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ENVIROYMF.NTAL <br />($50.00 Fcc Requlted) <br />Introdurtion: The State Envtronmental Folicy Ac[ uE 19i1, Chapter 47.21C, RG41, requires all <br />itaCe and lecal governmen[ai ngericles to conslder envlr�innenta] values both for their o�,m <br />�etions and Wben 1lcensing prlvate proposils. 7'he Act also requires tha[ an EIS be prepared <br />ior all ma,jor actl�ns signiCicantly aEfectln6 [he quality of the envlronment. The purpose <br />�f thie ehecklist is to help the agencles 1nvolveJ determine vhether or not a proposal is sw <br />� major action. <br />'7�ase ansver the folloaing questlons as completely as you can vith the information presently <br />�vailnh,l'c to you. Idhcrc expinnatfons oC your A�154'Ci5 arc required, or vhere you bcllevc an <br />+xpinne[!on vould be t�elpFul tn governmen[ decision makers, fnclude your explanation in the <br />;pace provided, or use additional pages if necessary. 5'ou should includc reterences to any <br />eports or s[udics oC uhlch you ate avare 1nd vhich are rel.evanc [o the ansvers you provlde. <br />:omplete ansvcrs to these qucsClons nov aill help all agencles involved vith your proposal <br />o undertakc the required environmental tevica withou[ unnecessary delay. <br />he folluWing questions apply [o your [otal proposal, noc jus[ Go thc license for which you <br />re currently applying or the proposnl for vhich npprov�l is soufh[. Your ans�oers siiould <br />nclude the lmpacts Which will be caused by your proposa] when it is coR,pleted, e•ven thougli <br />omp7e[iom m�y not occur until sometime in the futuro. This aill allow all of the ngencies <br />hlch u111 be involved [o comjile[e their environmental revicw now, ai[hou[ duplicating <br />aper vork in thc fu[ure. <br />�OTF.: This is a slandard form bein� used by nll statc and locnl agencics in [Le State of <br />!ashir.gton for various types oi proposals. N.�ny oC the qurs[ions may no�pR,l�:,t���� ps�sal. <br />f a qucs[ion docs not npply, u�c nnsa�cr it "no" �nd continue on [o thc t x� ve i�, � D <br />:KVIRONME�TAL CIICCKLIST FORt�I . APR O E) ��40 <br />Nnme of Propenen[ <br />Address and•Phonc NumLcr <br />_ E OmoNQ}�LAihSH. <br />bate Checklist Subr�itted 3` 2(D -$o <br />/�ency Requiring Checklist <br />Namc ot Yroposal, <br />G�N� UeP?. <br />Nature and Itrici Descrip[1mi of llic Proposal (includfnE; Lut not limiled to ils size, <br />generol desfgn elements, nnil o[her fartors tli;it vtll givr an accurace unJers[anJihr <br />of ![c scopc and naturc):__�_(�� �-� _�pRltiMc�1T 1 o ge Con15T uc �4 oN <br />ri � <br />oF A�l L�/-1vo L+�dD�F_41e�1� eo,ri�RuyidN . <br />Locatlon of Yroposal (describe [he physlcal setting oC tl�e proposal, as ti�ell a. [he <br />exten[ of tl�e'lind �rea a(fected hy any environr.�entnl fr.ipacts, Including iny other <br />lnlormation needed to gfve an accurotc underseii.ding o[ tlic environmental set ing nE <br />thc propos�l):�� �40,�� :iL941.�s1�_�iE�LQ`4�T��� .JE/GN�QgNen9�_ <br />_SEVfJWL (,4tl�E Af'i4QiME.ii CorY�{,F et 1��Le+t PRpX1M�TY To 7-µL <br />PkoMSED 5 �Tc . <br />Estimated Uatc [or Completlon o( thc 1'copnscJ Actlon; ^�� e e F /�d0 <br />