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T • <br /> ENVIRONMENTAL CHECKLIST <br /> ��� . <br /> .��x <br /> C H <br /> �9 H Cn <br /> Purpose oi Checklist: <br /> y M <br /> The Swie Environmenwl Policy Aci �SEPA1, cnapter s3.21C RCW, requires all governmen[al agenaa to cansider <br /> �� y� the environmeatal impacts ni a proposal 6eiore making decisions. An enviranmental impact statemen[ (EIS) must be <br /> y� prepared ior all prc,r„ais with pronable sienticant adverse impacts on [he quali[y ot the environmrnt. The purpose of <br /> this checklist is to provide miormatwn to hctp you and the agency identify impacts irom your proposal (and to redua <br /> x y� or avoid imoacts (rcm the proposal, i( it can be dcme) and to help the agency decide whethtr an E1S is required. <br /> t+7 o <br /> � H C /nstrucuons for App/ic.nts: <br /> �ay This cnv�ronmental checklist asks you to ducr�6e some basic iniorma[ion about yuur proposal. Guvernmental agen- <br /> 4�'��O nes use this checklist to detcrmme whether the envvonmrntal impacts o( your proposal are signiFicant, requiring <br /> Z H� preparauon oi an EIS. Answer the quutwns brieily, wuh the most precise informatmn known, or give the bat de• <br /> a H x scnpnon you can. <br /> t y You must answer each quuuon accurately and careiully. tu the ha[ of your knowiedge. In mast caza, you �hould <br /> i-:H <br /> nC �n �c able to answer the quuuons irom your own aoservanons or pro�ec[ plans without ihe necd w hire experts. !f yau <br /> b y rcady do not Know tne �nswer, or d a auauon does not appiy to your proposat, wrne 'do noi tnow' or 'doa not ap- <br /> ?ry'. Compietc answers to the quesnons now may avoid unnecusary delays later. <br /> � Sume quescions ask ahout governmenial reguinuons, such as zoning, shoreline, and landmark daignations. Answer <br /> yHD� ihue quutions i(you can. If you have problems, che governmental agenau can auist yau. <br /> _ The checklist quations aaply to all paru oi your pronosal, even if yau plan �o do tbem over a period of time:or on <br /> differen� parcds of land. A«ach any additianal mformauon �hat will help descnbe your proposal or iu environmenal <br /> eifaca. The agency to which you submii chis checklise may ask you to ezplain your answen or provide addiiiotul in- <br /> formation reasonably related m detecminini d thete may be signifipnt adverse impact. <br /> Use of checklistl'or nonproject proEwsals: <br /> Complete this checklist (or nonprojece proposals, evan though quations may be answered 'doa noc apply.' IN �o- <br /> ��� DITION, COrtlPlel� Ihe SUPPLEMENTAL SHEET FOR VnNPROIECT ACTIONS (P�rt D). <br /> � Far nonpro�ect acttons, the reierrnca in the checklist ro the words 'project,' 'applican[,' and 'propeny or aite' <br /> should be read as 'propo:al,' 'proposer,' and 'affected geographic arca.' rapectively. <br /> '�_ A. BACKCROUND <br /> .....� I. Name oi proposed project. if applicable: <br /> TQ/7DN (, ROuP Z"n/vES�RS <br /> G �!'Fict dui�v�.�G <br /> �� ?. Name of applicant: .�I1 w�t E.ve L /�f�,( £ <br /> l. Address and phone number o(applicam and contaci erson: <br /> � '.o' /SZ iti- //G r'� n/E 75�,j- ��Lzy <br /> A,t��c.NG >rn�, WN $'�2zg <br /> a. Date checklise prepered: //- /O � ,S'c ,r� <br /> �'� 5. Agenry requating checklisc �U&.�-'£ )`f f'/�f1Ny�'vG �£�'� <br /> 6. Praposed timing ar schedule lincluding phasing, i(applicabie): <br /> ��� <br /> � 7. Do you nave any plans for fumra addi[ions, ezpansion, or Further activity related m or connected with this proposal? <br /> If yes, explain. y0 <br /> 1. <br />