DETERMINATION OF NONSIGNIFICANCE
AND ADOPTION OF EXISTING
ENVIRONMENTAL DOCUMENT

Description of current proposal 	
	
Proponent	
Location of current proposal 	
	
	
Title of 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) 	
	
The lead agency for this proposal has determined that it does not have a probable  significant adverse impact on the environment.  An environmental impact statement (EIS) is not required under RCW 43.21C.030(2)(c).  This decision was made after review of a completed environmental checklist and other information on file with the lead agency.  This information is available to the public on request.

[] There is no comment period for this DNS.
[] This DNS is issued under WAC 197-11-340(2); the lead agency will not act on the proposal for 14 days from the date below.  Comments must be submitted by ________ .

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