HomeMy WebLinkAboutSEPA E06-005 - JOHNSON VERDAYNE - 2 LOT SHORT PLATEO6 -005
JOHNSON SHORT
PLAT
11868 44TH PL SO.
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
NOTICE OF DECISION
To: Verdayne Johnson, Owner
State Department of Ecology, SEPA Division
PROJECT: Johnson Short plat
FILE NUMBERS: E06 -005
ASSOCIATED FILES: D05 -366; L06 -020
APPLICANT: Verdayne Johnson
REQUEST: Grade and fill a parcel for a total of 1, 470 CY to prepare for a
2 lot short plat.
LOCATION: 11868 44t Place S, Tukwila Washington
This notice is to confirm the decision reached by Tukwila's SEPA Official to issue a
Determination of Non - significance (DNS) for the above project based on the
environmental checklist and the underlying permit application.
Project materials including the application, any staff reports, and other studies related to
the permits are available for inspection at:
Tukwila Department of Community Development
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Monday through Friday 8:30 a.m. - 5:00 p.m.
The project planner is Kathryn Devlin, who may be contacted at (206) 431 -3670 for
further information.
The decision is appealable to the Superior Court pursuant to the Judicial Review of Land
Use Decisions, Revised Code of Washington (RCW 36.70C).
KD
Page 1 of 1 05/03/2006 12:19:00 PM
6300 Southceiioer , ouleva'r I," §)tte #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
•
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
FINAL STAFF EVALUATION
FOR ENVIRONMENTAL CHECKLIST
Johnson Short Plat
File No: E06 -005
I. SUMMARY OF PROPOSED ACTION
The current proposal is to short plat one13, 685 square foot parcel into two residential lots.
Access to the lots will be from a 15 foot wide easement with 12 foot wide paved driveway.
Two and one -half feet of imported fill will be placed generally over the entire site. The total
cut and fill (including an estimated 6 inches of topsoil removal) is 1,470 CY.
II. GENERAL INFORMATION
Project Name: Johnson Short Plat
Applicant: Verdayne Johnson
Location: 11868 44th Place S
Zoning: LDR
Comprehensive
Plan Designation: LDR
III. REVIEW PROCESS
The proposed action is subject to State Environmental Policy Act (SEPA) review as the
project does not meet the exemptions listed under WAC 197 -11 -800.
IV. BACKGROUND /PROPOSAL
The proposal is to short plat one 13,685 square foot parcel into two residential lots. The first
house access will be from a 15 foot wide easement with 12 foot wide paved driveway. The
second house will front 44th Place S.
6300 Southcenter Boulevard, Suite. #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665
• •
Two and one -half feet of imported fill will be placed generally over the entire site. The total
cut and fill (including an estimated 6 inches of topsoil removal) is 1,470 CY. The storm
drainage system will collect flows from the roof and paved areas and run to the street
drainage system. The soils and site are not suitable for on -site infiltration.
V. REVIEW OF THE ENVIRONMENTAL CHECKLIST
The following lists the elements contained within the Environmental Checklist submitted for
the proposed project. The numbers in the staff evaluation correspond to the numbers in the
Environmental Checklist. If staff concurs with the applicant's response, this is so stated. If
the response to a particular item in the checklist is found to be inadequate or clarification is
needed, there is additional staff comment and evaluation.
A. BACKGROUND:
1 -4 Concur with checklist.
5 Construction of the first residence (D05 -366) will follow issuance of DNS.
6 The construction for second residence will follow issuance of short plat approval and
after obtaining all required permits from the City of Tukwila or other agencies.
7 This site is in a flood -prone area designated by the City per Policy 99 -01 according to
CFR 44.59 and CFR 44.60.
8 -9 Concur with checklist.
10 The fill at the east side of the property will most likely be 3' and 2' at the west side.
11 -12 • Concur with checklist.
B. ENVIRONMENTAL ELEMENTS:
1. Earth:
a -b Concur with checklist.
c A soil classification of "muck" under any recognized soil classification
system is not defined in any standard references. This term is undefined in any
standard references.
d -h Concur with checklist
• •
2. Air:
a -c Concur with checklist.
3. Water:
a(1) -a(6) Concur with checklist.
b(1) and (2) Concur with checklist.
c (1) and (2) Concur with checklist.
d Concur with checklist.
4. Plants:
a -d Concur with checklist.
5. Animals:
a -d Concur with checklist.
6. Energy and Natural Resources:
a -c Concur with checklist.
7. Environmental Health:
a -b Concur with checklist.
b(1)- (2) Concur with checklist.
8. Land and Shoreline Use:
a -d Concur with checklist.
e The current zoning classification is LDR
f The Comprehensive Plan designation of the site is LDR
g -1 Concur with checklist.
9. Housing:
a -c Concur with checklist.
10. Aesthetics:
a -c Concur with checklist.
11. Light and Glare:
• •
a -d Concur with checklist.
12. Recreation:
a -c Concur with checklist.
13. Historic and Cultural Preservation:
a -c Concur with checklist.
14. Transportation:
a -g Concur with checklist.
15. Public Services:
a -b Concur with checklist.
16. Utilities:
a -b Concur with checklist.
V. COMMENTS
No comments were received.
VI. CONCLUSION
The proposal can be found to not have a probable significant adverse impact on the
environment and pursuant to WAC 197 -11 -340, a Determination ofNonsignificance (DNS)
is issued for this project
This DNS is based on impacts identified within the environmental checklist, attachments,
and the above "Final Staff Evaluation for Application No. E05- 005 ", and is supported by
plans, policies, and regulations formally adopted by city of Tukwila for the exercise of
substantive authority under SEPA to approve, condition, or deny proposed actions.
Prepared by: Kathryn Devlin, Assistant Planner
Date: May 3, 2006
•
City of Tukwila
•
Department of Community Development / 6300 Southcenter BI, Suite 100 / Tukwila, WA 98188 / (206)431 -3670
DETERMINATION OF NON - SIGNIFICANCE (DNS)
File Number: E06 -005
Applied: 03/07/2006
Issue Date: 05/03/2006
Status: APPROVED
Applicant: -VERDAYNEJOHNSON
Lead Agency: City of Tukwila
Description of Proposal:
SEPA triggered by earth work: 1470 CY: (Cut 245 CY, Fill 1225 CY)
Location of Proposal:
Address:
Parcel Number:
Section/Townsh ip/Range:
11868 44 PL S TUKW
3347400785
The City has determined that the proposal does not have a probable significant adverse impact on the environment. An environmental
impact statement (EIS) is not required under RCW 43.21c.030(2) (c). This decision was made after review of a completed
environmental checklist and other information on file with the lead agency. This information is available to the public on request.
This DNS is issued under WAC 197 -11- 340(2). Comments must be submitted by fin() .
The lead agency will not act on this proposal for 14 days from the date below.
\trct LA
Steve Lancaster, Responsible Official Date
i
City of Tukwila
6300 Southcenter Blvd
Tukwila, WA 98188
(206)431 -3670
Any appeal shall be linked to a specific governmental action. The State Environmental Policy Act is not intended to create a cause of
action unrelated to a specific governmental action. Appeals of environmental determinations shall be commenced within the time
period to appeal the governmental action that is subject to environmental review. (RCW 43.21C.075)
doc: DNS
E06 -005 Printed: 05 -03 -2006
Dept. Of Community Development
City of Tukwila
AFFIDAVIT OF DISTRIBUTION
I ,
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HEREBY DECLARE THAT:
Notice of Public Hearing
Determination of Non - Significance
Project Number: Ep to —005--
Notice of Public Meeting.
Y\) .
Mitigated Determination of Non-
Significance
Board of Adjustment Agenda Pkt
Determination of Significance & Scoping
Notice
Board of Appeals Agenda Pkt
Notice of Action
Planning Commission Agenda Pkt
Official Notice
Short Subdivision Agenda
Notice of Application
Shoreline Mgmt Permit
Notice of Application for Shoreline Mgmt
Permit
__
FAX To Seattle Times
Classifieds
Mail: Gail Muller Classifieds
P Box 7 -
0 0 Seattle WA 98111
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Other
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Project Name: ('11v(lS19f Uteb4- alt-
Project Number: Ep to —005--
Mailer's Signature:
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Person requesting mailing: jcJtv'tj 7,)2A)01
P:GINAWYNETTA/FORMS /AFFIDAVIT -MAIL 08/29/003:31 PM
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BURLINGTON NORTHRN SANTA FE
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PO Box 96189
Fort Worth, TX 76161
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Forth Worth, TX 76102
RIVERSTONE HOMES INC
3531628th Ave S
Federal Way, WA 98003
TRAN THUOC QUOC
11808 44TH PL S.
TUKWILA, WA 98178
JEFFREY J +LEANNA M ALBRECHT
11818 44TH PL S.
TUKWILA, WA 98178
REYNALDO B +MYRNA V RIVERA
11826 44TH PL S.
TUKWILA, WA 98178
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GEM CONSTRUCTION INC
21501 Connels Prairie RD E.
Buckley, WA 98321
www.avery.com
1-80040-AVERY
VERDAYNE JOHNSON
11840 44TH PL S.
TUKWILA, WA 98178
JALON JOHNSON
11844 44TH PL S
TUKWILA, WA 98178
EZRA BLANCHE
11850 44TH PL S.
TUKWILA, WA 98178
.HARBHAJAN SINGH
• 11856 44TH PL S.
. TUKWILA, WA 98178
REMEDIOS CABEZAS
11862 44TH PL S.
TUKWILA, WA 98178
VER YNE JQHNS N AMY OWENS
LARRY E QUICKSALL
11870 44TH PL S.
TUKWILA, WA 98178
UNION TANK WORKS INC
PO BOX 53186
Bellevue, WA 98015
PCM PROPERTIES L L C
916 Woodmont Dr. S.
Des Moines, WA 98198
PCM PROPERTIES L L C
12014 44TH PL S.
TUKWILA, WA 98178
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Seattle, WA 98112
RICHARD KANANI PRIMACIO
12034 44TH PL S.
TUKWILA, WA 98178
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NORMAN M VAN VOORHEES
11814 44TH AVE S.
TUKWILA, WA 98178
JADANNE L ENYEART
11818 44TH AVE S.
TUKWILA, WA 98178
RATHIDA PHIMVIENGKHAM
11829 44TH PL S.
TUKWILA, WA 98178
KENNETH S HASLING
11826 44TH AVE S.
TUKWILA, WA 98178
KATHLEEN L DOOLIN
11828 44TH AVE S.
TUKWILA, WA 98178
CHARLES DOUVIA III
11836 44TH AVE S.
TUKWILA, WA 98178
SANDY GREEN
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11962 44TH AVE S.
TUKWILA, WA 98178
PAUL E +MONIKA D FORHAN
12012 44TH AVE S.
TUKWILA, WA 98178
PAUL E FORHAN
12010 44TH AVE S.
TUKWILA, WA 98178
MARJORIE E BATES
12014 44TH AVE S.
TUKWILA, WA 98178
JOHN E WICKSTROM
12022 44TH AVE S.
TUKWILA, WA 98178
DUANE M CASE
12028 44TH AVE S.
TUKWILA, WA 98178
EDWIN R +AURORA L ENRICO
PARAGUYA.
12041 46TH AVE S.
TUKWILA, WA 98178
THAI HOA NGOC +LOAN T NGUYEN
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TUKWILA, WA 98178
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12039 46TH AVE S.
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12035 46TH AVE S.
TUKWILA, WA 98178
ERIC G ELFNER
12027 46TH AVE S.
TUKWILA, WA 98178
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TUKWILA, WA 98178
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TUKWILA, WA 98178
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12011 46TH AVE S.
TUKWILA, WA 98178
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MICHAEL FEUERBORN 56588
12005 46TH AVE S.
TUKWILA, WA 98178
SHELLY M ESTRADA
11857 44TH PL S.
TUKWILA, WA 98178
JOHN H BRUNS
11851 44TH PL S.
TUKWILA, WA 98178
JOSHUA WHEATMAN
11806 44TH AVE S.
TUKWILA, WA 98178
MALARA PROPERTIES LLC
12065 44TH PL S.
TUKWILA, WA 98178
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12007 46TH AVE S.
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3.35E +09 - NORTHERN PACIFIC RR CO
3.35E +09 RIVERSTONE HOMES INC
3.35E +09 11808 44T 98178 TRAN THUOC QUOC
3.35E +09 11818 44T 98178 ALBRECHT JEFFREY J +LEANNA M
3.35E +09 11826 44T 8178 RIVERA REYNALDO B +MYRNA V +J
3.35E +09 P RY CO -c-- cy. OCArCe
3.35E +09 GEM CONSTRUCTION INC
3.35E +09 11840 44T 98178 JOHNSON VERDAYNE
3.35E +09 11844 44T 98178 JOHNSON JALON &HIGHTOWER TAN
3.35E +09 11850 44T 98178 BLANCHE EZRA
3.35E +09 11856 44T 98178 SINGH HARBHAJAN
3.35E +09 11862 44T 98178 CABEZAS REMEDIOS
3.35E +09 MP. - 41-11..s -Ph i fe
3.35E +09 11870 44T 98178 QUICKSALL LARRY E
3.35E +09 UNION TANK WORKS INC
3.35E +09 PCM PROPERTIES L L C
3.35E +09 12014 44T 98178 PCM PROPERTIES L L C
3.35E +09 MEYERS PATTI
3.35E +09 12034 44T 98178 PRIMACIO RICHARD KANANI
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3.35E +09 11814 44T 98178 VAN VOORHEES NORMAN M
3.35E +09 11818 44T 98178 ENYEART JADANNE L
3.35E +09 11829 44T 98178 PHIMVIENGKHAM RATHIDA
3.35E +09 11826 44T 98178 HASLING KENNETH S
3.35E +09 11828 44T 98178 DOOLIN KATHLEEN L
3.35E +09 11836 44T 98178 DOUVIA CHARLES III
3.35E +09 11846 44T 98178 GREEN SANDY
3.35E +09 11854 44T 98178 BOWEN ALLISON F
3.35E +09 11962 44T 98178 IBANEZ RONELO T +ANNETTEE D
3.35E +09 12012 44T 98178 FORHAN PAUL E +MONIKA D
3.35E +09 12010 44T 98178 FORHAN PAUL E
3.35E +09 12014 44T 98178 BATES MARJORIE E
3.35E +09 12022 44T 98178 WICKSTROM JOHN E
3.35E +09 12028 44T 98178 CASE DUANE M
3.35E +09 12041 46T 98178 PARAGUYA EDWIN R +AURORA L ENRICO
3.35E +09 12049 46T 98178 THAI HOA NGOC +LOAN T NGUYEN
3.35E +09 12039 46T 98178 THAI KHIEM NGOC +TRAN MY THI
3.35E +09 12035 46T 98178 MKRTUMYAN KAREN V +ELINA A
3.35E +09 12027 46T 98178 ELFNER ERIC G
3.35E +09 12031 46T 98178 THAI LOI NGOC +CO THI HA
3.35E +09 12023 46T 98178 NGUYEN TRIET MINH +TRANG THI MY DANG
3.35E +09 12019 46T 98178 HARRISON -BROWN SANDRA
3.35E +09 12011 46T 98178 FEUERBORN MICHAEL 56583
3.35E +09 12015 46T 98178 LE BRYAN HO DINH +KIM CHAU THI PHAM
3.35E +09 12009 46T 98178 ORMENI SHPETIM +LAVDIE
3.35E +09 12007 46T 98178 NGUYEN HUNG T +TRAN N
3.35E +09 12001 46T 98178 NGUYEN TRIET MINH +DANG TRAN
3.35E +09 12003 46T 98178 BABB WALTER 56589
3.35E +09 12005 46T 98178 FEUERBORN MICHAEL 56588
3.35E +09 11857 44T 98178 ESTRADA SHELLY M
3.35E +09 11851 44T
3.35E +09
3.35E +09 11806 44T
3.35E +09 12065 44T
•
98178 BRUNS JOHN H
DOVE JON B
98178 WHEATMAN JOSHUA
98178 MALARA PROPERTIES LLC
Dept. Of Community Development
City of Tukwila
AFFIDAVIT OF DISTRIBUTI
I.gcik_ HEREBY DECLARE THAT:
Notice of Public Hearing
Determination of Non i
Notice of Public Meeting
Board of Adjustment Agenda Pkt
Board of Appeals Agenda Pkt
Planning Commission Agenda Pkt
Short Subdivision Agenda
Shoreline Mgmt Permit
FAX To Seattle Times
Classifieds
Mail: Gail Muller Classifieds
PO Box 70 - Seattle WA 98111
nificance.
Mitigated Determinationo:
Significance
Determination: o
Notice
Notice of Action'
Official Notice,
Notice of Application=
Notice of Application-
Permit
Other
Was mailed to each of the addresses listed on this
year 201V(Q `- -
horel'ne Mgmt
Project Name: LO c c -O
Project Number: 414//. A 0,71 S y f ?1-T.
Mailer's Signature: j2) 8-'tiUC:/L
Person requesting mailing: ,ked-
P: GINA WYNETTA/FORMS /AFFIDAVIT -MAIL
08/29/003:31 PM
CITY OF TUKWILA
NOTICE OF APPLICATION
PROJECT INFORMATION
Verdayne Johnson has filed applications for development of a 2 -Lot short plat to be
located at 11868 44th Place S. Earth work will include 245 CY cut and 1,225 CY fill; Total
1,470 CY.
Permits applied for include: L06 -020 Short Plat; E06 -005 SEPA; D05 -366; Building
An environmental checklist has been submitted with the studies identified above.
FILES AVAILABLE FOR PUBLIC REVIEW
The project files are available at the City of Tukwila. To view the files, you may request
them at the counter at the Department of Community Development (DCD), located at
6300 Southcenter Boulevard #100.
OPPORTUNITY FOR PUBLIC COMMENT
Your written comments on the project are requested. They must be delivered to DCD at
the address above or postmarked no later than 5:00 P.M., April 10, 2006.
APPEALS
You may request a copy of any decision, information on hearings, and your appeal rights
by calling DCD at (206) 431 -3670.
For further information on this proposal, contact Kathryn Devlin at (206) 431 -3670 or
visit our offices at 6300 Southcenter Boulevard, Suite #100, Monday through Friday, 8:30
a.m. to 5:00 p.m.
Application Filed: March 7, 2006
Notice of Completeness Issued: March 14, 2006
Notice of Application Issued: March 21, 2006
•
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CHOIST: ENVIRONMENTAL REVIEW /SHORELINE PIT 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.
() ()APT OF ECOLOGY. SHORELAND DIV
(vrbEPT 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
() 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 SEVVERNVATER DISTRICT
() RENTON PLANNING DEPT
O CITY OFSEATAC
( ) 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
() SYV K C CHAMBER OF COMMERCE
UC LESHOOT INDIAN TRIBE
ULTURAL RESOURCES PROGRAM
(1SHERIES PROGRAM
(1^' ILDLIFE PROGRAM
MEDIA
( ) SEATTLE TIMES
( ) SOUTH COUNTY JOURNAL
P: \AD MINI STRATI V E\FORMS \C HKLIST. DOC
() DUWAMISH INDIAN TRIBE
() P.S. AIR POLLUTION CLEAN AGENCY
( ) SOUND TRANSIT
() DUWAMISH RIVER CLEAN -UP COALITION
*SEND NOTICE OF ALL APPLICATIONS ON DUWAMISH RIVER
() HIGHLINE TIMES
( ) CI.TUKWILA.WA.US.VWWV
PUBLIC NOTICE MAILINGS FOR PE •TS
SEPA MAILINGS
Mail to: (comment period starts on date of mailing)
Dept. of Ecology Environmental Review Section
*Applicant
*Other agencies as necessary (checked off on attached list)
*Any parties of record
* send only the staff report, site plan and the SEPA Determination
KC Transit Division - SEPA Official would like to receive information about all projects that might affect transit demand
Send These Documents to DOE:'
SEPA Determination (3 -part from Sierra)
Findings (staff report, usu. with MDNS)
SEPA Checklist (filled out by applicant)
Drawings/Plans of project (site plan, elevations, etc. from PMT's)
Affidavit of Distribution (notice was mailed or sent to newspaper)
SHORELINE MAILINGS:
Notice of Application for a Substantial Development Permit must be mailed to owners and to property owners within 500
feet of subject property, comments are due 30 days after the notice of application is mailed/posted. The notice of
Application for Shoreline Substantial Development Permit must include a statement that any person desiring to submit
written comments on the application or desiring to receive notification of the final decision on the application may do so
within 30 days of the notice of application. If a hearing will be held on the application, the hearing notice must include the
information that written comments may be submitted, or oral presentation made at the hearing.
Shoreline Permit Notice of Decision:
Mail to: (within 8 days of decision; 21 -day appeal period begins date received by DOE)
Department of Ecology Shorelands Section
State Attorney General
*Applicant
*Indian Tribes
*Other agencies as necessary (checked off on attached list).
*Any parties of record
* send only the staff report, site plan and the SEPA Determination
Send These Documents to DOE and Attorney General:
Permit Data Sheet
Shoreline Substantial Development Permit (3 -part from Sierra)
Findings (staff report or memo)
Shoreline Permit Application Form (filled out by applicant)
Drawings/Plans of project (site plan, elevations, etc. from PMT's)
Site plan, with mean high water mark & improvements
Cross- sections of site with structures & shoreline
- Grading Plan
- Vicinity map
SEPA determination (3 -part from Sierra)
Findings (staff report or memo)
SEPA Checklist (filled out by applicant)
Any background studies related to impacts on shoreline
Notice of Application
Affidavit of Distribution (notice was mailed)
P:\ADMINISTRATIVE \FORMS \CHKLIST. DOC
• •
Bruce S. MacVeigh, P.E.
Civil Engineer /Small Site Geotechnical
14245 59th Ave. S., Tukwila, WA 98168
Office: (206) 242 -7665 Fax: Same
March 6, 2006
City of Tukwila
DCD, Attn: Jennifer Marshall
Tukwila, WA 98188
RECEIVED
MAR 0
COMMUNITY
DEVELOPMENT
Subject: Verdayne Johnson Residential Permit, Permit #D05 -366, 11868 44th Place S.,
Tukwila, WA 98178
Dear Ms. Marshall:
Request an administrative extension for 180 days for the above permit application. Per
your letter dated March 3, 2006 the above permit expires April 3, 2006. The permit has
taken longer than expected in that Public Works has required the future short plat for the
site to be applied for and have preliminary approval as part of this residential permit.
This includes plans for formal frontage improvements and drainage plans for the future
fully developed site. While not anticipated, it is possible that the 180 days requested may
be required due to the above complications.
The short plat is being applied for concurrently with this letter to you.
Thank you for your assistance.
ruce .'Ma eigh, P.E.
Civil Engineer johnsonv06 /0578
CITY OF TUKWILA
SEPA
Department of Community Developme ENVIRONMENTAL
6300 Southcenter. Boulevard, Tukwila,. WA 9818 E C E I VE D r
Telephone: `(206) 431 -3670 FAX (206) 431 -3665 R 11'1 V E�
E- mail: tukplan(7a,ci.tukwila
wa.us MAR 07 2006
COMMUNITY
DEVELOPMENT
APPLICATION
NAME OF PROJECT/DEVELOPMENT:
7y—few 2 —L 0 T 52/ fz 7 %L.9 7—
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.
7'`' Pte. S /p,'i: 334 ?4 O —07,95—
207. /2 ,►— // 27-Aa, - s701?' /?'2,t7 /3i ea, D,////z,-,,,vi-//3-
.i5)/1,D ,F"-/ S /4Mdt/ 7%-/.44" Lil y o7� S�ia 7'z E VOL / Z /2 (4 /4/, Act, 's
Quarter: //t Section: /0 Township: 23 N Range: 4 £) 14/, / 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, an
• is the primary contact with the City, to whom all notices and reports will be sent.
Name: LA? DgY.�F
Address: / /8�d 110 /2/-
Phone: 1246) 95-1- ' /c95 FAX:
1/,'4 9E9/ 78
E -mail:
Signature:
G: \APPHAMLANDUSE.APPISEPAAPP.DOC, 09/11/03
Date: 3/7/0
FOR STAFF USE ONLY SIERRA TYPE P-SEPA
Planner:
File Number: &D,6, ,
Doc—
Application Complete
(Date:
. )
Project File Number:
Application Incomplete
(Date:
)
Other File Numbers:
NAME OF PROJECT/DEVELOPMENT:
7y—few 2 —L 0 T 52/ fz 7 %L.9 7—
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.
7'`' Pte. S /p,'i: 334 ?4 O —07,95—
207. /2 ,►— // 27-Aa, - s701?' /?'2,t7 /3i ea, D,////z,-,,,vi-//3-
.i5)/1,D ,F"-/ S /4Mdt/ 7%-/.44" Lil y o7� S�ia 7'z E VOL / Z /2 (4 /4/, Act, 's
Quarter: //t Section: /0 Township: 23 N Range: 4 £) 14/, / 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, an
• is the primary contact with the City, to whom all notices and reports will be sent.
Name: LA? DgY.�F
Address: / /8�d 110 /2/-
Phone: 1246) 95-1- ' /c95 FAX:
1/,'4 9E9/ 78
E -mail:
Signature:
G: \APPHAMLANDUSE.APPISEPAAPP.DOC, 09/11/03
Date: 3/7/0
CITY OF TUKWVILA
Department ofCommunity Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206)431 -3670 FAX (206) 431 -3665
E- mail :,;tukalan@ci.tukwi la.wa.us
•
AFFIDAVIT OF OWNERSHIP AND HOLD HARMLESS
PERMISSION TO ENTER PROPERTY
STATE OF WASHINGTON
as
C OUNTY OF.IUNG
Y6e undersigned being duly sworn an"d upon oath states as follows:
RECEIVED
MAR 0 ' 2116
Culrur u i Y
DEVELOPMENT
1. I am the current owner of the property which is the subject of this application.
2. All statements contained in the applications have been prepared by me or my agents and are true and correct to the best of my
knowledge.
3.. The application is being submitted with my knowledge and consent.
4. Owner grants the City, its agents engineers, contractors or other representatives the right to enter upon Owner's real
property, located at / /Z7(o� 9g7"J ,1- _C) -
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 Toss or damage to persons or property occurring on the private property during the
City's entry upon the property, unless the loss or damage is the result of the sole negligence of the City.
6. The City shall, at its discretion , cancel the application without refund of fees; if the applicant does not respond to specific requests
for items on the "Complete Application Checklist" within ninety (90) days.
7. Non - responsiveness to a City information request for ninety (90) or more days; shall be cause to cancel the application(s) without
refund of fees.
EXECUTED at K-� IL- A A
. (city), i E
h state), on ' P� ee4-4 P-1 n,3 , 4.1).a,6
i.�
(Rrtnt au)) Li
44411
L ' , (lam
cress) iv /
SU.
2o14,--(15-1-1 -11 kS
On this day personally appeared before me \E R Dd■•I 1,1 (=l- J 46 i 6 -0.1,3 to me known to be the individual who executed
the foregoing instrument and acknowledged that he /she signed the same t er voluntary act and deed for the uses and purposes
mentioned therein.
SUBSCRIBED AND SWORN TO BEFORE•ME ON THIS 3 DAY OF iC t' - -6st-Y , 20 D b
1
.q t / NOTARY PUBLIC in and for the State of Washington
,dam` $$IOIj/''4 // residing at 1■4 lC W l t b , . t) d�
•
40 D��v��:.0'*,'j My Commission expires on 04- G &' C�
alt, .. "b
.11
city of l ukzvfl ' SA Screening Checklist.:
City: of Tukwila
Endangered Species Act Screening Checklist
RECEW F .
MAR 0
COMMUNI 1 Y
DEVELOPMENT
Applicant Name: v , ? 2V' E 4.-727f3/4vSaM
Street Address: Z7.6;'510 �� pL;
City, State, Zip: 7-2 //z 4 � kvAl 70/ 78
Telephone: (2e' ‘.) ?5-4 - B/f 5-`
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
3
ii
Part A: Please review and answer each question carefully. Consider all phases of your project
:,. including, but not limited to, construction, normal operation, potential emergency operation, and
ongoing and scheduled maintenance. Continue to the next question as directed for each No or Yes
answer.
1-0
Will the project require any form of grading? Grading is defined as any excavating, filling,
clearing, or creation;iif 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 . .
YE - Continue to Question 1 -1 (Page 3)
2 -0
Will the project require any form of clearing? Clearing means the removal or causing to be ..
removed, through either direct or indirect actions, any vegetation from a site (see Chapter
18.06, Page 18 -8). Please circle appropriate response.
NO - Continue to Question 3 -0 .
YES Continue to Question 2 -1 (Page 4).
3 -0
Will the project require work, during any time of the project, below the ordinary high water
mark of a watercourse or the Green/Duwamish or Black Rivers or in wetlands? Ordinary high
water mark is the mark that is found by examining the bed and banks of a stream and
ascertaining where the presence and action of waters are so common and usual as to distinctly .
mark the soil from that of the abutting upland, in respect to vegetation (see TMC Chapter
18.06, Page 18 -15). Please circle appropriate response.
NO Continue to Question 4 -0
YES - Continue to Question 3 -1 (Page 5)
4 -0
Will the project result in the processing or handling, storage, or treatment of hazardous
substances? This does not include the proper use of fuel stored in a vehicle's fuel tank.
Hazardous substances are any liquid, solid, gas, or sludge, including any material, substance,
product, commodity, or waste, regardless of quantity, that exhibits the characteristics or criteria
of hazardous waste as defined by Washington Administrative Code 173 -303 (see TMC Chapter
18.06, Tukwila Zoning Code, Page 18 -11). This includes fuel or other chemicals stored on -site
during construction. Please circle appropriate response.
NO ontinue to Question 5 -0
YES - Continue to Question 5 -0
5 -0
Will the project result in the withdrawal, injection, or interception of groundwater? Examples
of projects that may affect groundwater include, but are not limited to: construction of a new
well, change in water withdrawals from an existing well, projects involving prolonged
construction dewatering, projects installing French drains or interceptor trenches, and sewer
lines. For the purpose of this analysis, projects that require a geotechnical report pursuant to
the requirements of TMC 18.45.060 and 18.45.080E.4, or would require a geotechnical report
if not exempt under TMC 18.45.080A, should answer Yes: Please circle appropriate
r nse.
NO ontinue to Question 6 -0
YES - Continue to Question 6 -0
la LSA Screening C:heckhst
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.. 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.
e circle appropriate response.
NO 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.
NO Continue to Question 1 -2.
YES - Continue to Question 1 -2
1 -2 Could the construction, operation, or maintenance of the project result in sediment transport off
site or increased rates of erosion and /or sedimentation in watercourses, the Green/Duwamish
rivers, or the Black River? : Most projects that involve grading have the potential to result in
increased erosion and/or sedimentation as a result of disturbances to the soil or. earth. If your
project involves grading and you have not prepared a Temporary Erosion and Sedimentation
Control Plan specifically designed to retain 100 percent of the runoff (including during
construction) from impervious surface or disturbed soils, answer Yes to this question. If your
project is normally exempt under the Tukwila Municipal Code and would not require the
preparation of a Temporary Erosion and Sedimentation Control Plan, BUT may still result in
erosion or sediment transport off site or beyond the work area, answer Yes to this question.
P . se circle appropriate response.
Continue to Question 1 -3
YES - Continue to Question 1 -3
1 -3 Will the project result in the construction of new impervious surfaces? Impervious surfaces
include those hard surfaces which prevent or restrict the entry of water into the soil in the
manner that such water entered the soils under natural conditions prior to development; or a
hard surface area that causes water to run off the surface in greater quantity or at an increased
rate of flow from the flow presented under natural conditions prior to development (see TMC
Chapter 18.06, Tukwila Zoning Code, Page 18 -12). Such areas include, but are not limited to,
rooftops, asphalt or concrete paving, compacted surfaces, or other surfaces that similarly affect
the natural infiltration or runoff patterns existing prior to development. Please circle
appropriate response.
NO -- Continue to Question 2 -0 (Page 2)
YE 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 stonnwater management system specifically designed to infiltrate stormwater,
answer Yes to this question. Please circle appropriate response.
NO - Continue to Question 2 -0 (Page 2)
- 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.
N.O. 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.
P. : se 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 watermark of a
watercourse or the Green/Duwamish or Black Rivers? Please circle appropriate response.
NO - ontinue to .Question 3 -0 (Page 1)
YES - Continue to Question 2 -5
2 -5
Will the project involve clearing within 40 feet of the ordinary high water mark of a
watercourse or the Green/Duwamish or Black Rivers? Please circle appropriate response.
NO - ontinue 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
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
ease respond to all questions.. Use separate sheets as necessary. An electronic version of this
rm is also available from the Department of Community Development
pplicant Responses:
BACKGROUND
Name of proposed project, if applicable:
VA/E "//5"-r.t21`1 2 Z•O-1-
Name of Applicant:
2:4
Date checklist prepared:
/V/5W 'O
Agency requesting checklist:
V-C-i-t-y of Tukwila
Proposed timing or schedule (including phasing, if applicable):
/19, C/4 74' c'1 ,5A ,-927 Zc
Do you have any plans for future additions, expansion, or further activity
related to or connected with this proposal? If yes, explain.
C .7% /".0. Z 52,"4z
List any environmental information you know about that has been
prepared, or will be prepared, directly related to this proposal.
v ,E' Z-Xe.4".c:7"
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/)W S 57/ o /le 6. a_ t7 e
Do you know whether applications are pending for governmental approvals of other
proposals directly affecting the property covered by your proposal? If yes, explain.
Nu"--
Agency Comments
5
7
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses Agency Comments
List any overnment approvals or permits that will be needed for your proposal.
/.
10: Give brief, complete description of your proposal, including the proposed uses and the size
of the project and site. There are several questions later in this checklist that ask you to
describe certain aspects of your proposal. You do not need to repeat those answers on this
page.
Siz /S 2,3/ ,lc 7c 7'e.-
6 �4.°S4iL
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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.
Zel/P /, /9L1
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12. Does the proposal lie within an area designated on the City's Comprehensive Land Use
Policy Plan Map as environmentally sensitive?
•
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses:
Agency Comments
ENVIRONMENTAL ELEMENTS
a. General description of the site (circle one): Flat, rolling, hilly; steep 'slopes,
mountainous, other:
/XJ
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b. What is the steepest slope on the site (approximate percent slope)?
/ '74
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.
• ,575z-ity e'?"9 w/z4
d. Are there surface indications or history of unstable soils in the immediate vicinity?
If so, describe.
/1/25. ,
e. Describe the purpose, type, and approximate quantities of any filling or grading
proposed. Indicate source of fill.
/) 2 2 5- e 7: f--/i )
70 7:9Z_ / 77c Cy
7
Please respond to all. questions. Use separate sheets as necessary.
Applicant Responses:
Could erosion occur as .a result of clearing, construction, or use?
If so, generally describe''
/ 7e, 7i.E� .vi7.,/
Or?' :5 D OJc' 'ley >�PL
f.
Agency Comments
About what percent of the site will be covered with impervious surfaces after project
construction (for: example, asphalt or buildings)? z /Ve—
h. Proposed measures to reduce or control erosion,.or other.impacts to the earth, if any:
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2. Air
a. What types of emissions to the air would result from the proposal (for example, dust,
automobile odors, industrial wood smoke) during construction and when the project is
completed? If any, generally describe and give approximate quantities if known.
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b. Are there any off -site sources of emissions or odor that may affect your proposal? If so,
generally describe.
A/v
Please respond to all questions: Use separate sheets as necessary.
Applicant Responses:
AgencyConunents
c. "Proposed measures to reduce" or control emissions or other impacts to air, if any:
.57/3/5- 2) ,4-OZ S ,
Water
a. Surface:
1. Is there any surface water body on or in the immediate vicinity of the site
(including year -round and seasonal streams, saltwater, lakes, ponds, wetlands)?
If yes, describe type and provide names. If appropriate, state what stream or
river it flows into.
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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:
/1/0 t ,
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses:. Agency' Comments
. Will the proposal require surface water withdrawals or diversions? Give general
description, purpose, and approximate quantities, if known.
No
. Does the proposal lie within a 100 -year floodplain? If so, note location on the site plan.
/VD
6. Does the proposal involve anydischarges of waste materials to surface waters? If so,
describe the type of waste and anticipated volume of discharge..
/vim,
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.
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Please respond to all questions: Use separate sheets as necessary.
Applicant Responses:
Agency Cornments
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:.
No iv
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.
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2. Could waste materials enter ground or surface waters? If so, generally describe.
/ /o,
d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any:
SEE _2, i9�o v
/o
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses:
Plants
a. Check or circle types of vegetation found on the site:
L /Deciduous
tree: alder, maple, aspen, other
Evergreen tree: fir, cedar, pine, other .S--i4,i9-r -
Shrubs
(Grass
Pasture
Cr'op'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?
s/ �y,Q Z? sJ 6/0,0 5- 5- . ..
c. List threatened or endangered species known to be on or near the site.
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance
vegetation on the site, if any: /
AZG -2/2 !^-i,c�L. Z./St �..v b �9/24A A/ ��/, ' '4 S De.
S
'Agency Comment:
Please respond to all questions. Use.separate sheets as necessary.
Applicant Responses:
Animals.
a.
Agency Comments
Circle any birds or animals :which have been observed on or near the site or are '.
lcnown to be on or near the site:
: Hawk, heron, eagle, ongbirds other:.
Lirrammals Deer, bear, elk, beaver, o er: 4,0 rs d r r�,P,46 ' O.v ��pOFir >S
Bass, salmon, trout, herring, shellfish, other:
. List any threatened or endangered species known to be on or near the site.
/1/0 /e/6_"
c. Is the site part of a migration route? If so, explain.
1/e/1 /1/0c,./
d. Proposed measures to preserve or enhance wildlife, if any:
.7-22.4,F-2-.5— I— S/..Pv?f IN /LL //Y
77-A7 A7Z".■40 G 4' e• S7 #1 ox,-/,
6. Energy and Natural Resources
a. What kinds of energ; (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.
•
Please respond to all questions: Use separate sheets as necessary.
Applicant Responses::
b. Would your project affect the potential use of solar energy by adjacent properties? If
so, generally describe:
c. What kinds of energy conservation features are included in the plans of this
proposal? List other proposed measures to reduce or control energy impacts, if any:
`rE /2 Y • e",o OAS _.
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.
1. Describe special emergency services that might be required.
PG e r -- /7 e-.9
2. Proposed measures to reduce or control environmental health hazards, if any:
Zr///
Agency Comm(
Please. respond to al uestions:;.Use separate sheets as nece
Applicant Responses:
b. Noise . .:
Agency Comments
What types of noise exist in the area which may affect your project (for example:
traffic, equipment, operation, other)?
.4 7 �vs�5 � aF rp:Po,4)E.c2 - 7-
rz Ys. x.457 5'' J-' ,
4 f /�L
!/iQ Fi'57.0
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.
7�'-2 #-7 - //o.Y E
3. .Proposed measures to reduce or control noise impacts, if any:
I4 Ye /6//7-
o#7, 4Y
8. Land and Shoreline Use .
a. What is the current use of the site and adjacent properties?
5? 7E,'
Y4/2.6 ?v Ems
b. Has the site been used for agriculture? If so, describe.
/V / 0-
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses:
. Describe any structures on the site.
d. Will any structures be demolished? If so, what?
e. What is the current zoning classification of the site?
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.
NO ,
Agency Commen
Please respond to all questions. Use separate sheets: as necessary.
Applicant Responses:
Approximately how.many/people wool' reside o- work in the completed project?
Agency Comment;
Approximately how many people would the completed project displace?
/1/0 Af't-
k. Proposed measures to avoid or reduce displacement impacts, if any:
N/A
1. Proposed measures to ensure the proposal is compatible with existing and projected
land uses and plans, if any: .
Housing
a. A . . •ximately how many units would be provided, if any? Indicate whether high,
or low- income housing?
z �.
Please respond to all questions Use separate sheets as. necessary,;
Applicant Responses: Agency Comments
b. Approximately how marty'units, if any, would be eliminated? Indicate whether high,
middle, or low- income housing.
�llor-fE ,.
c. Proposed measures to reduce or control housing impacts, if any:
A/ri4
10. Aesthetics
a. What is the tallest height of any proposed structure(s), not including antennas; what
is the principal exterior buildingjnaterial(s) proposed?
G /2 eo p %1Ji9j,
b. What views in the inunediate vicinity would be altered or obstructed?
/mood' ,
c. Proposed measures to reduce or control aesthetic impacts, if any:
/t4 // E ,
•. •
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses:
Agency Comments
Light and Glare
What type of light' or glare will the proposal produce? What time of day would it
mainly occur?
74 . /72.11 ' /7/e7
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?
/70, -AZ- .
. Proposed measures to reduce or control light and glare impacts, if any:
12. Recreation
a.. What designed and informal recreational opportunities are in the immediate
vicinity? .
, L'�/z /5 �°�.QD1c',
L E sd v7/-7!
Please respond to all questions. Use separate .sheets `as.necessary.
Applicant Responses:
. Would the proposed. proj ect displace any existing recreational uses? If so, describe.
/V p
Proposed measures to reduce or control impacts on recreation, including recreation
opportunities to be provided by the project or applicant, if any:
A V4
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.
/1/0 -
b. Generally describe any landmarks or evidence of historic, archaeological, scientific,
or cultural importance known to be on or next to the site.
c. Proposed measures to reduce or control impacts, if any:
Agency Commen
14.
Please" respond to all questions. Use separate sheets as necessary.
Applicant Responses:
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.
i
D/L/ S /2¢r� s 4W'- /y/ /e-
cS�O v 7i1i
b. Is the site currently served by public transit? If not, what is the approximate distance
to the nearest transit stop?
yes sE-� /5145'e,
c. How many parking spaces would the completed project have? How many would the
project eliminate?
8 r,ri. Z PA9D5 4- Z .4t2,
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).
v /7l/V W /LL
/41/(-,/ /".9v45".
e. Will the project use (or occur in the immediate vicinity of) water, rail, or air
transportation? If so, generally describe.
4/O , -/a a)79e- w7 F- ' Y ,,,cD
67/7 are Y)
Agency Comments
Please respond to all questions. Use separate sheets as necessary.
Applicant Responses:
How many vehicular trips per day would be generated by the completed project? If
known, indicate when peak volumes would occur.
o
Agency Commf
. Proposed measures to reduce or control transportation impacts, if any:
//Vd
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.
y.S 7oi�c_ v-4",e-E F ,
b. Proposed measures to reduce.or control direct impacts on public services, if any.
,51-46'a
'
16. Utilities
a. Circle utilities currently available at the site:
Please respond to questions.; Use separate sheets as necessary.
Applicant Responses:
Agency Comments
• 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.
7is2 / ?i y-' S ,
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 PL .S AND
ZONING CODE TEXT CHANGES) MUST COMPLETE THE
FOLLOWING PAGES).
�7
SHORT PLAT NO. #
CITY OF TUKWILA, WASHINGTON
PORTION OF
SW &SE 1/4 of NE 1/4,S. 10 :T..
23 N., R. 04 E., W.M.
RECORDING NO.
VOLJPAGE
DEDICATION
KNOW ALL MEN BY THESE PRESENT. THAT WE. THE UNDERSIGNED.
OWNER(S) IN FEE SIMPLE OF THE LAND HEREIN DESCRIBED DO
HEREBY MAKE A SHORT SUBDMSION THEREOF PURSUANT TO RCW
58.17.00 AND ACKNOWLEDGE THAT SAID MEMVMION SHALL NOT 6E
FURTHER DIVIDED IN ANY MANNER WITHIN A PERIOD OF FIVE YEARS,
FROM DATE OF RECORD, WITHOUT THE FILING OF A FINAL PLAT. THE
UNDERSIGNED
THE UNDERSIGNED FURTHER DECLARE THIS SHORT RAT TO BE THE
GRAPHIC REPRESENTATION OF THE SAID SHORT SUBDIVISION AND
THE SAME IS MADE WITH THE FREE CONSENT AND IN ACCORDANCE
WITH THE DESIRE OF THE OVMER(S).
IN WITNESS WHEREOF WE HAVE SET OUR HANDS AND SEATS.
VERDAYNE J. JOHNSON
NAY OWENS
ON BEHALF OF PACIFIC NORTHWEST BANK
STATE OF WASHINGTON
COUNTY OF TONG
DATE
DATE
DATE
ON THIS DAY OF PERSONALLY APPEARED BEFORE ME
TO ME KNOWN TO BE INDM0UAL WHO
EXECUTED THE FOREGOING INSTRUMENT AND ACKNOWLEDGED
THAT THEY SIGNED THE SAME AS THEIR VOLUNTARY ACT AND OWED
FOR THE USES AND PURPOSES MEMICNED THEREIN.
GIVEN UNDER MY HAND AND OFFICIAL SEAL THIS DAY OF
200&
SIGNATURE:
NAME OF
COMMISSIONED:
TITe
MY COMMISSION
EXPIRES:
STATE OF WASHINGTON
COUNTY OF KING
ON THIS DAY OF PERSONALLY APPEARED BEFORE LIE
TOME KNOWN TO BE INDMDUALI WiO
EXECUTED THE FOREGOING INSTRUMENT AND ACKNOWLEDGED
NOW LED0®
THAT THEY SIGNED THE SAME AS THEIR VOUJNMRY ACT AND DEED
FOR THE USES AND PURPOSES MFI(TIONEDTHEREJHL
GIVEN UNDER MY HAND AND OFFICAL SEAL THIS DAY OF
2808.
SIGNATURE:
NAME OF
COMMISSIONED:
TITLE
MY COMMISSION
EXPIRES
STATE OF WASHINGTON
COUNTY OF KING
ON THIS DAY OF PERSONALLY APPEARED BEFORE ME
TO ME KNOWN TO BE IN DMDUAL WHO
EXECUTED THE FOREGOING INSTRUMENT AND ACKNOWLEDGED
THAT THEY SIGNED THE SAME AS THEIR V'OLIINTARYACT AND DEED
FOR THE U$E8 AND PURPOSES MENTIONED THEREIN.
GIVEN UNDER MY HAND AND OFFICIAL SEAL THE DAY OF
2003.
SIGNATURE
NAME OF
COMMISSIONED:
TOLE:
MAY COMMISSION
EXPIRES:
EXISTING LEGAL DESCRIPTION
• TITLE PER ORDER NO. 433468 ISSUED BY PACIFIC NORTHWEST TITLE
INSURANCE COMPANY. DATED JUNE 21. 2001.
LOT 12, THE NORTHWESTERLY 13 FEET OF LOT 13. BLOCK 4. C.D. HILLMAN'S
MEADOW GARDENS ADDITION TO THE CITY OF SEATTLE, ACCORDING TO THE
PLAT THEREOF RECORDED IN VOLUME 12 OF PLATS. PAGE 64. IN KING
COUNTY. WASHINGTON;
EXCEPT ANY PORTION LYING WITHIN THE NORTHERN PACIFIC RAILWAY RICHT
OF WAY.
BASIS OF BEARING
BASIS OF BEARING: ASSUMED BEARING OF NORTH 40'5O'12" WEST ALONG
THE MONUMENTED CENTERLINE OF 44TH PLACE SOUTH.
N8928'29 "E
_�s• S 118TH ST.
EAST 830.24'(P)
N8928'29 "E 830.24'(C) 4•
3 3' (C 492.31'(0 "�'
Li
/ J J r
\ �
Dt„.fi/�QJj O \J �1J00 `
*3%.
FOUND Q �\ • 6.3!sS
IN
BAR j107A8 08 (TYP) -.0/ ``
S.
AS1
13023'03"
(C)(P)
CERTIFICATE OF CONFORMANCE
THIS SURVEY WAS PERFORMED WITH A TOPCON CTS 211 —D
ELECTRONIC THEODOLITE READING DIRECT TO 5 SECONDS OF
ARC AND MEASURING DISTANCE ±(3+(2PPM X (3)) MM. NGS
BASELINE COMPARED NOVEMBER. 2005. THIS SURVEY
MEETS THE MINIMUM STANDARDS SET FORTH IN WAC
332 -130.
REFERENCES
1) C.D. HILLMAN'S MEADOW GARDENS ADDITION TO THE
CITY OF SEATTLE. VOL. 12 OF PLATS. PG. 64, RECORDS
OF KING COUNTY. WASHINGTON.
2) ALLENTOWN ADDITION TO THE CITY OF SEATTLE. VOL.
12 OF PLATS. PG 100, RECORDS OF KING COUNTY,
WASHINGTON.
LINE TABLE
LINE
BEARING
LENGTH
. 11
N49'09'48.8
258.11'
L2
N40'54'36 "W
53.01'
L3
N49139'48'E
258.18'
14
N4050'12 "W
53.01'
15
N4050.12 "W
53.01'
25'
1!I
RECEIVED
MAR 0 7 2006
DEVELOPMENT
LEGEND
FOUND NAIL WITH
ALUMINUM TAG #2661
HE10 FOR CENTERLINE
1.771674.31"W 699.12'(C)
(82)) S 122ND ST.
w
>
< N(�j''
2 �
O,
FOUND 2.5" BRASS DISK
WITH PUNCH IN CONC.
IN CASE. DOWN 0.7
GRAPHIC SCALE
so) so
FOUND 1.5' BRASS DISK
WITH PUNCH IN CONC.
114 CASE. DONN 0.7' AT
IN TX. YAM S 124111 ST.
( IN 7187 )
1
loch
25'
SET BAR & CAP, LS. #41038
FOUND BAR & CAP. AS NOTED
FOUND MONUMENT IN CASE, AS NOTED
FOUND SURFACE MONUMENT, AS NOTED
CALCULATED POSITION ONLY. NOT SET
DATA PER FIELD MEASUREMENT
DATA PER CALCULATION
DATA PER SURVEY REFERENCE #1
DATA PER SURVEY REFERENCE #2
SURVEYOR'S CERTIFICATE
1, )C:VIN J. WAL.IIER. PLS , REGISTERED AS A LAND SURVEYOR SYTHE
STATE OF WASHINGTON. CERTIFY THAT MS PLAT IS BASED ON AN
ACTUAL SURVEY OF THE LAND DESCRIBED HEREIN, CONDUCTED BY
ME OR UNDER MY SUPERVISION THAT THE DISTANCES. COURSES
AND ANGLES ARE SHOWN THEREON CORRECTLY; AND THAT
MONUMENTS OTHER THAN NOSE MONUMENTS APPROVED FOR
SETTING AT A LATER DATE. HAVE BEEN SET AND LOT CORNERS
STAKED ON THE GROUND AS DEPICTED ON THE PLAT.
COUNTY TREASURER'S CERTIFICATE
1 CERTIFY THAT ALL PROPERTY TAXES ARE PAID AND THAT A
DEPOSIT WAS BEEN MADE 01 SUFFICIENT AMOUNT TO PAY THE TAXES
FOR THE FOLLOWING YEAE8 THAT THERE ARE NO DELINQUENT
SPECIAL ASSESSMENTS CERTIFIED TO MIS OFFICE FOR
COLLECTION AND THAT ALL SPECIAL ASSESSMENTS ON ANY OF
PROPERTY HEREIN DEDICATED AS STREETS, ALLEYS OR FOR
PUBIJC USE ARE PAID 94-FULL
THIS DAY OF • 20
DEPUTY KING COUNTY TREASURER
KING COUNTY ASSESSOR
COUNTY ASSESSOR'S APPROVAL
EXAMINED AND APPROVED BY ME DEPARTMENT OF AS3E331.1ENTS
THIS_ DAY OF 23
DEPUTY KING GOUNTYASSES80R
KING COUNTY ASSESSOR
TUKWILA SHORT SUBDMSION
COMMITTEE APPROVAL
REVIEWED AND APPROVED BY THE SHORT SUBDMSION COAAOITEE
AND HEREBY CERTIFIED FOR FLING
THIS DAY OF 20—_
CHAIR, SNORT SUBDMSION COMMREE
RECORDING CERTIFICATE
P1100 FORTRECOPO AT THE REQUEST OF THE CRY OF TUEMLATHE
DAY OF 20 AT__
MINUTES PAST M AND RECORDED IN VOLJI.E_OF
PLATS, ON PAGE _ RECORDS OF ENG COUNTY, WASHINGTON.
DEPUTY DIRECTOR. KING COUNTY DEPARTMENT OF RECORDS AND
ELECTIONS
DIRECTOR, KING COUNTY DEPARTMENT OF RECORDS AND
ELECTIONS
DUNCANSON
CIVIL ENGINEERING • SURVEYING • LAND PLOWING
141SW MARK S 115 £. 54 IYd6p, 8140
Rae 1506)]444144 Ac ado 244.401
TUKWILA
SHORT PLAT
OWN. BY J (DATE Dvzeaooe
CHID. BY
JOB NO. 05534
JOHNSON PROPERTY
,HJam, SCALE 1. -20 SHEET 1 OF 2 SHORT SUBDIVISION MAP
SHORT PLAT NO. #
CITY OF TUKWILA, WASHINGTON
PORTION OF
SW & SE 114 of NE 1/4, S. 10 T. 23 N., R. 04 E., W.M.
RECORDING N0.
VOL/PAGE .
NEW .LEGAL DESCRIPTIONS
NEW I OT 1
THE SOUTHWESTERLY 130.00 FEET OF LOT 12, AND THE
SOUTHWESTERLY 130.00 FEET OF THE NORTHWESTERLY 13 FEET OF
LOT 13. BLOCK 4. C.D. HILLMAN'S MEADOW GARDENS ADDITION TO
THE CITY OF SEATTLE. ACCORDING TO THE PLAT THEREOF
RECORDED IN VOLUUE 12 OF PLATS. PAGE 64. IN KING COUNTY.
WASHINGTON:
EXCEPT ANY PORTION LYING WITHIN THE NORTHERN PACIFIC
RAILWAY RIGHT OF WAY.
NEW LOT 9
LOT 12. THE NORTHWESTERLY 13 FEET OF LOT 13. BLOCK 4. C.D.
HILLMAN'S MEADOW GARDENS ADDITION TO THE CITY OF SEATTLE.
ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 12 OF
PLATS. PAGE 64. IN KING COUNTY. WASHINGTON;
EXCEPT ANY PORTON LYING WI1HW THE NORTHERN PACIFIC
RAILWAY RIGHT OF WAY:
AND EXCEPT THE THE SOUTHWESTERLY 130.00 FEET THEREOF.
LOT 9
'9•
ECEIVED
MAR 0 2006
COMMUNITY
DEVELOPMENT
LEGEND
/
FOUND BAR & CAP
LS. /29537 -0.37'
EAST & 0.27' SOUTH
OF CALCULATED
ACCESS AND UTILITIES EASEMENT
THE ACCESS AND UTILITIES EASEMENT. AS DELINEATED HEREON. 15
HEREBY DEDICATED UPON RECORDING OF THIS SHORT PLAT TO
SERVE LOT 2 AS DELINEATED ON THE FACE OF THE SAME.
MAINTENANCE OF SAID ACCESS AND UTIUTIES EASEMENT SHALL BE
SHARED EQUALLY BY THOSE PARTIES WHO ARE BENEFITED BY SAID
EASEMENT AND THE RESPONSIBIUTY OF WHICH SHALL RUN WITH
THE LAND AND SHALL BE BINDING ON ALL PARTIES HAVING OR
ACQUIRING ANY RIGHT. TILE. OR INTEREST W THE LAND DESCRIBED
HEREIN OR ANY PART THEREOF.
/
/
/
LOT 01
/
/
/
CHAIN UNK
FENCE (Ti?)
07
P. 33474007g0
A5
f�°"•' yiTH R' �
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Ci7400765
44 0.3'• B TL /
Vs,
/ + \r
\ J
v
LOT 13
/
/
/
• SET BAR & CAP. LS /41038
o FOUND BAR & CAP. AS NOTED
® FOUND MONUMENT W CASE, AS NOTED
® FOUND SURFACE MONUMENT. AS NOTED
• CALCULATED POSITION ONLY. NOT SET
(M) DATA PER FIELD MEASUREMENT
(C) DATA PER CALCULATION
(P) DATA PER SURVEY REFERENCE y1
(R2) DATA PER SURVEY REFERENCE #2
X'13
1‘4$.4.
I 4,
/
WIRE FENCE (TYP)
/ FOUND BAR & CAP
\�QP LS. /29537 -0.02' /
EAST & 0.61' SOUTH
41-s,, EAST CALCULATED
\ �r�'r6
/
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SS i\ /
1 '
/
/
1.01 14
/om 7,037°•0
n
/1%07 r1174-- 5
/
/ .
•
LDT t5
6.2'
/
/
FOUND BAR & CAP
LS. /29537 -1.26'
EAST & 1.33' SOUTH
OF CALCULATED
6.4'
0.6'
ill 7 11
NOnP.F BAPi lCO
/
/
/
FOUND BAR & CAP
LS. /29537 -0.89'
EAST & 1.59' SOUTH
OF CALCULATED
GRAPHIC SCALE
N 0 tl
/
/
•
/
•
` O*T
�4G. 03'. a WA' /
Et OTT
OWN. BY
(1R ICT)
Imes -2O R./
DUNCANSON
CIVIL ENOINEERINO • SURVEYING • LAND PLANNING
US MUM >a•t Aa 149 Se* Iltelh/m 66166
Mar 066)1444u l_ ro1.12414466
JAM
CHKI3. BY
KJW
DATE 02/2LV2000
SCALE
1'- 20'
JOB NO. 05594
SHEET 2 OF 2
/
/
TUKWILA
SHORT PLAT
JOHNSON PROPERTY
SHORT SUBDIVISION MAF
NTS
mr)bob
•
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CIMIEig6ba/SoneSits Grad sled
14245 S9• Av. 47hM04 WA 91161
OM= (206)242 -7665 Fa= Sme
Prvb>2.2006
33/5.3 (1s64331341 Wm. la O.®4- 0e133630.401ma4 0111001
4-a PYs f.'N dl4 VA Q W NS: 3347.0701)
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RECEIVED
®'d 2006
DEVELOPMENT
AVG
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1 t•YAYG
•
M•2 AP/YGWAY 346)05-
2• MOM a•LEAZ4N/t
Fr.. AM
/N.? S.)
FEMA ROOD ELEVATION CEFMFICAIE
8000 2020 Om63A1101 L4 ZONE 2 (AREA
15103.03 TO OE 471510E 603-11A3 'L000PLAO )
PER MIA ROOD INSURANCE RATE NAP.
FANO. 957 OF 1725. NAP 62242(0957 f.
YAP REMSED: WT It 1963
SENOO1NOt 18 SC ES S O MI COME
DATA •6AY POOR D: 601.
PONT NANO 131 -917
OESCINFROt Mt NINA
1OCANO4 NIERSECSO1 v 41111 AVE
•4-M FL
OEM.. 1237 PEET r•ALA7A1I•0•Z7)
w >'e3.
N o•-•
15 or 'or
4 J5O•• 6.G
'72 4-28 '05
CUT • 245 CY (0' TOPSOIL REMOVAL)
764 152567 (20' FILL. NET 24- ELEV. INCREASE)
TOTAL 1,470 CT
ThieeeffigataBraSa
NEW HOUSE. LOT 1 1,2508*
NEW PAO, LOT 1 500 8F
NEW HOUSE LOT 2 1300 SF
NEW PAO. LOT 6008E
NEW DRNEWAY. LOT 2 1.660 8F
TOTAL 10=7/ NAPERY. 6,410 8F
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