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;: <br /> � ,.,,�� <br /> ,„ � <br /> , , <br /> , <br /> ...•, . <br /> f <br /> '' ENVIRONMENTAL CHECKLIST <br /> 1 <br /> ��� �,�or.o�ce.au;,t: <br /> s y Th�Suu Enri�onnwual Poliry Aa (SEPAI, chapter a3.21C RCW. reqwra all �wernmp�ul a��awt w�ntida <br /> N �� t6�rn�ronnf uul imp�w of a propoW 6e(on makin� dedtiau. An �nnronmaiul impaa suum�nt (ELS) muu br <br /> �3 peopa�4 rii6 prohabl�iipii(laat adwne imp�w on t6e quality of ch��mironnrac T6s purpae of <br /> K � ihn eMeklfu u w praid�iafamation to hslp you and th�apnry ida�afy impcu hom Yau► PropaW (and a rednn <br /> p� �o� or awid impeu froe� th� peopoul, i(it oa b�dar) and w dNp the a�eaey d�id�.hah�r an EIS b roqaind. <br /> N /nttrueriau!or Applin�tc <br /> � �� T�tit emiro�nMntal el�lfa ub you to dacribr wm� buic information about your propoxl. Gawrnm�nyl aoaa• <br /> t7 cia uw thu chaklitt w d�tamtm whether �ha smironmenW impaeu of your propawl ara �i�aifiant requirin` <br /> prepuauon of an ELS. A�uwa the quetiont bris0y, rith ihe mat preeue inlamuuon knowR, or �iw ch� bst da- � <br /> n�� suiption you an. <br /> You mua anna aeh qw�tios �annuly and eanrully. io che b�c ot your kno�Ndp, (n moa ew, you �hould <br /> �y� be abl� ro �ntrwr th� qustioro from your orn ohwrvanoro or pro��et plw wichout tha nead w hin ap�rts. IC you <br /> t� M rally do not Icnor tht�ntw►, or if a qwtuon dos no� apply to your propoW, wnte 'do nat knmr' or 'dor noc ap� <br /> r� y ply'. Complsu an�w�n to th�qwtuons nor rtuy avoid unne�ry dsuy� I�ur, <br /> o �y Soan qu�ioro uk abort �owrnmtnW re�u4tiom,tuch u aonin�, �haNin�, and laadaurk d�i�nadoro. Aror�r <br /> � �6M qurcioiu if yaY na, If you Aaw peoblmu, ih� {onrnmaW aheds nn au�c you. <br /> � Th�c1�ekBn qu�ciau �pply w tll paru of your propa�aL swn if you plan to do t6�m awr a periad of tim�w on <br /> �y diRermt ptree�of land, Attu6 any�dditiaW infomu�oe that rill MIO dretih� Jrour praOaU o� iu nnironmwul <br /> etfiai. Tlw�pery w rhieh �mbe�it t6b eh�ddiu mar uk yau w upWa ywr wn�n w p►aid�iddi�ioaal in• <br /> rwmuion ►..o..bly rsland w a.n�riein�ir tee.m.r b�u�nirtnac am�asr imOaes. <br /> W�of e6�tlfu fa na�pg�a peop�lr: � '� <br /> Caa�pi�u t6h eh�oklin for eapoj�a peepo�l�, era chau�h qwaiaro mar be aro�wred 'dor na � <br /> omoN. COpIpIW tIU SU►tLW/NTAL fM�lT ►Ol NON►RO1fCT ACTTOW (plft D). �y • �N � <br /> Fa nasprojra aesion. tlu nfamor in t!w eh�ekluc m � .ordr 'DeoJKt,' �appli<aet' and 'P*aP�Y or sin' <br /> i��-� shauld b� rud u 'ptopanl,' 'ptopowr.' and 'afba�d tpR�P6ie aea' raqeuvdy. <br /> �. ucRa�ouwo <br /> � I. Nam�of propw�d proj�a, U tpptlable <br /> I ! �' <br /> � .�✓�':�4 . ... .�V�.L. �1�. ��NCW.C. ^���.��.L _ , � .iV <br /> ' �' 2. Natn�af appliaa� � . � ',. c.�.'t' (�:�:�5 <br /> � �� ). Addrat and pharo numba of applinnt and wnuct perwn: <br /> , �.ia „Je.�ni,_�z. <br /> � � <br /> � � �. D�u ca�ekliu pnp�nd: ,,.+ - - ", „ <br /> S. A�tlICV fG�{IrWI`C�IIIL• �.;.�r��.: �L1�L • <br /> _, � 6. Propased timin�or seh�dule �includin` phuin�, if appliablel: <br /> — ;a. _ , -. <br /> ' ( ' . _ , <br /> 7. Do you h�r�any plant for fu�uro additioni, expansion, or funher activity rclated �o or connasM with ehis propual? <br /> , � If yn, explain. <br /> 110-� ;.t �;s -i m e_ <br /> 1. <br />