01834�JIN, �'•
ENVIRONME14TAL CHECKLIST
790083 . �,-
Introduction: The State Environmental Policy Act of
1971, Chapter 43.21C,, RCW, requires all state and local`
governmental agencies to consider environmental values
both for their own actions and when licensing private
.proposals. The Act also requires that an Environmental
Impact Statement (EIS) be prepared for all major actions
significantly affecting the quality of the environment. ,st
The purpose of this checklist is to help the agencies
involved determine whether or not a proposal is such a
major action.
f`
Please answer the following questions as completely as
you can with the information available to you. Where
explanations of your answers are required, or where you
believe an explanation would be helpful to government
decision makers, include your explanation in the space
provided,•or use additional pages. You should include
references to any reports or studies of which you are
aware and which are relevant to the answers you -provide.
Complete answers'to those
p questions now will help all
agencies involved undertake the required environmental
review without unnecessary delay.'
The following questions apply to your total proposal,
not just to the permit for which you are currently
applying or the proposal for which approval is sought.
Your answers should include the impacts that 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 agencies involved to complete
their environmental review now, without duplicating
paperwork in the future.
NOTE.: This is a'standard form being used by all state
r
and local agencies in the State of Washington for various* yr;
types of proposals. Many of the questions may not apply t>
to your proposal. If a.question does not•apply, just}
answer it "not applicable" (N/A) and continue on to the
next question.,