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<br /> ' � i (325.00 Fee Required)
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<br /> In[roduction: 1'he SW[e Ervironmeri[al. Poll.cy Act oE 1971 , Chan[er 43,21;, BCA, requires all
<br /> •tate and local Rovernnen[al ;��enries to consider envlronr,en[a] values both f�r their own
<br /> tctfons and when licensing priva[e proposaJs. The P.ct also requlres that an EIS be prepared
<br /> ior all ma.�or actions st�nificantly affecting [he qual![y of thc environment. The purpose
<br /> of thls cher.�list is to help the a_a,cnciec involved determine whether or not a propo,al is such
<br /> a major action.
<br /> Please ansver the followfng questions as comrletely as you can wi[h [he infomation presently
<br /> avatlable [o you. [Jhere explanations o£ your answers are requLred , or v:;ere you believe an
<br /> explana[ion would be helpful to government decision makers, include your er.planation in the
<br /> spac= ptovided, or use add_tional pages if necessary. Yuu should intlude references to any
<br /> repor[s or s[udies oE ahich you are avare and which a-e relevant to the answers you provide.
<br /> Complete answers to [hese ques[tons now will help all agencies in��olved with your proposal
<br /> [o undertake the tequired environmental review 'vitheu[ unnecessary delay.
<br /> The following questions apply to your [otal proposal, no[ jus[ to the license For Which you
<br /> ate currer.tly a;plytng o= Che proposal for vhich approval is sought. Your ansG•ers should
<br /> lnclude the impacts wtiich will be CdUSP.� by your ptoposal •:hen it is comple[ed, even [hough
<br /> eomple[ion say not oc�_ur until sometime in the future. This will allow all of the agencies
<br /> vhirh will be involved [o co�nple[e their environmental review now, ctichout duplicating
<br /> paper vork in [he fu[ure.
<br /> NOTE: ThSs !a a standard Eorm being used 6y all ctate and local agencies in [he State of
<br /> SJashing[on Eor. various types of proposals. Nany of the questions eiay not apply to your proposal.
<br /> If a question does no[ apply, just ansver i[ "nc" ,ind con[inue on to the r,ex , u � �/❑,
<br /> CNV1BOMfENT.1I. CHECKLIST FOR�I � � " `' � u � D
<br /> 1. . BACKG40UND r' � . � `?
<br /> 1. Neae oE I'roponen[_ ,�j f �
<br /> o.� co Ns R« � , o« C1TY �,r� �:� ;::EZT
<br /> 2. l�;dress and Phone K�ber of Praponen[: ,S2�fa�f��f/� L,p�JE'�L �Q(„����+�;•q/'qL-�p:.
<br /> . 773= Y75'2
<br /> 3. Date Checklist Suboi[ted 2��� _ 7 q
<br /> 4. Agency 5equiring Checklist y
<br /> 5. Name of Propusal, Sf applicable: ��Q,U �S�`'fy�j�"
<br /> 6. Na[ure and Brief Description of the Proposal (including bu[ not limited ta its size,
<br /> general design clenents, and other factocs that vill give an accyr,ate understae�ding
<br /> oE its scope and nature): 3 - /2 �r�tii�s ,p�f /3u.L�.�r. 7 �
<br /> _ �r,-, a/. , .r a �' yZ,�� 3 G. ,�,�,�s
<br /> �--- _.
<br /> 7. Location of Proposal (describe [he physlcal se[ting of the ptoposal, as vell ac the
<br /> extent of the land area affe�ced by any environmencal impac[s, including any other
<br /> inEormation needed [ give an uccur [e unde standing oE the envir nrtiental setCing of
<br /> the proposal) : p / , ' �.� ��ys�,�,ir �Qe ,��
<br /> A /�yl o � � Nl.fi= 7`0 �� = u 5 !� �ni2 C"o� r�iLi'r
<br /> ����i �ns,.,� R�� 1 '
<br /> 8, Estim�ted Date for Completion of the Propased pctiun: FF d• /9�'O
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