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. P.h\'l)iUi;i,11iN7'A1. Cill?C!:LIS'.1' <br /> I� introcllic;iun: Ti��� Elate ]invironment:�] Policy Act of ]971, <br /> I Chn��icr 43.?1C, I:C1V, requii�es nll slnic und locnl �;ovcrmne»tal <br /> :;;cnr:ics lo consi:tcr enviromn�ntril vuluc:s bolh for lhcir ut�;�t <br /> +iction; u?xi t�then Jicensing p:�ivate proposals. 7'l�c Acl ;ilso <br /> rec�iiires ihat em L•'IS be prepercd for a1.1 m:�jor :clions si�;nific;�ntly <br />��� �ffectin�; th;: gunlit}� of tlic cm�i:onmcnt. The puiq�osc of t;�is <br /> ci�ceklist i:; io lielp lhe t3g�enr.ic�� invoh�ed defcrmir�c ��ahcli;cr o. not <br /> In )�roposal ir� e:ich t: major uctioii. <br /> Plcasr.. anst•;cr the follot��ing quesfions as complrtely i;s }�ou ct:n <br /> �:i.il� tlie info�•r�.(ion p.•eceritly r���;iilable fo you . 1';l�cre c;:pl:u�;:tic. ::; <br /> oi youz• :ais,�ers are z•equired, or tvhcre ��ott bel+_cve an explviation <br /> t;onld bc ltclpfei to �•o��ernment d.eci:�ion tn;il;crs, inc:ludc your <br /> C:C;Il€i17:It:C11 111 itJB .ij)�?CG 11P0\')�iC:�� Oi USC iiCj(1i11011L1] �l[I(�CS 7f <br />, ueccssax�l'• You �hoLild i�:clvde refcrr.uc���: to an}� repnrts or s�ur;ic:: <br /> of v�hich pou .u•e nv;arc an<i �shich are scic,��:+nt lo thc misn�c�•:s }�ot: <br /> providc. Co�nplete ansirers to thesc qtlestio»s not�r will hclp nll <br /> agcr.cics i.nvol.ved �aith your proposal lo w;dertal:e tl�e rcquired <br />' environmen(nl revic�v vtiUiotll tmncr..essaiy delay. <br /> The follo�vir.� questions ap�>I�� to ,your to!a] proposal, not just to ihc <br /> licenae for lvliicli }�ou are currc�itl,y appl��in�* or ille pz•oposal for <br /> �vl�ich ::pproval is sought. Your anst��cr� sliou)d includc tl�c imp::cis <br /> �ahicli l,�ill bc causcci Uy 1'otir propo:,at �vhc�i ii is co;nplctc:l, evcri <br /> tlwu;;h compJe[ion may� not occur wriil SOII1Cl11TIL 17l (I1C Ylltlll�e. This <br /> �sill allor; oli of ihe a�'ei�cics tvhich taill be im�oh�ecl to complete <br /> their cin�irmvneutal. revie�v norr, �viihout d.uplicnting• p<�pervra�9c in <br /> thc futu�c. <br /> 1�;0'P�: '1'I�is is :� sfandard Torm beinU• used Uy all stnfe and locri] <br /> ngencics iii ihe S(atc of{1'nshingto�i for vni•ious types of �iropos:;l�,. <br /> . 1',Iv�y o[ tiic ��iic:;tions �na�' r,oC np;�l�• io y�nr ��rc��ior;;il . If a cluc��.lio,i <br /> � C�OCB li": :`.-!1•�:' , JilUi .'�17:,�,C,.1' �i ��)7V° !i!7�l Ci�llii:llii: Uil ii� '�li,� ]]��::1 <br /> nt,��c��;� . <br /> �:nvir.����:�.�:;�;�. . .�,�, �:�;���:r�,:�.�:�.�,� ���,;n��, <br /> i. linci.c�out�D <br /> � <br /> � ' � <br /> i. Nnme o£ Proponent �,��ro �'_'<--'._-`1-z-'=`-;-j-_�;i.- <br /> ?,. Addres:; mid�1'ho ic NumUcr of P�roponenL <br /> <<=/�7� �' '<�'—'-f'��� �''----. ..`----- <br /> /��i ,'�L�l.�l"r!'3� : ./ , . . <br /> _—L=�-=�'�-o�'�` �!.a! �:- �=='-------------- <br /> 3. 17iite Checiclisl SitbmiUcd V -� .` �'' ----___..------ <br /> �� ;;--- - <br />