9930 EVERGREEN WAY BASE FILE 2018-01-01 MF Import

^ENVIRONMRNTAL CfiGCKLIST � . ;.: ($25.00 Fee Required) �i o C�G[��`�� p � 4 NOV 11978 ; CITY Or EVLlc Introduc!ion: The State Environmental Policy Act of 197 . , �— C RCW requires all state and local governmental p�anriin$ Dvp�. Chapter 43.21 , � agencies to consider enviro:vnentul �!alues bot!i for their own actions end when licensing private proposals. The Act also requires thnt an EIS be prepared for all major actions significantly effecting the quality of the environment. The purpose of this checklist is to help the agencies involved determine whether or not a proposal is such a major action. Please answer the following questions as completely as you car: with the information presenfly available to you. Where explanations of your ans�vers are required, or where you believe an explanat;on . would be helpful to government decision makers, inc;ude your explanation in the space prwided, or use additional pages if necessary . You should include references to any reports or studies of which you are aware and which are relevant to the answers you prwide. Complete answers to ttiese questions r.ow will help all agencies involved with your proposal to undertake the required environmental rev'ew without unnecessary delay. The following questions apply to your tital Pr�°P the pT posrl for�e $cense for �vhich you are currently app . g which approvai is sought. Your answers should include the impacts which will be caused by your proposal when it is completed, even though complerion may not occur until sometime in the future. This will allow all of the agencies which wi:l be involved to co�ork in their environmenCal review now , without duplicating p p the future . ' NpTE: This is a standard form being used by all state and losals. agencies in the Stute of �Nashingto i f tQ�ou� ProPosal f If a question �y[�tq of the questions may not app y Y dces not app1Y , just answer it "no" and continue on to the next question. • EN{1IRpNMENTAL CHECKLIST FORM I, gACKGROUND 1. Name of Proponent FVEPC[',c£N ifAPiA('F2rfiT C7C�`"PA'�Y 2. Address and Phone Number of Proponent��l� 9g005 1720 - 130th AvPsrue N.E., Bellevue, — .�.