2510 BROADWAY 2016-01-01 MF Import

: . � EhVIAO\^fi[V7AL CIIlCKLiST ` � ' (SS0.00 Fce Requlrcd) , ��'-f . � Introductfon: The State Envltonmental Policy Act of 1971, Chapter 43.21C, RC1i, requires all state �nd local governmental agcricies to considrer environnental valucs both for their ovn �etions and vhen licensing priva�e proposals. Thc Act also requires that an EIS be pzepared [or all ma.�or actions significan[]y affecting the qdality of the environnent. The purpose �f thls ehecklist is to help the agencies invalved determine vhether or no[ e proposal is such � ma�ot actlon. 'lease ansver the folloving questions as completely as you san vith the infotmation presencly �vallable to you. IJhere explanations of your ansvr.rs are reqvircd, or vhere you believe an ±xplana[!on vould be helpful to government decision mal:ers, i��clude your explanation in the ipac� pzovided, or use additional pages Sf neces�ary. `.'ou should include references to any •eporce or studies of vhich you ere .avar�e and vhich�are relevant to [he ansvers yow provide. :omplete ansvers [o these questions nov vill help all agencies involred vith your proposal :o undertake the required environc�en[al teviev vithou[ unnecessary delay. 'he folloving questions apply to your total proposal, not jus[ Lo the license for vhich you �re curtently applying or the proposal for vhich approval is sought. Your ansti:ers should nclude the fmpacts vhich vill be caused by your proposal vhen it is completed, even tho��gh ompletion may noc occur until sometime in the future. This vill allov all of the agencies fiich �ill be lnvolved to complete their environ�ental reviev now, vithout duplica[ing aper vork in the fu[uze. :OiE: This is a scandard form being used by all state and local agencies in the State of 7�shington foz various types oF proposals. Nany of the quescions m,�y no[ apply to your propos. t a question does not apply, just ansvcr i[ "no" and continue on to the next quescion. iRVIROA''tE1TAL CNECRLIST FOR29 - BACKGROUKD 1. Name of Proponenc �7endy's International/Seatawa Foods, Inc. 2. Address and• Phone \uraber of Proponent; 1660 tiT4 Professional Plaza, Suite D Columbus, Ohio 43220 (614) 457-3688 3. Date Checklist Subc�i.tted February 15, 1980 y, Agency Hequiring Checklist_City of Everett — Plannin4 Division _ S. Neme of Proposal, if applicablc: ' S�lendy's Restaurant �` 6. Nature and Brief Description of the Proposal (including 6u[ not liriced to ics size, general design elements, and o[her fac[ors tha[ vill give an accurate understandinF of its scope and nacure): ToTPro�ide a restaurant 30' x 76' in size 2321 sf with pick—up window, 84 seats frame — brick veneer 7. . cedar fac loca[Son of Proposal (descrihe the physical settinp, of the pro;�sal, as vell as thc exten[ of the'land area affected by any environmen[al impacts, includin� nm� other lnformation needed to give an accurate understanding of ttie environmental secting of the proposal): SI•1 Corner of Boadway & 25th — a flat site, old qas station to be removed, rio vegetation — 28,140 s.f. '� 8. Eetim�ted Datc for Completion of the Proposrd Action: May — 1980