1.0. Date and Time of Site Visit

  • Record date and time of site visit.

2.0. Land Quality

  • Will the proposed action involve digging, drilling, scraping, trenching, or another form of soil disturbance?

  • Describe the nature and level of disturbance.

  • Will the action or project cause any damage to native vegetation?

  • Are there any natural washes or storm water channels within 75 feet of the location of the proposed action?

  • Will the proposed action disturb one acre or more?

  • Will erosion or sediments be a concern during storm events?

  • Will any noise, traffic, or visual aesthetic of the desert region be generated or altered which may affect off-base persons, prosperity, or wildlife?

  • Has the proposed project area been previously disturbed? If yes, briefly describe level of disturbance.

  • Is there any evidence of prior soil contamination?

3.0. Cultural and Natural Resources

  • Will the proposed action take place on or adjacent to an environmentally sensitive area?

  • Briefly describe area or location.

  • Will any known cultural or historical resource be affected at the site of the proposed action?

  • Briefly describe affected resource.

  • Will any known threatened or endangered species (plant or animal) be affected by the proposed action?

4.0. Installation Restoration

  • Is there an installation restoration site at or near the location of the proposed project?

  • Provide IR site name.

5.0. Signature Block

  • Signature of Person Conducting Site Visit

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