Sample Notice of Application with Optional DNS

(City or county name) has received a permit application for the following project that may be of interest to you.  You are invited to comment on this proposed project.

Date of permit application: ___  Date of determination of completeness:____
Date of notice of application: ______ Comment due date: ___________________

Project Description: (provide sufficient information for the public and agencies to understand the proposal and to provide meaningful comments)

Project Location:  (should include a street address and/or nearest cross streets)

Project Applicant:

((NOTE:  The Environmental Review Section below must appear on the first page of the notice of application.))

Environmental Review:  (City or county name)  has reviewed the proposed project for probable adverse environmental impacts and expects to issue a determination of nonsignificance (DNS) for this project.  The optional DNS process in WAC 197-11-355 is being used.  This may be your only opportunity to comment on the environmental impacts of the proposed project.

Agencies, tribes, and the public are encouraged to review and comment on the proposed project and its probable environmental impacts.  Comments must be submitted by the date noted above to _(agency contact and address) .

The following conditions have been identified that may be used to mitigate the adverse environmental impacts of the proposal:  (list mitigation measures/conditions that will be required under SEPA).  (Note: These conditions are in addition to mitigation required by the development regulations listed below.)

Required Permits -- The following local, state and federal permits/approvals are needed for the proposed project:

Required Studies:  (list any studies that have been completed or will be completed for this proposal)

Existing Environmental Documents:  (list any existing environmental documents that will be used as part of the review process for this proposal.)

Preliminary determination of the development regulations that will be used for project mitigation and consistency:

Public Hearing --  (include date, time, place, and type of hearing, if applicable)

((Add any other information required by RCW 36.70B.110 or deemed appropriate.))