Wash. Admin. Code § 197-11-965
ADOPTION OF EXISTING ENVIRONMENTAL DOCUMENT |
Adoption for (check appropriate box) [] DNS [] EIS [] other ........................................... |
Description of current proposal ....................... |
................................................ |
Proponent ....................................... |
Location of current proposal ......................... |
................................................ |
................................................ |
Title of document being adopted ...................... |
Agency that prepared document being adopted .......... |
Date adopted document was prepared ................. |
Description of document (or portion) being adopted ...... |
................................................ |
................................................ |
If the document being adopted has been challenged (WAC 197-11-630), please describe: |
................................................ |
The document is available to be read at (place/time) ...... |
................................................ |
We have identified and adopted this document as being appropriate for this proposal after independent review. The document meets our environmental review needs for the current proposal and will accompany the proposal to the decision maker.
Name of agency adopting document . . . . . . . . . . .. | ||
Contact person, if other than responsible official . . . . . . . . . . . .. | Phone . . . . . . . . . . .. | |
Responsible official . . . . . . . . . . .. | ||
Position/title . . . . . . . . . . . . . . . . .. | Phone . . . . . . . . . . .. | |
Address . . . . . . . . . . .. | ||
Date . . . . . . . . . . .. | Signature . . . . . . . . . . .. | |
Wash. Admin. Code § 197-11-965
Statutory Authority: RCW 43.21C.110. 84-05-020 (Order DE 83-39), § 197-11-965, filed 2/10/84, effective 4/4/84.