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` <br />� <br /> ��"l ENVIRONhcN'fAL CIIECILIST <br /> �l (y50.00 Fee Required) <br /> ./ � ' <br /> iniroduction: The S[a[e Enviroumen[al Policy Ac[ of 1971, Chapter 43.21C, RCW, requires all <br /> etate and Local p,overnmental a�encies to consider environmental v�lues both for thcir own <br /> actions and when licensin� private proposals. The Ac[ also requires that an EIS be prepared <br /> for all major ac[Sons signif:can[ly affectin�; th�� quality of the environc�ent. The purpose <br /> of chis checklis[ is [o help Che agencies involved determine whether or no[ a proposal is s�ch <br /> a major action. <br /> Please answer the following questions as completely as you can wi[h the information pr�sently <br /> available to you. Where explanations of your answers are required, or where yeu Lelieve an <br /> explanation would be Selpful to governmen[ decision makers, include your explanation in the <br /> spac� provided, or us� additional pages if necessary. You should include references to any <br /> repor[s or studies of which you are aware and which are relevant to the answers you provide. <br /> Comple[e answers to these questions now will help- all agencies involved with your proposal <br /> to undertake the required environnental review wit4out unnecessary delay. <br /> =-he following questions apply to your total proposal, not just to the license for which you <br /> are curr2ntly applying or the proposal for which approval is seught. Your answers should <br /> include the impacts which will be caused uy your proposal when it is completed , even though <br /> completion may not occur until sometime in the future. This will allow sll of the agencies <br /> which will be involved to cormplete their environmental review now, without duplicsting <br /> paper work ir the future. � <br /> NOTEo This is a standard form being used by all state and local agencies in� the State of � <br /> Washington for various types of proposals. Pfany of the questions may not apply to yuur proposal. <br /> If a question does not apply, just answer it "no" and contirue on to the next question. <br /> ENVIRO�"_�NTAL CHECP.LIST r0?L`S , <br /> 1. BAC?:GROI72QD . � <br /> 1. Name o; Proponznt Cl?Y OF EVC_P,Ei, T. <br /> 2. Address and Phone Number of Proponent: �,��'? V��+'r:xTfrtGc�_f=iE�yE4-��T1V(�����G%���'"�"_ <br /> zIP coi-�:� `tfi�'.O{ �.c,l. ?_ 59 F>'Z�`I <br /> 3. Date Checklist Submitted I 2 'I � — �9 . <br /> 4. Agency Requiring Checklist C 1 i�! p I= E=V�=R.f:"C't <br /> 5. Name of Proposal, if applicable: 5 Pv�:_TS PANf�i _ <br /> �6. Nature and Brief Description of the Proposal (including but not li.mited to its size, <br /> general design elements, and other fac[ors that wi11 give an accurate unders[anding <br /> of 1ts scope and nature) : GO ncre p��'u� 5Yc•rz'�5 �=nci:.�?`� i�.'c�uou�::._!� sor-it :���� rir�.r7s�s ����- <br /> F oo $ tarni�r{c Z� f �C ! Cr n, f' r1 � ,� r � 6 � p.� ` �� . <br /> ,p,'G :: ' I':�u ��r �-; �.'' ���,AS�. �.�.. , m <<.�.��. .� G��i`.;� .F. ,�� ...-r�',er` < <. <br /> o�.. ... .. . .. . .. .��... .. . . <br /> 7. Location �f Proposal (describe the physical setting of [he pr000sal, as well as the <br /> ex[ent of [he land area affected by any environmen[al impacts, includi.ng any o[her <br /> information needed to give an accurate understanding of the environmental setting of <br /> the propusal) : 5. = VlCir.iiiY rJ�� c ��. , , F� , , .,�� �- ;., i�n ?�� . �QT ,.,� :. 7C ;-5;` I <br /> 8. Estimated Date for Comple[ion of the Proposed Ac[ion: ��!����r,',� F�, 14g �- <br /> 1 <br />