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Home My WebLink AboutSEPA E03-015 - KNUDSON JERRY - KITTY LITTER PLANT BUILDING DEMOLITIONJERRY KNUDSON 13140 56 AVE S E03 -015 • City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director MEMORANDUM To: Steve Lancaster From: Brandon Miles Date: February 2, 2004 Re: E03 -015 (SEPA Determination) Demolition of abandoned commercial building (Kitty Litter Plant) Project Description: Jerry Knudson is proposing to demolish the old 8640 square foot Kitty Litter Plant at 13140 56th Avenue South. All that remains of the existing building is the concrete shell. After demolition the site will be seeded with grass. Agencies with Jurisdiction: Department of Ecology (DOE) City of Tukwila Public Works City of Tukwila Building Other Required Permits: Building /Demolition Permits Summary of Primary Impacts: Earth City of Tukwila, Community Development The soils on the property primary consist of sandy loam and gravel. The site is generally flat and there are no indications of unstable slopes on the property or in the adjacent area. The project does not involve any grading or filling. Soil disturbances would be minimal and will only occur when the grade of the building is removed. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 sr • Jerry Knudson E03 -015, (Demolition of Kitty Litter Plant SEPA Staff Report Since soil disturbance will be minimal, erosion from the project is very unlikely. Prior to issuance of the demolition permit, the applicant is required to submit an erosion and sedimentation plan to the City. •Air As this is a demolition project there will be some dust generated from the project. Exhaust from trucks and equipments will also generate emissions into the air. Both impacts will be temporary and will cease after the demolition is complete. During construction, the application will use watering to control dust impacts from the project. The Puget Sound Clean Air Agency did provide notification to the City and applicant of the their requirements for demolishing the building. • Water The Duwamish River is located approximately 250 feet from the subject building. A small corner of the lot is within 200 feet of the river, but no work will occur within this area. No dredging or filling will occur within any water bodies. The applicant is not proposing any surface or ground withdrawals of water nor will any materials be discharged into the River. After the project is complete storm water runoff from the site will be reduced due to the reduction of impervious surfaces on the property. After project erosion will be reduced by hydroseeding the site. • Plants As the site is already developed there is a minimal amount of vegetation on the project. This vegetation includes, alder, shrubs, and grass. Most of the vegetation will be retained on the site. Some disturbance to the grass and shrubs will likely occur as a result of heavy equipment on the property. After the building is removed the site will be hydroseeded with grass. • Animals The animals on site are typical of those found in urban settings, such as birds and rodents. The property is bordered by residential development and the site is too small to be provide habitat for any large species of mammals. The entire Puget Sound region is part of the Pacific Flyway for migrating birds. There are no known endangered or threatened species on the property. The Duwamish River is home to threatened salmon. 2 Jerry Knudson E03 -015, (Demolition of Kitty Litter Plant SEPA Staff Report • Energy /Natural Resources During construction gasoline will be needed for operation of machinery and automobiles on the property. The project will have no affect on the potential for solar energy. Upon completion, there will no need for any types of energy. • Environmental Health Noise from the project will be short term and will be associated with heavy construction equipment. The applicant will be required to meet the City's hours of operations for work within residential districts of the City. This area of the City has never been connected to City sewer, thus a septic tank was likely used for waste disposal. As a condition of issuance of the Demolition Permit the applicant will be required to have the tank pumped empty and removed or filled with sand. Land /Shoreline Use The current zoning on the property is low density residential (LDR). The property is an old commercial use, which is no longer permitted in the zone. While not part of this environmental review, future development on the property will likely be single - family homes. A small portion of the property lies within the shoreline area of the Duwamish River. As noted, there will be no activity in this area. The shoreline designation of this area is Urban. • Housing No houses will be demolished as part of this project. The demolition will permit the site to be used for single - family homes. • Aesthetics The existing trees on the property will be retained during demolition activity. As noted, the building is the shell of an old commercial building. This abandoned building as a negative impact on the aesthetics of the area. The building is used for disposal of waste, storage, and has been tagged by graffiti. The removal of the building will enhance the aesthetics of the area. Light and Glare Not applicable Recreation The Duwamish River is located near the property and is used for various recreation activities. 3 Jerry Knudson E03 -015, (Demolition of Kitty Litter Plant SEPA Staff Report • Historic and Cultural Preservation No known places or landmarks exist within the project area. During construction if any landmarks or evident of historical, archaeological, scientific, or cultural importance are found on the site, work will stop immediately and the contractor will notify the City of Tukwila, Washington State Office of Archeology, and the Muckleshoot Indian Tribe. • Transportation The property is accessed from 56th Avenue, which is connected to Interurban Avenue, which is an arterial street. During construction there will some additional trips on City roads due to the hauling of debris from the site. The debris will be removed to an approved facility. • Public Services N/A • Utilities The utilities that are currently serving the property will have to be capped. Recommendation: Determination of Non - Significance The City's existing regulations mitigate any environmental impacts associated with the development. 4 City of 1lliukwila . Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 DETERMINATION OF NON - SIGNIFICANCE (DNS) File Number: E03 -015 Applied: 05/27/2003 Issue Date: 02/06/2004 Status: ISSUED Proponent: JERRY KNUDSON Lead Agency: City of Tukwila Description of Proposal: The applicant requests environmental review for the demolition of an 8640 square foot commercial building. The historic use of building was for the production of kitty litter. The inside of the building was gutted by fire and all the remains is the concrete shell and concrete slab. Demolition waste material will be disposed of at a facility permitted to recieve such material. After the work is completed the site will hydroseeded with grass. Location of Proposal: Address: 13140 56 AV S TUKW Parcel Number: 2172000250 Section/Township /Range: King County Parcel Number 2172000250 The City has determined that the proposal does not have a probable significant adverse impact on the environment. An environmental impact statement (EIS) is not required under RCW 43.21c.030(2) (c). This decision was made after review of a completed environmental checklist and other information on file with the lead agency. This information is available to the public on request. This DNS is issued under WAC 197 -11- 340(2). Comments must be submitted by The lead agency will not act on this proposal for 14 days from the date below. Stevelancaster, Responsible Official City of Tukwila 6300 Southcenter Blvd Tukwila, WA 98188 (206)431 -3670 2-I(4107 Date Any appeal shall be linked to a specific governmental action. The State Environmental Policy Act is not intended to create a cause of action unrelated to a specific governmental action. Appeals of environmental determinations shall be commenced within the time period to appeal the governmental action that is subject to environmental review. (RCW 43.21C.075) doc: Miscperm E03 -015 Printed: 02 -02 -2004 Dept. Of Community Development City of Tukwila AFFIDAVIT OF DISTRIBUTION 1, �� y2,%C_ -� HEREBI' DECLARE THAT: Notice of Public Hearing K Determination of Non - Significance Project Name: Notice of Public Meeting Project Number: 1503 0 "i Mitigated Determination of Non - Significance Person requesting mailing: Board of Adjustment Agenda Pkt Determination of Significance & Scoping Notice Board of Appeals Agenda Pkt Notice of Action Planning Commission Agenda Pkt Official Notice Short Subdivision Agenda Notice of Application Shoreline Mgmt Permit Notice of Application for Shoreline Mgmt Permit __ __ FAX To Seattle Times Classifieds Mail: Gail Muller Classifieds PO Box 70 - Seattle WA 98111 Other Was mailed to each of the addresses listed on this J day of. T-Din the year 20N P:GINAWYNETTA/FORMS /AFFIDAVIT -MAIL 08/29/003:31 PM Project Name: Project Number: 1503 0 "i Mailer's Signature: \ OCOCJC- Person requesting mailing: 6A.6446--ih f1,t-< P:GINAWYNETTA/FORMS /AFFIDAVIT -MAIL 08/29/003:31 PM CHEC : ENVIRONMENTAL REVIEW /SHORELINE PEROMAILINGS FEDERAL AGENCIES ks ( ) U.S. ARMY CORPS OF ENGINEERS () FEDERAL HIGHWAY ADMINISTRATION ( ) DEPT OF FISH & WILDLIFE () U.S. ENVIRONMENTAL PROTECTION AGENCY • ( ) U.S. DEPT OF H.U.D. ( ) NATIONAL MARINE FISHERIES SERVICE WASHINGTON STATE AGENCIES X OFFICE OF ARCHAEOLOGY ( ) TRANSPORTATION DEPARTMENT ( ) DEPT NATURAL RESOURCES ( ) OFFICE OF THE GOVERNOR ( ) DEPT OF COMM. TRADE & ECONOMIC DEV. () DEPT OF FISHERIES & WILDLIFE ( ) DEPT OF SOCIAL & HEALTH SERV. DEPT OF ECOLOGY, SHORELAND DIV DEPT OF ECOLOGY, SEPA DIVISION* ( ) OFFICE OF ATTORNEY GENERAL SEND CHKLIST W/ DETERMINATIONS • SEND SITE MAPS WITH DECISION KING COUNTY AGENCIES () BOUNDARY REVIEW BOARD () FIRE DISTRICT #11 ( ) FIRE DISTRICT #2 ( ) K.C. WASTEWATER TREATMENT DIVISION () K.C. DEPT OF PARKS & REC K.C. ASSESSORS OFFICE ( ) TUKWILA SCHOOL DISTRICT ( ) TUKWILA LIBRARY () RENTON LIBRARY () KENT LIBRARY ( ) CITY OF SEATTLE LIBRARY QWEST ({, SEATTLE CITY LIGHT ( PUGET SOUND ENERGY () HIGHLINE WATER DISTRICT () SEATTLE WATER DEPARTMENT ( ) AT &T CABLE SERVICES () KENT PLANNING DEPT ( ) TUKWILA CITY DEPARTMENTS: () PUBLIC WORKS () FIRE ( ) POLICE ( ) FINANCE ( ) PLANNING () BUILDING ( ) PARKS & REC. () MAYOR ( ) CITY CLERK SCHOOLS /LIBRARIES UTILITIES CITY AGENCIES OTHER () PUGET SOUND REGIONAL COUNCIL ( ) SW K C CHAMBER OF COMMERCE MUCKLESHOOT INDIAN TRIBE CULTURAL RESOURCES PROGRAM FISHERIES PROGRAM rWILDLIFE PROGRAM ( ) SEATTLE TIMES ( ) SOUTH COUNTY JOURNAL P: \ADMINISTRATIV E\FORMS \CHKLI ST. DOC ( ) HEALTH DEPT () PORT OF SEATTLE () K.C. DEV & ENVIR SERVICES -SEPA INFO CNTR ( ) K.C. TRANSIT DIVISION - SEPA OFFICIAL () K.C. LAND & WATER RESOURCES () FOSTER LIBRARY ( ) K C PUBLIC LIBRARY ( ) HIGHLINE SCHOOL DISTRICT ( ) SEATTLE SCHOOL DISTRICT ( ) RENTON SCHOOL DISTRICT ( ) OLYMPIC PIPELINE ( ) VAL -VUE SEWER DISTRICT ( ) WATER DISTRICT #20 () WATER DISTRICT #125 () CITY OF RENTON PUBLIC WORKS () BRYN MAWR— LAKERIDGE SEWERNVATER DISTRICT )(RENTON PLANNING DEPT () CITY OF SEA —TAC () CITY OF BURIEN ( ) TUKWILA PLANNING COMMISSION MEMBERS ( ) TUKWILA CITY COUNCIL MEMBERS ( ) CITY OF SEATTLE — SEPA INFO CENTER - DCLU () STRATEGIC PLANNING OFFICE' ' NOTICE OF ALL SEATTLE RELATED PLNG PROJ. LOCAL AGENCIES POUWAMISH INDIAN TRIBE .5. AIR POLLUTION CLEAN AGENCY () UND TRANSIT DUWAMISH RIVER CLEAN —UP COALITION *SEND NOTICE OF ALL APPLICATIONS ON DUWAMISH RIVER MEDIA ( ) HIGHLINE TIMES ( ) CI.TUKWILA.WA.US.WWW PIitIC NOTICE MAILINGS FOR PTS SEPA MAILINGS Mail to: (comment period starts on date of mailing) Dept. of Ecology Environmental Review Section *Applicant *Other agencies as necessary (checked off on attached list) Any parties of record * send only the staff report, site plan and the SEPA Determination KC Transit Division — SEPA Official would like to receive information about all projects that might affect transit demand Send These Documents to DOE: SEPA Determination (3 -part from Sierra) Findings (staff report, usu. with MDNS) SEPA Checklist (filled out by applicant) Drawings/Plans of project (site plan, elevations, etc. from PMT's) Affidavit of Distribution (notice was mailed or sent to newspaper) SHORELINE MAILINGS: Notice of Application for a Substantial Development Permit must be mailed to owners and to property owners within 500 feet of subject property, comments are due 30 days after the notice of application is mailed/posted. The notice of Application for Shoreline Substantial Development Permit must include a statement that any person desiring to submit written comments on the application or desiring to receive notification of the final decision on the application may do so within 30 days of the notice of application. If a hearing will be held on the application, the hearing notice must include the information that written comments may be submitted, or oral presentation made at the hearing. Shoreline Permit Notice of Decision: Mail to: (within 8 days of decision; 21 -day appeal period begins date received by DOE) Department of Ecology Shorelands Section State Attorney General *Applicant *Indian Tribes *Other agencies as necessary (checked off on attached list). *Any parties of record * send only the staff report, site plan and the SEPA Determination Send These Documents to DOE and Attorney General: Permit Data Sheet Shoreline Substantial Development Permit (3 -part from Sierra) Findings (staff report or memo) . Shoreline Permit Application Form (filled out by applicant) Drawings/Plans of project (site plan, elevations, etc. from PMT's) - Site plan, with mean high water mark & improvements — Cross - sections of site with structures & shoreline — Grading Plan — Vicinity map SEPA determination (3 -part from Sierra) Findings (staff report or memo) SEPA Checklist (filled out by applicant) Any background studies related to impacts on shoreline Notice of Application Affidavit of Distribution (notice was mailed) P: W DMINISTRATIVE \FORMS \CI ICLIST. DOC • City of Tukwila Department of Community Development March 16, .2004 Mr. Gerald Knudson 6402 S 144th St. Tukwila, WA 98168 RE: RFA03 -017 Kitty Litter Factory Demolition RFA03 -365 Green River Construction Storage Yard Dear Jerry: Steven M. Mullet, Mayor Steve Lancaster, Director Thank you for meeting with Steve Lancaster, Brandon Miles and me today: We appreciate the chance to sit down face to face and discuss the code violations at your two properties in Tukwila. At this meeting you have agreed to the following schedule for compliance::. RFA03 -017 Kitty Litter Factory Demolition 1. You have agreed to complete the removal of the asbestos by the end of this week (March 19, 2004). You will also provide us with the appropriate documentation to verify the completion of the asbestos removal. 2. You have agreed to provide the Permit Center with a response to the Correction Letter #1, dated 9/30/03, by the end of next week (March 26, 2004). A copy of the correction letter is enclosed for your review. 3. You have agreed to pick up the demolition permit within 5 days of notification that it is ready to issue. 4. You have agreed to complete the demolition within two weeks of issuance of the demolition permit. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 • • • Gerry Knudson March 16, 2004 Page Two RFA03 -365 Green River Construction Storage Yard on Interurban 1. You have agreed to remove the trash piles inside the yard near the gates within two weeks (March 31, 2004). 2. You have agreed to mend and/or replace any screening fence that has deteriorated and to install sight- obscuring gates within four weeks (April 16, 2004). 3. You have agreed to remove the blackberry overgrowth and maintain the required landscaping within four weeks (April 15, 2004). We sincerely appreciate your efforts to bring these sites into compliance with city municipal codes. Should you fail to bring these properties into compliance within a reasonable period of time, the City may be forced to take additional action. Once compliance has been achieved and the city is assured the properties will be maintained at the required levels, these files will be closed. We will continue to monitor progress over the next 30 days. Please feel free to contact me with any questions or concerns at 206- 431 -3682. Sincerely, jftazrff7') Kathryn A. Stetson Code Enforcement Officer Cc: Steve Lancaster Brandon Miles File: RFA03 -017 File: RFA03 -365 • Cizy of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director February 2, 2004 Mr. Steven M. Van Slyke 110 Union Street, Suite 500 Seattle, WA 98101 -2038 RE: Your letter dated January 30, 2004 Dear Mr Slyke:, Thank you for providing comments for the Knudson (Sunco) Demolition Permit. Your comments have been incorporated into the SEPA staff report. If you have any questions or wish to inquire as to the status of the project, please call (206) 431 -3684 or s d an email to bmiles @ci.tukwila.wa.us. B ndon J. Mi Assistant Planner cc. File E03 -015 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Clean Air Agency www.pscleanalr.org Ph 206.343.8800 1.800.552.3565 Fax 206.343.7522 110 Union Street Suite 500 Seattle, WA 98101 -2038 EXECUTIVE DIRECTOR Dennis J. McLerran BOARD OF DIRECTORS TACOMA CITY COUNCIL, CHAIR Bill Evans KING COUNTY Ron Sims, Executive SEATTLE Gregory J. Nickels, Mayor KITSAP COUNTY Jan Angel, Commissioner BREMERTON Cary Bozeman, Mayor PIERCE COUNTY John Ladenburg, Executive SNOHOMISH COUNTY Jeff Sax, Councilman EVERETT Frank Anderson, Mayor MEMBER AT LARGE Janet Chalupnik ®50!, recy-cieo'ter I TO; =et-consumer waste Pub. No. 30-7 Revised 02 -14 -2002 Working Together For Clean Air Gerald Knudson 6402 S 144th St Tukwila, WA 98168 Dear Mr.Knudson: January 30, 2004 Sunco Recoveries Demolition Permit 00 We have been notified by the City of Tukwila that you are planning to demolish an 8640 square foot industrial building at the referenced address. We would like you to know that our Regulation III, Section 4.03(a) states that: "It shall be unlawful for any person to cause or allow any work on an asbestos project or demolition unless a complete notification, including the required fee and any additional information requested by the Control Officer, has been submitted to the Agency on approved forms, in accordance with the advance notification period requirements ...." The appropriate forms are enclosed for your use. If you need further explanation of this notification requirement, please call Teri Story at (206) 689 -4090 or e-mail at teris @pscleanair.org. Thank you for your cooperation in this matter. SMV /ts Enclosures: Notice of Intent Demolition Checklist cc: City of Tukwila Planning Attn: Brandon J. Miles 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 Sincerely, Steven M. Van Slyke Supervisory Engineer • Cizy of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director NOTICE OF APPLICATION DATED January 15, 2004 The following applications have been submitted to the City of Tukwila Department of Community Development for review and decision. APPLICANT: Jerry Knudson AGENT: Jerry Knudson LOCATION: 13140 56th Avenue OWNER OF THE PROPERTY: Sunco Recoveries, LTD FILE NUMBERS: E03 -015 (SEPA), D03 -160 (DEMO Permit) PROPOSAL: The applicant is proposing the demolition of an 8640 square foot industrial building and associated concrete grade. After demolition the building footprint will be seeded with grass. OTHER REQUIRED PERMITS: Demolition Permit. These files can be reviewed at the Department of Community Development, 6300 Southcenter Blvd., #100, Tukwila, WA. Please call (206) 431 -3670 to ensure that the file(s) will be available. OPPORTUNITY FOR PUBLIC COMMENT You can submit comments on this application. You must submit your comments regarding the State Environmental Policy Act in writing to the Department of Community Development by 5:00 p.m. on January 29, 2004. If you have questions about this proposal contact Brandon J. Miles, Planner -in- charge of this project at (206) 431 -3684 or by email at bmiles a(�ci.tukwila.wa.us. Anyone who submits written comments will become parties of record and will be notified of any decision on this project. Please send comments to: City of Tukwila Planning Attn: Brandon J. Miles 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 APPEALS You may request a copy of any decision by the Planning Commission on a project or obtain information on your appeal rights by contacting the Department of Community Development at (206) -431 -3670. A decision from the Planning Commission may be appealed to the City Council. The Department will provide you with information on appeal if you are interested. DATE OF APPLICATION: May 27, 2003 NOTICE OF COMPLETE APPLICATION: September 25, 2003 NOTICE OF APPLICATION POSTED: January 15, 2004 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 1, HEREBY DECLARE THAT :' �� Ck- s grO • Dept. Of Community Development City of Tukwila AFFIDAVIT OF DISTRIBUTION Notice of Public Hearing Determination of Non-Significance' Notice of Public Meeting Mitigated Determination of Non Significance. Board of Adjustment Agenda Pkt Determination of Significance & Scoping Notice,. Board of Appeals Agenda Pkt Planning Commission Agenda Pkt Notice of Action Short Subdivision Agenda Shoreline Mgmt Permit FAX To Seattle Times Classifieds Maii: Gail Muller Classifieds PO Box 70 - Seattle WA 98111 Notice of Application Notice of Application for Shoreline Mgmt Permit Was mailed to each of the addresses listed on this year 20 ptk day )of, ji?,:in the Project Name: &AA-Lj Project Number: D3 -01 S7 a ; -100 WC. G04/ Mailer's Signature: Person requesting mailing: P:GINAWYNETTA/FORMS /AFFIDAVIT -MAIL 08/29/003:31 PM CHEST: ENVIRONMENTAL REVIEW /SHORELINE POT MAILINGS FEDERAL AGENCIES () U.S. ARMY CORPS OF ENGINEERS () FEDERAL HIGHWAY ADMINISTRATION ( ) DEPT OF FISH & WILDLIFE ( ) U.S. ENVIRONMENTAL PROTECTION AGENCY ( ) U.S. DEPT OF H.U.D. ( ) NATIONAL MARINE FISHERIES SERVICE WASHINGTON STATE AGENCIES OFFICE OF ARCHAEOLOGY ( ) TRANSPORTATION DEPARTMENT () DEPT NATURAL RESOURCES ( ) OFFICE OF THE GOVERNOR () DEPT OF COMM. TRADE & ECONOMIC DEV. DEPT OF FISHERIES & WILDLIFE ( ) DEPT OF SOCIAL & HEALTH SERV. ( ) DEPT OF ECOLOGY, SHORELAND DIV DEPT OF ECOLOGY, SEPA DIVISION' ( ) OFFICE OF ATTORNEY GENERAL • SEND CHKLIST W/ DETERMINATIONS • SEND SITE MAPS WITH DECISION KING COUNTY AGENCIES () BOUNDARY REVIEW BOARD ( ) FIRE DISTRICT #11 () FIRE DISTRICT #2 ( ) K.C. WASTEWATER TREATMENT DIVISION ( ) K.C. DEPT OF PARKS & REC K.C. ASSESSORS OFFICE ( ) TUKWILA SCHOOL DISTRICT ( ) TUKVVILA LIBRARY () RENTON LIBRARY () KENT LIBRARY ( ) CITY OF SEATTLE LIBRARY \(..) QWEST • SEATTLE CITY LIGHT '(SJ PUGET SOUND ENERGY () HIGHLINE WATER DISTRICT ( ) SEATTLE WATER DEPARTMENT ( ) AT &T CABLE SERVICES () KENT PLANNING DEPT ( ) TUKWILA CITY DEPARTMENTS: ( ) FIRE () FINANCE ( ) BUILDING ( ) MAYOR ( ) PUBLIC WORKS O POLICE ( ) PLANNING ( ) PARKS & REC. ( ) CITY CLERK SCHOOLS/LIBRARIES UTILITIES CITY AGENCIES ( ) HEALTH DEPT ( ) PORT OF SEATTLE ( ) K.C. DEV & ENVIR SERVICES -SEPA INFO CNTR ( ) K.C. TRANSIT DIVISION - SEPA OFFICIAL ( ) K.C. LAND & WATER RESOURCES ( ) FOSTER LIBRARY () K C PUBLIC LIBRARY ()HIGHLINE SCHOOL DISTRICT ( ) SEATTLE SCHOOL DISTRICT ( ) RENTON SCHOOL DISTRICT ( ) OLYMPIC PIPELINE ( ) VAL -VUE SEWER DISTRICT ( ) WATER DISTRICT #20 ( ) WATER DISTRICT #125 ( ) CITY OF RENTON PUBLIC WORKS () BRYN MAWR- LAKERIDGE SEWERANATER DISTRICT )(RENTON PLANNING DEPT ( ) CITY OF SEA TAC ( ) CITY OF BURIEN ( ) TUKWILA PLANNING COMMISSION MEMBERS ( ) TUKWILA CITY COUNCIL MEMBERS ( ) CITY OF SEATTLE - SEPA INFO CENTER - DCLU ( ) STRATEGIC PLANNING OFFICE' • NOTICE OF ALL SEATTLE RELATED PLNG PROJ. OTHER LOCAL AGENCIES ( ) PUGET SOUND REGIONAL COUNCIL () SW K C CHAMBER OF COMMERCE ',MUCKLESHOOT INDIAN TRIBE N CULTURAL RESOURCES PROGRAM '(1/44 FISHERIES PROGRAM 14WILDLIFE PROGRAM MEDIA ( ) SEATTLE TIMES ( ) SOUTH COUNTY JOURNAL P:\ADMINISTRATIV E \FORMS \CHKLIST.DOC '(\tDUWAMISH INDIAN TRIBE P.S. AIR POLLUTION CLEAN AGENCY ( ) SOUND TRANSIT '' DUWAMISH RIVER CLEAN -UP COALITION 'SEND NOTICE OF ALL APPUCATIONS ON DUWAMISH RIVER ( ) HIGHLINE TIMES ( ) CLTUKWILA.WA.US.WWW 213700- 0030 -06 CHRISTENSEN CAROL 1.3013 57 T 213700- 0040 -04 TONGUE ROY A +HARRIET M 13347 56TH AVE_ 529999 98168 213700 - 0050 -01 ENGLE SARAH K 5730 S PAMELA OR TUKW 213700- 0060 -09 TONGUE ROY A +HAR 13347' WA 213700 - 0070 -07 TONGUE ROY.A +HA 13347 A WA 217200- 0020 -04 JENSEN MARVIN-L 14016 8T B A 217200- 0025 -09 ARCHER BRY 13 ATTLE WA AVE S 217200 - 00:30 =02 LAMBERT 88901 SEATTLE WA 217200- 0035 -07 LAMBERT GL P 0 • : 901 TLE WA 217200 - 0040 -00 BRATCHE 1 S E TH AVE S CATTLE WA 217200- 0045 -05 MCKITRICK BETS 13031 217200- 0050 -07 JONES THOMAS 13 WILA WA E S 98178 98178 0937 98178 937 98178 S009 98.168 399999 98178 179999 98138 179999 98138 949999 98178 98178 213700- 0030 -06 CHRISTENS CAROL 13013 57TRIFAVE S TUKWILA WA 829999 98168 213700- 0040 -04 TONGUE ROY A +HARRIET M 710937 13347.56TH AVE S TUKWILA WA 98178 213700- 0050 -01 ENGLE SARAH K. 5730 S PAMELA•DR TUKWILA WA 213700- 0060 -09 TONGUE ROY A+ 13 WILA WA 5 020320 98178 937 98178 213700- 0070 -07 TONGUE ROY A +HARRI 937 1 TUKWILA WA 98178 217200- 0020 -04 JENSEN MARVIN L. +.DONNA L 15S009 14016 8TH AVE S BURIEN WA 98168 99999 98178 217200- 0025 -09 ARCHER BRYAN L 13013 56TH AVE S SEATTLE WA 217200 - 0030 -02 LAMBERT GLEN A P 0.80X 88901 SEATTLE WA 217200- 0035 -07 L 0 BOX 88901 SEATTLE WA 217200- 0040 -00 BRATCHER_ TH AVE S SEATTLE WA 399999 98178 179999 98138 179999 98138 949999 98178 217200- 0045 -05 MCKITRICK BETSY .0 BOYD 401487 13031 56TH AVE S TUKWILA WA 217200- 0050 -07 JONES THOMAS A 13039 56TH AVE S TUKWILA 'WA 98178 899999 98178 217200-0060-05 ANDERSON JOSE 13049 LA WA 217200-0070-03 RAMELS BR 130 HAVES KWILA WA ES 217200-0075-08 HARIG PAMELA. 13057 217200-0080-01 BENDFELT .E 13 KWILA WA 217200-0095-04 ZELLER JIL 13309 AVE S LA:WA AVE S 217200-0105-02 . BOLGEN RICKEY FINN 13315 56TH 9999 98178 869999 98178 06S001 98178 149999 217200-0060-05 ANDERSON 4111EPH BURKE+MARY 799999 13049 56T VE S TUKWILA WA 98178 217200-0070-03 RAMELS BRADLEY G 13055 56TH.AVE'S TUKWILA WA 217200-007508 HARIG PAMELA 13057 56TH AVE S TUKWILA • WA 217200-7.0080-01 BENDFELT ERIC.T 13301 56TH AVE S 98178 TUKWILA WA 919999 217200-0110-05 TINGLEY-BRY P BURN WA 217200-0115-00 FLICK KEITH UKWILA WA 217200-0120-03 GRAVES J L 13327' LE WA .217200-0125-08 WHITEHEAD MARYELLEN 13335 5. WA 217200-0126-07 WHITEN 6TH AVE S SEATTLE WA 217200-0130-01 OA LEN 98178 7C010 98178 E M370400 98071 202400 98178 Z006 98178 217200-0095-04 ZELLER JILL M 13309 56TH AVE S TUKWILA WA 217200-0105-02 BOLGEN RICKEY FINN 13315 56TH AVE S TUKWILA WA 869999 98178 06S001 98178 149999 98178 919999 98178 37C010 98178 217200-0110-05 TINGLEY BRYCE K+CHRISTINE M370400 PO BOX 398 AUBURN WA 98071. 217200-0115-00. FLICK KEITH. 13325 56TH AVE S TUKWILA WA 217200-0120-03 GRAVES J L 13327 56TH S SEATTLE WA 217200-0125-08 0777 WHITEHEAD MARYELLEN 13335 56TH S 98168 ' SEATTLE WA. C0779 98168 41 56TH AVE S SEATTLE WA 220223 98178 217200-0126-07 WHITEHEAD MARY SEATTLE WA 217200-0130-01 DAVIS AUDREY J ,13341 56TH AVE S SEATTLE WA 202400' 98178 00Z006 98178 0777 98168 C0779 98168 220223 98178 17200-0205-01 THORNTON RALE 1332 ILA WA :17200-0210-04 FINN-SANDRA L 1332456T SE A 17200-0215-09 ALBRITTON J 1331 LE WA AVE S 17200-0225-07 HEISTUMA 27 HAVE SW ATTLE WA .17200-0240-08 •EGBERT DANIEL 29043 59T. AU A .17200-0260-03 BILYEU LESLIE % C 11 186TH AVE SE RENTON WA 17200-0265-08 EISIMINGER W 36 EATTLE WA. 17200.-0266-707 CALKINS 1 AVE.NORTH RESA 56TH AVE S EATTLE WA 17200-0271-00 DUNEHEW EDOI C/0 P NEHEW 5 57TH AVE S SEATTLE WA 17200-0275-06 NEFF DENNIS 13036 ILA WA ES 03592 98178 14082 98178 7N3088 98178 201088 98116 217200-0205-01 THORNTON RAVIIGH J 13328 56TH RIT S TUKWILA WA 217200-0210-04 FINN SANDRA.L 13324 56TH AVE S SEATTLE WA 217200-0215-09 ALBRITTON JONETH C 13312 56TH AVE S SEATTLE WA 217200.'-0225-07 HEISTUMAN T000 2734 58TH.AVE SW SEATTLE WA 217200-0240-08 0617 ' EGBERT DANIEL 29043 59TH PL S AUBURN WA 98001 903494 98055 479999 98103 5N9999 98178 71307 98168 14A026 98178 17200-0280-09 BRATCH • ES+JACKSON,MA109999 56TH AVE S TUKWILA WA 98178 17200-0285-04 LANDRETH C 1 AVE S KWILA WA RAM00N9999 217200-0260-03 BILYEU LESLIE X C.M. BILYEU 22011 186TH AVE SE RENTON WA 903592 98178 714082 98178 7N3088 98178 201088 98116 750617 98001 903494 98055 217200-7-0265-08 ETSIMINGER-WILLIAM F 479999 3644'CORLISS AVE NORTH SEATTLE WA 98103 217200-0266-07 CALKINS EARL W+TRESA 1304256TH AVE S SEATTLE WA • 217200-0271-00 DUNEHEW EDOIE E C/O PEGGY DONEHEW 13035 57TH AVE S SEATTLE WA 217200-0275-06 NEFF DENNIS D 13036 56TH.AVE S TUKWILA WA 217200-0280-09 BRATCHE KSON,MA109999 TH AVE S TUKWILA WA 5N9999 98178 171307 98168 14A026 98178 98178 217200-0285-04 LANDRETH CHAD M+DERVIN RAM00N9999 13022 56TH AVE S 98178 TUKWILA.WA 98178 2172.00-0290-07 BRATCHER CHARLES EM 13003 56TH TUK 217200-0295-02 ANDERSON.ROBERT:W 411.80YLS A 217200-0296-01 LONG TIMOT 130 WILA WA AVE S 217200-0320-01 HENDRY SO 130 AVE S TTLE WA • 217200-0330-09 KINNEIR GE 158 EN WA E #108 AVE SW. 217200-0335-04 BUCK DIA 13' H S •KWILA WA 217200-0340-07 BARENE R 0 PO.80 LE WA 734400-0011-07 HOANG JERRY+LE 1303 ILA WA 734400-0020-06 DYSON PAT 570 TLE WA ELA DR 734400-0030-04 DYSON 5 • A PAMELA DR EATTLE WA 734400-0040-02 HARRIS ROY 720 MA WA NGTON 734400-0050-09 BEHR • S PAMELA OR TUKWILA WA 98178 217200-0290-07 BRATCHER *RIES E&MARGARET919800 13003 56T VE S TUKWILA WA 98178 217200-02957-02. 999 ANDERSON.ROBERT W 111 411 BOYLSTON AVE E #108 SEATTLE WA 98102 004001 98178 059999 98178 037777 98.166 860642 98178 255037 98168 089999 217200-0296-01 LONG TIMOTHY L. 13004 56TH AVE S TUKWILA WA 217200-0320-01 • HENDRY SONJA L 13008 57TH AVE S SEATTLE WA 217200-0330-09 KINNEIR GERALDINE S 15828 7TH AVE SW BURIEN WA 217200-0335-04 BUCK DIANE E 13048 57TH S TUKWILA 'WA 217200-0340-07 BARENE R 0 PO BOX 68865 SEATTLE WA 734400-0011.707 HOANG JERRY+LEUYEN NGUYEN' 13036 57TH AVE S 98178 H TUKWILA WA. 340190 98178 3N9999 98178 OT L 2D1131 98406 249999 98178 734400-0020-06 DYSON:PATRICIA A 5702 S PAMELA.DR SEATTLE WA 734400-0030-04 DYSON PATR 57 MELA DR TTLE WA -• . 734400-0040-02 HARRIS'ROY R E MARGOT L 720 N WASHINGTON TACOMA WA 7344007-0050-09 BEHR TED 5703 S PAMELA DR TUKWILA WA 98178 049999 98102 0D4001 98178 059999 98178 037777 98166 860642 98178 255037 98168 089999 98178 340190 98178 3N9999 98178 2D1131 98406 249999 • ************************************** ************************************** III i 1 * BATCH NUMBER VH 1 COMMENTS 11' CUSTOMER NAME KNUDSON GERALD L V M711410M771MIIIM .17VVVVVV,21 Wt", VVVVIPM/P0914. 440-sltmlomm qrntrIt”1.1 JYVVV7n, - 000300-0049-00 000300-0049-00 TUKWILA CITY 0 180467 TUKWILACITY 6200 • ER.BLVD 6200 LA WA 98188 213700-00.10-00 TONGUE SCOTT. 13347. - LE WA 213700-0020-08 TONGUE SCOT 13347 NTER BLVD LA WA 213700-0010-00 259999 ,! TONGUE SCOTT A 13347 56TH AVE .S 98178 .! SEATTLE WA 734400-0060-07. . CITY OF TUKWILA 6200.S0 WA R BLVD 539700 98189 734400-0070-05 CITY OF TUKWILA 700 6200.S0 BLVD WA 98188 734400-0080-03 CITY OF TUKWI 6200 Si A WA 734400-0090-01 CITY OF TUKWI 6200 SO TU WA 734400-0100-09 BEHR TED 5703 LE WA TER BLVD ER BLVD LA DR 734400-0110-07 BEHR TED 5703.P E WA 734400-0120-05 SAWA LISA 5701 TLE WA OR S OR 019700 98188 919700 98188 539700 98178 289999 98178 139999 98178 213700-0020-08 TONGUE SCOTT A 133 TLE WA 734400-0060-07 CITY OF-TUKWILA ":0014:1.11111.616.941"...b SE 734400-0070-05 CITY OF TUKWILA. 6200 S A WA 734400-0080-03 CITY OF TUKWILA. 6200 SOU WA 734400-0090-01 CITY OF TUK 620 ILA WA' IA LVD ENTER BLVD 734400-0100-09 BEHR. TED 5703 S PAMELA OR SEATTLE WA 734400-0110-07 BEHR TED 570 TTLE WA DR S 734400-0120-05 SAILIA LISA L 5701 S PAMELA OR SEATTLE WA 180467. 98188 259999 98178 98178 539700 98189 019700 98188 019700 98188 919700 98188 539700 98178 289999 98178 139999 98178 • Cizy of Tukwila • Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director November 6, 2003 Mr. Jerry Knudson 6402 S. 144th Street Tukwila, WA 98168 RE: SEPA Application E03 -015 Dear Mr. Knudson: On September 25, 2003, the Department of Community Development sent you a "Notice of Complete Application" for the demolition of the former kitty litter building at 13140 56th Avenue South. In that letter, it noted that within 14 -days of receiving the letter a public notice board must be installed on site. This has not occurred and the public comment period for the SEPA cannot begin until the public notice board is installed. The City is required to have a public comment period before issuing a SEPA determination. Please install the public notice board on the property within 14 -days from the date of this letter. Enclosed you will find information regarding posting the site. If the public notice board is not installed within that time the City's code enforcement action on the property will recommence. If you have any questions, you can call (206) 431 -3684 or contact me by email at bmiles@ci.tukwila.wa.us. Sincerely, Brandon J. Miles Assistant Planner cc. Steve Lancaster, Dire or of Community Development Nora Gierloff, Pla • ng Supervisor Brenda Holt, Pe • t Coordinator Kathy Stetson, Lode Enforcement File (E03 -01 103 -160, RFA03 -017) 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 • Cizj' of Tukwila • Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director NOTICE OF COMPLETE APPLICATION September 25, 2003 Jerry Knudson 6402 S. 144th Tukwila, WA 98168 Re: Notice of complete application; SEPA Application E03 -015 Dear Mr. Knudson: The Department of Community Development received your SEPA application on May 27, 2003 for demolition of a building. Based on a review of your application for submittal requirements for Environmental Review, your application is deemed complete as of September 23, 2003. A notice of land use application will be distributed within 14 days of this date. The next step is for you to install the notice board on the site within 14 days of the date of this letter. You received information on how to install the sign with your application packet. If you need another set of those instructions, you may obtain them at the Department of Community Development (DCD). Also, you must obtain a laminated copy of the Notice of Application to post on the board. This notice is also available at DCD. After .:. tailing the sign with the laminated notice, you need t :., the signed Affidavit of P,),;ting t: our office. This determination of complete application does not preclude the ability of the City to require that you submit additional plans or information, if such information is necessary to ensure the project meets the substantive requirements of the City or to complete the review process. If you have any quest' • ns, you can contact me at (206) 431 -3670 or by email at bmi1es @c..t ila.wa.us. Sincerel B }an 'lon J. Miles Assistant Planner cc. File (E03 -015) 6300 Southcenter Boulevard, Suite #100 e Tukwila, Washington 98188 ® Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665 June 5, 2003 • Gity of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director Mr. Jerry Knudson 6402 S. 144`h Tukwila, WA 98188 Notice of Incomplete Application Dear Mr. Knudson: City staff has reviewed the materials submitted for a SEPA application to demolish of building at 13140 56 Avenue South and have determined that the application is incomplete. Please provide the below listed information. 1. Two set of mailing labels for all property owners and tenants (residents of business) within 500 feet of the subject property. Each unit in multiple - family buildings —e.g. apartments, condos, trailer parks —must be included. 2. King County Assessor's map(s) that shows the location of each property within 500ft. of the subject lot 3. Please provide a vicinity map of the site location Please provide these items as soon as possible. The timing of this project is dependent upon when the public comment period begins. If you have any questions, y can call me at (206) 431 -3684 or by email at bmiles(@ci.tukwila.wa.us. on J. Miles Assistant Planner cc. File (E03 -015) 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 • PUBLIC WORKS DEPARTMENT COMMENTS DATE: June 5, 2002 PROJECT: KNUDSON BUILDING DEMO PERIVIIT NO: D03 -160 PLAN REVIEWER: Contact Joanna Spencer at (206) 433 -0179 if you have any questions regarding kli) the following comments. 1) Building to be demolished is an old kitty litter factory. Your demolition permit application shall also include capping of utilities. Since there is no sewer service in 56th Ave S more likely an on site septic system was utilized when the building was in use. Please show location of septic tank(s) on plan, since septic system removal is part of your demo permit application. The on site septic tank(s) shall be pumped empty and removed or filled with sand. A copy of documentation from the business that performed the pumping shall be provided to the City Utilities Inspector prior to Public Works final inspection. Public Works Development Bulletin 11 is attached for reference. 2) Show location of existing water service and water meter. Water service shall be plugged at the main if you plan to abandon it. If water service will be used again in the near future for a new building it shall be capped at the water meter. 3) Provide an erosion prevention and sediment control plan. Development Bulletin 9 is attached for reference. If you plan to use water for dust control, show location of the nearest fire hydrant on your plan and add a temporary water on Public Works permit application form. 4) Public Works permit is a progressive fee. Please submit a cost estimate for utilities capping work (water, sewer /septic) and erosion prevention/sediment control. A Public Works permit application fee in the amount of $250 plus 2.5% of construction site work will be assessed upon your revision resubmittal. Please note that you have a pending SEPA application and a demolition permit can not be issued prior to SEPA approval. 6) SI-jot-0 Noizm gLet),,, 0, \J • • CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 FAX (206) 431 -3665 E -mail: tukplan @ci.tukwila.wa.us AFFIDAVIT OF INSTALLATION AND POSTING OF PUBLIC INFORMATION SIGN(S) State of Washington County of King City of Tukwila I CAP k1 V 11d n (PRINT NAME) understand that Section 18.104.110 of the Tukwila Municipal Code requires me to post the property no later than fourteen (14) days following the issuance of the Notice of Completeness. I certify that on the Public Notice Board(s) in accordance with Section 18.104.110 and the other applicable guidelines were posted on the property located at so as to be clearly seen from each right -of -way primary vehicular access to the property for application file number I herewith authorize the City of Tukwila or its representative to remove and immediately dispose of the sign at the property owner's expense, if not removed in a timely manner or within fourteen (14) days of a Notice letter. Applicant or Project Manager's Signature On this day personally appeared before me 1 to me known to be the individual who executed the foregoing instrument and acknowledged that he /she signed the same as his /her voluntary act and deed for the uses and purposes mentioned therein. SUBSCRIBED AND SWORN to before me this �_ day of 1 1 1l 2 NOTAR U$LIC in and for the State of Washington 80a4-4e residing at My commission expires SEPA_APP-VU 1/13/173 ILI fq lote STATE OF WASHINGTON COUNTY OF KING • • CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 FAX (206) 431 -3665 E -mail: tukplan@ci.tukwila.wa.us AFFIDAVIT OF OWNERSHIP AND HOLD HARMLESS PERMISSION TO ENTER PROPERTY ss The undersigned being duly sworn and upon oath states as follows: 1. I am the current owner of the property which is the subject of this application. 2. All statements contained in the applications have been prepared by me or my agents and are true and correct to the best of my knowledge. 3. The application is being submitted with my knowledge and consent. 4. Owner grants the City, its employees, agents, engi eers, c tractors or other repr se tative the right to enter upon Owner's real property, located at 13 14() 5&D� AVE, .Trk.ICWa a c�. 43 (18 for the purpose of application review, for the limited time necessary to complete that purpose. 5. Owner agrees to hold the City harmless for any loss or damage to persons or property occurring on the private property during the City's entry upon the property, unless the loss or damage is the result of the sole negligence of the City. 6. The City shall, at its discretion , cancel the application without refund of fees, if the applicant does not respond to specific requests for items on the "Complete Application Checklist" within ninety (90) days. 7. Non - responsiveness to a City information request for ninety (90) or more days, shall be cause to cancel the application(s) without refund of fees. EXECUTED at ti/1.� (city), ANA__(state), on 6ert dd Hudson Gn4461 S 144' s +. t I i Ia&, tM:k otin (A�dNdress�) ss 240 ..946(4, (PhonetliptAber) " 4 C- (Signature) On this day personally appeared before me to me known to be the individual who executed the foregoing instrument and acknowledged that he/she signed the same as his/her voluntary act and deed for the uses and purposes mentioned therein. ^ /� SUBSCRIBED AND SWORN TO BEFORE ME ON THIS 2� DAY OF a-A � �NOTARY &t)BLIC in and for State residing at C teb6La' I n My Commission expires on 1 2A { q elCO • CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 FAX (206) 431 -3665 E -mail: tukplan @,ci.tukwila.wa.us • SEPA ENVIRONMENTAL 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. 15l4o- S(01-1I -Avff• • r-.. ►Ar t t.-pc l W IN ?) P- >z..cet._. = 211100o2.5 o Quarter: Section: Township: 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: can A) t".Oi Address: &I./6 5. Phone: G70(. „Ave_ g4SZQ FAX: Signature: P: \Red_Book \SEPA_APP.DOC, 01/23/03 doh a/47 a .2.7/ Date: FOR STAFF USE ONLY SIERRA TYPE P-SEPA Planner: File Number: 493...015 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. 15l4o- S(01-1I -Avff• • r-.. ►Ar t t.-pc l W IN ?) P- >z..cet._. = 211100o2.5 o Quarter: Section: Township: 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: can A) t".Oi Address: &I./6 5. Phone: G70(. „Ave_ g4SZQ FAX: Signature: P: \Red_Book \SEPA_APP.DOC, 01/23/03 doh a/47 a .2.7/ Date: J 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 each Department if you feel that certain items are not applicable to your project and should be waived, or should be submitted at a later date for use at the public hearing (e.g. colored renderings). Application review will not begin until it is determined to be complete. ADDITIONAL MATERIALS MAY BE REQUIRED. The initial application materials allow starting project review and vesting the applicant's rights. However, they in no way limit the City's ability to require additional information as needed to establish consistency with development standards. City 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). Check items submitted with application Information Required. May be waived in unusual cases, upon approval of both Public Works and Planning APPLICATION MATERIALS: 1. Application Checklist (1 copy) indicating items submitted with application. 2. Completed ESA Screening Checklist, State Environmental Checklist and drawings (5 copies) 3. One set of any plans submitted reduced to 8 1/2" by 11". One complete set of PMTs of the final drawing set will be required prior to final approval. 4. Application Fee $500. 5. Underlying permit application that triggers SEPA Review. PUBLIC NOTICE MATERIALS: Nrb A 41 A )1/4. Q. 6. Mailing labels for all property owners and tenants (residents or businesses) within 500 feet of the subject property. Number of sets depends on the notice requirements of the underlying permit, check with Planning Staff. Note: Each unit in multiple - family buildings —e.g. apartments, condos, trailer parks- -must be included (see Public Notice Materials section). 0 7. King County Assessor's map(s) that shows the location of each property within 500 ft. of the subject lot (if mailing labels are required). 8. A 4' x 4' public notice board will be required on site within 14 days of the Department determining that the application is complete (see Public Notice Materials section). PROJECT DESCRIPTION AND ANALYSIS: 9. Vicinity Map with site location. 10. Provide four (4) copies of any sensitive area studies as needed per Tukwila's Sensitive Areas Ordinance (TMC 18.45). 11. Any drawings needed to describe the proposal other than those submitted with the underlying permit. Maximum size 24" x 36 ". P: \Red_Book \SEPA_APP.DOC, 01/23/03 1 STATE ENVIRONMENTAL CHECKLIST Please respond to all questions. Use separate sheets as necessary. An electronic version of this form is also available from the Department of Community Development. Applicant Responses: A. BACKGROUND 1. Name of proposed project, if applicable: lDs-140L►TA O1.►( C.F. 16Li► i-D►1 - 13140 - 501' k‘) .S.0, 2. Name of Applicant: c: - g—tk L 3. Date checklist prepared: to t'APc / 2 Do 3 4. Agency requesting checklist: City of Tukwila 5. Proposed timing or schedule (including phasing, if applicable): 1 44'4 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. 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. - -- �5 pornie4 -nv a 4 - C(`- `ikvwkil 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. P ilk con;\ VigA- Kt■ Ai $‘4i'. -1 8461111 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. MO L ►-not oE eu%1..p r \ Sk1E tL 1 Sl.MS oti1& Q M bSPOS-a..L Dt.6rUS. 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. 314b- 5671-1/4 -13•4 - utcvA1R -1\ 14 As. 96116 "CA�c LO 1 12. Does the proposal lie within an area designated on the City's Comprehensive Land Use Policy Plan Map as environmentally sensitive? Kit) 4 • 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 b. What is the steepest slope on the site (approximate percent slope)? 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. S Nthy LOPttk1G- 21J .E L. d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, de §cribe. [■I O e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. g. tfo About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? () h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: AkYDR.o SE.D Dw-to t—t i 1(i r-1 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. Du.5 -s— CAA t ■► YA-AL) .z a rtn to Lino I��A.V `f E��►QW►Er rc J�t�D T'9. UC- EJS1^� t' L b. Are there any off -site sources of emissions or odor that may affect your proposal? If so, generally describe. Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments c. Proposed measures to reduce or control emissions or other impacts to air, if any: Wein tJG- TD c-01-4T fLOL at.SST Paz Pee. 1,4-1 N t pd ■lCe Off- >=QU I P IM r.t 1 Ti�1�,�•�j i 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. b\I D 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. £'`D -- LOYLI -1E. o}' Lc) -C is wt }-►r.Z001- S L re 0 E c e€ c-i1e I i( t fS1= T EE . 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. 1 0 Please respond to all questions. Use separate sheets as necessary. 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. ]• l") 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. No 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 O l 0 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: 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. NP 2. Could waste materials enter ground or surface waters? If so, generally describe. ]■` O d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: 14YDRoss6 is‘t- Te,2_. IbErnoA_iilc 4 Please respond to all questions. Use separate sheets as necessary. Applicant Responses: 4. Plants a. Check or circle types o vegetation found on the site: b. What kind and amount of vegetation will be removed or altered? No N� 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: s 0 F r3 wL,n +-G- Fo y, ,•� r Agency Comments Deciduous tree: alder, maple, aspen, other Ever:reen tree: , edar, pine, other I .s ANNIW- Gr. s Pas re 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 N� 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: s 0 F r3 wL,n +-G- Fo y, ,•� r Agency Comments 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: Mammals Fish Other awk, heron, eagle, . ongbird other: 0 S p12Z Deer, bear, elk beaver, o er: roc ezzo 15 Bass, sa m% out, herring, shellfish, other: s7 b. List any threatened or endangered species known to be on or near the site. 640v1 ItAs i'1 IIA1441i311 aver c. Is the site part of a migration route? If so, explain. NIB d. Proposed measures to preserve or enhance wildlife, if any: 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. Agency Comments Please respond to all questions. Use separate sheets as necessary. Applicant Responses: b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. 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: 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. NIA 1. Describe special emergency services that might be required. NA 2. Proposed measures to reduce or control environmental health hazards, if any: NA\ Agency Comments 9 • Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments c. Describe any structures on the site. 51.s.r2-1..) -D ou— (c) 405.7 -. 1 NDt1Si�1 Ai.-. 5 LNt1--D1KSc- d. Will any structures be demolished? If so, what? ys —SA wt E. e. What is the current zoning classification of the site? LDQ f. What is the current comprehensive plan designation of the site? LO g. If applicable, what is the current shoreline master program designation of the site? IN! 1. h. Has any part of the site been classified as an "environmentally sensitive" area? If so, specify. 1.‘ 0 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? CD j. Approximately how many people would the completed project displace? k. Proposed measures to avoid or reduce displacement impacts, if any: I3 �c 1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low- income housing? ■).. • 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. C) 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? N -�v b. What views in the immediate vicinity would be altered or obstructed? NpNe c. Proposed measures to reduce or control aesthetic impacts, if any: 14 A Please respond to all questions. Use separate sheets as necessary. Applicant Responses: 11. Light and Glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? owe Agency Comments b. Could light or glare from the finished project be a safety hazard or interfere with views? c. What existing off -site sources of light or glare may affect your proposal? No Nl1' d. Proposed measures to reduce or control light and glare impacts, if any: Ki Ac 12. Recreation a. What designed and informal recreational opportunities are in the immediate vicinity? aok4v4A Qvd • s 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. ND 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. lNI b b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. c. Proposed measures to reduce or control impacts, if any: NA Agency Comments Please respond to all questions. Use separate sheets as necessary. Applicant Responses: 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. Av u Tu. 2U14—&p ti • b. Is the site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? X10 _ > 1/4 ►M,► �..� c. How many parking spaces would the completed project have? How many would the project eliminate? 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). ho e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. NO Agency Comments • 1 • • Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. g. Proposed measures to reduce or control transportation impacts, if any: 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. X10 b. Proposed measures to reduce or control direct impacts on public services, if any. IJA 16. Utilities a. Circle utilities currently available at the site: e, ricit natural ga system other: e, sanitary sewer, septic • • Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments 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. 1\1p, 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). 4. lb Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments D. SUPPLEMENTAL SHEET FOR NON - PROJECT PROPOSALS (do not use this sheet for project actions) Because these questions are very general, it may be helpful to read them in conjunction with the list of elements of the environment. When answering these questions, be aware of the extent the proposal, or the types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1 How would the proposals be likely to increase discharge to water; emissions to air; production, storage, or release of toxic or hazardous substances; or production of noise? Proposed measures to avoid or reduce such increases are: KLA 2. How would the proposal be likely to affect plants, animals, fish, or marine life? Proposed measures to protect or conserve plants, animals, fish, or marine life are: • Please respond to all questions. Use separate sheets as necessary. Applicant Responses: 3. How would the proposal be likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources are: ki A 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection; such as parks, wilderness, wild and scenic rivers, threatened or endangered species habitats, historic or cultural sites, wetlands, floodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are: 5. How would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? Agency Comments • • 1 el 1 Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments Proposed measures to avoid or educe shoreline and land use impacts are: A 6. How would the proposal be likely to increase demands on transportation or public service and utilities? Proposed measures to reduce or respond to such demand(s) are: 1■1 7. Identify, if possible, whether the proposal may conflict with Local, State, or Federal laws or requirements for the protection of the environment. • • 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)? 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. S Fk O -'Z- -. P- VV% — 1:)F- M 6 L I 'Rot rvt e N S TZuLt4-S- lit - 7 A 1 4 % - 5 hn 3. Proposed measures to reduce or control noise impacts, if any: ?i2oPek vAA1►J it- KA oP EQULf/fl2.UGIC LXt+ALL`c' 8. Land and Shoreline Use a. What is the current use of the site and adjacent properties? S 111s cDTOikAZsrte' A.7., Ace rJi : ? ,e-Ni \JA L-, b. Has the site been used for agriculture? If so, describe. No Catty of in/mina *Screening Checklist City of Tukwila Endangered Species Act Screening Checklist Date: Applicant Name: (r()J d lentAdton Street Address: (o407 ' , 144-a) City, State, Zip: —11AZW(AA, MA 981 (s8 Telephone: 106- Z..4 -(.p' 61 40 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. January 25, 2001 ii 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 scheduled 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. NO 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, Page 18 -15). Please circle appropriate response. NO - 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. NO - ontinue 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 appropriate response. NO - Continue to Question 6 -0 YES - Continue to Question 6 -0 City of 'l ulcwzla 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 appropriate response. cyjs r — Checklist Complete 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 answer. 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 mark is covered in Part C. Please circle appropriate response. 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. Please circle appropriate response. NO - Continue to Question 1 -3 YEontinue 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 • City of '1 ukwila Screening Checklist ' appropriate response. Continue to Question 2 -0 (Page 2) YES - Continue to Question 1 -4 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. 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) §yontinue 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 -3 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. a- 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. f ontinue to Question 3 -0 (Page 2) YES - Continue to Question 3 -0 (Page 2) City of '1 ukwzla $ Screening Checklist Part D: Please 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 f City of l ukuttla $ Screening Checklist 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 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) ibi • 51T" AFL C floe scc.ic RECEIVED CITY OF TUKWILA PERMIT CENTER D05-1./ o