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ENVIRONMENTAL CHECKLIST <br /> Purpose of Checklist: <br /> The State Environmental Policy Act(SEPA), chapter 43.21C RCW,requires all governmental agencies to <br /> consider the environmental impacts of a proposal before making decisions. An environmental impact <br /> statement(EIS) must be prepared for all proposals with probable significant adverse impacts on the quality of <br /> the environment. The purpose of this checklist is to provide information to help you and the agency identify <br /> impacts from your proposal (and to reduce or avoid impacts from the proposal, if it can be done)and to help <br /> the agency decide whether an EIS is required. <br /> Instructions for Applicants: <br /> This environmental checklist asks you to describe some basic information about your proposal. <br /> Governmental agencies use this checklist to determine whether the environmental impacts of your proposal <br /> are significant, requiring preparation of an EIS. Answer the questions briefly,with the most precise <br /> • information known,or give the best description you can. <br /> You must answer each question accurately and carefully,to the best of your knowledge. In most cases,you <br /> should be able to answer the questions from your own observations or project plans without the need to hire <br /> experts. If you really do not know the answer,or if a question does not apply to your proposal,write"do not <br /> know"or"does not apply". Complete answers to the questions now may avoid unnecessary delays later. <br /> Some questions ask about governmental regulations,such as zoning, shoreline,and landmark designations. <br /> Answer these questions if you can. If you have problems,the governmental agencies can assist you. <br /> The checklist questions apply to all parts of your proposal,even if you plan to do them over a period of time <br /> or on different parcels'of land. Attach any additional information that will help describe your proposal or its <br /> environmental effects. The agency to which you submit this checklist may ask you to explain your answers or <br /> provide additional information reasonably related to determining if there may be significant adverse impact. it <br /> Use of checklist for nonproject proposals: <br /> Complete this checklist for nonproject proposals, even though questions may be answered "does not apply". <br /> In additional, complete the Supplemental Sheet for Nonproject actions(part D). <br /> For nonproject actions,the references in the checklist to the words"project", "applicant", and"property or <br /> site"should be read as"proposal", "proposer",and "affected geographic area",respectively. <br /> A. BACKGROUND <br /> 1. Name of proposed project, if applicable: Hayes St. Regulator and CSO Control Project <br /> 2. Name of applicant: Everett Public Works Attn: Paul B.Crane <br /> 2930 Wetmore Avenue,Suite 8-A Everett,WA 93201. 0 425.257.873t 0 F 425.257.8742 ®www.everettwa.org 0 Updated 2009 <br /> rla- <br />