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10/4/71

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Summary Sheet for Environmental Statements

(Check one)

( ) Draft.

( ) Final Environmental Statement.

Department of Transportation (with name of operating administration where appropriate).

1.

(Check one)

( ) Administrative Action:

( ) Legis

Name of Action. lative Action.

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Brief description of action indicating what States (and counties) are particularly affected.

Summary of environmental impact and adverse environmental effects.

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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.

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