South Bend, WA · Pacific County
SEPA Environmental Checklist
This checklist collects project and site information for applicants completing an environmental review requested by the City of South Bend.
What this form is
The checklist gathers details about a proposed project, its location and schedule, and potential effects on areas such as water, wildlife, land use, transportation, and public services. The applicant completes it when an agency requests the checklist and provides information about the proposal, environmental conditions, possible impacts, and proposed measures to address them. The applicant signs and dates the completed checklist.
Who needs it
Applicants whose proposed project has prompted an agency request for an environmental checklist need to provide the requested project information.
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 document is signed without a notary; the applicant signs and dates it, and the checklist lists no notarized attachment or sworn step.
How to submit this form
- 1
Download The Checklist
Download the SEPA Environmental Checklist for the proposed project.
- 2
Complete The Checklist
Provide the requested applicant, project, site, environmental, and impact information.
- 3
Review And Sign
Confirm the answers are true and complete to the best of your knowledge, then sign and date the checklist.
- 4
Submit To The City
Submit it 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 for?
- It collects information about a proposed project, its site, and potential environmental effects, including proposed measures to address impacts.
- Who completes the South Bend environmental checklist?
- The applicant completes it when an agency requests the checklist, providing information about the proposal, site, environmental elements, and potential impacts.
- Do I need a notary for the SEPA Environmental Checklist?
- No. The applicant signs and dates the checklist; it lists no notarized attachment or sworn step.
- 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.