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Et7VIR0`iHLNTAL CIIECKLIST <br />($��.00 Fee Requirud) <br />Tn[roJuction: The Stnte Environmentnl Policy Act of 1971, Chapter 43.21C, RCW, requirea all <br />s[ate and local governmental agenciec to consider environmentel values 6oth for their ovn <br />nctions and when licensing private proposals. The Act also requirea [hot an EIS be prepared <br />for all ma,jor actione signiflcnntly nffecting the quality of the environment. T}ie purpose <br />of this checkliat ia to help the agencies involved determine vhether or not e propos�l is auch <br />a major action. <br />Please answer the following questiona ao completely as you can with ehe information presently <br />evailnble to yau. IJhere explanations of your answere are required, or vhere you belleve an <br />eapl.anation would be helpful to government decieion makers. incl�de your exp]an�tion !n the <br />spuce ptovlded, or use additional pages !f necessary. You should lnclude references to any <br />reporta or studies of vhich you are avare and which are relevant to the anewers you ptovide. <br />Complete answera to these questions nocr will help ell agencies involved with your proposal <br />to undertake the required environmental reviev vlthout unnecessary delay. <br />The folloving questione apply to your total propasal, not just [o the license for vhich yau <br />are currently applying or the proposal for �hich approval is sought. Your ansvere should <br />include the impacta vhich will be caused by your proposal when it Se comple[ed, even though <br />completion may not occur until eometime in the future. Th1s vill allaw all of the agencies <br />vhich v111 be involved to co�nplete eheir environmentel review nov, vithout duplicating <br />paper vork in the futute. , <br />NOTE: This Ss a standard form being used hy all state and local agenciea in the State of <br />Washingeon for various types of proposals. Many of the ques[ione r�ay no[ apply to your proposel. <br />If a question does not apply, just ansver it "no" and continue on to the next question. <br />ENVIRONtgNTAi. CtIECKLIST FORM <br />1. BACKGROUND <br />1. Name of Proponent MELVIN E. PRESTON <br />2. Addrese and Phone Number of Proponent: 164 East Vista Del Mar, Camano Island Wa. <br />Telephone: 387-9255 8 92 <br />3. Da[e Checklist Submitted Aoril 25 1979 <br />4. Ageney Requiring Checklist CITY OF EVIiRETT <br />5. Name of Proposal, if appliceble: BRI�RWOOD MANOR <br />6. Nature and Brlef Description of the Prapos�l (including but not limited to ita size, <br />general design elemen[s, and other tactars that vill give an accurate understandir.g <br />of its scope and nature): 156 UNITS — 1& 2�3edroom — Multi—Family Ltnits <br />7. Location of Proposal (describe the physical ec[ting of the proposal, as vell ns the <br />extent oE the land area affected by any environmental im�acte, includiug any other <br />information needed to glve an accurate understanding of [he envCronmental set[ing of <br />ChC pLOpOSal): SITG LICS i3E'14�EEN INT�RSTTTF. S wnA j� .R mItAN AVRN[IR <br />APPROXI4l7�TfiL] 1000 CGLT SOf1TH OP TfIE L'NfiRETT MALL. _ <br />8. Eatimated Datc for Completion of ihe Proposed Action: nPRIL ta80 <br />