EMS-F034 This is a controlled document

Verify most recent version online

RECORD OF ENVIRONMENTAL CONSIDERATION
Directorate of Public Works, Environmental and Natural Resources Division, Fort Rucker, Alabama
1. Proponent/Organization:
2.a. Title of Proposed Action:
2.b. Work Order or Project number if Applicable:
3. Point of Contact: Name
Phone Email
4. Purpose of the Proposed Action: (attach additional information as necessary)

5. Brief Description and Location of the Proposed Action: (attach maps, drawings as necessary)
6. Anticipated date the proposed action/project will start:
7. Method in which action will be executed:

8. Any other comments or information regarding the proposed action

The above description is correct to the best of my knowledge.
9. Name Rank (Grade)
Signature
10. Date: / 11. Phone: 12. Email:

USAACE Form 251, 23 Feb 2011 PREVIOUS EDITION IS OBSOLETE

Page 1 of 3

EMS-F034 This is a controlled document

Verify most recent version online

Mark the appropriate box for each environmental consideration that may be impacted. Any box containing a "yes" response requires a comment. Attach additional sheets as necessary. DPW-ENRD may be contacted for assistance in completing this checklist. / Comments
1. RCRA Considerations
a.  Solid Waste (list details/type in comments) / /
b.  Recyclable Materials (list details/type in comments) /
c.  Hazardous Waste (list details/type in comments) /
d.  Universal Waste /
e.  Lead-Based Paint /
2. TSCA Considerations
a. Asbestos Containing Materials / /
b. PCBs (Ballasts, Transformers) /
3. Other Regulated Wastes / Materials
a. Used Oil / /
b. Used Cooking Oil / Grease /
c. Used Antifreeze /
d.  Oil products in containers 55-gal or larger /
e.  Pesticide / herbicide use (list details/type in comments) /
4. Air
a. Operating Emissions / /
b. Demolition Emissions /
c. ODCs (CFCs, Refrigerant) /
5. Water
a. Ground Water / /
b. Storm Water /
c. Waste Water /
6. Natural Features
a. Timberlands / /
b. Wetlands /
c. Floodplain /
d. Critical Habitat /
7. Land Management
a. Land Use Change / /
b. Land Disturbance (include number of acres in comments) /
c. Erosion /
8. Cultural Resources
a. Archeological Sites / /
b. Historic Properties /
9. Noise
a.  Mission-related noise / /
b.  Operational noise /
10.  Energy / Water Conservation
a.  Will additional energy sources be required? / /
b.  Will additional water resources be required? /

Page 1 of 3

EMS-F034 This is a controlled document

Verify most recent version online

ENVIRONMENTAL DIVISION USE ONLY

1. Adequately covered in an EA/EIS entitled:
or Categorical Exclusion CX pursuant to App B, 32 CFR Part 651
2. Environmental Assessment (EA) is required:
NOTE: The above Categorical Exclusion addresses only expected environmental impacts and does not imply DPW project approval nor contractual authority. This document does not relieve the proponent of compliance with applicable Federal, State and local (Fort Rucker) regulations.
3. Environmental and Natural Resources Division Comments:

4. Environmental Coordinator:
Name Signature
5. Date: / 6. Phone: / 7. Email:

USAACE Form 251, 23 Feb 2011

Page 1 of 3