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• 1\1
<br /> •
<br /> ref •
<br /> 4, Date checklist prepared:4 v g 0/
<br /> 5. Agency requesting checklist: -A k"7
<br /> 6. Proposed timing or schedule(including phasing, if applicable) ,4/c%' '47 �..� e"(2 •
<br /> ,t7L4 TO .ST"<3/�'r .fir m 7 4�. A;,,d Aa." OUILT'" ' '' '�vr AAT/-
<br /> 7. Do you have any plans for future additions,expansion, or further activity related to or TD
<br /> connected with this proposal? If yes, explain. 'ALAI-, "0 A►) t'�2A 6r,�a!r' PT
<br /> BE C op5 y-A v�Tbi� � e7 lei-2 d 24 A/,. / •,�, ��: r ,l�.AI r a
<br /> � 00.to s'®.5 5 r_.13 y 6 yz:"e
<br /> 8. Cist any environmental Information you know about that has been prepared, or will be
<br /> •
<br /> prepared, directly related to this proposal. ,owl
<br /> 9. Do you know whether applications are pending for governmental approvals of other
<br /> proposals directly affecting the property covered by your proposal? If yes, explain.
<br /> /a
<br /> 10. List any government approvals or permits that will be needed for your proposal, if known. •
<br /> ,!/DNS
<br /> •
<br /> 11. Give brief, complete description of your proposal, including the proposed uses and the size •
<br /> of the project and site. There are several questions later in this checklist that ask you to
<br /> describe certain aspects of your proposal. You do not need to repeat those answers on this
<br /> page. (Lead agencies may modify this form to include additional specific information on project
<br /> description.) / LA w vim rr 1 Sf/OGV5 A'c2 4 re, L, /�61PX
<br /> 12. Location of the proposal. Give sufficient information for a person to understand the precise
<br /> location of your proposed project, including a street address, if any, and section,township, and
<br /> range, if known. If a proposal would occur over a range of area, provide the range or
<br /> boundaries of the site(s), Provide a legal description, site plan, vicinity map, and topographic
<br /> map, if reasonably available, While you should submit any plans required by the agency, you
<br /> are not required to duplicate maps or detailed plans submitted with any permit applications
<br /> related to this checklist.
<br /> i;7�.O m r4Qri^) ;;'P•t . u C.. (.AP-/' C- '` � i.. .
<br /> B. Environmental Elements rHELPT
<br /> 1. Earth fhelpl
<br /> a. General description of the site:
<br /> (circle one): Flat, rolling, hilly, steep slopes, mountainous, other ,5/0,4,1, ;lc,01'4
<br /> ' .,t7 P Pr `
<br /> b. What is the steepest slope on the site(approximate percent slope)?
<br /> //' .3-"o ve-pf
<br /> c. What general types of soils are found on the site(for example,clay, sand, gravel, peat,
<br /> muck)? If you know the classification of agricultural soils,specify them and note any
<br /> agricultural land of long-term commercial significance and whether the proposal results in
<br /> removing any of these soils. 450 Jf7E., , ram,., .I }eri a #Nl i?,,q
<br /> SEPA Environmental checklist(WAG 197.11-960) July 2016 Page 2 of 12
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