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, . <br /> � CiTY OF ElERETT � . . <br /> APPL:CATION FOR SHORELINE SUgqTANTIpI,DEVELOPMENT, <br /> CONDTfIONAL USE OR VARIA(dCE <br /> PERbiTI' <br /> APPENDIX C-ENVIRONMENI'AL CF�CKLISf <br /> Pnrpare of Checldirt: - . _ - . ------- - <br /> The Stace Environmen�al Poli.ry Aa (SEPA), chapi n 43.21C RCW, requires all gwernmeatal agencia to coroider <br /> the eavironmrntal impaccs of a propwal beforc msking decisions. An environmmtal impict statemmt (EIS) musc be <br /> prcpsred for all propaaais wity prabable signifian�t advarx impacts on t6e qualiry of the rnvironment 'i'he purpwe oF <br /> thu checklist u to provids informauon to heip you ar,d the agenry identify impact� from your propmal ra4d co reduee <br /> or avoid impaccs from che prvpoaal, iF it can be done) and w help the agrnty deade whethex an EIS is rcquired, <br /> lnstructioru for Appliants: <br /> This rnvironmmtal.checkliataska you to dacribe some basic inFormacian about yaur proposal. Goya�nmrntal agen. <br /> cia uaa this chxklist to determine whetha the emironmenta! impacts af your propaaal are sigaifianG requiring <br /> prcpantion of an EIS. Acuwer the quatians brielly, with the mmt precise infortnation known, or give the bqt de- <br /> scription you can. <br /> Yau must answer each quation accurately and cazefully, to [he best of your knowledge, [n mat caxs, you should <br /> be able to answer the questiom from your own ob�a�vations or projecc plans with��u cha nad to lare experts. If you <br /> rcaUy do no[ know the answer, or if a quacian does noc apply [o your propwal, wnce 'do no[ know' or 'dop not aQ- <br /> ply'. Cor.iplece answers to the quesaans now may avoid unnecasary delays later. <br /> Soma quetuom ask about governmental regulationa, such as mning, shorcline, and landmark daignations. Answer <br /> thrae quatio�u iF you can. If you have problem�, the governmrn[a! agmcia an auis� you. <br /> 1'he checklist quations apply to al1 parts of your propo:ial, even if you plan to do them over a period of time or on <br /> difFvent pareeia of land Attach any addiuortal informaaon that will hdp dexribe yaur propoeal or in rnvironmanra! <br /> ef'tecu. The agenry co which you wbmit thia chxklist may ask you to explain your answen or provide addidonat ia- <br /> fcrmadon rnaonabiy re�ated to determining if there may be signifiant advene impacs. <br /> Use of cheeklist for eonpmjxt propatals; <br /> Complete this ahecklat for nonprojxs propmaLt, evea though quatiorm may be answ.nd 'doa nat apply.' [t+ ,w- <br /> D1710N, Cp10PIEtC[IIQ SUPPLEME}/TAL SHEST FOR NONPRO1HCi ACTIONS (PeR D). <br /> ' For nonprojxt actions, the referrnca in We checklist.to the words 'project,' 'applicant,' and 'property ar g;�Q^ <br /> shomld be read as "propoaal.' 'propose,r." and 'affected geographic area," rapectiveiy. <br /> A. 9ACXGROU'ND <br /> l. Name of prope�sed project, if applicabla I > - <br /> t'tt'►'�-r I �Q.n �1�t 22��' <br /> L Name of applinnt: �� s • �vr��S • � ( <br /> 3. Address and phone number of appiipnt and contact penon: �IIQ Iq 3���� G�QX�Q..�'1 lM��- <br /> ,i /O �� . <br /> 4. Dste cdaklut prcpnrcd: �� • �� . -n � �,r - <br /> 5. Agenry rcqueating checklut � (}F�j,I • �lU,h� �V1G (�Q�-. <br /> �..6. Propa�d timing or xbedule (including phasing. if appliable): ^� •-��,�� . <br /> 7. Do ou h ve a . <br /> y a n plana foe futuro additions ex nsian or f <br /> If ya, acplain. � • 1m . urther activity rclated to or connected with thu proposal? <br /> 1. ' <br /> �.,'.�_--- _�__ <br /> . <br /> ` � <br /> . . . . <br /> � /� �y4 ����t'iLfii1�-N'.nV L �. ,w�- ��y.J� y�'��y�;�?�.� Yv.... <br /> � +!!l'i� �.._��: /'l.w����'��{a? � �, :n�:�l�1s�'� �,. lh���Y.�G�1�` ���Ti.��IDi'1 V �PS.r�{�n .� . <br />