Rock Island, WA · Douglas County
SEPA Environmental Checklist
This checklist gathers project and environmental information from applicants so a governmental agency can evaluate a proposal’s potential environmental impacts.
What this form is
Applicants use the checklist to describe a proposal and its location, schedule, permits, and possible effects on environmental elements such as water, plants, animals, and transportation. The agency receiving it uses the information to help determine whether impacts may be significant and whether further analysis is needed. The checklist asks for accurate answers and allows supporting information to be attached or incorporated by reference.
Who needs it
Applicants submitting a proposal for agency review use this checklist to describe the project and its potential environmental effects.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This checklist is completed without a notary; it identifies no sworn or notarized attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Checklist
Download the SEPA Environmental Checklist.
- 2
Complete The Questions
Answer each applicable question accurately and carefully, using “not applicable” only when you can explain why it does not apply.
- 3
Gather Supporting Information
Attach additional information that helps describe your proposal or its environmental effects; the checklist also allows studies or reports to be incorporated by reference.
- 4
Submit To The City
Submit the checklist to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the SEPA Environmental Checklist used for?
- Applicants use it to describe a proposal and its potential environmental effects. Governmental agencies use the information to help determine whether impacts may be significant.
- What information does the checklist ask for?
- It asks about the proposal, its location and schedule, needed approvals, and potential effects on topics including earth, water, plants, animals, housing, and transportation.
- Do I need a notary for the SEPA Environmental Checklist?
- No. This checklist is completed without a notary, and it identifies no sworn or notarized attachment; the signer just signs and dates it.
- How do I submit the SEPA Environmental Checklist?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This SEPA Environmental Checklist doesn’t need a notary — but if you have another Rock Island form that does, a commissioned online notary can help.