Backup Documents 06/09/2009 Item #10E
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO J 0 E 1"
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNA TU "
Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office, The completed routing slip and original
documents are to be forwarded to the Board Office only after the Board has taken action on the item,)
ROUTING SLIP
Complete routing lines #\ through #4 as appropriate for additional signatures, dates, and/or infonnation needed, \fthe document is already complete with the
excePtion of the Chainnan's signature, draw a line through routing lines #\ through #4, complete the checklist, and forward to Sue Filson (line #5),
Route to Addressee(s) Office Initials Date
(List in routing order)
1.
2.
3.
4.
5. Sue Filson, Executive Manager Board of County Commissioners
6. Minutes and Records Clerk of Court's Office
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending Bee approval. Normally the primary contact is the person who created/prepared the executive
summary. Primary contact infonnation is needed in the event one ot'thc addressees above, including Sue Filson, need to contact staff for additional or missing
infonnation, All original documents needing the BCe Chairman's signature arc to be delivered to the BCC office only after the BCC has acted to approve the
item,)
Name of Primary Staff Marlene Foord Phone Number 252-4768
Contact
Agenda Date Item was 6/9/09 Agenda Item Number ~6/10E
Approved by the BCC
Type of Document Letter Number of Original I
Attached Documents Attached
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is Yes N/ A (Not
a ro riate. (Initial) A licable)
L Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the Chairman, with the exception of most letters, must be reviewed and signed 0f
by the Office of the County Attorney. This includes signature pages from ordinances,
resolutions, etc. signed by the County Attorney's Office and signature pages from
contracts, agreements, etc. that have been fully executed by all parties except the BCC
Chairman and Clerk to the Board and ossibl State Officials.)
2. All handwritten strike-through and revisions have been initialed by the County Attorney's fY'~
Office and all other arties exce t the BCC Chairman and the Clerk to the Board
3. The Chairman's signature line date has been entered as the date ofBCC approval of the r:
document or the final ne otiated contract date whichever is a licable.
4. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's r^r
si nature and initials are re uired.
5. In most cases (some contracts are an exception), the original document and this routing slip
should be provided to Sue Filson in the BCC office within 24 hours of BCC approval. ('I~/
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of our deadlines!
6. The document was approved by the Bee on ,. (enter date) and all changes
made during the meeting have been incorporated in the attached document. The
Count Attorne 's Office has reviewed the chan es, if a Iicable.
I: Fonnsl County Fonns! BCC Fonnsl Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26,05, Revised 2.24.05
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MEMORANDUM
Date: June 18,2009
To: Marlene Foord, AICP
Grants Coordinator
From: Teresa Polaski, Deputy Clerk
Minutes & Records Department
Re: Grant Letter
Attached you will find an original of the above referenced document
(Agenda Item # 10E) which was approved by the Board of County
Commissioners on Tuesday, June 9, 2009.
If you should have any questions regarding this item, please feel free to call
me at 252-8411.
Thank you.
Attachments
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;J3oaJtd ol'(f~/;'(~}I Yiofln~y Yf:~/mm~jj(~
3301 East Tamiami Trail' Naples. Florida 34112 - 4977
(239) 252-8097 . Fax (239) 252-3602
Donna Fiala
District 1 June 9, 2009
Frank Halas
District 2
Tom Henning Ms. Sue Miltenberger, Contract Specialist
District 3 National Energy Technology Laboratory
Fred W. Coyle
District 4 Department of Energy
Jim Coletta
District 5 Re: EECBG Assurances
Dear Ms. Miltenberger:
On behalf of Collier County, I am authorized to apply for and receive funding based on Title
V, Subtitle E, Energy Efficiency and Conservation Block Grants, Sections 541(3)(A) or
541(3)(B) of EISA 2007, Public Law 110-140. I further certity that the Grants Office is
authorized to receive funds and implement the Energy Efficiency and Conservation Block
Grants.
The Grants Office may be reached at:
Marlene Foord, Grant Coordinator
Collier County Grants Office, Building D.
3301 Tamiami Trail E.
Naples, Florida 34112
(239) 252-4768
(239) 252-8720 (fax)
marlenefoord@colliergov.net
If funded, Collier County will comply with all provisions of the Davis-Bacon Act to assure
that all laborers and mechanics on projects funded directly by or assisted in whole or in part
by and through funding appropriated by the Act are paid wages at rates not less than those
prevailing on projects of a character similar in the locality as determined by subchapter IV
of Chapter 31 of title 40, United States Code (Davis-Bacon Act).
We look forward to working with you on this very important project for Collier County.
Si/LelY,
~. d~
Donna Fiala
Chairman
fc
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; 10 E
lo- Grant Application Package
-- GRANTS.GOV~
Opportunity Title: Recovery Act ? Energy Efficiency and Conservation
Offering Agency: National Energy Technology Laboratory
CFDA Number: 181.128 I
CFDA Description: Energy Efficiency & Conservation Block Grant Program
Opportunity Number: IDE - FOA- 0 0 0 0 0 13
Competition 10: I
Opportunity Open Date: I 03/26/2009 I
Opportunity Close Date: I 06/25/2009 I
Agency Contact: Sue Miltenberger
Contract Specialist
E-mail: EECBG@netl.doe.gov
This opportunity is only open to organizations, applicants who are submitting grant applications on behalf of a company, state, local or
tribal government, academia, or other type of organization.
. Application Filing Name: I Collier County Energy Conservation I
Mandato Documents Move Form to Mandato Documents for Submission
Complete Application for Federal Assistance (SF-424)
Other Attachments Form
Move Form to
Delete
Optional Documents Move Form to Optional Documents for Submission
Submission List
Move Fonn to
Delete
l"II"(IJI"'iO'1
'. :.~' ,,:',%i~:',I:',;,:--::~z;",:t~i".~~}~.;;{j;:'
. Enter a name for the application in the Application Filing Name field.
Y.. - This application can be completed in its entirety offline; however, you Will need to login to the Grants.gov website during the submission process.
- You can save your application at any time by clicking the "Save" button at the top of your screen.
- The "Save & Submit" button will not be functional untIl all required data fields in the application are completed and you clicked on the "Check Package for Errors" button and
confirmed all data required data fields are completed.
Open and complete all of the documents listed in the "Mandatory Documents" box. Complete the SF-424 fonn first.
- It is recommended that the SF-424 form be the first form completed for the application package. Data entered on the SF-424 will populate data fields in other mandatory and
optional forms and the user cannot enter data in these fields.
- The forms listed in the "Mandatory Documents" box and "Optional Documents" may be predefined forms, such as SF-424 , forms where a document needs to be attached,
such as the Project Narrative or a combination of both. "Mandatory Documents" are required for this application. "Optional Documents" can be used to provide additional
support for this application or may be required for specific types of grant activity. Reference the application package instructions for more information regarding "Optional
Documents".
- To open and complete a form, simply click on the form's name to select the item and then click on the => button. This will move the document to the appropriate "Documents
for Submission" box and the form will be automatically added to your application package. To view the form, scroll down the screen or select the form name and click on the
"Open Form" button to begin completing the reqUired data fields. To remove a form/document from the "Documents for Submission" box, click the document name to select it,
and then click the <= button. ThiS will return the form/document to the "Mandatory Documents" or "Optional Documents" box
- All documents listed in the "Mandatory Documents" box must be moved to the "Mandatory Documents for Submission" box. When you open a required form, the fields which
must be completed are highlighted in yellow with a red border. Optional fields and completed fields are displayed in white. If you enter invalid or incomplete information in a
field, you will receive an error message.
00 Click the "Save & Submit" button to submit your application to Grants.gov.
Y - Once you have properly completed all required documents and attached any required or optional documentation, save the completed application by clicking on the "Save"
button.
- Click on the "Check Package for Errors" button to ensure that you have completed all required data fields Correct any errors or if none are found, save the application
package.
- The "Save & Submit" button will become active; click on the "Save & Submit" button to begin the application submission process.
- You will be taken to the applicant login page to enter your Grants.gov username and password. Follow all onscreen instructions for submission.
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OMB Number 4040-0004
Expiration Date: 01/31/2009
Application for Federal Assistance SF-424 Version 02
* 1. Type of Submission: * 2. Type of Application: . If Revision. select appropriate let1er(s):
D Preapplication [8] New I I
[8] Application D Continuation . Other (Specify)
D Changed/Corrected Application D Revision I I
* 3. Date Received: 4. Applicant Identifier:
IcomPleted by Grants.gov upon submission I I I
Sa. Federal Entity Identifier: . 5b. Federal Award Identifier:
I I [ I
State Use Only:
6. Date Received by State' I 1 I 7. State Application Identifier I 1
8. APPLICANT INFORMATION:
. a. Legal Name: Icollier County I
. b. EmployerrTaxpayer Identification Number (EINrTlN) . c. Organizational DUNS:
159-6000558 I 1076997790 I
d. Address:
. Street1 13301 Tamiami Trail E. I
Street2: 1 I
. City: Naples I
County I
. State: FL: Florida I
Province: I
. Country: USA: UNITED STATES I
. Zip / Postal Code: 134112 I
e. Organizational Unit:
Department Name: Division Name:
IGrants Office I IAdministrative Services I
f. Name and contact information of person to be contacted on matters involving this application:
Prefix I I * First Name: [Marlene I
Middle Name: I I
. Last Name: IFoord I
Suffix: I I
Title: IGrant Coordinator 1
Organizational Affiliation:
1 I
. Telephone Number: 1239 252 - 4 7 68 I Fax Number: 1239 252 - 8720 I
. Email: Imarlenefoord@cOlliergOv.net 1
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OMS Number: 4040-0004
Expiration Date: 01/31/2009
Application for Federal Assistance SF-424 Version 02
9. Type of Applicant 1: Select Applicant Type:
Is: County Government I
Type of Applicant 2: Select Applicant Type:
I I
Type of Applicant 3: Select Applicant Type:
I I
. Other (specify)
1 I
.10. Name of Federal Agency:
National Energy Technology Laboratory I
11. Catalog of Federal Domestic Assistance Number:
181,128 I
CFDA Title:
Energy Efficiency & Conservation Slock Grant Program
. 12. Funding Opportunity Number:
IDE-FOA-OOOOOl3 1
. Title:
Recovery Act ? Energy Efficiency and Conservation Block Grants ? Formula Grants
13. Competition Identification Number:
I I
Title:
I I
14. Areas Affected by Project (Cities, Counties, States, etc.):
I'omo, Ooon'Y, including Immokalee I
. 15. Descriptive Title of Applicant's Project:
Collier County Energy Conservation Program
Attach supporting documents as specified in agency instructions.
I Add Atta<;tlrlienl$<IID~!e!eAttachmIiH'1t" I I Vl!i!"vi Alt<lChments I
_._---=-~-,.~.,..,.. .
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OMB Number 4040-0004
Expiration Date 01/31/2009
Application for Federal Assistance SF-424 Version 02
16. Congressional Districts Of:
. a Applica nt 114/25 I . b. Program/Project 114/25 I
Attach an additional list of Program/Project Congressional Districts if needed
[ II AddAUachment I I Delete AttQchmcnt II ViewAtt~qhment I
17. Proposed Project:
. a. Start Date: 109/01/20091 'b. End Date: 108/31/20121
18. Estimated Funding ($):
, a. Federal 1 3,036,000.001
. b. Applicant 1 0.001
. c. State 1 0.001
. d. Local 1 0.001
. e. Other 1 0.00]
. f. Program Income I 0.001
'g. TOTAL I 3,036,000.001
, 19. Is Application Subject to Review By State Under Executive Order 12372 Process?
D a. This application was made available to the State under the Executive Order 12372 Process for review on 1 I
D b. Program is subject to E.O. 12372 but has not been selected by the State for review.
[8] c. Program is not covered by E.O. 12372.
, 20. Is the Applicant Delinquent On Any Federal Debt? (If "Ves", provide explanation.)
Dves [8] No I Explanation 1
21. 'By signing this application, I certify (1) to the statements contained in the list of certifications" and (2) that the statements
herein are true, complete and accurate to the best of my knowledge. t also provide the required assurances" and agree to
comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may
subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)
[8] " I AGREE
" The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Prefix: 1 I ' First Name [Donna 1
Middle Name: I I
, Last Name: IFiala 1
Suffix: 1 1
, Title IChairman, Board of County Commissioners l
'Telephone Number: 1239 252-8097 I Fax Number: 1239 252.3602 [
. Email: Idonnaf iala@colliergov.net I
, Signature of Authorized Representative' IcomPleted by Grants.gov upon submission I 'Date Signed: fComPleted by Grantsgov upon submission I
Authorized for Local Reproduction Standard Form 424 (Revised 10/2005)
Prescribed by OMB Circular A-102
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OMS Number 4040-0004
Expiration Date 01/31/2009
Application for Federal Assistance SF-424 Version 02
. Applicant Federal Debt Delinquency Explanation
The following field should contain an explanation if the Applicant organization is delinquent on any Federal Debt. Maximum number of
characters that can be entered is 4,000. Try and avoid extra spaces and carriage returns to maximize the availability of space.
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Other Attachment File(s)
* Mandatory Other Attachment Filename: I I
I Add MElI)(jatory O~r Attacnmentll Delete M<1fldatorybtherAltaChrnel1tllViaw Mandatory qtherAttaQlmentl
To add more "Other Attachment" attachments, please use the attachment buttons below.
I Add Optional Other Attacl1ment .1 Other AHad111ltmt OUrer Allachment
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OMB Number: 4040-0010
Project/Performance Site Location(s) Expiration Date: 08/31/2011
Project/Performance Site Primary Location o I am submitting an application as an individual, and not on behalf of a company, state,
local or tribal government, academia, or other type of organization.
Organization Name: Icollier County I
DUNS Number: 10769977900000 1
. Street1: 13301 Tamiami Trail E. I
Street2: I I
. City: INaples I County: Icollier I
. State: IFL: Florida I
Province: 1
. Country: IUSA : UNITED STATES I
. ZIP / Postal Code: 134112 -4 902 I . Project! Performance Site Congressional District: IFL- 014
Project/Performance Site Location 1 o I am submitting an application as an individual, and not on behalf of a company, state,
local or tribal government, academia, or other type of organization.
Organization Name: Collier County Facilities Management Department
DUNS Number: 10769977900000 1
. Street1: 13301 Tamiami Trail E. I
Street2: I 1
. City: INaples 1 County: Icollier I
. State: 1 FL: Florida I
Province: 1
. Country: IUSA: UNITED STATES I
. ZIP / Postal Code: 134112 - 4 9 02 1 . Project! Performance Site Congressional District: IFL- 0 14
Project/Performance Site Location 2 o I am submitting an application as an individual, and not on behalf of a company, state,
local or tribal government, academia, or other type of organization.
Organization Name: Collier County Parks & Recreation Department
DUNS Number: 10769977900000 I
. Street1: 15611 Warren Street I
Street2: I I
. City: INaPles I County: Icollier 1
. State: I FL: Florida I
Province: I I
. Country: IUSA : UNITED STATES I
. ZIP / Postal Code: 134113 -7685 I . Project! Performance Site Congressional District: IFL- 014 I
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Project/Performance Site Location(s) t
Project/Performance Site Location 3 o I am submitting an application as an individual, and not on behalf of a company, state,
local or tribal government, academia, or other type of organization.
Organization Name: Icollier County Parks & Recreation I
DUNS Number: 10769977900000 1
. Street1: 1321 N. First Street I
Street2: 1 I
. City: IImmokalee I County: Icollier 1
. State: I FL: Florida I
Province: I
. Country: IUSA: UNITED STATES I
. ZIP / Postal Code: 134142 - 3 14 9 1 . Project! Performance Site Congressional District: IFL - 025
Project/Performance Site Location 4 o I am submitting an application as an individual, and not on behalf of a company, state,
local or tribal government, academia, or other type of organization.
Organization Name: IChildren I s Museum of Naples 1
DUNS Number: 18078598920000 I
. Street1: 115080 Livingston Road 1
Street2: I I
. City: INaPles I County: Icollier I
. State: 1 FL: Florida 1
Province: 1 1
. Country: IUSA : UNITED STATES 1
. ZIP / Postal Code: 134109-3808 I . Project! Performance Site Congressional District: IFL- 014 1
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10 E ~.,
~ ~ ,
DISCLOSURE OF LOBBYING ACTIVITIES
Approved by OMS
Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352 0348-0046
1. * Type of Federal Action: 2. * Status of Federal Action: 3. * Report Type:
o a. contract o a. bid/offer/application [8J a. Initial filing
[8J b. grant [8J b. initial award o b. matenal change
o c. cooperative agreement o c post~award
o d. loan
o e. loan guarantee
o f. loan insurance
4. Name and Address of Reporting Entity:
[8J Pnme o SubAwardee
* Name [COlller County
. Street f 13301 Tamiami Trail E. Street 2 I 1
. City INaPles 1 State I I Zip 134112 I
FL; Plorida
Congressional District, if known: 114/25
5. If Reporting Entity in No.4 is Subawardee. Enter Name and Address of Prime:
6. * Federal Department/Agency: 7. * Federal Program Name/Description:
IDepartment of Energy I Energy Efficiency &. Conservation Block Grant Program
CFDA Number, if applicable: IB,.,28
8. Federal Action Number, if known: 9. Award Amount, if known:
IDE'FOA,ooooo13 I $1 3,036.000.001
10. a. Name and Address of Lobbying Registrant:
Prefix 1 I . First Name I I Middle Name I
Amanda
. Last Name 1 I Suffix I
Wood
. Street f I I Street 2 I I
1130 Connectlcut Avenue
. City jWashin9ton 1 State I I Zip 120036 I
DC: District of Columbia
b. Individual Performing Services (Including address If different from No lOa)
Prefix I 1* First Name IAmanda I Middle Name I I
* Last Name I I Suffix I I
Wood
. Street f I I Street 2 I I
. City I I State I I Zip I I
11. Information requested through this form is authorized by title 31 U.S.C section 1352. This disclosure of lobbying activities IS a material representation of fact upon which
reliance was placed by the tier above when the transaction was made or entered into This disclosure IS required pursuant to 31 U.S C. 1352. This Information will be reported to
the Congress semi-annually and Will be available for publiC inspection Any person who fails to file the required disclosure shall be subject to a CIvil penalty of not less than
$10,000 and n01 more than $100,000 for each such failure
" Signature: IcomPleted on submission to Grants.gov I
"Name: Prefix I I * First Name I I Middle Name I
Donna
. Last Name lFiala Suffix I
Title: on submission to Grants.gov!
Autho,ized for LOG.I Reproduction
Standard Form -llL (Rev. 7.97)
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FINANCIAL MANGEMENT ASSESSMENT
This assessment should be completed, signed and certified by the Applicant's Financial Officer.
YES NO
1 Have you previously done business with DOE? 0 ~
2. Have you previously done business with any other Federal Agency? C8J 0
If so, please identify:
Department of Agriculture, Department of Commerce, Department of Housing & Urban Development,
Department of the Interior, Department of Justice, Department of Transportation, Environmental Protection
Agency, Department of Health and Human Services, Corporation for National and Community Service,
Department of Homeland Security
3. Can the Applicant's Financial Officer or Independent Auditor certify that the Applicant has
a financial management system sufficient to meet the requirements of 10 CFR 600.220? ~ 0
If yes, please skip to question #10 and sign/certify below.
4. Does your accounting system have the ability to track costs on a reimbursable basis? 0 0
5. Does your system allow for accurate, current and complete financial reporting, and record
keeping as well as the maintaining of adequate source documentation? 0 0
6. Does your system allow for effective internal controls and accountability? 0 0
7. Does your system allow for effective and efficient cash management procedures? 0 0
8. Does your system prohibit subaward at any tier to any party which is debarred, suspended
or otherwise excluded from or ineligible for participation in Federal assistance programs? 0
9. The expenditure of $500,000 or more of Federal funds in a fiscal year requires an
organization to have an audit performed in accordance with OMB Circular A-133.
Has your organization had such an audit performed? 0 0
10. If yes, please provide the most recent report or a copy of the SF-SAC forms filed with
the Federal Audit Clearinghouse. If no, proceed to the next statement and certify by
checking the YES block.
I understand the audit requirements and will comply with the provisions of OMB Circular A-133. ~ 0
J1tt--
Mark Isackson. Senior Budqet Analyst 1-239-252-8973 5/29/09
PRINTED NAME, TITLE AND PHONE NUMBER OF INDIVIDUAL COMPLETING FORM DATE
By signing this form, the above individual certifies that the responses provided to this SliNey are accurate as of the date.
If "NO" has been selected for any of the statements above, please provide further explanation on page 2.
FINANCIAL MANAGEMENT ASSESSMENT - continuation page If further explanation is needed
1
". '""_'-'-'--_''-'~---"-"''''-'-_' ._~.....-,--""~--,-~..~-_.... ..... 11' ......__.._.....-......._o;.,._,~_"'. ".,',__._~..~v__.~.. _ ,."...."._,~~_~~_.~_~_~",,>o.,"._~.,~_~_.__.._
1(JE
INTERNET REPORT 10: 319561 VERSION: 1 3/23/20091:51:47 PM
OMS No. 03480057
FORM SF-SAC u.s DEPT OF COMM Ec"" uno Stat Adm'n US CENSUS BUREAU
(8-b-200B, A~TING AS COLLEC~ING AGFN I. FO"
Data Collection Form for Reportina on OFF ,LE OF MANAGEMENl AN,) Bl,lJGE r
AUDITS OF STATES, LOCAL GOVERNMENTS, AND NON.PROFIT ORGANIZATIONS
for Fiscal Year Endin Dates in 2008 2009 or 2010
., Complete this form, as required by OMS Circular A-133. "Audits of States, Local Governments. and Non-Profit Organizations"
PART 1 GENERAL INFORMATION (To be completed by auditee, except for Items 6, 7, and 8)
1. Fiscal period ending date for this submission 2. Type of Circular A-133 audit 3. Audit period covered
! Month ....D....dY- .. Year I 1 ~~ Single audit .. 1 ~ Annual 3 Other - Months
I 09 / _ 3.~ / 2008 2 U Program-specific audit 2 U Biennial
4. Auditee Identification Numbers
a. Primary Employer Identification Number (EIN) d. Data Universal Numbering System (DUNS) Number
[ili] - '~--~'~J rn -1~-1919 j-h_L~I?1J
b. No e. Are mulliple DUNS covered in this report? 100 Yes 2 No
f. If Part I, Item 4e = "Yes," complete Part I, Item 4f
on the continuation sheet on Page 4.
6. PRIMARY AUDITOR INFORMATION
be completed by auditor)
--...-.~_.__..~..,... .. --"._- _",_, .'n__..____....n"
Pnmary auditor name
ERNST & YOUNG LLP
auditor address (Number and street)
!.~.~. .N.:.~. TH~.~~ AVE., _~.~T.~._7_00 ___ ._______
City
FT LAUDERDALE, FL
State ZIP + 4 Code
FL FL
.c. Auditee contact Primary auditor contact
Name Name
i CRYSTAL K. KINZEL JOHN OJ SANTO
I. -..--.. ......-- ---.-.. '-...
Title
, DIRECTOR OF FINANCE AND ACCOUNTING
---.-.---......-.-.. __....... .. _.n."'__.__.___""o__ ...,."
d. Auditee contact telephone
239 5~~L=6299
e. Auditee contact FAX
__(239) 774 =...J!t79___ ____ ______..._
: f. Auditee contact E-maii
CRYSTAL-KINZEL COLLIERCLERK.COM
g. AUDITEE CERTIFICATION STATEMENT - This is elements and Information
to certify that, to the best of my knowledge and belief, the
auditee has: (1) engaged an auditor to perform an audit
in accordance with the provisions of OMS Circular A-133
for the period described in Part I. Items 1 and 3; (2) the
auditor has completed such audit and presented a signed
audit report which states that the audit was conducted in
accordance with the provisions of the Circular; and, (3)
the information included in Parts I, II, and III of this
data collection form is accurate and complete. I declare
that the foregoing is twe and correct.
Auditee certification Date
ELECTRONICALLY CERTIFIED 3/23/2009 78.
Name of certifYing official
b.
CRYSTAL K. KINZEL
Title of certifying official Auditor certification
FINANCE DIRECTOR ELECTRONICALLY CERTIFIED ,
--.. .-------.--. ... .--/
_"^.,__.o____~,__,,'"....".'_~__.___ >'_...."'-.,~... l'lIl__-_,"" Ilf _"_,____,,"'-="'_.".,..,_.~"..,,._~._~_
. . .-..~_.".- 10
E
INTERNET REPORT ID: 319561 VERSION: 1 Primary EIN: Gl~ - [~9J~"lor~J5]J
PART II FINANCIAL STATEMENTS (To be completed by auditor}
1. Type of audit report
Mark either: 1 00 Unqualified opinion OR
any combination of: 2 Qualified opinion 3 [J Adverse opinion 4 n Disclaimer of opinion
2. Is a "going concern" explanatory paragraph included in the audit report? 1 LJ Yes 2 [)d No
3. Is a significant deficiency disclosed? 1 00 Yes 2 ["J No - SKIP to Item 5
4. Is any significant deficiency reported as a matenal weakness? 1 DYes 2~No
5. 1 Yes 2 00 No
AL PROGRAMS (To be completed by auditor]
1
2.
3. 530) 1 Yes 2 00 No
4. 1 00 Yes 2 [] No -SKIP to Item 6
5. 1 00 Yes
2 No
6. Are any known questioned costs report 1 l!J Yes 2 ["] No
7. Were Prior Audit Findings related to dl
Prior Audit Findings? (S_.315(b)) ! ~Yes 2 No
8. Indicate which Federal agency(ies) have curren
in the Summary Schedule of Pnor Audit Findings related t
98 0 US Agency for Inter- 96 Social Security
national Development Adminlstralion
10 [] Agriculture 39 0 General Services Administration US Department
23 ,] AppalaChian Regional 93 [] Health and Human Services of State
Commission 91 Homeland Security Transportation
11 0 Commerce 1400 Housing and Urban Treasury
94 D Corporation for National Development
and Community Service 03 0 Institute of Museum and
12 Defense library Services
84 0 Education 15 Intenor
81 Cl Energy 1600 Justice
66 [J Environmental "17 [] l.abor ~9 []
Protection Agency 09 [] Legal Services Corporation
Page 2 FORM SF..SAC (&-b-?OOe
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"__~._,,_.__~ ___""""",_,'__'_'~~'~'__'_"_'__~H"_~__'_'__~~~"'__>'~'".__,..__,~>..~~_
EECBG Activity Worksheet 1 0 E .
Grantee: Collier County Date: 06/24/2009
DUNS#: 76997790 Program Contact Email: marlenefoord@colliergov.ent
Program Contact First Name: Marlene Last Name: Foord
Project Title: Green Building Codes Inspection Training Program
Activity: 8. Codes and Inspections If Other:
Sector: Public If Other:
Proposed Number of Jobs Created: 0.00 Proposed Number of Jobs Retained: 23.00
Proposed Energy Saved and/or Renewable Energy Generated: 3,200, 000 kWh per year
Proposed GHG Emissions Reduced (C02 Equivalents): 1,452.000
Proposed Funds Leveraged: $0.00
Proposed EECBG Budget: 41,920.00
Projected Costs Within Budget: Administration: Revolving Loans: Subgrants:
Project Contact First Name: Dunn Last Name: Bob Email: bobdunn@colliergov.net
Metric Activity: Workshops, Training, and Education If Other:
Project Summary: (limit summary to space provided)
Collier County will utilize its EECBG formula funding to fund a mixture of lighting and electrical
improvements, mechanical improvements, renewable energy and planning/training initiatives.
Project Activity 8: Green Building Codes Inspection Training Program
This project involves the development of a comprehensive green building codes inspection training
program for 23 employees of the Collier County Building Department. Adopted on March 1, 2009, the new
2007 Florida Building Code includes a set of requirements entitled: The Florida Energy Efficiency Code
for Building Construction. The provisions of this code shall regulate (1) the design of building
envelopes for adequate thermal resistance and low air leakage and (2) the design and selection of
mechanical, electrical and illumination systems and equipment that will enable the effective use of
energy in new building construction, additions, alterations or any change in building configuration.
It is the intent that these provisions provide flexibility to permit the use of innovative approaches
and techniques to achieve effective utilization of energy.
To ensure Building Department personnel are adequately trained to perform the necessary plan reviews
and inspections related to these innovative approaches to building design, Collier County has
established an Energy Code Training Program that focuses on the two areas deemed to be of most
interest in this area: Solar Energy and Photovoltaic Energy. Therefore, two teams have been
established and a training curriculum developed that will most effectively enhance the ability of
these teams to perform the required plan reviews and inspections as Collier County moves forward into
implementation of energy savings systems. It is expected that 23 current employees will receive this
training, allowing the collection of plan and inspection fees for reviews and inspections of these
systems. The ability of these employees to adequately perform these tasks increases demand for these
government services and therefore increases the potential for continued employment with the agency.
The training curriculum is multi-faceted and includes training on Solar Water Systems Plan Review and
Inspections, Photovoltaic Systems Plan Review and Inspections, Blueprints to Residential Code
Compliance and Energy Gauge Pro Hands on Training for Plan Reviewers and Inspectors.
Collier County, like many cities and counties has been affected by the downturn in economy and
slowdown in building and construction. As a result, receipt of impact and building fees have decreased
and funding for training has been severely reduced, or in many cases, eliminated. Recognizing the
long term benefits of including energy efficient design, equipment and materials into building, it is
expected that while the overall demand for plan reviews and inspections may be down, there will be an
increased demand for plan reviews and inspections related to the new Energy Code. Furthermore, it is
fully expected that once the economy starts to improve, Collier County will among the first areas to
see an upturn in building and construction due to the desirable location, climate and proactive
approach to energy conservation.
Therefore, the Collier County Building Department has developed this critical training program to be
prepared. While direct energy savings are difficult to attribute to the training itself, it is
estimated that the successful installation of one solar water heater system will save 3,500 kWh
annually per system and one solar photovoltaic systems will save approximately 4,500 kWh annually. It
is further estimated that approximately 400 of each system will be installed throughout Collier County
in the short term, which equates to approximately 3,200,000 kWh saved annually. This equates to a
reduction of 1,452 metric tons of C02 per year. Since the average kWh cost is estimated at $0.13, this
is an approximately savings of $416,000 per year for homeowners of Collier County.
If you are proposing more than one activity, save this file as many times as needed with successive page numbers. For example.' "OH-CITY-Columbus-
Project Activity page 1.pdf, " "OH-CITY-Columbus-Project Activity page 2.pdf, " and continue as needed
._~_.._..__~..,,_._._.~_.____'__m___'.._._..~._.,.'_.',""_..~_,_.___"..".___,._._"__
10 E ..
EECBG Activity Worksheet
Grantee: Collier County Date: 06/24/2009
DUNS #: 76997790 Program Contact Email: marlenefoord@colliergov.ent
Program Contact First Name: Marlene Last Name: Foord
Project Title: Public Utilities Energy Savings Retrofits
Activity: 5. Energy Efficiency Retrofits If Other:
Sector: Public If Other:
Proposed Number of Jobs Created: 4.00 Proposed Number of Jobs Retained:
Proposed Energy Saved and/or Renewable Energy Generated: 448,563 kWh per year
Proposed GHG Emissions Reduced (C02 Equivalents): 268.000
Proposed Funds Leveraged: $150,468.00
Proposed EECBG Budget: 149,000.00
Projected Costs Within Budget: Administration: Revolving Loans: Subgrants:
Project Contact First Name: Beals Last Name: Nathan Email: na thanbeals@colliergov. net
Metric Activity: Building Retrofits If Other:
Project Summary: (limit summary to space provided)
Collier County will utilize its EECBG formula funding to fund a mixture of lighting and electrical
improvements, mechanical improvements, renewable energy and planning initiatives.
Project Activity 3: Public Utilities Energy Savings Retrofits
This activity is two-fold and involves the installation of lighting retrofits and occupancy sensors to
reduce the energy demand of five utility facilities throughout Collier County.
The Lighting Retrofit Project will modernize 2,100 light fixtures with 5,213 replacement high
efficiency fluorescent lamps that will provide an energy savings of 407,328 kWh per year. This
equates to 244 metric tons of C02 per year and a dollar savings of approximately $34,864 per year. The
modernization process includes replacing ballasts on light fixtures or replacing the entire light
fixture. The modernization of the light fixtures does not reduce high levels but actually improves
light levels by 5 to 10 percent in most areas. No additional maintenance is necessary associated with
the lighting retrofits. The energy efficient fluorescent lamps being installed are the same cost as
existing lamps.
The Occupancy Sensors Project will install occupancy sensors in a total of 89 rooms located at four
different plants that will provide an energy savings of 41,235 kWh per year. This equates to 24
metric tons of C02 per year and a dollar savings of approximately $2,859 per year. The occupancy
sensor project includes timer switches and motion sensors. There are no maintenance costs associated
with the occupancy sensors.
The proposed funds leveraged are reserve funds from Water and Wastewater User Fees. A limited amount
of funding is available from our reserves. Using greater amounts of reserve funds would reduce
available financial resources for unforeseen projects that may risk public health, welfare, and
safety.
If you are proposing more than one activity, save this file as many times as needed with successive page numbers. For example. "OH-CITY-Columbus-
Project Activity page 1.pdf," "OH-CITY-Columbus-Project Activity page 2.pdf, " and continue as needed.
"'-~''''-,''''"4_ n ~-,",,,"-,... '""'----..-
EECBG Activity Worksheet 10 E
Grantee: Collier County Date: 06/11/2009
DUNS #: 76997790 Program Contact Email: marlenefoord@colliergov.net
Program Contact First Name: Marlene Last Name: Foord
Project Title: Parks and Recreation Green Lighting System Retrofits
Activity: 5. Energy Efficiency Retrofits If Other:
Sector: Public If Other:
Proposed Number of Jobs Created: 7.00 Proposed Number of Jobs Retained: 665,811 . 00
Proposed Energy Saved and/or Renewable Energy Generated: 177,275 kwh per year
Proposed GHG Emissions Reduced (C02 Equivalents): 106.030
Proposed Funds Leveraged: $0.00
Proposed EECBG Budget: 665,811.00
Projected Costs Within Budget: Administration: Revolving Loans: Subgrants:
Project Contact First Name: Vicky Last Name: Ahmad Email: vickyahmad@col1iergov.net
Metric Activity: Building Retrofits If Other:
Project Summary: (limit summary to space provided)
Collier County will utilize its EECBG formula funding to fund a mixture of lighting and electrical
improvements, mechanical improvements, renewable energy and planning/training initiatives.
Project Activity 2: Parks and Recreation Department Light Fixture Retrofits
This activity involves energy efficient retrofits of light fixtures at two sport complexes. The
Immokalee Community Park has 2 tennis courts, 4 basketball courts, 1 softball field and 1 baseball
field. At the Gulf Coast Community Park, there are 2 little league baseball fields.
By retrofitting the existing floodlight fixtures, the KW demand will be reduce by approximately 30%.
The useful lamp life hours of lighting fixtures increase from 3,000 to 5,000 hours. The lighting has
been proven to reduce overall consumption of energy, is easy to install by contractors, enhance the
playing conditions for participants and is less obtrusive to neighbors and the environment.
Furthermore, because lights last longer, fewer bulbs need to be replaced, resulting in less hazardous
waste material to dispose of over the life of the fixtures.
At Immokalee Community Park, which is located in eastern Collier County, 162 lamp fixtures will be
replaced with a total of 116 lamps. An energy savings of 146,626 kWh will result, which converts to
87.70 metric tons of C02. The annual dollar savings is expected to be $35,544. At Gulf Coast
Community Park, a total of 48 lamp fixtures at two baseball fields will be replaced with a total of 32
lamps. An energy savings of 30,649 kWh will result, which converts to 18.33 metric tons of CO2.
By retrofitting the light fixtures at these two parks, Collier County Parks and Recreation can use
safer, cleaner energy, and perform less replacement and maintenance than the current system. Long
term plans remain in place to retrofit a minimum of 7 other Park projects throughout the County. Once
completed, Collier County Parks and Recreation will have reduced energy use by over one million kWh
and approximately 657 metric tons of CO2. In current dollars, this equates to an annual savings of
$466,482.
Furthermore, because of the visible nature of the park facilities, all lighting retrofits provide
opportunity for public education and offer Collier County to serve as a model for energy reduction for
our community.
By retrofitting the light fixtures, it is estimated that approximately 7 jobs will be created during
the project. The type of jobs created will be Electrical Engineer, Designer, Manufacturing,
Assemblers, Product Test, Quality Control, Electrician, and the Installer. A Project Manager will be
involved full time in coordinating all the work, job inspection on each project at least twice per
week, preparing documents, record keeping and overseeing that the projects meet all EECBG grant
requirements.
Lighting in these two parks will initially be retrofitted, however the Parks and Recreation Department
has conducted an audit of 9 park projects in total that can benefit from similar lighting retrofits.
Please note that neither of the two parks selected includes a pool in its inventory.
If you are proposing more than one activity, save this file as many times as needed with successive page numbers. For example: "OH-CITY-Columbus-
Project Activity page 1.pdf, " "OH-CfTY-Cofumbus-Project Activity page 2.pdf," and continue as needed
....-.=.,~__"~..,~_"_,___,,_..~...'"...~..____~,..,..._",...,'.""'..."..,..,."..,........_"....._'.'~_"'" .' 11..... "''I RIllIIIlIIIIf 'n~ ~1' 'H*~'" ".,.. '-~__'"','_;",'"_,_,"""k_""_""""""'_.._..._..'_".'_" -.....,.--."....-.-.'--.,-
EECBG Activity Worksheet 10 E
Grantee: Collier County Date: 06/24/2009
DUNS #: 76997790 Program Contact Email: marlenefoord@colliergov.ent
Program Contact First Name: Marlene Last Name: Foord
Project Title: Children's Museum of Naples Energy Savings and Renewable Energy proj ects
Activity: 14. Other If Other: Energy Efficiency Enhancements
Sector: Other If Other: museum
Proposed Number of Jobs Created: 3.00 Proposed Number of Jobs Retained: 1. 00
Proposed Energy Saved and/or Renewable Energy Generated: 7,484 kWh/year, 180,000 gallons water, 265M BTU/yr
Proposed GHG Emissions Reduced (C02 Equivalents): 1,606.000
Proposed Funds Leveraged: $250,000.00
Proposed EECBG Budget: 250,000.00
Projected Costs Within Budget: Administration: Revolving Loans: Subgrants:
Project Contact First Name: Cox Last Name: Joe Email: jcox@cmon.org
Metric Activity: Renewable Energy Market Development If Other:
Project Summary: (limit summary to space prOVided)
Collier County will utilize its EECBG formula funding to fund a mixture of lighting and electrical
improvements, mechanical improvements, renewable energy and planning initiatives.
Project Activity 7: Children's Museum of Naples
This project involves installation of four innovative technology solutions at the Children's Museum of
Naples (C'mon) , which is currently under construction and will be the first LEED certified children's
museum in the State of Florida. C'mon is located at the North Collier Regional Park on land leased
from Collier County under a 90 year lease.
The 30,407 square foot sustainable campus will be a full-scale environmental education/demonstration
site for public education, workforce training and will be a technology and architecture showcase
utilizing and demonstrating energy efficiency, water conservation, indoor air quality, recycled local
materials and sustainable aspects such as green roofs, grass parking, bike racks and preferred parking
for hybrid and energy efficient vehicles. The total cost for construction of this museum is
$22,895,000, most of which has been locally raised via a capital campaign supported by individual
gifts, private foundations, corporate support and state and local grants. The total project cost for
the four projects specifically to be supported by this grant is approximately $500,000, half of which
will be covered by C'mon.
The specific projects to be funded include:
PROJECT NAME ITEM DESCRIPTION EECBG REQUEST ENERGY SAVINGS
Green Roof System 1161sf live roof system $75,000 7,484 kWh/year
Rainwater Harvesting System Includes 10,000g cistern $50,000 180,000gallon/yr
Solar Hot Water Panels and PV panels 2 solar panels, 6 PV panels $50,000 90,520,000btu/yr
Wind Turbines 5Kw turbine,4 500W turbines $75,000 175,200,000btu/yr
Many of these technologies will be showcased for the first time in Collier County. The Green Roof
(using the Live Roof System) will be accessible for group tours. The Rainwater Harvesting System
(which will reduce total energy use, improve energy efficiency and reduce fossil fuel emissions by
295lb C02 annually* and save over 180,000 gallons of water) is a cutting edge system that takes
advantage of our significant rainfall. The solar panels will be visible from inside and outside the
building while the wind turbines are likely to become an iconic feature of the building - and a
wonderful educational tool.
The Children's Museum of Naples' annual attendance is conservatively estimated to be 75,000 people.
Each of these visitors will be introduced to the Museum's energy efficiency and conservation program
through hands-on interactive exhibits and environmental education programs throughout the building and
out in the community. Visitors will discover how simple changes coupled with innovative technology
can produce significant environmental and economic benefits.
This environmentally focused visitor experience will be an extremely effective venue for the delivery
of public education as it relates to energy efficiency, green technologies and conservation programs.
As a new facility, the energy savings components and educational benefits to the community will yield
continuous and long term benefits for Collier County. The required matching funds have been secured,
the project is 'shovel ready' and can be completed within the required time frame.
* based on research by the Virginia Water Research Center at Virginia Tech (May 2009)
If you are proposing more than one activity, save this file as many times as needed with successive page numbers. For example. "OH-CITY-Columbus-
Project Activity page 1.pdf." "OH-CITY-Columbus-Project Activity page 2.pdf, " and continue as needed.
_.,_."__O>,.._,.___.h_____,_____...~,,......,._ _, .'_._".-, ._,,_.,_..,"..,~_._--_..,_._--~~"_._~~-----'''--_.._,._-~",-_._~_..,-~-----_.._...,----_.__.,._-_.._---_._--_.-....----..----.
EECBG Activity Worksheet 10 E
Grantee: Collier County Date: 06/24/2009
DUNS #: 76997790 Program Contact Email: marlenefoord@colliergov.ent
Program Contact First Name: Marlene Last Name: Foord
Project Title: Collier County Master Mobility Plan
Activity: 7. Transportation If Other:
Sector: Public If Other:
Proposed Number of Jobs Created: 7.00 Proposed Number of Jobs Retained:
Proposed Energy Saved and/or Renewable Energy Generated: 32 Billion BTUs per year
Proposed GHG Emissions Reduced (C02 Equivalents): 1,893.000
Proposed Funds Leveraged: $175,000.00
Proposed EECBG Budget: 500,000.00
Projected Costs Within Budget: Administration: Revolving Loans: Subgrants:
Project Contact First Name: Casalanguida Last Name: Nick Email: NickCaBalangulda@colliergov,net
Metric Activity: Transportation If Other:
Project Summary: (limit summary to space provided)
Collier County will utilize its EECBG formula funding to fund a mixture of lighting and electrical
improvements, mechanical improvements, renewable energy and planning initiatives.
Project Activity 6: Transportation Planning Mobility Plan - NEED TO UPDATE
This project involves the development of and consensus for what will be called the "Collier County
Vision Build Out Plan" (VBOP) . This plan will guide the need and location of land use, public
services (libraries, EMS, schools, etc) , multi-modal transportation and various infrastructures while
protecting environmentally sensitive land and habitat. The VBOP is intended to be a concise and
practical plan that will manage growth in a sustainable, financially feasible and environmentally
responsible manner. In addition implementation of the early results of the plan such local street
network connectivity, signal timing and other regional significant projects will be completed within
the term of the grant.
The VBOP will help guide Collier County through its next phase of growth efficiently and effectively.
The investment in transportation, environmental protection, and other infrastructure will provide
long-term economic and environmental benefits. Transportation facility investments and subsidies are
justified in that they will stimulate economic development by:
. Increasing and improving cost-effective, environmentally responsible transportation options.
. Result in more cost effective transportation facility and service investments.
. Increase transport system efficiency (reduces total costs or increase total benefits).
. Reducing resource costs, such as the amount of fuel consumed per unit of transport, and the amount
of land devoted to transport facilities.
. Significantly reduce vehicles miles traveled. The savings that results when motorist reduce mileage
are widely distributed throughout the economy.
Although the job creation numbers provided are for the term of project only, the implementation of the
VBOP is expected to create and retain 100+ jobs that are sustainable through economy through the
creation of needed infrastructure improvements, development of public, residential, commercial, and
industrial establishments.
The major benefit of implementing the VBOP is a reduction of Vehicle Miles Traveled (VMT) . Motor
vehicles are significantly responsible for air pollutant damages, including human health, ecological
and esthetic degradation. Tailpipe emissions are pollutants released directly from vehicle exhaust
pipes.
Lifecycle emissions include both tailpipe emissions and indirect emissions from fuel extraction and
refining and distribution, vehicle manufacturing, and construction of facilities for transportation.
Unlike physical improvements, the plan's regulatory component will dramatically reduce vehicle miles
traveled. Over 41,000,000 vehicle miles are traveled per year in Collier County. A conservative
estimate of a 10% reduction equates to 4,100,000 miles reduced. At the current price of gasoline and
average gas mileage this equates to over $645,000 a year. This will be seen slowly at first but the
savings are in perpetuity. Immediate savings will be seen in signal timing, (funded) local network
enhancements and transit subsidies. The total project requires $500,000 from grant funding and is
supported by $150,000 in developer contributions. Once implemented, the annual cost savings will
exponential rise after a year one savings of approximately $ 645,000 due to the anticipated increase
in population and energy cost.
If you are proposing more than one activity, save this file as many times as needed with successive page numbers. For example: "OH-CITY-Columbus-
Project Activity page 1pdf." "OH-CITY-Columbus-Pro}ect Activity page 2pdf, " and continue as needed.
....--.,... ......... .-.~ - .....---"".,..-. -"........"',~-'_.._,-;- - ....~,..__.__._~_"'~"._0,"'_,..~,~_.,~_~_"
EECBG Activity Worksheet 10 E
Grantee: Collier County Date: 06/24/2009
DUNS #: 76997790 Program Contact Email: marlenefoord@colliergov.ent
Program Contact First Name: Marlene Last Name: Foord
Project Title: Traffic Signalization Improvements
Activity: 7. Transportation If Other:
Sector: Public If Other:
Proposed Number of Jobs Created 3.00 Proposed Number of Jobs Retained:
Proposed Energy Saved and/or Renewable Energy Generated: 373240 gallons of gasoline
Proposed GHG Emissions Reduced (C02 Equivalents): 3,288.000
Proposed Funds Leveraged: $0.00
Proposed EECBG Budget: 698,000.00
Projected Costs Within Budget: Administration: Revolving Loans: Subgrants:
Project Contact First Name: Robert Last Name: Tipton Email: bobtipton@colliergov.net
Metric Activity: Transportation If Other:
Project Summary: (limit summary to space provided)
Collier County will utilize its EECBG formula funding to fund a mixture of lighting and electrical
improvements, mechanical improvements, renewable energy and planning initiatives.
Project Activity 5: Traffic Operations Traffic Signalization Improvements
This activity is two-fold and will result in a reduction in delay for vehicle travel on multiple
roadways, including several that extend into our rapidly growing communities of Collier County.
The Adaptive Traffic Expansion portion of the project will allow Traffic Operations to maintain
progression of a platoon of traffic moving on a roadway segment through several signalized
intersections with minimal/no stopping, based on vehicle demand. This reduction in stops and delays
results in a corresponding reduction in fuel consumption and greenhouse gas because cars and trucks
will spend significantly less time idling and accelerating, especially during peak hours when traffic
is heaviest. Installation and implementation of the adaptive control will occur at eight
intersections on Immokalee Road from US 41 to The Strand/Juliet Drive, which is a 3.6 mile corridor.
Based on the length of the corridor, the average fuel consumption rate and the average number of
vehicles per day, it is estimated that average daily fuel consumption on this segment is 7,706
gallons. Assuming 200 business days per year and the 7.8% fuel reduction that can be expected by
providing optimized traffic signal timings, it is estimated that the annual fuel savings will be
120,213 gallons per year, which equates to 1,057 metric tons of C02 per year. At the current gas
price of $2.25/gallon, this produces an energy savings to the public of $270,000 each year of the 10
years of system operation design life.
The Arterial Coordination portion of this project involves studying current conditions (quarterly
traffic volumes, turning movement counts and existing traffic signal timing patterns) and creating a
new coordinated timing plan for traffic control sections on three major arterials, several of which
extend into the developing rural/suburban eastern part of the County. The timing plans will then be
implemented on the street by Collier County staff and fine tuned for optimal performance. Re-timing
and coordination will involve Immokalee Road, from US41 North to Collier Boulevard (15 intersections,
7 miles of arterial roadway, 42 lane-miles); Vanderbilt Beach Road, from US 41 North to Collier
Boulevard (9 intersections, 7 miles of arterial roadway, 35 lane miles) ; and Santa Barbara Boulevard,
from Green Boulevard to Davis Boulevard (8 intersections, 4 miles of arterial roadway, 21 lane miles) .
The total miles for the three segments is 18 and the average daily traffic on the three roadways
combined is 71,407 vehicles. Assuming fuel use is 0.0465 gallons per mile (DOE "Transportation Energy
Data Book") , the average daily fuel consumption is 20,035. Using a 5% fuel efficiency factor typical
of synchronized traffic signals, this equates to a savings of 974 gallons per day or 253,240 gallons
per year (based on weekdays) . The CO2 savings is 2,232 metric tons per year.
As Collier County's population changes from "seasonal" to "permanent" and the daily habits and needs
of motorists also have changed, with a heavier peak hour than several years ago, these systems are
even more critical. While several of the other activities proposed only indirectly benefit the
public, these two projects clearly provide a benefit to our public as well as contribute to the
overall reduction of energy use and greenhouse gasses.
If you are proposing more than one activity. save this file as many times as needed with successive page numbers. For example: "OH-CITY-Columbus-
Project Activity page 1pdf," "OH-CITY-Columbus-Project Activity page 2pdf, " and continue as needed
~'.~~ -~ _."...~.<..-,.",--_._-""--,".."....",.~.~,..,-".".~,,,,,",,- "."'......."""",~>.~...,,- ,.'_.__."-"~-,-",,,,, .-
EECBG Activity Worksheet 10 E
Grantee: Collier County Date: 06/24/2009
DUNS #: 76997790 Program Contact Email: marlenefoord@colliergov.ent
Program Contact First Name: Marlene Last Name: Foord
Project Title: Publ ic Util i ties Renewable Energy Solar Photovol taic Panels
Activity: 13. Onsite Renewable Technology If Other:
Sector: Public If Other:
Proposed Number of Jobs Created: 2.00 Proposed Number of Jobs Retained:
Proposed Energy Saved and/or Renewable Energy Generated: 9,905 kWh per year
Proposed GHG Emissions Reduced (C02 Equivalents): 6.000
Proposed Funds Leveraged: $0.00
Proposed EECBG Budget: 139,960.00
Projected Costs Within Budget: Administration: Revolving Loans: Subgrants
Project Contact First Name: Beals Last Name: Nathan Email: nathanbealslWcolliergov. net
Metric Activity: Building Retrofits If Other:
Project Summary: (limit summary to space provided)
Collier County will utilize its EECBG formula funding to fund a mixture of lighting and electrical
improvements, mechanical improvements, renewable energy and planning initiatives.
Project Activity 4: Public Utilities Renewable Energy Solar Photovoltaic Panels
This activity involves installation of 42 fixed tilt ground-mounted 200 Watt PV solar panels at the
South County Regional Water Treatment Plant, which will then be connected to the plant's electrical
system. This project directly reduces energy usage by approximately 9,905 kWh per year, equating to 6
metric tons of C02 and a dollar savings of approximately $862 per year. There are no maintenance
costs associated with this project
In addition to the annual energy and cost savings, this project will demonstrate Collier County's
commitment to renewable "green" energy and reducing the County's carbon footprint. Furthermore, the
site will be used as an educational tool about the importance of renewable energy for local schools
and community groups that already frequent the facility for tours.
If you are proposing more than one activity, save this file as many times as needed with successive page numbers. For example: "OH-CITY-Columbus-
Project Activity page 1.pdf, " "OH-CITY-Columbus-Project Activity page 2.pdf, " and continue as needed.
10 E
EECBG Activity Worksheet
Grantee: Collier County Date: 06/24/2009
DUNS #: 76997790 Program Contact Email: marlenefoord@colliergov.ent
Program Contact First Name: Marlene Last Name: Foord
Project Title: Facilities Management Energy Efficiency Retrofits
Activity: 5. Energy Efficiency Retrofits If Other:
Sector: Public If Other:
Proposed Number of Jobs Created: 4.00 Proposed Number of Jobs Retained:
Proposed Energy Saved and/or Renewable Energy Generated: 1,098,784 kWh per year
Proposed GHG Emissions Reduced (C02 Equivalents): 657.000
Proposed Funds Leveraged: $58,000.00
Proposed EECBG Budget: 665,510.00
Projected Costs Within Budget: Administration: Revolving Loans: Subgrants:
Project Contact First Name: Skip Last Name: Camp Email: skipcamp@colliergov.net
Metric Activity: Building Retrofits If Other:
Project Summary: (limit summary to space provided)
Collier County will utilize its EECBG formula funding to fund a mixture of lighting and electrical
improvements, mechanical improvements, renewable energy and planning initiatives.
Project Activity 1: Facilities Management Energy Efficiency Retrofits.
This activity involves six electrical and mechanical projects on the main government campus, which is
a 45 acre complex in the heart of Collier County. The campus includes the County courthouse,
administration buildings, the health department, the jail and a host of constitutional offices, all of
which draw significant power to operate. Improving the energy efficiency of the building systems will
also reduce the operating funds needed to operate these facilities.
Collier County uses the thermal energy of ice created at night during off-peak hours to cool the
buildings during daytime peak usage periods. This shifts the electrical load to off-peak hours, while
avoiding higher price energy and demand charges imposed by utilities. An estimated $46,000 Florida
Power and Light rebate is received as an incentive for this project. The project proposed for EECBG
funding is to add 6 additional units to further enhance the already efficient system in place. The
energy savings for this project is estimated at 132,298 kWh per year, the expected C02 reduction is 79
metric tons and the annual dollar savings is expected to be $11,113.
Related to this project is the replacement of a 22 year old chiller with a newer more efficient unit.
This will decrease the energy usage and maintenance while increasing capacity to meet Collier County's
growing demand. An estimated $12,000 Florida Power and Light rebate is received as an incentive for
this project. The energy savings for this project is estimated at 280,000 kWh per year, the expected
C02 reduction is 167 metric tons and the annual dollar savings is expected to be $24,000.
The three lighting and electrical projects include retrofitting 70 Code Blue Emergency Lamps from low
efficiency to high efficiency units, installing 1,000 occupancy sensors around campus and installation
of a central computer management software system to continuously monitor an office space to determine
if it is occupied. A non-occupied station will automatically be placed into a hibernation state
effectively reducing energy usage. The energy savings for these project is estimated at 680,092 kWh
per year, the expected C02 reduction is 407 metric tons and the annual dollar savings is expected to
be $57,127.
The last of the Facilities Management retrofit projects involves installation of solar panels on 17
existing utility carts that are used regularly on campus to maintain campus facilities. This project
will reduce electricity costs while extending the useful life of the batteries already installed on
the carts by 30%. The added benefit of this project is the visibility to the public who visit the
government complex. The energy savings for this project is estimated at 6,404 kWh per year, the
expected C02 reduction is 4 metric tons, and the annual dollar savings is expected to be $538.
The total estimated cost for these projects is $665,510 and Florida Power and Light rebates in the
amount of $58,000 will be received as an incentive, demonstrating the commitment of the local utility
provider to the reduction of energy use and greenhouse gas. Total energy savings are 1,098,837 kWh
per year and 657 metric tons of CO2.
If you are proposing more than one activity, save this file as many times as needed with successive page numbers. For example: "OH-CITY-Columbus-
Project Activity page 1.pdf," "OH-CITY-Columbus-Project Activity page 2pdf, " and continue as needed.
......".--..,_.,.,,--- ,-,,,,..,-"-",.,,,,,,,..,, . _,;"'.,,",>,_'e''',;_'>''-. '.'-.-'-"'''-- 11111. ._-.........'",C__...."."">....,.
lOpE 1
NETL F 451.l-EECBG
(3/2009) OPI=320 U.S. DEPARTMENT OF ENERGY
(Previous Editions Obsolete)
ENVIRONMENTAL QUESTIONNAIRE
I. BACKGROUND
The Department of Energy (DOE) National Environmental Policy Act (NEPA) Implementing Procedures (10 CFR 1021)
require careful consideration of the potential environmental consequences of all proposed actions during the early planning
stages of a project or activity. DOE must determine at the earliest possible time whether such actions will require either an
Environmental Assessment or an Environmental Impact Statement, or whether they qualify for a Categorical Exclusion. To
comply with these requirements, an Environmental Questionnaire must be completed for each proposed action to provide
DO E with the information necessary to determine the appropriate level of NEP A review.
II. INSTRUCTIONS
Separate copies of the Environmental Questionnaire should be completed by the principal proposer and appropriate
proposer's subcontractor. In addition, if the proposed project includes activities at different locations, an independent
questionnaire should be prepared for each location. Supporting information can be provided as attachments.
In completing this Questionnaire, the proposer is requested to provide specific information and quantities, when applicable,
regarding air emissions, wastewater discharges, solid wastes, etc., to facilitate the necessary review. The proposer should
identify the location of the project and specifically describe the activities that would occur at that location. In addition, the
proposer will be required to submit an official copy of the project's statement of work (SOW) or statement of project
objective (SOPO) that will be used in the contract/agreement between the proposer and DOE.
III. QUESTIONNAIRE
A. PROJECT SUMMARY
1. Solicitation/Project Number:
2. Proposer: Collier County Board of County Commissioners
3. Principal Investigator: Skip Camp. CFM. Director
Telephone Number: 239.252.8380
4. Project Title: Power Consumption Reduction / Energy Savings
5. Duration: 12 months
6. Location(s) of Performance (City/Township, County, State): Naples
Collier County.
Florida
7. Identify and select checkbox with the predominant project work activities under Group A-7b or A-7c.
Group A-7b
0 Work or project activities does NOT involve new building/facilities construction and site preparation activities. This
work typically involves routine operation, modification, and retrofit of existing utility and transportation infrastructure,
laboratories, commercial buildings/properties, offices and homes, test facilities, factories/power plants, vehicles test
stands and components, refueling facilities, greenspace infrastructure, or other existing facilities.
'"'''''''''~'''
Page 2
10 E
Group A-7c
~ Work or project activities typically involves major building or facility construction, site preparation; the installation,
replacement, or major modifications of energy system prototypes and infrastructure, access right-of-ways and roads;
utility, greenspace, and transportation infrastructure, vehicle test facilities; commercial buildings/properties, fuel
refinery/mixing facilities, factories/power plants; and other types of energy efficiency/conservation related systems,
structures, and facilities. This work can require new or modified regulatory permits, environmental sampling and
monitoring requirements, master planning, public involvement, and environmental impact review.
0 Other types of work or project activities not listed. (please describe):
8. Summarize the objectives of the proposed work. List activities planned at the location as covered by this
Environmental Questionnaire. 0
Location: Main Government Complex:
Mechanical energy management systems - Chiller Plant replacement, Ice Storage tank additions and Control
Optimization - Replacing one twenty year old chiller with a new more efficient unit and the addition of six new Ice
tanks with a more efficient control strategy - Development of an energy efficient and conservation Strategy. Technical
consultants services will be use to insure savings are monitored, recorded and verified.
Electrical lighting measures - Garage lighting retrofits, Campus building lighting, and Power strips with Motion
sensors. These energy efficient measures along with a computer software program to allow for a more conservative
program.
Solar Measures including a water system and retrofitting the current golf cart fleet with solar roof panels.
9. List all other locations where proposed work or project would be performed by project's proposer and
subcontractors.
10. Identify major project operation related materials and waste that would be used, consumed, and produced by this
project or activity. Chiller, lighting equipment, solar equipment, power strips
11. Provide a brief description of the project location (physical location, surrounding area, adjacent structures).
Collier County's Main Government Complex, 330 I Tamimai Trail, East, Naples, Florida 34112
12. Attach a site plan or topographic map of the project work area.
B. ENVIRONMENTAL IMP ACTS
This section is designed to obtain information for objectively assessing the environmental impacts of a proposed project.
NEPA procedures require evaluations of possible effects (including land use, energy resource use, natural, historic and
cultural resources, and pollutants) from proposed projects on the environment.
1. Land Use
a. Characterize present land use where the proposed project would be located.
0 Urban 0 Industrial 0 Commercial 0 Agricultural
0 Suburban 0 Rural 0 Residential 0 Research Facilities
0 Forest 0 University Campus ~ Other
b. Describe how land use would be affected by planned construction and project activities.
i~l No construction would be anticipated for this project.
"-~,~..,,,,,- .',,_.....;,_.~~~..... ..,
- -
Page 3
c. Describe any plans to reclaim/replant areas that would be affected by the proposed project. 10 E
~ No land areas would be affected.
d. Would the proposed project affect any unique or unusual landforms (e.g., cliffs, waterfalls, etc.)?
~ No 0 Yes (describe)
e. Would the proposed project be located in or near a national park or wilderness area?
~ No DYes (describe)
Jfproject work activities falls under item A-7b; then proceed directly to question B.6 (Atmospheric
Conditions/Air Quality) and continue to fill out questionnaire.
Jfproject workfalls under item A-7c; then proceed directly below to question B.2 (Construction Activities and/or
Operations) and continue to fill out questionnaire.
2. Construction Activities and/or Operations
a. Identify any roads, trails, or utility right of ways that traverse the proposed site or will be constructed and clearly mark
them on project site maps.
~ None
b. Would the proposed project require the construction of settling ponds?
[gJ No 0 Yes (describe and identify location, and estimate surface area disturbed)
c. Would the proposed project affect any existing body of water?
~ No 0 Yes (describe)
d. Would the proposed project be located in or impact a floodplain or wetland?
~ No 0 Yes (describe)
e. Would the proposed project be likely to cause runoff/sedimentation/erosion?
~ No 0 Yes (describe)
3. Vegetation and Wildlife Resources
a. Identify any State- or Federal-listed endangered or threatened plant or animal species affected by the proposed project.
~ None
b. Would any foreign substances/materials be introduced into ground or surface waters, or other earth/geologic resource
because of project activities? Would these foreign substances/materials affect the water, soil, and geologic resources?
~ No 0 Yes (describe)
c. Would any migratory animal corridors be impacted or disrupted by the proposed project?
~ No 0 Yes (describe)
4. Socioeconomic and Infrastructure Conditions.
a. Would local socio-economic changes result from the proposed project?
~ No 0 Yes (describe)
-.-.".....-,. M"~r,,,,,,,----..- -.-..-- Mill , -..- ,
p1eo €
b. Would the proposed project generate increased traffic use of roads through local neighborhoods, urban or rural ar'a~, .
IZI No 0 Yes (describe)
c. Would the proposed project require new transportation access (roads, rail, etc.)? Describe location, impacts, costs. ~
IZI No 0 Yes (describe)
d. Would any new transmission lines and/or power line right-of-ways be required?
IZI No 0 Yes (describe location, voltage, and length of Jine)
5. Historical/Cultural Resources
a. Describe any historical, archeological, or cultural sites in the vicinity of the proposed project; note any sites included
on the National Register of Historic Places.
IZI None
b. Would construction or operational activities planned under the proposed project disturb any historical, archeological,
or cultural sites?
IZI No planned construction o No historic sites 0 Yes (describe)
c. Would the proposed project interfere with visual resources (e.g., eliminate scenic views) or alter the present
landscape?
IZI No 0 Yes (describe)
For all proposed project work activities identified under item A-7b, respond to item B6 directly below and
continue filling out environmental uestionnaire.
6. Atmospheric Conditions/Air Quality
a. Identify air quality conditions in the immediate vicinity of the proposed project with regard to attainment of National
Ambient Air Quality Standards (NAAQS). This information is available under the NAAQS tables from the U.S. EP A
Air and Radiation Division.
Attainment Non-Attainment
03 IZI 0
SOx IZI 0
PMlO IZI 0
co IZI 0
N02 IZI 0
Lead IZI 0
b. Would proposed project require issuance of new or modified major source air quality permits?
IZI No 0 Yes (describe)
c. Would the proposed project be in compliance with the National Emissions Standards for Hazardous Air Pollutants?
0 No (explain) N/A 0 Yes
d. Would the proposed project be classified as either a New Source or a major modification to an existing source?
0 No 0 Yes (describe) N/ A
e. Would the proposed project be in compliance with the New Source Performance Standards?
0 Not Applicable o No (explain) N/A 0 Yes
f. Would the proposed project be subject to prevention of significant deterioration air quality review?
0 Not applicable 0 No (explain) DYes (describe)
--...--- --,--,--^._~._----~--_._--_.__.._..,---_._,_.- - -_._,-------~--_.._---'-----,--_. .-
Page 5
g. What types of air emissions, including fugitive emissions, would be anticipated from the proposed project? 10 E
None
h. Would any types of emission control or particulate collection devices be used?
o No o Yes (describe, including collection efficiencies) N/A
1. If no control devices are used, how would emissions be vented? N/ A
7. Hydrologic Conditions/Water Quality
a. What is the closest body of water to the proposed project area and what is its distance from the project site?
Retension Pond within 100 feet
b. What sources would supply potable and process water for the proposed project?
Collier County Utilities Division
c. Quantify the daily or annual amount of wastewater that would be generated by the proposed project.
None
d. Identify the local treatment facility that would receive wastewater from the proposed project.
~ No discharges to local treatment facility
e. Describe how wastewater would be collected and treated.
N/A
f. Would any run-off or leachates be produced from storage piles or waste disposal sites?
~No 0 Yes (describe source)
g. Would project require issuance of new or modified water permits to perform project work or site development?
~ No 0 Yes (describe)
h. Where would wastewater effluents from the proposed project be discharged?
~ No wastewater produced
l. Would the proposed project be permitted to discharge effluents into an existing body of water?
ONo 0 Yes (describe water use and effluent impact) N/A
J. Would a new or modified National Pollutant Discharge Elimination System (NPDES) permit be required?
~ No 0 Yes (describe)
k. Would the proposed project adversely affect the quality or movement of groundwater?
~ No 0 Yes (describe)
8. Solid and Hazardous Wastes
a. Describe and estimate major nonhazardous solid wastes that would be generated from the project. Solid wastes are
defined as any solid, liquid, semi-solid, or contained gaseous material that is discarded or has served its intended
purpose, or is a manufacturing or mining by-product (40 CFR 260, Appendix I). Old eqipment (light bulbs, chiller
etc,)
b. Would project require issuance of new or modified solid waste and/or hazardous waste related permits to perform
project work activities?
~ No 0 Yes (explain)
c. How and where would solid waste disposal be accomplished?
_".....m ..q---- . ~ ~".......," .- ~"-'_"~""l'
Page 6
o On-site (identify and describe location) N/A 10 E
o Off-site (identify location and describe facility and treatment)
d. How would wastes for disposal be transported?
Via a contractor - trucked
e. Describe and estimate the quantity of hazardous wastes (40 CFR 261.31) that would be generated, used, or stored
under this project.
0 None
f. How would hazardous or toxic waste be collected and stored?
181 None used or produced
g. If hazardous wastes would require off-site disposal, have arrangements been made with a certified TSD (Treatment,
Storage, and Disposal) facility?
o Not required 0 Arrangements not yet made o Arrangements made with a certified TSD facility
(identify):
C. DESCRIBE ANY ISSUES THAT WOULD GENERATE PUBLIC CONTROVERSY REGARDING THE
PROPOSED PROJECT.
181 None
IV. CERTIFICATION BY PROPOSER
I hereby certify that the information provided herein is current, accurate, and complete as of the date shown immediately
below.
SIGNATURE: /:~ DATE: 04 / U / 09
month day year
TYPED NAME: Skip Camp, CFM, Director
TITLE: Director
ORGANIZATION: Collier County Department of Facilities Management
V. REVIEW AND APPROVAL BY DOE
I hereby certify that I have reviewed the infonnation provided in this questionnaire, have determined that all questions have been
appropriately answered, and judge the responses to be consistent with the efforts proposed.
PROJECT MANAGER:
SIGNATURE: DATE: - / - /
-
month day year
TYPED NAME:
- -. --.-----.- _._~._..__..~--_._--
Page 1
NETL F 451.l-EECBG 10 E
(3/2009) OPI=320 U.S. DEPARTMENT OF ENERGY
(Previous Editions Obsolete)
ENVIRONMENTAL QUESTIONNAIRE
I. BACKGROUND
The Department of Energy (DOE) National Environmental Policy Act (NEPA) Implementing Procedures (IO CFR 1021)
require careful consideration of the potential environmental consequences of all proposed actions during the early planning
stages of a project or activity. DOE must determine at the earliest possible time whether such actions will require either an
Environmental Assessment or an Environmental Impact Statement, or whether they qualifY for a Categorical Exclusion. To
comply with these requirements, an Environmental Questionnaire must be completed for each proposed action to provide
DOE with the information necessary to determine the appropriate level ofNEPA review.
II. INSTRUCTIONS
Separate copies of the Environmental Questionnaire should be completed by the principal proposer and appropriate
proposer's subcontractor. In addition, if the proposed project includes activities at different locations, an independent
questionnaire should be prepared for each location. Supporting information can be provided as attachments.
In completing this Questionnaire, the proposer is requested to provide specific information and quantities, when applicable,
regarding air emissions, wastewater discharges, solid wastes, etc., to facilitate the necessary review. The proposer should
identifY the location of the project and specifically describe the activities that would occur at that location. In addition, the
proposer will be required to submit an official copy of the project's statement of work (SOW) or statement of project
objective (SOPO) that will be used in the contract/agreement between the proposer and DOE.
III. QUESTIONNAIRE
A. PROJECT SUMMARY
l. Solicitation/Project Number: Project Activity #2 - Collier County Parks and Recreation Energy Efficient Retrofit
2. Proposer: Collier County Parks and Recreation
3. Principal Investigator: Vicky Ahmad
Telephone Number: (239)252-4047
4. Project Title: Green Generation Lighting System for Immokalee & Gulf Coast Community Park
5. Duration: Approximately 300 days
6. Location(s) of Performance (City/Township, County, State):
Immokalee Community Park - Immokalee, Collier County, Florida 34142
Gulf Coast Community Park - Naples, Collier County, Florida 34113
7. IdentifY and select checkbox with the predominant project work activities under Group A-7b or A-7c.
Group A-7b
I2l Work or project activities does NOT involve new building/facilities construction and site preparation activities. This
work typically involves routine operation, modification, and retrofit of existing utility and transportation infrastructure,
laboratories, commercial buildings/properties, offices and homes, test facilities, factories/power plants, vehicles test
stands and components, refueling facilities, greenspace infrastructure, or other existing facilities.
._-~ .-...-",...~,,",-~.~.~_.._.,..,~~ "-,,...,"'~~' _._..-,-~
Page 2
10 E
Group A-7c
0 Work or project activities typically involves major building or facility construction, site preparation; the installation,
replacement, or major modifications of energy system prototypes and infrastructure, access right-of-ways and roads; utility,
greenspace, and transportation infrastructure, vehicle test facilities; commercial buildings/properties, fuel refinery/mixing
facilities, factories/power plants; and other types of energy efficiency/conservation related systems, structures, and
facilities. This work can require new or modified regulatory pennits, environmental sampling and monitoring
requirements, master planning, public involvement, and environmental impact review.
0 Other types of work or project activities not listed. (please describe):
8. Summarize the objectives of the proposed work. List activities planned at the location as covered by this Environmental
Questionnaire.
Objective: To retrofit lighting fixtures at sport complexes located at Immokalee and Gulf Coast community park locations.
Planned Activities: 1. Remove existing light fixtures.
2. Boxed and shipped lamp fixtures and other metal housing fixtures to recycling facility.
3. Assemble and prepare new light fixtures.
4. Install new light fixtures.
9. List all other locations where proposed work or project would be performed by project's proposer and
subcontractors.
Immokalee Community Park - 321 N. I't Street in Immokalee, Florida 34142
Gulf Coast Community Park - 5611 Warren Street in Naples, Florida 34113
10. Identify major project operation related materials and waste that would be used, consumed, and produced by this
project or activity. Replace light fixtures - flood light fixtures would be recycled.
II. Provide a brief description of the project location (physical location, surrounding area, adjacent structures). _ Project
location # 1- Immokalee Community park is a large neighborhood park located near the entrance of the town of Immokalee. This
park is within easy walking distance of many surrounding neighborhoods, it serves as a hub of service and commlUlity activities
for many local organizations and is the home of lmmokalee's bustling after school program. The park has many sport fields, 2-
tennis courts, 4- basketball courts, a softball and a baseball field.
Project location #2- Gulf Coast Community Park is a small neighborhood park with two little league baseball fields located in a
residential neighborhood in Naples.
12. Attach a site plan or topographic map of the project work area.
B. ENVIRO~ENTAL~ACTS
.- .- 1ll"l'f ~.... -,.-.......-.."........"'"",..-..... _~l"
Page 31 0
This section is designed to obtain information for objectively assessing the environmental impacts of a proposed project.
NEPA procedures require evaluations of possible effects (including land use, energy resource use, natural, historic and
cultural resources, and pollutants) from proposed projects on the environment.
I. Land Use
a. Characterize present land use where the proposed project would be located.
[gI Urban 0 Industrial 0 Commercial 0 Agricultural
0 Suburban 0 Rural [gI Residential 0 Research Facilities
0 Forest 0 University Campus 0 Other
b. Describe how land use would be affected by planned construction and project activities.
1[gII No construction would be anticipated for this project.
c. Describe any plans to reclaim/replant areas that would be affected by the proposed project.
[gI No land areas would be affected.
d. Would the proposed project affect any unique or unusual landforms (e.g., cliffs, waterfalls, etc.)?
[gI No 0 Yes (describe)
e. Would the proposed project be located in or near a national park or wilderness area?
[gI No DYes (describe)
Ifproject work activities/ails under item A-7b; then proceed directly to question B.6 (Atmospheric
Conditions/Air Quality) and continue to fill out questionnaire.
lfproject work/ails under item A-7c; then proceed directly below to question B.2 (Construction Activities and/or
Gverations) and continue to fill out questionnaire.
2. Construction Activities and/or Operations
a. IdentifY any roads, trails, or utility right of ways that traverse the proposed site or will be constructed and clearly mark
them on project site maps.
[gI None
b. Would the proposed project require the construction of settling ponds?
[g1 No 0 Yes (describe and identifY location, and estimate surface area disturbed)
c. Would the proposed project affect any existing body of water?
~ No 0 Yes (describe)
d. Would the proposed project be located in or impact a floodplain or wetland?
~ No 0 Yes (describe)
e. Would the proposed project be likely to cause runoff/sedimentation/erosion?
~ No 0 Yes (describe)
3. Vegetation and Wildlife Resources
a. IdentifY any State- or Federal-listed endangered or threatened plant or animal species affected by the proposed project.
~ None
-=~'~.~""-" ~_.,_.,>--" ---,_._--~,_.._._-~--~
,_.,_.
b. Would any fnreign ,ub,t,nc,,/mate,ial, be introduced intn Il'nund 0' 'mface w,tern, 0' othe, e....hlgeologic !rocr:E
because of project activities? Would these foreign substances/materials affect the water, soil, and geologic resources?
[gJ No 0 Yes (describe)
c. Would any migratory animal corridors be impacted or disrupted by the proposed project?
[gJ No 0 Yes (describe)
4. Socioeconomic and Infrastructure Conditions.
a. Would local socio-economic changes result from the proposed project?
[gJ No 0 Yes (describe)
b. Would the proposed project generate increased traffic use of roads through local neighborhoods, urban or rural areas.?
[gJ No 0 Yes (describe)
c. Would the proposed project require new transportation access (roads, rail, etc.)? Describe location, impacts, costs.
[gJ No 0 Yes (describe)
d. Would any new transmission lines and/or power line right-of-ways be required?
[gJ No 0 Yes (describe location, voltage, and length ofline)
5. Historical/Cultural Resources
a. Describe any historical, archeological, or cultural sites in the vicinity of the proposed project; note any sites included
on the National Register of Historic Places.
[gJ None
b. Would construction or operational activities planned under the proposed project disturb any historical, archeological,
or cultural sites?
[gJ No planned construction o No historic sites 0 Yes (describe)
c. Would the proposed project interfere with visual resources (e.g., eliminate scenic views) or alter the present
landscape?
[gJ No 0 Yes (describe)
For all proposed project work activities identified under item A-7b, respond to item B6 directly below and
continue r/lin out environmental uestionnaire.
6. Atmospheric Conditions/Air Quality
a. IdentifY air quality conditions in the immediate vicinity of the proposed project with regard to attainment of National
Ambient Air Quality Standards (NAAQS). This information is available under the NAAQS tables from the U.S. EPA
Air and Radiation Division.
Attainment Non-Attainment
03 0 ~
SOx 0 ~
PMIO 0 ~
co 0 ~
N02 0 ~
Lead 0 ~
b. Would proposed project require issuance of new or modified major source air quality permits?
-'.-~.,.- ",_.__,____~____.~~..___,..~ ____~_.m._.'..__ _.._.".__.___~___.___.__.__u..___.________,. . ..-------.--.-.
Page 5
181 No 0 Ves (descdbe) 10 E
c. Would the proposed project be in compliance with the National Emissions Standards for Hazardous Air Pollutants.
[8] No (explain) 0 Yes
d. Would the proposed project be classified as either a New Source or a major modification to an existing source?
[8] No 0 Yes (describe)
e. Would the proposed project be in compliance with the New Source Performance Standards?
[8] Not Applicable o No (explain) 0 Yes
f. Would the proposed project be subject to prevention of significant deterioration air quality review?
l8J Not applicable 0 No (explain) DYes (describe)
g. What types of air emissions, including fugitive emissions, would be anticipated from the proposed project?
N/A
h. Would any types of emission control or particulate collection devices be used?
l8J No o Yes (describe, including collection efficiencies)
i. Ifno control devices are used, how would emissions be vented? N/A
7. Hydrologic Conditions/Water Quality
a. What is the closest body of water to the proposed project area and what is its distance from the project site?
Gulf of Mexico - approximately 27 miles to lmmokalee Community Park and
approximately 6 miles to Gulf Coast Community Park.
b. What sources would supply potable and process water for the proposed project?
N/A
c. QuantifY the daily or annual amount of wastewater that would be generated by the proposed project.
N/A
d. IdentifY the local treatment facility that would receive wastewater from the proposed project.
l8J No discharges to local treatment facility
e. Describe how wastewater would be collected and treated.
N/A
f. Would any run-off or leachates be produced from storage piles or waste disposal sites?
l8J No 0 Yes (describe source)
g. Would project require issuance of new or modified water permits to perform project work or site development?
l8J No 0 Yes (describe)
h. Where would wastewater effluents from the proposed project be discharged?
l8J No wastewater produced
i. Would the proposed project be permitted to discharge effluents into an existing body of water?
[8] No 0 Yes (describe water use and effluent impact)
-- .........,., '""'_'c- ""..~-,"- -
Page 6
J. Would a new or modified National Pollutant Discharge Elimination System (NPDES) permit be required? 10 E
l8J No 0 Yes (describe)
k. Would the proposed project adversely affect the quality or movement of groundwater?
[8] No 0 Yes (describe)
8. Solid and Hazardous Wastes
a. Describe and estimate major nonhazardous solid wastes that would be generated from the project. Solid wastes are
defined as any solid, liquid, semi-solid, or contained gaseous material that is discarded or has served its intended
purpose, or is a manufacturing or mining by-product (40 CFR 260, Appendix I). N/A
b. Would project require issuance of new or modified solid waste and/or hazardous waste related permits to perform
project work activities?
[8] No 0 Yes (explain)
c. How and where would solid waste disposal be accomplished?
o On-site (identifY and describe location)
I2J Off-site (identifY location and describe facility and treatment) Lamp fixtures will be boxed and shipped to
recycling facility.
d. How would wastes for disposal be transported?
Recycling truck
e. Describe and estimate the quantity of hazardous wastes (40 CFR 261.31) that would be generated, used, or stored
under this project.
I2J None
f. How would hazardous or toxic waste be collected and stored?
[8] None used or produced
g. Ifhazardous wastes would require off-site disposal, have arrangements been made with a certified TSD (Treatment,
Storage, and Disposal) facility?
I2J Not required 0 Arrangements not yet made 0 Arrangements made with a certified TSD facility
(identifY):
C. DESCRIBE ANY ISSUES THAT WOULD GENERATE PUBLIC CONTROVERSY REGARDING THE
PROPOSED PROJECT.
[8] None
IV. CERTIFICATION BY PROPOSER
I hereby certifY that the information provided herein is current, accurate, and complete as of the date shown immediately
below. h2'l1ltuL
SIGNATURE: DATE: 06 / 1Q / 2009
month day year
TYPED NAME: Vicky A ad
TITLE: Proiect Manager
","".- ~"m .1lT,.... " , - .
Page 7
10 E
ORGANIZA TION: Collier County Parks and Recreation
V. REVIEW AND APPROVAL BY DOE
I hereby certifY that I have reviewed the information provided in this questionnaire, have determined that all questions have been
appropriately answered, and judge the responses to be consistent with the efforts proposed.
PROJECT MANAGER:
SIGNA TURE: DATE: - / - / -
month day year
TYPED NAME:
~_",w.__,~ ".__.,".."...._._..,._._.H..._',.".~,,_,_. -_. .--.--
10 E
Gulf Coast Community Park N
5611 Warren Street W+E
Naples, Florida 34113
Roads
S
. Feet
0 160 320
Source: 2008 Aerials - Collier County Property Appraiser
Created by: Collier County Parks and Recreation
H:/ACCREDlTATION WORKBOOK 2010/GIS maps/Collier County Parks
...--.. -
-".~~,. ---""'-.""'-<>'-'-
10 E
Immokalee Community Park N Facilities:
321 North 1 st Street W+E Community center with three meeting rooms;
Immokalee, Florida 34142 game room; kitchen and rest rooms; lighted
baseball field; lighted softball field; practice
(239) 657-4449 field; three lighted basketball courts; lighted
Roads S sand volleyball court; pavilion; picnic area;
I Feet lighted playground; two lighted tennis courts;
0 440 880 two lighted racquetball courts; lighted paved
Source: 2008 Aerials - Collier County Property Appraiser walking trail; rest rooms
Created by: Collier County Parks and Recreation Park Hours:
H:ACCREDITATION WORKBOOK 2010/GIS maps/Collier County Parks Monday through Sunday
8:00 AM to 10:00 PM
_..'........~.".._,"- 'f.T -_."-~".._.. ., ..
Page 11 0 E
NETL F 451.1-EECBG
(312009) OPI-320 U.S. DEPARTMENT OF ENERGY
(Previous Editions Obsolete)
ENVIRONMENTAL QUESTIONNAIRE
I. BACKGROUND
The Department of Energy (DOE) National Environmental Policy Act (NEPA) Implementing Procedures (10 CPR 1021)
require careful consideration of the potential environmental consequences of all proposed actions during the early planning
stages of a project or activity. DOE must determine at the earliest possible time whether such actions will require either an
Environmental Assessment or an Environmental Impact Statement, or whether they qualify for a Categorical Exclusion. To
comply with these requirements, an Environmental Questionnaire must be completed for each proposed action to provide
DOE with the information necessary to determine the appropriate level ofNEPA review.
II. INSTRUCTIONS
Separate copies of the Environmental Questionnaire should be completed by the principal proposer and appropriate
proposer's subcontractor. In addition, if the proposed project includes activities at different locations, an independent
questionnaire should be prepared for each location. Supporting information can be provided as attachments.
In completing this Questionnaire, the proposer is requested to provide specific information and quantities, when applicable,
regarding air emissions, wastewater discharges, solid wastes, etc., to facilitate the necessary review. The proposer should
identify the location of the project and specifically describe the activities that would occur at that location. In addition, the
proposer will be required to submit an official copy of the project's statement of work (SOW) or statement of project
objective (SaPO) that will be used in the contract/agreement between the proposer and DOE.
III. QUESTIONNAIRE
A. PROJECT SUMMARY
l. Solicitation/Project Number:
2. Proposer: Collier County Public Utilities
3. Principal Investigator: Nathan Beals
Telephone Number: 239-252-2583
4. Project Title: Lighting Retrofits - Carica Water Pump Station
5. Duration: 160 Days
6. Location(s) of Performance (City/Township, County, State): 7200 Goodlette-Frank Rd.
Naples. Collier County. Florida 34109
7. Identify and select checkbox with the predominant project work activities under Group A-7b or A-7c.
Group A-7b
t8:l Work or project activities does NOT involve new building/facilities construction and site preparation activities. This
work typically involves routine operation, modification, and retrofit of existing utility and transportation infrastructure,
laboratories, commercial buildings/properties, offices and homes, test facilities, factories/power plants, vehicles test
stands and components, refueling facilities, greenspace infrastructure, or other existing facilities.
_.~".~,--_......_"...- -"....."" --+-"""'--"-"" ___'.."....~._W__..h"."._._".",.._....,._.___. '" ---."... --'~~'--",---,-
10 E
Page 2
Group A-7c
0 Work or project activities typically involves major building or facility construction, site preparation; the installation,
replacement, or major modifications of energy system prototypes and infrastructure, access right-of-ways and roads;
utility, greenspace, and transportation infrastructure, vehicle test facilities; commercial buildings/properties, fuel
refmery/mixing facilities, factories/power plants; and other types of energy efficiency/conservation related systems,
structures, and facilities. This work can require new or modified regulatory pennits, environmental sampling and
monitoring requirements, master planning, public involvement, and environmental impact review.
D Other types of work or project activities not listed. (please describe):
8. Sununarize the objectives of the proposed work. List activities planned at the location as covered by this
Environmental Questionnaire.
The energy savings retrofits involves upgrades to the lighting at the Carica Water Pump Station.
_ The Lighting Retrofits Project will modernize 41 light fIXtures with 120 replacement lamps that will provide energy
savings of approximately 9,235 kWh per year. The modernization process includes replacing ballasts on light fIXtures
or replacing the entire light fixture. This modernization actually improves light levels by 5 to 10 percent in most areas.
9. List all other locations where proposed work or project would be perfOlmed by project's proposer and
subcontractors.
The North County Water Reclamation Facility (NCWRF), the South County Regional Water Treatment Plant
(SCRWTP), the North County Regional Water Treatment Plant (NCRWTP), and the South County Water
Reclamation Facility.
10. Identify major project operation related materials and waste that would be used, consumed, and produced by this
project or activity. N/A
II. Provide a brief description of the project location (physical location, surrounding area, adjacent structures).
The Carica Water Pump Station is located at 7200 Goodlette-Frank Road, Naples, Florida. The surrounding area is
a mix with an FPL substation to the north and residential to the ease, south, and west.
12. Attach a site plan or topographic map of the project work area.
B. ENVIRONMENTAL IMPACTS
This section is designed to obtain infonnation for objectively assessing the environmental impacts of a proposed project.
NEPA procedures require evaluations of possible effects (including land use, energy resource use, natural, historic and
cultural resources, and pollutants) from proposed projects on the environment.
1. Land Use
a. Characterize present land use where the proposed project would be located.
DUrban [gI Industrial o Commercial o Agricultural
0 Suburban o Rural o Residential D Research Facilities
o Forest o University Campus o Other
b. Describe how land use would be affected by planned construction and project activities.
i[gJJ No construction would be anticipated for this project.
nn__~'"'."
Page 3 J. U f:
c. Describe any plans to reclaim/replant areas that would be affected by the proposed project.
I8l No land areas would be affected.
d. Would the proposed project affect any unique or unusual landforms (e.g., cliffs, waterfalls, etc.)?
I8l No o Yes (describe)
e. Would the proposed project be located in or near a national park or wilderness area?
I8l No DYes (describe)
Ifproject work activities falls under item A-7b; then proceed directly to question B.6 (Atmospheric
Conditions! A ir Quality) and continue to fill out questionnaire.
Ifproject work falls under item A-7c; then proceed directly below to question B.2 (Construction Activities and/or
o erations and continue to III out uestionnaire.
2. Construction Activities and/or Operations
a. Identify any roads, trails, or utility right of ways that traverse the proposed site or will be constructed and clearly mark
them on project site maps.
o None
b. Would the proposed project require the construction of settling ponds?
o No DYes (describe and identify location, and estimate surface area disturbed)
c. Would the proposed project affect any existing body of water?
o No DYes (describe)
d. Would the proposed project be located in or impact a floodplain or wetland?
o No DYes (describe)
e. Would the proposed project be likely to cause runofilsedimentationlerosion?
o No DYes (describe)
3. Vegetation and Wildlife Resources
a. Identify any State- or Federal-listed endangered or threatened plant or animal species affected by the proposed project.
o None
b. Would any foreign substances/materials be introduced into ground or surface waters, or other earth/geologic resource
because of project activities? Would these foreign substances/materials affect the water, soil, and geologic resources?
o No 0 Yes (describe)
c. Would any migratory animal corridors be impacted or disrupted by the proposed project?
o No DYes (describe)
4. Socioeconomic and Infrastructure Conditions.
a. Would local socio-economic changes result from the proposed project?
o No o Yes (describe)
,
~"._"_._-""'- ._,"'_.,._......,,,.._-"..,,,.~
10 E
Page 4
b. Would the proposed project generate increased traffic use of roads through local neighborhoods, urban or rural areas.?
o No 0 Yes (describe)
c. Would the proposed project require .new transportation access (roads, rail, etc.)? Describe location, impacts, costs.
o No DYes (describe)
d. Would any new transmission lines andJor power line right-of-ways be required?
o No o Yes (describe location, voltage, and length ofline)
5. Historical/Cultural Resources
a. Describe any historical, archeological, or cultural sites in the vicinity of the proposed project; note any sites included
on the National Register of Historic Places.
o None
b. Would construction or operational activities planned under the proposed project disturb any historical, archeological,
or cultural sites?
o No planned construction o No historic sites o Yes (describe)
c. Would the proposed project interfere with visual resources (e.g., eliminate scenic views) or alter the present
landscape?
o No 0 Yes (describe)
For all proposed project work activities identified under item A-7b. respond to item 86 directly below and
continue Illin -out environmental estionnaire.
6. Atmospheric Conditions! Air Quality
a. Identify air quality conditions in the immediate vicinity of the proposed project with regard to attainment of National
Ambient Air Quality Standards (NAAQS). This information is available under the NAAQS tables from the U.S. EPA
Air and Radiation Division.
Attainment Non-Attainment
0; I2?J 0
SOx I2?J 0
PMIO I2?J 0
co I2?J 0
N02 I2?J 0
Lead I2?J 0
b. Would proposed project require issuance of new or modified major source air quality pennits?
I2?J No 0 Yes (describe)
c. Would the proposed project be in compliance with the National Emissions Standards for Hazardous Air Pollutants?
o No (explain) l8:I Yes
d. Would the proposed project be classified as either a New Source or a major modification to an existing source?
I2?J No DYes (describe)
e. Would the proposed project be in compliance with the New Source Performance Standards?
I2?J Not Applicable o No (explain) 0 Yes
f. Would the proposed project be subject to prevention of significant deterioration air quality review?
I2?J Not applicable o No (explain) o Yes (describe)
"'_.._,_.._"~"'-~._-. '_"_'.~,.h_",_".'"",~
10 E
Page 5
g. What types of air emissions, including fugitive emissions, would be anticipated from the proposed project?
N/A
h. Would any types of emission control or particulate collection devices be used?
r2J No o Yes (describe, including collection efficiencies)
i. Ifno control devices are used, how would emissions be vented? No emissions to vent.
7. Hydrologic ConditionslWater Quality
a. What is the closest body of water to the proposed project area and what is its distance from the project site?
A community lake to the south is approximately 300 feet from the property.
b. What sources would supply potable and process water for the proposed project?
N/A
c, Quantify the daily or annual amount of wastewater that would be generated by the proposed project.
0
d. Identify the local treatment facility that would receive wastewater from the proposed project.
r2J No discharges to local treatment facility
e. Describe how wastewater would be collected and treated.
N/A
f. Would any nm-off or leachates be produced from storage piles or waste disposal sites?
r2J No DYes (describe source)
g. Would project require issuance of new or modified water permits to perform project work or site development?
r2J No 0 Yes (describe)
h. Where would wastewater effluents from the proposed project be discharged?
r2J No wastewater produced
i. Would the proposed project be permitted to discharge effluents into an existing body of water?
r2J No 0 Yes (describe water use and effluent impact)
j. Would a new or modified National Pollutant Discharge Elimination System (NPDES) permit be required?
r2J No DYes (describe)
k. Would the proposed project adversely affect the quality or movement of groundwater?
r2J No 0 Yes (describe)
8. Solid and Hazardous Wastes
a. Describe and estimate major nonhazardous solid wastes that would be generated from the project. Solid wastes are
defmed as any solid, liquid, semi-solid, or contained gaseous material that is discarded or has served its intended
purpose, or is a manufacturing or mining by-product (40 CFR 260, Appendix I). Old inefficient light bulbs, ballasts,
and fixtures.
b. Would project require issuance of new or modified solid waste and/or hazardous waste related permits to perform
project work activities?
r2J No 0 Yes (explain)
,~~"., - .. "".."~".~, ..."."U"'.~.,.""_....."."........"",,____~_~,,_,,..~,,_,",..~ _,
pLO E ,. :,.,;
c. How and where would solid waste disposal be accomplished?
o On-site (identify and describe location)
(gI Off-site (identify location and describe facility and treatment)
Naples Recycling Center
2640 West Enterprise Ave
Naples, FL, 34104
The Naples Recycling Center is a small recyclable material collection site located in Naples Florida. Light bulbs,
which are crushed on site, and ballasts lire shipped to AERC Recycling in West Melbourne, Florida.
d. How would wastes for disposal be transported?
Contractor will transport.
e. Describe and estimate the quantity of hazardous wastes (40 CFR 261.31) that would be generated, used, or stored
under this project.
(gI None
f. How would hazardous or toxic waste be collected and stored?
(gI None used or produced
g. Ifhazardous wastes would require off-site disposal, have arrangements been made with a certified TSD (Treatment,
Storage, and Disposal) facility?
(gI Not required o Arrangements not yet made o Arrangements made with a certified TSD facility
(identify):
C. DESCRIBE ANY ISSUES THAT WOULD GENERATE PUBLIC CONTROVERSY REGARDING THE
PROPOSED PROJECT.
(gI None
IV. CERTIFICA TION BY PROPOSER
I hereby certify that the information provided herein is current, accurate, and complete as ofthe date shown immediately
below.
SIGNATURE: 2~---'~ DATE: ---2L / -1L / 2009
__----- -____w~._._~_..._..
month day year
TYPED NAME: Nathan Beals
TITLE: Proiect Manager. Associate
ORGANIZA nON: Collier County Public Utilities Planning and Proiect Management Department
. ., ."~" y ______"...,..,.,'__,_.C"""'"'."',.._'"~,_",""",~",.,"',>._,. _",_'"""'"","~'~.'__~""
10 E
Page 7
V. REVIEW AND APPRO V AL BY DOE
I hereby certifY that I have reviewed the information provided in this questiormaire, have determined that all questions have been
appropriately answered, and judge the responses to be consistent with the efforts proposed.
PROJECT MANAGER:
SIGNATURE: DATE: - I - I '-
month day year
TYPED NAME:
. "I.'" -.........._---, ---"'\"^-~...,",.
10 E
<f
8'
i '"(Q(q~
..<..,.
~
~
:~
R
,~'Vf
1'--
I
.
~\ L
';;"". .. '. ' , ):' " ' '.'.
.~ .
' :.'" ~
~''''' t:"'~:
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t" '.', '.
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! ~: ;" i "
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~ J 1 'I
il. : (, '4' (f .~, ".' t~
:ill", .' " :L""~ oY"
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--"'~--" . '-, '. -~. .... ....".....,
~ n_,~ '. ., "
- " -, " ....i': ' )',>
'----~ ' ''''''-- ~",.
---..--- -._,
", .",<ir.,. 1,.Ii ~"" #
d",,~..... ~.. ..... '11/ <fIf <It "
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. . . . " "', · ,,' N Q~ >lfI(~:i-3.LL31QOOf;l
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_.~----~~-~~~- ~--
. """.....',..""_'"_~,''' ~,_,"._. .__.." ~"""__.w"''''"" _~ ___ __~____
Page 1 10 E
NETL F 451.1-EECBG
(3/2009) OPI=320 U.S. DEPARTMENT OF ENERGY
(Previous Editions Obsolete)
ENVIRONMENTAL QUESTIONNAIRE
I. BACKGROUND
The Department of Energy (DOE) National Environmental Policy Act (NEPA) Implementing Procedmes (10 CFR 1021)
require careful consideration of the potential environmental consequences of all proposed actions during the early planning
stages ofa project or activity. DOE must determine at the earliest possible time whether such actions will require either an
Environmental Assessment or an Environmental Impact Statement, or whether they qualify for a Categorical Exclusion. To
comply with these requirements, an Environmental Questionnaire must be completed for each proposed action to provide
DOE with the infonnation necessary to determine the appropriate level ofNEP A review.
II. INSTRUCTIONS
Separate copies of the Environmental Questionnaire should be completed by the principal proposer and appropriate
proposer's subcontractor. In addition, if the proposed project includes activities at different locations, an independent
questionnaire should be prepared for each location. Supporting information can be provided as attachments.
In completing this Questionnaire, the proposer is requested to provide specific information and quantities, when applicable,
regarding air emissions, wastewater discharges, solid wastes, etc., to facilitate the necessary review. The proposer should
identify the location of the project and specifically describe the activities that would occur at that location. In addition, the
proposer will be required to submit an official copy of the project's statement of work (SOW) or statement of project
objective (SOPO) that will be used in the contract/agreement between the proposer and DOE.
III. OUESTIONNAIRE
A. PROJECT SUMMARY
I. SolicitationlProject Number:
2. Proposer: Collier County Public Utilities
3. Principal Investigator: Nathan Beals
Telephone Number: 239-252-2583
4. Project Title: Lighting Retrofits and Occupancy Sensors - North County Regional Water Treatment
Plant (NCR WTP)
5. Duration: 160 Days
6. Location(s) ofPerfonnance (City/Township, County, State): 8005 Vanderbilt Beach Rd.
Naples. Collier County. Florida 34120
7. Identify and select checkbox with the predominant project work activities under Group A-7b or A-7c.
Group A-7b
181 Work or project activities does NOT involve new building/facilities construction and site preparation activities. This
work typically involves routine operation, modification, and retrofit of existing utility and transportation infrastructure,
laboratories, commercial buildings/properties, offices and homes, test facilities, factories/power plants, vehicles test
stands and components, refueling facilities, greenspace infrastructure, or other existing facilities.
.w._._ "'- "'-""'..",",-,,~..".,,.,"'
Page 2 10 E
Group A-7c
D Work or project activities typically involves major building or facility construction, site preparation; the installation,
replacement, or major modifications of energy system prototypes and infrastructure, access right-of-ways and roads;
utility, greenspace, and transportation infrastructure, vehicle test facilities; commercial buildings/properties, fuel
refmery/mixing facilities, factories/power plants; and other types of energy efficiency/conservation related systems,
structures, and facilities. This work can require new or modified regulatory penuits, environmental sampling and
monitoring requirements, master planning, public involvement, and environmental impact review.
0 Other types of work or project activities not listed. (please describe):
8. Summarize the objectives of the proposed work. List activities planned at the location as covered by this
Environmental Questionnaire.
The energy savings retrofits involves upgrades to the lighting and the addition of occupancy sensors at the North
County Regional Water Treatment Plant (NCRWTP).
_ The Lighting Retrofits Project will modernize 371 light fixtures with 966 replacement lamps that will provide energy
savings of approximately 88,617 kWh per year. The modernization process includes replacing ballasts on light fixtures
or replacing the entire light fixture. This modernization actually improves light levels by 5 to 10 percent in most areas.
_ The Occupancy Sensors Project will install timer switches or motion sensors in 16 rooms at the NCR WTP that will
provide energy savings of approximately 6,039 kWh per year.
9. List all other locations where proposed work or project would be perfonued by project's proposer and
subcontractors.
The South County Water Reclamation Facility (SCWRF), the South County Regional Water Treatment Plant
(SCRWTP), the North County Water Reclamation Facilty (NCWRF), and the Carica Pump Station.
10. Identify major project operation related materials and waste that would be used, consumed, and produced by this
project or activity. N/A
11. Provide a brief description of the project location (physical location, surrounding area, adjacent structures).
The NCRWTP is located at 8005 Vanderbilt Beach Road, Naples, Florida. The sun-ounding area is a mix with
residential to the north and south and vacant to the east and west.
12. Attach a site plan or topographic map of the project work area.
B. ENVIRONMENTAL IMPACTS
This section is designed to obtain information for objectively assessing the environmental impacts of a proposed project.
NEPA procedures require evaluations of possible effects (including land use, energy resource use, natural, historic and
cultural resources, and pollutants) from proposed projectS on the environment.
1. Land Use
a. Characterize present land use where the proposed project would be located.
DUrban i:8:I lndustrial o Commercial o Agricultural
0 Suburban o Rural D Residential D Research Facilities
D Forest D University Campus D Other
-.."'.......---..""''''" __.....c_.._.._....."
Page 3 10 E
b. Describe how land use would be affected by planned construction and project activities.
~ No construction would be anticipated for this project.
c. Describe any plans to reclaim/replant areas that would be affected by the proposed project.
~ No land areas would be affected.
d. Would the proposed project affect any unique or unusual landforms (e.g., cliffs, waterfalls, etc.)?
~ No DYes (describe)
e. Would the proposed project be located in or near a national park or wildemess area?
~ No o Yes (describe)
If project work activities falls under item A-7b; then proceed directly to question B.6 (Atmospheric
Conditions/Air Quality) and continue to fill out questionnaire.
Ifproject workfalls under item A-7c; then proceed directly below to question B.2 (Construction Activities and/or
Operations) and continue to fill out questionnaire.
2. Construction Activities andlor Operations
a. Identify any roads, trails, or utility right of ways that traverse the proposed site or will be constructed and clearly mark
them on project site maps.
o None
b. Would the proposed project require the construction of settling ponds?
o No DYes (describe and identify location, and estimate surface area disturbed)
c. Would the proposed project affect any existing body of water?
o No 0 Yes (describe)
d. Would the proposed project be located in or impact a floodplain or wetland?
o No 0 Yes (describe)
e. Would the proposed project be likely to cause runoIDsedimentation/erosion?
o No DYes (describe)
3. Vegetation and Wildlife Resources
a. Identify any State- or Federal-listed endangered or threatened plant or animal species affected by the proposed project.
o None
b. Would any foreign substances/materials be introduced into ground or surface waters, or other earth/geologic resource
because of project activities? Would these foreign substances/materials affect the water, soil, and geologic resources?
o No 0 Yes (describe)
c. Would any migratory animal corridors be impacted or disrupted by the proposed project?
o No DYes (describe)
4. Socioeconomic and Infrastructure Conditions.
a. Would local socio-economic changes result from the proposed project?
n""'" ~--,.
"",-""'-"
,; 0 E
<j 't
Page 4"li. ....'
o No o Yes (describe)
b. Would the proposed project generate increased traffic use of roads through local neighborhoods, urban or rural areas.?
o No 0 Yes (describe)
c. Would the proposed project require new transportation access (roads, rail, etc.)? Describe location, impacts, costs.
o No 0 Yes (describe)
d. Would any new transmission lines and/or power line right-of-ways be required?
o No o Yes (describe location, voltage, and length of line)
5. Historical/Cultural Resources
a. Describe any historical, archeological, or cultural sites in the vicinity of the proposed project; note any sites included
on the National Register of Historic Places.
o None
b. Would construction or operational activities planned under the proposed project disturb any historical, archeological,
or cultural sites?
o No planned construction o No historic sites DYes (describe)
c. Would the proposed project interfere with visual resources (e.g., eliminate scenic views) or alter the present
landscape?
o No 0 Yes (describe)
For all proposed project work activities identified under item A-7b, respond to item B6 directly below and
continue ll/in out environmental uestionnaire.
6. Atmospheric Conditions/Air Quality
a. Identify air quality conditions in the immediate vicinity of the proposed project with regard to attainment of National
Ambient Air Quality Standards (NAAQS). This information is available under the NAAQS tables from the U.S. EP A
Air and Radiation Division.
Attainment Non-Attainment
0) IZI 0
SOx IZI 0
PM 10 IZI 0
CO IZI 0
NOz IZI 0
Lead IZI 0
b. Would proposed project require issuance of new or modified major source air quality pennits?
181 No 0 Yes (describe)
c. Would the proposed project be in compliance with the National Emissions Standards for Hazardous Air Pollutants?
o No (explain) IZI Yes
d. Would the proposed project be classified as either a New Source or a major modification to an existing source?
IZI No o Yes (describe)
e. Would the proposed project be in compliance with the New Source Performance Standards?
181 Not Applicable o No (explain) 0 Yes
~'_"__'_""."___""'__m _#;".-.,....,. ".
p,g051 0 E
f. Would the proposed project be subject to prevention of significant deterioration air quality review?
t8I Not applicable o No (explain) o Yes (describe)
g. What types of air emissions, including fugitive emissions, would be anticipated from the proposed project?
N/A
h. Would any types of emission control or particulate collection devices be used?
[8J No o Yes (describe, including collection efficiencies)
1. lfno control devices are used, how would emissions be vented? No emissions to vent.
7. Hydrologic Condltions/Water Quality
a. What is the closest body of water to the proposed project area and what is its distance from the project site?
A golf course lake is approximately 230 feet north of the property.
b. What sources would supply potable and process water for the proposed project?
N/A
c. Quantify the daily or annual amount of wastewater that would be generated by the proposed project.
0
d. Identify the local treatment facility that would receive wastewater from the proposed project.
t8I No discharges to local treatment facility
e. Describe how wastewater would be collected and treated.
N/A
f. Would any run-off or leachates be produced from storage piles or waste disposal sites?
[8J No DYes (describe source)
g. Would project require issuance of new or modified water penn its to perform project work or site development?
t8I No 0 Yes (describe)
h. Where would wastewater effluents from the proposed project be discharged?
t8I No wastewater produced
i. Would the proposed project be permitted to discharge effluents into an existing body of water?
[8J No 0 Yes (describe water use and effluent impact)
j. Would a new or modified National Pollutant Discharge Elimination System (NPDES) pennit be required?
[8J No DYes (describe)
k. Would the proposed project adversely affect the quality or movement of groundwater?
[8J No 0 Yes (describe)
8. Solid and Hazardous Wastes
a. Describe and estimate major nonhazardous solid wastes that would be generated from the project. Solid wastes are
dermed as any solid, liquid, semi-solid, or contained gaseous material that is discarded or has served its intended
purpose, or is a manufacturing or mining by-product (40 CFR 260, Appendix I). Old inefficient light bulbs, ballasts,
and fixtures.
b. Would project require issuance of new or modified solid waste and/or hazardous waste related permits to perform
project work activities?
--------,..- " -" '~,~,"","L'.__"____,,'___,~___~~_ .
10 E
Page 6
~ No 0 Yes (explain)
c. How and where would solid waste disposal be accomplished?
o On-site (identify and describe location)
~ Off-site (identify location and describe facility and treatment)
Naples Recycling Center
2640 West Enterprise Ave
Naples, FL, 34104
The Naples Recycling Center is a small recyclable material collection site located in Naples Florida. Light bulbs,
which are crushed on site, and ballasts are shipped to AERC Recycling in West Melbourne, Florida.
d. How would wastes for disposal be transported?
Contractor will transport.
e. Describe and estimate the Quantity of hazardous wastes (40 CFR 261.31) that would be generated, used, or stored
under this project.
~ None
f. How would hazardous or toxic waste be collected and stored?
~ None used or produced
g. If hazardous wastes would require off-site disposal, have arrangements been made with a certified TSD (Treatment,
Storage, and Disposal) facility?
~ Not required o Arrangements not yet made o Arrangements made with a certified TSD facility
(identify):
C. DESCRIBE ANY ISSUES THAT WOULD GENERATE PUBLIC CONTROVERSY REGARDING THE
PROPOSED PROJECT.
~ None
IV. CERTIFICATION BY PROPOSER
I hereby certify that the information provided herein is current, accurate, and complete as of the date shown immediately
below.
7:~ -- .
SIGNA TURE: -~-- DATE: ~ / .-lL I 2009
month day year
TYPED NAME: Nathan Beals
TITLE: Proiect Manager. Associate
ORGANIZA nON: Collier County Public Utilities Planning and Proiect Management Department
-~,.....-....- <....~,.
Page 7
V. REVIEW AND APPROVAL BY DOE 10 E
I hereby certify that I have reviewed the information provided in this questionnaire, have determined that all questions have been
. appropriately answered, and judge the responses to be consistent with the efforts proposed.
PROJECT MANAGER:
SIGNATURE: DATE: - / - f -
month day year
TYPED NAME:
-_._--~...._"'~,_--., ".~.~ "~...__O.
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page]10 E
NETL F 451.l~EECBG
(312009) OPI=320 U.S. DEPARTMENT OF ENERGY
(Previous Editions Obsolete)
ENVIRONMENTAL QUESTIONNAIRE
I. BACKGROUND
The Department of Energy (DOE) National Environmental Policy Act (NEP A) Implementing Procedures (l 0 CFR 1021)
require careful consideration of the potential environmental consequences of all proposed actions during the early planning
stages of a project or activity. DOE must determine at the earliest possible time whether such actions will require either an
Environmental Assessment or an Environmental Impact Statement, or whether they qualifY for a Categorical Exclusion. To
comply with these requirements, an Environmental Questionnaire must be completed for each proposed action to provide
DOE with the information necessary to determine the appropriate level ofNEPA review.
II. INSTRUCTIONS
Separate copies of the Environmental Questionnaire should be completed by the principal proposer and appropriate
proposer's subcontractor. In addition, if the proposed project includes activities at different locations, an independent
questionnaire should be prepared for each location. Supporting information can be provided as attachments.
In completing this Questionnaire, the proposer is requested to provide specific information and quantities, when applicable,
regarding air emissions, wastewater discharges, solid wastes, etc., to facilitate the necessary review. The proposer should
identifY the location of the project and specifically describe the activities that would occur at that location. In addition, the
proposer will be required to submit an official copy ofthe project's statement of work (SOW) or statement of project
objective (SOPO) that will be used in the contract/agreement between the proposer and DOE.
m. QUESTIONNAIRE
A. PROJECT SUMMARY
1. Solicitation/Project Number:
2. Proposer: Collier County Public Utilities
3. Principal Investigator: Nathan Beals
Telephone Number: 239-252-2583
4. Project Title: Lighting Retrofits and Occupancy Sensors - South County Water Reclamation Facility
(SCWRF)
5. Duration: 160 Days
6. Location(s) of Performance (City/Township, County, State): 5600 Warren St.
:t'Jap1es. Collier COW'lty. Florida 34113
7. IdentifY and select checkbox with the predominant project work activities under Group A-7b or A-7c.
Group A-7b
i:i3J Work or project activities does NOT involve new building/facilities construction and site preparation activities. This
work typically involves routine operation, modification, and retrofit of existing utility and transportation infrastructure,
laboratories, commercial buildings/properties, offices and homes, test facilities, factories/power plants, vehicles test
stands and components, refueling facilities, greenspace infrastructure, or other existing facilities.
.~"-'-~~'- -~-~..~..._-_.,---".~ <. - ^~_,"_...'-~
Page 2 10 f
Group A-7c
0 Work or project activities typically involves major building or facility construction, site preparation; the installation,
replacement, or major modifications of energy system prototypes and infrastructure, access right-of-ways and roads;
utility, greenspace, and transportation infrastructure, vehicle test facilities; commercial buildings/properties, fuel
refmery/mixing facilities, factories/power plants; and other types of energy efficiency/conservation related systems,
structures, and facilities. This work can require new or modified regulatory permits, environmental sampling and
monitoring requirements, master planning, public involvement, and environmental impact review.
0 Other types of work or project activities not listed. (please describe):
8. Summarize $e objectives of the proposed work. List activities planned at the location as covered by this
Environmental Questionnaire.
The energy savings retrofits involves upgrades to the lighting and the addition of occupancy sensors at the South
County Water Reclamation Facility (SCWRF).
- The Lighting Retrofits Project will modernize 363 light fIXtures with 942 replacement lamps that will provide energy
savings of approximately 46,332 kWh per year. The modernization process includes replacing ballasts on light fixtures
or replacing the entire light fixture. This modernization actually improves light levels by 5 to 10 percent in most areas.
- The Occupancy Sensors Project will install timer switches or motion sensors in 16 rooms at the SCWRF that will
provide energy savings of approximately 5,622 kWh per year.
9. List all other locations where proposed work or project would be performed by project's proposer and
subcontractors.
The North County Water Reclamation Facility (NCWRF), the South County Regional Water Treatment Plant
(SCRWTP), the North County Regional Water Treatment Plant (NCRWTP), and the Carica Pump Station.
10. Identity major project operation related materials and waste that would be used, consumed, and produced by this
project or activity. N/A
II. Provide a brief description of the project location (physical location, surrounding area, adjacent structures).
The SCWRF is located at 5600 Warren Street, Naples, Florida. The surrounding area is a mix with
vacant to the east, residential to the north and south, and a public park to west.
12. Attach a site plan or topographic map ofthe project work area.
B. ENVIRONMENTAL IMP ACTS
This section is designed to obtain information for objectively assessing the environmental impacts of a proposed project.
NEPA procedures require evaluations of possible effects (including land use, energy resource use, natural, historic and
cultural resources, and pollutants) from proposed projects on the environment.
1. Land Use
a. Characterize present land use where the proposed project would be located.
DUrban [8J Industrial o Commercial o Agricultural
0 Suburban o Rural o Residential o Research Facilities
o Forest o University Campus o Other
'''-- ,-...... r r'l I"<l .->-........."'.." "",."'..
Pag) 0 E
b. Describe how land use would be affected by planned construction and project activities.
its:1 No construction would be anticipated for this project.
c. Describe any plans to reclaim/replant areas that would be affected by the proposed project.
jgI No land areas would be affected.
d. Would the proposed project affect any unique or unusuallandfonns (e.g., cliffs, waterfalls, etc.)?
jgI No o Yes (describe)
e. Would the proposed project be located in or near a national park or wilderness area?
jgI No o Yes (describe)
lfproject work activities falls under item A-7b; then proceed directly to question B.6 (Atmospheric
Conditions/Air Quality) and continue to fill out questionnaire.
lfproject workfaUs under item A-7c; then proceed directly below to question B.2 (Construction Activities and/or
o erations and continue to III out uestionnaire.
2. Construction Activities and/or Operations
a. IdentifY any roads, trails, or utility right of ways that traverse the proposed site or will be constructed and clearly mark
them on project site maps.
o None
b. Would the proposed project require the construction of settling ponds?
o No o Yes (describe and identify location, and estimate surface area disturbed)
c. Would the proposed project affect any existing body of water?
o No DYes (describe)
d. Would the proposed project be located ill or impact a floodplain or wetland?
o No o Yes (describe)
e. Would the proposed project be likely to cause runot1i'sedimentationlerosion?
o No o Yes (describe)
3. Vegetation and Wildlife Resources
a. IdentifY any State- or Federal-listed endangered or threatened plant or animal species affected by the proposed project.
o None
b. Would any foreign substances/materials be introduced into ground or surface waters, or other earth/geologic resource
because ofproject activities? Would these foreign substances/materials affect the water, soil, and geologic resources?
o No 0 Yes (describe)
c. Would any migratory animal corridors be impacted or disrupted by the proposed project?
o No DYes (describe)
. 4. Socioeconomic and Infrastructure Conditions.
a. Would local socio-economic changes result from the proposed project?
~,~_.. --;--"-~----'-""'" ..__..__....,-~,.~,~-,---_.-
Page 4 10 E
D No D Yes (describe)
b. Would the proposed project generate increased traffic use of roads through local neighborhoods, urban or rural areas.?
D No D Yes (describe)
c. Would the proposed project require new transportation access (roads, rail, etc.)? Describe location, impacts, costs.
D No D Yes (describe)
d. Would any new transmission lines and/or power line right-of-ways be required?
D No D Yes (describe location, voltage, and length of/ine)
5. Historical/Cultural Resources
a. Describe any historical, archeological, or cultural sites in the vicinity of the proposed project; note any sites included
on the National Register of Historic Places.
D None
b. Would construction or operational activities planned Wlder the proposed project disturb any historical, archeological,
or cultural sites?
D No planned construction D No historic sites DYes (describe)
c. Would the proposed project interfere with visual resources (e.g., eliminate scenic views) or alter the present
landscape?
D No D Yes (describe)
For all proposed project work activities identified under item A-7b, respond to item B6 directly below and
continue Illin out environmental uestionnaire.
6. Atmospheric Conditions/Air Quality
a. Identify air quality conditions in the immediate vicinity of the proposed project with regard to attainment of National
Ambient Air Quality Standards (NAAQS). This infonnation is available under the NAAQS tables from the U.S. EPA
Air and Radiation Division.
Attainment Non-Attainment
03 181 0
SOx 181 0
PM 10 181 D
co 181 D
N02 181 D
Lead 181 D
b. Would proposed project require issuance of new or modified major source air quality pennits?
181 No DYes (describe)
c. Would the proposed project be in compliance with the National Emissions Standards for Hazardous Air Pollutants?
o No (explain) 181 Yes
d. Would the proposed project be classified as either a New Source Dr a major modification to an existing source?
181 No D Yes (describe)
e. Would the proposed project be in compliance with the New Source Perfonnance Standards?
181 Not Applicable D No (explain) 0 Yes
,-~_.._-- "-",,,_.,.__...,..--~..,.- ..._---"._~.."_.~,-~...- ._~"_"___.~.~._.~.__.._~._ m._.._._.__.. .._.._. ...
10 j
Page 5
f. Would the proposed project be subject to prevention of significant deterioration air quality review?
~ Not applicable o No (explain) DYes (describe)
g. What types of air emissions, including fugitive emissions, would be anticipated from the proposed project?
N/A
h. Would any types of emission control or particulate collection devices be used?
~ No o Yes (describe, including collection efficiencies)
i. If no control devices are used, how would emissions be vented? No emissions to vent.
7. Hydrologic ConditionslWater Quality
a, What is the closest body of water to the proposed project area and what is its distance from the project site?
A community lake to the south is approximately 6 feet from the property.
b. What sources would supply potable and process water for the proposed project?
N/A
c. Quantify the daily or annual amount of wastewater that would be generated by the proposed project.
0
d. Identify the local treatment facility that would receive wastewater from the proposed project.
~ No discharges to local treatment facility
e. Describe how wastewater would be collected and treated.
N/A
f. Would any run-off or leachates be produced from storage piles or waste disposal sites?
~No 0 Yes (describe source)
g. Would project require issuance of new or modified water permits to perform project work or site development?
~ No 0 Yes (describe)
h. Where would wastewater effluents from the proposed project be discharged?
[gI No wastewater produced
i. Would the proposed project be permitted to discharge effluents into an existing body of water?
[gI No 0 Yes (describe water use and effluent impact)
J. Would a new or modified National Pollutant Discharge Elimination System (NPDES) permit be required?
[gI No o Yes (describe)
k. Would the proposed project adversely affect the quality or movement of groundwater?
I2J No 0 Yes (describe)
8. Solid and Hazardous Wastes
a. Describe and estimate major nonhazardous solid wastes that would be generated from the project. Solid wastes are
defined as any solid, liquid, semi-solid, or contained gaseous material that is discarded or has served its intended
purpose, or is a manufacturing or mining by-product (40 CFR 260, Appendix I). Old inefficient light bulbs, ballasts,
and fixtures.
b. Would project require issuance of new or modified solid waste and/or hazardous waste related permits to perform
project work activities?
,...__'H_..'_____.__,_~._"""_..... ,"'~~"'.o,,_.
10 E
Page 6
1&1 No 0 Yes (explain)
c. How and where would solid waste disposal be accomplished?
o On-site (identify and describe location)
1&1 Off-site (identify location and describe facility and treatment)
Naples Recycling Center
2640 West Enterprise Ave
Naples, FL, 34104
The Naples Recycling Center is a small recyclable material collection site located in Naples Florida. Light bulbs,
which are crushed on site, and ballasts are shipped to AERC Recycling in West Melbourne, Florida.
d. How would wastes for disposal be transported?
Contractor will transport.
e. Describe and estimate the quantity of hazardous wastes (40 CFR 261.31) that would be generated, used, or stored
under this project.
1&1 None
f. How would hazardous or toxic waste be collected and stored?
1&1 None used or produced
g. Ifhazardous wastes would require off-site disposal, have arrangements been made with a certified TSD (Treatment,
Storage, and Disposal) facility?
[8] Not required o Arrangements not yet made o Arrangements made with a certified TSD facility
(identify):
C. DESCRIBE ANY ISSUES THAT WOULD GENERATE PUBLIC CONTROVERSY REGARDING THE
PROPOSED PROJECT.
[8] None
IV. CERTIFICA nON BY PROPOSER
1 hereby certify that the information provided herein is current, accurate, and complete as of the date shown immediately
below.
:;;;&( <? J? _.
SIGNATURE: DATE: ....2L / JL / 2009
month day year
TYPED NAME: Nathan Beals
TITLE: Proiect Manager. Associate
ORGANIZATION: Collier County Public Utilities Planning and Proiect Mangement Department
,.~,~ u-__ ~~---"--~'~~"--~-~-~'--'-'.,~_."
Page 1 0 E .. ~:-,
i
.'
V. REVIEW AND APPROVAL BY DOE
I hereby certifY that I have reviewed the information provided in this questionnaire, have detennined that all questions have been
appropriately answered, andjudge the responses to be consistent with the efforts proposed.
PROJECT MANAGER:
SIGNATURE: DATE: - / - / -
month day year
TYPED NAME:
,
,
, . , . . .
. ,.", ", .
~ .
;)
, . v"' 'i
.. .. . '"
.. .
,- .~
:. .,' ..- '"I
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- .
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,~ "
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.
Page 1 10
NETL F 451.1-EECBG
(3/2009) OPI-320 U.S. DEPARTMENT OF ENERGY
(Previous Editions Obsolete)
ENVIRONMENTAL QUESTIONNAIRE
I. BACKGROUND
The Department of Energy (DOE) National Environmental Policy Act (NEP A) Implementing Procedures (10 CFR 1021)
require careful consideration of the potential environmental consequences of all proposed actions during the early planning
stages of a project or activity. DOE must determine at the earliest possible time whether such actions will require either an
Environmental Assessment or an Environmental Impact Statement, or whether they qualify for a Categorical Exclusion. To
comply with these requirements, an Environmental QuestiOlIDaire must be completed for each proposed action to provide
DOE with the information necessary to determine the appropriate level ofNEPA review.
II. INSTRUCTIONS
Separate copies of the Environmental Questionnaire should be completed by the principal proposer and appropriate
proposer's subcontractor. In addition, if the proposed project includes activities at different locations, an independent
questionnaire should be prepared for each location. Supporting information can be provided as attachments.
In completing this Questionnaire, the proposer is requested to provide specific information and quantities, when applicable,
regarding air emissions, wastewater discharges, solid wastes, etc., to facilitate the necessary review. The proposer should
identify the location of the project and specifically describe the activities that would occur at that location. In addition, the
proposer will be required to submit an official copy of the project's statement of work (SOW) or statement of project
objective (SOPO) that will be used in the contract/agreement between the proposer and DOE.
,
III. OUESTIONNAIRE
A. PROJECT SUMMARY
1. SolicitationlProject Number:
2. Proposer: Collier County Public Utilities
3. Principal Investigator: Nathan Beals
Telephone Number: 239-252-2583
4. Project Title: Lighting Retrofits and Occupancy Sensors - South County Regional Water Treatment
Plant (SCRWTP)
5. Duration: 160 Days
6. Location(s) of Performance (CitylTownship, County, State): 3851 City Gate Dr.
Naples. Collier Cmillty, Florida 34117
7. Identify and select checkbox with the predominant project work activities under Group A-7b or A-7c.
Group A-7b
I8J Work or project activities does NOT involve new building/facilities construction and site preparation activities. This
work typically involves routine operation, modification, and retrofit of existing utility and transportation infrastructure,
laboratories, commercial buildings/properties, offices and homes, test facilities, factories/power plants, vehicles test
stands and components, refueling facilities, greenspace infrastructure, or other existing facilities.
"_N__~_'~___~__".'___'~'~ "',"','-'.._.~-~-^<. "'-'-".'~'--'-""---~--'-_._~'--- .... ..
Page 2 101
Group A-7c
0 Work or project activities typically involves major building or facility construction, site preparation; the installation,
replacement, or major modifications of energy system prototypes and infrastructure, access right-of-ways and roads;
utility, greenspace, and transportation infrastructure, vehicle test facilities; commercial buildings/properties, fuel
refmery/mixing facilities, factories/power plants; and other types of energy efficiency/conservation related systems,
structures, and facilities. This work can require new or modified regulatory permits, environmental sampling and
monitoring requirements, master planning, public involvement, and environmental impact review.
0 Other types of work or project activities not listed. (please describe):
8. Summarize the objectives ofthe proposed work. List activities planned at the location as covered by this
Environmental Questionnaire.
The energy savings retrofits involves upgrades to the lighting and the addition of occupancy sensors at the South
County Regional Water Treatment Plant (SCR WTP).
_ The Lighting Retrofits Project will modernize 613 light fixtures with 1,534 replacement lamps that will provide
energy savings of approximately 154,407 kWh per year. The modernization process includes replacing ballasts on
light fixtures or replacing the entire light fixture. This modernization actually improves light levels by 5 to 10 percent
in most areas.
_ The Occupancy Sensors Project will install timer switches or motion sensors in 24 rooms at the SCR WTP that will
provide energy savings of approximately 14,536 kWh per year.
9. List all other locations where proposed work or project would be performed by project's proposer and
subcontractors.
The South County Water Reclamation Facility (SCWRF), the North County Regional Water Treatment Plant
(NCRWTP), the North County Water Reclamation Facilty (NCWRF), and the Carica Pump Station.
10. IdentifY major project operation related materials and waste that would be used, consumed, and produced by this
project or activ~ty. N/A
11. Provide a brief description of the project location (physical location, surrounding area, adjacent structures).
The SCRWTP is located at 3851 City Gate Drive, Naples, Florida. The surrounding area is a mix with residential to
the north, vacant to the east and south, and a mix of commercial and vacant to the west.
12. Attach a site plan or topographic map of the project work area.
B. ENVmONMENTAL IMPACTS
This section is designed to obtain information for objectively assessing the environmental impacts of a proposed project.
NEPA procedures require evaluations of possible effects (including land use, energy resource use, natural, historic and
cultural resources, and pollutants) from proposed projects on the environment.
1. Land Use
a. Characterize present land use where the proposed project would be located.
DUrban [EI Industrial o Commercial D Agricultural
D Suburban o Rural o Residential o Research Facilities
<"""~"___'~__~__,",,"___,____",n~,"<~_~k..'~_" -,.",..,,,.,,.-,,-".,< .',_....~,.,"'~-.,~.,' ",_"~""",_,,,,,,",~"O'
Page 3 10 E
o Forest o University Campus o Other
b. Describe how land use would be affected by planned construction and project activities.
~ No construction would be anticipated for this project.
c. Describe any plans to reclaim/replant areas that would be affected by the proposed project.
t81 No land areas would be affected.
d. Would the proposed project affect any unique or unusual landforms (e.g., cliffs, waterfalls, etc.)?
t81 No o Yes (describe)
e. Would the proposed project be located in or near a national park or wilderness area?
IZI No o Yes (describe)
Ifproject work activitiesfalls under item A-7b; then proceed directly to question B.6 (Atmospheric
Conditions! Air Quality) and continue to fill out questionnaire.
Ifproject work falls under item A-7c; then proceed directly below to question B.2 (Construction Activities and/or
o erations and continue to III out uestionnaire.
2. Construction Activities and/or Operations
a. Identify any roads, trails, or utility right of ways that traverse the proposed site or will be constructed and clearly mark
them on project site maps.
o None
b. Would the proposed proj ect require the construction of settling ponds?
o No DYes (describe and identify location, and estimate surface area disturbed)
c. Would the proposed project affect any existing body of water?
o No DYes (describe)
d. Would the proposed project be located in or impact a floodplain or wetland?
o No DYes (describe)
e. Would the proposed project be likely to cause runoffi'sedimentationlerosion?
o No DYes (describe)
3. Vegetation and Wildlife Resources
a. Identify any State- or Federal-listed endangered or threatened plant or animal species affected by the proposed project.
o None
b. Would any foreign substances/materials be introduced into ground or surface waters, or other earth/geologic resource
because of project activities? Would these foreign substances/materials affect the water, soil, and geologic resources?
o No 0 Yes (describe)
c. Would any migratory animal corridors be impacted or disrupted by the proposed project?
o No DYes (describe)
4. Socioeconomic and Infrastructure Conditions.
- ~.^"". ---~.._..._"...~-,.._. '" ".,.--- _'.'__..._n _ ,__'_,~,___,_",~,_",.",_"____..~,._________..'_________
Page 4 10 E
a. Would local socio-economic changes result from the proposed project?
o No DYes (describe)
b. Would the proposed project generate increased traffic use of roads through local neighborhoods, urban or rural areas,?
o No 0 Yes (describe)
c. Would the proposed project require new transportation access (roads, rail, etc.)? Describe location, impacts, costs.
o No 0 Yes (describe)
d. Would any new transmission lines and/or power line right-of-ways be required?
o No o Yes (describe location, voltage, and length of line)
5. Historical/Cultural Resources
a. Describe any historical, archeological, or cultural sites in the vicinity of the proposed project; note any sites included
on the National Register of Historic Places.
o None
b. Would construction or operational activities planned under the proposed project disturb any historical, archeological,
or cultural sites?
o No planned construction o No historic sites DYes (describe)
c. Would the proposed project interfere with visual resources (e.g., eliminate scenic views) or alter the present
landscape?
o No 0 Yes (describe)
For all proposed project work activities identified under item A-7b, respond to item B6 directly below and
continue lllin out environmental uestionnaire.
6. Atmospheric Conditions/Air Quality
a. Identify air quality conditions in the inunediate vicinity of the proposed project with regard to attainment of National
Ambient Air Quality Standards (NAAQS). This information is available Wlder the NAAQS tables fTom the U,S. EPA
Air and Radiation Division.
Attainment Non-Attainment
03 18] 0
SOx 18] 0
PMIO 18] 0
co 18] 0
N02 18] 0
Lead 18] 0
b. Would proposed project require issuance of new or modified major source air quality permits?
18] No DYes (describe)
c. Would the proposed project be in compliance with the National Emissions Standards for Hazardous Air Pollutants?
o No (explain) 18] Yes
d. Would the proposed project be classified as either a New Source or a major modification to an existing source?
18] No o Yes (describe)
e. Would the proposed project be in compliance with the New Source Performance Standards?
IZI Not Applicable o No (explain) 0 Yes
Page 5 10 E
f. Would the proposed project be subject to prevention of significant deterioration air quality review?
[8J Not applicable o No (explain) DYes (describe)
g. What types of air emissions, including fugitive emissions, would be anticipated from the proposed project?
NfA
h. Would any types of emission control or particulate collection devices be used?
[8J No o Yes (describe, including collection efficiencies)
i. lfno control devices are used, how would emissions be vented? No emissions to vent.
7. Hydrologic ConditioDs/Water Quality
a. \\'hat is the closest body of water to the proposed project area and what is its distance from the project site?
A canal running east and west is approximately 350 feet north oftbe property.
b. \\'hat sources would supply potable and process water for the proposed project?
NfA
c. Quantify the daily or annual amount of wastewater that would be generated by the proposed project.
0
d. Identify the local treatment facility that would receive wastewater from the proposed project.
[8J No discharges to local treatment facility
e. Describe how wastewater would be collected and treated.
N/A
f. Would any run-off or leachates be produced from storage piles or waste disposal sites?
[8J No DYes (describe source)
g. Would project require issuance of new or modified water permits to perform project work or site development?
[8J No 0 Yes (describe)
h. \\'here would wastewater effluents from the proposed project be discharged?
[8J No wastewater produced
i. Would the proposed project be permitted to discharge effluents into an existing body of water?
[8J No 0 Yes (describe water use and effluent impact)
j. Would a new or modified National Pollutant Discharge Elimination System (NPDES) permit be required?
[8J No DYes (describe)
k. Would the proposed project adversely affect the quality or movement of groundwater?
[8J No 0 Yes (describe)
8. Solid and Hazardous Wastes
a. Describe and estimate major nonhazardous solid wastes that would be generated from the project. Solid wastes are
defmed as any solid, liquid, semi-solid, or contained gaseous material that is discarded or has served its intended
purpose, or is a manufacturing or mining by-product (40 CFR 260, Appendix J). Old inefficient light bulbs, ballasts,
and fixtures.
,.,.~,,---- -"""._,~.._..,,
Page 6 10 E
b. Would project require issuance of new or modified solid waste and/or hazardous waste related pennits to perform
project work activities?
181 No 0 Yes (explain)
c. How and where would solid waste disposal be accomplished?
o On-site (identifY and describe location)
181 Off-site (identifY location and describe facility and treatment)
Naples Recycling Center
2640 West Enterprise Ave
Naples, FL, 34104
The Naples Recycling Center is a small recyclable material collection site located in Naples Florida. Light bulbs,
which are crushed on site, and ballasts are shipped to AERC Recycling in West Melbourne, Florida.
d. How would wastes for disposal be transported?
Contractor will transport.
e. Describe and estimate the quantity of hazardous wastes (40 CFR 261.3 I) that would be generated, used, or stored
under this project.
181 None
f. How would hazardous or toxic waste be collected and stored?
181 None used or produced
g. Ifhazardous wastes would require off-site disposal, have arrangements been made with a certified TSD (Treatment,
Storage, and Disposal) facility?
181 Not required o Arrangements not yet made o Arrangements made with a certified TSD facility
(identifY):
C. DESCRIBE ANY ISSUES THAT WOULD GENERATE PUBLIC CONTROVERSY REGARDING THE
PROPOSED PROJECT.
r2J None
IV. CERTIFICATION BY PROPOSER
I hereby certify that the information provided herein is current, accurate, and complete as of the date shown immediately
below.
SIGNATURE: ~~~ - DATE: ~ / JL / 2009
month day year
TYPED NAME: Nathan Beals
TITLE: Proiect Manager. Associate
ORGANIZATION: Collier County Public Utilities Plannin~ and Proiect Management Department --
,-.
Page 7 10E
V. REVIEW AND APPROVAL BY DOE
I hereby certifY that I have reviewed the information provided in this questionnaire, have determined that all questions have been
appropriately answered, and judge the responses to be consistent with the efforts proposed.
PROJECT MANAGER:
SIGNA TURE: DATE: - / - / -
month day year
TYPED NAME:
~,,_._~ ",--"~-"-'-'~-' "'---."""...,.,.-<-
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II
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NETL F 451.1-EECBG Page 1 0 E
(312009) OPI=320 U.S. DEPARTMENT OF ENERGY
(Previous Editions Obsolete)
ENVIRONMENTAL QUESTIONNAIRE
L BACKGROUND
The Department of Energy (DOE) National Environmental Policy Act (NEPA) Implementing Procedures (10 CFR 1021)
require careful consideration of the potential environmental consequences ofall proposed actions during the early planning
stages of a project or activity. DOE must determine at the earliest possible time whether such actions will require either an
Environmental Assessment or an Environmental Impact Statement, or whether they quality for a Categorical Exclusion. To
comply with these requirements, an Environmental Questionnaire must be completed for each proposed action to provide
DOE with the information necessary to determine the appropriate level ofNEP A review.
II. INSTRUCTIONS
Separate copies of the Environmental Questionnaire should be completed. by the principal proposer and appropriate
proposer's subcontractor. In addition, if the proposed project includes activities at different locations, an independent
questionnaire should be prepared for each location. Supporting information can be provided as attachments.
In completing this Questionnaire, the proposer is requested to provide specific information and quantities, when applicable,
regarding air emissions, wastewater discharges, solid wastes, etc., to facilitate <the necessary review. The proposer should
identity the location ofthe project and specifically describe the activities that would occur at that location. In addition, the
proposer will be required to submit an official copy of the project's statement of work (SOW) or statement of project
objective (SOPO) that will be used in the contract/agreement between the proposer and DOE.
III. QUESTIONNAIRE
A. PROJECT SUMMARY
1. SolicitationIProject Number:
2. Proposer: Collier County Public Utilities
3. Principal Investigator: Nathan Beals
Telephone Number: 239-252-2583
4. Project Title: Solar Photovoltaic Panels - South County Regional Water Treatment Plant (SCRWTP)
5. Duration: 160 Days
6. Location(s) of Performance (City/Township, County, State): 3851 City Gate Dr.
Naples. Collier County. Florida 34117
7. Identify and select checkbox with the predominant project work activities under Group A-7b or A-7c.
Group A- 7b
0 Work or pr~ject activities does NOT involve new building/facilities construction and site preparation activities. This
work typically involves routine operation, modification, and retrofit of existing utility and transportation infrastructure,
laboratories, commercial buildings/properties, offices and homes, test facilities, factories/power plants, vehicles test
stands and components, refueling facilities, greenspace infrastructure, or other existing facilities.
..~".~-_.~~.~~._~---~--,~_._~-_._----_._--,-----------._--_.~-,-_.-
10 E
Page 2
Group A-7c
C8J Work or project activities typically involves major building or facility construction, site preparation; the installation,
replacement, or major modifications of energy system prototypes and infrastructure, access right-of-ways and roads;
utility, greenspace, and transportation infrastructure, vehicle test facilities; commercial buildings/properties, fuel
refmery/mixing facilities, factories/power plants; and other types of energy efficiency/conservation related systems,
structures, and facilities. This work can require new or modified regulatory penn its, environmental sampling and
monitoring requirements, master planning, public involvement, and environmental impact review.
0 Other types of work or project activities not listed. (please describe):
8. Summarize the objectives of the proposed work. List activities planned at the location as covered by this
Environmental Questionnaire.
The renewable energy solar photo voltaic panels involves intalling 42 fixed tilt ground-mounted 200 Watt PV solar
panels at the South County Regional Water Treatment Plant (SCRWTP). They will be connected to the plant's
electrical system and will provide energy savings of approximately 9,905 kWh per year.
9. List all other locations where proposed work or project would be performed by project's proposer and
subcontractors.
N/A
10. Identify major project operation related materials and waste that would be used, consumed, and produced by this
project or activity. N/A
II. Provide a brief description of the project location (physical location, surrounding area, adjacent structures).
The SCRWTP is located at 3851 City Gate Drive, Naples, Florida. The surrounding area is a mix with residential to
the north, vacant to the east and south, and a mix of cormnercial and vacant to the west.
12. Attach a site plan or topographic map of the project work area.
B. ENVIRONMENTAL IMPACTS
This section is designed to obtain information for objectively assessing the environmental impacts of a proposed project.
NEP A procedures require evaluations of possible effects (including land use, energy resource use, natural, historic and
cultural resources, and pollutants) from proposed projects on the environment.
1. Land Use
a. Characterize present land use where the proposed project would be located.
DUrban C8J Industrial o Commercial o Agricultural
o Suburban o Rural o Residential o Research Facilities
o Forest o University Campus o Other
b. Describe how land use would be affected by planned construction and project activities.
il8l No construction would be anticipated for this project.
c. Describe any plans to reclaim/replant areas that would be affected by the proposed project.
C8J Noland areas would be affected.
<.-._-~~-,.,-~_.--,~..,_.<.,~,..- _""m..._'~ _--..,......-.-~ ,>>, ._,..,,~""_"~._.__._._""__~~~_''''''''_'U "" ---_.".."-,,,---~,,.~
Page 31 0 E
d. Would the proposed project affect any unique or unusual landforms (e.g., cliffs, waterfalls, etc.)?
[gI No 0 Yes (describe)
e. Would the proposed project be located in or near a national park or wilderness area?
[gI No DYes (describe)
If project work activities falls under item A-7b; then proceed directly to question S.6 (Atmospheric
Conditions/Air Quality) and continue to fill out questionnaire.
lfproject workfalls under item A-7c; then proceed directly below to question E.2 (Construction Activities and/or
Overations) and continue to fill out auestionnaire.
2. Construction Activities and/or Operations
a. Identity any roads, trails, or utility right of ways that traverse the proposed site or will be constructed and clearly mark
them on project site maps.
[g] None
b. Would the proposed project require the construction of settling ponds?
r23 No o Yes (describe and identify location, and estimate surface area disturbed)
c. Would the proposed project affect any existing body of water?
[g] No DYes (describe)
d. Would the proposed project be located in or impact a floodplain or wetland?
[g] No DYes (describe)
e. Would the proposed project be likely to cause runoff/sedimentation/erosion?
[g] No DYes (describe)
3. Vegetation and Wildlife Resources
a. Identity any State- or Federal-listed endangered or threatened plant or animal species affected by the proposed project.
[g] None
b. Would any foreign substances/materials be introduced into ground or surface waters, or other earth/geologic resource
because of project activities? Would these foreign substances/materials affect the water, soil, and geologic resources?
[g] No 0 Yes (describe)
c. Would any migratory animal corridors be impacted or disrupted by the proposed project?
[g] No DYes (describe)
4. Socioeconomic and Infrastructure Conditions.
a. Would local socio-economic changes result from the proposed project?
l8J No o Yes (describe)
b. Would the proposed project generate increased traffic use of roads through local neighborhoods, urban or rural areas.?
l8J No 0 Yes (describe)
c. Would the proposed project require new transportation access (roads, rail, etc.)? Describe location, impacts, costs.
l8J No o Yes (describe)
d. Would any new transmission lines and/or power line right-of-ways be required?
Page 4 10E
181 No o Yes (describe location, voltage, and length of line)
5. Historical/Cultural Resources
a Describe any historical, archeological, or cultural sites in the vicinity of the proposed project; note any sites included
on the National Register of Historic Places.
181 None
b. Would construction or operational activities planned under the proposed project disturb any historical, archeological,
or cultural sites?
o No planned construction 181 No historic sites o Yes (describe)
c. Would the proposed project interfere with visual resources (e.g., eliminate scenic views) or alter the present
landscape?
181 No 0 Yes (describe)
For all proposed project work activities identified under item A-7b, respond to item B6 directly below and
continue dUn out environmental uestionnaire.
6. Atmospheric Conditions/Air Quality
a. Identify air quality conditions in the immediate vicinity of the proposed project with regard to attainment of National
Ambient Air Quality Standards (NAAQS). This information is available under the NAAQS tables from the U.S. EPA
Air and Radiation Division.
Attainment Non-Attainment
03 181 0
so.. 181 0
PM10 181 0
co 181 0
N02 181 0
Lead 181 0
b. Would proposed project require issuance of new or modified major source air quality permits?
181 No DYes (describe)
c. Would the proposed project be in compliance with the National Emissions Standards for Hazardous Air Pollutants?
o No (explain) 181 Yes
d. Would the proposed project be classified as either a New Source or a major modification to an existing source?
181 No DYes (describe)
e. Would the proposed project be in compliance with the New Source Performance Standards?
181 Not Applicable o No (explain) 0 Yes
f. Would the proposed project be subject to prevention of significant deterioration air quality review?
181 Not applicable o No (explain) DYes (describe)
g. What types of air emissions, including fugitive emissions, would be anticipated from the proposed project?
N/A
h. Would any types of emission control or particulate collection devices be used?
181 No D Yes (describe, including collection efficiencies)
-,..._-,'~""
Page 5 10 I
i. Ifno control devices are used. how would emissions be vented? No emissions to vent.
7. Hydrologic Conditions/Water Quality
a. What is the closest body of water to the proposed project area and what is its distance from the project site?
A canal running east and west is approximately 350 feet north of the property.
b. What sources would supply potable and process water for the proposed project?
N/A
c. Quantify the daily or annual amount of wastewater that would be generated by the proposed project.
0
d. Identify the local treatment facility that would receive wastewater from the proposed project.
l8] No discharges to local treatment facility
e. Describe how wastewater would be collected and treated.
N/A
f. Would any run-off or leachates be produced from storage piles or waste disposal sites?
l8] No DYes (describe source)
g. Would project require issuance of new or modified water pennits to perfonn project work or site development?
t8l No 0 Yes (describe)
h. Where would wastewater effluents from the proposed project be discharged?
t8l No wastewater produced
i. Would the proposed project be pennitted to discharge effluents into an existing body of water?
121 No 0 Yes (describe water use and efiluent impact)
j. Would a new or modified National Pollutant Discharge Elimination System (NPDES) pennit be required?
rgj No 0 Yes (describe)
k. Would the proposed project adversely affect the quality or movement of groundwater?
rgj No 0 Yes (describe)
8. Solid and Hazardous Wastes
a. Describe and estimate major nonhazardous solid wastes that would be generated from the project. Solid wastes are
defined as any solid, liquid, semi-solid, or contained gaseous material that is discarded or has served its intended
purpose, or is a manufacturing or mining by-product (40 CFR 260, Appendix 1). N/A
b. Would project require issuance of new or modified solid waste andlor hazardous waste related penn its to perfonn
project work activities?
rgj No D Yes (explain)
c. How and where would solid waste disposal be accomplished?
D On-site (identifY and describe location)
o Off-site (identify location and describe facility and tTeatment)
d. How would wastes for disposal be transported?
N/A
~_.__....~_.---- - 'N"",_d.' , >.-._.,_
Page 6 10 E
e. Describe and estimate the quantity of hazardous wastes (40 CFR 261.3 1) that would be generated, used, or stored
under this project.
[gI None
f. How would hazardous or toxic waste be collected and stored?
[gI None used or produced
g. If hazardous wastes would require off-site disposal, have arrangements been made with a certified TSD (Treatment,
Storage, and Disposal) facility?
[gI Not required o Arrangements not yet made o Arrangements made with a certified TSD facility
(identify):
C. DESCRIBE ANY ISSUES THAT WOULD GENERATE PUBLIC CONTROVERSY REGARDING THE
PROPOSED PROJECT.
181 None
IV. CERTIFICATION BY PROPOSER
I hereby certify that the information provided herein is cWTent, accurate, and complete as of the date shown immediately
below.
~~ 7
SIGNATURE: .-' DATE: ~ / ..J.L I 2009
month day year
TYPED NAME: Nathan Beals
TITLE: Proiect Manager. Associate
ORGANIZATION: Collier County Public Utilities Planning and Proiect Management Department
V. REVIEW AND APPROVAL BY DOE
I hereby certify that I have reviewed the information provided in this questionnaire, have determined that all questions have been
appropriately answered, and judge the responses to be consistent with the efforts proposed.
PROJECT MANAGER:
SIGNA TURE: DATE: - / - / -
month day year
TYPED NAME:
~---_."'-"-'''''''' ---",......,-_."'---''''~_...._-<..........,-'''>-.~"'_..... ~ "'".~..,.,.
10 E
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.-----.--.---- --
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Page I
NETL F 451.1-EECBG ll1E
(312009) OPl=320 U.S. DEPARTMENT OF ENERGY
(Previous Editions Obsolete)
ENVIRONMENTAL QUESTIONNAIRE
1. BACKGROUND
The Department of Energy (DOE) National Environmental Policy Act (NEP A) Implementing Procedures (10 CFR 1021)
require careful consideration of the potential environmental consequences of all proposed actions during the early planning
stages of a project or activity. DOE must detetmine at the earliest possible time whether such actions will require either an
Environmental Assessment or an Environmental Impact Statement, or whether they qualitY for a Categorical Exclusion. To
comply with these requirements, an Environmental Questionnaire must be completed for each proposed action to provide
DOE with the infotmation necessary to determine the appropriate level ofNEPA review.
II. INSTRUCTIONS
Separate copies of the Environmental Questionnaire should be completed by the principal proposer and appropriate
proposer's subcontractor. In addition, if the proposed project includes activities at different locations, an independent
questionnaire should be prepared for each location. Supporting infonnation can be provided as attachments.
In completing this Questionnaire, the proposer is requested to provide specific infotmation and quantities, when applicable,
regarding air emissions, wastewater discharges, solid wastes, etc., to facilitate the necessary review. The proposer should
identitY the location of the project and specifically describe the activities that would occur at that location. In addition, the
proposer will be required to submit an official copy of the project's statement of work (SOW) or statement of project
objective (SO PO) that will be used in the contract/agreement between the proposer and DOE.
III. QUESTIONNAIRE
A. PROJECT SUMMARY
1. Solicitation/Project Nwnber:
2. Proposer: Collier County Public Utilities
3. Principal Investigator: Nathan Beals
Telephone Number: 239-252-2583
4. Project Title: Lighting Retrofits and Occupancy Sensors - North County Water Reclamation Facility
(NCWRF)
5. Duration: 160 Days
6. Location(s) ofPelformance (Cityrrownship, County, State): 10500 Goodlette-Frank Rd.
Naples. Collier County. Florida 34109
7. Identify and select checkbox with the predominant project work activities under Group A-7b or A-7c.
Group A-7b
JgJ Work or project activities does NOT involve new building/facilities construction and site preparation activities. This
work typically involves routine operation, modification, and retrofit of existing utility and transportation infrastructure,
laboratories, commercial buildings/properties, offices and homes, test facilities, factories/power plants, vehicles test
stands and components, refueling facilities, greenspace infrastructure, or other existing facilities.
Page 2
10 E
Group A-7c
0 Work or project activities typically involves major building or facility construction, site preparation; the installation,
replacement, or major modifications of energy system prototypes and infrastructure, access right-of-ways and roads;
utility, greenspace, and transportation infrastructure, vehicle test facilities; commercial buildings/properties, fuel
refmery/mixing facilities, factories/power plants; and other types of energy efficiency/conservation related systems,
structures, and facilities. This work can require new or modified regulatory permits, environmental sampling and
monitoring requirements, master planning, public involvement, and environmental impact review.
0 Other types of work or project activities not listed. (please describe):
8. Summarize the objectives of the proposed work. List activities plalmed at the location as covered by this
Environmental Questionnaire.
The energy savings retrofits involves upgrades to the lighting and the addition of occupancy sensors at the North
County Water Reclamation FacjJity (NCWRF).
_ The Lighting Retrofits Project will modernize 712 light fixtures with 1,651 replacement lamps that will provide
energy savings of approximately 108,737 kWh per year. The modernization process includes replacing ballasts on
light fixtures or replacing the entire light fixture. This modernization actually improves light levels by 5 to 10 percent
in most areas.
_ The Occupancy Sensors Project will install timer switches or motion sensors in 33 rooms at the NCWRF that will
provide energy savings of approximately 15,038 kWh per year.
9. List all other locations where proposed work or project would be performed by project's proposer and
subcontractors.
The South County Water Reclamation Facility (SCWRF), the South County Regional Water Treatment Plant
(SCRWTP), the North County Regional Water Treatment Plant (NCRWTP), and the Carica Pump Station.
10. Identify major project operation related materials and waste that would be used, consumed, and produced by this
project or activity. N/A
II. Provide a brief description of the project location (physical location, surrounding area, adjacent structures).
The NCWRF is located at 10500 Goodlette-Frank Road, Naples, Florida. The surrounding area is a mix with
vacant to the north, commercial and residential to the west, residential to the south, and residential and a public park to
th e east.
12. Attach a site plan or topographic map of the project work area.
B. ENVIRONMENTAL IMPACTS
This section is designed to obtain information for objectively assessing the environmental impacts of a proposed project.
NEPA procedures require evaluations of possible effects (including land use, energy resource use, natural, historic and
cultural resources, and pollutants) from proposed projects on the environment.
1. Land Use
a Characterize present land use where the proposed project would be located.
DUrban rgJ Industrial o Commercial o Agricultural
.~..._._----,._..., "'-'"" . 1 -wn 'I .
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o Rural o Residential o Research Facilities pagelQ E
0 Suburban
o Forest o University Campus o Other
b. Describe how land use would be affected by planned construction and project activities.
II8f No construction would be anticipated for this project.
c. Describe any plans to reclaim/replant areas that would be affected by the proposed project.
[8J No land areas would be affected.
d. Would the proposed project affect any unique or unusual landforms (e.g., cliffs, waterfalls, etc.)?
[8J No DYes (describe)
e. Would the proposed project be located in or near a national park or wilderness area?
[8J No o Yes (describe)
Ifproject work activities/ails under item A-7b; then proceed directly to question B.6 (Atmospheric
Conditions/Air Quality) and continue to fill out questionnaire.
Ifproject work/aIls under item A-7c; then proceed directly below to question B.2 (Construction Activities and/or
Operations) and continue to fill out auestionnaire.
2. Construction Activities andlor Operations
a. Identify any roads, trails, or utility right of ways that traverse the proposed site or will be constructed and clearly mark
them on project site maps.
o None
b. Would the proposed project require the construction of settling ponds?
o No o Yes (describe and identify location, and estimate surface area disturbed)
c. Would the proposed project affect any existing body of water?
o No o Yes (describe)
d. Would the proposed project be located in or impact a floodplain or wetland?
o No DYes (describe)
e. Would the proposed project be likely to cause runoff/sedimentation/erosion?
o No DYes (describe)
3. Vegetation and Wildlife Resources
a. Identify any State- or Federal-listed endangered or threatened plant or animal species affected by the proposed project.
o None
b. Would any foreign substances/materials be introduced into ground or surface waters, or other earth/geologic resource
because of project activities? Would these foreign substances/materials affect the water, soil, and geologic resources?
o No 0 Yes (describe)
c. Would any migratory animal corridors be impacted or disrupted by the proposed project?
o No DYes (describe)
4. Socioeconomic and Infrastructure Conditions.
Page 41 0 E
a. Would local socio-economic changes result from the proposed project?
o No o Yes (describe)
b. Would the proposed project generate increased traffic use ofroads through local neighborhoods, urban or rural areas.?
o No 0 Yes (describe)
c. Would the proposed project require new transportation access (roads, rail, etc.)? Describe location, impacts, costs.
o No 0 Yes (describe)
d. Would any new transmission lines andlor power line right-of-ways be required?
o No 0 Yes (describe location, voltage, and length ofline)
5. Historical/Cultural Resources
a. Describe any historical, archeological, or cultural sites in the vicinity of the proposed project; note any sites included
on the National Register of Historic Places.
o None
b. Would construction or operational activities planned under the proposed project disturb any historical, archeological,
or cultural sites?
o No planned construction o No historic sites DYes (describe)
c. Would the proposed project interfere with visual resources (e.g., eliminate scenic views) or alter the present
landscape?
o No 0 Yes (describe)
For all proposed project work activities identified under item A-7b, respond to item B6 directly below and
continue zl/in out environmental uestionnaire.
6. Atmospheric Conditions/Air Quality
a. Identify air quality conditions in the immediate vicinity ofthe proposed project with regard to attainment of National
Ambient Air Quality Standards (NAAQS). This information is available under the NAAQS tables from the U.S. EPA
Air and Radiation Division.
Attainment Non-Attainment
03 I23J 0
SO. t8J 0
PM 10 t8J D
co t8J 0
N02 t8J 0
Lead t8J 0
b. Would proposed project require issuance of new or modified major source air quality pennits?
I23J No D Yes (describe)
c. Would the proposed project be in compliance with the National Emissions Standards for Hazardous Air Pollutants?
o No (explain) I23J Yes
d. Would the proposed project be classified as either a New Source or a major modification to an existing source?
I23J No DYes (describe)
e. Would the proposed project be in compliance with the New Source Perfonnance Standards?
..<."-~....,^._.. -'-"" . . , - ~...~ _'...._"...~_--..-"'-_. ",.__",,^,_""M..,.."~""'_""O/"_._ ~
Page 51 0 E
t8J Not Applicable o No (explain) 0 Yes
f. Would the proposed project be subject to prevention of significant deterioration air quality review?
t8J Not applicable o No (explain) DYes (describe)
g. What types of air emissions, including fugitive emissions, would be anticipated from the proposed project?
N/A
h. Would any types of emission control or particulate collection devices be used?
t8J No D Yes (describe, including colIection efficiencies)
i. 1fno control devices are used, how would emissions be vented? No emissions to vent.
7. Hydrologic ConditionsfWater Quality
a. What is the closest body of water to the proposed project area and what is its distance from the project site?
A lake on the vacant lot to the north is approximately 20 feet from the property.
b. What sources would supply potable and process water for the proposed project?
N/A
c. QuantifY the daily or annual amount of wastewater that would be generated by the proposed project.
0
d. IdentifY the local treatment facility that would receive wastewater from the proposed project.
t8J No discharges to local treatment facility
e. Describe how wastewater would be colIected and treated.
N/A
f. Would any run-off or leachates be produced from storage piles or waste disposal sites?
t8J No D Yes (describe source)
g. Would project require issuance of new or modified water permits to perform project work or site development?
t8J No 0 Yes (describe)
h. Where would wastewater effluents from the proposed project be discharged?
t8J No wastewater produced
1. Would the proposed project be permitted to discharge effluents into an existing body of water?
r8J No D Yes (describe water use and effluent impact)
j. Would a new or modified National Pollutant Discharge Elimination System (NPDES) permit be required?
t8J No DYes (describe)
k. Would the proposed project adversely affect the quality or movement of groundwater?
r8J No D Yes (describe)
8. Solid and Hazardous Wastes
a. Describe and estimate major nonhazardous solid wastes that would be generated from the project. Solid wastes are
defmed as any solid, liquid, semi-solid, or contained gaseous material that is discarded or has served its intended
purpose, or is a manufacturing or mining by-product (40 CFR 260, Appendix I). Old inefficient light bulbs, ballasts,
and fixtures.
">., -" 4 ..... lj QIil..... ., ...."""........, lIflI illl """_'."n'.~ '^
Page 6 10 E
b. Would project require issuance of new or modified solid waste and/or hazardous waste related permits to perform
project work activities?
181 No 0 Yes (explain)
c. How and where would solid waste disposal be accomplished?
o On-site (identify and describe location)
t8l Off-site (identify location and describe facility and treatment)
Naples Recycling Center
2640 West Enterprise Ave
Naples, FL, 34104
The Naples Recycling Center is a small recyclable material collection site located in Naples Florida. Light bulbs,
which are crushed on site, and ballasts are shipped to AERC Recycling in West Melbourne, Florida.
d. How would wastes for disposal be transported?
Contractor will transport.
e. Describe and estimate the quantity of hazardous wastes (40 CFR 261.31) that would be generated, used, or stored
under this project.
181 None
f. How would hazardous or toxic waste be collected and stored?
t8l None used or produced
g. Ifhazardous wastes would require off-site disposal, have arrangements been made with a certified TSD (Treatment,
Storage, and Disposal) facility?
181 Not required o Arrangements not yet made o Arrangements made with a certified TSD facility
(identify):
C. DESCRIBE ANY ISSUES THAT WOULD GENERATE PUBLIC CONTROVERSY REGARDING THE
PROPOSED PROJECT.
181 None
IV. CERTIFICATION BY PROPOSER
I hereby certify that the information provided herein is current, accurate, and complete as of the date shown immediately
below.
SIGNATURE: ~p DATE: ~ / ....J.L I 2009
month day year
TYPED NAME: Nathan Beals
TITLE: Prolect Manager. Associate
ORGANIZA nON: Collier County Public Utilities Planning and Proiect Management Department
".'__,"__~'_'<O,__ ~_._,~.~..._.,,____." ""-''''--'--''-'-'--'''"''-'~'_.-
Page 7 10 f
V. REVIEW AND APPRO V AL BY DOE
I hereby certify that I have reviewed the infonnation provided in this questionnaire, have determined that all questions have been
appropriately answered, and judge the responses to be consistent with the efforts proposed.
PROJECT MANAGER:
SIGNATURE: DATE: - / - / -
month day year
TYPED NAME:
.'
,--.~."-------,"--~-
iDE
Page I
NETL F 451.1-EECBG 10 E
(3/2009) OPI=320 U.S. DEPARTMENT OF ENERGY
(Previous Editions Obsolete)
ENVIRONMENT AL QUESTIONNAIRE
I. BACKGROUND
The Department of Energy (DOE) National Environmental Policy Act (NEP A) Implementing Procedures (IO CFR 1021)
require careful consideration of the potential environmental consequences of all proposed actions during the early planning
stages of a project or activity. DOE must determine at the earliest possible time whether such actions will require either an
Environmental Assessment or an Environmental Impact Statement, or whether they qualifY for a Categorical Exclusion. To
comply with these requirements, an Environmental Questionnaire must be completed for each proposed action to provide
DOE with the information necessary to determine the appropriate level ofNEPA review.
II. INSTRUCTIONS
Separate copies of the Environmental Questionnaire should be completed by the principal proposer and appropriate
proposer's subcontractor. In addition, if the proposed project includes activities at different locations, an independent
questionnaire should be prepared for each location. Supporting information can be provided as attachments.
In completing this Questionnaire, the proposer is requested to provide specific information and quantities, when applicable,
regarding air emissions, wastewater discharges, solid wastes, etc., to facilitate the necessary review. The proposer should
identifY the location of the project and specifically describe the activities that would occur at that location. In addition, the
proposer will be required to submit an official copy of the project's statement of work (SOW) or statement of project
objective (SO PO) that will be used in the contract/agreement between the proposer and DOE.
III. QUESTIONNAIRE
A. PROJECT SUMMARY
1. Solicitation/Project Number: 7
2. Proposer: Children's Museum of Naples
3. Principal Investigator: Joe Cox
Telephone Number: (239) 514-0084
4. Project Title: Children's Museum of Naples Energy Savings & Renewable Energy Proiects
5. Duration: 09/01/2009 - 08/3l!2012
6. Location(s) of Performance (City/Township, County, State): Naples
Collier County
Florida
7. IdentifY and select checkbox with the predominant project work activities under Group A-7b or A-7c.
Group A-7b
0 Work or project activities does NOT involve new building/facilities construction and site preparation activities. This
work typically involves routine operation, modification, and retrofit of existing utility and transportation infrastructure,
laboratories, commercial buildings/properties, offices and homes, test facilities, factories/power plants, vehicles test
stands and components, refueling facilities, greenspace infrastructure, or other existing facilities.
~~- '.."- .'~'4
Page 2
IDE
Group A-7c
[8J Work or project activities typically involves major building or facility construction, site preparation;the installation,
replacement, or major modifications of energy system prototypes and infrastructure, access right-of-ways and roads;
utility, greenspace, and transportation infrastructure, vehicle test facilities; commercial buildings/properties, fuel
refinery/mixing facilities, factories/power plants; and other types of energy efficiency/conservation related systems,
structures, and facilities. This work can require new or modified regulatory permits, environmental sampling and
monitoring requirements, master planning, public involvement, and environmental impact review.
0 Other types of work or project activities not listed. (please describe):
8. Summarize the objectives of the proposed work. List activities planned at the location as covered by this
Environmental Questionnaire.
Scheduled to open in fall 2010 in the North Collier Regional Park, the Children's Museum of Naples (C'mon) is
currently under construction and will be the first LEED certified children's museum in the state of Florida. Proposed
annual energy savings for the Museum are currently estimated to be 116,237 kWh. This 30,407 square foot sustainable
campus will be a full-scale environmental education / demonstration site for;
Public Education: Visitors encounter aspects of the energy efficient and conservation program throughout the campus
from wind turbines and green roofs to rainwater harvesting systems and solar panels. A distinct "Green Construction"
exhibit is the hub for public education with dozens of interactive experiences including a panel showcasing building
efficiency, energy consumption and generation of alternate energy.
Workforce Training: The Museum is available as a venue for workforce training as it relates to energy efficiency and
conservation with four classrooms, a 100 seat amphitheater and social media website. The Museum will partner with
the FGCU green building program and Collier County Public Schools.
Technology and Architecture Showcase: Throughout the Museum green technology is showcased and accessible rather
than hidden into the building design.
The Children's Museum of Naples' annual attendance is conservatively estimated to be 75,000 people. Each ofthese
visitors will be introduced to the Museum's energy efficiency and conservation program through hands-on interactive
exhibits and environmental education programs. Visitors will discover how simple changes coupled with innovative
technology can produce significant environmental and economic benefits. Highlights include;
Energy Efficiency: Chill water HV AC system with under floor air distribution
Wind Turbines for power generation
Solar hot water & PV Solar panels for power generation
Day lighting and occupancy controls for lighting
High efficiency LED lighting throughout Museum
Water Conservation: Rainwater harvesting system (including 10,000 gallon cistern)
Waterless urinals & dual flush toilets
Native plants throughout two acre site & gray water irrigation
Indoor Air Quality: Low VOC paints, low-emitting carpet and flooring
No formaldehyde resins in composite wood products
Under floor air distribution with localized thermostat controls
Merv 13 filtration system provided and outdoor air delivery monitored
Materials: Storage & Collection of recyclables on both floors of the building
Building materials are manufactured locally
High recycled content of all finish and furniture materials
Sustainable Site: Preferred parking allocated for hybrid and energy efficient vehicles
Green roofs, patios and highly reflective roofing materials to reduce air temperatures
Grass parking areas to minimize heat island effect
Bike racks provided, access to public transportation
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10 ,J~age 3
I:
The Children's Museum of Naples is requesting $250,000 to fund the following specific items; .,~.- 'I
Cost Energy Savings
(2) 4x I 0 solar hot water panels, (6) 4x I 0 Pv panels @ lOw/SF $50,000 248,000 btu/day
(I) large turbine rated at 5KW, (4) 500W turbines $75,000 480,000 btu/day
Green Roof System $75,000 9,8681b C02 savings / yr
Rainwater Harvesting System $50,000 180,000 gallons water / yr
This environmentally focused visitor experience will be an extremely effective venue for the delivery of public education as it
relates to energy efficiency, green technologies and conservation programs.
9. List all other locations where proposed work or project would be performed by project's proposer and
subcontractors.
None
10. IdentifY major project operation related materials and waste that would be used, consumed, and produced by this
project or activity.
The Children's Museum of Naples is not expected to be a major consumer or producer of materials and waste. The majority
of materials consumed by educational programs at the Museum would be paper and other art supplies (we will be using
recycled materials and then recycling any waste). The Cafe at the Children's Museum of Naples does not have a commercial
kitchen and all waste material would be com posted or recycled.
With regards to the specific items funded by the EECBG program, any waste materials associated with the installation of the
solar hot water panels, turbine, green roof or rainwater harvesting system would be incorporated into the construction waste
management plan as defined by our LEED requirements.
II. Provide a brief description of the project location (physical location, surrounding area, adjacent structures).
The Children's Museum of Naples is located within the boundaries of the North Collier Regional Park. This 212 acre county
park includes the "Sun & Fun" water park, eight soccer fields, five softball diamonds and a 100 acre nature preserve. The
Children's Museum of Naples is located on 2 acres of land in the northwest comer of the Park.
12. Attach a site plan or topographic map of the project work area.
B. ENVIRONMENTAL IMPACTS
This section is designed to obtain information for objectively assessing the environmental impacts of a proposed project.
NEPA procedures require evaluations of possible effects (including land use, energy resource use, natural, historic and
cultural resources, and pollutants) from proposed projects on the environment.
1. Land Use
a. Characterize present land use where the proposed project would be located.
0 Urban 0 Industrial 0 Commercial o Agricultural
l8J Suburban 0 Rural 0 Residential 0 Research Facilities
0 Forest 0 University Campus 0 Other
b. Describe how land use would be affected by planned construction and project activities.
iD No construction would be anticipated for this project.
The Children's Museum of Naples will be located within the North Collier Regional Park. The two acre site was
planned to be an extension of the North Collier Regional Park and was permitted as such.
c. Describe any plans to reclaim/replant areas that would be affected by the proposed project.
o No land areas would be affected.
The Children's Museum of Naples site was originally covered by Melaleuca (an invasive exotic tree species). The
Melaleuca was cleared and the project will be landscaped using native Florida plant species.
d. Would the proposed project affect any unique or unusual landforms (e.g., cliffs, waterfalls, etc.)?
"-- R 1 , 1IlI1oI
Page 4
l8J No 0 Yes (describe) 10 E
e. Would the proposed project be located in or near a national park or wilderness area?
[8J No DYes (describe)
Ifproject work actiVities/ails under item A-7b; then proceed directly to question B.6 (Atmospheric
Conditions/Air Quality) and continue to/ill out questionnaire.
Ifproject work/ails under item A-7c; then proceed directly below to question B.2 (Construction Activities and/or
Operations) and continue tolill out questionnaire.
2. Construction Activities and/or Operations
a. IdentifY any roads, trails, or utility right of ways that traverse the proposed site or will be constructed and clearly mark
them on project site maps.
l8J None
b. Would the proposed project require the construction of settling ponds?
~ No 0 Yes (describe and identifY location, and estimate surface area disturbed)
c. Would the proposed project affect any existing body of water?
[8J No 0 Yes (describe)
d. Would the proposed project be located in or impact a floodplain or wetland?
[8J No 0 Yes (describe)
e. Would the proposed project be likely to cause runoff/sedimentation/erosion?
[8J No 0 Yes (describe)
3. Vegetation and Wildlife Resources
a. IdentifY any State- or Federal-listed endangered or threatened plant or animal species affected by the proposed project.
l8J None
b. Would any foreign substances/materials be introduced into ground or surface waters, or other earth/geologic resource
because of project activities? Would these foreign substances/materials affect the water, soil, and geologic resources?
l8J No 0 Yes (describe)
c. Would any migratory animal corridors be impacted or disrupted by the proposed project?
l8J No 0 Yes (describe)
4. Socioeconomic and Infrastructure Conditions.
a. Would local socio-economic changes result from the proposed project?
[8] No 0 Yes (describe)
b. Would the proposed project generate increased traffic use of roads through local neighborhoods, urban or rural areas.?
[8J No 0 Yes (describe)
c. Would the proposed project require new transportation access (roads, rail, etc.)? Describe location, impacts, costs.
[8J No 0 Yes (describe)
d. Would any new transmission lines and/or power line right-of-ways be required?
[8] No 0 Yes (describe location, voltage, and length ofline)
~",. .----- "."-_. .
Page 5
10 E
5. Historical/Cultural Resources
a. Describe any historical, archeological, or cultural sites in the vicinity of the proposed project; note any sites included
on the National Register of Historic Places.
t8J None
b. Would construction or operational activities planned under the proposed project disturb any historical, archeological,
or cultural sites?
o No planned construction t8J No historic sites 0 Yes (describe)
c. Would the proposed project interfere with visual resources (e.g., eliminate scenic views) or alter the present
landscape?
l8J No 0 Yes (describe)
For all proposed project work activities identified under item A-7b, respond to item B6 directly below and
continue dlin out environmental uestionnaire.
6. Atmospheric Conditions/Air Quality
a. IdentifY air quality conditions in the immediate vicinity of the proposed project with regard to attainment of National
Ambient Air Quality Standards (NAAQS). This information is available under the NAAQS tables from the U.S. EPA
Air and Radiation Division.
Attainment Non-Attainment
03 l8J 0
SOx l8J 0
PMlO l8J 0
co [8] 0
N02 l8J 0
Lead l8J 0
b. Would proposed project require issuance of new or modified major source air quality permits?
t8J No 0 Yes (describe)
c. Would the proposed project be in compliance with the National Emissions Standards for Hazardous Air Pollutants?
o No (explain) l8J Yes
d. Would the proposed project be classified as either a New Source or a major modification to an existing source?
[8] No 0 Yes (describe)
e. Would the proposed project be in compliance with the New Source Performance Standards?
0 Not Applicable 0 No (explain) l8J Yes
f. Would the proposed project be subject to prevention of significant deterioration air quality review?
l8J Not applicable o No (explain) DYes (describe)
g. What types of air emissions, including fugitive emissions, would be anticipated from the proposed project?
None
h. Would any types of emission control or particulate collection devices be used?
[8] No o Yes (describe, including collection efficiencies)
i. Ifno control devices are used, how would emissions be vented? N/A
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Page 6
Hydrologic Conditions/Water Quality 10 E
7.
a. What is the closest body of water to the proposed project area and what is its distance from the project site?
The closest body of water is a man-made pond of approximately 3.95acres and it is ]39 ft from the property.
b. What sources would supply potable and process water for the proposed project?
Sources of all potable water are provided by Collier County, Florida Utilities Division.
c. QuantifY the daily or annual amount of wastewater that would be generated by the proposed project.
Wastewater is estimated at 2300 gallons per day.
d. Identify the local treatment facility that would receive wastewater from the proposed project.
D No discharges to local treatment facility
Collier County North Regional Water Reclamation Facility.
e. Describe how wastewater would be collected and treated.
Wastewater would be collected in a gravity collection system which is pumped to the Collier County North Regional
Reclamation Facility where it is aerobically treated.
f. Would any run-off or leachates be produced from storage piles or waste disposal sites?
r8J No 0 Yes (describe source)
g. Would project require issuance of new or modified water permits to perform project work or site development?
0 No [8] Yes (describe) A South Florida Water Management District permit modification was required
and has been obtained. A Florida Department of Environmental Protection water main extension permit was required and
obtained.
h. Where would wastewater effluents from the proposed project be discharged?
o No wastewater produced
No wastewater effluent is permitted to be discharged in Florida. ] 00: of all effluent is reused by Collier County.
\. Would the proposed project be permitted to discharge effluents into an existing body of water?
l8J No 0 Yes (describe water use and effluent impact)
j. Would a new or modified National Pollutant Discharge Elimination System (NPDES) permit be required?
[8] No 0 Yes (describe)
k. Would the proposed project adversely affect the quality or movement of groundwater?
l8J No 0 Yes (describe)
8. Solid and Hazardous Wastes
a. Describe and estimate major nonhazardous solid wastes that would be generated from the project. Solid wastes are
defined as any solid, liquid, semi-solid, or contained gaseous material that is discarded or has served its intended
purpose, or is a manufacturing or mining by-product (40 CFR 260, Appendix I). Discarded solid waste could
generally be described (for the Museum) as that similar to typical office environments.
b. Would project require issuance of new or modified solid waste and/or hazardous waste related permits to perform
project work activities?
l8J No 0 Yes (explain)
c. How and where would solid waste disposal be accomplished?
o On-site (identifY and describe location)
l8J Off-site (identifY location and describe facility and treatment) Collier County landfill located near the intersection
ofCR 951 and I 75.
'1.:_ ... .,......,.
10 Page 7
d. How would wastes for disposal be transported? t
Wastes for disposal would be transported by a licensed hauler, Waste Management, who currently holds the County's
annual contract.
e. Describe and estimate the quantity of hazardous wastes (40 CFR 261.3 I) that would be generated, used, or stored
under this project.
[8] None
f. How would hazardous or toxic waste be collected and stored?
I2J None used or produced
g. If hazardous wastes would require off-site disposal, have arrangements been made with a certified TSD (Treatment,
Storage, and Disposal) facility?
l8J Not required 0 Arrangements not yet made 0 Arrangements made with a certified TSD facility
(identifY):
C. DESCRIBE ANY ISSUES THAT WOULD GENERATE PUBLIC CONTROVERSY REGARDING THE
PROPOSED PROJECT.
l8J None
IV. CERTIFICA TION BY PROPOSER
I hereby certifY that the informatio provided herein is current, accurate, and complete as of the date shown immediately
below.
SIGNA TURE: DATE: June /~ / 2009
month day year
TYPED NAME:
TITLE: Executive Director
ORGANIZA TION: Children's Museum of Naples
V. REVIEW AND APPROVAL BY DOE
I hereby certifY that I have reviewed the information provided in this questionnaire, have determined that all questions have been
appropriately answered, and judge the responses to be consistent with the efforts proposed.
PROJECT MANAGER:
SIGNATURE: DATE: / /
- - -
month day year
TYPED NAME:
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