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<br /> . :O.00 '_e :�;e-=-�� • . ' . � � - . .
<br /> - -recuctier.: ::�e S[ate E.•._:cr.-e�tsi 2c_±.c sct o_` i9i1 � ..' ` �-' :.
<br /> , Ctapte: 43,?i� �CC, rec::ires u
<br /> _tate and local ;e�•era�eata: z_er.c:es co censider eai•i:onr_ental valces �eth :or [nei: ou,-,�
<br /> =ccicr.s aad anen :icensia"s ?=ir�ce prenosais. The �ct also :eauires p?g +.
<br /> __: a11 -z7o= actions si2ni`icaatly z:°ect_ng .he quality ei the eavi;onaeat. ":ee,pYe��.-�_
<br /> _- :i:s c�ecKlist is ;o help the agencies iavolved deter�ia< wnethe: or ae; a - '����
<br /> � :az'o: action. :- -. _-_- -= =�_.:
<br /> _ease ans�.er [:�< follouia2 questions as co-plecely as you �n ��i:h the ir.io--;at'
<br /> -:ai'_a�le to you. '.:�e;e es�laaacions of �eur answe:s are reouired, or wne:e ycu , v
<br /> =:,�lanation aould 'oe heip.• � -'=--_�'� --•�
<br /> =�1 :o go�era:�eat decision �a'sers, include cou: es�lana,:toa i
<br /> spac- pro��ided, o: use additionzl pages :° necessary. You should i^clude reze:ences te :
<br /> reper;=_ e: st•scies of wnich you a:e �e;are and which are relevsnt to che answe:s }•eu -
<br /> �_,?.e:e ar.s«e:s to tSese '^"`'-•
<br /> auestions aox s:ill help all zgencies iavoived :oi.h your p:--,�,�_
<br /> :_ ar,der:ake the :eouired environaental review w•ithout uar.ecessar; delay.
<br /> =`e :o:loc;ing questions a�ply to your total proposal, no: just [o the license for ;:
<br /> -.a cur:ently applping or the �roposai for r;hich approval is sought. Your aas::ers s�..•::
<br /> -:clude the impacts which will be caused by ycur p:oposal e:hen it is ce�cleted, ere^ _
<br /> -�c�ietioa nay not occur c,^.til ;u.�eti�e in th= .uture. This w:ll alloc al? of the z .
<br /> -::ici »ill be involved to ccnnle[e their envirenmental review IIOW� c;ithoct ;;uplicaei: : � -
<br /> -?e= aor;c ir. the :uture. _
<br /> •�''==; :n+s is a standard �or� being used by all state an2 local a2encies ia ,he St�ca r"
<br /> _��hi.*,Eton °or var�cus types of proposals. u.an�� o: the questions ray not appl±; .o }•c :_ - _
<br /> __ a auestion dces not apply, just answer it "no" and contiaue on te the n x�
<br /> e i Guest:a::.
<br /> -• :- �..: .T t-:�� ,
<br /> -' .30`-...\.�1L CHEC�LZST FaR'I ,, . -
<br /> - • =:,C::GBOliVD
<br /> -. Same of Propo:ent ��_,_ -
<br /> 1, e= �� i-,� � �-tT .,
<br /> _', �.:-.
<br /> -. :lddress and Phone Suaoer of P:oponent: /ui: ; . n, �' j %� �"::,• . �,. _
<br /> i'; " " - _ �
<br /> /� i
<br /> _. Date Checklist Submitted__ -_ - - I �-� .;�•;-.
<br /> . .�gency Aequ:ring Checklist . ��-„�-,• : -
<br /> �. Sa�ae of Proposal, if applicable: - ;•� �- ,,, ,, ,, „ .
<br /> cture and 3rizf Desc:iption oi the Proposal (i�cicdine Sut �ot l:�ited to ies size,
<br /> _,ria:al design ele:�ents, and other :actors tnat will ¢ive an accurate ur.derstanding
<br /> _ :ts scope snd nature) : / �,_. . - �;� , ;.- ; , „- -
<br /> _. �� - '-�' - - _ . t-r � y4r'"-�'
<br /> '. _. ,�a,icn of ?r000sal (descriUe the physical se[ting oi :he prenosal, as wel! as t' _
<br /> _:tent ef t:�e land area ai:ected 'oy any environr..ental impacts, including any otne:
<br /> �ro r...atio: ae�ded to give an accu:ate underst�zndin� c: the environ�entei seet_�s - _
<br /> � prc�aszl) : i ,- . / _ � _. '_
<br /> _ , z
<br /> —� � � � f �' �' " �i i r� - - '/ - � �/ �
<br /> �_ , ,� �.� - "'�%� ,..,. ,,, �„�.s /�� � r'FH� -
<br /> • _. _.cated �a:e °�r r�-.�lz�ion of the P:eoos2d action: i,S� i/�� •; t �i.--;,'
<br /> ; � .,. , , _-
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