3523 PAINE AVE 2016-01-01 MF Import

ENVIRONMENTAL CHECKLIST Purpase oi Checklist: The State Environmrncal Policy Act (SEPA), chapter a3.21C RCW, requira ail gavernmencal a¢rncia io consider che envtronmennl impacu of a proposal before making decisions. An envvonmencal imnact sutement (EISI mus[ he prepared for all proposals with probabie significant adverse impacts on che quality oi �r.e environmenc. The purpose oi this checklist �t ro provide information to help you and the agency Idenuiy imoacu from your proposal (and ro reduce ur avoid impacts from the proposal. if it can be done) and to help the agency decide whether an E1S is reqwred. Ins�ruccions for q pplicants: This environmencal checklist asks you to describe some basic intorma[�on about }•our oroposal. Guvernmentat agen• cies use this checklist to demrmme whether thc environmental impacts ot vour proposai are si¢niticant, reauvin¢ preparauon ol an ElS. Answer the quuuons brie8y, with the most prense iniormauon icnown. or give the buc oe• icnption you can. 'fou must answer each auuuon accuratelv and careiullv, to the besc oi vour knowled¢e. In mos[ casa. vou showd oe abie to answer the auuuons irom your own observauons ar pro�ect oians wnhouc the need co hire ezperes. If you really do not know ihe answer, or d a quesuon doa not apply to your oroposal, wrtte 'do noc knaw' ur 'dou not ao- ply' Complete answers to the quesuons now may avo�d unnecusary delays later. Sume quesuons ask about governmentai re¢ulauons. wch as zomng, snoreline, and IandmarK designations. Answer chue questions ii vou can. I( you have problems, the governmental agennu can assisc vou. The checklisi quanons apply to all parts oi your proposal, even if you plan to do ihem over a period of cime or on differrnt parcds of land. Attach any additional iniormauan chac wiil help ducnoe your proposal or i�s environmen�al effecu. The agency co which you submic this checklise may ask you to ezpiain your answers or provide additional in- formation reasonably related to determining if there may be signincant adverse impact. Use of checklist ior nonprcject propasals: Complete this checklis[ for nonpro�ece proposals. even chou¢h quesiions may be answered "does noc apply.' Iv �p- DITION. COI:IPI[f[ [hG SUPPLEMENTAL SHEET FOR VONPROIECT ACTIONS Ipa�t D{. For nonpro�ece actions, the reierrnces in che checklist to [he words 'pro�ect.' 'applicant.' and 'property ur site' ihould be read as 'proposal.' 'proposer.' and 'afFected ¢eographic area.' respecuveiy. A. encxcnouuo I. Vame oi proposea project. if applicable: � - _ �� , _ '. Vame of applicant: � . , . ...:: : s�` . . .. . . � . � .'�:: ?. Address and ohone number of applic�nt and con[ac[ oerson: � --, ,"c =�- .'r�.�=� ' .�- �..'t- _� :. � i -;i/ �. Dam checklist preQared: - : ! ;�� :. Agency reauesnng checklisr. ' . . . - , ; '. /. _ ..- ,,�> > ., - . , o. Proposed timm¢ or schcdule lincluding phasm¢, ii applicablel: . �L(IL V�s,(� .. . �'.s.' i— ... I- "� __ . 'F.l,� ,:�/'I , ._ . . . . %. Do you have any plans ior tuwre additions, expansion, or iurther activiry related co or connecmd with this pr000sal'' If ves. exolain. . /� G�