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    Finally, the ACC would improve the quality of medical education by expand- ing educational programs in primary care and ambulatory referral care.In September 1974, the MGH submitted an application to the Department of Public Health (DPH) for a Certificate of Need which, when granted, would enable the MGH to build the Ambulatory Care Center.

    (If yes, indicate whether surface, ground water, offshore) There are no known water reserves on the site. (X) It has been determined that the project may cause significant enviroiimental damage. The proposed center would contain approximately 350,000 square feet of space throughout 14 floors, including 12 floors above and 2 floors below ground levels.Garages VI-21 VI-8 Projected 1980 Conditions on External Streets VI-24 VI-9 Peak Hour Levels of Service, 1980 VI-24 VI-10 Automobile Increase Under 1980 Build VI-25 and No Build Assumptions VI-11 Additional Traffic Burden VI-25 VI-12 Tabulation of Additional Space Needs, 1980 with ACC VI-27 VI-13 Daily Parking Requirements, 19 VI-27 VI-14 MGH Building Foundations and Bearing Materials VI-41 VI-15 1980 MGH Utility Demand Without the ACC VI-52 VI-16 1980 MGH Utility Demands with the ACC VI-52 VI-17 Projected Utility Loads for the ACC VI-53 VI-18 Comparison of 1980 MGH Utility Demands VI-53 VI-19 Inventory of Utility Lines on ACC Site VI-53 VI-20 Mesoscale Analysis: Estimates of Transportation- VI-64 generated Pollutants within the MGH Complex VI-21 Background Conditions for Sulfur Dioxide and Suspended Particulates, 1974 VI-65 VI-22 Impact of Ambulatory Care Center on Air Pollution VI-66 Generation within the MGH Complex VI-2 3 Carbon Monoxide Levels Resulting from Total Traffic VI-67 Flow Adjacent to Sensitive Receptors (PPM) : Typical and Worst Case Meteorological Conditions VI-24 Total Carbon Monoxide Levels at the Proposed VI-68 Ambulatory Care Center Due to Grove and Cambridge Street Traffic (Wind Parallel to the Ambulatory Care Center) LIST OF TABLES (CONTINUED) Page VI-2 5 Noise Level and Relative Loudness of Typical VI-70 Noise VI-26 Estimated Construction Noise and Duration of Construction Phase VI-71 VI-27 Construction Noise Level Impact VI-75 VI-28 Components of MGH Solid Waste, 1970 VI-83 VI-29 Relocation of Activities Now in Moseley and VI-118 Walcott Buildings Appendix B-1 Measured Ambient Noise Levels B-2 Usage Factors of Equipment in Nonresidential Construction B-3 Immediate Abatement Potential of Construction Equipment LIST OF FIGURES Page III-l Certificate of Need Alternative III-2 III-2 Clinics Visits to the MGH III-8 III-3 MGH Ambulatory Care Center III-ll IV-1 Site Constraints and Critical Factors IV-3 IV-2 No Build Alternative IV-4 V-1 Map of Immediate Project Area V-2 V-2 Present Ambient Noise Levels • V-16 VI-1 Existing Land Use Patterns VI-5 VI-2 Area Development Plans VI-8 VI-3 Traffic Impact Area VI-14a VI-4 Map Showing Original Shoreline VI-36 VI-5 Photograph of Original Shoreline VI-37 VI-6 Site Constraints & Critical Factors VI-38 VI-7 Boring Location Plan VI-39 VI-8 Generalized Soil Profile VI-40 VI-9 Contour Plan VI-42 VI-10 Utility Map VI-48 VI-11 Boston Marginal Conduit VI-55 VI-12 Boston Marginal Conduit Outlet to Boston Harbor VI-56 VI-13 Boston Marginal Conduit Outlet to Fruit Street VI-57 VI-14 Construction Noise Levels VI-76 VI-15A Effect of ACC on Bulfinch Courtyard VI-89 VI-15B Effect of ACC on MGH Entrance VI-90 VI-16 Area of View Shaded by ACC VI-94 VI-17 Summer Solstice VI-96 VI-18 Winter Solstice VI-97 VI-19 Yearly Surface Wind Rose VI-105 VI-20 Certificate of Need Alternative VI-107 VI-21 Wind Effects VI-108 VII-1 Scheme A VII-13 VII-2 Scheme Bl VII-14 VII-3 Scheme B2 VII-15 VII-4 Scheme CI VII-16 VII-5 Scheme C2 VII-17 VII-6 Pedestrian Circulation VII-37 VII-7 Bicycle Storage Facility Locations VII-44 VII-8 Oxygen Tank Relocation VII-46 ENVIRONMENTAL ASSESSMENT FORM Introduction In accordance with the Executive Office of Environmental Affairs (EOEA) guidelines for preparing impact statements.Chapter I consists of the environmental assessment form completed by the Massachusetts Department of Health, Certifi- cate of Need Program, and submitted to EOEA on Noven±ier 15, 1974. APPENDIX A ENVIRONMENTAL ASSESSMENT FORM This form is provided to assist you in determining whether a proposed project could cause significant environmental damage and thus require an environmental impact report. June 30, 1975 NOTICE OF COMMENTS Comments on this draft environmental impact report are encouraged.All comments should be submitted within 30 days of the publication of this report, or by May 12, 1975.

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