2514 GRAND AVE 2016-01-01 MF Import

ENVIRONMENTAL CHECKLIST Purpose of G'hecklist: The Sute Environmental Policy Acc (SEPA), chapcer 43.21C RCW, requira all governmen[al agencia co consider the environmental impacts oF a proposal before making decisians. An environmenul impact statement (E1S1 must be prcpared far all proposals with proba6le signiflcant adverse impaccs on the quality of [he environment. The purpose of ihis checklisc is to pravide informacion co help you and the agency identify impacu from your proposal (and co reduce or avoid impacts fram the proposal, if it can be dane) and to help the agency decide whe[her an EIS is required. Ins[ruccions for Appliants: This environmental checklist uks you ta drsttibe some bazic information about your proposal. Governmental agen- cia use this checklist to decermine whether the enviro�mental impacu of your proposal are significant, requiring prcpantion of an EIS. Answer the quations briefly, with the most precise information known, or give the but de• scripcion you can. You m�ut answer each quation accuncely and carefully, to the bac of your knawledge. In mosc casa, you should be able w answer the quations from your own observations ar project plans without the need to hire ezpetss. (f you really do not know the answer, ar iF a quutian does not apply to yaur proposal, write 'do not know' or 'doa not ap- ply'. Complete answen co the quacions now may avoid unnecasary delays Iater. Some questions ask about governmenwl regulations, such as zoning, shoreline, and landmark daignations. Answer thae quntions if you an. If you have problems, the governmenul agencia can assist you. The checklist quacions apply to all parts of your propoul. even if you pian to do chem over a period of time:or on difkrent parcels of land. Attach any additional intortnation chat wiil help docnbe your proposai ar i�s environmental efFecu. The agency to which you submit this chaklist may ask you to explain your answen or provide ndditional in- formation reasonably rclated to determining if therc may be significant advene impact. Uu of checklist for nonprojat propasals: Complete this checklist for nonproject propwals, even though qu�cions may be answered L�ITION, C0111p1t[C tI1G SUP�LEMENTAL SHEET FOR �ONPROIECT AC710NS (Pa�[ D�. For nonprojeet accions, the rcfennces in the chaklist to the words 'project.' "applicanc. should be rad as 'proposal," 'proposer,' and 'aFfecced grngraphic arc,' rapeccively. A.e�cxcxour+o I. Name of proposed projeet, iF applicable: Ap�4�,—nitEN i �a:..sE �.� c�n�, ;'� 2. Name ot applicant: � ��,;��A,�,�� , �� J. Addras and phone number of applicanc and concac: person. SAEr K L,�i�.:..lr.�.�.."> %3� Gi�?E.E.± y 6��s - yd�� a. Date checklist preparcd: ��/,Zg'/$�� 'doa not apply.' IN �o- and 'property or site' � ,v1� ; s�;•�c�..'.%•• ' `�% /� 5. Agrncy requadng chaklist: ��L�.r� �'G,��,,,��NE, QgTi - 6. Proposed timing or schedule (including phasing, if applicablel: '7. Do you have any plans for (uture additions, expansion, or further activity relaced to or connecced wich chis proposal^ If yes, ezplain. �tlr�N t� CXttIf3iT (Z i.