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, ($25. 00 Fee Required} <br /> �. t <br /> Introduction: The State Environmental Policy Act oC 1971, <br /> ' Chapter 43.21C, RCS'7, requires nll state and local governmentul � <br /> • agencies to consider environmental values both for their own � <br /> netions and when licensing private proposals. The Act also <br /> • requires that rin EIS be pre�ared for all major actions significantly <br /> nffecting the quality of the environment: Tne purpose of this ' • ' <br /> . checklist is to help the agencies involved determinc tvhether or not <br /> a proposal is such a major action. <br /> Please nnswer the follo�ving questions as completeh• as you can •� <br /> with the information presently available to you. {Yhere explanations �� <br /> . of your answeFs are required, or �•�here you believe an explanntion • � � <br /> ' would be helpful to government decision makers, include your <br /> , explanation in the space provided, or use additional pages if ' <br /> necessary. You should include references to any reports or studies <br /> of which you nre a�vare and which are relevant to the ansx�ers you <br /> provide. Complete ans�vers to these questions now will help nll : <br /> ngencies involved �vith your proposal to underta];.e the required � <br /> . . environmental rcviccv without unnecessazy delay.' • <br /> , The follo���ing questions apply to your total proposal, not just to the � . � <br /> license for �vhich you are currently applyir.g or the proposal for <br /> which npproval is sought. Your ans�tiers should inciude the impacts <br /> which tvill Ue caused by your proposal ivhen it is completed, even <br /> . though completion may not occur until sometime in the future. This <br /> � . ' will nlloiv ell of the agencies which ivill be involved to complete • <br /> . • their environmental review no�v, vrithout duplicating paperwork in , . j <br /> ' the.iuture. . . I <br /> � � . . . . . ---_ � � � ' . i <br /> • NOTE: This is a standard form beina used by all state,and local . <br /> agencies in the St�te of{7ashington for various types of proposals. ( <br /> h�tiny.af the questions may not apply to your proposal. If a question <br /> ' does not apply, just answer it "no" and condnue on to the next ' <br /> • . qucstion. , � • ' <br /> . . � <br /> . � <br /> ENVTRON111ENTAL CHECI{LIST FOR1I . ' ' <br /> I. BACKGROUND �� • <br /> 1. . Name of Proponent Z'��,�� " -7--j c,�-7,= <br /> _ 2. �Address nnd Plione Numbei• of Proponent: i <br /> • '. -�S � L .S/�/7:��L<r' �i/('/�'r-Tl . I <br /> . . -_ � 5�"'�y7'� � . <br /> . . . � ' <br /> '. ..3. Dnte Checklist Submitted // — � /- 7 i � <br /> . . . • I. <br /> , . . � <br /> , � <br /> . . I . <br /> '. ' � <br /> � <br /> ' �.. <br />