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r <br /> � • :. • ENVIRON6IENTAL CHECKLIST. <br /> �• � ($25.00 Fee Required) <br /> Introdvetion: The�Stnte Environmentni Policy Act of 1571. <br /> Chupter 43.21C, RC�V, reqnires ull stnte nnd loct�l gavr.rnmental <br /> agencies to consider environmentul values both for their owa <br /> uctions and tvhen licensing privnte proposals. The.Act also <br /> requires th�t an EIS be prepared for nll major actions signifieantly <br /> affecting thc qvality of the environment. The purpose of this <br /> checklist is to hclp the agencies involved determine whether or not ' <br /> a proposal is such a major netion. <br /> Plense nnswer the follotving questions as completely as you eazi <br /> with Uie information presently uvuilable to you. lYhere explanations <br /> of your unswcrs are required, o_ where you believe an explanaHon <br /> would be helpful to government decision makers, include your I <br /> ekplanation in the space provided, or use ndditional pages if <br /> necessnry. You should include references to any reports or studies <br /> of which you are aware and which are relevant to t}:e unswers you <br /> provide. Comp]ete ans�vers to these questions r.ow will help all <br /> agencies involved with your proposal to underta]:e the requirad I <br /> environmental rnview without unnecessary deluy. ' <br /> The follo�ving questions apply to your total proposal, not just to the <br /> license for wliich you are currently applying or the proposal for <br /> �vhich opprovnl is sought. Your answers should include the impacts ' <br /> which �vill be caused by your proposai ti��hen it is completed, even I <br /> though completion muy not occur until sometime in the future. This <br /> will nllotv nll of lhe agencies tvhich svill be involved to complete i <br /> their envii•onmental review notiv, without duplicating papertivork in <br /> the future. <br /> NOTE: This is a standurd form being used by all state and local <br /> ngencies in the State of Nashington for various types ef proposals. <br /> nlany of thc questions may not apply to your proposal. If a q�o t' <br /> does not apply, just unswer it "no" and conlinue on to the ne� � �r � � � � 'D <br /> question. <br /> JUL 26 1978 <br /> �NVIRONI�IENTAL CNECI{LIST FORM � <br /> CITY OF EV�RET'!� <br /> I. IIACKGROUND �'�a,,... _ . ,,t <br /> 1. Name ot Proponent NV,t�lQ2 IaS�rJ C:I/�T C�'� <br /> 2. Address and Phone I�'umber of Proponent: <br /> 2tr2 -r+�r��o �.,� R� 202 <br /> • =-�'�i r� ��g 12_I �Arns�-1 <br /> G. �y-��IUS . _ <br /> 3 . 1)^lc Chcel:li�:t Submitt��d <br />