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:, . (� . �.� <br />�' , ' . . , .r �,; ,IIiDIROirTfEE:ITAL � CAEQCLIST <br />� __.�.:._..._ _. - --:.-(550:00 Fee Required) <br />' �i�=��, �:-. .� <br />Introduction: The State Environmental Policy Act of 1971, Chapter 43.21C, RCW, requires all <br />staee and local governmental agencies to consider eavironmental values bath for their ow-n <br />actions and when licensi.ng private proposals. The Act also requires that an EIS be prepared <br />for all najor actions significan[ly affecting the qualitq of the environment. The purpose <br />of chis c?�ecklist is to help the agencies invol•�ed determine vhether oz not a proposal is such <br />a maJoi action. <br />Please ansver the following questions as completely as you can crith the infor�ation presently <br />available to you. Flhere explanations of your answers are required, or crhere you believe an � <br />esplanation would be helpful to government decision makers, include your explanation in the <br />soac� provided, or use additional pages if necessary. You should include references to any <br />reports or studies of crhich you are aware and which are relevant to the answers you provide. <br />Complete ansvers to these questions now ctill help all agencies involved vith your proposal <br />to undercake the zequired environmencal review without unneceseary delay. <br />The falloe+ing auestions applq to qour total propasal, not just to thc license for which you <br />are currently applying or the oroposal for which approval is soughc. Your ansvers should <br />include che impacts which will be caused by your proposal when it is completed, even though <br />com?letion may not occur until somecime in the future. Thie will allow all of the agencies <br />ahich vill be involved to coaplete their environmencal review now, wichout duplicacing <br />raper :rark in the future. <br />VOTE: This is a standard fos+.n being used by all state and local agencies in the S�ate of <br />Iisaiquestiontdoes noc apply,ojust�answer.it�no"oandhc ntinue on oytheCnextlg1ie�Pi��� � �� �J L��I� <br />uu <br />cV�'i�OiME:iT.1L CHECi:LIST FOR`f <br />� . aachcxown <br />f <br />�t��1� 1 ���� � <br />CITY Ur EVE;=.F?-" <br />\ame o : �,.r,,..�.._ <br />?3dress and Phone Vu�oer of 2rop nent• �"'' '' r` �':' 2� J� �-�`- <br />� ;7� y.:r ,= �f.,- �.,-�:— i�;i <br />Date Checklist Submitted_, <br />�s3encv �teauiring Checklist <br />' • � <br />Vame of Proposal, if applicable: ��' �-' — <br />o. Vacure and Briac Desc:iption of the Proposal (including but noc limited to its size, <br />3eneral 3esign eia�ents, and other Eactors chac wi11 3ive an accurate unde:staac:r.g <br />of ics scooe and nacure) : L,.:.. ^.. - � -� %- � '' ' ` " � � <br />.. ..., �.. r�- _ <br />i, Locacion of Pr��osal (describe the phcsical setting oi cSe pr000sal� 35 t.211 as the <br />excenc of the and area az'ected 'oy any environr�ental ic�paccs, including any othe: <br />infox-ia[ion re�ded �o give aa accurate underst2nding oc che environmen'�1 sect:.n3 �� — <br />�F.e nro?osal) : : ! � � �� - - i: -' i ; ` �� <br />,'i .,. _ _ _. _ , . _ <br />C,•rl�.. �-- � <br />'�i � ._ "Li-_ " - - <br />. t. - � <br />9. EstiWatzd ]a�z cor CcanLe=ion oi.the Pr000szd :,ct:on: <br />