1611 SE EVERETT MALL WAY 2018-01-02 MF Import

I VI. State Environmental Policy Act (SEPA) _I This Notice of Intent (NOI) is incomplete and cannot be approved until the applicable SEPA requirements under Chapter 197-11 WAC are met. Has the SEPA lead agency issued a final decision on your checklist? ®No []Yes ❑ Exempt' If No: The NOI is incomplete. Ecology will hold the application until a final SEPA decision is made or the Construction Stormwater NOI public comment period ends, whichever is later. You must notify Ecology once the lead agency has issued a determination. If Yes: Type of SEPA decision issued: ❑ Determination of Non -Significance (DNS) ❑ Mitigated DNS (MDNS) ❑ Determination of Significance (DS) ❑ Final Environmental Impact Statement (EIS) Other. • Date of final SEPA decision: • If a supplemental EIS. SEPA addendum, or some other type of additkN)�I�` MI=1% h)viow was required, please attach and submit with this form. • Date when all SEPA-related comment & appeal periods are exhausted: 'If Exempt: Attach written documentation, check type of exemption below, and proceed to Section VII. ❑ Watershed Restoration & Fish Habitat Enhancement Exemption (RCW 43.21 C.0382). ❑ Infill Development Exemption (RCW 43.21C.229). ❑ Planned Action Exemption (RCW 43.21C.031). ❑ Categorical Exemption. Under what section of the SEPA Rule (WAC 197-11-800) is it exempt? (for example, WAC 197-11-800(1) Minor New Construction) More SEPA information is available at: http://www,ec .waaov/programs/sea/sepa/e-review.html. VII. Public Notice You must publish a public notice at least once a week for two consecutive weeks with seven days in between publications, in at least a single newspaper of general circulation in the county in which the construction is to take place. Ecology cannot grant permit coverage sooner than the end of the 30-day public comment period, which begins on the date of the second public notice. Mail or fax (360407-6426) the NOI to Ecology on or before the first public notice date. If you fax the public notice to Ecology, you must also mail a hard copy. Failure to do so may delay the issuance of your permit. Provide the exact dates (mm/ddlyy) that the first and second public notices will appear in the newspaper(s): First notice: 01/12 /10 Second notice: Q1 19 /10 (Begins 30-day public comment period.) For example: First notice: 01/01/10 Second notice: 01/08/10 Name uf the nowspaper(s) publishing the notices: ECY 020-85 (Rev 06109)