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Home My WebLink AboutSEPA E04-007 - NAKATA SHARON - 5 LOTSNAKATA 11600 - 39T" AVE S E04 -007 ty of Tukwila Steven M. Mullet, Mayor Department of Comm; : nity Development Steve Lancaster, Director NOTICE OF APPLICATION DATED June 8, 2004 The following applications have been submitted to the City of Tukwila Department of Community Development for review and decision. APPLICANT: Sharon Nakata AGENT: Traci Curry LOCATION: 11600 39th Avenue South (Parcel Number 7340600221) and South 3916 117th Street (Parcel Number 7340600200) OWNER OF THE PROPERTY: Kazuo Nakata FILE NUMBERS: E04 -007, L04 -022 PROPOSAL: The applicant has submitted a short plat application to create five new lots from two existing lots. The project is subject to the State Environmental Policy Act and the applicant has submitted a SEPA checklist. The proposed lots will have access to the public right of way via 39th Avenue South and South 117th Street. All of the houses on the lots will be required to connect to the City sewer systems. Any existing septic tanks on the properties will be required to be abandoned per Seattle -King County Health Regulations. OTHER REQUIRED PERMITS: Public Work Permits, City of Tukwila Building Permits, City of Tukwila 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 Short Plat Application in writing to the Department of Community Development by 5:00 p.m. on June 22, 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 @ci.tukwila.wa.us. Anyone who submits written comments will become parties of record and will be notified of any decision on this project. 6300 Southcenter Boulevard, Suite ' #100 0 Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665 • • Please send comments to: City of Tukwila Planning Attn: Brandon J. Miles 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 APPEALS Appeals of SEPA Decisions must be consolidated with the underlying land use permit. Any appeal will be consolidated with the City's decisions on the pending short plat application. For more information regarding appeal rights or to request a copy of the City's decision on this matter, please call (206) 431 -3684. DATE OF APPLICATION: April 21, 2004 NOTICE OF COMPLETE APPLICATION: June 4, 2004 NOTICE OF APPLICATION POSTED: June 8, 2004 Dept. Of Community Development City of Tukwila AFFIDAVIT OF DISTRIBUTION I, g (, y�'�yA /,HEREBY DECLARE THAT: Notice of Public Hearing Determination of Non - Significance Notice of Public Meeting Mitigated Determination of Non - Significance IIt/kJ)/)_.'_- Board of Adjustment Agenda Pkt Project Number: Determination of Significance & Scoping Notice Mailer's Signature: 5 J), Lc Board of Appeals Agenda Pkt V1/110,ni 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 year 2004 day of—l.ge in the P:GINAWYNETTA/FORMS /AFFIDAVIT -MAIL 08/29/003:31 PM Project Name: I IIt/kJ)/)_.'_- Project Number: 9 7 L OLI--D22 Mailer's Signature: 5 J), Lc Person requesting mailing: 2/, V1/110,ni P:GINAWYNETTA/FORMS /AFFIDAVIT -MAIL 08/29/003:31 PM CI-AT: ENVIRONMENTAL REVIEW /SHORELINE PE. 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 IDEPT 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. ASSESSOR'S 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: ( ) FIRE ( ) FINANCE ( ) BUILDING ()MAYOR ( ) PUBLIC WORKS ( ) POLICE ( ) PLANNING ( ) PARKS & REC. ( ) CITY CLERK SCHOOLS /LIBRARIES UTILITIES CITY AGENCIES 1,4 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 SEWER/WATER DISTRICT t ) 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 N'MUCKLESHOOT INDIAN TRIBE CULTURAL RESOURCES PROGRAM FISHERIES PROGRAM (ja'WILDLIFE PROGRAM i MEDIA ( ) SEATTLE TIMES ( ) SOUTH COUNTY JOURNAL P: WDMINISTRATIV E\FORMS \CHKLIST.DOC ,^, DUWAMISH INDIAN TRIBE () P.S. AIR POLLUTION CLEAN AGENCY ( ) SOUND TRANSIT k'bUWAMISH RIVER CLEAN -UP COALITION , SEND NOTICE OF ALL APPLICATIONS ON DUWAMISH RIVER ( ) HIGHLINE TIMES ( ) CI.TUKWILA.WA.US.WWW 'PLIC NOTICE MAILINGS FOR TS SEPA 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 continents 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:\ADMINISTRATIVE \FORMS \CI KLIST.DOC TUKWILA COMMUNITY MEMBER 11600 39TH AVE S TUKWILA WA 98168 -1902 TUKWILA COMMUNITY MEMBER 11609 39TH AVE S , TUKWILA WA 98168 -1901 TUKWILA COMMUNITY MEMBER 11621 39TH AVE- 8 TUKWILA WA 98168- 1901*.:: . TUKWILA COMMUNITY MEMBER 11532 40TH AVE S TUKWILA WA 98168 -1904 TUKWILA COMMUNITY MEMBER 11638 E MARGINAL WY S A TUKWILA WA 98168 -1964 TUKWILA COMMUNITY MEMBER 11638.E MARGINAL WY S C TUKWILA WA 98168 -1964 Eurobest ATTN: MANAGER 3315 S 116TH ST #109 TUKWILA WA 98168 -1980 OPAS.Corporation ATTN: MANAGER .3325.S 116TH ST #109 TUKWILA WA 98168 -1974 Blue .SkyIntegrated Technol. ATTN: MANAGER '3415 S 116TH ST #103 TUKWILA WA 98168 -1978 - Hewlett- Packard Company ATTN: MANAGER 3415 S 116TH ST TUKWILA WA 98188 -1978 Sears Home Improvement Prod. ATTN: MANAGER 3425 S 116TH ST #109 TUKWILA WA 98168 -1985 TUKWILA COMMUNITY MEMBER'" 11638 E MARGINAL WY S D TUKKWILA WA 98168 -1964 Industrial Caster & Wheel Co ATTN: MANAGER 3315 S 116TH ST #121 TUKWILA WA. 98168-1980 USNW Express ATTN: MANAGER 3325 S 116TH ST #113 TUKWILA WA 98168-1974 TUKWILA COMMUNITY MEMBER 11638 E MARGINAL WY 3•13 TUKWILA WA 98168 -1964 ExOfficio': ATTN: MANAGER 3314 S 116TH ST TUKWILA WA 98168 -1986 Diebold, Inc. ATTN: MANAGER 3315 5- 116TH.ST. #149 TUKWILA WA 98168-1980 Electrical, Distributing, ATTN: MANAGER ". 3414 S 116TH ST' TUKWILA WA 98168-1978 Thunderbolt.: Computing, Inc: ATTN: MANAGER 3415 S 116TH-ST #103 TUKWILA WA 98168 -1978 Cookie Lee, Inc. ATTN: MANAGER 3425 5 116TH ST #101 TUKWILA WA 98168 -1985 Larson Juhl, LLC ATTN: MANAGER 3425 S 116TH ST TUKWILA WA 98168 -1977 O.- l Laia8 i10 nS Tall's Camera' Inc ATTN: MANAGER 3415 S 116TH ST: 41109 TUKWILA WA 981811-1978,"' XETA Technologies, InC. ATTN: MANAGER 3425 S 116TH ST #101 TUKWILA WA 98168-1985 TUKWILA COMMUNITY MEMBER- 3540 S 116TH ST TUKWILA WA 98168- 1948 `. . TUKWILA COMMUNITY MEMBER 3819 S 117TH ST TUKWILA WA 98168 -1923 TUKWILA COMMUNITY MEMBER 3914,S-117TH ST TUKWILA WA 98168 -1926 TUKWILA COMMUNITY MEMBER `3924 S 117TH ST ,'` TUKWILA WA 98168 -1926 TUKWILA COMMUNITY.MEMBER 3901 S 117TH ST- TUKWILA WA 98168 -1925 TUKWILA COMMUNITY MEMBER 3915.5 117TH ST TUKWILA WA 98168 -1925 TUKWILA COMMUNITY MEMBER 3909 S 117TH ST TUKWILA WA 98168 -1925 , TUKWILA COMMUNITY MEMBER 3916 S 117TH. ST TUKWILA WA 98168 -1926. NAKATA LINDSAY N GUARDIANS 99999 11600 39TH AV S SEATTLE WA 98168 734060- 0220 -05 KERR GEORGINA L 3834 S 116TH ST SEATTLE WA 734060- 0241 -00 DAHL JOHN H 11717 40TH AVE S SEATTLE WA 734060- 0243 -08 O'BRIEN MATTHEW M 11807 40TH AV S SEATTLE WA 734060 - 0246 -05 HUNTER TEO +RE3EKAH A 11809 40TH AVE S SEATTLE WA 734060- 0248 -03 DAHL JOHN H 11717 40TH AVE S SEATTLE WA 734060- 0250 -08 SIRES LYNN K- 11705 40TH AVE S SEATTLE WA 734060- 0280 -02 UL.IBARRI STEPHANIE ANN 3901 S 117TH ST SEATTLE WA 734060- 0283 -09 MCCOY CHARLIE 3819 S 117TH ST TUKWILA WA 429999 98168 SWAN JOHN K ggh 3914 S 117THW TUKWILA WA 734060- 0221 -04 NAKATA KAZUO 11600 39TH AVE S SEATTLE WA 299999 98168 98168 734060- 0242 -09 STEARN WILLIAM 0 9N9999 11733 +117331/2 40TH AVE S 98168 SEATTLE WA 98168 199999 98168 149999 98168 00476 98168 340297 98168 069999 98168 009999 98168 000000 - 0000 -00 ** * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** * * * * * * * * * * * * * * * * * * * * ** * * * * * * * ** :YSOUTS W LSO1 S SSO8 MM MMM MMMM Ij MM CCCCCC( CC MMM CCCCCCCC( :GC MMMM CC t :G 734060- 0244 -07 COREY BONNIE L 11801 40TH AVE S SEATTLE WA 734060- 0247 -04 WHITLEY D KIRK 11711 40TH AVE S SEATTLE WA 734060- 0249 -02 FRAIR CLIFFORD 11729.40TH AVE S TUKWILA WA 734060- 0260 -06 GUSTAFSON THEODORE E 16822 SE 136TH ST RENTON WA 779800 98168 981.68 871488 98168 172044 98059 734060- 0282 -00 PESOTSKIY GEORGIY M +NADEZH0069999 3909 S 117TH ST TUKWILA WA 98168 734060- 0320 -04 SICCAROI FRANK 2422 195TH ST SE #8 BOTHELL WA II111111II 00000000 IIIIIIIIII 0000000000 II 00 0000 351061 98012 444 4414 44 44 °� 013300- 0025 -05 CEDAR GROVER PROPERTIES 0162608 PM8 262 3213 W WHEELER ST SEATTLE WA 073300- 0125 -04 DOAK HOMES .INC 3805 S 116TH ST TUKWILA WA 073300 - 0131 -06 DOAK HOMES INC 3805 S 116TH.ST TUKWILA WA 98199 389999 98178 389999 98178. 073300 - 0155 -07 GAVRILENKO EUGENE A +GAVRILE039999 3813 S 116TH ST TUKWILA WA 073300- 0160 -00 HALL ALBERT E JR PO 80X 22704 SEATTLE WA 073300- 0175 -03 NORRIS JAMES A 11621 39TH AVE SOUTH SEATTLE WA 98168 140581 98122 679999 98168 073300 - 0190 -04 DESJARDIN WILLIAM H +CATHERI8N2727 3826 S 116TH ST SEATTLE WA 073300- 0205 -07 CARLSON ANNA M PO BOX 635 RAVENSDALE WA 073300 - 0220 -08 ROOT.THOMAS A 3806 S 116TH ST SEATTLE WA 102304- 9009 -09 CITY OF SEATTLE CITY LIGHT 880023 700 5TH AVE #2808 SEATTLE WA 98168 353654 98051 079999 98168 102304 - 9063 -02 SOLSENG EDWARO L 6938 BEACON AV S SEATTLE WA 98104 189999 98118 073300 -0030- CEDAR GROV PM8 262 3213 W WHEELER ST SEATTLE WA PROPERTIES LLC162608 073300- 0130 -07 DOAK HOMES INC 12236 43RD AVE S TUKWILA-WA 073300 - 0135 -02 STEADMAN JEFFREY W 3811 S 116TH ST SEATTLE WA 98199 301176 98178 159999 98068 073300 = 0156 -06 FLIEDER FRANCES E ET AL 204002 3819 S 116TH ST SEATTLE WA 073300- 0170 -08 NORRIS NANCY D 182404TH AVE S.. SEATTLE WA li 073300- 0180 -06 KERR GEORGINA L 3834 S 116TH ST SEATTLE WA 073300- 0200 -02 CARLSON ANNA M PO BOX 635 RAVENSDALE WA 073300 - 0210 -00 SWANSON JAMES T 424 BIRCH ST MILTON WA 073300 - 0225-03 ICN LLC 11 C/O SUSAN TAYLOR 1463 E REPUBLICAN 443 SEATTLE WA 102304- 9057 -00 CITY OF TUKWILA 6200 SOUTHCENTER BLVD TUKWILA WA -I' 102304-9072-01 SOLSENG EDWARD L ?'i 9638 BEACON AV S -I. SEATTLE WA .I .93168 089999 98148 429999 98168 353654 98051 7.04421 98354 343110 98112 439700 98188 310376 98118 • • • • 335140- 0005 -06 TOMOSON DENNIS +LEONA 3914 S 115TH ST TUKWILA WA 335140- 1040 -01 CITY OF TUKWILA 6200 SOUTHCENTER BLVD TUKWILA WA 734060- 0084 -00 HANNAH ROSA LEE 11806 40TH AVE S SEATTLE WA 734060- 0102 -08 GRENSTEAD TRACEY 0 4007 S 117TH PL SEATTLE WA 734060- 0105 -05 FELTUS ALENE 4016 S 17TH PL SEATTLE WA w 631434 98.168 120188 98188 R.1175 .98188 179999 98168 1N9999 98168 734060- 0121 -05 WICHMANN BRIAN +MALVINA COTE739999 15201 MILITARY RD S SEATTLE WA 98188 734060- 0125 -01 MCC LEAVE DIANE L 11704 40TH AV S TUKWILA WA 734060- 0141 -01 TURNER JAY C +DIANA J 24629 35TH PL S KENT WA 734060- 0143 -09 FREY MATTHEW + RENEE 11606 40TH AVE S TUKWILA WA 109999 98168 012254 98032 180215 98168 734060- 0165 -02 HAGGARD WILLIAM W CLETT.IE J779800 11532 40TH AVE S SEATTLE WA 98168 734060- 0181 -02 MOLTHEN RICHARD R +HOLLY F 609999 11605 40TH AVE SO SEATTLE WA 734060 - 0183 -00 PATTON MATTHEW A 11535 40TH AVE S SEATTLE WA 98168 335140- 0010 -09 THOMSON JOEL. 3213 E YESSLER SEATTLE WA 734060 - 0081 -03 LOUGHRAN KATHLEEN 11728 40TH S TUKWILA WA 734060- 0100 -00 MURPHY JANICE A 4017 S 117TH PL SEATTLE WA 734060 - 0.104 -06 MURPHY LANCE 4004 5 117TH PL SEATTLE WA 351454 98122 410875 98168 601298 98168 0D1255 98168 734060- 0120 -06 PENDLEY DEAN P +30NNIE JEAN 959999 11702 40TH AVE S SEATTLE WA 98168 734060- 0123 -03 NGUYEN HAI T +DIEM DUNG PHAM119999 .11620 40TH AVE S SEATTLE WA 98168 734060- 0140 -02 MORGAN C R 301276 11608 40TH AVE SO SEATTLE WA 98168 734060- 0142 -00 JUSTINE ANNE E D•AMBROSIO MICHAEL A 11602 40TH AVE S TUKWILA WA 780142 98168 734060- 0160 -07 HAGGARD WILLIAM W +LETTIE JE599999 11532 40TH AVE S SEATTLE WA 98168 734060 - 0180 -03 WOODS JESSE +VICTORIA. LYNN 3924 S 117TH SEATTLE WA 734060- 0182 -01 NGUYEN MY DUNG 11545 40TH AV E TUKWILA WA 479999 98168 734060- 0184 -09 PATTON MATTHEW A 11535 40TH AVE S SEATTLE WA 819999 98168 259999 98168 479999 98168 • Cizj' of Tukwila Steven M Mullet, Mayor Department of Community Development Steve Lancaster, Director NOTICE OF COMPLETE APPLICATION June 4, 2004 Via US Mail Ms. Traci Curry - 5749 S. 12151 Street Seattle, WA 98178 Re: Notice of complete application; L04 -022, E04 -007 Dear Curry: The Department of Community Development received your short plat and SEPA application on April 21, 2004. A letter from the Department on May 10, 2004, noted that the application was incomplete and requested additional information. On May 24, 2004, the additional information was submitted to the City. Based on a review of your application for submittal requirements for Preliminary Short Plat, your application is deemed complete as of June 4, 2004. 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 installing the sign with the laminated notice, you need to return the signed Affidavit of Posting to our office. The application and associated materials have been routed to other City departments for review. Staff will be in contact with you soon to discuss the project. 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 questions, you can contact me at (206) 431 -3684 or by email at bmiles@ci.tukwila.wa -us. Sire.Lly, Brandon J. Miles Assistant Planner cc. File (L04 -022, E04 -007) 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 10 Cizy of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director - . May 10, 2004 Ms. Traci Curry 5749 S. 121st Street Seattle, WA 98178 RE: NOTICE OF INCOMOPLETE APPLICATION L04 -022, E04 -007 Dear Ms. Curry: The Department of Community Development received your short plat application and related SEPA application on April 21, 2004. As was noted at the front counter sufficient information was missing from the short plat application. As of May 1, 2004, the short plat application and SEPA application are deemed incomplete and additional information is required in order for the City to begin review of the application. The following needs to be submitted: 1. Title Report: Clearly establish status as legal lot(s) of record, ownership, all know easements and encumbrances, must be dated within 45 -days of application filing. 2. Four copies of the Plat Survey Map with the following information: a. The plat survey must include the name of the plat, graphic scale, space for the City of Tukwila file number, and north arrow. It shall be drawn with black ink in record of survey format and include the elements listed in TMC 17.04.060. b. Legal descriptions of the existing and proposed lots. c. The final plat documents must include all applicable certificates and approvals listed in the "Certificates and Approvals" section of this application (TMC 17.04.060). Sections for the surveyor and owner(s) must be signed prior to submittal. d. Existing and proposed lot lines shall be shown solid with new lines and called out and lot lines to be removed shall be shown dashed. e. Lot and block numbers shall begin with the number one (1) and be numbered consecutively without omission or duplication. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 f. Total lot or parcel sizes and averages width of each proposed lot (minimum 50 feet for residential) g. Dash in required setback distances from all parcel lots lines. h. Fire access lanes and turn arounds per Fire Department standards. i. Location of all tracks to be dedicated to any public or private purpose shall be distinguished from lots intended for general development with notes stating their purpose and limitations. j. Locations of existing and proposed public street rights -of -way and private access easements. k. Location, dimension and purpose of existing and proposed easements. 3. A letter stating how the applicable landscaping provisions of the Tukwila Municipal Code will be met. The City cannot begin review of the application until these items are submitted. If you have any questions, please call (206) 431 -3684 or send an email to bmiles ' ci.tukwila.wa.us. S Brandon J. Miles Assistant Planner cc. File (L04 -022, E04 -007) Bruce S. MacVeigh, P.E. Civil Engineer /Small Site Geotechnical 14245 59th Ave. S. Tukwila, WA 98168 Office: (206) 242 -7665 Fax: Same April 5, 2004 Subject: Infiltration Evaluation for K. Nakata Short Plat, Tukwila, WA The purpose of this evaluation is to document the soil infiltration characteristics at the site of the proposed short plat. The soils observed were noted in a field visit on March 22, 2004. Soils at one excavation pit approximately two feet deep in the location of the residence at 11600 39th Avenue S. and observation of surface soils indicated a clean uniform silt. Soils up to three feet deep of the same type of soils was verified by Mr. Nakata based on personal experience in landscaping work on the site over many years. In addition, despite very level topography, standing water has never been noted during heavy storm events. It is proposed that the three new residences on Lots 2, 3 and 4 dispose of roof and driveway runoff by splash blocks and sheet flow respectively per Appendix C of the King County Surface Water Manual. Criteria for vegetated flow paths required by these methodologies can be met on the site. Runoff volumes are disposed of by natural surface infiltration, suitable for the type and depth of soils on the site. Questions relating to this evaluation may be made directly to this office. Bruce S. MacVeigh, P.E. Civil Engineer 1 EXPIRES: 4/24/ O S` \\ S` /.PA X04 NAKATA01.doc CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 FAX (206) 431 -3665 E- mai / :tukplanRci.tukwila.wa.us SEPA ENVIRONMENTAL REVIEW APPLICATION NAME OF PROJECT/DEVELOPMENT: Nalah 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. ti(S00 3 k fru, S. (I1St5 1,� ; 4B) (ftI -5°I1lp 5 Ilia'► . "To \) $ . 17)4loLoo 1o� to : 1.4oL00- Oaoo -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, an • is the primary contact with the City, to whom all notices and reports will be sent. 1 Name: 1 %(L' (JA Address: 431901 so pt t 5((t N V Phone: 1 1 1 - q 1 6 1 FAX: Wit E -mail: -tG'tLt Pik-1 e a • • . IUU Signature: Date: G:\APPHAN LANDUSE.APP'SEPAAPP.DGC.09 /11/03 FOR STAFF USE ONLY SIERRA TYPE P-SEPA Planner: File Number: Application Complete (Date: ) Project File Number: Application Incomplete (Date: ) Other File Numbers: NAME OF PROJECT/DEVELOPMENT: Nalah 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. ti(S00 3 k fru, S. (I1St5 1,� ; 4B) (ftI -5°I1lp 5 Ilia'► . "To \) $ . 17)4loLoo 1o� to : 1.4oL00- Oaoo -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, an • is the primary contact with the City, to whom all notices and reports will be sent. 1 Name: 1 %(L' (JA Address: 431901 so pt t 5((t N V Phone: 1 1 1 - q 1 6 1 FAX: Wit E -mail: -tG'tLt Pik-1 e a • • . IUU Signature: Date: G:\APPHAN LANDUSE.APP'SEPAAPP.DGC.09 /11/03 PUBLIC NOTICE MATERIALS ADDRESS LABEL REQUIREMENTS: The City of Tukwila requires that neighboring residents, businesses and property owners be notified of certain types of development applications. Applicants are therefore required to submit the following materials: Mailing labels., listing the property owners of record, residents and businesses within 500 feet of the project property lines (not the property center). The number of sets of labels required depends on the notice requirements of the underlying permit. Check that application form or consult with Planning Staff for the number required. • One copy of an Assessor's map(s) showing the boundaries of the subject property and the 500 foot public notice area ... IN • - 1 122, St 1 r 1 1 1 1 1 *.1 123 St • Property owner names and addresses can be obtained from the King County Department of Assessment located on the 7th floor of the King County Administration Building, Room 700, 500 Fourth Avenue, Seattle. To compile the information required: • Obtain the Assessor's map(s) that contain(s) your property and all neighboring properties within 500 feet (See example diagram). You may use the maps on file in the Assessor's Office or purchase a set from the King County Department of Public Works Map Counter on the 9th floor of the Administration Building. Purchased maps must be ordered several hours in advance of the time you would like to pick them up. • After securing the Assessor's maps, obtain a "Real Estate Inquiry Batch Request Sheet" from the Department of Assessment. On this form, provide the tax account number for each affected property as shown on the Assessor's map(s) and submit the completed form to the Department of Assessment with the appropriate fee. Applicants can request the information be printed in mailing label form or on standard paper. • Alternately many title companies can provide property owner mailing labels. To obtain occupants /resident/business names and addresses, consult the Kroll maps located in the Tukwila Department of Community Development and do a field survey as directed. The information on the mailing labels may refer to "Resident" or "Tenant ", with the proper mailing address, if the specific names are unknown. P:\ Red_Book \SEPA_APP.DOC. 01/23/03 City of l ukwt5A Screening Checklist City of Tukwila Endangered Species Act Screening Checklist Date: Applicant Name: SV)CArU) M(/I1.CA -0 Street Address: l\ 1p ll) City, State, Zip: 5f Ol lilt, W11 1 K 1( ? Telephone: Vir )- ikircoli 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 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 (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 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 NOTARY PUBLIC in and for the State of Washington residing at My commission expires SEPA_APP -VU 1/23/03 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 STATE OF WASHINGTON COUNTY OF KING 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, it§ employees, awls, engineers, c ntractors or oy1 representatives th right t nter upon Owner's real property, located at /!666 J9 A{)E• s. 56-4-PIE v/3 TP67 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. `` ,, LL ' A ( 1D EXECUTED at 1 "` Y`� v \ (city), " A- (state), on r r r a 1 Sh etv oil Al a r 1' (Print Na y� / /toame) o 4_0 �. ( one Number) k etA_ )1 / J `,� ` (Signature) , On this day personally appeared before me ` C n V\ 1 v C& to me known to be the individual who executed the foregoing instrument and acknowledged that he igned the same as i luntary act and deed for the uses and purposes mentioned therein. SUBSCRIBED AND SWORN TO BEFORE ME ON THIS (-- t DAY OF NOT ' Y PUBLIC in and for residing at e' tate of Washington Y\ ) Was My Commission expires on 0 h 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. Maybe waived in unusual.cases, upon approval of both Public .Works and Planning APPLICATION MATERIALS: 1. Application Checklist (1 copy) indicating items submitted with application. cj Co f it 1 2. Completed ESA Screening Checklist, State Environmental Checklist and drawings ( 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: ✓ 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). 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. f 10. Provide four (4) copies of any sensitive area studies as needed per Tukwila's Sensitive Areas Ordinance (TMC 18.45). J 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_A PP. DOC. 01/23/03 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 @-.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, Page 18 -15). Please circle appropriate response. 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. 0- 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 appropriate res onse. - Continue to Question 6 -0 YES - Continue to Question 6 -0 Part A (continued) Lity of 'l ukz SSA Screening Checklist 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. NO — 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. 6- 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 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 City of 'l ukwilgA Screening Checklist appropriate response. NO - Continue to Question 2 -0 (Page 2) - 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) 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 -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. 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. Catty of l ukwil A Screening Checklist NO - Continue to Question 3 -0 (Page 2) YES - Continue to Question 3 -0 (Page 2) 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 • catty of l ukwtla 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) 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: NGI oiG 2. Name of Applicant: %CAM 1\1041\11 3. Date checklist prepared: 4. Agency requesting checklist: City of Tukwila 5. Proposed timing or schedule (including phasing, if applicable): q0 '`1 \A111\ 61 Cu1Arulcton t�ur1� 6. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. 1l� 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. le) . L,in2 Mpg-moat Agency Comments 1 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. 611.34 -- Anrr)v4 -- (U Ptw n 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 pa� '\a br 5 lot 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. 11U00 3001/1 Ifirr SW I , li ON q )11(43 3Y1I (0 S( Ii'j' 5)- 12. Does the proposal lie within an area designated on the City's Comprehensive Land Use Policy Plan Map as environmentally sensitive? 00. 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 mountainous, other: rolling, hilly, steep slopes, Agency Comments b. What is the steepest slope on the site (approximate percent slope)? 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. UNWIM bl(01n S1\ -k1 d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. S( \c -Vont X111 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? Ifso, generally describe. g. o. vhe-( Otto', A5 c)(4) Dt UNJ 0 "h t Cy Pt1r c Cil- �h�i,�►1(1 6i01.14,45- ,fir tJ I 14o/t_ 1' Lc 514'1 11-rJ. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? h 5b °1p h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: 2. - Air 5Ul(C -k \ow disvorsibA 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. 12)/15 Wl k (it 01010 -4 h kafrctt CAI b. Are there any off -site sources of emissions or odor that may affect your proposal? If so, generally describe. �t> 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: 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 riv r it flows into. . '\\119' 2\IN fA II IV1 9%0 t( t , v rra u kVl. _, 1- (11,,,}- ‘c,c,Io1. 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. 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. Please respond to all questions. Use separate sheets as necessary. Applicant Responses: 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? c. List threatened or endangered species known to be on or near the site. CIA Agency Comments d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: - ,P105`►L 1( dotri O\ INTI5api`nr1 TAVYA ikiVlAilk ce- 5c,6(.4.4flivii '-4•41lf {do fe4 IL Pit oink ArLt kJ pk 4 311 Gccti Deciduous tree: alder, maple, aspen, other Evergreen tree: fir, cedar, pine, other Sh�bs •. eti s Lure 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? c. List threatened or endangered species known to be on or near the site. CIA Agency Comments d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: - ,P105`►L 1( dotri O\ INTI5api`nr1 TAVYA ikiVlAilk ce- 5c,6(.4.4flivii '-4•41lf {do fe4 IL Pit oink ArLt kJ pk 4 311 Gccti 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 Hawk, heron, eagle, songbirds, other: Deer, bear, elk, beaver, other: Bass, salmon, trout, herring, shellfish, other: b. List threatened or endangered species known to be on or near the site. 641,0 n (Alt pYcx4 it 4. Owci Al w0ct1,19, c. Is the sjte part of a migration route? If so, explain. (nIN c r ,6711 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. w►11 hz vxdi O \ Qrd (*Nur nertric.rAl hynt, Ylec&ls. , 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. No 5. Does the proposal lie within a 100 -year floodplain? If so, note location on the site plan. 110 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. 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. 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. SpIc6nVAt,b vom Uqc diP(i1 L �lOVJ 2. Could waste materials enter ground or surface waters? If so, generally describe. No d. Proposed measures to reduce or control surface, ground, and runoff k\014 w ter impacts, if any: h (e"t M5'plrsW Ni ran km11 t,i� • 9 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. 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: WIC 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. No 1. Describe special emergency services that might be required. 2. Proposed measures to reduce or control environmental health hazards, if any: 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. 1))66"\C Ank-c1611 mist_ titYY1 5 . 3. Proposed measures to reduce or control noise impacts, if any: 8. Land and Shoreline Use a. What is the current use of the site and adjacent properties? M4 pLN, b. Has the site been used agriculture? If so, describe. AA- 1' lJiAWcnhin ('v�( Vt#'l1t -1 IJG5 Uotti it 003fity1 t+iL G� / . A'i'i,.coy s4( ik+npuii Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments c. Describe any structures on the site. J fie 1 0 eXI �'►11-- %ij cti lh -1 P) 1(Actu t likt 17 PO IV'S 411I- - rn(L L' Plow. ((AAA.. AcAtirtiwikdatkaliku d. Will any structures be demolished? If so, what? No e. What is the current zoning classification of the site? rCsi d iG1 LO-(1 f. What is the current comprehensive plan designation of the site? 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. 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? IWO j. Approximately how many people would the completed project displace? Nory k. Proposed measures to avoid or reduce displacement impacts, if any: NIPt 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? uoios �� Obi litt L t4;11 (t C) lS j „k) 1 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. Proposed measures to reduce or control housing impacts, if any: MTh 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? b. What views in the immediate vicinity would be altered or obstructed? Nfl c. Proposed measures to reduce or control aesthetic impacts, pacts, if any: ,1�` °�' "l'41j 41 iIl (Ac. it (�,Nt� C9 W1G+. - L1 (((#1C4419 • 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? 1\1 IA b. Could light or glare from the finished project be a safety hazard or interfere with views? h\O . c. What existing off -site sources of light or glare may affect your proposal? d. Proposed measures to reduce or control light and glare impacts, if any: N IAA 12. Recreation a. What designed and informal recreational opportunities are in the immediate vicinity? Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments b. Would the proposed project displace any existing recreational uses? If so, describe. No. 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. 00 b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. fk c. Proposed measures to reduce or control impacts, if any: UI� Otmin cnotAititti) ■V 01 -k eviJc1ntt 0C 6.j4,,iiCl c,g,k Gt,.'177icc1+ Sot/11\1k 1 of C adiuLA %r D. 4 hbp 01 'tau um1n ctor AL I( nviiq ` . GPI cc- 1L.h. k f Al�c,‘b' r -��;�1 4, `4k o occ, . �F of acia5y, 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. ACLt S5 tX1 *,) M coil 5.1 nit\ . b. Is the site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? t\In, 'Iq YY1►U_.. c. How many parking spaces would the completed project have? How many would the project eliminate? 1 S \CAO Ori V* 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). e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. Agency Comments 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. 'per d . Pam cAm RAT 5: '7O cm. g. Proposed measures to reduce or control transportation impacts, if any: In- a. Would the • 15. Public Services project result in an increased need for public services (for example: fire protection, police protection, health care, schools, other)? If so, generally describe. b. Proposed measures to reduce or control direct impacts on public services, if any. tQlrr 16. Utilities a. Circle utilities currently available at the site: y, natural gas, water, refuse service system other: 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. 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). • • Proposed Short Plat 11600 39th Ave S r • 0 J J J . Lot Line per City of Tukwila BLA L04 -018 N72'42'44 "E -- Found rebar 7.92' w /cap #29187 N51'13'51 "E 8.80' S89'05'52 "E 40.01 1 t N88'20'34 "W 49.81' r(////, /Existing House //' .h� / 411600 o) (// /J cn w conc. conc. CT) cd co 49.8' LOT 1 77.53' N 89'51'42" W Tract 11) LOT 2 76.27' N 0 0 0 N z Found rebar guy ` w/cap #29187 Point 299.20 feet north of the southeast corner of Tract 11 Original east line Tract 11 .6e (S\ \�e Found rebar w /cap (Crones) #29187 — 1.29' east N 89'51'45" W 114.80' > 3 in lb ir) co • � o of 0 N N 93.05' S 89'51'45" E LOT 3 (LOT B City of Tukwila BLA #L047-018 ) N 89'51'45" W 92.00' w ; cur. cu cu • cu 6.78' (Tract 10) LOT 4 u7 ao 0 0 0 N 00'08'15" E 20.00' N 9'51'45" W 1 78.02' 5.0i 23.2' rn /Existing /House #39// LOT 5 -� 78.14' 2 io tri • Existf g garo rte- -29.5' 1 rn r\O\'S o'(` \o (o Jo \* •N 00'08'15" E S 00'08'15" (Tract 9) 10' ValVue Sewer District easement Rec. #20011023000176 14' Easement for roadway Rec. #3903394 90.00' 117fh Notice of Applications Map Light Rail Shoreline Variance, L03-049i. 1.03-058 Page 1 of 2 •Current Land Use Projects Click on projects below for more information 14 Lot Subdivision L-02-053 • 602423 4737 S. 107th St. -atert•Sewe rlmprovements • - E04.410,1- Rezone: LORI° CM: 1.03•378 126061ukWiliint Sound:Transit;Link1ightRail 1334057'.UntlasSifiadVair:Rermit 1034069Pa*ing.'13eterrnination L03.080 0esign Review Rezon OR Office 6550 So nterillvd. U33-079, 3-029 j x De ' •iew -001 3742 144th. Khan BLA E03-028 13901 48th •Ave. S. .SR ivers Subdivision •L01-064 53rd Ave. S. & S. 168 St. http://webserver/dcd/noa.htrn • 3 Lot Short Plat E03-025113-061 16660.53rd Ave. S. Westfield •Shoppingtown Southc enter Expansion 01. 180, GIS 1.J 04/19/2004 LOT 1 EXISTING HOUSE LOT 2 Concrete Zj Z/j rhododendrons Future house Ornamental Cherry Trees 0 // Flowering Dogwood Conceptual Landscape Map For Nakata.Short Plat * *New landscaping will only be added to Lot 2 as shown. LOT 3 \ Grass \ Grass LOT 4 \ \ Gr7s LOT 5 \ \ EXISTING HOUSE