determination of significance

and request for comments on scope of eis

Description of proposal . . . .

. . . .

Proponent . . . .

Location of proposal . . . .

. . . .

Lead agency . . . .

EIS Required. The lead agency has determined this proposal is likely to have a significant adverse impact on the environment. An environmental impact statement (EIS) is required under RCW 43.21C.030 (2)(c) and will be prepared. An environmental checklist or other materials indicating likely environmental impacts can be reviewed at our offices.

The lead agency has identified the following areas for discussion in the EIS: . . . .

. . . .

Scoping. Agencies, affected tribes, and members of the public are invited to comment on the scope of the EIS. You may comment on alternatives, mitigation measures, probable significant adverse impacts, and licenses or other approvals that may be required. The method and deadline for giving us your comments is:

. . . .
. . . .
Responsible official . . . .
Position/title . . . .				Phone . . . .
Address . . . .
Date . . . .			Signature . . . .
(optional)
□ You may appeal this determination of significance
		to (name) . . . .
		at (location) . . . .
		no later than (date) . . . .
		by (method) . . . .
	You should be prepared to make specific factual objections. Contact . . . . . . . . . . to read or ask about the procedures for SEPA appeals.
□ There is no agency appeal.

PDFWAC 197-11-980

Determination of significance and scoping notice (DS).