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SEPA ENVIRONMENTAL CHECKLIST <br />Purpose of checklist: <br />Governmental agencies use this checklist to help determine whether the environmental impacts of your <br />proposal are significant. This information is also helpful to determine if available avoidance, minimization <br />or compensatory mitigation measures will address the probable significant impacts or if an environmental <br />impact statement will be 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 <br />answer each question accurately and carefully, to the best of your knowledge. You may need to consult <br />with an agency specialist or private consultant for some questions. You may use "not applicable" or <br />"does not apply" only when you can explain why it does not apply and not when the answer is unknown. <br />You may also attach or incorporate by reference additional studies reports. Complete and accurate <br />answers to these questions often avoid delays with the SEPA process as well as later in the decision- <br />making process. <br />The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of <br />time or on different parcels of land. Attach any additional information that will help describe your proposal <br />or its environmental effects. The agency to which you submit this checklist may ask you to explain your <br />answers or provide additional information reasonably related to determining if there may be significant <br />adverse impact. <br />Instructions for Lead Agencies: <br />Please adjust the format of this template as needed. Additional information may be necessary to <br />evaluate the existing environment, all interrelated aspects of the proposal and an analysis of adverse <br />impacts. The checklist is considered the first but not necessarily the only source of information needed to <br />make an adequate threshold determination. Once a threshold determination is made, the lead agency is <br />responsible for the completeness and accuracy of the checklist and other supporting documents. <br />Use of checklist for nonproject proposals: <br />For nonproject proposals (such as ordinances, regulations, plans and programs), complete the applicable <br />parts of sections A and B plus the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D). Please <br />completely answer all questions that apply and note that the words "project," "applicant," and "property or <br />site" should be read as "proposal," "proponent," and "affected geographic area," respectively. The lead <br />agency may exclude (for non-projects) questions in Part B -Environmental Elements -that do not <br />contribute meaningfully to the analysis of the proposal. <br />A. Background [HELP] <br />1. Name of proposed project, if applicable: <br />Fiber High Speed Cable <br />Installation -Guemes View <br />2. Name of applicant:City of Anacortes <br />3. Address and phone number of applicant and contact person: <br />Jim Lemberg, P.O. Box 547, Anacortes, WA 98221, 360-588-8360 <br />SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 1 of 13