New York State Department of Transportation



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|Reevaluation Social, Economic and Environmental Conditions Checklist |

|Social Considerations Provide documentation of all Yes answers in Step 4 of the Reevaluation Form under Social, Economic and Environmental Conditions |

|# |Could identified project changes alter the project’s effects regarding the following: |Yes |No |

|1 |Current land use/zoning or consistency with community’s comprehensive plan? |[pic] |[pic] |

|2 |Planned or potential future development? |[pic] |[pic] |

|3 |Neighborhood character or community cohesion (e.g., divide or isolate portions of the community)? |[pic] |[pic] |

|4 |Alteration of existing travel patterns (e.g., vehicular, commuter, bicycle, pedestrian) affecting quality of life? |[pic] |[pic] |

|5 |Mobility/transportation options (e.g., transit, walking, bicycling)? |[pic] |[pic] |

|6 |Potentially generation of new development that could affect community structure? |[pic] |[pic] |

|7 |The ability of transit dependent, elderly, or disabled populations to access destinations (particularly local businesses |[pic] |[pic] |

| |and health care facilities)? | | |

|8 |The alteration of pedestrian facilities that would affect the elderly or disabled (e.g., lengthening pedestrian crossings |[pic] |[pic] |

| |or providing median refuge)? | | |

|9 |The potential to disproportionately impact low income or minority populations (Environmental Justice)? |[pic] |[pic] |

|10 |Access to or use of Schools, Recreation Areas or Places of Worship (e.g., detours, sidewalk removal, addition of curb |[pic] |[pic] |

| |ramps, crosswalks, pedestrian signals, etc.)? | | |

|11 |Emergency service response? |[pic] |[pic] |

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|Economic Considerations Provide documentation of all Yes answers in Step 4 of the Reevaluation Form under Social, Economic and Environmental Conditions |

|# |Could project changes alter the project’s effects regarding the following: |Yes |No |

|1 |The potential to affect local economic viability (e.g., development potential, tax revenues, employment opportunities, |[pic] |[pic] |

| |retail sales or public expenditures)? | | |

|2 |The potential to divert traffic away from businesses? |[pic] |[pic] |

|3 |Potentially affect the viability or character of a business District? |[pic] |[pic] |

|4 |The effect on transportation options available for patrons getting into or out of a business district? |[pic] |[pic] |

|5 |Effects on pedestrian access, bicycling opportunities or transit opportunities into or within a business district? |[pic] |[pic] |

|6 |Impacts to parking within a business district? |[pic] |[pic] |

|7 |Specific business impacts (e.g., sidewalks, bicycle access or handicapped access to and from businesses)? |[pic] |[pic] |

|8 |Effects on transportation options for patrons to businesses? |[pic] |[pic] |

|9 |The ability of businesses to receive deliveries? |[pic] |[pic] |

|10 |Impacts to parking for individual businesses? |[pic] |[pic] |

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|Environmental Considerations Provide documentation of all Yes answers in Step 4 of the Reevaluation Form under Social, Economic and Environmental Conditions |

|# |Could project changes alter the project’s effects regarding the following: |Yes |No |

|1. |Wetlands? If Yes, provide the following information in Step 4 of the Reevaluation Form for the original and new proposed |[pic] |[pic] |

| |conditions: Total Wetland Area, Fill and/or Dredge Quantities. Discuss changes to impacts to wetland functions and values.| | |

|2. |Surface Waters (other than wetlands) within or immediately adjacent to the project limits? |[pic] |[pic] |

|3. |Wild or Scenic River within or immediately adjacent to the project limits? |[pic] |[pic] |

|4. |Need for a Coast Guard Bridge Permit? |[pic] |[pic] |

|5. |USACE Navigable waters? |[pic] |[pic] |

|6. |Mapped flood zone(s)? |[pic] |[pic] |

|7. |Designated coastal zone? |[pic] |[pic] |

|8. |Sole source aquifer? |[pic] |[pic] |

|9. |1 acre or more of total ground disturbance (or 5,000 sf in East of Hudson watershed)? |[pic] |[pic] |

|10. |Federal or state listed threatened/endangered species or designated critical habitat Determinations? |[pic] |[pic] |

|11. |Designated Critical Environmental Area? |[pic] |[pic] |

|12. |Resources protected by Section 106/Section 14.09 within project limits or immediate area? |[pic] |[pic] |

|13. |Requirement for Native American coordination outside of Section 106 consultation? |[pic] |[pic] |

|14. |New or additional use, constructive use or temporary occupancy of a Section 4(f) resource? |[pic] |[pic] |

|15. |New or additional conversion of a 6(f) resource? |[pic] |[pic] |

|16. |Important/possibly significant or significant visual resources? |[pic] |[pic] |

|17. |Conversion of land protected by the Federal Farmland Protection Act? |[pic] |[pic] |

|18. |Acquisition of active farmland from an Agricultural District? |[pic] |[pic] |

|19. |Nonattainment area, requiring changes to CO or PM screening results? |[pic] |[pic] |

|20. |Revisions to conformity determination? |[pic] |[pic] |

|21. |Need to analyze noise impacts? If Yes, discuss the following in Step 4 of the reevaluation form: 1. Change in status under |[pic] |[pic] |

| |23 CFR 772 to a Type I project; 2. New land development that may result in a potential noise impact; 3. Change in project’s| | |

| |geometric design that may result in potential new or revised noise impact; 3. Changes in projected future traffic (volume, | | |

| |speed or classification) that may result in a potential noise impact; 4. Changes that could revise previous abatement | | |

| |recommendations. | | |

|22. |Involvement with potentially Contaminated and Hazardous Materials? |[pic] |[pic] |

|23. |Construction or increase height of towers within a known migratory bird flyway? |[pic] |[pic] |

|24. |New, additional or revised impacts to other protected resources? |[pic] |[pic] |

|25. |New or revised permits or authorizations not addressed by the questions above? |[pic] |[pic] |

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