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<br />,:'.� ,-' . . , , L+.vinudrl�:V1'.U. C3ECXLIST
<br />Intro-; �e State Environmentsl Policy Act of 1971, Chapter 43.21C, Q��, requtrea all
<br />scace and local governmental agencies Co cansider environmeatal values boch for Cheir owst
<br />actions and When liceasing private propasals. The Acc also requires thac an EIS be prepared
<br />for all ma,jor ac[ions siga.iFicantly affecting the quality of ehe environaiene. The purposQ
<br />of this ehecklist iy te help [he ageacies involved determine vhether or noc a proposal is such
<br />a major acticn:
<br />Please ansver the follwiag queseians as completelq as you can v�eh che information presently
<br />available to y�, {�}��r¢ �l��ions af your ansvers ate required, or vhere you believe aa
<br />e�cplaaation vould•be helpful to gaverneenc decision makers, include your e_cplanation ia che
<br />sP��'- provided, or use additional pages if lecessary. You should include reEerences to any
<br />reports:or studies of w!L{ch you are avare aad vhich are relevanc to the ar.svezs qou p=o�de.
<br />Cemplete aasvers to these quescions cov vi,7,7, he],p .a� age�cies involved crith your propeyal
<br />to uadertake che requtred emrtrenme�tal reviev cri[hout u�ecessary delay,
<br />The f���g qnestioas appLp to yo�xr total proposal, not juat to the ltcease Eor vtiich ya�
<br />include tlrr �ac�iIIB or'the proposal for Which apprwa.I is sought. Your anszrers should
<br />completian eap nat occ�ur rmt�ii s�e�..(�ed�ytheufutureosa�isea iN is comp],eted, even chaug[r
<br />Wyich yi� }Je� tJJI(C wil,l a11ov a11 of the agenra na
<br />tR'�oIved to caszptece thei= enviroameatal reviev nov, without duplieae3ag
<br />pape= wrc in tye.fucure.
<br />N�t This is a staadard farm beinggueed bp�a],1 state and local ageacies ia the State of
<br />WZ+hingcan for.various types af propaaals. �1a¢y�of the.questions aay nat applq to.pour prop��sal
<br />Ii` a 4uestioa dosa not apply, j�t � iL na' aad. cantiaue oa, to the nest questioa..
<br />��2�li .�iiT6L (�ECSLIST' F�i '
<br />� 1.
<br />B6CRGROII.ID
<br />1- Name.of Proponeac
<br />2_
<br />3.
<br />Addreis aad Phone. :J�ber o£ Proponenc: �I(aSi ��� /�!� '
<br />� S�,ONon�t�5 'i6A��o,33 .
<br />Date Checic.l3st Submitted . ,d�J(a. 14 P,2 �
<br />4- ABm�9' �4uiring
<br />S.. Nae.of Propusal,. iPapplicable: N0611"OU p��, RE�„�O'Lt'7f.�
<br />6. Nature and Btief Descriptio¢ o� ttr� PropesaZ (�a��g but not liaited to its size,
<br />gmeral desiga.elemeats, and ather factors�ehat crt7,1 give an accurate understaading
<br />ot' its.scope and.natnre)= {�FpAI�,/ �p,ult.C) • 3 5TOwV
<br />COMI��E IGm.� Au7.
<br />7• Locatinn of Propaaal (desc:ibe the physical settinq of the proposal, as eaell as the
<br />exeenc af the laad areu affeLted by any enviroamental impacts, including any ather
<br />infozmatioa needed�to give an accurate understanding af the environmental settiag oE
<br />Chfl pro�os�l): 2827, IJORTOU OU I.iO�TOU h p,�� y.� oF NEwit.r.
<br />— PA�Mefd�( IM17oGi TFIh— P� rv� 1 'UOn.T'OI
<br />���Dafs. IMDec, c -
<br />Y Y ou ao�ecF
<br />8• Estimzted Date Eor Camplecian of the °roposed Action:
<br />Z'��_ pE�3r.1�7S 6 Crc,,.-n�n.. .,.
<br />CoMp. Md,O�i �cicTE
<br />. . �EMGI IJ I7E2
<br />,101� ,
<br />��u�ItiG- pU =LO�A.CJ�..c�.
<br />J
<br />'1
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