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NET F 451.11×1 Revised: 11×24/2014 Reviewed: 11×24/2014 U.S. DEPARTMENT OF ENERGY NET (Previous Editions Obsolete) CATEGORICAL EXCLUSION (CX) DESIGNATION FORM Project No.: 0545 Subrecipient×s)
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How to fill out categorical exclusion cx designation:

01
Begin by reviewing the relevant regulations and guidelines provided by the governing agency. These documents will outline the specific requirements and criteria for filling out the categorical exclusion cx designation form.
02
Gather all the necessary information and supporting documentation for the project or action that is being considered. This may include details such as project description, location, anticipated impacts, and any applicable permits or authorizations.
03
Start filling out the form by providing general information about the project, including the name, contact information, and any affiliations or organizations involved.
04
Proceed to specify the categorical exclusion criteria that apply to the project. This may involve selecting from a list of predetermined categories or providing a detailed explanation as to why the project qualifies for a categorical exclusion cx designation.
05
Describe the anticipated impacts of the project in detail. This should include any potential environmental, cultural, social, or economic effects that may arise from the proposed action.
06
Provide information on the mitigation measures that will be implemented to minimize or eliminate any negative impacts identified in the previous step.
07
Include any relevant supporting documentation, such as maps, studies, or expert opinions, that can strengthen the credibility of the application.
08
Review the completed form thoroughly to ensure all required fields are filled out accurately and all necessary attachments are included.
09
Submit the completed form to the designated agency or authority responsible for reviewing and approving the categorical exclusion cx designation. Follow any additional instructions or procedures outlined by the governing agency.

Who needs categorical exclusion cx designation:

01
Government agencies or departments responsible for carrying out infrastructure projects, construction activities, or other actions that may have potential impacts on the environment or communities.
02
Project managers or consultants who are involved in planning and implementing projects that fall within the scope of activities requiring environmental review and approval.
03
Individuals or organizations seeking to ensure compliance with environmental regulations and to streamline the approval process for projects with minimal anticipated impacts.
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Categorical exclusion cx designation is a determination made by an agency that a proposed action is excluded from the requirement to prepare an environmental assessment or environmental impact statement under the National Environmental Policy Act (NEPA).
Federal agencies are required to file categorical exclusion cx designation when proposing actions that fall under a category of actions that have been determined not to have a significant impact on the environment.
To fill out a categorical exclusion cx designation, agencies must provide a description of the proposed action, a justification for why the action qualifies for categorical exclusion, and any supporting documentation.
The purpose of categorical exclusion cx designation is to streamline the review process for actions that are not expected to significantly affect the environment, allowing agencies to make decisions more efficiently.
Information that must be reported on a categorical exclusion cx designation includes a description of the proposed action, the basis for determining that the action qualifies for categorical exclusion, and any relevant supporting documentation.
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