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I <br /> , , Lr�viaorit�e�•r,�i. cuecr;Ltsr uU OCT 25 197$ !J <br /> • . � (Szs.00 r�� R�q�ir�a> , <br /> • • CITY OF EVERETT <br /> IntioducLion: The State Environmental PolLcy Act of .1971, Chapter 4�.21C, RC[J P�`Z2�2�PPi���ir1�1 <br /> st.���: and local governmenl•al �gencies to consider environmental values hoth for tlieir own <br /> act_ons and when licensinr priva[e proposals. Thc Act also requires [hat an GIS Uc prepared <br /> for all .ma,jor actlons siFntEicantly aEEecting the quality of the envlronment. The purpose <br /> oE tlits checklist is to liclp the ageucies involved determine Nlietlier or nat a propossl is such <br /> a mnjor action. <br /> Please answer the following questions as completely as you c�n with the inEormation presently <br /> �.vailable to you. Nhere explsnations oE your answers are required, or wliere you bclieve an <br /> ex�.lan�tion �+ould be helpEul to goverr.ment decision makers, include your explanation in the <br /> spac� provided, or use additional pages if necessary. You should include references to any <br /> reports or studies of which you are ac✓are ac�d which are relevant to the answers you provide. <br /> Complete ansuers to [hese questions new will help all agencies involved caith your proposal <br /> to undertake the required environmental review wichout unnecessary delay. <br /> The Eollowing questions apply to your total propnsal, n�t just to the license Eor iahich you <br /> are currently applying or the proposal for which approval is sought. Your answers should <br /> include the inpacts which will be caused by your proposal �:hen it is completed, even though <br /> conpletion nay not occur until sometime in the Euture. This eaill alloor all af the agencies <br /> which will be involved to complete their environmen[al review now, withor.t duplicating <br /> paper work in [he future. <br /> NOTE: This is a standard form being used hy all state and local agencies in the State of <br /> Wasliington Eor various types of proposals. Pfany of the questions may not apply tc your proposal. <br /> If a question does not apply, just answex it "no" and continue on to the next question. <br /> EWIR0�1`fENTAL CIiECKLIST FOR`f <br /> I. BACKGROU:ID r L / � � � <br /> 1. Name of Proponent �D i�F_�+ �� ���U� �r 1 `` ���P�� ����h"' �= lCl <br /> 2. Address and Phone Number of Proponent:_ /SJ.3/ u.�P '1"/Nntc� �'Scl 7r'(( <br /> ��ES/ � 7 �oZ � .-� 1� �0�7 <br /> 3. Date Checklist Subnitted T <br /> 4. Agency Requiring Checklist C'i ' ����' „ <br /> 5. Name of Proposal, if applicable: <br /> 6. Nature and BrieE DescriFtion oE the Proposal (includinq but not limited to its size, <br /> general desi�tt elements, and other Eactors thaC will gi��e an accurate understanding <br /> • oE its scopc and nature) : �T�f�Lj�J/+n � 2 Sn� �C� ��" 1�CScn�� <br /> �, a - [- T/ <br /> t1�.L� FA � � '��P c�DPta�lUn e�y �9 'hc�F Dry- C F4 r -�SY�r-r�, <br /> 7. Location oE Propasal (describe the physical set[inF of the proposal, as well ac the <br /> exten[ oE the land area afEeeted by any enviromneutal impacts, incl.uding any other <br /> � inEocm,ition needed to give an accurwte nderstanding oE the envtromnental setting oE <br /> ch� pro���s:,i) :_ I I 30 Rrc+a� ��c� � � Toaal � �n� Arca <br /> ��-� ec� — /a.Es c« , ��- <br /> . , <br /> 8, Estimutcd Date for Completion of tl�e Proposed Action: �QD �.5 � �a7� <br /> � <br /> � 1 <br /> — – — 1""y' -- <br />