00840' VIRONMENTAL CHECKLIST
WAC 197-10-365 E.IVIROWlENTAL CHECKLIST. (1) The form in subsection (2)
hereof is the envi roni:iental c1h6ckl i st. Agencies may be their option revise
the format of this form; however, the language of the questions shall not
be changed. The questions appearing in the environmental checklist are ex-
clusive, and 'considerations which do not appear in it or in WAC 197-10-360
shall not be used in making a threshold determination. This checklist does
not supersede or void application forms required under any other federal or
state statute or local ordinance, but rather is supplementary thereto.
(2) Environmental checklist form:
Introduction: The State Environmental Policy Act of 1971, Chapter 43.21C, RVd,
requires all state and local governmental agencies to'consider environmental
values both for their o:•rn actions and when licensing private proposals. The
Act also requires that an EIS be prepared for all major actions significantly
affecting the quality of the environment. The purpose of this checklist is to
help the agencies involved determine whether or not a proposal is such a major
action'.
Please answer the. following questions as completely as you can with the infor-
mation presently. available to you. l.Ihere explanations of your answers are re-
quired, or.where you believe an explanation would be ,ielpful to government
decision makers,' include your explanation in the space provided, or use addi-
tional pages if necessary. You should include references to any reports or
studies of wili ch you are aware and ahi ch are relevant to the answers you pro-
vide. Complete answers to t;iese questions now !.Ii l l help all agencies involved
with your proposal to undertake the required environmental review ..1ithout
unnecessary delay.
The following questions apply to your total proposal; not just to the license
for which you are currently applying or the proposal for ahich approval is
sought. Your answers should include the impacts which will be caused by your
proposal -when it is completed, even though completion may not occur until.
sometime in the future. This will allow all of the agencies which will be
involved to comolete their environmental revievi now, without duplicating
paperwork in the future.
NOTE: This is a standard form being used by all state and local agencies in
the State of Washington for various types of proposals. 11any of title questions
may not apply to your proposal. If a question does not apply, just answer it.
"no" and continue on to the next question.
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