MUTC Facilities Request Updated 27 FEB 08

Document Sample
MUTC Facilities Request Updated 27 FEB 08 Powered By Docstoc
					                                                  Muscatatuck Urban Training Center Facilities Request

Instructions                                                                                 Date Request Prepared
 Complete Administrative Data below and all sections that apply to your                       Sections Attached: (check any included)
  training requirements.
 Check the appropriate Sections Attached box so we know which sections                                 1: Buildings
  you intend to attach.                                                                                 2: Training Areas
 Return completed request 90 days before training event                                                3: Other (You Attach)
 Incomplete requests may be delayed or returned.
 Send Completed requests to:
        Muscatatuck Urban Training Center                                  For Questions Call CML-812-458-8780 or Fax CML-812-458-8796
        ATTN: Operations                                                   Advance Party Arrives
        P.O. Box 77                                                        Main Body Arrives
        Butlerville, IN 47223
Or E-mail to: mutcscheduling@in.ngb.army.mil

Primary Requested Training                          Start Date:             Facilities:
Dates and Facilities                                End Date:
Alternate Requested Training                        Start Date:             Facilities:
Dates and Facilities                                End Date:

Unit/Organization:
                                                                                                   Component: (check all that apply)
Address:
                                                                                                        ARNG                       ANG
City:                                    State:                               Zip:
                                                                                                        USA                        USAR
UIC:
                                                                                                        USAF                       USAFR
Point of Contact (For this Request):
                                                                                                        USN                        USNR
Name/Rank/Position:
                                                                                                        USMC                       USMCR
Phone: CML:                                                       DSN:
                                                                                                        ROTC                       Civilian
FAX CML:                                                          DSN:
                                                                                                        DOD-Civilian
EMAIL:
                                                                                                        Other Federal Agency:
Funding Point of Contact (Required)
                                                                                                        Other:
Name/Telephone #

Names of attached Units attending Training (add personnel numbers in total Estimated # of Personnel to Train Below):



Parking Requirements:                                                          Estimated Number of Personnel to Train
POV
                                                                                                            Male                       Female
Medium Military Vehicles
                                                                                     Officer
Large Military Vehicles (Bus,
fuel tanker, tractor/trailer/engineer)
                                                                                   Warrant

                                                                                   Enlisted
Military Tracked
                                                                                     Cadet
Aircraft #/Type
                                                                                   Civilian
Other:
                                                                                     Total:




     MUTC Form 1-1                                                             1                                                       27 Feb 2008
Logistical Requirements                                                  Radio Frequency Requirements

Specific Logistical Requests:                                            Additional Notes (Include all frequencies used in training):


Training Vehicles: (# and location)


Cold Storage Facilities (units):                                         ISP:(# and Location) (HQ Bldgs Only/NGB):

Chemical Latrines (# and location:

Other:




ENVIRONMENTAL CONSIDERATIONS
 1. Air
 a. Will the proposed action release objectionable odors, smoke,                                                            YES         NO
 dust, suspended particles, or noxious gases into the air?
 2. Traffic
 a.Will the proposed action result in generation of or increase in aircraft activity/traffic?                              YES          NO
 b. Will the proposed action result in the generation of or increase in vehiclular traffic?                                YES          NO
 c. Will the proposed action use and/or construct unimproved roads?                                                        YES          NO
 3. Noise
 a. Will the proposed action result in an increase in noise levels?                                                        YES          NO
 b. Will the proposed involve aircraft?                                                                                    YES          NO
 c. Will the proposed action involve night (10 pm to 7 am) operations?                                                     YES          NO
 4. Hazardous Waste
 a. Will the proposed action generate hazardous waste/materials?                                                           YES          NO
 5. Water
 a. Will the proposed action change currents, course, or direction of water          During proposed action                YES          NO
 movements or fresh waters?
                                                                                   During normal operations                 YES         NO
                                                                                   after proposed action is
                                                                                   completed
 b. Will the proposed action discharge sediments, liquids or solid wastes into surface waters, or alter the                YES          NO
 surface water quality the air?
 Environmental Approval
    After reviewing the screening criteria and completing the ARNG Environmental Checklist, this project qualifies for a Categorical
 Exclusion Code: See 32CFR 51 App. B                        Enter of the codes below: B-1 through D-5
                                                            Enter one of the following: E-1 through H-6
                                                            Enter one of the following: I-1 through J-4
   This project is exempt from NEPA requirements under the provisions of:
   Cite superseding law:




                         Signature of Requestor                                       MUTC Environmental Compliance Manager



                       Typed Name of Requestor                                         Typed Name of Env. Compliance Manager



                                Date Signed                                                           Date Signed



    MUTC Form 1-1                                                        2                                                    27 Feb 2008
Summary of Training (Be Specific; Mission, Personnel, Bldgs, Task and Purpose, etc.)(Include DODIC or equivalent for all
ammunition or pyrotechnics) (Explain any YES answers in Environmental Considerations section)




1. Approval for this request is Muscatatuck Urban Training Center Site Manager. Point of Contact for this action is Grizzly Operations at
812-458-8780 x 1217/1219/1225/1245/1248.

                            APPROVE                                              DISAPPROVE




                                                              NICHOLAS C. ROUKAS
                                                              1LT, INARNG
                                                              Operations and Training Officer




                                                              CHRIS R. KELSEY
                                                              LTC, INARNG
                                                              Site Manager




    MUTC Form 1-1                                                    3                                                   27 Feb 2008
                                               ANNEX A                    Date Prepared_14-Sep-12_
                              MUTC Facilities Request- Buildings and Training Areas
   Building #    Start Date      End Date   Ammo/Pyro         Training Area       Start Date   End Date    Ammo/Pyro
          1                                  DODIC                   A-1                                    DODIC
          2                                                          A-2
          4                                                          A-3
          5                                                          A-4
          6                                                          A-5
          7                                                          A-6
          8                                                          A-7
          9                                                          A-8
         10                                                          B-1
         11                                                          B-2
         12                                                          B-3
         14                                                          B-4
         15                                                          B-5
         16                                                          B-6
         17                                                          B-7
         19                                                          C-1
         20                                                          C-4
         21                                                          C-3
         22                                                          C-4
         23                                                          D-1
         24                                                          D-2
         25                                                          D-3
         26                                                       TA ECHO
         27                                                     TA FOXTROT
         30                                                       TA GOLF
         33                                                      TA HOTEL
         34                                                       TA INDIA
         35                                                      TA JULIET
         36                                                        TA KILO
         39                                                       TA LIMA
         41                                                       TA MIKE
         43                                                    TA NOVEMBER
         45                                                       TA PAPA
         54                                                      TA ROMEO
         55                                                  BRUSH CRK EAST
         56                                                  BRUSH CRK WEST
         57                                                  PLSNT RUN VILL
         58                                                     TA HOLLAND
         59                                                     CACTF EAST
         60                                                     CACTF WEST
         64                                                    East-West Tunnel
         66                                                           W
                                                             North-South Tunnel
         67                                                      *Rubble Pile
         68
         70
         71
         75
         76
         77
         78
         79
         80
         81
         82
         83
         84
         85
         86
         87
         104
         106
         108
         109
         300
* Coordination with R.I.G. must be made in order to reserve the Rubble Piles.


   MUTC Form 1-1                                         4                                                27 Feb 2008

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:5
posted:9/14/2012
language:Latin
pages:4