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(:50.00 Pee required) <br />Tntrod u_ction: 1'he 5,ate Fnvivor.nental policy net of 1971, Chapter 43c21C, rf.J, rrqui a'- all <br />state ant local. pcn•crn"•c':ttil :,�..ncLus to cOt:sider co ironnental valud:: hOLI+ C_r ih•.:ir own <br />fLc Act also rcq+rfres that an 1:IS im prepared <br />lrivatc propasnln• <br />actions and wi+cn liccnsiuC f J the c:lity of tl:c cr.vlrur:•.nt. '1'hc <br />•'!:ethcC ur not ., prapos;ll <br />for all major ac-rls si•;nl.ic::ncl• affecting 9• <br />of th!s cil••ck'.f t Is to help the agct:ci,•s Involved d termfne <br />a majcr action. <br />Please answer the Collrwing cuestions as eo:rq,letely as you can with the iuroryoubn p,,ve a ly <br />'available to you, vhere explanations of your answers are required, your <br />r crc you bo!ievn an <br />wruld be helpful to govern:;,ent decision makers, include }•our c::pl::natio:: in the <br />e.p]n:wti;n y, You s?lojild include referOacc� to a::y <br />snacc ;.ro:•idr-2, or use additional page iE _cessalt are relevanL to the anss:ars YOU provide. <br />agencic:: involved afLh your proposal <br />reports or studies Or which you Pre aware and whit <br />CO::.plcrc• ans.crs c° these cucseions now will help all <br />rit la: IJStakC t!IC required e:tviron:reu Cal :eeicw Vithl^UC 13n:1CCCSFarj delay. <br />1 to Our torsi proposal, not just to the license for which you <br />The fc'.Loxin ques'-ions app y which ao roval is S°too t. Your answors Should <br />are currently apply aL or the prO,osal for P <br />include t e iM acts which will be caused by your prenosal when it is r°:nlctcd, even ti,o.:gh <br />ccnlplction r,:ay not occur alai: so:ncti:;r in Chi funnc• This wilt allow all of the at:.::•-f.':: <br />which will be iavOlvrd to Co-,plete ti:eir cuvi.rorr.,cntal revie:: now, without dupltc,».t'ill'e, <br />paper work in the future. <br />Titis is a s.aadard f°rr being used by all state and local ageuc'es in the Statf e O <br />NOTii: <br />or.^.ls. l:any of the questions miry not apply to vcur proposal <br />lashin<trn for var:n.is types or pro; ',no" <br />If <br />a cue_aio❑ doe:: uoC apply, i <br />ust answ.•r it anJ cuutinuc uu to thr uc:;r <p,rtir;:. <br />ESiIFO::i!:;TAl. FO^?1 7 i <br />Sorth Coast Electric Co. <br />1. Na n of Proponent_--_---------- - <br />2. Address and Phone <br />l:ur..bcr of Prepcnent: 7160 Hazelfgrn Rd•, Tunli.tiny0regorL°i062 _ <br />1-503-620-3910 — <br />3. Date Checklist submitted--__ - <br />4. Agency ficgai:'ing Checklist Planning Dept., Public Works. Building ll.pertment-_-___ <br />t.a, r Plnlicabla North Coe=t electric Distribution t2arehouse__- <br />5, c o_ Proposal, iE .1, <br />.t limited to its size, <br />!;anlre and !:rief Description of the Proposal (inclu.lin{; but nw <br />6• 5• factors Chia will give an nccurnCc unc!et:tt;uulin <br />general desi cic:r.cnts, and vLhcr -_--_ d office for <br />and oat-1,e):I2000 sq ft concrete/nasonry warehouse an <br />Of its scope )liCS. ---- -._- i---- <br />wholesale electrical gU pl - <br />�--- propol,al, as wall as t!xl <br />p!r:siccl sciCin; of the <br />i. Location or. Proposal (describe tL•c <br />iucludlnt; n ly othrr <br />el,tent or the land area aCCe,ar,l by ally Cll':l 3'.:nl'.CaC.1t ir.'F.I.0 :, <br />ir..`Ot at ion nradud ce rc:: <br />gicr. an aecutate. un:icr fl:::.t+nd ir.g of the cnviCO-1-icntal set -tin of <br />- 43990 sq t aa <br />till l.). 39;r-2 Stith Srraat --- <br />propo_...` _ - -- -- <br />____---- <br />construction star:A};r. vnrJ lc,_F:.etL CmtzrrnrrlunCo. <br />-- Julio <br />O t!IC Fr ^ca hctieu:Julio1990-' <br />tt <br />Date for Cc.aply. O: _ - <br />3 <br />