed or eligible for listing on the National Register of Historic Places
as determined by either the bureau or office, the State Historic Preservation Officer, the Tribal Historic Preservation
Officer, the Advisory Council on Historic Preservation, or a consulting party under 36 CFR 800.
❑ 8. Have significant adverse effects on species listed, or proposed to be listed, on the List of Endangered or Threatened
Species, or have significant adverse effects on designated Critical Habitat for these species.
❑ ,� 9. Have the possibility of violating a Federal law, or a State, local, or tribal law or requirement imposed for the
protection of the environment.
❑ 10. Have the possibility for a disproportionately high and adverse effect on low income or minority populations
(Executive Order 12898).
❑ ,� 11. Have the possibility to limit access to and ceremonial use of Indian sacred sites on Federal lands by Indian religious
practitioners or significantly adversely affect the physical integrity of such sacred sites (Executive Order 13007).
❑ 12. Have the possibility to significantly contribute to the introduction, continued existence, or spread of noxious weeds or
non-native invasive species known to occur in the area or actions that may promote the introduction, growth, or
expansion of the range of such species (Federal Noxious Weed Control Act and Executive Order 13112).
(If any of thQ above extraordinary circumstances receive a `Yes "check (4, an EA must be prepared.)
❑ Yes o This grant/project includes additional information supporting the Checklist.
Concurrences/Approvals:
Project Leader: ��JDate: Z
State Authority Concurrenc • Date:
(withfinancial assistance signature authority, if applicable)
Within the spirit and intent of the Council of Environmental Quality's regulations for implementing the National Environmental Policy Act
(NEPA) and other statutes, orders, and policies that protect fish and wildlife resources, 1 have established the following administrative record
and have determined that the grant/agreement/amendment:
❑ is a categorical exclusion as provided by 516 DM 6, Appendix 1 and/or 516 DM 2, Appendix 1. No further NEPA
documentation will therefore be made.
❑ is not completely covered by the categorical exclusion as provided by 516 DM 6, Appendix 1 and/or 516 DM 2, Appendix 1.
An EA must be prepared.
Service signature approval:
RO or WO Environmental Coordinator: Date:
Staff Specialist, Division of Federal Assistance: Date:
(or authorized Service representative with financial assistance signature authority)
FWS Form 3-2185 OMB Control Number 1018-0110
Revised 02/2004 Expiration Date 06/30/2007