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� <br /> � <br /> - • • � • ($50.00 Fee Required) . ' . <br /> Introduc[fon: The State,Environmental Policy pct of 1971, Chapter 43.21C, RCtJ, requires' all ' <br /> eta[e and local governrnental agencies to consider environmental values both :or theit ow�n <br /> actSons and Nhen licensing priva[e proposals. The Act also requires that an EIS be prepared <br /> for nll ma,jor ac[ions significantly afEec[ing the quali[y of the environnen[. The purpose <br /> of this checklist is,to help the agencies involved determine Wheeher or not a proposal is such <br /> a ria,jor action. <br /> Please anscrer the follow{ng quesi-icns as comoletely as you can with the information presently <br /> available to you, i,fiere explana'ions of your answers are required, or Where you beiieve an <br /> explanation wouid be helpful to „overnment decision makers, include your.explanation in the <br /> sPa�' provided, or use additional pages if necessary, You should include references � - any <br /> reports er :,tudies of which you are auare and vhich are relevant to the answers you p; • ��ide. <br /> Complete answers to these questions now will help all agencies involved with your proposal <br /> to undertake the required envirqnmental review without unnecessary delay. <br /> . ' <br /> Che following ques[ions appl�� to your total pro��osal, not just te the license for which you <br /> �re currenCly applying or thre proposal for which approval is sought. Your answers shonld <br /> Lnclude the impac[s which will be caused by your proposal when it is completed, even [hough <br /> :ompletion may not eccur t:ntil sometime in the future, This Hill allow :,11 of the -agtrcies <br /> ahich uill be in��olved !_:� cor�plete their environmental reviecr nov, crithoui duplicating <br /> �aper vork in tUe future. . <br /> VOTE: This is a standard form being used by all state and local agencies in the State of <br /> �7ashington for various types cf proposals. Many of the questions raay not apply to your propos <br /> [f a question does not apply, just answer it "no" and continue on to [he next question. • <br /> :NVIRO,�R�tiTAL CHEf.1:LIST FORt�i <br /> i ' ' <br /> i.. BACKGc20Ut�D � <br /> 1. Name of Proponent_�p�q� ,E,�is��� <br /> _ 2,_. Address and Phone h`umber of Proponent:�LLB � 8 T't S i ZEE"f EJE'.:£i i U,}� <br /> � � <br /> ' - - �9-6osi . � � <br /> 3. Date Checklist Submitted r�— 7�-g O - <br /> �+. Agency Requiring Cht:cklist Ctir-t oF ��Ee�' � <br /> S. Name of Proposal, if applicable:_ a � ' � <br /> . , + <br /> 6. Nature and Srief DescripC;on �of the Proposal (including but not limited to its size, <br /> • general design elements, and other zactors t}:at uill give an accurate understanding <br /> •of its scope and nature): C��S7��ci�ON oF �w1A�ENOVSE FAClL1T`! �,�A2E�.'o�fE <br /> • C.c��ATrl1 .Q�2c+Lt STllEE't F�Zcir.� (�7J�tcA.-�'{i � MAK.� F4CTJt��.16 FJ1ctL�'IY <br /> _ ScTr. oc Oc.DG t5 Arrr4r.-�.w�;c�Y C�c1Uc SQ .� • T^ <br /> 7. Location of Proposal (describe the physical setting ot the proposal, as vcll as the <br /> exten[ of the land area affec[ed 6y any environmental impacts, including any other <br /> informat3on needed [o give un accurate understanding of the environmental setting of <br /> the proposal) :,��,��,,,G �E,,,�� �,,,����E� �N ��pEeTy FoasnEu � ou1��`� <br /> ' Mtt�,7Av�tE R, fZ - Q;teRE�-ty L�fS iAsT OF ?F�E LV'oo IIL.00� OF MCIMV6AIL AvG.. <br /> Ei�_A'A7Ac.E..tT -(O n^Atl,C.pqD <br /> 8. Estima[ed Date for Completion of .the Froposed Action: A�Vua'f ��cso <br />