DuPont, WA · Pierce County
SEPA Environmental Checklist
This checklist helps an agency evaluate a proposal’s possible environmental impacts; applicants complete it with information about the proposal and its site.
What this form is
Applicants use this checklist when a governmental agency requests information to help determine whether a proposal may have significant environmental impacts. It asks about the applicant, proposal schedule and location, permits, and possible effects on topics such as water, wildlife, land use, transportation, and utilities. Signers certify that their answers are true and complete to the best of their knowledge.
Who needs it
Applicants whose proposal is being reviewed by a governmental agency can use the checklist to describe the proposal and its possible 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 document is signed and dated without a notary; the checklist asks the signer to certify the answers, and mentions no notarized attachment or related step.
How to submit this form
- 1
Download The Checklist
Download the SEPA Environmental Checklist PDF.
- 2
Complete The Checklist
Answer the applicable questions about the applicant, proposal, site, and potential environmental effects.
- 3
Gather Supporting Information
Attach additional information that helps describe the proposal or its environmental effects, such as available studies or plans.
- 4
Sign And Date
Sign and date the certification that the answers are true and complete to the best of your knowledge.
- 5
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 does the SEPA Environmental Checklist ask about?
- It asks for information about the applicant, proposal, schedule, location, and potential environmental effects, including effects on water, plants, animals, land use, and public services.
- Who completes this checklist?
- Applicants complete the checklist when a governmental agency requests information to help evaluate whether a proposal may have significant environmental impacts.
- Do I need a notary for the SEPA Environmental Checklist?
- No. The checklist asks the signer to certify and date their answers, but it does not require a notary. The document mentions no notarized attachment or related 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.
Need something notarized?
This SEPA Environmental Checklist doesn’t need a notary — but if you have another DuPont form that does, a commissioned online notary can help.