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($50.00 Fce Required) •� <br />Introcluc[ion: The S[ate Cnvironn^ntal Poliey Act of 1971, Chapter 43.21C, RCl2, requires a7.1 <br />s[a[c and loc�l governmental agencics to consider environroenCal values both for their o�m <br />actions and ahen licensin� priva[c proposals. The Act also requires that an £IS be prepared <br />for all major actions significanti}' atiecting [he quality of the environment. The purpose <br />of [his checklis[ is co help Che agencies involved determine whether or not a proposal is sucli <br />a major action. , . <br />Pleaee answer the following questions as completely as you cnn with the information presently <br />available [o you. l�iere explanations of yo�r answer� are required, or hhere you believe an <br />explana[ion uo�ld be helpful to government decision makers, include your explanation in [he <br />spac� provided, or use additional pages if necessary. You should 'nclude referenc s to an� <br />reports or studies of which you are aware and which are relevant to the ans�aers �c provide. <br />Complete answers [o the,e questions now will help all agencies involved with your proposal <br />to undertake the �equired environmental review witi�out unnecessary delay. <br />The following questions apply to your total proposal, not just to the license for which you <br />ar� currently applying or the nroposal for which a?proval is sought. Your ans��ers should <br />include [he impacts which wi11 be causeJ by your pcoposal when it is completed, even [tiough <br />completion may not occur until s�metime in the future. This will alloca all of the agencies <br />vhicli w•ill be involved to complete their environmental review now, witlio�t du�licating <br />paper work in the future. <br />NOTE: This is a standard form beino used by all state and local agencies in the St�te of <br />Washington for various [ypes of proposals. i�ny of [Le questions may not apply to your proposai. <br />If a question does not apply, jusC answer it "no" and continue on to the next ques[ion. <br />ENVIRONhfENTAL CHECKLSST FORPt <br />1. BACKGROUND <br />1. Name of Proponent Hieho School of Everett <br />2. Address and.Phone Number of Proponent: 2301 Hovt, Everett WA 98201 25 -�- <br />3. Date Checklist Submitted 4/1/80 <br />4. Agency Requiring Checklist_P1gnni^F ne <br />5. Name of Proposal, if applicable: Bishop School of Everett a non-Drofit dav echoo? <br />for rhilrira i F tt �,+ a t <br />G. Nature and Brief Description of the Proposal (including but not limited [o its size, <br />general design elements, and other iactors that will give an accurate understanding <br />oE its scope and nature): 198C-81 echaol year ve vill have a school for 40 <br />children aRea 4, 5, 6, 7& 8 years oE n�e We vili need to maka the facilitv <br />�'—� ` p y s ' ofPPuVlic Instrucf�}oc�� [hc <br />7. Location of Proposal (describe che h sical settin of the ro osal .�s �:e <br />extent of Che land aren affected by any environmental impac[s, including �ny other <br />informa[ion needed to give an accurate understanding of the environmen[al setting of <br />the proposal) : The ahvsical settingla th�.o4t'hcaat cornPr of Trintcv Fniscn a� <br />Church's �rounde. I[ includes no extension of exieting atruc[ures. Ne need <br />to ventila[e and 11ght r.hc facili.ty better. <br />8. Estimated Date for Gompletion oE the Proposed Ac[ion: l�lv L.� 1980 <br />3 <br />