Preliminary Environmental Studies Formf
f,
EXHIBIT 6 -A PRELIMINARY ENVIRONMENTAL STUDIES (PES) FORM
PRELIMINARY ENVIRONMENTAL STUDIES (PES) FORM
-te
TO: (DEAF) (A— � 1, S r
FEDERAL PROJECT NUMBER:
(District) Cv it�X`
(Address)
(Federal Prog. Prefix-Prof. No., Agreement No.)
.
FROM: (Local Agency) s
(Address) � �"� c
FINAL DESIGN: (Expected Start Date)
(Project Manager's.Name
20Q
`Telephone)
Is this project "ON" the State Highway System?
r
FSTIP: (Plan Date) 2-4xU
❑ Yes
(Page #) / Z
FY for which each Project Component is Programmed for
9 No
IF YES, STOP HERE and contact the District DLAE
delivery in the FSTIP:
regarding the completion of other environmental
PE FY /
documentation
ROW FY /
CONST FY /
PROJECT DESCRIPTION AS SHOWN IN FSTIP: ;'.,
pn'l.,Lr *- 1A,,
�-�¢-
DETAILED PROJECT DESCRIPTION: (Include scope of work, project limits, purpose and need, logical termini and
independent utility)
`
V C3 C�j`f ✓ �'j' 0 > r '`�9r Ct y. i. f 7�i ��4 �� O�o7
(Continue description on "Notes" sheet, last page of Exhibit, if necessary)
PRELIMINARY DESIGN INFORMATION
Does the project involve any of the following? Please check the appropriate boxes and delineate on an attached map, plan, or layout including any
additional pertinent information
Yes
No
Yes No
❑
0 Any vegetation removal
❑ Railroad
❑
CS Bridge work If yes, discuss bride type/approach work
❑
Ramp closure
❑
P Construct access roads
❑
Realignment
❑
Disposal/borrow sites
❑
Removal of trees
❑
Drainage/culverts
❑
R/W acquisition If yes, attach ma /APN #'s
❑
Equipment sta 'n
❑
Road cut (s)
❑
Flooding
❑
Temporary road/Detour
❑
Capacity Increasin
❑
Sound walls
❑ ® Ground disturbance (outside of existing cut slope and all work
❑ Stream channel work
outside the toe of fill
❑ M Material site(s)
Temporary easements
❑ @ New alignment
❑ Utility relocation
❑ 1Q Off-pavement detour
❑ Widen existing roadway
❑ EJ Will increase number of through lanes
❑ Part of larger or adjacent project
REQUIRED ATTACHMENTS:
Regional Map
Project Location Map
M) Project Footprint Map (Showing Existing/Proposed ROW)
Engineering drawings (Existing and Proposed Cross Sections), (if available)
❑ Borrow/Disposal Site Location Map (if applicable)
Note: All maps should be at a minimum scale of 1" = 200' 1" = 60.96 meters Maps may be ordered online at http://mapping.usgs.gov/
Exhibit 6 -A, continued
EXAMINE FOR POTENTIAL EFFECTS ON THE ENVIRONMENT, DIRECT OR INDIRECT, AND
ANSWER THE FOLLOWING QUESTIONS (Utilize the notes page at the end of the PES Form to document conclusions)
To Be
A. The Physical Environment Yes Determined No
1. Is the project a Type I project as defined in 23 CFR. 772.5(h);
"construction on new location or the physical alteration of an
existing highway, which significantly changes either the horizontal
or vertical alignment or increases the number of through- traffic
lanes "? ❑ ❑
2. Are there water resources (rivers, streams, bays, inlets, lakes,
drainage sloughs) within or immediately adjacent to the project
/
area?
❑
❑
E /
3. Is project within a designated sole - source aquifer?
❑
❑
4. Is project within the State Coastal Zone?
❑
❑
5. Is the construction area located within a regulatory floodway or
within the base floodplain (100 -year) elevation of a watercourse or
lake?
❑
❑
6. Is the project within or immediately adjacent to a Wild and Scenic
River System?
❑
❑
[+�
7. Is there a potential for a federally listed, threatened, or endangered
species or their critical or sensitive habitat within the construction
area? ❑ ❑ R/
8. Is there a potential for wetlands within the construction area? ❑ ❑ 19'
9. Is there a potential for agricultural wetlands within the construction
area? ❑ ❑ Q�
10. Air Quality
a. Transportation Conformity (Air) Does Transportation
Conformity apply? ❑ ❑ 0°
b. Is the project exempt from the requirement to determine
conformity (40 CFR 93.126)? ❑ ❑
11. Air Quality: Does the project have the potential for adverse
emission impacts? ❑ ❑
12. Is there a potential for prime or unique farmlands within or �-,/
immediately adjacent to the construction area? ❑ El P
13. Is there a potential for hazardous materials (including underground
tanks) or hazardous material remains within or immediately
adjacent to the construction area? ❑ ❑
14. Are there any publicly owned public parks, recreation areas, or
wildlife or waterfowl refuges [Section 4(f)] within construction
area? 1:1 ❑
15. Are there any aesthetically visual resources within the project area? ❑ ❑ I/
Exhibit 6 -A, continued
B. The Social and Economic Environment
16. Will the project require any right -of -way, including partial or full
takes? Consider construction easements and utility relocations.
17. Is the project inconsistent with plans and goals adopted by the
community?
18. Will the project result in the need for public services, including
utilities other than those presently available or proposed?
19. Will the project involve changes in access control?
20. Will project involve the use of a temporary road, detour or ramp
closure?
21. Will the project reduce available parking?
22. Will the project require future construction to fully utilize the design
capabilities included in the proposed project?
23. Will the project generate public controversy based on potential
environmental effects?
24. Will project construction encroach on State or federal Lands?
25. Are there National Register listed or potentially eligible historic
properties or archaeological resources [Section 106, Section 4(f)]
NOTE: CT PQS DETERMINES APPLICABILITY OF QUESTION #25.
26. Is there a potential for the introduction or spread of
invasive species?
To Be
Yes Determined
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
No
42(
EVI
V
EV
ERI
ram
n/
E] ❑ �
❑ ❑ ram
Exhibit 6 -A, continued
SECTION C, D & E - CHECK APPROPRIATE BOX TO INDICATE REQUIRED TECHNICAL
STUDIES, COORDINATION, PERMITS OR APPROVALS
C.
REQUIRED TECHNICAL STUDIES D.
COORDINATION E.
PERMIT /APPROVALS
NOISE STUDY
_ Traffic Related _
FHWA
Construction Related
FHWA
WATER QUALITY STUDY
_ Discharge Dredged/Fill material (US waters) _
U.S. Army Corps of Engineers _
Issues Section 404 Permit
_ Construction in Navigable Waters _
U.S. Army Corps of Engineers _
Section 10 Permit
_ Construction of Bridges /Causeways Across _
U.S. Coast Guard _
Approves Plans
Navigable Waters
_ Construction of Bridge _
California Regional Water Quality _
Water Quality
Control Board
Certification
_ Stream or Lake Alteration _
California Department of Fish & Game _
Section 1601/03 Permit
NEPA/404 MOU
FHWA
SOLE SOURCE AQUIFER _
EPA (S.F. Regional Office) _
Contamination Threat
COASTAL ZONE _
State Coastal Zone Management agency _
Coastal Zone Consistency
California Coastal Commission CCC
FLOODPLAIN STUDY * _
Federal Emergency Management Agency
FHWA
Flood lain Finding
WILD & SCENIC RIVERS _
U.S. Department of Interior
Heritage Conservation/Recreation
Service
BIOLOGY STUDY * _
FHWA _
Sec 7 Consultation
California Department of Fish & Game
Incidental Take Permit
WETLANDS STUDY * _
FHWA/EPA _
Wetlands Findings
_
U.S. Fish & Wildlife
U.S. Army Corps of Engineers _
Verifies juris. wetlands
_
National Marine Fisheries Service
Agricultural Wetlands _
Natural Resources Conservation Service _
Verifies agri. wetlands
AIR QUALITY STUDY* _
FHWA _
Conformity Finding
FARMLANDS STUDY _
Natural Resources Conservation Service _
Verifies prime /unique
U.S. Army Corps of Engineers
Approves Conversions
HAZARDOUS MATERIAL STUDY _
1. CALIF. EPA;
(Cleanup of Hazardous Material Sites)
Department of Toxic Substances Control,
Biennial Reports, Lists of Active Annual
Work plan Sites
2. CALIF. Office of Planning and
Research; Hazardous Wastes &
Substances Sites List, List of
Contaminated Sites
3. LOCAL; Health & Human Services
Dept., Hazardous Waste Operations Div
* FHWA has responsibility for consultation under regulation or interagency agreement or FHWA has responsibility for a
finding or determination required by law, regulation or Executive Order.
Exhibit 6 -A, continued
F. Public Hearing and Public Availability
Not Required
Notices of Availability
Environmental Document ONLY
Exhibit 6 -A, continued
G. Preliminary Environmental Document Classification (NEPA)
Opportunity for a Public Hearing
Public Hearing Required
Based on the evaluation of the project, the environmental document to be developed should be:
Environmental Impact Statement
_ Environmental Assessment
Categorical Exclusion, with required technical studies (involving federal action)
Programmatic Categorical Exclusion, without required technical studies
Programmatic Categorical Exclusion, with required technical studies (not involving federal action)
FHWA has responsibility for consultation under regulation or interagency agreement or FHWA has responsibility for a
finding or determination required by law, regulation or Executive Order.
C.
REQUIRED TECHNICAL STUDIES D.
COORDINATION
E. PERMIT /APPROVALS
SECTION 4(f) EVALUATION ` _
FHWA
_ Makes Determination
_
Public Official w /Jurisdictional
Responsibility.
_
SHPO /ACHP (as appropriate)
DOI/DOA/HUD/USDA (as appropriate)
El
SECTION 6(f) EVALUATION _
Park Official
DOI
VISUAL IMPACT STUDY (AESTHETICS) _
FHWA
9
RELOCATION IMPACTS STUDY _
State & Local Planning Departments
SOCIO- ECONOMIC STUDY _
Airports, Schools, State and Local
Planning Departments
TRAFFIC
FHWA
SECTION 106 STUDY
_ Exempt Undertaking _
Caltrans (PQS & DLAE approve APE)
_ Determines whether project
qualifies as exempt
_ APE Map _
Caltrans
_ Determines applicability
of Minimal APE
_ Historic Property Survey Report (HPSR) _
Caltrans
— Approves document
Local Preservation groups and/or Native
Provides comment on
_
American Tribes
concerns with project
_
FHWA
_ Concurs or Consults with
SHPO /ACHP
SHPO
Concurs
CONSTRUCTION/ENCROACH ON STATE
LANDS
_ Under State Lands Commission Jurisdiction _
State Lands Commission
_ General Permit/Revise
General Plans
Under Caltrans Jurisdiction
Caltrans
Encroachment Permit
CONSTRUCTION/ENCROACHMENT _
U.S. Bureau of Reclamation
_ Encroachment Permit
ON FEDERAL LANDS _
Private Land Owner
_ Right -of -Entry Permit
Additional studies may be required for other federal agencies.
F. Public Hearing and Public Availability
Not Required
Notices of Availability
Environmental Document ONLY
Exhibit 6 -A, continued
G. Preliminary Environmental Document Classification (NEPA)
Opportunity for a Public Hearing
Public Hearing Required
Based on the evaluation of the project, the environmental document to be developed should be:
Environmental Impact Statement
_ Environmental Assessment
Categorical Exclusion, with required technical studies (involving federal action)
Programmatic Categorical Exclusion, without required technical studies
Programmatic Categorical Exclusion, with required technical studies (not involving federal action)
FHWA has responsibility for consultation under regulation or interagency agreement or FHWA has responsibility for a
finding or determination required by law, regulation or Executive Order.
LOCAL AGENCY STAFF or CONSULTANT SIGNATURE
Prepared by: �j Cdt� ' Date S (Z 0q Telephone #:
LOCAL AGENCY PROJECT ENGINEER SIGNATURE:
This document was prepared under my supervision, in accordance with the Local Assistance Procedures Manual, Exhibit 6 -13
"Instructions for Completing the Preliminary Environmental Study Form."
Signature local agency:
Date: Telephone #:
FHWA SIGNATURE:
I concur with the studies to be performed and the recommended level of environmental document.
Signature FHWA:
Distribution:
Original: Office of Grants and Local Services
Date:
Telephone #:
NOTICE OF EXEMPTION
TO: X County Clerk/Recorder FROM: City of Encinitas
P.O. Box 121750 Community Development Departmeet
San Diego, CA 92112 -1750 505 South Vulcan Avenue
Encinitas, CA 92024
Office of Planning and Research
1400 Tenth Street, Room 121
Sacramento, CA 95814
Project Title: Encinitas Recreational Trails Master Plan — Trail #107A
Project Location - Specific: East side of Camino Del Rancho, between Lone Jack Road and Brookside Lane
within the community of Olivenhain
Project Location -City: City of Encinitas County: San Diego
Description of Project: Trail construction within 380 feet of the Camino Del Rancho public right -of -way.
Name of Public Agency Approving Project: City of Encinitas
Name of Person or Agency Carrying Out Project: City of Encinitas, Parks and Recreation Department
Exempt Status:
Ministerial (Sec. 15268)
Declared Emergency (Sec. 15269 (a))
Emergency Project (Sec. 15269 (b) and (c))
Categorical Exemption (Section 15313)
X Other. General Rule [Section 15061 (b) (311
Reasons why project is exempt: The proposal would have no possibility of a significant effect on the
environment.
Contact Person: Scott Vurbeff Telephone: (760) 633 -2692
;. U September 19, 2007
Scott Vurbeff Date
Environmental Coordinator