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• � (Szs.00 Fee Required) ' � � .• h1AR 1 1979 <br /> � p� nF `JkRLT'1 <br /> in!roduction: The State Environmental Policy Act oF 1971, Cfiapter 43.21C, Row�,Tx�eq�llr'e�a�iat <br /> state and local civernmental agencies to consider environnen[al values both for tHeiY'G�ne <br /> actions and when .lcensing priva[e proposals. The Act also requires that an EIS te prepaze? <br /> Eor all major actions significantly affecting the quality of the environment. The purpose <br /> a�E this checklist is to help the agencies in�•olved deteroine whether or not a proposal is s_ch <br /> s major actioa. <br /> =Eease answer the following questions as completely as yo�i ran with the information presentl7 <br /> rrailable to you. idhere explanatians of your answers are required, or where you believe aa <br /> ¢�lanation would be helpful to government decision makers, include your explanation in th= <br /> �acs provided, or use additional pages if necessary. You should include refereaces to anv <br /> :�ports or studies of which you are avare and which are relevant te the answers you provide. <br /> Gcmplete answers to these questions now will help all agencies involved with your proposal <br /> r,s undertan:e the required environmental review'without unnecessary delay. <br /> Ilfaa following questions apoly to your total proposal, not just to the license for which you <br /> are currentlp applying or the proposal for which approval is sought. Your answers shauld <br /> taclude ti�e impacts which will be caused by your proposal when it is completed, even though <br /> ¢ampletion may not occur until sometime in the future. This will allow all of the agencies <br /> chicti will be involved to cor�plete their environmen[al review now, without duplicating <br /> Baper work in the future. <br /> NOTE: Tfii.s is a standard form being used by all state and local agencies in the State of <br /> Washington for various types of proposals. Many of the questions r�ay not apply to your proposal. <br /> If a question does not apply, just answer it "no" and contiaue on to the next question. <br /> �I�IIRO[d,"fEh'TAL CHECIQ.IST EORI•f <br /> fl_ BPCRGP.O(TND . ,�.( <br /> 1. Name of Proponent "1}{� OL"(W�p1G GfZ��' �� �� ����'-"`� } <br /> Z. Address and Phone Number oE Proponent: GAc}Jj�l... '�.RK �,3UlLb. i �2 �'RUR.1�c <br /> Gj�TfL�T'��I(7°( �20Ca� 2d� ��1122 <br /> ' 3. Date Checklist Submitted +-A ""'s 1� 1�11� <br /> 4. Agency Requiring Checkli�t�DF -���T7 <br /> 5. Name of Proposal, if applicable:�}�ju�'�"'Q��� N����{i ��1.�1L <br /> � <br /> 6. Nature and Brief Description of the Proposal (including but not limited to its size, ! <br /> ,____ <br /> general design elements, and other farrnrc rh�r �,._�? giv� a.. ,.�c::.-a.e ar<,.��andino <br /> of its scope and nature): � 11(oh . �'«- l <br /> i�c,-rrzLCGT�t� oN � ��toi h �T LES� T�1�' GLIi-�lG WtU RF 1�. <br /> --�7„V '���tL"� ��15 ��� l� (Lb I,Uf�If.N 1A111.� �-EL�.-T�. Th It�lO�t� �� <br /> 7. Location of Pr�posal (describe the physical setting of the proposal, as crell as the <br /> extent of the land a:ea affected by any environmen[a'. impacts, including any other <br /> information needed to give an accurate understanding of the environmental setting of <br /> ehe proposal) ^'�-1� 1.(�i}AS �J'Z'�'(s l �.�1' FT h� � 1��� ��A �� ��b- <br /> L�"�"L`'1z.� -r�ll�l �'sF r�V�� o5`/e o�'�K����2_ul2-Fp���l • <br /> _��'e-�-L`2-� r'�,� "' .Fi.OI.��F OI^4 "Ft��(' r�h ��.ILiFt�• <br /> 8. Ectimated Dace for Completion of the Proposed Action: �R�*�' P��� � 1°�� <br /> . � 1 <br /> ' . ' <br /> �,�� y N� <br /> �.a� .�+ ra �c.� ' . 1 .. <br /> � .,�� i::r.il �. a.�..i .. 'Ans �M'.+ _ -=a.w _r ty�k3t <br /> �,..���""3�^rTsrF.xsn�Sdy �s'��gY�"`�' r, _ P:#� <br /> �.rmy.^.e'§,'�`. . n��'�,mr,.�,�_: c-� .�„�k��i,•u� ,vr <br />