902 N BROADWAY CIRCLE K 2016-01-01 MF Import

ENVIRONMENTAL CHECKLIST Purpose o(Checklist: The State Environmental Policy Act (SEPA), chaptcr 43.21C RCW, requires all governmental agencia to consider the ervironmental impacts of a proposal before making decisions. An environmental impact statemenc (EIS) must be prepared for all proposals with proba6le significant adversc impacu on the quality of the environment. The pu:nose o( this checklist is to provide in(ormation to help you and the agency identi(y impacts (rom your proposal (and to re�uce or avoid impacu from the proposal, i( it can be done) and to help tlie agency decide whether an EIS is required. Instructions ior Applicanu: This environmental checklist asks you to dacribe some basic information about your proposal. Governmental agen- ciu use this checklist to determine whether the environmental impacu of your proposal are significant, requiring preparation of an EIS. Answer the questions briell�, with the most precisa informacion known, or give the bst de- scription yau can. You must answrr each ques�ion accurately and carefully, to the bat of your knowlcdge. In most cases, you should be able to answer the questions trom your own observations or project plans wi[hout the need to hire experts. If you rra.11y do not know the answer, or if a question does noc apply to your proposal, write "do not know' or 'dou not ap- ply'. Complete answers to the quations now may avoid unnecessary delays later. Some ques[ion� ask about governmental rcgulations, such as zoning, shoreline, and landmark daignations. Answer thae quations if you can. If you have problems, the governmental agenciu can auist you. The checklist quations apply tu ali parts of your proposal, even i( you plan to do them over a period of time:or on di(ferent parcels of land. Attach any additional information that will hclo ducribe your proposal or its environment�l effecu. The agency to which you subrnit this checkiist may ask you to explain your answers or provide additional in- fornation reasonably related to detern�ining if there may be significant adverse impact. Uu of checklist for nonproject prapasals: Complete this checkiist for nonproject proposals, even though qucstions may be answered 'does not apply.' IN �o- DITION, COI11PItIC Iht SUPPLEMENTAL SHEET FOR VONPROIECT ACTIONS (Pert D). For nonproject actions, the referrncu in the checklist to the words 'project,' 'applicant,' and 'propary or siie' should Ix read as 'proposal," 'proposer," and "aFFected gcographic arca," rapectively, A.lACKGROUND 1. Name of proposed project, i( applicable: ��=��h�/�i��Z�4i GI�IL C_.E►�7E�S,lI�1G. 2. Name af applicant: ��(L �� NL 3. Address and phone number of applicant and contact person: 1401 kJ�� , k.JPC�Id. 4. Date checklist prepared: �� e18(p 5. Agency requating checklist: G�,,�� tr ��1 1/` ��..� b. Proposed timing or scheuule (including phasing, if applicable): � �I'1 ��i ! %'�% I ' i � / 1 / � .. � � ,/� i�� i ' S / '.�r V 'i� i . � i i � 7. Do you have any plans for (i�ture additiuns, expansion, or further activity related to or connected with this proposal^ If qes, explain. r�oN� � �N�n. �.tr � ,_ > L a N�l ..��' ::.k.T�� - �. . .. . .... 1 :.5.