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University of Wisconsin System Attachment C
Environmental
Assessment Screening Worksheet for Compliance
with
Wisconsin Environmental Policy Act
Research
State
Policy: Wisconsin Environmental Policy Act, Chapter 274, Laws of 1971, state:
"Section
2, 1.11, (2) all agencies of the State shall: (c) include in every recommendation or
report on proposals for legislation and other major actions significantly affecting the
quality of the human environment...." Research and Development activities are
considered "actions" and " must be considered on the basis of potential
impacts in the conduct of the research itself."
1.
Project Title:
Date:
2.
Principal Investigator: Name
University
Unit
Campus
Address and Telephone
3.
Where will the research be conducted?
4.
Attach project proposal.
5.
Will the conduct of the proposed research have significant environmental consequences
which will not be met by University, State. and Federal requirements for human safetv,
animal care, radiation protection, biological safety, disposal of waste, pesticide use,
herbicide use, release of flora or fauna, etc? Yes No
(If
yes, complete assessment)
List
standards or regulations applicable to the proposed research.
6.
On the basis of this assessment, the research is determined to be (check one):
(For
complete interpretation of Types I, II, and III refer to Faculty Handbook or Dean's
office.)
Type
III - Sign and return
Type
II - Have no significant environmental impacts from the conduct of this research to the
best of present knowledge.
Type
I - Require an EIS
| Signature |
Date |
Signature |
Date |
| Principal
Investigator |
|
College
Dean |
|
| Signature |
Date |
|
|
| UW-SP
WEPA Coordinator |
|
|
|
[BACK]
Attachment
B
WEPA
Checklist
for Screening Research and Development Activities
(Agency
Action List)
University
of Wisconsin System
Action
|
Action
Identification |
Description/Comments |
I |
II |
III |
| Research
& Development |
Office,
Library, Computer,
Social
Science
Interviews,
Enumeration,
etc. |
Research
conducted such that it does not significantly reduce the resource base: in an office,
library, computer, or similar facility, interviewing
people, enumerating the characteristics of objects or events. |
|
|
X |
| |
Laboratory
or Clinic |
Research
conducted in such a manner that: (a) significant potential environmental consequences are
controlled adequately by a facility which meets current codes, following environmentally
acceptable procedures and/or regulations for human safety; animal care; radiation;
biological safety; disposal standards; air, water and noise pollution,
etc., of the University, federal, state or local agencies, and professions, and (b)
environmental consequences do not transcend
the
boundaries of the immediate experimental area. |
|
|
X |
| |
Laboratory
or Clinic |
Research
conducted having environmental consequences which cannot be adequately controlled as
specified in (2) above and/or which has environmental consequences transcending the
boundaries of the immediate experimental area. |
|
X |
|
| |
Out-of-doors |
Research
conducted in such a manner that significant environmental consequences (a) are handled
adequately by following environmentally acceptable
procedures of pesticide and herbicide use; quarantine and protection regulation; air,
water, and noise pollution; human subjects, biological safetv, animal care, radiation
safety, waste disoosal, etc., set by the University, local. state or federal agencies, and
professions. and (b) do not transcend the boundaries of the immediate experimental area,
nor (c) do not significantly deteriorate the resource base of the immediate experimental
area. |
|
|
X |
| |
Out-of-doors |
The
conduct of research which: (a) does not comply with standards of human subjects,
biological safety, animal care, radiation, waste disposal, air and water pollution,
pesticide and herbicide use, quarantine and protection regulations etc., set by the
University and local,state, or federal agencies, or (b) has significant environmental
consequences which transcend the boundaries of the immediate experimental area, or (c)
significantly deteriorates the resource base of the immediate experimental area. |
|
|
|
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