Forms and Templates

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Subject Area

• PEAR
• NEPA Assignment
• Air Quality
• Annotated Outlines/Re-Validation Form
• Notices
• CEQA
• Biological Technical Documents
• Cultural Studies
• Noise Guidance
• Environmental Commitment Compliance
• Water Quality
• Other

PEAR

• Blank PEAR Format (DOCX) (posted 07-02-20)
• Blank Mini-PEAR Format (DOCX) (posted 07-02-20)
• Attachment A - PEAR Environmental Studies Checklist (DOCX) (posted 06-24-20)
• Attachment B - Mitigation and Compliance Cost Estimate (MCCE) (DOCX) (posted (07-02-20)
• Attachment D -  Caltrans staff should use the “Bottom Up Tool.”  External partners should contact their local Caltrans district office for direction.

NEPA Assignment

New Forms, Spreadsheet and Spreadsheet Instructions for use with NEPA Assignment and CE Assignment MOUs

• CEQA Exemption/NEPA Categorical Exclusion (CE/CE) Form (DOCX) (posted 04-23-21)
• Categorical Exclusion Checklist (DOCX) (posted 06-19-20)
• Internal Quality Control Certification Sheet (PDF) (posted 03-02-20)
• External Quality Control Certification Sheet (PDF) (posted 03-02-20)
• District Quality Control Checklist (PDF) (posted 03-02-20)
• Instructions for Using Uniform Environmental Filing System (PDF)
• Template for Uniform Filing System Tabs (DOCX) (posted 06-24-20)
• Environmental Document Review Checklist (DOCX) (posted 06-19-20)

Air Quality

• Air Pollution Standards Table (DOCX) (posted 05-29-20)
• Air Quality Report Annotated Outline (DOCX) (posted 12-15-17)
• Air Quality Conformity Analysis Annotated Outline (DOCX) (posted 02-12-14)
• Air Quality Conformity Analysis Cover Letter (sample) (DOCX) (posted 10-14-20)
• Air Quality Conformity Findings Checklist (DOCX) (posted 08-27-20)
• Air Quality Conformity Public Notice Language (PDF) (posted 06-30-20)
• Conformity Streamlining Exemption Form (DOCX) (posted 05-12-20)
• Ambient Air Quality Standards can be found on the California Air Resources Board website

Annotated Outlines/Re-Validation Form

• IS/EA Annotated Outline (DOCX) (posted 03-25-20)
• EIR/EA Annotated Outline (DOCX) (posted 03-25-20)
• EIR/EIS Annotated Outline (DOCX) (posted 03-25-20)
• NEPA Only EIS (DOCX) (posted 03-25-20)
• NEPA Only EA (DOCX) (posted 03-25-20)
• Climate Change Annotated Outline Capacity Increasing (DOCX) (posted 12-10-19)
• Climate Change Annotated Outline Non-Capacity Increasing (DOCX) (posted 12-10-19)
• 2019 Annotated Outline Update: Summary of Changes and Grandfathering Guidelines (PDF) (posted 12-10-19)
• Draft EIR/EIS Distribution List Sample (DOCX) (posted 04-27-16)
• Final EIR/EIS Distribution List Sample (DOCX) (posted 04-27-16)
• NEPA/CEQA Re-Validation Form (DOCX) (posted 05-29-20)
• FONSI Sample (DOCX) (posted 05-12-20)
• Programmatic Section 4(f) Evaluation (DOCX) (posted 02-08-13)
• The Title VI Policy Statements can be found on the Caltrans Title VI website

Notices

CEQA

• Notice of Intent to Adopt a ND or MND: Follow the guidance in Chapter 11 and Appendix HH of the PDPM
• The following notices can be downloaded from the State Clearinghouse’s CEQA Document Submission website.
  • Notice of Exemption (NOE) 
  • Notice of Completion (NOC)
  • Notice of Preparation (NOP)
  • Notice of Determination (NOD)

NEPA

• Notice of Availability - FONSI (DOCX) (posted 02-05-20)
• Notice of Intent - EIS Sample (DOCX) (posted 06-29-20)
• Notice of Statute of Limitations on Claims (DOCX) (posted 06-24-20)
• FHWA Instructions for Submitting Notice of Statute of Limitations (SOL) to the Federal Register (PDF) (posted 11-20-18)
  Note: Larry Vinzant has retired. Send draft SOLs to Shawn Oliver and David Tedrick for review.

CEQA

• EIR Certification Form (DOCX) (posted 05-12-20)
• CEQA Checklist (DOCX) (posted 06-19-20)
• Negative Declaration (ND) (DOCX) (posted 03-02-20)
• Mitigated Negative Declaration (MND) (DOCX) (posted 03-02-20)
• Statement of Overriding Considerations Form (DOCX) (posted 05-12-20)
• Findings (DOCX) (posted 05-29-20)

Biological Technical Documents

• Quality Control and Assurance for Biological Technical Documents (PDF)
• Natural Environment Study (NES) (DOCX) (posted 06-25-2020)
• NESMI (DOCX) (posted 06-25-2020)
• Guidance for District Submittals for Alternative Natural Environment Study (Minimal Impact) (NES MI) - No Effect (PDF)
• Biological Assessment (BA) (DOCX) (posted 06-25-2020)
• USFWS Biological Assessment Checklist (DOCX) (posted 10-28-2020) 
• NMFS Biological Assessment Checklist (DOCX) (posted 10-28-2020) 

Cultural Studies

• Cultural Resources Compliance Document templates

Noise Guidance

• Annotated Noise Study Report Outline (DOCX) (posted 04-01-15)
  (to be completed by the Noise Specialist)
  • Figure 5.1 (PDF) (posted 05-21-20)
• Annotated Noise Abatement Decision Report Outline (DOCX) (posted 10-04-12)
  (to be completed by the Project Engineer)

Environmental Commitment Compliance

• PS&E / Ready to List Review Tool (DOCX) (posted 06-23-20)
• Certificate of Environmental Compliance at CCA (MS 600) (DOCX) (posted 05-29-20)
• Certificate of Environmental Compliance at Project Closeout (MS 800) (DOCX) (posted 05-29-20)
• Environmental Certification (PDF) (posted 05-29-20)
• Environmental Commitments Record (ECR) Form (DOCX) (posted 11-12-20)

• Sample Environmental Commitments Record (ECR) (PDF) (posted 11-12-20)

Water Quality

• Water Quality Assessment Report Template (DOCX) (posted 02-09-18)
• Water Quality Scoping Questionnaire (DOCX) (posted 05-21-20)

Other

• Floodplain Forms: Location Hydraulic Study (DOCX) (posted 06-23-20)
  • For Local Assistance projects, please use the form located on the Local Assistance page
• Floodplain Forms: Summary of Floodplain Encroachment Report (DOCX) (posted 06-23-20)
  • For Local Assistance projects, please use the form located on the Local Assistance page
• The following forms can be found on the Natural Resources Conservation Service website under FPPA Forms and Resources:
  • Form NRCS-CPA-106 (corridor type projects)
  • Form AD-1006 (non-corridor type projects)
• Sample Environmental Study Request (ESR) Form (DOCX) (posted 11-19-20)