Dd Form 2995 - Environmental Site Closure Survey
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6Classification:
ENVIRONMENTAL SITE CLOSURE SURVEY
For use of this form, see ATP 3-34.5/MCRP 4-11B; the proponent agency is TRADOC.
SURVEY TYPE DEFINITIONS
Any survey conducted by the closing base camp or unit's environmental officer and/or the theater support group or
major subordinate command environmental staff to determine actions needed for transfer or closures. This survey needs
Initial Survey (I)
to be completed sufficiently in advance of transfer or closure to allow the identified environmental follow-up items to be
completed prior to the actual closure or transfer of the base.
A survey conducted by the theater support group or major subordinate command environmental staff to identify all
environmental closure actions that must be completed prior to the base camp or unit being granted final clearance. A
Preliminary Survey (P)
preliminary survey is normally scheduled 30 days prior to site closure or transfer.
Final clearance survey conducted by theater support group or major subordinate command environmental staff as part of
Final Survey (F)
the overall site clearance process.
REFERENCES
FM 21- 10, Field Hygiene and Sanitation.
Overseas Environmental Baseline Guidance Document.
Environmental Final Governing Standards (as applicable).
Annex L: Environmental to the governing operation plan (as applicable).
Applicable negotiated standards with transfer entity or receiving host nation.
DISPOSITION
(Fill in the number of years and the number of days in the spaces provided.)
Completed surveys will be maintained at the theater support group or major subordinate command environmental staff for _____ years.
Copies will be forwarded to the theater command environmental section no later than _____ days after site transfer or closure.
1. SITE INFORMATION
Continue
Click this button to add a continuation page if more space is needed for any item.
a. SITE NAME AND DESIGNATION
(Full military grid reference system or latitude and longitude coordinates of site outline or boundary. Not
the center of mass.)
b. SITE LOCATION
c. SITE USE
d. PREVIOUS UNITS ASSIGNED TO THE
BASE
e. MAP SHEET, SERIES, EDITION, AND
SCALE
(Select one.)
f. TYPE OF SURVEY
g. CLEARING BASE CAMP AND UNIT
(Full name, rank, and duty position.)
h. BASE CAMP AND UNIT
ENVIRONMENTAL OFFICER
i. TELEPHONE NUMBER
j. DATE-TIME GROUP OF SURVEY
k. NAME, RANK, AND DUTY POSITION
OF SURVEYORS
l. UNIT AND ORGANIZATION OF
SURVEYORS
m. FINAL ENVIRONMENTAL CLEARANCE
YES
NO
GRANTED
n. DATE-TIME GROUP WHEN FINAL
CLEARANCE WAS GRANTED
o. SIGNATURE OF SURVEYOR
GRANTING FINAL CLEARANCE
Page 1 of 6 Pages
DD FORM 2995, AUG 2015
Classification:
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