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<br /> � . . ENVIRONHIiN7'AL. CIIIiCf;I.IS'[
<br /> ' . � ($.�700 Fee a��«ir�a)
<br /> introd�ictinn: The Sta[e Environnentnl Yolicy ,'�c[ of ].9)1, Chap[er 43.21C, RCW, reyuires a11
<br /> s[a[e�nd local gove:nrnental a�encies [o consider environnen[al val.ue� boCh for [heir ov❑
<br /> actions and dhen licrnsing prlva[c proposals. Thc Act �I�;o rcquire, th:�t ❑n EIS be p���.,7red j
<br /> fnr al� i,� ��r ac[loas siF;nificantly affecting [he qunlicy o[ [he envirm�r�ent. 1'hn purpose
<br /> nf th:n checi:Iist is to help [he �g;:ncies fnvolved de[ermine whet�i�r �,• ,;�� a propos�l is siich
<br /> � major. actior.,
<br /> Please .nsG�er the folloaing questions IIA complr.ccly as yo❑ ��❑ G����� �}i� infor,�atlon presently
<br /> 3vntlubl� [o you, IJherr. explana[ions of your nnsacrs are required, or where you helicve an
<br /> :xplanation vould 6e helpful [o �evernment declslou m�kers, include your explanation in the
<br /> vpuc� provided, or use additior,al pages if necessary. You should luclude reference:t Go any
<br /> :eports or studirs of s�hich you are aware and uhich are relevant [o [he answers you provide.
<br /> 7oapie[e ans�+�rs [o these qucs[ions nou w111 help ull aUcnci�:s involved with your proposal
<br /> =o under[ake the required c•m•ironaental revieu ui[hou[ unnecessnry delay.
<br /> fY�e folla,:ing questiuns apply Lo your total proposal, no[• �just to [he license for whlch yu�:
<br /> ire currently npply+ng or the proposal fo: uhich approval 1s souEht. Your �nst�ers SIIOLld
<br /> 'ncl.ude thr impact� e:hich wLll be caused by your pruposal uhen i[ i� completed, even Lhnugh
<br /> oaple[lcn ;�ay no[ occur un[il sv,ne[ime in [he future. This �:111 allou all of the agencies
<br /> �hich uill be invol�•ed to conplete Cheir environmen[al review now, ui;hout duplicatin�;
<br /> �ap:r work in the fu[ure.
<br /> 7pYE; This is a standerd Form.being used by nll s[a[e and locnl agencies in the Star.e o°
<br /> lashing[on for earicas t;pes of p:epesals. :^�zcvy o; �,;,. questicns nay not apply [o y�ur pro osai
<br /> :f n quentton does no[ anply, �us[ ansuer it "no" and continue on [o [lie next que�[ion. �
<br /> � iNVIROtTfE�;T/�I, �;gCk:LIST FOIL�I '
<br /> i. BACSGRUfft(p
<br /> 1. N��> oz Propon i':�'��l_L�� ��� ,
<br /> , �,,'-,'�13�-(_.�
<br /> Z. Address and F.,one NumUcr of Proponent: �J��L �` �, 'r , t_ t�-� �71,_r�-,—
<br /> — � , ��3r�
<br /> -- -���-��-�'L� -Y.�-'LL�EL.+-I��' T�; OZL.
<br /> 3. Date Checkll,t Submitted
<br /> 4. A;ency ??erci�i;i Chec{:lisc �
<br /> t � C iT�-� � C C�litrlT hUi�-i�1�.`-r. �?`tNl��.!T
<br /> 5. l7��e of Yro osal if a licablc: �;3'•r:� � � �
<br /> /, v � l N� t.�1-11i T i �r. �i _-- i2�:M�-�T f ,� ALi N1Eti�
<br /> ( il l. l L,l�i �•.%(.- � t;t>_:1--t �i
<br /> 6. t��turc an� Iirief Descrlption o� Propo:;al (inc:uding but no[ limlted to lts sizc,
<br /> general des.tgn eleme:i[s, and och�r fac[ora that will give an arcurnl'e uuders[anding
<br /> o` it� �copc and na[urc; : �_ �,� �� � -
<br /> ; .�i- � cL(�.:':tl ( ;F;i�,?.i`�c1 c,ct.;Tli= <c � �i— t•
<br /> _ ''' 1���_:._I1!_J.�C_1�i1%rL_t',�i�Il 'i .r�r r � � _.�-._ _LS'L
<br /> �._—__ . i-i. ,1��}{ � �l -cl' f�i (o.: �i t�F.- <. .",i:721�L.
<br /> _r i' � c� . IIIC i__-__!; i t °;rr �i� ���.F- f-d_l�C� i-��c �. i 6� l� t_-ti��(_Q: ��.� C[����tl_ .
<br /> 7. I.ocation of Proposal (dcscriUc thc physlcal s�•tting oF [hc propo:;:�l, as ucll ns [hc
<br /> exten[ oF the lar,d area aCfec[ed by am� environmental ic,:cts, including any ether
<br /> :nt:,rnaeion ncc�ed co �lve nn accurate undersCand[ng oC thr_ environmental setting oE
<br /> the ro�osal �
<br /> P , � ) :�'�'LK_._1i': �l_ij��"Il���? ("'4— ���i�fC�rl� •`71i1 I� �i�=�. 'i= °�S l� '
<br /> _l 1� �y 1 �'1 ��1 .�J
<br /> 8, Es[Sm�tr.d D.itc foc Complc[ion of [tic F'roposcd Ac[(on: __��,'. �`, �����O _
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