HomeMy WebLinkAboutSEPA E02-014 - WALTON TODD - AT&T ROOFTOP WIRELESSAT &T WIRELESS
ROOFTOP ANTENNA &
FENCED EQUIPMENT
15016 MACADAM RD. S.
E02 -014
•
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
September 8, 2003
Todd Walton
425 Pontius Avenue North Ste 202
Seattle WA 98109
Re: Applications for AT &T Wireless at Tukwila Gardens, 15016 Macadam Rd South, Tukwila.
File numbers L02 -021 and E02 -014.
Dear Mr. Walton:
This letter is to notify you that the above referenced applications have been currently closed as
no re- submittal was received from you in response to the City's request for additional
information dated July 24, 2002. Also, per your email dated October 28, 2002, you had requested
that the project be placed on hold.
Since we have received no response from you since then, the city has presently closed the
application files. If you wish to pursue this project, new applications must be filed.
Please note that the land use sign that was installed on the site must be removed at this
time.
If you have any further questions, you can contact me at 206 -431 -3685.
Sincerely,
Minnie Dhaliwal
Senior Planner
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Minnie Dhaliwal - Tukwila Gardens
From: Todd Walton <twalton @ptswa.com>
To: "Minnie Dhaliwal (E- mail)" <mdhaliwal @ci.tukwila.wa.us>
Date: 10/28/02 10:02AM
Subject: Tukwila Gardens
Minnie, AT &T Killed the site. Please place this project on hold until
further notice, thanks.
Todd Walton
Zoning Manager
Pacific Telecom Services
206.342.6384 Office
206.331.0088 Mobile
206.903.8513 fax
twalton @ptswa.com
City of'Itkwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 7661600184 Permit Number: EO2 -014
Address: 15016 MACADAM RD S TUKW Status: PENDING
Suite No: Applied Date: 06/07/2002
Applicant: TODD WALTON Issue Date:
Receipt No.: R020000755 Payment Amount: 325.00
Initials: MD Payment Date: 06/07/2002 11:46 AM
User ID: 1685 Balance: $0.00
Payee: bechtel corp
TRANSACTION LIST:
Amount
Type Method Description
Payment Check 7073674 325.00
ACCOUNT ITEM LIST:
Description Account Code
Current Pmts
SEPA
000/345.831 325.00
Total: 325.00
7387 06/07 9 716 TOTAL 325.00
doc: Receipt Printed: 06 -07 -2002
CITY OF TUKWILA
RECEIVED
CITY OF TUKWILA
0 7-2002 SEPA
PERMIT cENTEENVIRONMENTAL
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -3670 FAX (206) 431 -3665
E -mail: tukplan(ii ci.tukwila,wa.us
REVIEW
APPLICATION
NAME OF PROJECT/DEVELOPMENT:
LOCATION OF PROJECT/DEVELOPMENT: (Give street address or, if vacant, indicate
lot(s), block and subdivision, access street, and nearest intersection. LIST ALL 10 DIGIT PARCEL
NUMBERS.
/5 / . /11140M1 A(• S. P/—# 766& — 010 -.00
Quarter: /Via Section: Z3 Township: 23 Range:
(This information may be found on your tax statement)
DEVELOPMENT COORDINATOR :
The individual who:
• has decision making authority on behalf of the applicant in meetings with City staff,
• has full responsibility for identifying and satisfying all relevant and sometimes overlapping
development standards, and
• is the primary contact with the City, to whom all notices and reports will be sent.
Name:
Address:
Phone:
(Z___117L, ) SY4' Any FAX: --{ * 9— oSr3
/. ; Date: 4'2 /zok�
Signature:
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FOR STAFF USE ONLY SIERRA TYPE P -SEPA
Planner:
File Number: l'a0-2i --'Q l
Application Complete
(Date:
)
Project File Number:
Application Incomplete
(Date:
)
Other File Numbers:
NAME OF PROJECT/DEVELOPMENT:
LOCATION OF PROJECT/DEVELOPMENT: (Give street address or, if vacant, indicate
lot(s), block and subdivision, access street, and nearest intersection. LIST ALL 10 DIGIT PARCEL
NUMBERS.
/5 / . /11140M1 A(• S. P/—# 766& — 010 -.00
Quarter: /Via Section: Z3 Township: 23 Range:
(This information may be found on your tax statement)
DEVELOPMENT COORDINATOR :
The individual who:
• has decision making authority on behalf of the applicant in meetings with City staff,
• has full responsibility for identifying and satisfying all relevant and sometimes overlapping
development standards, and
• is the primary contact with the City, to whom all notices and reports will be sent.
Name:
Address:
Phone:
(Z___117L, ) SY4' Any FAX: --{ * 9— oSr3
/. ; Date: 4'2 /zok�
Signature:
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CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -3670 FAX (206) 431 -3665
E -mail: tukplana -4ci.tukwi lama .us
SEPA
ENVIRONMENTAL
REVIEW
INFORMATION
The State Environmental Policy Act (SEPA) requires all agencies to consider the environmental impacts of a
development before making decisions (43.21C RCW). The purpose of environmental review is to identify a
proposal's significant adverse impacts, measures to minimize or avoid such impacts, and allow wide public review
for a wide range of projects.
REQUIREMENTS: SEPA review is required for any action associated with the following types of
decisions:
1. Developing more than 4 dwelling units.
2. Agricultural structures over 10,000 s.f.
3. Office, school, commercial, recreational, service or storage buildings over 4,000 s.f. and 20 parking spaces
(certain utility lines, personal wireless communication facilities, and normal maintenance/replacement activities
are fully exempt).
4. Parking lots with over 40 spaces.
5. Landfills and excavations over 500 cubic yards.
6. Land use decisions involving a subdivision of land into 5 or more lots, design review, a Conditional Use
Permit, an Unclassified Use Permit.
The accompanying application must be completed. If a question does not apply, "Does not apply" or "NA" may
be entered. Complete answers to the checklist may avoid unnecessary delays later. City staff may also be able
to help about govemmental designations (e.g., zoning, shoreline, and landmark status).
PROCEDURES: Within 28 days of receiving your application, City staff determines if it is complete, based
on the following "Complete Application Checklist". If not, you will be mailed a letter outlining what additional
information is needed.
Once the application is "complete," substantive review will begin and a "Notice of Application" must be
posted/mailed to begin a public comment period. After completing the environmental analysis and considering
public comments, the Director will approve the project as proposed, approve it with impact mitigation
requirements, or require an Environmental Impact Statement (EIS) be prepared due to probable, significant,
negative, environmental impacts.
C:\ homepage \tukwila \dcd \apps \SEPAAPP.DOC, 08 /31/00
COMPLETE APPLICATION CHECKLIST
The materials listed below must be submitted with your application unless specifically waived in writing by the
Public Works Department and the Department of Community Development. Please contact the Department if
you feel that certain items are not applicable to your project and should be waived, or should be submitted in a
later timely manner for use at the Public Hearing (e.g., revised colored renderings). Application review will not
begin until it is determined to be complete. ADDITIONAL MATERIALS MAY BE REQUIRED, TO
ENSURE CONSISTENCY WITH CITY DEVELOPMENT STANDARDS.
Department staff are available to answer questions about application materials at 206 -431 -3670 Department of
Community Development and 206 -433 -0179 Department of Public Works.
COMPLETE APPLICATION CHECKLIST TABLE
Information Required. May be waived in unusual cases,
upon approval of both Public Works and Planning
Information
Waived
PbWk /Ping
Office Use Only ,
Comments & Conditions.
APPLICATION FORMS:
1. Application Checklist one (1) copy, indicating
items submitted with application.
2. Four (4) copies of supporting studies with original
signatures and license stamp as needed.
3. Complete Application Packet: Six (6) copies of
application form and full sized plans, one set of all
plans reduced to 8.5" by 11" (High Quality Photo
Reduction) and other materials and information as
specifically listed in Project Description and
Analysis, Site Plans, Landscape Plan and Elevations.
4. SEPA Environmental Checklist (6 copies) and fee
($325).
PUBLIC NOTICE MATERIALS:
5. King County Assessor's map(s) which shows the
location of each property within 500 feet of the
subject lot.
SUBMIT ONLY IF UNDERLYING PERMIT
REQUIRES PUBLIC NOTICE.
6. Two (2) sets of mailing labels for all property owners
and tenants (residents and businesses) within 500
feet of the subject property. See Public Notice
Materials. Note: Each unit in multiple - family
buildings -e.g. apartments, condos, trailer parks must
be included).
SUBMIT ONLY IF UNDERLYING PERMIT
REQUIRES PUBLIC NOTICE.
A 4' x 4' Public Notice Board will be required on
site within 14 days of the Department
determining that a complete application has been
received.
PROPERTY INFORMATION
7. Vicinity Map with site location.
8. Surrounding Land Use Map for all existing land uses
within a 1,000 foot radius from the lot's property
lines.
9. Title Report -- Clearly establish status as legal lot(s)
of record, ownership, all known easements and
encumbrances.
10. Lot lines for 300 ft. from the site's property lines
including right -of -ways.
C \homepage \tukwila \dcd \apps \SEPAAPP.DOC, 08/31 /00
•
City of Tukwila ESA Screening Checklist
Date:
City of Tukwila
Endangered Species Act Screening Checklist
6/420G2-
Applicant Name: .Art- l4 ift)NAILICINJ
Street Address: yes /0''1 ✓S Are < /''I • $ i 707
City, State, Zip: 5 .i 7T(- W3 i '/O j
Telephone: (2093Y7•Ogg
DIRECTIONS
This Screening Checklist has been designed to evaluate the potential for your project to result in
potential "take" of chinook salmon, coho salmon, or cutthroat trout as defined by Section 9 of the
Endangered Species Act. The checklist includes a series of "Yes" or "No" questions about your
project, organized into four parts. Starting with Part A on Page 1, read each question carefully,
circle "Yes" or "No," and proceed to the next question as directed by the checklist To
answer these questions, you may need to refer to site plans, grading and drainage plans, critical
areas studies, or other documents you have prepared for your project. The City will evaluate
your responses to determine if "take" is indicated.
May 24, 2001 1
City of Tukwila ESA Screening Checklist
Part A: Please review and answer each question carefully. Consider all phases of your project
including, but not limited to, construction, normal operation, potential emergency operation, and
ongoing and sche duled maintenance. Continue to the next question as directed for each No or Yes
answer.
1 -0
Will the project require any form of grading? Grading is defined as any excavating, filling,
clearing, or creation of impervious surface, or any combination thereof, which alters the
existing ground surface of the earth (see Tukwila Municipal Code (TMC) Chapter 18.06,
Zoning Code, Page 18 -11). Please circle appropriate response.
NO - Continue to Question 2 -0
&:)- Continue to Question 1 -1 (Page 3)
2 -0
Will the project require any form of clearing? Clearing means the removal or causing to be
removed, through either direct or indirect actions, any vegetation from a site (see Chapter
18,06, Page 18 -8). Please circle appropriate response.
Continue to Question 3 -0
YES - Continue to Question 2 -1 (Page 4)
3 -0
Will the project require . work, during any time of the project, below the ordinary high water
mark of a watercourse or the Green/Duwamish or Black Rivers or in wetlands? Ordinary high
water mark is the mark that is found by examining the bed and banks of a stream and
ascertaining where the presence and action of waters are so common and usual as to distinctly
mark the soil from that of the abutting upland, in respect to vegetation (see TMC Chapter 18.06,
Pa :e 18 -15). Please circle appropriate response.
40- Continue to Question 4-0
YES - Continue to Question 3 -1 (Page 5)
4 -0
Will the project result in the processing or handling, storage, or treatment of hazardous
substances? This does not include the proper use of fuel stored in a vehicle's fuel tank.
Hazardous substances are any liquid, solid, gas, or sludge, including any material, substance,
product, commodity, or waste, regardless of quantity, that exhibits the characteristics or criteria
of hazardous waste as defined by Washington Administrative Code 173 -303 (see TMC Chapter
18.06, Tukwila Zoning Code, Page 18 -11). This includes fuel or other chemicals stored on -site
during construction. Please circle appropriate response.
N - Continue to Question 5 -0
YES - Continue to Question 5 -0
5 -0
Will the project result in the withdrawal, injection, or interception of groundwater? Examples
of projects that may affect groundwater include, but are not limited to: construction of a new
well, change in water withdrawals from an existing well, projects involving prolonged
construction dewatering, projects installing French drains or interceptor trenches, and sewer
lines. For the purpose of this analysis, projects that require a geotechnical report pursuant to the
requirements of TMC 18.45.060 and 18.45.080E.4, or would require a geotechnical report if not
exempt under TMC 18.45.080A, should answer Yes. Please circle rppropriate response.
NO - Continue to Question 6-0
YES - Continue to Question 6-0
May 24, 2001
2
City of Tukwila ESA Screening Checklist
Part A (continued)
6 -0 Will the project involve landscaping or re- occurring outdoor maintenance that includes the
regular use of fertilizers, pesticides, or herbicides? This does not include the one -time use of
transplant fertilizers. Landscaping means natural vegetation such as trees, shrubs, groundcover,
and other landscape materials arranged in a manner to produce an aesthetic effect appropriate
for the use of the land (see TMC Chapter 18.06, Tukwila Zoning Code, Page 18 -13). For the
purpose of this analysis, this includes the establishment of new Lawn or grass. Please circle
a`p'propriate response.
0 Checklist Complete
YES — Checklist Complete
Part B: Please answer each question below for projects that include grading. Review each
question carefully, considering all phases of your project including, but not limited to construction,
normal operation, potential emergency operation, and ongoing and scheduled maintenance.
Continue to the next ,question as directed for each No or Yes answe r.
1 -1
Will the project involve the modification of a watercourse bank or bank of the
Green/Duwamish or Black Rivers between the ordinary high water mark and top of bank? This
includes any projects that will require grading on any slope leading to a river or stream, but will
not require work below the ordinary high water mark. Work below the ordinary high water n rk is covered in Part C. Please circle appropriate response.
NO - Continue to Question 1 -2
YES - Continue to Question 1 -2
1 -2 Could the construction, operation, or maintenance of the project result in sediment transport off
site or increased rates of erosion and/or sedimentation in watercourses, the Green/Duwamish
rivers, or the Black River? Most projects that involve grading have the potential to result in
increased erosion and/or sedimentation as a result of disturbances to the soil or earth. If your
project involves grading and you have not prepared a Temporary Erosion and Sedimentation
Control Plan specifically designed to retain 100 percent of the runoff (including during
construction) from impervious surface or disturbed soils, answer Yes to this question. If your
project is normally exempt under the Tukwila Municipal Code and would not require the
preparation of a Temporary Erosion and Sedimentation Control Plan, BUT may still result in
erosion or sediment transport off site or beyond the work area, answer Yes to this question.
P : se circle appropriate response.
Continue to Question 1 -3
YES - Continue to Question 1 -3
1 -3 Will the project result in the construction of new impervious surfaces? Impervious surfaces
include those hard surfaces which prevent or restrict the entry of water into the soil in the
manner that such water entered the soils under natural conditions prior to development; or a
hard surface area that causes water to run off the surface in greater quantity or at an increased
rate of flow from the flow presented under natural conditions prior to development (see TMC
Chapter 18.06, Tukwila Zoning Code, Page 18 -12). Such areas include, but are not limited to,
rooftops, asphalt or concrete paving, compacted surfaces, or other surfaces that similarly affect
the natural infiltration or runoff patterns existing prior to development. Please circle
appropriate re sponse.
NO - Continue to Question 2 -0 (Page 2)
(YE;
r Continue to Question 1 -4
Part B (continued)
May 24, 2001
3
City of Tukwila ESA Screening Checklist
1-4 Will your project generate stormwater from the creation of impervious surfaces that will not be
infiltrated on site? For the purpose of this analysis, infiltration includes the use of a stormwater
treatment and management system intended to contain all stormwater on site by allowing it to
seep into pervious surface or through other means to be introduced into the ground. If your
project involves the construction of impervious surface and does not include the design of a
stormwater management system specifically designed to infiltrate stormwater, answer Yes to
this question. Please circle appropriate response.
O: Continue to Question 2 -0 (Page 2)
YES - Continue to Question 2 -0 (Page 2)
Part C: Please review each question below for projects that include clearing. Review each question
carefully, considering all phases of your project including, but not limited to construction, normal
operation, potential emergency operation, and ongoing and scheduled maintenance. Continue to
the next question as directed for each No or Yes answer.
2 -1
Will the project involve clearing within 200 feet of the ordinary high water mark of a
watercourse or the Green/Duwamish or Black Rivers? Please circle appropriate response.
NO - Continue to Question 3-0 (Page 2)
YES - Continue to Question 2 -2
2 -2
Will the project involve clearing of any trees within 200 feet of the ordinary high water mark of
a watercourse or the Green/Duwamish or Black Rivers? A tree is defined by TMC 18.06.845 as
any self - supporting woody plant, characterized by one main trunk, with a potential diameter -
breast- height of 2 inches or more and potential minimum height of 10 feet. Please circle
appropriate response.
NO - Continue to Question 2 -4
YES - Continue to Question 2 -3
2 -3
Will the project involve clearing of any evergreen trees from within 200 feet of the ordinary
high water mark of a watercourse or the Green/Duwamish or Black Rivers? For the purpose of
this analysis evergreen means any tree that does not regularly lose all its leaves or needles in the
fall. Please circle appropriate response.
NO - Continue to Question 2-4
YES - Continue to Question 2 -4
2 -4
Will the project involve clearing within 100 feet of the ordinary high water mark of a
watercourse or the Green/Duwamish or Black Rivers? Please circle appropriate response.
NO - Continue to Question 3-0 (Page 1)
YES - Continue to Question 2 -5
2 -5
Will the project involve clearing within 40 feet of the ordinary high water mark of a
watercourse or the Green/Duwamish or Black Rivers? Please circle appropriate response.
NO - Continue to Question 3 -0 (Page 2)
YES - Continue to Question 3 -0 (Page 2)
May 24, 2001
4
City of Tukwila ESA Screening Checklist
Part D: Ple ase review each question below for projects that include work below the ordinary high
water mark of watercourses or the Duwamish /Green or Black Rivers or in wetlands. Review each
question carefully, considering all phases of your project including, but not limited to,
construction, normal operation, potential emergency operation, and ongoing and scheduled
maintenance. Continue to the next question as directed for each No or Yes answer.
3 -1
Will the project involve the direct alteration of the channel or bed of a watercourse, the
Green/Duwamish rivers, or Black River? For the purpose of this analysis, channel means the
area between the ordinary high water mark of both banks of a stream, and bed means the stream
bottom substrates, typically within the normal wetted -width of a stream. This includes both
temporary and permanent modifications. Please circle appropriate response.
NO - Continue to Question 3 -2
YES - Continue to Question 3 -2
3 -2
Will the project involve any physical alteration to a watercourse or wetland connected to the
Green/Duwamish River? For the purpose of this analysis, "connected to the river means"
flowing into via a surface connection or culvert, or having other physical characteristics that
allow for access by salmonids. This includes impacts to areas such as sloughs, side channels,
remnant oxbows, ditches formed from channelized portions of natural watercourses or any area
that may provide off channel rearing habitat for juvenile fish from the Duwamish River. This
includes both temporary construction alterations and permanent modifications. Watercourses
or wetlands draining to the Green/Duwamish River that have a hanging culvert, culvert with a
flap gate, diversion, or any entirely man -made or artificial structure that precludes fish access
should answer Yes to this question. Please circle appropriate response.
NO - Continue to Question 3 -3
YES - Continue to Question 3 -3
3 -3
Will the project result in the construction of a new structure or hydraulic condition that could be
a barrier to salmonid passage within the watercourse or the Green/Duwamish or Black Rivers?
For the purpose of this analysis, a barrier means any artificial or human modified structure or
hydraulic condition that inhibits the natural upstream or downstream movement of salmonids,
including both juveniles and adults. Please circle appropriate response.
NO - Continue to Question 3 -4
YES - Continue to Question 3-4
3 -4
Will the project involve a temporary or permanent change in the cross - sectional area of a
watercourse or the Green/Duwamish or Black Rivers? For the purpose of this analysis, the
cross - sectional area is defined as a profile taken from the ordinary high water mark on the right
bank to the ordinary high water mark on the left bank. Please circle appropriate response.
NO - Continue to Question 3 -5
YES - Continue to Question 3-5
3 -5
Will the project require the removal of debris from within the ordinary high water mark of a
watercourse or the Green/Duwamish or Black Rivers? For the purpose of this analysis, debris
includes, but is not limited to fallen trees, logs, shrubs, rocks, piles, rip -rap, submerged metal,
and broken concrete or other building materials. Projects that would require debris removal
from a watercourse or the Green/Duwamish or Black Rivers as part of a maintenance activity
should answer Yes to this question. Please circle appropriate response.
NO - Continue to Question 3 -6
YES - Continue to Question 3-6
May 24, 2001
5
City of Tukwila ESA Screening Checklist
Part D (continued)
3 -6 Will the project result in impacts to watercourses or wetlands that have a surface connection to
another watercourse or the Green/Duwamish or Black Rivers but do not contain habitat
conditions that support salmonid use? Such areas may include, but not be limited to hillside
seeps and wetlands isolated from the watercourse or river that have a surface water connection
to the watercourse or river but are not assessable, nor would be assessable to salmonids under
natural conditions. Wetlands with a "functions and values" rating for baseflow /groundwater
support of 9 and above (or moderate) as described in Cooke (1996) should be included. Please
circle appropriate response.
NO - Continue to Question 3 -7
YES - Continue to Question 3 -7
3 -7 Will the project include the construction of artificial waterways or wetlands connected to a
watercourse containing salmonids? For the purpose of this analysis, the construction of
artificial waterways or wetlands includes wetlands, channels, sloughs, or other habitat feature
created to enhance wildlife use, particularly waterfowl use, or may be attractive to wildlife,
particularly waterfowl. Please circle appropriate response.
NO - Continue to Question 3 -8
YES - Continue to Question 3-8
3 -8 Will the project include bank stabilization? For the purpose of this analysis, bank stabilization
includes, but is not limited to, rip -rap, rock, log, soil, or vegetated revetments, concrete
structures, or similar structures. Please circle appropriate response.
NO - Continue to Question 4-0 (Page 2)
YES - Continue to Question 4-0 (Page 2)
May 24, 2001 6
•
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses:
A. BACKGROUND
1. Name of proposed project, if applicable:
A7-.7 77/ W/cig l /N`'/acg
2. Name of Applicant: ,
Ai- ��/� �i<;s% Dl4)4Ci or✓
3. Date checklist prepared:
.6j/7200
•
4. Agency requesting checklist:
City of Tukwila
5. Proposed timing or schedule (including phasing, if applicable):
6. Do you have any plans for future additions, expansion, or further activity
related to or connected with this proposal? If yes, explain.
7. List any environmental information you know about that has been
prepared, or will be prepared, directly related to this proposal.
/164/t yn°WC)
8. Do you know whether applications are pending for governmental approvals of other
proposals directly affecting the property covered by your proposal? If yes, explain.
Nom. kev ow 4
G:\ APPHAN\LANDUSE.APP\SEPAAPP.DOC, 08/31 /00 1
Agency Comments
• •
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses: Agency Comments
9. List any government approvals or permits that will be needed for your proposal.
10. Give brief, complete description of your proposal, including the proposed uses and the size of
the project and site. There are several questions later in this checklist that ask you to
describe certain aspects of your proposal. You do not need to repeat those answers on this
page.
I 7 n 174 j v s i s � l � r c one s a c s I i v /W9 r i /tPP1 17` -rr.7c 0/ 1
jrl^iSCg iq c & e/%G ONO/
11. Location of the proposal. Give sufficient information for a person to understand the precise
location of your proposed project, including a street address, if any, the tax lot number, and
section, township, and range. If a proposal would occur over a range of area, provide the
range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and
topographic map, if reasonably available. While you should submit any plans required by the
agency, you are not required to duplicate maps or detailed plans submitted with any permit
applications related to this checklist.
1SO /2 /J?acrihr4 I? 5, pg r* 7,64/c- vise/ v6
12. Does the proposal lie within an area designated on the City's Comprehensive Land Use
Policy Plan Map as environmentally sensitive?
No
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2
• •
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses:
B. ENVIRONMENTAL ELEMENTS
1. Earth
a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous,
other:
Agency Comments
• What is the steepest slope on the site (approximate percent slope)?
/*A0�Ir, IAI . —1 O
c. What general types of soils are found on the site (for example, clay, sand, gravel, peat,
muck)? If you know the classification of agricultural soils, specify them and note any
prime farmland.
64AteL_
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so,
describe.
NMr' k /7oWA/
e. Describe the purpose, type, and approximate quantifies of any filling or grading proposed.
Indicate source of fill.
7'"k /4/ /ors -E A lq- k)///G c rAPE, /r) p,rllr
tgvi//ff,f4f (r'/ i ).
G:\ APPHAN\LANDUSE.APP\SEPAAPP.DOC, 08/31/00
3
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses:
f. Could erosion occur as a result of clearing, construction, or use?
If so, generally describe.
0
Agency Comments
About what percent of the site will be covered with impervious surfaces after project
construction (for.example, asphalt or buildings)?
Arxrvk/ ly 80 -/7s7v
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any:
KOn)E P/7 /7, -cn/
2. Air
a. What types of emissions to the air would result from the proposal (for example, dust,
automobile odors, industrial wood smoke) during construction and when the project is
completed? If any, generally describe and give approximate quantities if known.
�,'rt� �/ ✓- / Qv Vi 43 btifE Can (1-70/C.-t/6.0 ffy/ 6f -
b. Are there any off -site sources of emissions or odor that may affect your proposal? If so,
generally describe.
G:\ APPHANU.ANDUSE.APP\SEPAAPP.DOC, 08/31/00
4
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses:
c. Proposed measures to reduce or control emissions or other impacts to air, if any:
4(onfE Y /err.
3. Water
a. Surface:
1. Is there any surface water body on or in the immediate vicinity of the site (including
year -round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe
type and provide names. If appropriate, state what stream or river it flows into.
N6
2. Will the project require any work over, in, or adjacent to (within 200 feet) the
described waters? If yes, please describe and attach available plans.
NO
3. Estimate the amount of fill and dredge material that would be placed in or removed
from surface water or wetlands and indicate the area of the site that would be
affected. Indicate the source of fill material.
NA
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Agency Comments
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Applicant Responses: Agency Comments
4. Will the proposal require surface water withdrawals or diversions? Give general
description, purpose, and approximate quantities, if known.
5. Does the proposal lie within a 100 -year floodplain? If so, note location on the site plan.
6. Does the proposal involve any discharges of waste materials to surface waters? If so,
describe the type of waste and anticipated volume of discharge.
Na
b. Ground:
1. Will ground water be withdrawn, or will water be discharged to ground water? Give
general description, purpose, and approximate quantities, if known.
N>
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• •
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses: Agency Comments
2. Describe waste materials that will be discharged into the ground from septic tanks or
other sources, if any (for example: Domestic sewage; industrial, containing the
following chemicals...; agricultural; etc). Describe the general size of the system, the
number of such systems, the number of houses to be served (if applicable), or the
number of animals or humans the system(s) are expected to serve:
Nbn/E
c. Water Runoff (including storm water):
1. Describe the source of runoff (including storm water) and method of collection and
disposal, if any (include quantities, if known). Where will this water flow? Will this
water flow? Will this water flow into other waters? If so, describe.
RVN(pr w; l% f /Dl"✓ io /e/r7 SC_o /112Y/o /i/ia
FI /sh'J; f /Nia iz /2✓i n 2 I34/;Nis.
2. Could waste materials enter ground or surface waters? If so, generally describe.
!✓6
d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any:
f'iDD �6n� / %G'/2-' /nrs /A/ /iW / hdSet7,41/11'g /��Sr�Q1j
/ ^ e " , t i l l f// ! i 'Q✓n f 67-- ,e, „/-0p, 7` f S G✓) // fA/JYL-t
G:\ APPHAN\LANDUSE.APP\SEPAAPP.DOC, 08/31/00
7
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses: Agency Comments
4. Plants
a. Check or circle types of vegetation found on the site:
b. What kind and amount of vegetation will be removed or altered?
No Vfbe 9 j ion/ -to leEMOVE9
c. List threatened or endangered species known to be on or near the site.
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance
vegetation on the site, if any:
qmoasrO,o, )73 frig A/ -C-/-6,77//7
GAAPPHANLL .ANDUSE.APP\SEPAAPP.DOC, 0831/00
8
Deciduous tree: alder, maple, aspen, other
Evergreen tree: fir, cedar, pine, other
X
Shrubs
Grass
Pasture
Crop or grain
Wet soil plants: cattail, buttercup, bulrush,
skunk cabbage, other
Water plants: water lily, eelgrass, milfoil, other
Other types of vegetation
b. What kind and amount of vegetation will be removed or altered?
No Vfbe 9 j ion/ -to leEMOVE9
c. List threatened or endangered species known to be on or near the site.
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance
vegetation on the site, if any:
qmoasrO,o, )73 frig A/ -C-/-6,77//7
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8
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses:
5. Animals
a. Circle any birds or animals which have been observed on or near the site or are known to
be on or near the site:
•
Birds: Hawk, heron, eagle, songbirds, other:
Mammals Deer, bear, elk, beaver, other:
Fish Bass, salmon, trout, herring, shellfish, other:
Other
b. List any threatened or endangered species known to be on or near the site.
IJC joy✓R/
c. Is the site part of a migration route? If so, explain.
Not ytA/.✓
d. Proposed measures to preserve or enhance wildlife, if any:
iv- r?4C!2%
6. Energy and Natural Resources
a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used to meet the
completed project's energy needs? Describe whether it will be used for heating,
manufacturing, etc.
E/ c*/ Ai,roe
G:\ APPHANILANDUSE.APP\SEPAAPP.DOC, 08/31/00
Agency Comments
• •
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses: Agency Comments
b. Would your project affect the potential use of solar energy by adjacent properties? If so,
generally describe.
NG
c. What kinds of energy conservation features are included in the plans of this proposal? List
other proposed measures to reduce or control energy impacts, if any:
r� Mkt .
7. Environmental Health
a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of
fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal?
If so, describe.
Antt nrq /e /- t c A- TeiU/REn ./l c
1. Describe special emergency services that might be required.
Pave
2. Proposed measures to reduce or control environmental health hazards, if any:
N6 /- /7440 .
G:\A PPHAN\LANDUSE.APP\SEPAA PP.D OC. 08/31/00
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• •
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses: Agency Comments
b. Noise
1. What types of noise exist in the area which may affect your project (for example:
traffic, equipment, operation, other)? .
50c mri /4 -fido, lotsi
/;cam 7.v,1'i2 c/ .
2. What types and levels of noise would be created by or associated with the project on
a short-term or long -term basis (for example: traffic, construction, operation, other)?
Indicate what hours noise would come 'from the site.
kfry i ' o/< 4ci,z 14/,-1/;. ! /JZ=
3. Proposed measures to reduce or control noise
f impacts, iiff jany:
%1 Ji /Ood l-Tnc A/J /l R /hs, j?wri� / -bE
8. Land and Shoreline Use
a. What is the current use of the site and adjacent properties?
p ✓I- --77-7,4 /Li ?) , P11'/q %
b. Has the site been used for agriculture? If so, describe.
tVVf ie/IVN»
G: IAPPHAMLANDUSE .APP\SEPAAPP.DOC, 08/31/00
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Please respond to all questions. Use separate sheets as necessary.
Applicant Responses: Agency Comments
c. Describe any structures on the site.
&7 <<' 21 AA, mp 6/,i(li
d. Will any structures be demolished? If so, what?
e. What is the current zoning classification of the site?
Ht/. /I/'I fS/ 475-0E/Mei /
f What is the current comprehensive plan designation of the site?
J
g. If applicable, what is the current shoreline master program designation of the site?
h. Has any part of the site been classified as an "environmentally sensitive" area? If so,
specify.
line
G: APPHAN\LANDUSL.APP\SEPAAPP.DOC, 08/31/00
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Please respond to all questions. Use separate sheets as necessary.
Applicant Responses: Agency Comments
i Approximately how many people would reside or work in the completed project?
/1/6n
j•
Approximately how many people would the completed project displace?
it' n%
k. Proposed measures to avoid or reduce displacement impacts, if any:
L Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any:
i vfa vd...S or 20 n //?8 ecTE l a U'I /o.'' 6" C-EE E4
9. , Housing
a. Approximately how many units would be provided, if any? Indicate whether high, middle,
or low - income housing?
M Ale.
G 1APPI IAN\L.ANDUSE.APP\SEPAAPP.DOC, 08/31/00
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Please respond to all questions. Use separate sheets as necessary.
Applicant Responses: Agency Comments
b. Approximately how many units, if any, would be eliminated? Indicate whether high,
middle, or low- income housing.
N °4E
c. Proposed measures to reduce or control housing impacts, if any:
10. Aesthetics
a. What is the tallest height of any proposed structure(s), not including antennas; what is the
principal exterior building material(s) proposed? ,
A/4-/E44 61 /Mo 'n f '6 ra 10-'5' b;,,, Roof=
b. What views in the immediate vicinity would be altered or obstructed?
lVcn gnf%c1jwkf/j
c. Proposed measures to reduce or control aesthetic impacts, if any:
i r i s A r i r s. i,,j a " 1,E /ice',
G: UPPHANU.ANDUSE.APPISEPAAPP.DOC, 08/31/00
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Please respond to all questions. Use separate sheets as necessary.
Applicant Responses: Agency Comments
11. Light and Glare
a. What type of light or glare will the proposal produce? What time of day would it mainly
occur?
b. Could light or glare from the finished project be a safety hazard or interfere with views?
Na
c. What existing off-site sources of light or glare may affect your proposal?
Nom€
. Proposed measures to reduce or control light and glare impacts, if any:
NINE
12. Recreation
a. What designed and informal recreational opportunities are in the immediate vicinity?
N%/
O MPPHAN\LANDUSE.APPISEPAAPP.DOC, 08/31/00
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•
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses:
b. Would the proposed project displace any existing recreational uses? If so, describe.
c. Proposed measures to reduce or control impacts on recreation, including recreation
opportunities to be provided by the project or applicant, if any:
13. Historic and Cultural Preservation
a. Are there any places or objects listed on, or proposed for, National, State, or Local
preservation registers known to be on or next to the site? If so, generally describe.
M_ 670 .zAJ
b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or
cultural importance known to be on or next to the site.
AiJ /ono tA4J
c. Proposed measures to reduce or control impacts, if any:
A6NE
G:I APPHAN\LANDUSE.APP\SEPAAPP.DOC, 08/31/00
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Agency Comments
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses: Agency Comments
14. Transportation
a. Identify public streets and highways serving the site, and describe proposed access to the
existing street system. Show on site plans, if any.
b. Is the site currently served by public transit? If not, what is the approximate distance to the
nearest transit stop?
ycs
c. How many parking spaces would the completed project have? How many would the
project eliminate?
Nov`
d. Will the proposal require any new roads or streets, or improvements to existing roads or
streets, not including driveways? If so, generally describe (indicate whether public or
private).
ND
e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation?
If so, generally describe.
G:\ APPHAN \LANDUSE.APP\SEPAAPP.DOC, 08/31/00
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• •
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses:
£ How many vehicular trips per day would be generated by the completed project? If
known, indicate when peak volumes would occur.
AL rZ Mo4-t
g. Proposed measures to reduce or control transportation impacts, if any:
/VOvi,.
15. Public Services
a. Would the project result in an increased need for public services (for example: fire
protection, police protection, health care, schools, other)? If so, generally describe.
No
b. Proposed measures to reduce or control direct impacts on public services, if any.
A./6 E
16. Utilities
a. Circle utilities currently available at the site:
electu�eity, natural gas p
other:
,ctelepliene sanitary se er, septic system
G: APPHANU.ANDUSE.APPISEPAAPP.DOC, 08/31/00
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Please respond to all questions. Use separate sheets as necessary.
Applicant Responses:
b. Describe the utilities that are proposed for the project, the utility providing the service, and
the general construction activities on the site or in the immediate vicinity which might be
needed.
C. SIGNATURE
The above answers are true and complete to the best of my knowledge. I understand that the lead
agency is relying on them to make its decision.
Signature:
Date Submitted:
(NON- PROJECT PROPOSALS (E.G., SUBURBAN PLANS AND
ZONING CODE TEXT CHANGES) MUST COMPLETE THE
FOLLOWING PAGES).
G: WPPHAN\LANDUSE.APP\SEPAAPP.DOC, 08/31/00
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Agency Comments