HomeMy WebLinkAboutSEPA E06-003 - WALTON TODD / CLEARWIRE- STAND-ALONE MONOPOLEE06 -003
CLEARWIRE WA
SEA119-113
15000 57TH AVE SO
•
Ciiy of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
February 14, 2006
Mr. Todd Walton
5808 Lake Washington Blvd Ste 300
Kirkland, WA 98033
RE: Notice of Incomplete Application
Conditional Use Permit (L06 -012) and SEPA Application (E06 -003)
City of Tukwila ROW, adjacent to 15000 57th Avenue South
Dear Mr. Walton:
The City of Tukwila's Planning Department received your application for a Conditional Use Permit
and SEPA application for Clearwire to locate a monopole near 15000 57th Avenue South. The
application was submitted on February 2, 2006. As of February 14, 2006 the application has been
deemed to be incomplete. The following item(s) need to be submitted for the City
1. As I noted on the phone, an Owner's Affidavit (attached) needs to be submitted.
Once the above - mentioned information is provided, City staff can begin to review the application.
Please note that the Department shall cancel an incomplete application if the applicant fails to submit
the requested information within 90 -days following notification from the Department that the
application is incomplete. The Department may extend up to 120 days if the applicant submits a
written request for an extension prior to cancellation. The request must clearly demonstrate that the
delay is due to circumstances beyond the applicant's control (such as the need for seasonal wetland
data) or unusual circumstance not typically faced by other applicants, and that a good faith effort has
been made to provide the requested materials (TMC 18.104.070).
If you have any questions, please feel free to call me at (206) 431 -3684 or you can email me at
bmiles@ci.tukwila.wa.us.
'randon J. Miles
Assistant Planner
cc. Nora Gierloff, Planning Supervisor
Files (L06 -012 and E06 -0003)
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
•
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:
apa i•v &44 -se/9 //9- 5
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.
el ?y - rati.414 1661,-r-‘ OF key AQj /—fa
/5000 . 9''"' AvE s, p4gCEt -t /157 700310
Quarter: NW Section: z3 Township: 13 Range: 7
(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.
24zr6 Al •
s ro Lake- L' I -s /I "o 13/tot S Sob /0/a /A kW wR go3)
Name:
Address:
Phone: 204 339 9 //b FAX: lob 36/ 964%
Signature:
-11
C: \homepage \tukwila \dcd \apps \sepaApp.DOC, 08/19/05
Date:
2- 2-- Looms
FOR STAFF USE ONLY SIERRA TYPE P-SEPA
A�
Planner:
File Number:
Eo / p -0D3
"�
-1 C
/
Application Complete
(Date:
)
Project File Number:
`� 0
Application Incomplete
(Date:
)
Other File Numbers:
O gi
FZ'Fi M(I
NAME OF PROJECT/DEVELOPMENT:
apa i•v &44 -se/9 //9- 5
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.
el ?y - rati.414 1661,-r-‘ OF key AQj /—fa
/5000 . 9''"' AvE s, p4gCEt -t /157 700310
Quarter: NW Section: z3 Township: 13 Range: 7
(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.
24zr6 Al •
s ro Lake- L' I -s /I "o 13/tot S Sob /0/a /A kW wR go3)
Name:
Address:
Phone: 204 339 9 //b FAX: lob 36/ 964%
Signature:
-11
C: \homepage \tukwila \dcd \apps \sepaApp.DOC, 08/19/05
Date:
2- 2-- Looms
City of Tukwila
•
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.:
Address:
Suite No:
Applicant: TODD WALTON
Permit Number: E06-003
Status: PENDING
Applied Date: 02/02/2006
Issue Date:
Receipt No.: R06 -00161 Payment Amount: 500.00
Initials: BM Payment Date: 02/02/2006 03:03 PM
User ID: 1684 Balance: $0.00
Payee: CLEARWIRE
TRANSACTION LIST:
Type Method Description Amount
Payment Check 5038 500.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
SEPA
000/345.831 500.00
Total: 500.00
1971 02/02 9716 TOTAL 500.00
doc: Receipt Printed: 02 -02 -2006
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 waived 'in. unusual . cases; upon:approval'of both Public °> Works : ..
and Plannin g
, RECEII
APPLICATION MATERIALS: FEB 0 2
COrriMuf
1. Application Checklist (1 copy) indicating items submitted with application. DEVELOP
✓
2. Completed Application Form and drawings (5 copies).
✓
/
3. One set of all plans 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 $2,000.
5. SEPA Environmental Checklist (see SEPA Application Packet).
PUBLIC NOTICE MATERIALS:
✓
6. King County Assessor's map(s) that shows the location of each property within 500 ft. of the
subject lot.
7. Two (2) sets of mailing labels for all property owners and tenants (residents or businesses)
within 500 feet of the subject property. Note: Each unit in multiple- family buildings - -e.g.
apartments, condos, trailer parks - -must be included (see Public Notice Materials section of SEPA
Application packet).
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 of SEPA
Application packet).
PROPERTY INFORMATION:
9. Vicinity Map with site location.
10. If new construction is proposed document sewer and water availability if provided by other
than the City of Tukwila.
PROJECT DESCRIPTION AND ANALYSIS:
11. A written discussion of project consistency with decision criteria. (See Application)
12. If additional impervious surface is proposed submit a Technical Information Report (TIR)
including feasibility analysis per King County Surface Water Design Manual (KCSWDM). For
additional guidance contact Public Works.
13. Provide sensitive area studies as needed per Tukwila's Sensitive Areas Ordinance (TMC
18.45).
SITE PLAN:
/
✓
14 (a) The site plan must include a graphic scale, north arrow and project name. Maximum size
24" x 36 ".
(b) Existing and proposed building footprints.
P \Red_Book \CUP APP.DOC, 01/23/03
ED
2006
TY
ENT
Check items
submitted ,
with
application,;
Information Req d. May be waived :in unusual cases, upoWpproval of both Public Works,
and Planning
(c) Dash in required setback distances from all parcel lot lines.
(d) Fire access lanes and turn - arounds per Fire Department standards.
(e) Parking lots with dimensioned stalls and drive aisles.
(f) Loading and service areas. •
(g) Fences, rockeries and retaining walls.
(h) Pedestrian connections between the building entrance(s) and the sidewalk/public street.
LANDSCAPE PLAN:
15 (a) Landscape planting plan by a Washington State licensed landscape architect. One set of
all plans and analyses shall have an original Washington State registered Landscape Architect
stamp and signature. Plans must include the type, quantity, spacing and location of all plantings.
Maximum size 24" x 36 ".
(b) Show all existing trees to be retained and any tree protection measures required (for
example fencing at drip line).
SENSITIVE AREAS PLAN:
16 (a) Location of all sensitive areas (e.g. streams, wetlands, slopes over 20 %, coal mine areas
and important geological and archaeological sites). For stream frontage provide existing and
proposed top of stream bank, stream bank toe, stream mean high water mark, and base flood
elevation (i.e., 100 yr. flood). Maximum size 24" x 36 ".
(b) Location of all required sensitive area buffers, setbacks tracts and protection measures.
(c) Show all trees over 4" caliper, indicating those to be retained.
(d) Proposed lot and tract lines.
CIVIL PLANS (If any site changes are proposed):
17 (a) One set of all civil plans and analyses shall be stamped, signed and dated by a licensed
professional engineer. Include a graphic scale and north arrow. Maximum size 24" x 36 ".
(b) Vertical datum NAVD 1988 and horizontal datum NAD 83/91. Conversion calculations
to NGVD 1929, if in a flood zone or flood -prone area.
(c) Existing (dashed) and proposed (solid) topography at 2' intervals.
(d) Total expected cut and fill.
(e) Existing and proposed utility easements and improvements, on site and in street (water,
sewer, power, natural gas, telephone, cable). Schematic designs to be provided regardless of
purveyor (e.g. site line size, location, and size of public main). No capacity calcs, invert depth,
valve locations or the like are needed.
(f) If additional impervious surface is proposed provide a storm drainage design at least
90% complete, which meets the TIR and KCSWDM. Include all storm drainage maintenance
access and safety features. Call out total existing and proposed impervious surface in square feet.
(g) Locate the nearest existing hydrant and all proposed hydrants.
(h) Show the 100 yr. flood plain boundary and elevation as shown on FEMA maps.
(i) Plan, profile and cross - section for any right -of -way improvements.
(j) Show planned access to lots, driveways, fire access lanes and turn- arounds.
OTHER:
18. If new construction is proposed provide dimensioned and scalable building elevations with
keyed colors and materials. Show mechanical equipment and /or any proposed screening.
19. If site lighting changes are proposed provide a luminaire plan including location and type of
street and site lighting. Include proposed fixture cut sheets, site light levels (foot - candles), and
measures to shield adjacent properties from glare.
20. All existing and proposed signage with sign designs and locations.
21. Any other drawings or materials needed to explain your proposal.
1' \Red_Book \CUP_APP.DOC, 01 /23/03
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
r yr : ,
wlthr, °.•
aPPhcation.
'��Information Required: Maybe waived yin unusual cases, upon approval of both Public Works
and•Planning .
,. ".
APPLICATION MATERIALS:
f
1. Application Checklist (1 copy) indicating items submitted with application.
✓
2. Completed Application Form and drawings (5 copies).
/
3. One set of all plans 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 $2,000.
1
5. SEPA Environmental Checklist (see SEPA Application Packet).
PUBLIC NOTICE MATERIALS:
✓
6. King County Assessor's map(s) that shows the location of each property within 500 ft. of the
subject lot. •:.
7. Two (2) sets of mailing labels for all property owners and tenants (residents or businesses)
within 500 feet of the subject property. Note: Each unit in multiple - family buildings —e.g.
apartments, condos, trailer parks- -must be included (see Public Notice Materials section of SEPA
Application packet).
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 of SEPA
Application packet).
PROPERTY INFORMATION:
/
9. Vicinity Map with site location..
10. If new construction is proposed document sewer and water availability if provided by other
than the City of Tukwila.
PROJECT DESCRIPTION AND ANALYSIS: "
11. A written discussion of project consistency with decision criteria. (See Application)
12. If additional impervious surface is proposed submit a.Technical Information Report (TIR)
including feasibility analysis per King County Surface Water Design Manual (KCSWDM). For
additional guidance contact Public Works. .
13. Provide sensitive area studies as needed per Tukwila's Sensitive Areas Ordinance (TMC
18.45). .. .
\ SITE PLAN:
j
14 (a) The site plan must include a graphic scale, north arrow and project name. Maximum size
24" x 36 ".
(b) Existing and proposed building footprints.
\CUP APP.DOC, 01/23/03
Cfieck 'items
submitted ...
with . .. .
application.:
Information Re d. May be waived in unusual cases, upon approval of both Public Works
. and Planning
(c) Dash in required setback distances from all parcel lot lines.
(d) Fire access lanes and turn - arounds per Fire Department standards.
•
(e) Parking lots with dimensioned stalls and drive aisles.
(f) Loading and service areas. .
(g) Fences, rockeries and retaining walls.
(h) Pedestrian connections between the building entrance(s) and the sidewalk/public street.
LANDSCAPE PLAN:
15 (a) Landscape planting plan by a Washington State licensed landscape architect. One set of
all plans and analyses shall have an original Washington State registered Landscape Architect
stamp and signature. Plans must include the type, quantity, spacing and location of all plantings.
Maximum size 24" x 36 ".
(b) Show all existing trees to be retained and any tree protection measures required (for
example fencing at drip line).
SENSITIVE AREAS PLAN:
16 (a) Location of all sensitive areas (e.g. streams, wetlands, slopes over 20 %, coal mine areas
and important geological and archaeological sites). For stream frontage provide existing and
proposed top of stream bank, stream bank toe, stream mean high water mark, and base flood
elevation (i.e., 100 yr. flood). Maximum size 24" x 36".
(b) Location of all required sensitive area buffers, setbacks tracts and protection measures.
(c) Show all trees over 4" caliper, indicating those to be retained.
(d) Proposed lot and tract lines.
CIVIL. PLANS (If any site changes are proposed):
17 (a) One set of all civil plans and analyses shall be stamped, signed and dated by a licensed
professional engineer. Include a graphic scale and north arrow. Maximum size 24" x 36 ".
(b) Vertical datum NAVD 1988 and horizontal datum NAD 83/91. Conversion calculations
to NGVD 1929, if in a flood zone or flood -prone area.
(c) Existing (dashed) and proposed (solid) topography at 2' intervals.
(d) Total expected cut and fill. .
(e) Existing and proposed utility easements and improvements, on site and in street (water,
sewer, power, natural gas, telephone, cable). Schematic designs to be provided regardless of
purveyor (e.g. site line size, location, and size of public main). No capacity calcs, invert depth,
valve locations or the like are needed.
•
(f) If additional impervious surface is proposed provide a storm drainage design at least
90% complete, which meets,the TIR and KCSWDM. Include all storm drainage maintenance
access and safety features. Call out total existing and proposed impervious surface in square feet.
(g) Locate the nearest existing hydrant and all proposed hydrants.
(h) Show the 100 yr. flood plain boundary and elevation as shown on FEMA maps.
(i) Plan, profile and cross - section for any right -of -way improvements. •
(j) Show planned access to lots, driveways, fire access lanes and turn - arounds.
OTHER:
18. If new construction is proposed provide dimensioned and scalable building elevations with
keyed colors and materials. Show mechanical equipment and /or any proposed screening.
19. If site lighting changes are proposed provide a luminaire plan including location and type of
street and site lighting. Include proposed fixture cut sheets, site light levels (foot - candles), and
measures to shield adjacent properties from glare.
20. All existing and proposed signage with sign designs and locations.
21. Any other drawings or materials needed to explain your proposal.
P: \Red_Book \CUP APP.DOC 01/23/03
COMPLETE APPLICATION CIECKLIST
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 ofboth Public :Works:'
and:Planning
.
...
APPLICATION MATERIALS:
f
1. Application Checklist (1 copy) indicating items submitted with application.
2. Completed Application Form and drawings (5 copies).
/
3. One set of all plans 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 $2,000.
J
5. SEPA Environmental Checklist (see SEPA Application Packet).
PUBLIC NOTICE MATERIALS:
6. King County Assessor's map(s) that shows the location of each property within 500 ft. of the
subject lot. .
/
✓
7. Two (2) sets of mailing labels for all property owners and tenants (residents or businesses)
within 500 feet of the subject property. Note: Each unit in multiple - family buildings —e.g.
apartments, condos, trailer parks- -must be included (see Public Notice Materials section of SEPA
Application packet).
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 of SEPA
Application packet).
PROPERTY INFORMATION:
/
9. Vicinity Map with site location.
10. If new construction is proposed document sewer and water availability if provided by other
than the City of Tukwila.
PROJECT DESCRIPTION AND ANALYSIS:.
11. A written discussion of project consistency with decision criteria. (See Application)
12. If additional impervious surface is proposed submit a Technical Information Report (TIR)
including feasibility analysis per King County Surface Water Design Manual (KCSWDM). For
additional guidance contact Public Works.
13. Provide sensitive area studies as needed per Tukwila's Sensitive Areas Ordinance (TMC
18.45). .
\ SITE PLAN:
/
J
14 (a) The site plan must include a graphic scale, north arrow and project name. Maximum size
24 "x36 ".
(b) Existing and proposed building footprints.
\CUP_APP.DOC, 01/23/03
Check items
•
submitted'
with `:' .:
..application
'InformationRec�ed. May be waived in unusual cases, upo approval of both Public Works
and Planning
(c) Dash in required setback distances from all parcel lot lines.
(d) . Fire access lanes and turn - arounds per Fire Department standards.
•
(e) Parking lots with dimensioned stalls and drive aisles.
(f) Loading and service areas. .
(g) Fences, rockeries and retaining walls.
(h) Pedestrian connections between the building entrance(s) and the sidewalk/public street.
LANDSCAPE PLAN:
15 (a) Landscape planting plan by a Washington State licensed landscape architect. One set of
all plans and analyses shall have an original Washington State registered Landscape Architect
stamp and signature. Plans must include the type, quantity, spacing and location of all plantings.
Maximum size 24" x 36 ".
(b) Show all existing trees to be retained and any tree protection measures required (for
example fencing at drip line).
SENSITIVE AREAS PLAN:
16 (a) Location of all sensitive areas (e.g. streams, wetlands, slopes over 20 %, coal mine areas
and important geological and archaeological sites). For stream frontage provide existing and
proposed top of stream bank, stream bank toe, stream mean high water mark, and base flood
elevation (i.e., 100 yr. flood). Maximum size 24" x 36".
(b) Location of all required sensitive area buffers, setbacks tracts and protection measures.
(c) Show all trees over 4" caliper, indicating those to be retained.
(d) Proposed lot and tract lines.
CIVIL PLANS (If any site changes are proposed):
17 (a) One set of all civil plans and analyses shall be stamped, signed and dated by a licensed
professional engineer. Include a graphic scale and north arrow. Maximum size 24" x 36 ".
(b) Vertical datum NAVD 1988 and horizontal datum NAD. 83/91. Conversion calculations
to NGVD 1929, if in a flood zone or flood -prone area.
(c) Existing (dashed) and proposed (solid) topography at 2' intervals.
(d) Total expected cut and fill.
'
(e) Existing and proposed utility easements and improvements, on site and in street (water,
sewer, power, natural gas, telephone, cable). Schematic designs to be provided regardless of
purveyor (e.g. site line size, location, and size of public main). No capacity calcs, invert depth,
valve locations or the like are needed.
(f) If additional impervious surface is proposed provide a storm drainage design at least
90% complete, which meets the TIR and KCSWDM. Include all storm drainage maintenance
access and safety features. Call out total existing and proposed impervious surface in square feet.
(g) Locate the nearest existing hydrant and all proposed hydrants.
(h) Show the 100 yr. flood plain boundary and elevation as shown on FEMA maps.
(i) Plan, profile and cross- section for any right -of -way improvements.
(j) Show planned access to lots, driveways, fire access lanes and turn - arounds.
OTHER:
18. If new construction is proposed provide dimensioned and scalable building elevations with
keyed colors and materials. Show mechanical equipment and /or any proposed screening.
19. If site lighting changes are proposed provide a luminaire plan including location and type of
street and site lighting. Include proposed fixture cut sheets, site light levels (foot- candles), and
measures to shield adjacent properties from glare.
20. All existing and proposed signage with sign designs and locations.
21. Any other drawings or materials needed to explain your proposal.
P: \Red_Book \CUP_APP.DOC, 01/23/03
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 Wailiedin unusual cases; zipon approval of both Public Works
and Planning.
APPLICATION MATERIALS:
1. Application Checklist (1 copy) indicating items submitted with application.
✓
2. Completed Application Form and drawings (5 copies).
3. One set of all plans 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 $2,000.
j
5. SEPA Environmental Checklist (see SEPA Application Packet).
PUBLIC NOTICE MATERIALS:
6. King County Assessor's map(s) that shows the location of each property within 500 ft. of the
subject lot. .
7. Two (2) sets of mailing labels for all property owners and tenants (residents or businesses)
within 500 feet of the subject property. Note: Each unit in multiple - family buildings —e.g.
apartments, condos, trailer parks- -must be included (see Public Notice Materials section of SEPA
Application packet).
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 of SEPA
Application packet).
PROPERTY INFORMATION:
9. Vicinity Map with site location..
10. If new construction is proposed document sewer and water availability if provided by other
than the City of Tukwila.
PROJECT DESCRIPTION AND ANALYSIS: . 0
11. A written discussion of project consistency with decision criteria. (See Application)
12. If additional impervious surface is proposed submit a.Technical Information Report (TIR)
including feasibility analysis per King County Surface Water Design Manual (KCSWDM). For
additional guidance contact Public Works.
13. Provide sensitive area studies as needed per Tukwila's Sensitive Areas Ordinance (TMC
18.45). • "
\ SITE PLAN:
14 (a) The site plan must include a graphic scale, north arrow and project name. Maximum size
24" x 36 ".
(b) Existing and proposed building footprints.
\CUP APP.DOC, 07/23/03
Check =items
submitted
with:.
• application..
Information-Re ed. May be waived iri unusual cases, upWxpproval.of both Public Works
and Planning
(c) Dash in required setback distances from all parcel lot lines.
(d) Fire access lanes and turn - arounds per Fire Department standards.
(e) Parking lots with dimensioned stalls and drive aisles.
(f) Loading and service areas. .
(g) Fences, rockeries and retaining walls.
(h) Pedestrian connections between the building entrance(s) and the sidewalk/public street.
LANDSCAPE PLAN:
15 (a) Landscape planting plan by a Washington State licensed landscape architect. One set of
all plans and analyses shall have an original Washington State registered Landscape Architect
stamp and signature. Plans must include the type, quantity, spacing and location of all plantings.
Maximum size 24" x 36 ".
(b) Show all existing trees to be retained and any tree protection measures required (for
example fencing at drip line).
SENSITIVE AREAS PLAN:
16 (a) Location of all sensitive areas (e.g. streams, wetlands, slopes over 20 %, coal mine areas
and important geological and archaeological sites). For stream frontage provide existing and
proposed top of stream bank, stream bank toe, stream mean high water mark, and base flood
elevation (i.e., 100 yr. flood). Maximum size 24" x 36".
(b) Location of all required sensitive area buffers, setbacks tracts and protection measures.
(c) Show all trees over 4" caliper, indicating those to be retained.
(d) Proposed lot and tract lines.
CIVIL PLANS (If any site changes are proposed):
17 (a) One set of all civil plans and analyses shall be stamped, signed and dated by a licensed
professional engineer. Include a graphic scale and north arrow. Maximum size 24" x 36 ".
(b) Vertical datum NAVD 1988 and horizontal datum NAD. 83/91. Conversion calculations
to NGVD, 1929, if in a flood zone or flood -prone area.
(c) Existing (dashed) and proposed (solid) topography at 2' intervals.
(d) Total expected cut and fill.
(e) Existing and proposed utility easements and improvements, on site and in street (water,
sewer, power, natural gas, telephone, cable). Schematic designs to be provided regardless of
purveyor (e.g. site line size, location, and size of public main). No capacity calcs, invert depth,
valve locations or the like are needed.
(f) If additional impervious surface is proposed provide a storm drainage design at least
90% complete, which meets, the TIR and KCSWDM. Include all storm drainage maintenance
access and safety features. Call out total existing and proposed impervious surface in square feet.
(g) Locate the nearest existing hydrant and all proposed hydrants.
(h) Show the 100 yr. flood plain boundary and elevation as shown on FEMA maps.
(i) Plan, profile and cross- section for any right -of- way improvements.
(j) Show planned access to lots, driveways, fire access lanes and turn - arounds.
OTHER: .
18. If new construction is proposed provide dimensioned and scalable building elevations with
keyed colors and materials. Show mechanical equipment and /or any proposed screening.
19. If site lighting changes are proposed provide a luminaire plan including location and type of
street and site lighting. Include proposed fixture cut sheets, site light levels (foot - candles), and
measures to shield adjacent properties from glare.
20. All existing and proposed signage with sign designs and locations.
21. Any other drawings or materials needed to explain your proposal.
P: \Red_Book \CUP_APP.DOC, 01/23/03
COMPLETE APPLICATION C}FECKLIST
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
applicarion
:Information Required. May be waived in unusual cases, upon approval of both Works, ,
andPlanning;
..
APPLICATION MATERIALS:
/
1. Application Checklist (1 copy) indicating items submitted with application.
✓
2. Completed Application Form and drawings (5 copies).
/
3. One set of all plans 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 $2,000.
j5. SEPA Environmental Checklist (see SEPA Application Packet).
PUBLIC NOTICE MATERIALS:
6. King County Assessor's map(s) that shows the location of each property within 500 ft. of the
subject lot.
7. Two (2) sets of mailing labels for all property owners and tenants (residents or businesses)
within 500 feet of the subject property. Note: Each unit in multiple - family buildings - -e.g.
apartments, condos, trailer parks- -must be included (see Public Notice Materials section of SEPA
Application packet).
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 of SEPA
Application packet).
PROPERTY INFORMATION:
9. Vicinity Map with site location.
10. If new construction is proposed document sewer and water availability if provided by other
than the City of Tukwila.
PROJECT DESCRIPTION AND ANALYSIS:
sr
11. A written discussion of project consistency with decision criteria. (See Application)
12. If additional impervious surface is proposed submit a Technical Information Report (TIR)
including feasibility analysis per King County Surface Water Design Manual (KCSWDM). For
additional guidance contact Public Works.
13. Provide sensitive area studies as needed per Tukwila's Sensitive Areas Ordinance (TMC
18.45).
\ SITE PLAN:
/
✓
14 (a) The site plan must include a graphic scale, north arrow and project name. Maximum size
24" x 36 ".
(b) Existing and proposed building footprints.
\CUP_APP.DOC, 01/23/03
Check,':items'
sub 11tted< ' .
with
':application:::. .
Information Reed. May be Waived iri.unusual cases, upoiapproval of both Public Works
and'Planning
.
(c) Dash in required setback distances from all parcel lot lines.
(d) Fire access lanes and turn - arounds per Fire Department standards.
•
(e) Parking lots with dimensioned stalls and drive aisles.
(f) Loading and service areas. .
(g) Fences, rockeries and retaining walls.
(h) Pedestrian connections between the building entrance(s) and the sidewalk/public street.
LANDSCAPE PLAN:
15 (a) Landscape planting plan by a Washington State licensed landscape architect. One set of
all plans and analyses shall have an original Washington State registered Landscape Architect
stamp and signature. Plans must include the type, quantity, spacing and location of all plantings.
Maximum size 24" x 36 ".
(b) Show all existing trees to be retained and any tree protection measures required (for
example fencing at drip line).
SENSITIVE AREAS PLAN:
16 (a) Location of all sensitive areas (e.g. streams, wetlands, slopes over 20 %, coal mine areas
and important geological and archaeological sites). For stream frontage provide existing and
proposed top of stream bank, stream bank toe, stream mean high water mark, and base flood
elevation (i.e., 100 yr. flood). Maximum size 24" x 36 "..
(b) Location of all required sensitive area buffers, setbacks tracts and protection measures.
(c) Show all trees over 4" caliper, indicating those to be retained.
(d) Proposed lot and tract lines.
CIVIL PLANS (If any site changes are proposed):
17 (a) One set of all civil plans and analyses shall be stamped, signed and dated by a licensed
professional engineer. Include a graphic scale and north arrow. Maximum size 24" x 36 ".
(b) Vertical datum NAVD 1988 and horizontal datum NAD 83/91. Conversion calculations
to NGVD 1929, if in a flood zone or flood -prone area.
(c) Existing (dashed) and proposed (solid) topography at 2' intervals.
(d) Total expected cut and fill.
(e) Existing and proposed utility easements and improvements, on site and in street (water,
sewer, power, natural gas, telephone, cable). Schematic designs to be provided regardless of •
purveyor (e.g. site line size, location, and size of public main). No capacity calcs, invert depth,
valve locations or the like are needed.
(f) If additional impervious surface is proposed provide a storm drainage design at least
90% complete, which meets, the TIR and KCSWDM. Include all storm drainage maintenance
access and safety features. Call out total existing and proposed impervious surface in square feet.
(g) Locate the nearest existing hydrant and all proposed hydrants.
(h) Show the 100 yr. flood plain boundary and elevation as shown on FEMA maps.
(i) Plan, profile and cross - section for any right -of -way improvements. •
(j) Show planned access to lots, driveways, fire access lanes and turn - arounds.
OTHER:
18. If new construction is proposed provide dimensioned and scalable building elevations with
keyed colors and materials. Show mechanical equipment and /or any proposed screening.
19. If site lighting changes are proposed provide a luminaire plan including location and type of
street and site lighting. Include proposed fixture cut sheets, site light levels (foot - candles), and
measures to shield adjacent properties from glare.
20. All existing and proposed signage with sign designs and locations.
21. Any other drawings or materials needed to explain your proposal.
P: \Red_Book \CUP_APP.DOC, 01/23/03
City of l ukWlla II Screening Checklist
City of Tukwila
Endangered Species Act Screening Checklist
Date: 7 — Z ZUG
RECEIVED
[FEB 0 2 2006
• COMMUNITY
DEVELOPMENT
Applicant Name: 1 p `A/41 -7bA) /(Lw1w//t&
Street Address: Sao( LAkE Mgsvih)1,70A.1 elve`' Sk 30b
City, State, Zip: `Cl2 /C/p Nd L✓A 9 03)
Telephone: ZCY.. 33V
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 1/23/173
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
- 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.
ICS:6)- 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.
6- 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
response.
O Continue to Question 6 -0
YES - Continue to Question 6 -0
Ltty of l ukw SA Screening C hecklzst
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.
Phase circle appropriate response.
Checklist Complete
YES — Checklist Complete
Part B: Please answer each question below for projects that include grading. Review each
question carefully, considering all phases of your project including, but not limited to
construction, normal operation, potential emergency operation, and ongoing and scheduled
maintenance. Continue to the next question as directed for each No or Yes 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.
tiD 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
Catty of l ukwzta SA Screening C:heckltst
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.
- 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.
lE5 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.
C" it 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.
0- 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.
• Lity of 1 W ;SA 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
Litt' of l ukTmla L SA 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)
Purpose of checklist: D j UN /7y
The State Environmental Policy Act (SEPA), chapter 43.21 C RCW, requires all governmentalpr
agencies to consider the environmental impacts of a proposal before making decisions. An environmental
impact statement (EIS) must be prepared for all proposals with probable significant adverse impacts on the
quality of the environment. The purpose of this checklist is to provide information to help you and the agency
identify impacts from your proposal (and to reduce or avoid impacts from the proposal, if it can be done) and
to help the agency decide whether an EIS is required.
Instructions for applicants:
This environmental checklist asks you to describe some basic information about your proposal.
Governmental agencies use this checklist to determine whether the environmental impacts of your proposal
are significant, requiring preparation of an EIS. Answer the questions briefly, with the most precise
information known, or give the best description you can.
You must answer each question accurately and carefully, to the best of your knowledge. In most
cases, you should be able to answer the questions from your own observations or project plans without the
need to hire experts. If you really do not know the answer, or if a question does not apply to your proposal,
write "do not know" or "does not apply." Complete answers to the questions now may avoid unnecessary
delays later.
Some questions ask about governmental regulations, such as zoning, shoreline, and landmark
designations. Answer these questions if you can. If you have problems, the governmental agencies can
assist you.
The checklist questions apply to all parts of your proposal, even if you plan to do them over a period
of time or on different parcels of land. Attach any additional information that will help describe your proposal
or its environmental effects. The agency to which you submit this checklist may ask. you to explain your
answers or provide additional information reasonably related to determining if there may be significant
adverse impact.
Use of checklist for nonproject proposals:
Complete this checklist for nonproject proposals, even though questions may be answered "does not
apply." IN ADDITION, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D).
For nonproject actions, the references in the checklist to the words "project," "applicant," and
"property or site" should be read as "proposal," "proposer," and "affected geographic area," respectively.
• RECE /V
FD
ENVIRONMENTAL CHECKLIST FEB 02 2006
A. BACKGROUND
1. Name of proposed project, if applicable:
Clearwire WA- SEA119 -B
2. Name of applicant:
Clearwire, LLC
3. Address and phone number of applicant and contact person:
Todd Walton
5808 Lake Washington Blvd., Suite 300
Kirkland, WA 98033
(206)334 -4116
4. Date checklist prepared:
2/1/06
5. Agency requesting checklist:
• •
City of Tukwila
6. Proposed timing or schedule (including phasing, if applicable):
Construction to begin as soon as practicable following permitting.
7. Do you have any plans for future additions, expansion, or further activity related to or connected with this
proposal? If yes, explain.
No
8. List any environmental information you know about that has been prepared, or will be prepared, directly
related to this proposal.
None known
9. Do you know whether applications are pending for govemmental approvals of other proposals directly
affecting the property covered by your proposal? If yes, explain.
None known.
10. List any government approvals or permits that will be needed for your proposal, if known.
Conditional Use Permit, Building permit.
11. 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. (Lead agencies may modify this form to
include additional specific information on project description.)
Clearwire proposes to construct an unmanned wireless facility for the purpose of providing broadband
intemet service. Clearwire proposes to build a new 60' tower, and place small equipment cabinets near the
base of the structure.
12. 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, and section, township, and range, if known. 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.
In City of Tukwila Right of Way adjacent to 15000 57th Ave. S.
Page 2 of 11
2
• •
B. ENVIRONMENTAL ELEMENTS
1. EARTH
a. General description of the site (circle one); flat, rolling, hilly, steep slopes, mountainous,
other
b. What is the steepest slope on the site (approximate percent slope ?)
Less than 5% in construction area, considerable steeper north and south in the ROW.
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.
Unknown.
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so,
describe.
None known.
e. Describe the purpose, type, and approximate quantities of any filling or grading proposed.
Indicate source of fill.
Minimal disturbance will occur during the short construction phase related to potential
trenching of utilities and placement of an approximate 3'x 3' support cabinet.
f. Could erosion occur as a result of clearing, construction, or use? If so, generally
describe.
g.
No erosion is expected as a result of this project.
About what percent of the site will be covered with impervious surfaces after project
construction (for example, asphalt or buildings)?
Less than 1%.
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any:
None are necessary.
Page 3 of 11
3
• •
2. AIR
a. What types of emissions to the air would result from the proposal (Le., dust, automobile,
odors, industrial wood smoke) during construction and when the project is completed? If
any, generally describe and give approximate quantities if known.
No emissions are anticipated as a result of this project.
b. Are there any off -site sources of emission or odor that may affect your proposal? If so,
generally describe.
No off -site emission sources will affect the proposal.
c. Proposed measures to reduce or control emissions or other impacts to air, if any:
None are necessary.
3. WATER
a. Surface Water:
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.
No surface water bodies known to be located in the vicinity of the project.
2) Will the project require any work over, in, or adjacent to (within 200 feet) the described
waters? If yes, please describe and attach available plans.
No work anticipated to occur within 200' of water bodies.
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.
N/A
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 flood plain? If so, note location on the site plan.
No
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
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b. Ground Water:
1) Will ground water be withdrawn, or will water be discharged to ground water? Give
general description, purpose, and approximate quantities if known.
No
2) Describe waste material 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.
N/A - no waste water associated with the project.
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 into other waters, If so, describe.
N/A
2) Could waste material enter ground or surface waters? If so, generally describe.
N/A
d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if
any:
No measures needed.
4. PLANTS
a. Check or circle types of vegetation found on the site:
_xxx_deciduous tree: alder, maple, aspen, other
_xxx_evergreen tree: fir, cedar, pine, other
xx shrubs
xx grass
pasture
crop or grain
wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other
water plants: water lily, eel grass, milfoil, other
other types of vegetation
b. What kind and amount of vegetation will be removed or altered?
None
c. List threatened or endangered species known to be on or near the site.
None known.
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d. Proposed landscaping, use of native plants, or other measures to preserve or enhance
vegetation on the site, if any:
none proposed
5. ANIMALS
a. Circle any birds and animals which have been observed on or near the site or are known
to be on or near the site:
Birds: hawk, heron, eagle, songbirds, other
Mammals: deer, bear, elk, beaver, other
Fish: bass, salmon, trout, herring, shellfish, other
b. List any threatened or endangered species known to be on or near the site.
None known.
c. Is the site part of a migration route? If so, explain
Unknown
d. Proposed measures to preserve or enhance wildlife, if any:
N/A — none needed.
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.
The project will require approximately 40A electrical service to the cabinets.
b. Would your project affect the potential use of solar energy by adjacent properties? If so,
generally describe.
No.
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:
N/A
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.
None.
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2) Proposed measures to reduce or control environmental health hazards, if any:
None are necessary.
b. Noise
1) What types of noise exist in the area which may affect your project (for example: traffic,
equipment, operation, other)?
None.
2) What types and levels of noise would be created by or associated with the project on a
short -term or a long -term basis (for example: traffic, construction, operation, other)?
Indicate what hours noise would come from the site.
Minor noise associated with short construction phase.
3) Proposed measures to reduce or control noise impacts, if any:
None are necessary.
8. LAND AND SHORELINE USE
a. What is the current use of the site and adjacent properties?
City Right of Way with an adjacent water reservoir and single family residences:
b. Has the site been used for agriculture? If so, describe.
Unknown.
c. Describe any structures on the site.
Utility poles in Right of Way.
d. Will any structures be demolished? If so, what?
None.
e. What is the current zoning classification of the site?
ROW, adjacent to SFR.
f. What is the current comprehensive plan designation of the site?
ROW.
g. If applicable, what is the current shoreline master program designation of the site?
N/A
h. Has any part of the site been classified as an "environmentally sensitive" area? If so,
specify.
Unknown.
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Approximately how many people would reside or work in the completed project?
None.
j. Approximately how many people would the completed project displace?
None.
k. Proposed measures to avoid or reduce displacement impacts, if any:
None are necessary.
Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any:
The proposal for the 'tower includes camouflaging and painting the facility to match the
surrounding trees.
9. HOUSING
a. Approximately how many units would be provided, if any? Indicate whether high, middle,
or low- income housing.
N/A
b. Approximately how many units, if any, would be eliminated? Indicate whether high,
middle, or low- income housing.
N/A
c. Proposed measures to reduce or control housing impacts, if any:
None are necessary.
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.
Antennas proposed to be mounted inside a 60' tower.
b. What views in the immediate vicinity would be altered or obstructed?
None.
c. Proposed measures to reduce or control aesthetic impacts, if any:
None are necessary.
11. LIGHT AND GLARE
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a. What type of Tight or glare will the proposal produce? What time of day would it mainly
occur?
None.
b. Could light or glare from the finished project be a safety hazard or interfere with views?
No.
c. What existing off -site sources of light or glare may affect your proposal?
N /A.
d. Proposed measures to reduce or control light and glare impacts, if any:
N/A
12. RECREATION
a. What designated and informal recreational opportunities are in the immediate vicinity?
None known.
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:
N/A
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.
None known.
0
b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or
cultural importance known to be on or next to the site.
N/A
c. Proposed measures to reduce or control impacts, if any:
N/A
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.
The site is accessed from 57th Ave. S.
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b. Is site currently served by public transit? If not, what is the approximate distance to the
nearest transit stop?
N/A — site will not require public access.
c. How many parking spaces would the completed project have? How many would the
project eliminate?
The project will not eliminate any parking stalls and will not require a permanent parking
stall.
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?
No.
e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation?
If so, generally describe.
No
f. How many vehicular trips per day would be generated by the completed project? If
known, indicate when peak volumes would occur.
The site will require approximately one visit per month by a technician, for site
maintenance purposes.
g. Proposed measures to reduce or control transportation impacts, if any:
None are necessary.
15. PUBLIC SERVICES
a. Would the project result in an increased need for public services (for example: fire
protection, police protection, health care, schools, other)? If so, generally describe.
No
b. Proposed measures to reduce or control direct impacts on public services, if any.
None are necessary.
16. UTILITIES
a. Circle utilities currently available at the site: electricity, natural gas, water, refuse service,
telephone, sanitary sewer, septic system, other.
Electricity and telephone are available at the site.
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.
The site will require power and telephone service.
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C. SIGNATURE
1, the undersigned, state that to the best of my knowledge the above information is true and
complete. It is understood that the lead agency may withdraw any declaration of non - significance
that it might issue in reliance upon this checklist should there be any willful misrepresentation or
willful lack of full disclosure on my part.
Proponent:
Name Printed:
Date:
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lea kiAgt -r6A1
001.
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