Form ENV-160-LPA "Environmental Class of Action Determination (Lpa)" - Mississippi

What Is Form ENV-160-LPA?

This is a legal form that was released by the Mississippi Department of Transportation - a government authority operating within Mississippi. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2016;
  • The latest edition provided by the Mississippi Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form ENV-160-LPA by clicking the link below or browse more documents and templates provided by the Mississippi Department of Transportation.

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Download Form ENV-160-LPA "Environmental Class of Action Determination (Lpa)" - Mississippi

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ENV-160-LPA
Rev. 10/2016
MISSISSIPPI DEPARTMENT OF TRANSPORTATION
ENVIRONMENTAL DIVISION
ENVIRONMENTAL CLASS OF ACTION DETERMINATION (LPA)
7. SUBMITTED BY:
DISTRICT NO.:
F.A. NO. (EXTERNAL):
MAYOR
CONSULTING ENGINEER
FMS PROJ. NO.:
HIGHWAY / ROUTE:
CITY OR COUNTY ENGINEER
SECTION NO.:
COUNTY:
NA
SUBMITTED AND APPROVED BY
DATE
STIP
RE-EVALUATION
GOLD SHEET
PROGRAMMATIC
REVIEWED
STATUS
MENT
COMMITMENTS
DISTRICT ENGINEER
DATE
1. PROJECT TERMINI:
PLANNING ENGINEER
DATE
(A.) EXISTING CONDITIONS:
ENVIRONMENTAL
DATE
ENGINEER\ADMINISTRATOR
(B.) PROPOSED IMPROVEMENTS:
8. FHWA CONCURRENCE:
DATE
FHWA DIVISION ADMINISTRATOR
(C.) PRELIMINARY PURPOSE & NEED:
9. RE-EVALUATION
DATE
Approved (FHWA Memo August 26, 2002)
(D.) NEW ROW REQUIRED:
YES
NO
2. ENVIRONMENTAL CONSEQUENCES EVALUATION
COMMENTS IDENTIFYING ISSUES WHICH MAKE
SIGN.
MIN.
NONE
(CHECK ONE)
IMPACT SIGNIFICANT OR MINIMAL
A. LAND USE IMPACTS
B. FARMLAND IMPACTS
C. SOCIAL / ENVIRONMENTAL JUSTICE IMPACTS
D. RELOCATION IMPACTS
E. ECONOMIC IMPACTS
F. JOINT DEVELOPMENT
G. CONSIDERATIONS RELATING TO PEDESTRIANS & BICYCLISTS
H. AIR QUALITY / CLIMATE CHANGE RELATED IMPACTS
I. NOISE IMPACTS
J. WATER QUALITY IMPACTS
K. PERMITS
L. WETLAND/STREAM IMPACTS
M. WATER BODY MODIFICATION & WILDLIFE IMPACTS
N. FLOODPLAIN IMPACTS
O. WILD & SCENIC RIVERS
P. COASTAL BARRIERS
Q. COASTAL ZONE IMPACTS
R. THREATENED OR ENDANGERED SPECIES
S. HISTORIC & ARCHAEOLOGICAL PRESERVATION / 4(f) LANDS
T. HAZARDOUS WASTE SITES
U. VISUAL IMPACTS
V. ENERGY
W. CONSTRUCTION IMPACTS
3. PUBLIC INVOLVEMENT RECOMMENDATIONS:
4. ACTIONS REQUIRED:
CATEGORICAL EXCLUSION
106 CONSULTATION
ENDANGERED SPECIES ASSESSMENT
EA/FONSI
EIS
NOISE STUDY
SHPO LETTER
4(f) STATEMENT
CLASS
DETERMINATION:
5. WETLANDS/STREAMS FINDING (CEX ONLY):
6. OTHER REMARKS:
ENV-160-LPA
Rev. 10/2016
MISSISSIPPI DEPARTMENT OF TRANSPORTATION
ENVIRONMENTAL DIVISION
ENVIRONMENTAL CLASS OF ACTION DETERMINATION (LPA)
7. SUBMITTED BY:
DISTRICT NO.:
F.A. NO. (EXTERNAL):
MAYOR
CONSULTING ENGINEER
FMS PROJ. NO.:
HIGHWAY / ROUTE:
CITY OR COUNTY ENGINEER
SECTION NO.:
COUNTY:
NA
SUBMITTED AND APPROVED BY
DATE
STIP
RE-EVALUATION
GOLD SHEET
PROGRAMMATIC
REVIEWED
STATUS
MENT
COMMITMENTS
DISTRICT ENGINEER
DATE
1. PROJECT TERMINI:
PLANNING ENGINEER
DATE
(A.) EXISTING CONDITIONS:
ENVIRONMENTAL
DATE
ENGINEER\ADMINISTRATOR
(B.) PROPOSED IMPROVEMENTS:
8. FHWA CONCURRENCE:
DATE
FHWA DIVISION ADMINISTRATOR
(C.) PRELIMINARY PURPOSE & NEED:
9. RE-EVALUATION
DATE
Approved (FHWA Memo August 26, 2002)
(D.) NEW ROW REQUIRED:
YES
NO
2. ENVIRONMENTAL CONSEQUENCES EVALUATION
COMMENTS IDENTIFYING ISSUES WHICH MAKE
SIGN.
MIN.
NONE
(CHECK ONE)
IMPACT SIGNIFICANT OR MINIMAL
A. LAND USE IMPACTS
B. FARMLAND IMPACTS
C. SOCIAL / ENVIRONMENTAL JUSTICE IMPACTS
D. RELOCATION IMPACTS
E. ECONOMIC IMPACTS
F. JOINT DEVELOPMENT
G. CONSIDERATIONS RELATING TO PEDESTRIANS & BICYCLISTS
H. AIR QUALITY / CLIMATE CHANGE RELATED IMPACTS
I. NOISE IMPACTS
J. WATER QUALITY IMPACTS
K. PERMITS
L. WETLAND/STREAM IMPACTS
M. WATER BODY MODIFICATION & WILDLIFE IMPACTS
N. FLOODPLAIN IMPACTS
O. WILD & SCENIC RIVERS
P. COASTAL BARRIERS
Q. COASTAL ZONE IMPACTS
R. THREATENED OR ENDANGERED SPECIES
S. HISTORIC & ARCHAEOLOGICAL PRESERVATION / 4(f) LANDS
T. HAZARDOUS WASTE SITES
U. VISUAL IMPACTS
V. ENERGY
W. CONSTRUCTION IMPACTS
3. PUBLIC INVOLVEMENT RECOMMENDATIONS:
4. ACTIONS REQUIRED:
CATEGORICAL EXCLUSION
106 CONSULTATION
ENDANGERED SPECIES ASSESSMENT
EA/FONSI
EIS
NOISE STUDY
SHPO LETTER
4(f) STATEMENT
CLASS
DETERMINATION:
5. WETLANDS/STREAMS FINDING (CEX ONLY):
6. OTHER REMARKS: