6309 EVERGREEN WAY BASE FILE 2018-01-02 MF Import

' '- ' � ' Less than $1,000,000 valuc - $50 ,1,.":�0,000 value or more - $l.00 ,--, Tntrocluction: The StaCe Cnvironmental Folicy Act of 1971, Cliapl•er 43.21C, RGIJ, requires all stace and local governmental agencies to consider environmental values hoth for their own ncti.on, and klien licensin� private proposa].s. Tl�e Act alsn requires that an EIS he prep�red for �11 major ac[ions signiEtcaretly aEfecting Che quality of the envir.onnent. The purpose o[ this checklist is to help the aEencies involved determine whether cr not a proposal is sucli a major action. �. l._ase answer the followins questions as completely as yau c�3n with the information presently available to you. 6fhere explanations of your answers are required, or H+here you believe an explanation would be helpful lo p,overnment decision makers, include your er.planation in the spac� provided, or use additional pages if. necessary. You should include references to any repor[s or studies of wliich you are a�are and which �re relevant to the answers you provide. Complete answers to these questions now will help all agencies involved with your proposal to undertake the required environnental review without unnecessary delay. The following questions apply to your total propbsal, not just to the license for which you are currently applying or tlie proposal for which approval is sought. Your answers should include t)�e impaces which iaill be caused by your proposal when it is compleled, even though completion may not occur until sometime in tlie future. This �aill allow all of the ag•:ncies which will be involved to complete their environnental review nota, without duplicating paper work in Che future. }70TG: This is a standard form being used by all state and local agencies in the State of 1Jasliington for various tppes of proposals. Piany of the questions t�ay not apply to your proposal. If a question does not apply, just answer it "no" and continue on to the next quesCion. ENVIROA.",SEtiTAL CHECKLIST rORi�i 1. IIACKGROUND � 1. Name of Proponent George Barber '�2. Address and,Phone rumber of Proponent: P.O. Bo:c �171 _ . L}ninwood, [�TA 95036 (206) 775-4611 3. Date Checklist Submitted January 30, 19II1 4. Agency Requiring Checklist �i��€ Sve�e�� 5. Name oi Proposal, if applicable: �verett 3 � � , .� :. �� G. Nature and Bri.ef Descripiion"of.the Froposal (including Uut not limited to its sizc, general design elements, and otl�er factors thaL will give ah accurate underslanding of its scope and nature): 29�fff�sq ft, 1 story, split face, CMU wa11s, canoa � overhang @ ailodized a urinun store iront, parhing ront ac_ ;� p anti �areas between ParkinR & adjacent property. P7ecv curo � side walk � streets. 3. Location of Proposal (descrihe ti�e physical setting ot the proposal, as well as tlie extent of the land area affected by any environmenl•al impacts, including any other information nceded Co give an accurate understnnding of the environment:,l set[ing of the propusal): Z7,169 sq ft lot at Evergreen 41ay F� Eerkshire Drive. PresenCly the lot is cleared and undeveloped A detailed plan snowin�: 8. �KCimit il Date for Completion oE tl�e Propo;ed Aclion: � /�PeriF�[ �ilt: �iT�Fcvqw'i L�.--- 2UCO S�i.t7; . . '�� n,ect:��•v.,5 �r,,.,i. fir�t5 Lae�,�»-5'i�� sc.fT. 3 � (N� Du I cG I�rt �.-ai:.5 wi�� oZ ��tu.'tC.G) _. . _.. _ - . _ _— - _ --- ----�----- v