SEPA Form Templates

The following templates are based on the applicable sections of the SEPA rules (WAC 197-11) and other guidance materials. Lead agencies are encouraged to modify the format of these templates to suit their needs and add information as necessary for clarification and completeness pursuant to WAC 197-11-906 and WAC 197-11-315.


Templates Format
Environmental Checklist with added help links and instructions 
[WAC 197-11-960]
  doc pdf  
Determination of Nonsignificance (DNS) 
[WAC 197-11-970]
  doc pdf txt
Determination of Significance/Scoping Notice (DS) [WAC 197-11-980]   doc pdf txt
Notice of Assumption of Lead Agency Status 
[WAC 197-11-985]
  doc pdf txt
Notice of Action Taken (NAT) 
[WAC 197-11-990]
  doc pdf txt

 

Other templates


Templates Format
Optional Salmon Checklist

html

doc pdf txt
Optional Nonproject Review Form html doc pdf  
Determination of Significance and Adoption of Existing Environmental Document

html

doc pdf txt
Determination of Nonsignificance and Adoption of Existing Environmental Document

html

doc pdf txt
Sample Notice of Application with Optional DNS (NOA/ODNS)

html

doc pdf txt