Common use of Cultural Resources Clause in Contracts

Cultural Resources. A request for review by the Cultural Resources Section was made by Xxxxxxxx Xxxxx on October 17, 2012. Hazmat ConcernsIndicate the number of items of concern found within ½ mile, including an explanation why each itemwithin the ½ mile radius will/will not impact the project. If there are no items, please indicate N/A: Xxxxxxxxxx Sites N/A Corrective Action Sites (RCRA) N/A State Cleanup Sites N/A Superfund Sites N/A Voluntary Remediation Program N/A Institutional Control Sites N/A Manufactured Gas Plant Sites N/A Industrial Waste Sites N/A Underground Storage Tanks (USTs) N/A Leaking Underground Storage Tanks (LUSTs) N/A Confined Feeding Operations N/A Septage Waste Sites N/A Construction Demolition Waste N/A Infectious/Medical Waste Sites N/A Lagoon/Surface Impoundments N/A Open Dump Sites N/A Restricted Waste Sites N/A Solid Waste Landfills N/A Tire Waste Sites N/A Waste Transfer Stations N/A Waste Treatment, Storage, and Disposal Sites (TSDs) N/A NPDES Facilities N/A NPDES Pipe Locations 1 Explanation: NPDES Pipe Locations: There is one (1) NPDES Pipe Location located within the ½ mile buffer. No impact is expected from the sale of the parcels. RECOMMENDATIONS INFRASTRUCTURE: N/A WATER RESOURCES: N/A MINING/MINERAL EXPLORATION: N/A ECOLOGICAL INFORMATION: N/A CULTURAL RESOURCES: A request for review by the Cultural Resources Section was made by Xxxxxxxx Xxxxx on October 17, 2012. HAZMAT CONCERNS: N/A INDOT Environmental Services concurrence: (Signature) Prepared by: Xxxxx Xxxxxxx NEPA Specialist INDOT Environmental Services Graphics: A map for each report section with a ½ mile radius buffer around all project area(s) showing all items identified as possible items of concern is attached. If there is not a section map included, please change the YES to N/A: GENERAL SITE MAP SHOWING PROJECT AREA: YES INFRASTRUCTURE: N/A WATER RESOURCES: YES MINING/MINERAL EXPLORATION: Yes HAZMAT CONCERNS: YES Red Flag Investigation -Location Map XX 000 X X Xxxxxx Xxxx 000 X XX 0000, Parcel 00, Xxxxxx Xxxx Xxxxxxx Xxxxxx, Indiana N County Road 000 Xxxxxx Xxxx 0000 X £¤000 X Xxxxxxx Xxxxxx County Road 200 TeLxtA3097 PARCEL 16 º Sources: 0.15 0 0.15 XXXX QUADRANGLE INDIANA

Cultural Resources. A request All cultural resource compliance actions were completed for review by the these parcels in 1999. The INDOT Cultural Resources Section was made by Xxxxxxxx Xxxxx on October 17, 2012Resource Office has determined no additional actions need to be taken. Hazmat ConcernsIndicate the number of items of concern found within ½ mile, including an explanation why each itemwithin item within the ½ mile radius will/will not impact the project. If there are no items, please indicate N/A: Xxxxxxxxxx Sites N/A NA Restricted Waste Sites NA Corrective Action Sites (RCRA) N/A NA Septage Waste Sites NA Confined Feeding Operations NA Solid Waste Landfills NA Construction Demolition Waste NA State Cleanup Sites N/A Superfund Sites N/A Voluntary Remediation Program N/A Institutional Control Sites N/A Manufactured Gas Plant Sites N/A NA Industrial Waste Sites N/A Underground Storage Tanks (USTsRCRA Generators) N/A Leaking Underground Storage Tanks (LUSTs) N/A Confined Feeding Operations N/A Septage NA Tire Waste Sites N/A Construction Demolition Waste N/A NA Infectious/Medical Waste Sites N/A NA Waste Transfer Stations NA Lagoon/Surface Impoundments N/A Open Dump Sites N/A Restricted Waste Sites N/A Solid Waste Landfills N/A Tire Waste Sites N/A Waste Transfer Stations N/A NA RCRA Waste Treatment, Storage, and Disposal Sites (TSDs) N/A NA Leaking Underground Storage Tanks (LUSTs) 6 Underground Storage Tanks 3 Manufactured Gas Plant Sites NA Voluntary Remediation Program NA NPDES Facilities N/A NA Superfund NA NPDES Pipe Locations NA Institutional Control Sites 1 Open Dump Sites NA Explanation: NPDES Pipe Locations: There is one are six recorded leaking underground storage tank (1LUST) NPDES Pipe Location located sites within the ½ a half mile buffer. No impact is expected from the sale of the parcels. The closest is approximately 625 feet to the northwest of the parcels. The Indiana Department of Environmental Management issued a “no further action” letter on November 17, 2004 to the Super 7 # 239 at this location. Disposal of the parcels would not be impacted by and would not impact this LUST site or any of the other LUST sites recorded within a half mile. There are three other underground storage tank (UST) sites within a half mile of the parcels. The closest is approximately 470 feet to the northwest. These UST sites have no reported spills would not impact nor would they be impacted by the disposal of these parcels. There is one Institutional Control Site, Swifty Oil 216, approximately 2,000 feet to the north of the parcels. This site would not be impacted by or impact the sale of these parcels. RECOMMENDATIONS Include recommendations from each section. If there are no recommendations, please indicate N/A: INFRASTRUCTURE: N/A NA WATER RESOURCES: N/A NA MINING/MINERAL EXPLORATION: N/A NA ECOLOGICAL INFORMATION: N/A NA CULTURAL RESOURCES: A request for review by the Cultural Resources Section was made by Xxxxxxxx Xxxxx on October 17, 2012. NA HAZMAT CONCERNS: N/A NA Xxxxxxx Xxxxxx Digitally signed by Xxxxxxx Xxxxxx DN: cn=Xxxxxxx Xxxxxx, o=INDOT, ou=HazMat, xxxxx=xxxxxxx@xxxxx.xx.xxx, c=US Date: 2013.02.19 14:50:55 -05'00' INDOT Environmental Services concurrence: (Signature) Prepared by: Xxxxx Xxxxxxx NEPA Specialist INDOT Xxxxxxx-Xxxxxx Environmental Services Manager II INDOT, Greenfield District Graphics: A map for each report section with a ½ mile radius buffer around all project area(s) showing all items identified as possible items of concern is attached. If there is not a section map included, please change the YES to N/A: GENERAL SITE MAP SHOWING PROJECT AREA: YES INFRASTRUCTURE: N/A YES WATER RESOURCES: YES MINING/MINERAL EXPLORATION: Yes NO HAZMAT CONCERNS: YES Red Flag Investigation -Location General Location Map XX 000 X X I-70 East of Post Road on Stardust Drive Pineneedle Ct Hull St Marten Ct E Athens Ct LA Code 3033 Parcels 3 and 4; Excess Parcel Disposal Xxxxxx Xxxx 000 X XX 0000, Parcel 00, Xxxxxx Xxxx Xxxxxxx XxxxxxCounty, Indiana Faris Ave X Xxxxxxxxxx Xxx Xxxxx Xx Xxx Xxxxxxxxx Xxxx Ct Newburgh Dr Aspen Way Brentwood Dr Arborcrest Dr Alsace Pl Bari Ct Xxxxxxx St Xxxxxxxx Xx Xxxxx Xx Xxxxxxxx Xx Xxxxxx Dr Strathmore Dr N County Road 000 Mitthoeffer Xx Xxxxxxxxxx Xx Xxxxxx Dr 42nd St Xxxxxxx Xx Xxxxx Ct Elmonte Xx Xxxxxxxx Apple Xx Xxxxx Dr E 42nd Pl E 42nd St E 41st Pl Picton Dr Montery Rd Balboa Ct E 00xx Xx Xxxxx Xx Xxx Xxxx 0000 X £¤000 X Xxxxxxx Xxxxxx County Road 200 TeLxtA3097 PARCEL 16 º Sources: 0.15 0 0.15 XXXX QUADRANGLE INDIANAXx E 38th Pl Della Ct Delmont Dr Elmhurst Dr Chateau Dr Catalina Ct N Post Rd N Wittfield St Kivet Ct Biscayne Rd Marseille Rd Trilbey Xx

Cultural Resources. A request for review Endangered And Threatened Species Environmental Justice Proposed There are NO low-income populations, minority populations or Indian tribes in the area affected by the NRCS action. Additional evaluation is not needed concerning Environmental Justice. Document the finding on NRCS-WA-CPA-52 and proceed with planning. No Action Alt. 1: Alt 2: Essential Fish Habitat Fish and Wildlife Coordination Floodplain Management Invasive Species Migratory Birds Natural Areas Prime And Unique Farmlands Riparian Area Scenic Beauty Special Aquatic Site Stream Channel Modification Tuesday, April 29, 2003 Page 2 of 4 NRCS-WA-CPA-52 Water Quality Wetland Wild And Scenic River NRCS-WA-CPA-52 K. Easements, permissions, or L. Mitigation M. Agencies, persons, and references N. Findings. Label the selected alternative in section G. I have considered the effects of this action and the alternatives on the Resource, Economic, and Social considerations; the Special Environmental Concerns; and the significance criteria in the instructions for form NRCS-CPA-52. I find for the reasons stated in (O) below, that the selected alternative: Categorically excluded from further environmental analysis. No additional analysis is required. O. Rationale P. Signature Title Date ATTACHMENT 5 LIST OF EXEMPTED CONSERVATION PRACTICES AS THEY PERTAIN TO CULTURAL RESOURCES ACTIVITIES BY WASHINGTON STATE NATURAL RESOURCES CONSERVATION SERVICE(NRCS). Categories and practices that are exempted by national agreement may be found in the National Programmatic Agreement(NPA) between the NRCS and the Advisory Council on Historic Preservation (ACHP) and the National Council of State Historic Preservation Officers (NCSHPO). The following is the list of exempted conservation practices that do not need to be evaluated on a case by case basis as long as no sites are present in the Area of Potential Effect (APE) or are non-intrusive. These practices have little or no potential to affect historic properties. The State or Area Cultural Resources Section was made by Xxxxxxxx Xxxxx on October 17Resource Specialist will confirm with the NRCS field office whether the undertaking meets the conditions of one or more of the following actions and can be excluded. The decision to exclude an undertaking from review will be documented in the cooperator’s case file. Exempted Categories may include: All disturbance within the normal tillage zone of any cultivated field as long as the subsequent work is no deeper. Replacement of existing structures as they pertain to farm and ranch access roads(culverts, 2012roads, cattleguards, water control structures) and as long as construction does not extend or exceed beyond previously disturbed limits and it occurs within a road prism. Hazmat ConcernsIndicate the number of items of concern found within ½ mileSoil and water conservation, including an explanation why each itemwithin the ½ mile radius will/crop production efforts, or other general farm or ranch planning that will not impact cause a ground disturbance or lead to greater disturbances of previously disturbed areas. National Cooperative Soil Survey program activities that involve no ground disturbance or are limited to small scale field investigations such as shovel holes, auger holes, probe holes, and/or core holes. Larger scale field investigations such as soil investigation pits, however, may have the projectpotential to affect historic properties. If In-stream structures that do not involve ground disturbing activities. Flood damage repairs to roads, bridges, water control structures, or dams when the facility is not of historic significance and the rehabilitation is to the previously disturbed area. Removal of modern dumps that are not associated with historic properties. Removal of non-historic structures or buildings where there will be no ground disturbance. A practice or activity installed on previously disturbed ground not exceeding the previous disturbance will not be considered an undertaking. Any activity or practice that may affect an historic property is an undertaking or any ground disturbing cost shared project or practice where NRCS has control of and decision making authority relative to the outcome of the assistance will be considered an undertaking. Exempted Conservation Practice (Units) (Code) Standard (As per this agreement) Anionic Polyacrylamide (XXX) Erosion Control (Ac.) (450) Application of a liquid product to curtail soil erosion. Brush Management (Ac.) (314) Mowing or flailing and spraying to prevent the encroachment of weeds. Channel Bank Vegetation (Ac.) (322) Composting Facility (No.) (317) on small scale operations where previously disturbed areas are moved. Conservation Cover (Ac.) (327) on previously disturbed ground where the application of the practice w3ill not exceed previously tilled depth. This includes the use of conventional tillage equipment and aerial or broadcast seedings. Conservation Crop Rotation (Ac.) (328) same as Code 327 Contour Buffer Strips (Ac.) (332) same as Code 327 Contour Farming (Ac.) (330) same as Code 327 Contour Orchard and Other Fruit Area (Ac.) (331) Cover Crop (Ac.) (340) same as 327 Critical Area Planting (Ac.) (342) on surface disturbed areas Cross Wind Ridges (Ac.) (589A) same as 327 Cross Wind Trap Strips (Ac.) (589C) same as 327 Deep Tillage (Ac.) (324) Drainage Water Management (Ac.) (554) Direct Seed (Ac.) (777) Fence (Ft.) (382) Included are drilled and pounded posts, rebuilding and repair of existing fence with no itemsblading of the fence line. Field Border (Ft.) (386) will not exceed previously disturbed depth Filter Strip (Ac.) (393) same as Code 327 Fish Passage (No.) (396) no additional ground disturbance Fishpond Management (No.) (399) Forage Harvest Management (Ac.) (511) Forest Site Preparation (Ac.) (490) (Chemical and Scalping Only) Forest Stand Improvement (Ac.) (666) no ground disturbance Heavy Use Area Protection (Ac.) (561) on previously disturbed ground Hedgerow Planting (Ft.) (422) usually hand and machine planting with little or no disturbance below previously disturbed ground. Herbaceous Wind Barriers (Ft.) (603) same as Code 327 Irrigation Land Leveling (Ac.) (464) on previously disturbed ground Irrigation System, please indicate N/A: Xxxxxxxxxx Sites N/A Corrective Action Sites Microirrigation (RCRANo. and Ac.) N/A State Cleanup Sites N/A Superfund Sites N/A Voluntary Remediation Program N/A Institutional Control Sites N/A Manufactured Gas Plant Sites N/A Industrial Waste Sites N/A Underground Storage Tanks (USTs441) N/A Leaking Underground Storage Tanks Irrigation Water Conveyance, Pipeline, Rigid Gated Pipeline (LUSTsFt) N/A Confined Feeding Operations N/A Septage Waste Sites N/A Construction Demolition Waste N/A Infectious/Medical Waste Sites N/A Lagoon/Surface Impoundments N/A Open Dump Sites N/A Restricted Waste Sites N/A Solid Waste Landfills N/A Tire Waste Sites N/A Waste Transfer Stations N/A Waste Treatment, Storage, and Disposal Sites (TSDs430FF) N/A NPDES Facilities N/A NPDES Pipe Locations 1 Explanation: NPDES Pipe Locations: There is one minimal disturbance to create pad for pipe Irrigation Water Management (1Ac.) NPDES Pipe Location located (449) Mulching (Ac.) (484) on previously disturbed ground Nutrient Management (Ac.) (590) soil tests or application performed within the ½ mile bufferpreviously tilled zone; if deeper than previous tillage then this becomes an undertaking. No impact is expected from Pasture and Hay Planting (Ac.) (512) same as Code 327 Pest Management (Ac.) (595). Pond Sealing or Lining, Bentonite Sealant (No.) (521C) Pond Sealing or Lining, Flexible Membrane (No.) (521A) Pond Sealing or Lining, Soil Dispersant (No.) (521B) Precision Land Forming (Ac.) (462) on previously disturbed ground. Prescribed Grazing (Ac.) (528) same as Code 327 Pumping Plant (No.) (533) (For Water Control) minimal disturbance to install a pad for the sale pump. Range Planting (Ac.) (550) in previously disturbed ground Residue Management, Mulch Till (Ac.) (329B) Residue Management, No-Till and Strip Till (Ac.) (329A) Residue Management, Ridge Till (Ac.) (329C) Residue Management, Seasonal (Ac.) (344) Riparian Herbaceous Cover (Ac.) (390) Shallow Water Management for Wildlife (Ac.) (646) no new ground disturbance. Spoil Spreading (Ft.) (572) Tree/Shrub Establishment (Ac.) (612) with hand or machine planting with disturbance not to exceed one foot depth. Tree/Shrub Pruning (Ac.) (660) above ground practice. Upland Wildlife Habitat Management (Ac.) (645) Use Exclusion (Ac.) (472) see Fence Code 382 Well (No.) (642) Wetland Wildlife Habitat Management (Ac.) (644) Windbreak/Shelterbelt Establishment (Ft.) (380) Windbreak/Shelterbelt Renovation (Ft.) (650) ATTACHMENT 6 MEMORANDUM OF UNDERSTANDING Between the Washington State Office of Archaeology and Historic Preservation and the parcels. RECOMMENDATIONS INFRASTRUCTURE: N/A WATER RESOURCES: N/A MINING/MINERAL EXPLORATION: N/A ECOLOGICAL INFORMATION: N/A CULTURAL RESOURCES: A request for review by the Cultural Natural Resources Section was made by Xxxxxxxx Xxxxx on October 17, 2012. HAZMAT CONCERNS: N/A INDOT Environmental Services concurrence: (Signature) Prepared by: Xxxxx Xxxxxxx NEPA Specialist INDOT Environmental Services Graphics: A map for each report section with a ½ mile radius buffer around all project area(s) showing all items identified as possible items of concern is attached. If there is not a section map included, please change the YES to N/A: GENERAL SITE MAP SHOWING PROJECT AREA: YES INFRASTRUCTURE: N/A WATER RESOURCES: YES MINING/MINERAL EXPLORATION: Yes HAZMAT CONCERNS: YES Red Flag Investigation -Location Map XX 000 X X Xxxxxx Xxxx 000 X XX 0000, Parcel 00, Xxxxxx Xxxx Xxxxxxx Xxxxxx, Indiana N County Road 000 Xxxxxx Xxxx 0000 X £¤000 X Xxxxxxx Xxxxxx County Road 200 TeLxtA3097 PARCEL 16 º Sources: 0.15 0 0.15 XXXX QUADRANGLE INDIANAConservation Service

Cultural Resources. A request Were Cultural Resource Professionals (CRPs) needed for project scoping? Yes No CRP Scoping Field View Date: 12/21/00 CRP Architectural Historian in Attendance: Xxxxxx Xxxxxxxx CRP Archaeologist in Attendance: Xxxxxxxxx Xxxxx Was a Project Early Notification / Scoping Results Form completed? Yes No For projects exempted from further Section 106 review under Appendix C of the Statewide Section 106 Programmatic Agreement, determine whether eligible resources are present for application of Section 4(f). Is the project exempted from review by the Cultural Resources District Designee or CRP as per Appendix C of the Statewide Section 106 Programmatic Agreement? Yes No Is the project exempted from review by the District Designee or CRP as per Stipulation III of the Emergency Relief Projects Programmatic Agreement (2005)? Yes No PRESENCE LEVEL OF EFFECTS Not Present Potentially Eligible Resource Present Eligible Resource Present Listed Resource Present No Historic Properties Affected No Adverse Effect Adverse Effect CULTURAL RESOURCES Archaeology Pre-Contact: Contact Native American: Historic: Above-Ground Historic Properties Structure/Building: District: Documentation Conclusion of Section 106 consultation must be documented in the following ways: For projects having an adverse effect, one of the following: Executed Memorandum of Agreement (MOA) Executed Letter of Agreement (LOA) For projects not having a known adverse effect, one from each column: Above-Ground Historic Properties Archaeology Above-Ground Historic Properties Field Assessment and Finding Above-Ground Historic Properties Finding Letter Section 106 (Above-Ground Historic Properties) Effect Concurrence Letter TE Project Field Assessment and Finding Checklist Archaeology Field Assessment and Finding Archaeology Finding Letter Section 106 (Archaeology) Effect Concurrence Letter TE Project Field Assessment and Finding Checklist Deferred Archaeological Testing Form Project Specific Programmatic Agreement Supplemental documentation should be completed as warranted: Historic Structures Survey / Determination of Eligibility Report Phase Ia Archaeological Sensitivity Report Geomorphological Survey Report Archaeological Disturbance Report Archaeology Identification (Phase I) Report Archaeology Negative Survey Form Archaeology Evaluation (Phase II) Report Combined Archaeology Identification/Evaluation Report Determination of Effects Report (Bridge) Feasibility Report Other (describe in remarks) Include Section 106 Public Involvement in Part B, Section C, Public Involvement. Describe Any Permanent and Temporary Impacts The S.R. 0001, Section RC2 portion of the project will permanently impact approximately 0.049 acre of land through the placement of four piers for the overhead S.R. 0001 bridge within the National Register boundary of the Reading Railroad - N.Y. Line. These piers will replace two existing piers within the National Register boundary that occupy 0.068 acre of land. This land will be vacated. Temporary impacts will require approximately 2.71 acres of temporary construction easements (TCE) to access the railroad, remove the existing piers, and construct the new piers. It is anticipated that the TCE will be required for approximately 12 months to complete demolition and construction of the new bridge. Upon completion of bridge replacement activities, all temporarily impacted areas will be returned to their original condition. The S.R. 0001, Sections RC1 and RC2 project will have no impact on the Roosevelt Memorial Park/Roosevelt Cemetery Company, the Philadelphia Surburan Water Company, the Xxxxxx Site, nor the Xxxxxxx Mill Complex Site. Are mitigation and/or standard treatments required? No Yes Describe Mitigation / Standard Treatments The Xxxxxx Site and Xxxxxxx Mill Complex site will need to be protected during construction of S.R. 0001, Section RC2 through the placement of standard orange safety fencing around the perimeter of each of the sites. The contractor will be responsible for notifying the District at least one week prior to the start of construction so that the District's archaeologist (or designated consultant) can be scheduled to be on-site during the fence installation process. Written and verbal notification concerning presence of these two sites and the preservation procedures must be given to all project contractors prior to the project's commencement. Details of the preservation plan need to be presented in the contract for the contractor's use and review. During the construction process, archaeologists from PennDOT District 6-0 and/or a designated consultant may periodically visit the site areas to insure that the integrity of the site boundaries and fencing have been maintained. Copies of the construction schedule should be made available to the District archaeologist. Remarks Since the 2013 CER application, an offsite mitigation project has been included. The proposed project is to re-establish the unnamed tributary to Neshaminy Creek within the APE. The project will include removal of the abandoned dam, stream mitigation along the channel, and wetland creation within the adjacent floodplain. The impact will be confined to the entrenched portion of the stream valley. PHMC provided a finding of No Effect on above ground historic properties within the APE in a letter, dated February 12, 2016. PHMC also requested a Phase I Archaeological survey. A PHMC Negative Survey form was made by Xxxxxxxx Xxxxx on October 17completed and submitted to SHPO. On April 7, 20122016, an archeological survey was conducted which concluded that the bases and adjacent slopes of the entrenchment exhibited indications of grading and disturbance from previous construction of the school and dense brush and leaf litter was found; however, no indications of intact archaeological deposits were encountered in the APE. Hazmat ConcernsIndicate the number of items of concern found within ½ mile, including an explanation why each itemwithin the ½ mile radius will/The proposed Bensalem High School Mitigation Site project will not impact affect historical properties eligible for listing in the NRHP, and no additional archaeological investigations are warranted for this project. The following information is repeated from the 2013 CER. A Phase I Archaeological Survey was conducted for the project. If there are no itemsAs per the PennDOT Qualified Professional, please indicate N/A: Xxxxxxxxxx Sites N/A Corrective Action Sites (RCRA) N/A State Cleanup Sites N/A Superfund Sites N/A Voluntary Remediation Program N/A Institutional Control Sites N/A Manufactured Gas Plant Sites N/A Industrial Waste Sites N/A Underground Storage Tanks (USTs) N/A Leaking Underground Storage Tanks (LUSTs) N/A Confined Feeding Operations N/A Septage Waste Sites N/A Construction Demolition Waste N/A Infectious/Medical Waste Sites N/A Lagoon/Surface Impoundments N/A Open Dump Sites N/A Restricted Waste Sites N/A Solid Waste Landfills N/A Tire Waste Sites N/A Waste Transfer Stations N/A Waste Treatment, Storage, archaeological testing for this project was limited to the northwestern and Disposal Sites (TSDs) N/A NPDES Facilities N/A NPDES Pipe Locations 1 Explanation: NPDES Pipe Locations: There is one (1) NPDES Pipe Location located within the ½ mile buffer. No impact is expected from the sale northeastern bridge quadrants of the parcelsS.R. 0001 Bridge over Neshaminy Creek. RECOMMENDATIONS INFRASTRUCTURE: N/A WATER RESOURCES: N/A MINING/MINERAL EXPLORATION: N/A ECOLOGICAL INFORMATION: N/A CULTURAL RESOURCES: A request for review by In total, the Cultural Resources Section was made by Xxxxxxxx Xxxxx on October 17, 2012. HAZMAT CONCERNS: N/A INDOT Environmental Services concurrence: archaeological area of potential effect (SignatureAPE) Prepared by: Xxxxx Xxxxxxx NEPA Specialist INDOT Environmental Services Graphics: A map for each report section with a ½ mile radius buffer around all project area(s) showing all items identified as possible items of concern is attached. If there is not a section map included, please change the YES to N/A: GENERAL SITE MAP SHOWING PROJECT AREA: YES INFRASTRUCTURE: N/A WATER RESOURCES: YES MINING/MINERAL EXPLORATION: Yes HAZMAT CONCERNS: YES Red Flag Investigation -Location Map XX 000 X X Xxxxxx Xxxx 000 X XX 0000, Parcel 00, Xxxxxx Xxxx Xxxxxxx Xxxxxx, Indiana N County Road 000 Xxxxxx Xxxx 0000 X £¤000 X Xxxxxxx Xxxxxx County Road 200 TeLxtA3097 PARCEL 16 º Sources: 0.15 0 0.15 XXXX QUADRANGLE INDIANAencompassed

Cultural Resources. A request for review by the Cultural Env. Resources Section was made by Xxxxxxxx Xxxxx on October 17, 2012. Hazmat ConcernsIndicate the number of items of concern found within ½ mile, including an explanation why each itemwithin the ½ mile radius will/will not impact the project. If there are no items, please indicate N/A: Xxxxxxxxxx Sites N/A Corrective Action Sites (RCRA) N/A State Cleanup Sites N/A Superfund Sites N/A Voluntary Remediation Program N/A Institutional Control Sites N/A Manufactured Gas Plant Sites N/A Industrial Waste Sites N/A Underground Storage Tanks (USTs) N/A Leaking Underground Storage Tanks (LUSTs) N/A Confined Feeding Operations N/A Septage Waste Sites N/A Construction Demolition Waste N/A Infectious/Medical Waste Sites N/A Lagoon/Surface Impoundments N/A Open Dump Sites N/A Restricted Waste Sites N/A Document Species Studies Regulatory Reporting Links Associated Environmental Compliance Information Full Public Access Hazardous and Radioactive Materials Groundwater Bureau Solid Waste Landfills N/A Tire Waste Sites N/A Waste Transfer Stations N/A Waste TreatmentBureau Air Quality Bureau Discharge Plan Compliance Pollution Prevention Section Surface Water Bureau Database Access Database Access Database Access Database Access Database Access Database Access Reporting Graphics Reporting Graphics Reporting Graphics Reporting Graphics Reporting Graphics Reports, StorageInformation Graphics Monthly Report Remediation Results Permit Modifications Corrective Actions PCC Report GIS Interface 3-D Plume Info PCC Graphics Monthly Report Remediation System Info Injection Well Info Remediation Systems Ops GIS Interface 3-D Plume Info Well Diagrams Groundwater Model Assessment Monitoring Detection Monitoring Statistics Background Sampling Well Diagrams Maps GIS Interface Quarterly Reports Permit Info Permit Mods Title V (If Necessary) GIS Interface Emission Points Emissions Inventory DP-392 DP-697 DP-1170 DP-584 NOIs Maps, Discharge Locations GIS Interface SWPPP Surface Water Info GIS Interface SWMU Maps BMPs Sampling Schedule No Further Actions 3-Point Flows Vertical Gradients Horizontal Gradients Time Concentration Plots Hydrographs Well Diagrams Groundwater Model Plume-Front Discharge Plan NASA White Sands Test Facility (WSTF) Regulatory Reporting and Information Management System Home Page NASA proposes to substitute electronic submittal notification to the regulatory agency using electronic mail (e-mail) instead of triplicate hard copies by postal mail. The benefits of web-based reporting versus a direct submittal are as follows: • The documentation is delivered directly to the intended audience; • Multi-media documentation is available to all Bureaus; • Increases multi-media visualization of current site conditions; • Provides a “100%” open access policy for all information; • Involves the general public in Federal facility initiatives; and • Focus is on Agency-wide distribution of information, not Bureau-specific submittal. This e-mail notification system will incorporate security procedures for the digital signature and certification requirements, and Disposal Sites (TSDs) N/A NPDES Facilities N/A NPDES Pipe Locations 1 Explanation: NPDES Pipe Locations: There is one (1) NPDES Pipe Location located within will provide a hypertext link to the ½ mile bufferweb-based system. No impact is expected from This hypertext link will direct the sale recipient of the parcelse-mail to the specific report or information that is required to be submitted. RECOMMENDATIONS INFRASTRUCTURE: NThe certification statement and signature requirements will be incorporated in the e- mail, in addition to being provided on the web-based system. This e-mail notification will incorporate a date/A WATER RESOURCES: N/A MINING/MINERAL EXPLORATION: N/A ECOLOGICAL INFORMATION: N/A CULTURAL RESOURCES: A request for review by the Cultural Resources Section was made by Xxxxxxxx Xxxxx on October 17, 2012. HAZMAT CONCERNS: N/A INDOT Environmental Services concurrence: (Signature) Prepared by: Xxxxx Xxxxxxx NEPA Specialist INDOT Environmental Services Graphics: A map time stamp that will provide NASA with notification of agency receipt and a documented “chain of custody” for each report section document. This notification of receipt will effectively replace the current postal mail with a ½ mile radius buffer around all project area(s) showing all items identified return receipt procedures. The e-mail notification procedure will ensure that the current burden of “submittal” is still incurred by NASA, and that it is NASA’s responsibility to ensure receipt of the documentation and reports as possible items of concern specified by permits and associated documentation. NASA proposes that this direct e-mail notification procedure will offer superior performance than the hard copy, return receipt, postal mail system. On numerous occasions, NASA has submitted documentation to specific NMED Bureaus, return receipt is attachedreceived and filed by NASA, but the document never reaches its intended audience. If there This indicates that NMED has received the documentation, but it is not specific proof that the NMED Director, or other specific agency personnel, have received the document in the allotted regulatory timeframe (i.e., 7 days for Class I permit modification notifications). The direct e-mail system ensures that the intended recipient actually receives the specific document; and removes a section map includedpossible extra step (i.e., please change the YES mail room employee) that could lead to N/A: GENERAL SITE MAP SHOWING PROJECT AREA: YES INFRASTRUCTURE: N/A WATER RESOURCES: YES MINING/MINERAL EXPLORATION: Yes HAZMAT CONCERNS: YES Red Flag Investigation -Location Map XX 000 X X Xxxxxx Xxxx 000 X XX 0000, Parcel 00, Xxxxxx Xxxx Xxxxxxx Xxxxxx, Indiana N County Road 000 Xxxxxx Xxxx 0000 X £¤000 X Xxxxxxx Xxxxxx County Road 200 TeLxtA3097 PARCEL 16 º Sources: 0.15 0 0.15 XXXX QUADRANGLE INDIANAlost documents or delivery mistakes.

Cultural Resources. A request The cultural resources section will be contacted about performing the necessary work for review by the Cultural Resources Section was made by Xxxxxxxx Xxxxx on October 17, 2012this project. Hazmat ConcernsIndicate the number of items of concern found within ½ mile, including an explanation why each itemwithin item within the ½ mile radius will/will not impact the project. If there are no items, please indicate N/A: Xxxxxxxxxx Sites N/A NA Corrective Action Sites (RCRA) N/A NA State Cleanup Sites N/A 1 Superfund Sites N/A NA Voluntary Remediation Program N/A NA Institutional Control Sites N/A NA Manufactured Gas Plant Sites N/A NA Industrial Waste Sites N/A NA Underground Storage Tanks (USTs) N/A 1 Leaking Underground Storage Tanks (LUSTs) N/A 1 Confined Feeding Operations N/A 1 Septage Waste Sites N/A NA Construction Demolition Waste N/A NA Infectious/Medical Waste Sites N/A NA Lagoon/Surface Impoundments N/A NA Open Dump Sites N/A NA Restricted Waste Sites N/A NA Solid Waste Landfills N/A NA Tire Waste Sites N/A NA Waste Transfer Stations N/A NA Waste Treatment, Storage, and Disposal Sites (TSDs) N/A NA NPDES Facilities N/A NA NPDES Pipe Locations 1 NA Explanation: NPDES Pipe Locations: There (Please provide a separate paragraph for each item.) One State Cleanup site is one (1) NPDES Pipe Location located within the ½ mile bufferradius, but will not be impacted by this project. One confined feeding operation is within the ½ mile radius, but will not be impacted by this project. One underground storage tank (UST) is within the ½ mile radius, but will not be impacted by this project. One leaking underground storage site is located immediately south of the parcel to be disposed of. The Leaking UST site south of the subject parcel at 0000 Xxxxx Xxxxx Xxxx 135 received a No Further Action Letter from IDEM on August 8, 2008. No additional releases have been noted in the IDEM database since that time. A compliance inspection was performed at the facility on 4-13-10, with no deficiencies noted. No impact from this leaking UST is expected from the sale of the parcelsexpected. RECOMMENDATIONS Include recommendations from each section. If there are no recommendations, please indicate N/A: INFRASTRUCTURE: N/A NA WATER RESOURCES: N/A NA MINING/MINERAL EXPLORATION: N/A NA ECOLOGICAL INFORMATION: N/A CULTURAL RESOURCES: A request for review by the Cultural Resources Section was made by Xxxxxxxx Xxxxx on October 17, 2012. HAZMAT CONCERNS: N/A INDOT Environmental Services concurrence: (Signature) Prepared by: Xxxxx Xxxxxxx NEPA Specialist INDOT Environmental Services Graphics: A map for each report section with a ½ mile radius buffer around all project area(s) showing all items identified as possible items of concern is attached. If there is not a section map included, please change the YES to N/A: GENERAL SITE MAP SHOWING PROJECT AREA: YES INFRASTRUCTURE: N/A WATER RESOURCES: YES MINING/MINERAL EXPLORATION: Yes HAZMAT CONCERNS: YES Red Flag Investigation -Location Map XX 000 X X Xxxxxx Xxxx 000 X XX 0000, Parcel 00, Xxxxxx Xxxx Xxxxxxx Xxxxxx, Indiana N County Road 000 Xxxxxx Xxxx 0000 X £¤000 X Xxxxxxx Xxxxxx County Road 200 TeLxtA3097 PARCEL 16 º Sources: 0.15 0 0.15 XXXX QUADRANGLE INDIANANA

Cultural Resources. A request Were Cultural Resource Professionals (CRPs) needed for project scoping? Yes No CRP Scoping Field View Date: 04/01/08 CRP Architectural Historian in Attendance: Xxxx Xxxxxxxx CRP Archaeologist in Attendance: Xxxxx Xxxx Was a Project Early Notification / Scoping Results Form completed? Yes No For projects exempted from further Section 106 review under Appendix C of the Statewide Section 106 Programmatic Agreement, determine whether eligible resources are present for application of Section 4(f). Is the project exempted from review by the Cultural Resources Section was made by Xxxxxxxx Xxxxx on October 17, 2012. Hazmat ConcernsIndicate the number of items of concern found within ½ mile, including an explanation why each itemwithin the ½ mile radius will/will not impact the project. If there are no items, please indicate N/A: Xxxxxxxxxx Sites N/A Corrective Action Sites (RCRA) N/A State Cleanup Sites N/A Superfund Sites N/A Voluntary Remediation Program N/A Institutional Control Sites N/A Manufactured Gas Plant Sites N/A Industrial Waste Sites N/A Underground Storage Tanks (USTs) N/A Leaking Underground Storage Tanks (LUSTs) N/A Confined Feeding Operations N/A Septage Waste Sites N/A Construction Demolition Waste N/A Infectious/Medical Waste Sites N/A Lagoon/Surface Impoundments N/A Open Dump Sites N/A Restricted Waste Sites N/A Solid Waste Landfills N/A Tire Waste Sites N/A Waste Transfer Stations N/A Waste Treatment, Storage, and Disposal Sites (TSDs) N/A NPDES Facilities N/A NPDES Pipe Locations 1 Explanation: NPDES Pipe Locations: There is one (1) NPDES Pipe Location located within the ½ mile buffer. No impact is expected from the sale District Designee or CRP as per Appendix C of the parcels. RECOMMENDATIONS INFRASTRUCTURE: N/A WATER RESOURCES: N/A MINING/MINERAL EXPLORATION: N/A ECOLOGICAL INFORMATION: N/A CULTURAL RESOURCES: A request for Statewide Section 106 Programmatic Agreement? Yes No Is the project exempted from review by the Cultural Resources District Designee or CRP as per Stipulation III of the Emergency Relief Projects Programmatic Agreement (2005)? Yes No PRESENCE LEVEL OF EFFECTS Not Present Potentially Eligible Resource Present Eligible Resource Present Listed Resource Present No Historic Properties Affected No Adverse Effect Adverse Effect CULTURAL RESOURCES Archaeology Pre-Contact: Contact Native American: Historic: Above-Ground Historic Properties Structure/Building: District: Documentation Conclusion of Section was made by Xxxxxxxx Xxxxx 106 consultation must be documented in the following ways: For projects having an adverse effect, one of the following: Executed Memorandum of Agreement (MOA) Executed Letter of Agreement (LOA) For projects not having a known adverse effect, one from each column: Above-Ground Historic Properties Archaeology Above-Ground Historic Properties Field Assessment and Finding Above-Ground Historic Properties Finding Letter Section 106 (Above-Ground Historic Properties) Effect Concurrence Letter TE Project Field Assessment and Finding Checklist Archaeology Field Assessment and Finding Archaeology Finding Letter Section 106 (Archaeology) Effect Concurrence Letter TE Project Field Assessment and Finding Checklist Deferred Archaeological Testing Form Project Specific Programmatic Agreement Supplemental documentation should be completed as warranted: Historic Structures Survey / Determination of Eligibility Report Phase Ia Archaeological Sensitivity Report Geomorphological Survey Report Archaeological Disturbance Report Archaeology Identification (Phase I) Report Archaeology Negative Survey Form Archaeology Evaluation (Phase II) Report Combined Archaeology Identification/Evaluation Report Determination of Effects Report (Bridge) Feasibility Report Other (describe in remarks) Include Section 106 Public Involvement in Part B, Section C, Public Involvement. Describe Any Permanent and Temporary Impacts Are mitigation and/or standard treatments required? No Yes Describe Mitigation / Standard Treatments no construction vehicles or staging of equipment on October 17, 2012. HAZMAT CONCERNSProperty 42: N/A INDOT Environmental Services concurrence: (Signature) Prepared by: Xxxxx ‘Xxxxxxx NEPA Specialist INDOT Environmental Services Graphics: A map for each report section X. X. Xxx and Xxxxxx Xxx’ Property without prior coordination with a ½ mile radius buffer around all project area(s) showing all items identified as possible items of concern is attachedthe District Archaeologist. If there is not a section map includedwe are replacing the ROW fence, please change then we should have some commitment that the YES fence would have to N/A: GENERAL SITE MAP SHOWING PROJECT AREA: YES INFRASTRUCTURE: N/A WATER RESOURCES: YES MINING/MINERAL EXPLORATION: Yes HAZMAT CONCERNS: YES Red Flag Investigation -Location Map XX 000 X X Xxxxxx Xxxx 000 X XX 0000, Parcel 00, Xxxxxx Xxxx Xxxxxxx Xxxxxx, Indiana N County Road 000 Xxxxxx Xxxx 0000 X £¤000 X Xxxxxxx Xxxxxx County Road 200 TeLxtA3097 PARCEL 16 º Sources: 0.15 0 0.15 XXXX QUADRANGLE INDIANAbe replaced from within the existing ROW. Remarks Additional Information

Cultural Resources. A request Were Cultural Resource Professionals (CRPs) needed for project scoping? Yes No CRP Scoping Field View Date: 06/12/12 CRP Architectural Historian in Attendance: Xxxxxxxx Xxxxx CRP Archaeologist in Attendance: Xxxxxxx Xxxxx Was a Project Early Notification / Scoping Results Form completed? Yes No For projects exempted from further Section 106 review under Appendix C of the Statewide Section 106 Programmatic Agreement, determine whether eligible resources are present for application of Section 4(f). Is the project exempted from review by the Cultural Resources Section was made by Xxxxxxxx Xxxxx on October 17, 2012. Hazmat ConcernsIndicate the number of items of concern found within ½ mile, including an explanation why each itemwithin the ½ mile radius will/will not impact the project. If there are no items, please indicate N/A: Xxxxxxxxxx Sites N/A Corrective Action Sites (RCRA) N/A State Cleanup Sites N/A Superfund Sites N/A Voluntary Remediation Program N/A Institutional Control Sites N/A Manufactured Gas Plant Sites N/A Industrial Waste Sites N/A Underground Storage Tanks (USTs) N/A Leaking Underground Storage Tanks (LUSTs) N/A Confined Feeding Operations N/A Septage Waste Sites N/A Construction Demolition Waste N/A Infectious/Medical Waste Sites N/A Lagoon/Surface Impoundments N/A Open Dump Sites N/A Restricted Waste Sites N/A Solid Waste Landfills N/A Tire Waste Sites N/A Waste Transfer Stations N/A Waste Treatment, Storage, and Disposal Sites (TSDs) N/A NPDES Facilities N/A NPDES Pipe Locations 1 Explanation: NPDES Pipe Locations: There is one (1) NPDES Pipe Location located within the ½ mile buffer. No impact is expected from the sale District Designee or CRP as per Appendix C of the parcels. RECOMMENDATIONS INFRASTRUCTURE: N/A WATER RESOURCES: N/A MINING/MINERAL EXPLORATION: N/A ECOLOGICAL INFORMATION: N/A CULTURAL RESOURCES: A request for Statewide Section 106 Programmatic Agreement? Yes No Is the project exempted from review by the Cultural Resources District Designee or CRP as per Stipulation III of the Emergency Relief Projects Programmatic Agreement (2005)? Yes No P RESENCE LEVEL OF EFFECTS Not Present Potentially Eligible Resource Present Eligible Resource Present Listed Resource Present No Historic Properties Affected No Adverse Effect Adverse Effect CULTURAL RESOURCES A rchaeology Pre-Contact: Contact Native American: Historic: Above-Ground Historic Properties Structure/Building: District: Documentation Conclusion of Section 106 consultation must be documented in the following ways: For projects having an adverse effect, one of the following: Memorandum of Agreement (MOA) Letter of Agreement (LOA) Memorandum of Understanding (MOU) Letter of Understanding (XXX) Specific Programmitic Agreement (PA) Standard Treatment Deferral of Archaeological Testing For projects not having a known adverse effect, one from each column: Above-Ground Historic Properties Archaeology Above-Ground Historic Properties Field Assessment and Finding Above-Ground Historic Properties Finding Letter Section 106 (Above-Ground Historic Properties) Effect Concurrence Letter TE Project Field Assessment and Finding Checklist Archaeology Field Assessment and Finding Archaeology Finding Letter Section 106 (Archaeology) Effect Concurrence Letter TE Project Field Assessment and Finding Checklist Deferred Archaeological Testing Form Project Specific Programmatic Agreement Supplemental documentation should be completed as warranted: Historic Structures Survey / Determination of Eligibility Report Phase Ia Archaeological Sensitivity Report Geomorphological Survey Report Archaeological Disturbance Report Archaeology Identification (Phase I) Report Archaeology Negative Survey Form Archaeology Evaluation (Phase II) Report Combined Archaeology Identification/Evaluation Report Determination of Effects Report (Bridge) Feasibility Report Other (describe in remarks) Include Section 106 Public Involvement in Part B, Section C, Public Involvement. Describe Any Permanent and Temporary Impacts The Xxxxxx Xxxxx House was made determined eligible for the NRHP on April 14, 2004, under Criterion C as an example of the Italianate style. The Xxxxxx Xxxxx House will be impacted with approximately 0.31 acre of right-of-way and 0.09 acre of temporary construction easement to be acquired. The land used by Xxxxxxxx Xxxxx the project includes portions of the driveway, maintained lawn, and wooded land. The Mars Home for Youth was determined eligible for the NRHP on October September 17, 20122004, under Criterion A for its association with the history of social agencies, and under Criterion C for its Tudor Revival style architecture. HAZMAT CONCERNS: NThe Mars Home for Youth will be impacted with approximately 3.2 acres of right-of-way acquisition and 1.4 acres of temporary construction easement to be acquired. The majority of this frontage consists of maintained lawn; however, one contributing resource, the Maintenance Residence, would be demolished. Are mitigation and/or standard treatments required? No Yes Remarks The United Presbyterian Orphan’s Home/Mars Home for Youth (Key No. 127642, determined eligible for the National Register in 2004); the Xxxxxx Xxxxx House (Key No. 127643, determined eligible for the National Register in 2004); and Xxxxxxxx’x Winter Haven (Key No. 127649, determined eligible for the National Register in 2004). A INDOT Environmental Services concurrence: (Signature) Prepared by: Xxxxx Xxxxxxx NEPA Specialist INDOT Environmental Services Graphics: A map for each report section with a ½ mile radius buffer around all project area(s) showing all items identified as possible items dditional Information Remarks, Footnotes, Supplemental Data Combined Field Assessments and Findings was posted to Project Path on 3/14/18. The Three Degree Road Mars Xxxxxx Road Intersection Project Executed Memorandum of concern Agreement is attached. If there The Individual Section 4(f) Evaluation has been found ‘legally sufficient’, and is not a section map included, please change the YES attached to N/Athis CE Part B: GENERAL SITE MAP SHOWING PROJECT AREA: YES INFRASTRUCTURE: N/A WATER RESOURCES: YES MINING/MINERAL EXPLORATION: Yes HAZMAT CONCERNS: YES Red Flag Investigation -Location Map XX 000 X X Xxxxxx Xxxx 000 X XX 0000, Parcel 00, Xxxxxx Xxxx Xxxxxxx Xxxxxx, Indiana N County Road 000 Xxxxxx Xxxx 0000 X £¤000 X Xxxxxxx Xxxxxx County Road 200 TeLxtA3097 PARCEL 16 º Sources: 0.15 0 0.15 XXXX QUADRANGLE INDIANASection A-5. Attachments