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� . . ' ($50.00 Fcc Required) ' � , <br /> [ntroduc[ion: The State Enviranmental Policy Act of 1971, Chapter 43.21C, RGW, requires all <br /> sta[e and local govern�en[al a�encies [o consider environmen[al valucs both for their osm <br /> ;ctions ar.d ahen licen�ing private proposals. The Ac[ also requires that an EIS be prepared <br /> Eor all ma.jor actions signiEicantly aEfecting the quality of the environment. The purpose <br /> �f ihis checklist is to help the agencies involved determine whether or not a proposal is such <br /> i major action. � <br /> 'lease ansver the folloving questions as completely as you can uich the information presently <br /> ivailable to you. IJhete explanations of your answers are required, or where you believe an <br /> txplanation would be helpful to governr�ent decision makers, include your e:cplana[ion in the <br /> ;pace provided, or use additional pages if necessary. You should include zeferences to any <br /> repor[s or s[udies of Ghich you are aware and which are relevant to the answers you provide. <br /> ;omplete answers to these questions now will help all agencics involved.with your pcoposal <br /> :o undertake the required envitonr�en[al review withou[ unnecessary delay. <br /> fhe following questions apply to your total proposal, not just to the license for which you <br /> ire curren[ly applying or the proposal for Whour proposal when�ithis completed�,eevenhthouvh <br /> include [he impacts which will be caused by y <br /> :omple[ion may not occur until sometime in the future. This will allow all of the agencies <br /> ahich will be involved [o conplete their environmental review noa, without duplica[ing <br /> �aper Work in the fu[ure. ` <br /> VOTE: This is a standard form being used by all ofatheanuestionsaaaycnot apply cotyour proposal. <br /> :7ashington for various types of proposals. �nY Q <br /> Lf a question does not apply, just answer it "no" and continue on to the next question. <br /> ENVIRO�r?fE:ITAL CHECf:LIST FORDi • • <br /> ]., BACKGROUND _ <br /> 7., Name of Propon.nt Creative Learnin Center <br /> 2, Address and Phone Number of Proponent: P._ o. Eox 1�13 U er Rid 'e Roa <br /> F.Verett, WA 98206 � � - . ' <br /> 3. Date'Checklist Submitted April 1�4, 1980 � <br /> y, Agency Bequiring Checklist U.S. Dept of Housing & Developnent (this project is_ exe�t <br /> under SEPA) <br /> 5, Tame of Proposal, if applicabie: Creative Lea'rninci Center .pari� <br /> (constrvction of an adjunct wing) <br /> 6. Nature and Drief Description of the Yroposal (includiniveUannaccura[ecunders[anding� • <br /> general design elements, and other factors that will g' <br /> of its scope and na[ure) : See attached <br /> • � <br /> � <br /> ro osal, as well as the j <br /> 7, Loca[ion of Propus�l (describe Che physical setting of tpe p 'P S other ; <br /> ex[ent of the Iand arm veCanCaccucate�unders[anding1oEm[heCenvironmen[alasetting of <br /> infomation nceded eo 6: <br /> thc pro�us�l) : See sitc lan � <br /> y, Estimat�or Completion of thc Froposed Action: september, 1980 <br /> . 3 I <br />