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<br /> ���Nw�Nvu Va�I�C Oi IpJ!'0 - S1OO
<br /> - :he Scata Environmental Policy Ac[ of 1°71, Chapte� 43.2:C, RCl1, reGuires a.:
<br /> . _, ..... .cca: gover�;ae�ta; agen c-'.es co consider environmental vaiues hotn for their own
<br /> _. _. �„� a:.,. wre;. :icensing private proposais. The Act also requires that an EIS be prepare�
<br /> _: r.,.. ,�: �_�_uns si��nizicancly affectir.g the qualicy of the environment. The purpose
<br /> ..., cr,�"::.st is to help the agencies involved deternine whether or not a proposal is sucn
<br /> . .,: .a....on.
<br />� .,:.s.+a: ;:,c :o::ow:ng c,�as[iona ao compleeei� as you can aith the inrormation presenc_y
<br /> . ;.>.,. co yo�. ldhere explanationa oz you: answers are required, or �ahere you believe ar,
<br /> ,.._ _o:. wo�:� oa helpfu: co governnen: decision makers, include your explanation �n the
<br /> �;cv.ocQ, or use additional pages :f necessary. You should include references to any
<br />� ::s o: ,..:c_es oi w�.c;i you are aware and which are relevant to �he anawers you proviae.
<br /> _ _a�c ,nswe:s co these questions now wiii help all agencie� involved with your preposal
<br />� .:�e.a:t..kc cne requirea environmental :aview without unnecessary delay.
<br /> il .._,,a:c� q..astions appiy to you. total proposa'., not just to the license for which ycu
<br /> ...::er.c:y ap�:yinq or the proposal ior vnich approval is sought. Your answers shoula
<br />' ._. �:;e _,;,paccs wi:ch wil: be causad 'oy your proposal when it is completed, even thougn
<br />' , ��_o:: may nc: occur until sometima in ehe fature. This will allow all of the agencies
<br />' w::: �e i:.vc:vec :o complece their environ�aental review now, without duplicating
<br /> . worK �a tne future.
<br /> I r c ,.., .; .: ,;a�darc .orm being .sed by all etate und local agencies in the State of
<br /> .;,;, Eor various types of proporals. :1any of the questions may not apply to your propo.- :
<br />'I _ ...�scioc _oes not apply, juat unswer it "no" and continue on to the naxt question.
<br />� ,b ,:,.,,;''.�..'.a;. 1�HEVKLIS: FOiNf ,
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<br /> �,.�:,_ o: ?roponenc l �f� -
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<br /> . „ , :��s �nc Phone \unber of Proponent: � � i
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<br /> � �Q� '�'1
<br /> ,,:. � ,.,.�,c:_�t �ubreic.ed � ��d �
<br /> ,, , _ ^ l:eq .ir:ng Checklist�� �_
<br /> .. , �ropoea:, i: applicable: ��CJ �i liL�. ��— �
<br /> ... .� >r.� 3::e: Descrip[ion of the Propusa: �includin�; S�t no[ lindted co :.s s:.
<br /> �ra. :es:gc elenencs, a�n,d�o�t;er f.. tors thac w g:ve an accurate unae:s.... �-.•
<br /> I � ..,_ c-•z :nd ^aeure; i� 4-�"1 ' G� '��L'�'Ud Ir.0�1� �5 .�-�11%` � �iG•_
<br /> .:� � I -"'-� ,�'�.,. ��� ? +
<br /> __ _�..:G�7 :;�..� �lLt l� -
<br /> .,, o[ Proposal (de::cribe the p�ysicai setting oE the propa al, as we;l e� c.,e
<br /> "ette.i b .:n ar.v_ronmeneai im acts, inc�ud-:ng any � =1,<<
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<br /> ... �. :�e i&nd . .. Y Y
<br /> ,,.:...:�oo nee�ed to give an -ccuroc.: ..�:�rr�cor.ding o[ [he env'ronmental s�:c.ng u;
<br /> ,:,, ..,5�_> : ✓-r r r� •►t✓ u�i \•^..�.�; � � r- � I C
<br /> , `` ,��� � ,; . I �;. ,t., � _
<br /> „_,,,.,:ao Lace for Complecion of the Proposed Action: � � ���' F� � � ��
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