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C KITTITAS COUNTY CONCAUNITY DEVELOPMENT SERVICES <br /> 411 N.Ruby SL,Suite 2,E lensbwg,WA 98926 <br /> cDs@co.KrrTrrAs.wA.us <br /> Office(509)962-7506 <br /> "Scolding parinmhips—Bulling Communities" <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: Please answer each <br /> This environmental checklist as <br /> you to describe some basic information about your proposal. <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 ma use°no a I!cable''o "does not a I "only when. ou-_c@n <br /> ex lain wh it oes not al I n when <br /> and accurate answers to these questions often av or oid dtelays with the <br /> reference additional stud es reports. <br /> SEPA process as well as later in the decision-making process. <br /> The checklist questions apply to aU darts of your proposal,even if you plan to do them over a <br /> Per oils f time or on <br /> ntal <br /> different parcels of land. Attach any additional information that will help describe your props <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 /> alysis <br /> existing environment,all interrelated aspects of the proposal and an an adverse impacts. The checklist is <br /> t <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: IbNM <br /> For nonproject proposals(such as ordinances,regulations, plans and programs),complete the applicable parts of <br /> sections A and B plus the L SHEET FOR NONEPRO ECT ACTt INS t art Dor S lease co lletely answer <br /> er all <br /> questions that apply and note that the words"project,""applicant,"and"property <br /> proposal, proponent,"and"affected geographic area,"respectively.The lead agency may exclude(for non- <br /> If "" <br /> projects)questions in Part B-Environmental Elements—that do not contribute meaningfully to the analysis e <br /> proposal. <br /> AooLicen[1N FEE$: <br /> $600.00 Kittitas County Community Development Services(KCCDS)** <br /> $250.00 Kittitas County Department of Public Works'* <br /> $430.00 Kittitas Count 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 /> COMb1UM7Y PLANNING-BUILDING INSPECnON*PLAN <br /> NIREVIEW* 0M, ISTRAnON•�SERy��*CODE ENFORCEMENT <br /> Page t of 26 <br />