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Exhibit 6-A <br />Assistance Procedures Manual <br />Preliminary Environmental Study (PES) Form <br />E. Preliminary Environmental Document Classification (NEPA) <br />Based on the evaluation of the project, the environmental document to be developed should be: <br />Check one: <br />❑ Environmental Impact Statement (Note: Engagement with participating agencies in accordance with SAFETEA-L U <br />Section 6002 required) <br />❑ Compliance with SAFETEA-LU Section 6002 regarding Participating Agencies required <br />❑ Complex Environmental Assessment <br />® Routine Environmental Assessment <br />❑ Categorical Exclusion without required technical studies. <br />❑ Categorical Exclusion with required technical studies <br />(if Categorical Exclusion is selected, check one of the following): <br />❑ Section 6004 <br />❑ 23 CFR 771 activity (c)(.) <br />❑ 23 CFR 771 activity (d) (3) <br />❑ Activity listed in the Section 6004 MOU <br />❑ Section 6005 <br />F. Public Availability and Public Hearing <br />Check as applicable: <br />❑ Not Required <br />® Notice of Availability of Environmental Document <br />® Public Meeting <br />❑ Notice of Opportunity for a Public Hearing <br />❑ Public Hearing Required <br />G. Signatures <br />Local Agency Staff and/or Consultant Signature <br />June 17, 2011 (949) 333-6618 <br />(Signature of Preparer) (Date) (Telephone No) <br />Brian Calvert <br />(Name) <br />Local Agency Project Engineer Signature <br />This document was prepared under my supervision, in accordance with the Local Assistance Procedures Manual, <br />Exhibit 6-13, "Instructions for Completing the Preliminary Environmental Study Form." <br />June 27, 2011 (714) 647-5664 <br />(Signature of Local Agency) (Date) (Telephone No) <br />Page 6-77 <br />LPP 07-07 november 20, 2007 <br />