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� <br /> l <br /> CITY OF EVERGTT � <br /> APPLICATION FOR SHORELINE SUBSTANTIAL UEVELOPMEN7', <br /> CONDITIONnL US@ OR VARIANCE <br /> PGP.MIT <br /> APPENDIX C-- ENVIRON�9ENTAL CIiGCKUST <br /> Introduction: The State Environmental Policy Act of 1971, Chapter 43.21C, RCW, re- <br /> quires all st:de and local government�il agencies to consider environmental values both fo� <br /> their own ac[ions and when licensing private propos�ls. The Act also requires Ihat an G15 he <br /> prepared for all major �ctions significundy affecting the quality of th� environment. <br /> The purpose of this checklist is to hclp the agencies invalved determine whetherornota pro- <br /> pos�l is such a major action. <br /> Plcuse answer the (olloH•ing questions as completcly as you can with the information pre- <br /> sently available to you. Where explanationso(youranswersare reyuired, or where you bclieve <br /> � an explanatien wuuid be hclpful to government decision makers, include yourexplanation in <br /> the spece provided, or use additionai pages if necessary. Y ou should include refercnces to any <br /> reports or studies of which you are awure and which are relevant to the answers you provide. <br /> Complete answcrs to these questions now will help all agencies involved with your proposal <br /> to undertake [he required environmental review without wmecessary delay. <br /> The Co!Jowingquusl�ons apply lo your to[al proposal, not just to the license tbr wiiich you are <br /> currently applying or ts.e proposal for which approval is soughL Your ans�vers shoidd include <br /> the impacts which will be caused by your proposal when it is completed; even though com- <br /> pletion may not occur until sometime in the future. This will allow all of the agencies which <br /> will be involved te complete their environmen[al rcview now, without duplicating paperwork <br /> in d;e future. <br /> NJTE: This is a st�rdard Form being used by all state and local agencics in the State of <br /> H'ashington for various types of prop�sals. Many of the ques[ions may not apply to your <br /> proposal. IF a question does not apply, just answer it "no" an.� continue on to the next <br /> qucs[ion. <br /> ENVIRONMGNTAL CHGCKU$T FORM <br /> I. BACKGROUND <br /> I. NameofProponenr._ Jensen F, Reynolds Construction Co. <br /> �. Address and Phone Numbe: of Proponent: P .O. Box 66769 _ <br /> Seattle , Wa . 206-246- 2610 <br /> 3. Date Checklist SuUmitled: October 27 , 1981 —�� <br />