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; <br /> • ` . . . � • 1 <br /> • � � ENVIRONI�ILNTAL CFIECSLIST � <br /> � <br /> � . --�{$25,00 Fee Required) � �S � L J '� � D <br /> ` L1U <br /> . ' . �EB 1�41978 ' <br /> lntroduction: The State Environmental Policy Act of 1971, <br /> ' . Chupter 43.21C , RC�'!, requires all state and local governmentnl CiTY pF E�:���E1-I, <br /> agencies to consider environmentnl vnlues both for their own ,, , ,. <br /> actions and tivhen licensing pri�;ate propos�ls. The Act .1so �� ' � <br /> � Teqtiires that an EIS be prepared for all major actions significantly <br /> affecting thc quality of the environment. The purpose of this • <br /> checklist is to help the agencies involved deternine whether or not <br /> a proposal is such a major action. • � , <br /> ' • � . � • . . - <br /> ' , , Please ans�ver the folloHing questions as completely as you can • <br /> �with the information presenUy available to you. �Yhere e�planations � <br /> � . of your nnswe�•s are required, or �vhere you believe an explanntion • <br /> ' would be helpfui to government decision makers, include your <br /> explanation in the space provided, or use additional pages if . ' ' <br /> necessary. You should include references to .ny reports or studies <br /> • of which you are a5care and which are relevant to the answers you <br /> provide. Complete ans�vers to these ques2ions no�v will help all : � <br /> agencies involved ti��ith your proposal to undertal;e the required , i <br /> ' . environmental revietiv �vithout unnecessasy delay.� ' • <br /> i <br /> . , . . , <br /> . . ; <br /> , The follotiti�ing quesiions aaply to your total proposal, not just to the � <br /> . � license for which you are currentiy applyir.g or the proposal for • <br /> which upproval is sought. Your ans�t•ers should include the impacts ' <br /> , which tcill Ue ceused by your proposal tivhen ii is completed, even <br /> � . though completion may not occur until sometime in the future. This <br /> � will cill'ow all of the agencies which �vill be invoived to complete <br /> . • their environmental review now, without duplicating paperwork in , � <br /> the.future. ' • . . � <br /> . • NOTE: This is a standasd form bcii�g used�tiy all state,und local . <br /> agencies in the Stat�� oi Washington for various types of proposals. • i <br /> . hlnny of 2he questions may not apply to your proposal. ?f a question <br /> ' does not.apply, just anszver it "no" and contnue on to fhe next <br /> • question. , • . � • <br /> . . • ; <br /> . ENVIROYIiENTAL CH�CKLIST FOR11 ' ' • � ''• <br /> . • � . i <br /> • •� I. BACKGROUND ' � � , • <br /> 1. . Name of Proponent �-�,-��/ 'k io�� M6.Tr'-4F,.J� . <br /> , 2. Address and Phone Number o Proponent: � <br /> � ' i <br /> . ' -_ �o`E�-1 F��-.PZ=x1 � b3/ ' I <br /> • � — F vc?�C ���.�-�.� e1 z� . � <br /> ' ' ��53^ C-100 j ' <br /> ' • .3. Dnte Checl:list Submitted � i <br /> • . , . � <br /> ' • ' • • . • . • � <br /> . . . • � � <br /> . , <br /> � . ' 'i <br /> . . i <br /> a.. <br />