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EHP_WinthropDPW + Photos_REDACTED

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DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
ENVIRONMENTAL AND HISTORIC PRESERVATION SCREENING FORM OMS Cont tbr 1660.0115
Paperwork Burden Disclosure Notice
Public reporting burden for this data colecton is estimated to average 8 hours per response. The burden estimate incudes the time for
reviewing instructions, searching xising data sources, gaihering and maintaining ihe data needed. and completing and submiting tis fom.
“Ths collection of information is required o obtain o retain benefts. You are no required to respond to tis colecton of infomation unless a
valid OM control number is isplayed on tis fon. Send comments regarding the accuracy of the burden estimate and any suggestions or
redicing the burden to: Information Collections Management, Deparment of Homeland Secuiy. Federal Emergency Management Agency.
500.C Steet, Washington, DC. 20472, Paperwork Reduction Project (1650-0115).
PRIVACY NOTICE

The calction o his information is authorized by the National Environmental Policy Act of 1969. as amended. Pub. L No. 91-190, § 102, 42
S.C. §5 4321-4347: and National Historic Preservation Act of 1365, as amended. Pub. L. No. 83.665, § 102, 16 U.S.C. § 470.
“This information is being collected fo the primary purpose of determining elgbilty and adminsraton of FEMA Preparedness Grant Programs
and to ensure compliance with exstng laws an regulations regarding he environment and historic preservation.
The disclosure of information on this form Is required by law and falure o provide the Information requested may delay or prevent the
organization from receiving grant funding.
Directions for completing this form: This fo s designed to nfiate and faciate the enironmenta and historic preservation (EHP)
complance review for your FEMA proparecness granfunded project(s). FEMA conducts 1s EHP compliance reviews In accordance vin
National Environmental Polcy Act (NEPA) and other EHP.related laws and executive orders. In oder fo ina EHP review of your project,
You must complete ll relevant sections of this fom and submit t f the Grant Programs Directorate (GP) along with all offer pertinent
project information. Falure fo provide requisite Inormaion coud resul in delays in the release of grant funds. Be advised that completion
of this form dos not complete the EHP review process. You wil be nolfed by FEMA when your review fs complete andlor f FEMA
needs additonal infomation.
his form should be completed electrical. The document is avalble in both Word and Adobe Acrobat (pa) formats a tis website:
(bios fema.goulibraryiew Record doPtromSearch=tiomsearchSid=4802. The folowing website has addtional guidance and
Instructions on the EHP review process and the information require for the EHP review: hip: (am Govlenyionmenta panning-and-
historic presevation-complisnce
‘Submit completed form through your grant administrator wh will forward t to GEDEHInfoQfera dhs gov. Please use the subject ne: EHP.
‘Submission: Project Tite locaton, Grant Award Number (Example, EHP Submission: Courthouse Camera Installation, Any Town, Stat,
12345; 2011.55-05000)
Ee FF207-FY-21-100 (formerly 0240-1) TAR


SECTION A. PROJECT INFORMATION
OHS Grant Averd Number EMY2023-55-00082
Grant Program rscPuAS!
Grniee: Executive Ofce of Pubic arty & Secury
Grantee POC: Pati McGurk
ling Ades: 35 Sraires Hi Ofte Par. Sute 502 Brae B
fa. Pati cuit @mass gov
SubGrnis: Metro Boston Homeland Securty Region
Sub-Granies POC Alen yen
ling Ades: 35 Sragdon 5. Boston, HA C2118
fa. atenryan@tostongor
Estimated cost of prefect 575.0000
Project tt: Witrep OPW - CCTV nstataion
rfc aca ghia acess ttc onghuce): 100 emmedy Or Winthrop, MA C2152
Project Description. Provide a complet prjectdescrpon. The project dscptan shoud conan summary of hat speci acton fs
Trmaatar shore 8 is prposad mh oe Ineo nC 8 ret escrpvo f a civ re roc desires ts
etm (he pips. and he reas he prec esd. Use atonal pages 1 ecessny. i mie she ar eh. prove
ne summary for sac she
he Touma Wiitrop Department of Pubic its sks rte comers EE
|< 35) 515 20 Slt Tre GD:
1 comers i bo sated sons nl fn sdtonal cameras vibe
pose
8 instaing hese cameras, Winbvop i stengtharing the physical secuty of tek DPW facile fom polenta rats and enhancing
Sovtance soy of se rt,
FEMA FORM FF-207-FY-21-100 (formerly 0240-1) Pageat 12
(oszn)


SECTION B. PROJECT TYPE

Based on the proposed project actites, determine wich project ype apples below and complete the caresponding sections that olow.

For muttcompenent projects or hose that may ft ito multiple prject types, complete the sectons tat best apply and fly descrie al

major components in the project description. the project Invoves ltl ses, informaten fo each sie (such as age of stucture,

location, ground disturbance, ofc. mst be provided. Atach addtional pages f hs submission, needed.

1. [Purchase of equipment. Projects In this category nove the purchase of equipment tha wil require Installaton an or in a
building or structure. Complete ther portions of Section 8 2 needed. Complete Section C..

2. [Training and exercises. Projects inthis category involve traning exercises ith any fle-based components, such as ils or
flhscal exercises. Complete Section C.2.

3. [) Renovationsiupgradesimodifications or physical security enhancements to existing structures. Projcts i ths category
involve renovations. upgrades, retofts, and nstalaion of equipment or systems n of on a bung or stuciure. Examples
include. but are not imied 10: ter bulking renovations; electcal system Upgrades: sprinkler systems; venice exhaust
systems: closed cic tevison (CCTV) cameras: secuty fencing: access contol fo an area. building. of room; bolards:
motion detection systems: alarm systams:secuty door nstalaton or upgrades: Ightg: and audio-visual equpmen (projectors.
‘smart boads. whiteboards, manors. dspays. and projector screns). Compete Section C3.

4. [Generator instalation. Projects in this category nuove Instalaon o new o replacement generators, 10 include the concrete
pads, underground fuel and electic nes, and f necessary. a ue storage tank. Compete Section C4.

5. [] New constructon/adtion. Projects in this category involve nev constuction, addition 0. of expansion of a fact. These
projects involve construction of a new bulding, o expansion ofthe footprint oof ofa curent structure. Compete Section
cs.

6. [] Communication towers, antennas, and related equipment. Projects in this category involve construction of new or
replacement communications overs, or installation of communiations-lated equipment on a fover or buldng of in a
‘communications shelter o bung. Compete Section C.6

7. [J Other. Projects that do ot itn any of th categorie sted above. Complete Section C7

a) pry


SECTION C. PROJECT TYPE DETAILS
(Check he box ha applies othe propose project and compet th coresponding deta.
1. [| Purchase of equipment. If th entre project i imfed to purchase of moblleortae equipment and there is no instalation
needed, tis form does not need 0 bo completed and submited.
a. Speci the equpment and the quant of each: I sunetince Cameras
b. Provide the Authorized Equipment List (AEL) number(s) (known): oamporveAM
<. Complete Section.
2. [] Training and exercises. fhe traning is cassroom and discussion-based ony, and is not febased, tis orm does not need
10 be completed and submited.
a. Describe he scope of the proposed raining or exercise (purpose, materials, and
pe of acts required):
©. Provide he locaton of the raining (physical address or attuce-ongiude):
. Would he taining or exercise take lace at an existing facily whic has esablished
procedures for hat particular proposed taining o exercise, and tha conforms with existing
{and use designations? Ove One
+ yes, provid the name of he facity an th facity pit of contact
(name. telephone number and e-mal address).
+ 10, provide a narrate description of the area hers the raining
or exercise woud occu (e.g. exercise area wii four pois
defied by atudsfonghud coordinates):
+ Does th fed-vased raining/exercise ie rom previously
ported raining or exercises n any ay. Incuding, but nt Iited
o frequency. ameunt of aciftesfand used. maria o equipment
used, number of partcpants, or type of actives?
© yes, expan any ferences between the proposed acy and
those that vere approved nthe past, an th reason(s) or he
change in scope: _—
+ Ho provid reference to previous exercise (e.. FEMA grant
name, number, and dat): EE —
. Would any equipment or sructures need tobe nstaled o faciate
raining?
+ yes, complete Section D
3. [x Renovationsiupgradesimodifcatins, o physical securty
enhancements to existing structures. I so, Complete Section .
EERE ToT 200 formar 2) py


4. [Generator instalation.
2. Provide capacly of the generator (WW): —
©. Idanty th fuel 0 ba used forthe generator (iesalpropanenatural as):
. dont where the ful for the generator wou be store (ag. stand-alone
tank. above or below ground, or Incorporated generator):
a. Complete Secton.
5. [J New constructioniadditon.
a. Provide detaed project description (ste acreage. new fact square
footagelnumber of stories, utes, parking, stormater features, tc):
b. Provide technical drawings or sits plans of the proposed project: 0 Attached
e. Complete Section.
6. [Communication towers, antennas, an related equipment.
a. Provide the curent net height (n feet above ground lve of the isting
{ower or buldng (vith current atached equipment):
b. Provide he height (n feet above ground evel of the existing tower or
oulding after adding replacing equipment:
‘Complete items 6c through 6.q below ONLY if this project involves construction of a new of replacement
‘communications tower. Otherwise continue to Section D.
©. Provide th ground-evel sevaton (eet above mean sea level of he se
ofthe proposed communications over:
. Provide th ota eight (fest above ground fev!) of te proposed
communications tower or sructur, including any antennas fo be mounted:
+ greater than 195 feet above round eve, state why tis is needed
fo mest th requirements ofthe project:
‘e. Would the tower be free-standing of require guy vires? J Free standing 00 cuy wires
+ Muy wires are required, tate number of bands and he number of
vires per ban:
+ Explain why a guyed tower i needed to meet the requirements of
his project:
1. Winat ind of Ightng would be nstale. f any (0.5. white sre. ed
stove, or steady burning)?
5. Provide a general description of feain (0.3. mountainous, ling his,
fatto undulating):
1h. Describ the frequency and seasonalty o ogo coud cover:
FEA FORM FF-207-FY-21-100 (formerly 0260-1) pry
wos21)


\ Provide a stof hat types an and use at and acjacent to th usr

io (itn 5 mie) by acreage and percentage of al (.. voodand

Confer foes, grassland, agriculture) vate body, marsh:
1.1 thao videnc of rd oss or rocker present vith mie of th proposed ste? Ove Owe
- Doscre ow presence absence of bird roosts or rokeres ws

Gatomined:
K. dent th tance to nearest vetan are (o.3. forested swamp.

mars. arn, marine) and coastin pica
\ Distance to nearest existing tolecommunicaton aver:
m. Have measures been incorporated for minimizing pacts to migratory ics? Ove Owe
«tyes Describe: EE
n. Has Federal Commricatons Commission (FCC) regstaton been obtained for his tower? [Yes [1 No
yes, provide Registration :
+ tno? —_—
o. Has the FCCE106 process ben completed? Ove Owe
5. Has the FCC Tower Consiructon Notation System (TONS) process bes competed? Ove Owe
tyes Deseo: EE
4. Would any related equipment structures nod tobe instal (og. backup

Sonoran and fuel soutce. communications snter. fenong.o Secu meses)? Ove Oro
yes, explain hore and hv aach instalation vould be done.

Provide details about generator capacity (kW), fuel source, fuel

locaton and tank von. amount of fencing. ana 528 of

Communicaton eter J —
". Completa Secon.

7. Others Complete ts secton th proposed project does ot tary of th categories above.
a. Provide a compet project description
5 Compete Secon 0.
FEA FORM FF-207-FY-21-100 (formerly 024-1) yy,
(0821)


SECTION D. PROJECT DETAILS
‘Compiet al ofthe information requested below.
1. Project Installation
a. Explain how and where renovations upgrades modifications would take lace, o where squlpmentsystems wil be
nstaled:
Beg epientf Ftc Wor oct
b. Would ground distubance be required to completa the project or raining? Ove Eno
= I Yes, provide total extent (depth. length, and with) of each ground-distrbing activi. Incude both digging and trenching.
For example. ight oles and fencing have unique ground-isturbing aches (e.g. six ight poles, 24" dia. x 4 deep:
trenching 12x 500 x 18° deep: 22 fence posts, 12° diameter x 3 deep. and 2 gas posts, 18" dameler x 3 deep)
+ yes. describ the current disturbed condition of the area (e...
parking lt. road fightotay. commercial development):
. Would the equipment use the existing Infrastructure fo lectical distribution systems? Rves [no
+ Ho, describe power sourcs and datl fs installation a the st:
2. [0 Age of sructuraibulding at project ite
a. Provide the year existing uiing(s)o sructure(s) onvnearest fo te location
Involved i the proposed project was butt 1997
+ ihe buiding o structure involved is over 45 years od and
signficant renovate, rehabiltaton. or modficaion has occured,
provide he year(s) modfied and bray describe he nature of
ha modeaton(s: —
b. Ave there any structures or bukings that are 50 years ol or cider nor adacent fo the project
area? Ol ves No
+ yes. provide the focaton of the structures). ground-evel color
photographs of the srucure(s). and ident her locations) on an
seria map:
. Is the project te ste in the National Register of Historic Places.
(National Register). or near a designate local of Natonal Register
Historic Disvct? The Infonet address forte Natenal Register
is: hitp:inchp.10cuS.09S.GOV/ Oves ®no
+ yes. denty the name of the historic property. st andlor district
‘ond the National Register document number:
fe FF207-FY-21-100 (formerly 0240-1) aR


3. [Site photographs, maps and drawings
a. Atiach se photograph Ste photographs are required for all projects.
Use th folowing as a checkit for photographs of your project Atach
photographs fo hs documento a accompanying documents in your
Somision.
+ Labeled, color, groundevel photographs of he project ste: 5 Reauired
+ Labeled. color photograph ofeach locaton where equipment vould be
atached to a buiding or structure: 5] Required
+ Labeled. color aerial photographs of the project ste: 5 Reauired
+ Labeled, coor aerial photographs that show the extent of ground
disturbance (f applicable): 0 Attached
+ Labeled color ground! coor photographs of the structure rom
‘sch exterior side of the buiding structure (appicable onl If uiing!
Suuctur is more han 45 years 0). [0 Atachea
b. Are there techrical ravings or se plans avaiable? Oves Bro
+ tyes. atch [0] Atached
‘Appendix A has guidance on preparing photographs for EHP review
4. [1 Environmental documentation
a. 15 thre any previously competed environmental documentation for
1s project at ns proposed project ste (e.3., Environmental
Assessment or vatland Geineation, of cullralichosciogical study)? Oves Ore
+ yes, tach documentation wih tis fom: [0] Atached
b. 1s there any previously completed agency coordination for tis prject
(6.3. conespondence vine U.S. Fish and Wife Service. Sate
Hise Preservation Office, Tribal Mitre resenvaten Office)? Oves Dre
+ yes. atach documentation wit ths form: [0] Attached
©. Was a NEPA document prepared for this project? Oves Dre
+ yes, what was the decision? (Chack one, and please atach):
[0] Finding of No Significant impact (FONSI) from an Environmental Assessment (EA) or
[7] Record of Decision (ROD) from an Environmental Impact Statement (E15).
Name of preparing agency:
Date Atached
FENA FORM FF-207-FY-21-100 (formerly 0240-1) pry
wos21)


Appendix A. Guidance for Supporting Photographs for EHP Grant Submissions.
Photographs ae a vial companent of the EHP review process and add an additonal level of understanding about the nature and scope of the
project. They aso provide pre-project documentation of sie condiions. Piease folow the guidance provided below when preparing
Photographs for your EHP submission. The folowing pages provide examples of best practices used n arier EHP submissions.
Minimum requirements for photographs
1. Photographs should be n clr.
2] Label all pholographs with th name of faciy. locaton (cy/county. tae) and
physical locaton (physical adress of latude-ongtude).
3. Label he photographs to clearly usrate relevant features f the project, such as
location of ntaled features (0.5. cameras fences, sirens, anlennas, generalors)
‘and ground disturbance. See examples below.
4. denty ground disturbance. Adding graphics toa digtal photograph fs a means to
iustale th size. scope and location of ground disturbing actiies.
Best Practices
1. Provide photographs n a separate fie.
2. Place no more than 2 cures per page
3. Compressing pictures fle (such as with Microsoft Picture Manage) or saving th fle in PDF format il reduce he size ofthe fl and
faciate &-mai submissions.
4. dently the halograph le ith the project name so hat t can be matched f he corresponding FEMA EHP screening fom.
5. Maximum fle sie fo enclosures shou not exceed 12 MB. 1 th fota sizeof fes for an EHP submission exceeds 12 ME. send the
submission in multiple emai.
6. necessary. send additonal photographs or data in supplemental emai. Piease use the same e-mail subject ne ith th additonal
label 11x. 201%... x01.
‘Options for Creating Photographs.
1. bain an aril photo. There are multe onine sources for aril photographs.
2. For th aerial photo, use the screen capture feature (Ct + Pit Screen keys) and copy the mage fo photo editing sofware, such as
Paint, or PhotoShop. Use hat softvare 0 crop the image so the photo ha the content necessary
3. Open PowerPoint. or the grapics-crented sofvare, and paste ihe aerial or ground-evel photograph on the canias.
4. Use drawing tools, uch s ine crauing and shapes, {indica th location of projec features (for example: fencing. lighting, sens.
antennas. cameras. generators).
5. Insert texi to label the features and o label th photograph.
6. Use drawing tools to ent gound-isuring actives (1 applicable).
7. Save he il with the project name or grant number so tha t can be appropriately matched tothe coresponding FEMA EHP screening
form. Include tis ie wih the EHP screening when submiing the projec
or Tormerly 0240-1) rye


Town of Winthrop Department 
of Public Works Camera 
Surveillance EHP Photos
 Sites throughout Winthrop DPW Offices

DPW Office Aerial – 100 Kennedy Dr, 
Winthrop, MA 02152

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Park 
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