9217 EVERGREEN WAY BASE FILE 2018-01-01 MF Import

� ' , ! �, ENVIRONMf•.N7'AI. CfIECKLiST •� � � � ,, � ' � • �-1 ($25.00 Fee Required) 1 �'tf /�� Introduction: The State Environmental Policy Act of 1971, Chapter 43.21C, RCW, requires nll �tate and local go��ernmental agencies to consider environmental values both Eor theLr own actions and when licensing private proposals. Ttie Act also requires tha: an EIS be prepared for all ma,jor actions si5nificantly affecting the quality oF the environment. The purpose of Chis checklist is co help thA agencies involved determine whether or not a pruposal is such a major action. Please answer the following questions as campletely as you can wi[h the information presently available to you. idhere explanations of your answers are req�:ired, or where you believe an � ezplanation would be helpful to government decision makers, include your explanation in the spac� provided, or use additional pages if necessary. You should include references to any zepor[s or studies of which you are aware and which are relevant to the answers you provide. 'Complete answers to these questions now will help all agencies involved with your proposal - fo nnd=rtake the required environnental review tiithout unnecessary delay. � The folloming questions apply to your total proposal, not.just to [he license Eor which you ue currently aoplying or the proposal for which approval is sought. Your answers should include the impacts which will be caused hv your proposal when it is completed, eden though completion may not occur until sometime in he future. This will allow all of the agencies �hich will be involved to complete their environmental review now, without duplicat3ng � paper vork in [he future. . NOTE: This is a standard form.being used by all state and local agencies in the State of Llas'nington for various types of proposals. Many of the questions may not apply to your proposal. 2f a question does not apply, just answer it "no" and continue on to the nest question. ENVIRON;fEh"fAI. CHECf�.IST FOR'�f 1. BACRGROUiID \ I I � 1. ' Name of Proponent �) ol'� (� Sor� ��-t.� �L�k� �� 1 Cl ' 2. Address and Phone Niunber of Proponent - �isv 3. Date Checklist 4. Agency Requiring Checklist 5. Name of Proposal, if applicable: 6. Nature and Brief Des=ription of the Proposal (including but not limited to its size, general design elements, and other factors that will give an accurate understanding of its scope and nature) : SO X � a �� R�� P a�i �i r} t nr� �..�1� ��L 7. Location of Proposal (describe the physical settino of the proposal, as well as the txtent of the land area affected by any environmental i�pacts, including any o�her information needed to give an accurate understanding of the environmental settinb oE the pro�osal? : I��XT 1� ��'� G��'� lnt � � 8. Eetimlted Date far Campletiol o: the Praposed Action: t2 6 �� ! R1`�