Long Beach, WA · Pacific County
State Environmental Policy Act (SEPA) Environmental Checklist
Applicants submit this environmental checklist with a development application so the City of Long Beach can evaluate potential environmental impacts of a proposal.
What this form is
The checklist helps the city identify possible environmental impacts and decide whether an environmental impact statement is required. Applicants describe the proposal, its location and schedule, and possible effects on areas such as earth, water, plants, animals, energy, and land use. The form asks for accurate answers and a signed declaration under penalty of perjury; additional information may be attached.
Who needs it
Applicants submitting a development application to the City of Long Beach complete this checklist for proposals with potential environmental impacts.
How to submit it
Submit this checklist with your development application to the City of Long Beach Community Development Department, 115 Bolstad West, PO Box 310, Long Beach, Washington 98631.
About notarization
This document is signed without a notary; the signer declares under penalty of perjury that the information is true, correct, and complete, then signs and dates it.
How to submit this form
- 1
Download The Checklist
Download the SEPA Environmental Checklist PDF.
- 2
Complete The Questions
Describe your proposal and answer the checklist questions accurately, using the best information you know.
- 3
Gather Additional Information
Attach information that helps describe the proposal or its environmental effects, if applicable.
- 4
Sign And Submit
Sign and date the declaration, then submit the checklist with your development application to the Community Development Department.
Frequently asked questions
- Do I need a notary for the SEPA Environmental Checklist?
- No. The checklist is signed without a notary. The signer declares under penalty of perjury that the information is true, correct, and complete, then signs and dates it.
- How do I submit the SEPA Environmental Checklist?
- Submit the completed checklist with your development application to the City of Long Beach Community Development Department at the address printed on the form.
- What information does the checklist ask for?
- It asks about the proposal, its location and schedule, required approvals, and possible environmental effects, including impacts on earth, water, plants, animals, energy, and land use.
- Can I attach additional information?
- Yes. The checklist says to attach information that helps describe the proposal or its environmental effects. The city may also ask you to explain answers or provide related information.
Need something notarized?
This State Environmental Policy Act (SEPA) Environmental Checklist doesn’t need a notary — but if you have another Long Beach form that does, a commissioned online notary can help.