Dd Form 2993 - Environmental Baseline Survey (Ebs) Checklist Page 13

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j. ENDANGERED AND THREATENED SPECIES AND HABITATS
(Identify all endangered and threatened species or sensitive habitats that could be in or around the site. This may be done through an internet search. Make note
of any significant habits or species sensitivities that could be directly affected by the mission. During the site reconnaissance make note of and document the
presence of habitation and species sightings. Document the presence of endangered species in the area that could be affected by the mission or occupation.
Identify habitat areas using grid coordinates or global positioning system. Note the areas of significance on the site sketch or map overlay. Document the
existence of any environmental controls or restrictions already in place. Make note of manmade damage or disturbance of the area and any signs of previous
occupation by military or civilian entities.)
(1) ASSESS IMPACT LEVEL
Level 1: No impact. There are no endangered and threatened species present or the proposed mission would avoid them if present.
Level 2: Less than significant impact. Resources are present but proposed mission would only have minor effects without the need for mitigating actions.
Level 3: Less than significant impact with mitigation incorporation. Resources are present but with the implementation of mitigating actions effects can be
minimized to an acceptable level.
Level 4: Potentially significant impact. The proposed action would likely cause a substantial adverse impact to an endangered and threatened species or their
habitat.
(a)
(b)
Endangered and Threatened Species (Describe resource.)
Assess Impact Level (Enter level and explain.)
(2) GENERAL NOTES
(Enter general notes regarding endangered species or habitat. List any host nation or local subject matter expert and point of contact information for natural
resource management, from academia, government agencies, local citizens, and so forth.)
k. LOCAL DISEASES AND HEALTH FACTORS
(List diseases prevalent.)
(1) DISEASE THREATS
(Enter known causes and/or vectors such as insects, animals, or organisms that carry the diseases known to be present in the
area of operation.)
(2) CAUSES AND VECTORS
OF DISEASE
(Is surveillance for the vectors of these diseases being conducted? If yes, describe what is being done and what has been found.
Are conditions favorable for vectors or pests? If yes, describe. Are Soldiers being bitten by vectors or pests? If yes, list and
describe what is being done about it. Do Soldiers report seeing other pests? If yes, list. Are disease vectors present? If yes,
complete specifics below if possible. Are conditions favorable for breeding vectors and pests? Is standing water present?
Describe location and condition. Are habitats of disease vectors and carriers present? Specify and explain. Are potential vectors
and pests such as filth flies, rodents, stray dogs or cats, snakes, or scorpions present? Specify and explain. Are seasonality or
weather conditions favorable for breeding pests? Are there locations where wastes have been disposed of incorrectly and which
(3) VECTORS PRESENT
may attract pests? Is the deployment site drainage adequate? Have personnel seen other pests, such as rodents, spiders, or
snakes?)
(Are living and work facilities pest proof? If no, describe. Is waste being handled in environmentally sound manner that protects
human health and does not provide breeding for pests? If no, describe. Are uniforms properly worn? Are individuals practicing
good personal and unit area sanitation? Is education on avoidance of pests and pest habitats provided? Is personal information
distributed to Soldiers, such as tick and rodent cards and staying healthy guides?)
(4) ENVIRONMENTAL
HEALTH ASSESSMENT
DD FORM 2993, AUG 2015
Page 13 of 20 Pages
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