Washington Administrative Code › Title 197 - Ecology, Department of (Environmental Policy, Council on) › Chapter 197-11 - SEPA rules › Part ELEVEN - FORMS › Section 197-11-960 - Environmental checklist

Current through Register Vol. 24-14, July 15, 2024
ENVIRONMENTAL CHECKLIST
Purpose of checklist
:
The State Environmental Policy Act (SEPA), chapter 43.21C
				  RCW, requires all governmental agencies to consider the environmental impacts
				  of a proposal before making decisions. An environmental impact statement (EIS)
				  must be prepared for all proposals with probable significant adverse impacts on
				  the quality of the environment. The purpose of this checklist is to provide
				  information to help you and the agency identify impacts from your proposal (and
				  to reduce or avoid impacts from the proposal, if it can be done) and to help
				  the agency decide whether an EIS is required.
Instructions for applicants
:
This environmental checklist asks you to describe some basic
				  information about your proposal. Governmental agencies use this checklist to
				  determine whether the environmental impacts of your proposal are significant,
				  requiring preparation of an EIS. Answer the questions briefly, with the most
				  precise information known, or give the best description you can.
You must answer each question accurately and carefully, to
				  the best of your knowledge. In most cases, you should be able to answer the
				  questions from your own observations or project plans without the need to hire
				  experts. If you really do not know the answer, or if a question does not apply
				  to your proposal, write "do not know" or "does not apply." Complete answers to
				  the questions now may avoid unnecessary delays later.
Some questions ask about governmental regulations, such as
				  zoning, shoreline, and landmark designations. Answer these questions if you
				  can. If you have problems, the governmental agencies can assist you.
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.
Use of checklist for nonproject
				  proposals
:
For nonproject proposals complete this checklist and the
				  supplemental sheet for nonproject actions (Part D). The lead agency may exclude
				  any question for the environmental elements (Part B) which they determine do
				  not contribute meaningfully to the analysis of the proposal.
For nonproject actions, the references in the checklist to
				  the words "project," "applicant," and "property or site" should be read as
				  "proposal," "proposer," and "affected geographic area," respectively.
A. BACKGROUND
1. Name of proposed project, if
				applicable:
2. Name of
				applicant:
3. Address and phone
				number of applicant and contact person:
4. Date checklist prepared:
5. Agency requesting checklist:
6. Proposed timing or schedule (including
				phasing, if applicable):
7. Do you
				have any plans for future additions, expansion, or further activity related to
				or connected with this proposal? If yes, explain.
8. List any environmental information you
				know about that has been prepared, or will be prepared, directly related to
				this proposal.
9. Do you know
				whether applications are pending for governmental approvals of other proposals
				directly affecting the property covered by your proposal? If yes,
				explain.
10. List any government
				approvals or permits that will be needed for your proposal, if known.
11. Give brief, complete description of your
				proposal, including the proposed uses and the size of the project and site.
				There are several questions later in this checklist that ask you to describe
				certain aspects of your proposal. You do not need to repeat those answers on
				this page. (Lead agencies may modify this form to include additional specific
				information on project description.)
12. Location of the proposal. Give sufficient
				information for a person to understand the precise location of your proposed
				project, including a street address, if any, and section, township, and range,
				if known. If a proposal would occur over a range of area, provide the range or
				boundaries of the site(s). Provide a legal description, site plan, vicinity
				map, and topographic map, if reasonably available. While you should submit any
				plans required by the agency, you are not required to duplicate maps or
				detailed plans submitted with any permit applications related to this
				checklist.