97-025-73- -7 (originating office, address) (will prepare, will not prepare, has prepared) a (draft, final) environmental impact statement on the following project: (Official Project Name) (Purpose of Project) (Project Location, City, County, State) This notice is to implement the Agency's policy to inform the public to the maximum possible extent of environmental actions it is taking. EXHIBIT 4 NEGATIVE DECLARATION SUGGESTED FORMAT (Date) ENVIRONMENTAL PROTECTION AGENCY, (Appropriate office) (Address, City, State, Zip Code) To All Interested Government Agencies and Public Groups. GENTLEMEN: In accord with the procedures for the preparation of environmental impact statements, an environmental review has been performed on the proposed Agency action below: (Official Project Name) (Purpose of Project) (Project Originator) (Project Location, City, County, State) (Potential Agency Financial Share) (Other Funds Included) After making an environmental review of the project, this Agency has decided not to prepare an environmental impact statement. An environmental impact appraisal, which summarizes the review and the reasons why a statement is not required, is on file at the above office and will be available for public scrutiny upon request. This Agency will proceed with the award of a (grant, contract) for this project. Sincerely, (Appropriate EPA Official) EXHIBIT 6 COVER SHEET FORMAT FOR ENVIRONMENTAL IMPACT STATEMENTS (Draft, Final) Environmental Impact Statement (Describe title of project or plan) Prepared by (Responsible Agency Office) Approved by (Responsible Agency Official) (Date) EXHIBIT 7 SUMMARY SHEET FORMAT FOR ENVIRONMENTAL IMPACT STATEMENTS (Check one) ( ) Draft. () Final Environmental Statement. Environmental Protection Agency (Responsible Agency Office) 1. Name of action. (Check one) Administrative action. ( ) Legislative action. ( ) 2. Brief description of action indicating what States (and counties) are particularly affected. 3. Summary of environmental impact and adverse environmental effects. 4. List alternatives considered. 5. a. (For draft statements) List all Federal, State, and local agencies from which comments have been requested. b. (For final statements) List all Federal. State, and local agencies and other sources from which written comments have been received. 6. Dates draft statement and final statement made available to Council on Environmental Quality and public. Subpart A-General § 10.1 Scope of regulations. The regulations in this part shall apply only to claims asserted under the Federal Tort Claims Act, as amended, 28 U.S.C. sections 2671-2680, accruing on or after January 18, 1967, for money damages against the United States for damages to or loss of property or personal injury or death, caused by the negligent or wrongful act or omission of any employee of the Environmental Protection Agency (EPA) while acting within the scope of his office of employment. Subpart B-Procedures § 10.2 Administrative claim; when presented; place of filing. (a) For purpose of the regulations in this part, a claim shall be deemed to have been presented when the Environmental Protection Agency receives, at a place designated in paragraph (c) of this section, an executed Standard Form 95 or other written notification of an incident accompanied by a claim for money damages in a sum certain for damage to or loss of property, for personal injury, or for death, alleged to have occurred by reason of the incident. A claim which should have been presented to EPA, but which was mistakenly addressed to or filed with another Federal agency, shall be deemed to be presented to EPA as of the date that the claim is received by EPA. A claim mis takenly addressed to or filed with EPA shall forthwith be transferred to the appropriate Federal agency, if ascertainable, or returned to the claimant. (b) A claim presented in compliance with paragraph (a) of this section may be amended by the claimant at any time prior to final action by the Administrator, or his designee, or prior to the exercise of the claimant's option to bring suit under 28 U.S.C. 2675(a). Amendments shall be submitted in writing and signed by the claimant or his duly authorized agent or legal representative. Upon the timely filing of an amendment to a pending claim, EPA shall have 6 months in which to make a final disposition of the claim as amended and the claimant's option under 28 U.S.C. 2675 (a) shall not accrue until 6 months after the filing of an amendment. (c) Forms may be obtained and claims may be filed with the office, local, regional, or headquarters, of the constituent organization having jurisdiction over the employee involved in the accident or incident, or with the EPA Claims Officer, Waterside Mall Building, 401 M Street SW., Washington, D.C. 20460. § 10.3 Administrative claims; who may file. (a) A claim for injury to or loss of property may be presented by the owner of the property interest which is the subject of the claim, his duly authorized agent, or his legal representative. (b) A claim for personal injury may be presented by the injured person, his duly authorized agent, or his legal representative. (c) A claim based on death may be presented by the executor or administrator of the decedent's estate or by any other person legally entitled to assert such a claim under applicable State law. (d) A claim for loss wholly compensated by an insurer with the rights of a subrogee may be presented by the insurer. A claim for loss partially compensated by an insurer with the rights of a subrogee may be presented by the insurer or the insured individually as their respective interests appear, or jointly. Whenever an insurer presents a claim asserting the rights of a subrogee, he shall present with his claim appropriate evidence that he has the rights of a subrogee. (e) A claim presented by an agent or legal representative shall be presented ir the name of the claimant, be signed b the agent or legal representative, sh |