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Intra-Service Section 7 Biological Evaluation Form

By Shane Harrison,2014-05-07 17:35
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Intra-Service Section 7 Biological Evaluation Form

    Intra-Service Section 7 Biological Evaluation Form

    Region 3

    Originating Person: Telephone Number: Date Submitted:

For assistance with section 7 reviews, go to Region 3’s Section 7 Technical Assistance website:

    http://www.fws.gov/midwest/endangered/section7/s7process/

I. Service Program and Geographic Area or Station Name:

    II. Location: Location of the project including County, State and TSR (township, section & range):

III. Species/Critical Habitat: List federally-listed, proposed, and candidate species or designated or proposed

    critical habitat that may occur within the action area. :

    IV. Project Description: Describe proposed project or action, including all conservation elements. If referencing other documents, prepare an executive summary. Include map and photos of site, if possible.

    (Attach additional pages as needed):

V. Determination of Effects

    A.

     Description of Effects Describe how the action(s) will affect the species and critical habitats listed in item III.

    Your rationale for the Section 7 determinations made below (in VB.) should be fully described here.

    B. Determination: Determine the anticipated effects of the proposed project on species and critical habitats listed

    in item III. Check all applicable boxes and list the species (or attach a list) associated with each determination. For

    assistance with making appropriate Section 7 determinations, go to Region 3’s Section 7 Technical

    Assistance website: http://www.fws.gov/midwest/endangered/section7/s7process/

    Mark all

    that apply

    No Effect: This determination is appropriate when the proposed project will not directly or indirectly affect (neither negatively nor beneficially) individuals of listed/proposed/candidate species or designated/proposed critical habitat of such species. No concurrence from ESFO

    required.

    List species/critical habitat:

     May Affect but Not Likely to Adversely Affect: This determination is appropriate when the proposed project is likely to cause insignificant, discountable, or wholly beneficial effects to

    individuals and designated critical habitat. Concurrence from ESFO required. List species/critical habitat:

May Affect and Likely to Adversely Affect: This determination is appropriate when the proposed

     project is likely to adversely impact individuals of listed species or designated critical habitat of such

    species. Concurrence from ESFO required.

    List species/critical habitat:

    Not Likely to Jeopardize candidate or proposed species/critical habitat: This determination is appropriate when the proposed project is not expected to jeopardize the continued existence of a species proposed for listing or a candidate species, or adversely modify an area proposed for designation as critical habitat. Concurrence from ESFO required.

    List species/critical habitat:

Likely to Jeopardize candidate or proposed species/critical habitat: This determination is

    appropriate when the proposed project is reasonably expected to jeopardize the continued existence of a species proposed for listing or a candidate species, or adversely modify an area

    proposed for designation as critical habitat. Concurrence from ESFO required. List species/critical habitat:

    Signature [Supervisor at originating station] Date

    Reviewing Ecological Services Office Evaluation (check all that apply):

     A. Concurrence Nonconcurrence

    Explanation for nonconcurrence:

    B. Formal consultation required

    List species or critical habitat unit(s):

    C. Conference required List species or critical habitat unit(s):

    Name of Reviewing ES Office:

    Signature Date

O:\TE\S7\FORMS\R3intra-s7_form.wpd\7 May 2010

    JSzymanski\19 June 2002

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