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Page 1 of 8 CITY OF REDMOND ENVIRONMENTAL CHECKLIST NON-PROJECT ACTION (Revised May 2018) Purpose of the 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 City of Redmond 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" and indicate the reason why the question “does not apply”. It is not adequate to submit responses such as “N/A” or “does not apply”; without providing a reason why the specific section does not relate or cause an impact. Complete answers to the questions now may avoid unnecessary delays later. If you need more space to write answers attach them and reference the question number. Some questions ask about governmental regulations, such as zoning, shoreline, and landmark designations. Answer these questions if you can. If you have problems, the City 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. When you submit this checklist the City may ask you to explain your answers or provide additional information reasonably related to determining if there may be significant adverse impact. Planner Name: Date of Review: Review Planner Name: ---PAGE BREAK--- Page 2 of 8 To Be Completed By Applicant Evaluation for Agency Use Only 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. Give an accurate, brief description of the proposal’s scope and nature: i. Acreage of the site: ii. Number of dwelling units/ buildings to be constructed: iii. Square footage of dwelling units/ buildings being added: iv. Square footage of pavement being added: v. Use or principal activity: vi. Other information: ---PAGE BREAK--- Page 3 of 8 To Be Completed By Applicant Evaluation for Agency Use Only 7. Proposed timing or schedule (including phasing, if applicable): 8. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? Yes No If yes, explain. 9. List any environmental information you know about that has been prepared or will be prepared directly related to this proposal. 10. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? Yes No If yes, explain. ---PAGE BREAK--- Page 4 of 8 To Be Completed By Applicant Evaluation for Agency Use Only 11. List any government approvals or permits that will be needed for your proposal, if known. 12. 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. 13. 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 ---PAGE BREAK--- Page 5 of 8 To Be Completed By Applicant Evaluation for Agency Use Only B. SUPPLEMENTAL Because these questions are very general, it may be helpful to read them in conjunction with the list of the elements of the environment. When answering these questions, be aware of the extent the proposal or the types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1. How would the proposal be likely to increase discharge to water; emissions to air; production, storage, or release of toxic or hazardous substances; or production of noise? Proposed measures to avoid or reduce such increases are: 2. How would the proposal be likely to affect plants, animals, fish, or marine life? Proposed measures to protect or conserve plants, animals, fish or marine life are: ---PAGE BREAK--- Page 6 of 8 To Be Completed By Applicant Evaluation for Agency Use Only 3. How would the proposal be likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources are: 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection; such as parks, wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are: ---PAGE BREAK--- Page 7 of 8 To Be Completed By Applicant Evaluation for Agency Use Only 5. How would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? Proposed measures to avoid or reduce shoreline and land use impacts are: 6. How would the proposal be likely to increase demands on transportation or public services and utilities? Proposed measures to reduce or respond to such demand(s) are: ---PAGE BREAK--- Page 8 of 8 To Be Completed By Applicant Evaluation for Agency Use Only 7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. C. SIGNATURE The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its decision. Signature: Name of Signee: Position and Agency/Organization: Relationship of Signer to Project: Date Submitted: Applicant Signature: SIGN