5200 EVERGREEN WAY SEPA 017 - 010 Land Use Decision Documents 2025-04-15

SEPA ENVIRONMENTAL CHECKLIST Purpose of checklist: Governmental agencies use this checklist to help determine whether the environmental impacts of your proposal are significant.This information is also helpful to determine if available avoidance, minimization or compensatory mitigation measures will address the probable significant impacts or if an environmental impact statement will be prepared to further analyze the proposal. Instructions for applicants: This environmental checklist asks you to describe some basic information about your proposal. Please answer each question accurately and carefully,to the best of your knowledge. You may need to consult with an agency specialist or private consultant for some questions. You may use "not applicable" or"does not apply"only when you can explain why it does not apply and not when the answer is unknown. You may also attach or incorporate by reference additional studies reports. Complete and accurate answers to these questions often avoid delays with the SEPA process as well as later in the decision-making process. The checklist questions apply to all parts of your proposal,even if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will help describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional information reasonably related to determining if there may be significant adverse impact. Instructions for Lead Agencies: Please adjust the format of this template as needed. Additional information may be necessary to evaluate the existing environment,all interrelated aspects of the proposal and an analysis of adverse impacts. The checklist is considered the first but not necessarily the only source of information needed to make an adequate threshold determination. Once a threshold determination is made,the lead agency is responsible for the completeness and accuracy of the checklist and other supporting documents. A. Background 1. Name of proposed project, if applicable: Former Brien Ford Environmental Remediation 2. Name of applicant: P&S Properties, Casey Salz of Epic Ford,Associated Earth Sciences, Inc. 3. Address and phone number of applicant and contact person: P&S Properties&Casey Salz:5200 Evergreen Way Everett, WA 98203, 425-249-9759 Associated Earth Sciences, Inc(Trevor Louviere).:911 5th Avenue, Kirkland WA 98033,425-827-7701 4. Date checklist prepared: SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 1 of 16