Buckley, WA · Pierce County
Environmental Checklist
This checklist helps applicants describe a proposal and its potential environmental effects for the City of Buckley’s environmental review.
What this form is
Applicants use this checklist to provide information that helps the agency identify potential environmental impacts and decide whether an environmental impact statement is required. Complete it for a proposal when the agency requests it, answering questions about the project, site, environmental conditions, and possible effects. Attach information that helps describe the proposal or its environmental effects; the agency may request further explanation or related information.
Who needs it
Applicants submitting a proposal for environmental review to the City of Buckley use this checklist to describe the proposal and its potential effects.
How to submit it
Submit the completed checklist to the City of Buckley at P.O. Box 1960, Buckley, WA 98321; the form identifies the City as the requesting agency.
About notarization
This checklist is signed and dated without a notary; the signer certifies the answers are true and complete to the best of their knowledge.
How to submit this form
- 1
Download The Checklist
Download the Environmental Checklist PDF.
- 2
Complete The Questions
Answer the questions accurately and carefully, using the best information available about your proposal.
- 3
Gather Supporting Information
Attach information that helps describe your proposal or its environmental effects, such as available site information.
- 4
Submit To The City
Send the completed checklist to the City of Buckley at P.O. Box 1960, Buckley, WA 98321.
Frequently asked questions
- Do I need a notary for the Environmental Checklist?
- No. The checklist has a signature and date line but no notary block; the signer certifies the answers are true and complete to the best of their knowledge.
- Who uses the Environmental Checklist?
- Applicants use the checklist to describe a proposal and its potential environmental effects. The City of Buckley uses the information to help determine whether an environmental impact statement is required.
- What information does the checklist ask for?
- It asks about the applicant and proposal, the site and environmental conditions, and potential effects such as impacts to water, plants, animals, transportation, and utilities.
- How do I submit the Environmental Checklist?
- The form identifies the City of Buckley as the requesting agency and lists P.O. Box 1960, Buckley, WA 98321. Submit the completed checklist to the city at that address.
Need something notarized?
This Environmental Checklist doesn’t need a notary — but if you have another Buckley form that does, a commissioned online notary can help.