# Coastal Zone Management---Washington State

##### Checklist for HUD or Responsible Entity

  ------------------------- ----------------------- ----------------------
  **General requirements**  **Legislation**         **Regulation**

  Ensure that projects are  Coastal Zone Management 15 CFR Part 930
  consistent with the       Act 16 U.S.C. 1451-1464 
  Washington Coastal Zone                           
  Management Program                                
  ------------------------- ----------------------- ----------------------

**1. Is the project located in Callam, Grays Harbor, Island, Jefferson,
King, Kitsap, Mason, Pacific, Pierce, San Juan, Skagit, Snohomish,
Thurston, Wahkiakum or Whatcom Counties?**

No: Stop here. The CZM review is complete. Record your determination on
the EA, Statutory Worksheet or HUD Form 4128.

Yes: PROCEED to \#**2**

2.  **Is the project located on tribal trust lands?**

Yes: Stop here. The CZM laws do not apply on tribal lands. Record your
determination on the EA, Statutory Worksheet or HUD Form 4128.

No: PROCEED to \#**3**

**3. Does the project include new construction or major rehabilitation
of existing structures?** Major rehabilitation means work that exceeds
the categorical exclusion threshold at 24 CFR Part 58.35(a) and
therefore requires a full Environmental Assessment.

No: STOP here. The Costal Zone Management review is complete. Record
your determination on the Statutory Worksheet or HUD Form 4128.

Yes: PROCEED to \#**4**

4\. Does the project comply with the enforceable policies of the Coastal
Zone Management Program?

+-----------------------------------------------------------------------+
| -   Complete the attached "Certification of Consistency with          |
|     Washington's Coastal Zone Management Program," and send it to the |
|     Department of Ecology (DOE) at the following address: Loree       |
|     Randall, Federal Consistency Procedures Coordinator, Shorelines & |
|     Environmental Assistance Program, Department of Ecology, P.O. Box |
|     47690, Olympia, WA 98504-7690 telephone number: (360) 407-6068 or |
|     fax it to her at (360) 407-6902. Be sure to identify the Federal  |
|     Program, i.e. CDBG, Section 202, SHOP, etc. The Applicant is HUD  |
|     or the Responsible Entity. The first certification on the form    |
|     should be signed by the lender or non-profit organization that is |
|     developing the project. HUD (under Part 50) or the responsible    |
|     entity (under Part 58) signs the determination that the action    |
|     will not affect coastal resources (once it has been determined    |
|     that the project will comply with all enforceable policies of the |
|     CZM Program). Ecology has 6 months to concur with a               |
|     determination, however, they often do so within two weeks if all  |
|     of the information is submitted.                                  |
+-----------------------------------------------------------------------+

Yes: STOP here. The Coastal Zone Management Review is complete. You
should have a mechanism in place (i.e. condition to the contract or FIRM
Commitment) to assure the recipient has completed all actions prior to
releasing funds. Attach a copy of the Certification and Consistency
determination. Record your determination on the EA, Statutory Worksheet
or 4128.

No: If the project will not comply will all enforceable policies as
outlined on the Certification of Consistency, work with Department of
Ecology to mitigate issues. Do not initiate the Project until CZM has
been mitigated.

**CERTIFICATION OF CONSISTENCY WITH WASHINGTON'S**

**COASTAL ZONE MANAGEMENT PROGRAM FOR**

**FEDERALLY FUNDED ACTIVITIES**

**Federal Application
Number**:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

## Applicant:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Project
Description:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

(attach site plans, location (county/city), and proximity to water body
(name)).

This action under CZMA§307(c)(3) is for a project, which will take place
within Washington's coastal zone, or which will affect a land use, water
use, or natural resource of the coastal zone. *(The coastal zone
includes Clallam, Grays Harbor, Island, Jefferson, King, Kitsap, Mason,
Pacific, Pierce, San Juan, Skagit, Snohomish, Thurston, Wahkiakum and
Whatcom counties.)*

The project complies with the following enforceable policies of the
Coastal Zone Management Program:

(Check the box describing the current status of each policy)

+---------------------+-------+--------+--------+--------+----------+
|                     | ##    |        |        | ##     |          |
|                     | ## St |        |        | # Addi |          |
|                     | ate r |        |        | tional |          |
|                     | equir |        |        |  info  |          |
|                     | ement |        |        | must b |          |
|                     | s hav |        |        | e obta |          |
|                     | e bee |        |        | ined p |          |
|                     | n met |        |        | rior t |          |
|                     |       |        |        | o rele |          |
|                     |       |        |        | ase of |          |
|                     |       |        |        |  funds |          |
+---------------------+-------+--------+--------+--------+----------+
| ### E               | Does  | Has    | Has a  | Has    | Will     |
| nforceable Policies | not   | re     | valid  | a      | apply as |
|                     | re    | ceived | permit | pplied | app      |
|                     | quire | an     | or     | for a  | ropriate |
|                     | a     | exe    | c      | permit | for a    |
|                     | cer   | mption | ertifi | or     | permit   |
|                     | tific |        | cation | c      | or       |
|                     | ation |        |        | ertifi | certi    |
|                     | or    |        |        | cation | fication |
|                     | p     |        |        |        |          |
|                     | ermit |        |        |        |          |
+---------------------+-------+--------+--------+--------+----------+
| **1. Shoreline      |       |        |        |        |          |
| Management Act      |       |        |        |        |          |
| \*\***              |       |        |        |        |          |
+---------------------+-------+--------+--------+--------+----------+
| **2. State Water    |       |        |        |        |          |
| Quality             |       |        |        |        |          |
| Requirements:**     |       |        |        |        |          |
|                     |       |        |        |        |          |
| **a. Water          |       |        |        |        |          |
| Quality**           |       |        |        |        |          |
|                     |       |        |        |        |          |
| **b. Stormwater**   |       |        |        |        |          |
+---------------------+-------+--------+--------+--------+----------+
|                     |       |        |        |        |          |
+---------------------+-------+--------+--------+--------+----------+
| **3. State Air      |       |        |        |        |          |
| Quality             |       |        |        |        |          |
| Requirements**      |       |        |        |        |          |
+---------------------+-------+--------+--------+--------+----------+
| **4. State          |       |        |        |        |          |
| Environmental       |       |        |        |        |          |
| Policy Act:** SEPA  |       |        |        |        |          |
| Lead Agency         |       |        |        |        |          |
| is:\_\_\            |       |        |        |        |          |
| _\_\_\_\_\_\_\_\_\_ |       |        |        |        |          |
| \_\_\_\_\_\_\_\_\_\ |       |        |        |        |          |
| _\_\_\_\_\_\_\_\_\_ |       |        |        |        |          |
|                     |       |        |        |        |          |
| Project is exempt   |       |        |        |        |          |
| from SEPA ( )       |       |        |        |        |          |
|                     |       |        |        |        |          |
| Project will comply |       |        |        |        |          |
| with SEPA ( )       |       |        |        |        |          |
|                     |       |        |        |        |          |
| SEPA checklist      |       |        |        |        |          |
| submitted ( )       |       |        |        |        |          |
| date\_              |       |        |        |        |          |
| \_\_\_\_\_\_\_\_\_\ |       |        |        |        |          |
| _\_\_\_\_\_\_\_\_\_ |       |        |        |        |          |
|                     |       |        |        |        |          |
| SEPA decision       |       |        |        |        |          |
| issued/adopted (    |       |        |        |        |          |
| )DNS ( )MDNS ( )EIS |       |        |        |        |          |
| (                   |       |        |        |        |          |
| )Other\_\_          |       |        |        |        |          |
| \_\_\_\_\_\_\_\_\_d |       |        |        |        |          |
| ate\_\_\_\_\_\_\_\_ |       |        |        |        |          |
|                     |       |        |        |        |          |
| NEPA decision       |       |        |        |        |          |
| adopted by ( )SEPA  |       |        |        |        |          |
| #\_\_               |       |        |        |        |          |
| \_\_\_\_\_\_\_\_\_\ |       |        |        |        |          |
| _\_\_\_\_\_\_\_\_\_ |       |        |        |        |          |
| \_\_\_\_\_\_\_date\ |       |        |        |        |          |
| _\_\_\_\_\_\_\_\_\_ |       |        |        |        |          |
+---------------------+-------+--------+--------+--------+----------+

\*\*Public Notice must be provided if the project is within the water or
within 200 feet of a Shoreline Management Act water body.

Public Notice is required for the proposed project? No\_\_\_\_\_ Yes
\_\_\_\_\_\_(identify method below)

( )notice mailed to interested parties using
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_mailing list on
\_\_\_\_\_\_\_\_\_\_\_\_\_(date)

( )publication
in\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_(newspaper)
on\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_(dates)

(
)other\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
(dates) If public notice is required and you have not provided it, CZM
staff will publish the notice. You must not initiate the project until
you have been notified by CZM.

*Therefore, I certify that prior to initiating the project I will obtain
applicable permits and certifications as described above and the project
will be conducted in a manner consistent with the Coastal Zone
Management Program*.

(Signature) Date

(Recipient)

HUD or its designated Responsible Entity concludes this action will not
affect coastal resources.

**[The physical project will not be initiated until the applicable
permits and certifications described above are obtained]{.underline}**.

(Signature) Date

(HUD or Responsible Entity)

+-----------------------------------+-----------------------------------+
| **HUD or Responsible Entity mail  | **Department of Ecology please    |
| Form to:**                        | mail Determination of Consistency |
|                                   | to: (Include Phone number of      |
| Loree Randall                     | contact)**                        |
|                                   |                                   |
| Shorelines & Environmental        |                                   |
| Assistance Program                |                                   |
|                                   |                                   |
| Federal Consistency Procedures    |                                   |
| Coordinator                       |                                   |
|                                   |                                   |
| Department of Ecology             |                                   |
|                                   |                                   |
| P.O. Box 47690                    |                                   |
|                                   |                                   |
| Olympia, WA 98504-7690            |                                   |
|                                   |                                   |
| Fax: (360) 407-6902               |                                   |
+-----------------------------------+-----------------------------------+