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rr <br />n <br />r <br />1 <br />Less than $1,000,000 value - $50 <br />$1,000,000 value or more - $100 <br />U4'_oduction: The State Environmental Policy Act of 1971, Chapter 43.21C, RCN, requires all <br />state and local governmental agencies to consider environmental values both for their own <br />actions and when licensing private proposals. The Act also requires that an EIS be prepared <br />i for all major actions significantly affecting the quality of the environment. The purpose <br />of this checklist is to help the agencies involved determine whether or not a proposal is such <br />a major action. <br />Please answer the following questions as completely as you can with the information presently <br />available to you. Where explanations of your answers are required, or where you believe an <br />explanation would be helpful to government decision makers, include your explanation in the <br />spack provided, or use additional pages if necessary. You should include references to any <br />reports or studies of which you are aware and which are relevant to the answers you provide. <br />Complete answers to these questions now will help all agencies involved with your proposal <br />to undertake the required environmental review without unnecessary delay. <br />The following questions apply to your total proposal, not just to the license for which you <br />are currently applying or the proposal for which approval is sought. Your answers should <br />inclu:le•the impacts which will be caused by your proposal when it is completed, even though <br />completion may not occur until sometime in the future. This will allow all of the agencies <br />'which will be involved to complete their environmental review now, without duplicating <br />paper work in the future. <br />NOTE: This is'a standard form being used by all state and local agencies in the State of <br />-Washington for various types of proposals. Many of the questions may not apply to your proposa <br />If a question does not apply, just answer it "no" and continue on to the neat question. <br />ENVIRONMENTAL CHECKLIST FORP1 <br />1. BACKGROUND <br />1. Name of Proponent Saint Mary Maadalpn Pn h <br />2. Address and. Phone Number of Proponent: 871" Seventh 4vpnrp _ <br />( qnO Everett, Washington 9820 <br />3. Date Checklist Submitted 17 March 1981 <br />4. Agency Requiring Checklist <br />5. Name of Proposal, if applicable: School Addition <br />6. Nature and Brief Description of the Proposal (including but not limited to its size, <br />general design elements, and other factors that will give an accurate understanding <br />of its scope and nature): A six classroom, 11 90n squ <br />school and church buildings New Permanent building y1ill en1^re 5 ignnripn portab ��- <br />_ presently on site <br />7. Location of Proposal (describe the physical setting of the proposal, as well as the <br />extent of the land area affected by any environmental impacts, including any other <br />information needed to give an accurate understanding of the environmental setting of <br />the proposal): Existlig 11.8 acre site utilized for lja,r pun - narking o d ev+`+'ng <br />L buildings (rectorv. cpnvent. nhurnh and srimni) Srhnal addition 'will + A eei ct.inr <br />byil,dinr_tn north of existing,srhnnl hid and ear+ nf +' e nth <br />8. Fstimated Date for Cc.apletfon of the Proposed Action: + 1g82 <br />L <br />1 <br />1 <br />L <br />J <br />