4526 FEDERAL AVE 2018-01-02 MF Import

ENVIRONMENTAL CHECKLIST ($56.00 Fee Required) Introduction: The State Environmental Policy Act of 1971; Chapter 43.21C, RCW, requires all state and local governmental agencies to consider environmental.values both for their own actions and when licensing private proposals. The, Act also requires that an EIS be prepared far all major actions significantly affecting the quality of the environment. The purpose .af this checklist is to help the agencies involved determine whether or not a proposal is such a major action. P-ease answer the following questions as completely as you' can with the information presently Lvailable to you. Where explanations of your answers are required, or where you believe an =splanation would be helpful to government decision makers, include your explanation in the trace provided, or use additional pages if necessary. You should include references to any t=..Jorts or studies of which you are aware and which are relevant to the answers you provide. -xrplete answers to these questions now will help all agencies involved with your proposal . .Ze undertake the required environmental review without unnecessary delay. "ate following questions apply to your total proposal, not just"to the license for which you are currently applying or the proposal for which approval is sought. Your answers should Include the impacts which will be caused by your proposal when it is completed, even though completion may not occur until sometime in the future. This will allow all of the agencies which will be involved to complete their environmental review now, without duplicating Paper work in the future. IMM: This is a standard form being used by all state and local agencies in the State of Washington for various types of proposals. Many of the questions may not apply to your proposal. If a question does not apply, just answer it "no" and continue on to the next question. aMRONMENTAL CHECKLIST FORM rp n M 1. BACKGROUND —' 1. Name.of Proponent Luther Child Center 2. Address and Phone Number of Proponent: 4526 Federal Avenue, 258-4521'- 3. Date Checklist Submitted June 12, 1979 4. Agency Requiring Checklist City of Everett S. Name of Proposal, if applicable: Luther Child Center Administration 6. Nature and Brief Description 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): A 13,000 sq. ft. two-story buildine with basement added as a seventh major structure on a 34-acre campus. The structure to house office and classroom space. 7. Location of Proposal (describe the physical setting of the proposal, as well as the extent of the land area affected by any environmental impacts, including any other information needed to'give an accurate understanding of the environmental. setting of the proposal): The project will be lcoated somewhat centrally on a 34-acre campus fronting on a core area composed of a grassy field of several acres to the south To the north will be retained and enhanced a natural hollow of about one acre. 8. Estimated Date for Completion of the Proposed Action: July 1980