2418 EUCLID AVE 2016-01-01 MF Import

. � -- ( � ', � , ENVIRONPICNTAL CIiECKLIST � � ($59.00 Fee Required) Introduction: The State Environmental Policy Act of 1971, Chapter 43.21C, RCW, requires all s[ate and local govetnmental agencies to consider environmental values bo[h for [heir own __ � ac[ions and when licensin� private proposals. The Act also requires that an EIS be prepared for all major actions significantly affecting the quality of the environnent. The purpose of this c}:ecklist is to help the agencies involved deteimine whether or not a proposal is such a .major action. Please answer the following ques�ions as completely as you ran with the information presently available to you. kfiere esplanations of your answers are required, or where you believe an e�planation would be helpful to• government decision makers, include your explanation in the spac=_ provided, or use additional pages if necessery. You should include references to any reporl's or studies of which you are auare and which are relevant to the answers you provide. Complete answers to these questions now will help all agencies involved with your proposai to und�rtake the required environoental review without unnecessary delay. The fo�lowing auestions apply to your to[al proposal, not just to the license for which you are currently applying or the proposal for which approval is souoht. Your answers should include the impacts e:hich will be caused by your proposal when i[ is completed, even though completion may not occur until sometime in the :uture. This will allow all of the agencies which will be invulved to conplete their environmental review now, without duplicating paper work in the fucure. T:OTE: Tliis is a standard Form being used by all state and local agencies in the State of Washington for various types of proposals. Pfany of the questions nay iict apply to your pr000sal. If a question does not appl}, just answer it "no" and continue on to the nest questien. ENVIRO,�'_MENTAL CHECI�LIST FOFM 1. BACKGROUND f 11 t 1. Name of Yroponen[ l� Q� V. �� I�`^�\__ Z S 3�� s 2. Address and Phone Number of Proponent: OS �i�r.c: I�n�rc.- Evu� 1SC'' �'z"3� 3. Date Checklist Sub�itted � - 20 - '79 4. Agency Requiring Checklist C � . ^ � ��-�-�{ �`� ``�"'� �� - , 5. Name of 'Proposal, if applicable: b. Nature and Brief Description of the Proposal (including but not limited to its size, - general design eler�ents, and other -actors that will give an accurate understanding of its(�scop1e and nature) : Z �.ta+.� -�c (�ai<<� r� � ��ex �o��c��n� ��uC^^ R-f�—L"z: �� fvJ1.R41[vl �U\�(��w.` i1Z.L t2� X �13� �f�� L�'�— S17-f.... �� /SZ-1 Sh� �1-.G,J o s�.� CI Q -- 7. Location oF Proposal (describe the physical setting of the proposal, as well as the ex[ent of the land area affected by any environmental impacts, including any other inFormation needed to give an accurate understanding of the environmentcl setti� of � the proposal) : I�rGJ<oacs l„ �� c�,-\r�Q n..�-r� �i II`-� Lct- ��-�`*�( ��-`x°^` �`� cc �� �+r c.-�a-cQ G3.,,Q SE' �voe n{'r 1 0-.� �`-or.�!�J,.�,.1}_- !/ S. Estimated Dace for Completion of the Proposed Action: 9- ��-�q , , .