1802 75TH ST SW 2018-01-02 MF Import

District SEPA Procedures ENVIRONMENTAL CHECKLIST FORM I. L'ACI:CROUIT 7f' J 1070 1. !]a7 of Proponent Puhlic Iltilit, District No. 1 of Snohomish County N 2. Address and Phone u.•aocr of Proponent: 7�aO California Avenue Fverett Washington 98201 3. ab [e Cnece: at Suor,;itte 3/30/79 4. Agency Requiring Checklist City of Everett S: !lame of Proposal, if applicao c: Snohomish Countv PUD Microwave Tower E Hel' ter pad attOperations 6. iaturc ano brio Description of the Proposa inclua'= Center site ing but not limited to its size, general design ele- ments, and other factors that will give an accurate understanding of its scope and nature): 170 ft. miximum structural steel microwave tower, microflect model L-30U, _-st a se t-supportrng •tor tower an e icopter pad, all as shown on Drawing C-5, attached 7. ocatien or eroposai (cescrioe the prysicaT set ling the proposal, as well as of the extent of t:^.e land area affected by any environmental i—npacts, including .,ny other information needed to give'an accurate understand- ing of the environmental setting of the proposal). Reference PUD checklist submitted -to the city of Everett, December, 1977 Operations Ccntcr Site pronosa oca uon as s orn on raring C-5, within tre site ounuaries 8. E sticatc J Date for Cet:p etion of t e Proposal: June, 1980 V. LISL of a Yer:;-.ts, Licenses or �oveF:L7ent Approv-T required for the Proposal (federal, state and local -- including rP cnes): building, electrical, conditional use permit Tederal ,fir Space (FAA 10. Do you have any plans for future additions, exoansion, or further .ctivity related to or connected with this Proposal? It ;es, explain: No 11, Do you knew of any p ans oy otrars wtucn may attccr the property covered by your proposal? If yes, explain: v� 11. Attar aanv otacr ace ica[�on torm th:[ .as occn cc:a- pleted regarding the proposal; if none has been com- pleted, but is expected to be filed at some future date, describe the nature of such application form: F,U form No, 7.I6U-1 attached