2715 EVERETT AVE 2016-01-01 MF Import

• �NVIRONA91iNTAL CIIECKLIST Introdu^_tion: Tlie State �nvironmentul Palicy Act of 1971, Chantcr 43.21C , RCW, requires nll state and local governmenYal agencies to consider environmental vnlues ho�h for their own ^.ctions and when licensin� privute proposals. The Act also , requires thnt nn EiS Ue prepared. for nll mnjor actions significanUy nffecting ihe qualily of the envi•.•onmcnt. The purpose of ttiis checklisl is to help the ugencies involved determine whether or not a proposal is such a mnjor nction. Z 0 � � Please nnswer. ihe following questions ns completely as you can m tvith llie information presently uvailaUie to you. �Nhere explt�nntions of your onsrvers flre required, or where }rou believe nn explc;nution -� n would. Ue helpfttl to government decision ma'-cers, include your N m explanntion in ihe sp�ce provided, or use additional pzges if o , necessary. You sliould inchide references to anp reports or studies m o of which you are atvare and �vhich are relevant to the ansu•ers you o 3 . provide. Complete answers to these questio�i� now ivill help all .�z ngeneies involved with your proposal to w�dertal:e the required m � environmentel review witliout unnecessary delay. � z n � rx The following questions apply to your totai proposal, not just to the K v� license for �vhich you are currently apply'.ng or the p�•oposal fur . � � t��hicL approval �s sought. Your enswerc ;;hould inelude the impflets which �vill Ue cuused by•your proposal tvhen it is completed, even m � though completion may not occur wztil sometime in the future. This �� will tillow all of the ugencies which tvill be involved to complete � m their environmental review now, W1UlOUC dll�11CAYlrid paperworlt in m � the future. �—�i m n NOTE: This is a standnrd form bein� used by sll st:�te and local A -� ngencies in Uie Stnte of fYashington for vnrious types of pxoposals. n 114any of tlie questions may not apply to your proposal. If a qucstion z does not apply, just answer it "no° nnd contimie on to the next s question. Z 0 � � II�R'IRONhIENTAL CIiECKLIST PORM r, m I. BACICGROUND 1. Nnme of Proponent �c�,.��'1'�Ylt.� '�F'i»'�4?�{�- 2. Addx•ess and Phone NumUer of 1'roponent: �'��{.� E U<^.s=-�� ?.5'9 � ?.ZoO C:=Vr'i'G"f'�' ltl-I , 3, llate Chceklist SuUmil:ed I-'�vv"J , �977 ;