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Determination of Mitigated Insignificance (DNS) Routing Form DATE: September 11, 2020, Alderwood Water District Mike Graves Burlington Northern Santa Fe Railway (Martinique Hill) City of Edmonds (Rob
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How to fill out determination of mitigated non-significance

01
To fill out a determination of mitigated non-significance, follow these steps:
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Start by providing the project name and location.
03
Identify the agency responsible for the project.
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Describe the proposed project, including its purpose, scope, and any potential impacts.
05
Assess the existing environmental conditions of the project area.
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Determine the significance of potential impacts, considering factors such as ecological, cultural, and socioeconomic aspects.
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Identify potential mitigation measures to reduce the impacts.
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Describe the mitigated measures in detail, including how they will be implemented and monitored.
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Evaluate the effectiveness of the mitigation measures in reducing potential impacts.
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Provide a conclusion stating whether the project can be classified as a mitigated non-significance.
11
Sign and date the determination form.
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Attach any required supporting documents or analysis.
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Submit the filled-out determination of mitigated non-significance to the appropriate agency for review and approval.

Who needs determination of mitigated non-significance?

01
A determination of mitigated non-significance is typically required by government agencies and environmental regulatory bodies.
02
It is necessary for projects that have the potential to cause some environmental impacts but can be adequately mitigated to minimize adverse effects.
03
Developers, planners, engineers, and consultants involved in construction or development projects may need to fill out a determination of mitigated non-significance.
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The determination of mitigated non-significance is a formal decision made by a governmental agency stating that a proposed project will not have a significant impact on the environment after mitigation measures are implemented.
The applicant or project proponent is required to file a determination of mitigated non-significance.
The determination of mitigated non-significance form must be completed by providing information on the proposed project, its potential impacts, and the proposed mitigation measures.
The purpose of determination of mitigated non-significance is to assess the potential environmental impacts of a proposed project and ensure that any adverse effects are mitigated.
Information such as project description, environmental impacts, proposed mitigation measures, and supporting documentation must be reported on the determination of mitigated non-significance.
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