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KITTITAS COUNTY COMMUNITY DEVELOPMENT SERVICES <br /> 411 N_Ruby St.,Suite 2,Ellensburg,WA 98926 <br /> CDS@C0.KriS1TAS.WA.US <br /> Office(509)962-7506 <br /> "Building Partnerships—Building Communities" <br /> xmrr,�eoimr <br /> SEPA ENVIRONMENTAL CHECKLIST <br /> Purpose of checklist. <br /> Governmental agencies use this checklist to help determine whether the environmental impacts of your proposal are <br /> significant.This information is also helpful to determine if available avoidance, minimization or compensatory <br /> mitigation measures will address the probable significant impacts or if an environmental impact statement will be <br /> prepared to further analyze the proposal. <br /> Instructions for applicants: <br /> This environmental checklist asks you to describe some basic information about your proposal. Please answer each <br /> question accurately and carefully, to the best of your knowledge. You may need to consult with an agency specialist <br /> or private consultant for some questions. You may use"not applicable"or"does not a I "'only when you can <br /> explain why it does not agply and not when the answer is unknown. You may also attach or incorporate by <br /> reference additional studies reports. Complete and accurate answers to these questions often avoid delays with the <br /> SEPA process as well as later in the decision-making process. <br /> The checklist questions apply to all parts of your proposal,even if you plan to do them over a period of time or on <br /> different parcels of land. Attach any additional information that will help describe your proposal or its environmental <br /> effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional <br /> information reasonably related to determining if there may be significant adverse impact. <br /> Instructions for Lead Agencies: <br /> Please adjust the format of this template as needed. Additional information may be necessary to evaluate the <br /> existing environment,all interrelated aspects of the proposal and an analysis of adverse impacts. The checklist is <br /> considered the first but not necessarily the only source of information needed to make an adequate threshold <br /> determination. Once a threshold determination is made,the lead agency is responsible for the completeness and <br /> accuracy of the checklist and other supporting documents. <br /> Use of checklist for nonproject proposals: het <br /> For nonproject proposals(such as ordinances, regulations, plans and programs),complete the applicable parts of <br /> sections A and B plus the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS art D . Please completely answer all <br /> questions that apply and note that the words"project,""applicant,"and"property or site"should be read as <br /> "proposal,""proponent,"and"affected geographic area,"respectively.The lead agency may exclude(for non- <br /> projects)questions in Part B-Environmental Elements that do not contribute meaningfully to the analysis of the <br /> proposal. <br /> OEPI iceTION FEES: <br /> $600.00 Kittitas County Community Development Services(KCCDS)** <br /> $250.00 Kittitas County Department of Public Works** <br /> $430.00 Kittitas County Public Health <br /> $1,280.00 Total fees due for this application(One check made payable to KCCDS) <br /> *"Note:KCCDS and PW fees are waived if project is a VSP sponsored fish enhancement project. <br /> COMMUNITY PLANNING*BUILDING INSPECTION*PLAN REVIEW*ADMINISTRATION*PERMIT SERv10Es•CODE ENFORCEMENT <br /> FoxeI.AsrIkEwEu:05-01-2019 <br /> Page 1 of 26 <br />