3114 HEWITT AVE 2016-01-01 MF Import

r . ....................... ...............: r Less than $1,000,000 value - $50 • , � $1,000,000 value or more - $!00 � Introduction: The State Environmental Policy Act of 1971, Chapter 43.21C, BGZd, requires a'. state and local �;overn�ental agencies to consider environmental values hoth tor their c•.n actions and c:hen licensing private proposals. The Act also requires that an EIS he pre?a:e:; for all ma,jor actions significantly affecting the quality of the environment. The purpcsc of this checklist is to help [he agencies involved determine whether or not a proposal is suci: a major action. Please answer the following questions as completely as you can with the information presentl;� available to you. Tdhere explanations of your anscaers are required, or cohere you believe an explanation Would be helpful to government decision nakers, include your er.planatioa ia the spac� provided, or use additional pages if necessary. You should include references to anp rannrr� nr erv�iies of which you are aware and which ar? r?le��anr rn rhr answers yeu provide. Comple[e answers to these questions now will help all agencies involved with your proposal to undertake the required environnental review caithout unnecessary delay. The following questions apply to your total proposal, not just to the license for which }eu are currently apply3ng or the proposal for which approval is sought. Your ansc;ers should include the iapacts which taill be caused by your proposal �ahen it is cempleted, e•:=n :houg: completion may not occur until sometime in the future. This caill allow all af the agencies which will be involved to complete their environmental revieca now, without duplicating paper aork in the future. NOTE: This is a standard form being used by all state and local agencies in the State of tdashington for various types of proposals. Many of the questions r�ay not apply to your prc If a question does not apply, just answer it "no" and continue on to the next question. ENVIRO\4•fEh'TAL CHECKLIST FORPf 1. BACKGROiJND 1. Name of Proponent Chuck BurqPG� 2. Address and,Phone Number of Proponent: 2A00 ua;niar Rank� tznl F;f}h �..o � Seattle. Vla. 98101 f20614K1-4i46 _._ 3. Date Checklist Submitted Februarv 1 19f34 4. Agency Requiring Checklist Citv o Everett —_._ 5. Name of Proposal, if applicable: _ NA 6. Nature and Srief Description of the Proposal (including but not limited'to its size, general design elements, and other factors that will give an accurate understanding of its scoFe and nature): . i See Attached 7. Location of Proposal (describe the physical se[ting of the proposal, as well as the. exten[ of the land area affected by any environmental impacts, including any other infozmation needed to give an accurate unders[anding of the environmental setting c. the praposal): See Attached �" 8. Estima[ed Date for Completion of the Proposed Action: 1954 _� L 3