ࡱ> DGABC bjbj 4p$+||8 $/|;P0X ###1# $ -<"3NNNNNNN$kQ TJ O5 $ $55 O#1#O>>>5d#1#N>5N>>K|nM# #c&6prLN P0;PLWT6bWT$nMWTnMx55>55555 O O>555;P5555WT555555555| : Submittal Checklist for Engineering Report/Environmental Information Document(Revised: 1/14/10) This checklist must accompany each submittal that you make to the Facilities Evaluation Unit (FEU). If your submittal does not include this checklist, then the project will be returned to you. Unless otherwise instructed, complete all sections. Basic InformationVersion Submittal:  FORMCHECKBOX  Original  FORMCHECKBOX  First Revision  FORMCHECKBOX  Second Revision  FORMCHECKBOX  Third Revision  FORMCHECKBOX  Fourth Revision  FORMCHECKBOX  Amendment  FORMCHECKBOX  SSESCheck the box for the appropriate revision.Number of Copies Submitted:  FORMCHECKBOX  6 (DMCA, CE, approval only)  FORMCHECKBOX  19 (FONSI only)   FORMCHECKBOX  Other (Revisions, EIS, Amendments, SSES)Number (if other):  FORMTEXT      If the submittal is for a revision, then the applicant may skip Parts B through G unless any of the information has changed. Owner InformationOwner Name: FORMTEXT      Contact First Name:Contact Last Name:Contact Suffix:Contact Position: FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Address 1:Address 2: FORMTEXT       FORMTEXT      City:State:Zip Code:Phone Number:E-mail Address: FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Architect/Engineer InformationFirm Name: FORMTEXT      Contact First Name:Contact Last Name:Contact Suffix: FORMTEXT       FORMTEXT       FORMTEXT      Address 1:Address 2: FORMTEXT       FORMTEXT      City:State:Zip Code:Phone Number:E-mail Address: FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Environmental Information Document InformationDid a separate firm draft the Environmental Information Document (EID)?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If No, please skip this section and continue to Part E.Firm Name: FORMTEXT      Contact First Name:Contact Last Name:Contact Suffix: FORMTEXT       FORMTEXT       FORMTEXT      Address 1:Address 2: FORMTEXT       FORMTEXT      City:State:Zip Code:Phone Number:E-mail Address: FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Submittal Checklist for Engineering Report/Environmental Information Document (continued)E. Project InformationProject DescriptionBriefly describe the project. FORMTEXT       Project Type (check all that apply). FORMCHECKBOX  Decentralized Systems  FORMCHECKBOX  Gravity Sewer Construction/Expansion/ Rehabilitation  FORMCHECKBOX  Pump Station/Force Main Construction/Expansion/ Rehabilitation  FORMCHECKBOX  Reclaimed Water System  FORMCHECKBOX  Spray Irrigation Construction FORMCHECKBOX  Spray Irrigation Expansion  FORMCHECKBOX  Stormwater Control  FORMCHECKBOX  Stream Restoration  FORMCHECKBOX  Water Conservation  FORMCHECKBOX  WWTP Equipment Replacement/Upgrade  FORMCHECKBOX  WWTP Expansion  FORMCHECKBOX  WWTP ConstructionCounty: (List the County in which the project is located.):  FORMTEXT      F. Environmental InformationEnvironmental Documentation (Check the type of environmental document required.) FORMCHECKBOX  CE (STAG Projects Only)  FORMCHECKBOX  DMCA (SRF Projects Only)  FORMCHECKBOX  FONSI  FORMCHECKBOX  Approval (SRL, SEL, SRG, Amendment, SSES projects only)  FORMCHECKBOX  ROD River Basins(Check all that apply) FORMCHECKBOX  Broad  FORMCHECKBOX  Cape Fear  FORMCHECKBOX  Catawba  FORMCHECKBOX  Chowan  FORMCHECKBOX  French Broad  FORMCHECKBOX  Hiwassee  FORMCHECKBOX  Little Tennessee  FORMCHECKBOX  Lumber  FORMCHECKBOX  NeuseHisjs FORMCHECKBOX  New  FORMCHECKBOX  Pasquotank  FORMCHECKBOX  Roanoke  FORMCHECKBOX  Savannah  FORMCHECKBOX  Tar-Pamlico  FORMCHECKBOX  Watauga  FORMCHECKBOX  White Oak  FORMCHECKBOX  YadkinWatershed Impairment FORMCHECKBOX  Yes  FORMCHECKBOX  No (Check if your project encompasses an area where impaired streams exist. Does this project specifically address this impairment?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoIf you checked Yes, list the stream(s) impaired. 1.  FORMTEXT      2.  FORMTEXT      3.  FORMTEXT      4.  FORMTEXT       Submittal Checklist for Engineering Report/Environmental Information Document (continued)G. Financial InformationEstimated Project Cost:$  FORMTEXT      Primary Funding Source (Select the primary funding source from Construction Grants and Loans.) FORMCHECKBOX  State Revolving Fund (SRF)  FORMCHECKBOX  State and Tribal Assistance Grant (STAG)  FORMCHECKBOX  State Emergency Loan (SEL) $  FORMTEXT       $  FORMTEXT       $  FORMTEXT       FORMCHECKBOX  State Revolving Loan (SRL)  FORMCHECKBOX  State Revolving Grant (SRG)  FORMCHECKBOX  Other:  FORMTEXT      $ FORMTEXT       $ FORMTEXT       $ FORMTEXT      Other Funding Source(s) (Check all boxes for other funding sources. Other CG&L sources may be checked if used. Beside each checked box, list the funding amount for each source.  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Engineering Report/Environmental Information DocumentEngineering ReportIf your submittal is an ER/EID, complete this part only and sign in Part L. If your submittal is not an ER/EID, skip to Part I or J. Check the boxes only after you have ensured that your Engineering Report contains the following. If parts are missing, including a PE seal on the report, it will be returned without a review. FORMCHECKBOX  PE Seal  FORMCHECKBOX  Front Matter (Table of Contents, List of Figures, List of Tables, List of Appendices)  FORMCHECKBOX  Executive Summary  FORMCHECKBOX  Project Description  FORMCHECKBOX  Current Situation FORMCHECKBOX  Future Situation  FORMCHECKBOX  Alternatives Description  FORMCHECKBOX  Present Worth Analysis  FORMCHECKBOX  Alternatives Analysis  FORMCHECKBOX  Revenue and User Fee Analysis (if applicable)  FORMCHECKBOX  Appendices Under the currently available 2005 guidance the Alternatives Description and Alternatives Analysis are considered to be one under the heading Alternatives Analysis. Environmental Information DocumentCheck the boxes only after you have ensured that your Environmental Information Document contains the following. If parts are missing, it will be returned without an environmental review. FORMCHECKBOX  Project Description  FORMCHECKBOX  Purpose and Need  FORMCHECKBOX  Existing Environment FORMCHECKBOX  Mitigative Measures  FORMCHECKBOX  Environmental Justice  FORMCHECKBOX  Project Location Map Submittal Checklist for Engineering Report/Environmental Information Document (continued)Environmental Information Document (continued) FORMCHECKBOX  Environmental Consequences  FORMCHECKBOX  Discussion of Secondary and Cumulative Impacts FORMCHECKBOX  AppendicesI. Engineering Report AmendmentComplete this part only if you are submitting an ER amendment. Then sign Part L. Check the boxes only after you have ensured that your Engineering Amendment contains the following. If parts are missing, it will be returned to you without a review. FORMCHECKBOX  PE Seal and signature  FORMCHECKBOX  Summary, Conclusion and Recommendation  FORMCHECKBOX  Project Description  FORMCHECKBOX  Justification FORMCHECKBOX  Cost Effectiveness  FORMCHECKBOX  User Fee Analysis  FORMCHECKBOX  Environmental CorridorJ. Sanitary Sewer Evaluation Surveys (SSES)Complete this part only if you are submitting a SSES. Then sign Part L. Check the boxes only after you have ensured that your SSES contains the following. If parts are missing, it will be returned to you without a review. FORMCHECKBOX  Summary, Conclusion, and Recommendations  FORMCHECKBOX  History  FORMCHECKBOX  Current Situation  FORMCHECKBOX  Rehabilitation FORMCHECKBOX  User Charges and Eligibility  FORMCHECKBOX  Environmental Assessment  FORMCHECKBOX  Public Participation.Additional Information(Provide any additional information that the Facilities Information may need to be made aware of during reviews. Example: Deadlines related to other funding.) FORMTEXT       L. 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