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[null,null,null,null,null,null,"FHWA Missouri Division"]
[null,null,null,null,null,null,"Focused Review – Environmental Commitments"]
[null,null,null,null,null,null,"MoDOT Job #:",null,null,null,null,"Federal Project #:"]
[null,null,null,null,null,null,"MoDOT District:",null,null,null,null,"Contract ID #"]
[null,null,null,null,null,null,"MoDOT PM:",null,null,null,null,"Letting Date:"]
[null,null,null,null,null,null,"Adminstered By:",null," MODOT          LPA",null,null,"Report Date:"]
[null,null,null,null,null,null,"NEPA Approval Date:",null,null,null,null,"Reviewed By:"]
[null,null,null,null,null,null,"Current Project Description and Scope:"]
["Question","Yes","Partial","No","Not Applicable","Not Verified","Questions"]
["General"]
["1a",null,null,null,null,null,"What is the approved NEPA document type?"]
[null,null,null,null,null,null,"ROD",null,"FONSI",null,"CE2",null,"PCE"]
["1b","        Yes            No",null,null,null,null,"Is the current project description and scope (including project limits) consistent with the description and scope (including project limits) in the approved NEPA document or reevaluation?"]
["1c","\n Yes         No       N/A",null,null,null,null,"Has a NEPA reevaluation been conducted for the project if NEPA is older than 3 years or there was a change in the project description or scope (including project limits), if so what is the approval date?\n(Insert reevaluation approval date, if applicable)"]
["Preconstruction (Design) Phase"]
[2,null,null,null,null,null,"Have all environmental commitments referenced in the NEPA document or reevalution been addressed in the design, bid proposal, plans or JSP?"]
[3,null,null,null,null,null,"Have all right-of-way and/or utility relocations been mitigated or addressed in the design, bid proposal, plans or JSP (if applicable)?"]
[4,null,null,null,null,null,"Have all T&E, Section 4(f) and/or Section 106 impacts been adequately mitigated (if applicable)?"]
[5,null,null,null,null,null,"Have all ADA/sidewalk committements been addressed in the design, bid proposal, plans or JSP (if applicable)?"]
[6,null,null,null,null,null,"Have all  impacts (air, noise, water or water quality) been addressed in the design, bid proposal, plans or JSP (if applicable)?"]
["Construction Phase"]
[7,null,null,null,null,null,"Have all environmental commitments referenced in the NEPA document been addressed in the design, bid proposal, plans or JSP?"]
[8,null,null,null,null,null,"Have all environmental commitments referenced in the design, bid proposal, plans or JSP either been addressed or is in the process of being addressed in construction?"]
[9,null,null,null,null,null,"Are all ADA/sidewalk commitments being addressed and properly installed?"]
[10,null,null,null,null,null,"Have all SWPPP requirements been properly addressed and installed?"]
[11,null,null,null,null,null,"Are all erosion and sediment control requirements being addressed and installed?"]
[12,null,null,null,null,null,"Have all environmental commitments affected by change orders or VECPs been properly addressed?\nNote:  Any changes to commitments must have FHWA approval."]
[13,null,null,null,null,null,"Have all permits been acquired?"]
["ADDITIONAL INFORMATION REQUIRED"]
["Identify the Environmental Commitments on the Project and provide or cite supporting documentation                 \n(Including any PA or MOA stipulations and any permit conditions, if applicable)"]
["Identify all Permits and approval dates for the Project"]
["NOTE: Not all commitments may not be explicitly listed in the NEPA document, but may be referenced in the NEPA document as Programmatic Agreement (PA) or Memorandum of Agreement (MOA), in which case they would have to track down the PA or MOA and list the stipulations, because the stipulations would then be the commitments for that particular resource covered by the PA or MOA.  Also any conditions contained within permits would be considered commitments that need to be addressed and documented.  (See Environmental Specialist)"]
[null,"Y/N"]
["Question","Best Practice",null,"Major\nFinding",null,"Issue\nResolved",null,"Comments"]
[" "]
[" "]
[" "]
[" "]
[]
["Checklist Follow-Up Action Requirements\n\n1. All Questions answered as “Partial” or “No” are required to have a comment in the comment section.  \n2. Comments must describe the deficiency and required follow-up action (if not completed) or the best practice.\n3. Comments must contain information on what type of follow-up is required, the manner in which it must be completed (if applicable) and the timeframe to complete the follow-up.\n4. Completion of any follow-up required, that is not to be completed prior to the completion of the inspection report, is the responsibility of the MoDOT to complete and/or provide direction to the Contractor to resolve.\n5. For general findings or observations that cannot be characterized by a given question and are worthy of being noted, a comment can be provided in the comments section on the checklist.\n6. Any findings/observations/follow-up/results need to be coordinated with the Environmental Specialist."]