Laserfiche WebLink
ENVIRONMENTAL CliECKLIST <br />�$�� 00 Fee pEquired) <br />Introduction: The State Environmental Policy Act of 1971, i,hapter 43.21C <br />sta�e and local governmental agencies to consider envi:onmenea2 values �oth for their owa <br />actions end wt�Qn licensin> > R�, requires all <br />for all ma,jor actions significantlqPaffec[ing [heequalitysof thelenvironment.ElTheepu�OSeed <br />of tais checklist is co help the agencie� involved determine c�hether or no[ a proposal is such <br />a major acta.on. <br />Please answer thP following question� as cmnpletely as you c3n with the infoanation presently <br />available to you. khere explanations of yuur anscoers are required, or where you believe an <br />explanation vould be helpful to government decision makers, include your explanation in [re <br />spac� provided, or use additional pages if necessary. You should include references to any <br />rePorts or studies of which you are aware and which are relevant to the answers ou <br />Comolete answers to r.he�e questions now will help all. agencies involved with our <br />to un3ertake the required environcaental review without unnecessary delay, y Pr.ovide. <br />• Y proposal <br />'!'he fo11oH-ing cuestions apoly to yo;.r. total proposal, not just to the license for which you <br />are currenCly a�ply;ng or the pr�posal for which approval is sou ht. <br />include the i�pact, wfiich will be caused by your proposal when it is compi,eted, e�en though <br />cc�nletion may not occur until sometime in the future. This srill allowo3r�an.swers shuuld <br />which :+ill be involved to complete thei: environmental review now, without duplicating <br />paper work in the fu;.ure. of [.,e agencies <br />NOT£: This is a standard Form being used by all 3tatR and lor_al agencies in the State of <br />I�iashia3ton for varioi-s types o: proposals. Many of the questions nay not anply to your proposal. <br />If a ques�i.on does not apply, just answer it "no" and conr.inue on to the next question. <br />E1dVI!?O�M�i^1'AI, CHgCA'I,IST FORM ' i; � <br />_�l <br />1. BACKGROUND <br />I. :��e of Proponent D;:.I.:S CT.SOpI ' -�.�_�� <br />-'. Address and Phone Number of Yroponent: FC p m� <br />_C:� 6G7 P.'UKIL.�O 1;R' 8 <br />3. Dal-e Cher.klist SubmitCed 4/24/ 79 <br />4. Agency H;quiring Checklist citv �r o..�....,� _, . <br />5. *tame of Pruposal, if a�nlicable: <br />� <br />7. <br />0 <br />Nature and BrieF Description of the Proposal (includircg but aot li.mieed to its size, <br />genersl desi�n elements, and other factors that will give an accurate vnderstandin�; <br />of its scope and naturej: 3i? �I�c;m V,,Ip �pm HG?1.�? r <br />II>�I^:5 Ai:D rCLn? CA� ==J=CCi: t:I?_S C:1 �'� g o'•" . CCI.: 2SPI;IG Cr^ F^IIT? T" A�narr,•. <br />?C � �I3:T ^C ^' wL'T' C;� _ G LCO..� :,I"�? .�, G';��EGfiCi^.:D . a �— <br />�S. P:.DG. ".:ZT_L �? 35 = � R:crrr �;5,? <br />. '" � t;% �5 :'eet. <br />Location oF Prcposal (de;cribe the p�y�ical set[ing oF the proposal, as well as the <br />extent of che 1a�.1d area a.fected by any environmen[ai impacts, including any other <br />info.:�atioa needed to give an accurate understandiag oi the em ironmental setting of <br />the ro osal <br />P P ): c?;; c-.�C_ CSED �L:,G. ":I?.L=_ . <br />C:. _- c .. -=r-v F:iC:�t�i v� �. � �C:'c-jr!'^,l c^ :i:w - - -- T .�` �,- <br />,':_ _..:.�C:.. - � Q^ : C �.: �' . .. _ r W- <br />..� ..__.,r._�: • �� -•- ;:... _Ci•:I?iG S� .: • �.•. �m <br />_.��� 10 rc���,�_ ... _ P' ai �r'�r h;+.nt�res�ce.'*,t � <br />:i�__ ,..,,,r ia_. t�. <br />,_r'r_ .�"�r�_ ' --- . :�t,:l::.:, P.i,t.l:._ �_.. ' '�..:. �' '_- �L <br />. �_ .- i.� 1::L1.YJr;._ <br />Estimated Date for Completion of [:�e Proposed Action: `:C'.'.�7q _ <br />