HomeMy WebLinkAboutSEPA EPIC-10-88 - SHIMATSU / MIKAMI - 24,243 SF SOUTHCENTER PARKWAY RETAIL BUILDINGSOUTHCENTER
PARKWAY RETAIL
(SHIMATSU)
CONSTRUCT RETAIL BUILDING
17015 SOUTHCENTER
PARKWAY
EPIC 10 -88
•
igiiW ashington State
Department of Transportation
District 1
15325 S.E. 30th Place
Bellevue, Washington 98007
Tukwila Planning Development
City of Tukwila
6200 Southcenter Boulevard
Tukwila, WA 98188
ATTN: Planning Commission
Dear Sir:
•
Duane Berentson .
1 i'c � f P 1 ` Tramp�rtation
j,l) r,I, ∎1['ijE,
t " on 1588
April 26, 1988(( U 1. .,,___... , .
9 f V i:,
SR 5 MP 153.15 Vic. CS 176700
Comment on Public Hearing Notice
for A. Shimatsu /Y, Mikami
Case No. 88 -4 -DR Parkway Retail Bldg.
This letter is in response to the Public Hearing Notice we received from
WSDOT Headquarters on April 22, 1988.
The proposed development, located immediately north of 17015 Southcenter
Parkway, is for the construction of a one -story 24,243 square foot retail
building on a 66,000 square foot parcel.
The Department of Transportation answered a. Public Hearing Notice concerning
the rezone of this piece of property on December 14, 1987. Enclosed with
this letter is a copy of the December. 14, 1987 letter along with copies of the
Quit Claim Deed and the Release of Damages document. In the sale of surplus
SR 5 property to A. Shimatsu and Y. Mikami, certain reservations were
reserved to WSDOT regarding an existing drainage system. Note the language
highlighted in yellow on the enclosed copy of the Quit Claim Deed.
Nate also the "hold- harmless" language in the Release of Damages document
also enclosed. It is important that the proposed development recognizes
that special provisions have been attached to part of the lands under
consideration.
Since the proposed development is located within the city limits, it is the
City of Tukwila's responsibility as lead agency to ensure that access to and
from the site is designed properly'and that the traffic generated by this
development will not have an adverse impact upon any state highways in the
vicinity.
Planning Commission
April 26, 1988
Page 2
Thank you for the opportunity to comment on-this proposal. Should you
have any questions, please contact Donald Hurter (562 -4297) of my
Developer Section.
Sincerely,
J �'ES L. LUTZ, P. .
U "ilities Engineer
RE: jk
Enclosures
•Ti
Washington State
Department of Transportation
District 1
15325 S.E. 30th Place
Bellevue, Washington 98007 -6568
(206) 562 -4000
Tukwila Planning Department
City of Tukwila
6200 Southcenter Boulevard
Tukwila, WA 98188
Attn: Planning Commission
Dear Sir:
•
Duane Berantson
- i iSeeietary'.!of Tiansportation
APR 2s 1988
December 14, 1917 C;Tv i Lis,V ELA
P!_ANN NG DEPT.
SR 5 MP 153.15 Vic CS 176700
Comments on Rezone for
Shimatsu /Mikami
File No. 87 -4 -R
This letter is in response to Public Hearing Notice we received
from the City of Tukwila on December 9, 1987.
The proposal, located immediately north of 17015 (Center Place)
on Southcenter Parkway, is for the rezone of 66,685 square feet
from R -1 -7.2 Single Family Residential to C -2, Regional Retail.
The Department of Transportation feels this rezone will not
have any adverse impacts upon any state highways in the
vicinity. However, in the sale of surplus SR 5 to Mikamis,
certain reservations were reserved to WSDOT regarding an
existing drainage system. Note the language highlighted in
yellow on the enclosed copy of the Quit Claim Deed.
Note also the "hold - harmless" language of a Release of Damages
also enclosed. It is important that the rezone recognizes
special provisions have been attached to part of the lands
under consideration.
Thank you for the opportunity to comment on this proposal.
Should you have any questions, please contact Donald Hurter
(562 -4274) or Robert Eichelsdoerfer (562 -4297) of my Developer
Section.
Sincerely,
JAMES L. LUTZ, P.E.
Utilities Engineer
JRE : cmi
Enclosures
8505150267
SEATTLE, WASHINGTON 98101
qUIT CLAIM DEED
Olympia, Washington 98504
IN THE MATTER OF SR , outh 178th St. to South 126th St.
KNOW ALL MEN BY THESE PRESENTS, that the STATE OF W,'ZI IIN TC; !; far and
in consideration of NINETEEN THOUSAND ONE HUNDRED THIRTY -THREE AND 521100
DOLLARS ($19,133.52), hereby conveys and quitclaims unto AKIKO SHIMATSU, a•widow,
r-
.121 and YAEKO MIKAMI, a single woman, all its right, title and interest, in and to the
N
Lfollowing described real property situated in King County, State of Washington:
. nu.v wvvr.1 r
NO EXCISE TA
That part of the following described Parcel "A" lying southerly of a line which
CO is 1,020 feet northerly of and parallel with the South line g, g,•) einafter «067 c
referred to northeast quarter of the southwest quarter: RECD F 5.50
Parcel "A"
That part of the northeast quarter of the southwest quarter of Section 26,
Township 23 North, Range 4 East, W.M., described as beginning at a point
which is opposite Highway Engineer's Station (hereinafter referred, to as HES)
LW 2504 +89.33 on the LW Line Survey of SR 5, South 178th St. to South 126th
St., and 553.73 feet southeasterly therefrom; thence easterly to a point
opposite HES LW 2505 +00 on said LW Line Survey and 590 feet southeasterly
therefrom; thence northerly to a point opposite HES LW 2505 +75 on said LW
Line Survey and 570 feet southeasterly therefrom; thence northerly to a point
opposite HES LW 2507 +15 on said LW Line Survey and 515 feet southeasterly
therefrom; thence northerly to a point opposite HES LW 2509 +50 on said LW
Line Survey and 500 feet southeasterly therefrom; thence northwesterly to a
point opposite said HES and 428.97 feet southeasterly therefrom; thence
southerly in a straight line to the point of beginning.
The grantees herein, their successors or assigns, shall have no right of ingress and
egress to, from and between said SR 5 , and the lands herein conveyed; nor shall the
grantees herein, their successors or assigns entitl.d to compensation for any loss of
light, view and air occasioned by the location, construction, maintenance or operation of
said highway.
Subject to the condition that as a part of the development of the land herein
conveyed, grantees, for themselves, their heirs, successors or assigns, agree to construct
and maintain drainage facilities over and across said land and the lands of the grantees
adjoining on the east. The location of said drainage facilities shall be established by
mutual agreement between grantor and grantees. The grantor reserves the right to
approve the design of any drainage facilities proposed by grantees which approval shall
not be unreasonably withheld.
The grantor o7Er". 7i reset es for itself, its successors, assigns or agents, the right to
enter upon the land herein conveyed for the puTose of inspecting said drainage facilities
RECEIYEO ThiS DAY
during and after construction. Said drainage facilities shall be,. constructed and
•
maintained by the grantees, their heirs, successors or assigns.
Page 1 of 3
• •
The grantor herein also reserves an easement to enter upon the land herein conveyed
for the purpose of maintaing and/or reconstructing the existing drainage facilities located
on grantor's property adjoining on the west. The location of said easement shall be
determined by mutual agreement between grantor and grantees.
Grantees agree to also convey to grantor an easement over the grantees' lands
adjoining on the east for access to the grantor's drainage facilities referred to above.
CO
Grantees agree that when the location of the above easements has been determined,
they will execute and record an instrument describing the easements.
7
Signatures of the grantees on this instrument indicating their approval as to form
GO
also indicates their approval and acceptance of the above conditions and reservations.
The specific details concerning all of which may be found on sheet 4 of that certain
plan entitled SR 5, South 178th St. to South 126th St., now of record and on file in the
office of the Secretary of Transportation at Olympia, Washington, bearing date of
approval January 30, 1962.
The grantee as part consideration herein does hereby agree to comply with all civil
rights and anti - discrimination requirements of RCW Chapter 49.60, as to the lands herein
described.
The lands herein described are not required for State highway purposes and. are
conveyed pursuant to the provisions of RCW Chapter 47.12.063.
Dated at Olympia, Washington, this 7 day of 7 / /Q- ,19
APPROVED AS TO FORM:
STATE OF WASHINGTON
DUANE BERENTSON
Secretary of Transportation
By: �it l,cut -777. 22
Assistant Attorney General
REVIEWED AS TO FORM:
By:
A
d..
Gt.x -06t
o imatsu an Yae o MI ami
Page 2 of 3 I.C. /11 -17 -04026
STATE OF WASHINGTON )
): ss
County of Thurston )
;r) On this 9 day of /` ; 19 0 tD . , before me personally
4'1
7
appeared DUANE BERENTSON, known to me as the Secretary of Transportation,
Washington State Department of Transportation, and executed the foregoing instrument,
acknowledging said instrument to be the free and voluntary act and deed of the State of
Washington, for the uses and purposes therein mentioned, and on oath stated that he is
authorized to execute said instrument.
ven under my hand and official seal t • day and year last ab • , written.
Notary Publi in a : for the State
of Washington, re Kling at Olympia.
(J? �.11i,,%11 _
• cl a ... in 1 ?
14,, • ZS a
•, ; ►
• �•
. ........
Please return to:
STATE OF WASHINGTON
Department of Transportation -KF -01
Land Managem.:nt Office
Transportation Building
Olympia, Washington 98504
Page 3 of 3 I.C. #1-1 7.14026
120 9IXTH AVENUE • •
SaTTLE: WASHINGTON 981U1 . RELEASE OF DAMAGES
In the Matter of SR 5, South 178th St. to South 126th St.
MAY 15 8 30 PI '85
t• r 1 HL
rt
RECORilS ;i LIEU tiOS
;i!GG •OUN
KNOW ALL MEN BY THESE PRESENTS, that AKIKO SHIMATSU, a widow, and
YAEKO MIKAMI, a single woman, for and in partial consideration of conveyance of the
lands hereinafter described, do for themselves, their heirs, assigns or other successors in
interest hereby completely release and forever discharge the State of Washington and /or its
cO
C\1 agents and contractors from any and all claims, demands and causes of action of any nature
whatsoever for damages which may have occurred or may hereafter occur to the hereinafter
described property or to personal property or persons by reason of any flooding or any
t) failure of the State's drainage facilities located on the property adjoining on the west due to
CO the construction, operation and maintenance of drainage facilities by said Akiko Shimatsu
and Yaeko Mikami on the hereinafter described land:
The hereinbefore mentioned tract of land is described as follows:
85/05/15 #0268 D
RECD F 4.50
CASHSL **: *: +:4.50
22
That part of the following described Parcel "A" lying southerly of a line which is
1,020 feet northerly of and parallel with the South line of the hereinafter referred
to northeast quarter of the southwest quarter:
Parcel "A"
That part of the northeast quarter of the southwest quarter of Section 26,
Township 23 North, Range 4 East, W.M., described as beginning at a point which is
opposite Highway Engineer's Station (hereinafter referred to as HES) LW
2504 +89.33 on the LW Line Survey of SR 5, South 178th St. to South 126th St., and
553.73 feet southeasterly therefrom; thence easterly to a point opposite HES LW
2505 +00 on said LW Line Survey and 590 feet southeasterly therefrom; thence
northerly to a point opposite HES LW 2505 +75 on said LW Line Survey and 570 feet
southeasterly therefrom; thence northerly to a point opposite HES LW 2507 +15 on
said LW Line Survey and 515 feet southeasterly therefrom; thence northerly to a
point opposite HES LW 2509 +50 on said LW Line Survey and 500 feet southeasterly
therefrom; thence northwesterly to a point opposite said HES and 428.97 feet
southeasterly therefrom; thence southerly in a straight line to the point of
beginning.
It is understood and agreed that the delivery of this release of damage is hereby tendered
and that the terms and obligations hereof shall not become binding upon the State of
Washington unless and until accepted and approved hereon in writing for the State of
Washington, Department of Transportation by its Director or his duly authorized
representative
Accepted and Approved
Date %7Z- 7/ /9Z
STATE OF WASHINGTON
2-X/ f
Dated this /� day of G �-� c /91-±-5—
Ak ko Shimatsu
Department of Transportation Y
By:
Title:
�zG -�
10 Mikami
Page 1 of 2
Please return to:
STATE OF WASHIN
Department of Transportat
Land ManagernLnt 0
Transportation Buikc
Olympia, Washington
I.C. #1-17-04026
ON
on -KF -01
lice
ing
98504
....,.... :.oa..as�:aaawwa cwCMCPY L,LV
STATE OF Washington )
County of King ) ss.
)
AkikoOVimatsu and day of before me personally appeared
Yaeko Mikami , to me known to be the individuals described in and
tO who executed the foregoing instrument, and acknowledged that they
1 signed and sealed the same as their free and voluntary act and deed, for the uses
Dand purposes therein mentioned.
Given under my hand and official seal the day and ear last above wring) ":r ,.
Notary Public in and for the State of Washington , ,
Residing at / -2 .
Please return to:
STATE OF WASHINGTON
Department of Transportation.I:F.o1 l
Land Manage rj nt Office
Transportation Building
Olympia, Washington 98504
Page 2 of 2 I.C. //1 -17 -04026
WAC 197 -11 -970
DETERMINATION OF NONSIGNIFICANCE
Description of Proposal Construct a one- story, 24,243- square foot retail building
on a 66,000 square foot parcel (See 88 -4 -DR: PARKWAY RETAIL BUILDING
Proponent
A. SHIMATSU /Y.MIKAMI
Location of Proposal, including street address, if any On Southcenter Parkway,
immediately north of 17015 Southcenter Parkway; SW 1/4 of Sec. 26, TWN 13, Rge 4E;
Tukwila.
Lead Agency: City of Tukwila File No. EPIC - 110 -88 '
The lead agency for this proposal has determined that it 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.
O There is no comment period for this DNS
[� This DNS is issued under 197 -11- 340(2). Comments must be submitted by
. The lead agency will not act on this
proposal for 15 days from the date below..
Responsible Official Rick Beeler
Position /Title Planning Director
Address 6200 Southcenter Boulevar
Date `/ .d Sl/` Signature
Phone 433 -1846
You m.y appeal this determination to the City Clerk at City Hall, 6200 Southcenter
Boulevard, Tukwila, WA 98188 no later than 10 days from the above date by written
appeal stating the basis of the appeal for specific factual objections. You may be
required to bear some of the expenses for an appeal.
Copies of the procedures for SEPA appeals are available with the City Clerk and
Planning Department.
FM.DNS
•
CITY OF TUKWILA
CENTRAL PERMIT SYSTEM
(_E<<__Iv zVaS
CN
EPIC -10 -88
FILE
614.(x
ENVIRONMENTAL REVIEW ROUTING FORM
TO: 0 BLDG PLNG P.W. 0 FIRE 0 POLICE 0 P & R
PROJECT PARKWAY RETAIL (SHIMATSU)
LOCATION MTWA TURKCENTK.WEQY0YNORTH OF CENTER PLACE FILE NO.
DATE TRANSMITTED 3 -29 -88 RESPONSE REQUESTED BY 3 -30 -88
STAFF COORDINATOR VERNON UMETSU RESPONSE RECEIVED
THE ATTACHED ENVIRONMENTAL CHECKLIST WAS RECEIVED REGARDING THIS PROJECT. PLEASE
REVIEW AND COMMENT BELOW TO ADVISE THE RESPONSIBLE OFFICIAL REGARDING THE THRESHOLD
DETERMINATION. THE ENVIRONMENTAL REVIEW FILE IS AVAILABLE IN THE PLANNING DEPART-
MENT THROUGH THE ABOVE STAFF COORDINATOR. .COMMENTS REGARDING THE PROJECT YOU WISH
CARRIED TO THE PLANNING COMMISSION, BOARD OF ADJUSTMENT, AND CITY COUNCIL SHOULD BE
MADE ON THE ATTACHED CENTRAL PERMIT SYSTEM ROUTING FORM.
PARKWAY RETAIL 4/1/88 RESPONSE TO ENVIRONMENTAL REVIEW ROUTING
FORM FROM PUBLIC WORKS ENGINEERING - PHIL FRASER, SENIOR ENGINEER
ITEM COMMENT
P.2 - #8: CONFIRMATION BY THE FINANCE DIRECTOR THAT CONDITION OF
n ` REZONING THIS PROPERTY FROM RESIDENTIAL TO BUSINESS, OBLIGATION
01`" r(; PAY THE CI(Y FOR PROPERTY SHARE OF LID #27, ORIGINAL PAID FOR
(o BY THE CITY ON BEHALF OF THE PROPERTY, HAS BEEN ACCOMPLISHED,
```C) INCLUDING INTEREST AT 8 -1/2 %.
P.3 - - #1O: ADD: UTIL.ITIES (INCLUDING FLOOD CONTROL ZONE PERMIT)
AND ACCESS PERMITS, INCLUDING COMMITMENT TO GRAVITY SEWER
EXTENSION PER COMP. SEWER PLAN, VIA LID OR DEVELOPER'S AGREEMENT,
AS APPROPRIATE. ALSO, STATE APPROVAL OF STORM DRAIN DESIGN TO
ACCOMMODATE STATE RUNOFF ONTO PROPERTY VIA IMPROVEMENTS.
P.5 - #h: ALSO REQUIRED: CONSTRUCTION PHASE DETENTION PONDS WHICH
DISALLOW ANY MORE RATE OF RUNOFF THAN DOES ORIGINAL SITE, TO
ADJACENT PRIVATE PROPERTIES (INCLUDING PUGET POWER PROPERTY TO
NORTH, WHICH NOW ACCEPTS DRAINAGE FROM 'THIS PROPERTY).
P.17 - #16: INCORRECT - -- SANITARY SEWER IS NOT NOW AVAILABLE AND
REQUIRES A COMMITMENT BY DEVELOP TO PROVIDE, PER COMP. SEWER
PLAN.
.
CITY OF TUKWILA
CENTRAL PERMIT SYSTEM
•
ENVIRONMENTAL REVIEW ROUTING FORM
TO:
• CN
EPIC
FILE
-10 -88
BLDG n PLNG [ ( P.W. n FIRE n POLICE n P & R
PROJECT PARKWAY RETAIL (SHIMATSU)
LOCATION (17n1' 0URWU FNTFRYOORTH OF CENTER PLACE FILE NO.
DATE TRANSMITTED 3 -29 -88 RESPONSE REQUESTED BY 3 -30 -88
STAFF COORDINATOR VERNON UMETSU
RESPONSE RECEIVED
THE ATTACHED ENVIRONMENTAL CHECKLIST WAS RECEIVED REGARDING THIS PROJECT. PLEASE
REVIEW AND COMMENT BELOW TO ADVISE THE RESPONSIBLE OFFICIAL REGARDING THE THRESHOLD
DETERMINATION. THE ENVIRONMENTAL REVIEW FILE IS AVAILABLE IN THE PLANNING DEPART-
MENT THROUGH THE ABOVE STAFF COORDINATOR. .COMMENTS REGARDING THE PROJECT YOU WISH
CARRIED TO THE PLANNING COMMISSION, BOARD OF ADJUSTMENT, AND CITY COUNCIL SHOULD BE
MADE ON THE ATTACHED CENTRAL PERMIT SYSTEM ROUTING FORM.
ITEM COMMENT
5:0114 2A/43'4 5‘714-i9/2-ei ":4% ,c,e,mcof
t° x',n e.e r S )!c - /d Q 0 c C3i�'/fq Q ,197/6ei
P "s
yfJ24' f
DATE 0//Fg/
COMMENTS PREPARED BY
C.P.S. Form 11
, •
ENVIRONMENTAL CHECKLIST
A. BACKGROUND
ro l No.
Epic File No. 10-88
Fee $100.00 Receipt No. 2 2 c it
1. Name of proposed project, if applicable: 'r rT341. PA & , €
2. Name of applicant:
3. Address and phone number of applicant and contact person: 427 Sw (541' Mr5 Sid.
(- el$16b -t— 241 •3 M get -frrr - (rid 10410 ie-a (3e,t4 I.J.E.
4. Date checklist prepared: 3 I I • °av
5. Agency requesting Checklist:
6. Proposed timing or schedule
St-t-
City of Tukwila
&A 2325
(including phasing, if applicable) :
— l9 $8
- �-�- «8S
7. Do you have any plans for future additions, expansion, or further activity
related to or connected with this proposal? If yes, explain. I.1o.
8. List any environmental information you know about that has been prepared, or will
be prepared, directly related to this proposal.
E'(.' t "Fvt-
S p G 1=C L 5 f->o 2- — $1
9. Do you know whether applications are,p finding for governmental approvals of other
proposals directly affecting the pr0Oerty covered by your proposal? If yes,
explain. Pt,
10. List any government approvals or permits that will be needed for your proposal.
11. Give brief, complete description of your proposal, including the proposed use
and the size of the project and site. There are several questions later in thi .
checklist that ask you to describe certain aspects of your proposal. You do no .
need to repeat those answers on this page. Section E requires a complete
description of the objectives and alternatives of your proposal and should not be
summarized here.
S-to Uiwc -1-► 1 A. - l��c�tL gx,c.ulauxo dF 4 14a0K• 23�� S.
Std.
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 applica-
tions related to this checklist.
00e1 W- - I t CF SokA14 .L.. •.)ole+ i c L t t•,ouuT 4 aF
1-1005 u-h•4C2-*t�t.. womi (1•4151,1414 cic G AGEF S1450Pig<0
13. Does the proposal lie within an area designated on the City's Comprehensive Land
Use Policy Plan Map as environmentally sensitive?
'tzem,t' Ac- .-t-t4ocx64 Ste° Sczp& cyF. -r -5 SITE c D
x j -
- 3-
'TO. BE COMPLETED BY APPL IiiNT
8. ENVIRONMENTAL ELEMENTS
1. Earth
• Evaluation for
Agency Use Only
a. General description of the site (circle one):
rolling, hilly, steep slopes, mountainous, other
b. What is the steepest slope on the site (approximate
percent slope)? 10°4 AT- w 3'r t. i oc n4wc1
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.
-110E77.. So' 1 r bF aw &E
1=w4- dam, slid- A wilb 4.64„,-)td NA.—rtvE
5DLLS
d. Are there surface indications or history of unstable
soils in the immediate vicinity? If so, describe.
e. Describe the purpose, type, and approximate quanti-
ties of any filling or grading proposed. Indicate
source of fill. s*.tNNe,m_ 614-ezik,e,„ dyp
1uLL b-Y I Ac_ L tt_ L .gib tK
-b01.4-IIJca G'mNgttwC�'toN .
f.. Could erosion occur as a result of clearing,
construction, or use? If so, generally describe.
it- u14-( gcuct;Tt-:= tS Tn:470679
A"i .ko•�� LL K) (o7 O9 a.4&-t- tAC - .
g. About what percent of the site will be covered with
impervious surfaces after project construction (for
example, asphalt or buildings)? ,&oJj- 88 o
•
h. Proposed measures to reduce or control erosion, or
other impacts to the earth, if any:
5,2NMC -- 4F 4 VvtoScos.5 tt tbi 6
S M4 (AAA, •p r & c 1LG 'Dv� u� ey' s� �
M J ems.
2. Air
Evaluation for
Agency Use Only
a. What types of emissions to the air would result from
the proposal (i.e., dust, automobile odors,
industrial wood smoke) during construction and when
the project is completed? If any, generally
describe and give approximate O.antities if known.
� ST J5tD • 1 1C� Lam' L� LSSto.� ay.4..►,Xo
t'�X h1 sST 144 M Ai JUD tiA4FF4C, Aqmr001.--elr-LLN404c21
b. Are there any off -site sources of emissions or odor
that may affect your proposal? If so, generally
describe. Ise .s 4 t .10- q - .
c. Proposed measures to reduce or control emissions or
other impacts to air, if any:
t ktGA, S tt ' ui o C1.0 ttt
6.) )4 aw61 rtaa .
3. Water
a. Surface:
1) Is there any surface water body on or in the
immediate vicinity of the site (including year -
round and seasonal streams, saltwater, lakes,
ponds, wetlands)? If yes, describe type and
provide names. If appropriate, state what
stream or river it flows into. WO
0 Evaluation for
Agency Use Only
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. WO.
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. iJ .'`! .
•
4) Will the proposal require surface water
withdrawals or diversions? Give general
description, purpose, and approximate quan-
tities, if known. k9
5) Does the proposal lie within a 100 -year
floodplain? If so, note location on the site
plan. 1-i
6) Ooes the proposal involve any discharges of
waste materials to surface waters? If so,
describe the type of waste and anticipated
volume of discharge. No
•
b. Ground:
1) Will ground water be withdrawn, or will water be
discharged to ground. water? Give general
description, purpose, and approximate quan-
tities, if known. .'
2) Describe waste materials that will be discharged
into the ground from septic tanks or other sour-
ces, if any (for examplep:, 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. NA.
Evaluation for
Agency Use Only
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.
c •
ZOIrE7 Safcsit.w. LA- v.7%54- Wm-4-
416• Ul 4 C.irt✓l4 .160150-35
41-14450t-•
•
• Evaluation for
Agency Use Only
2) Could waste materials enter ground or surface
waters? If so, generally describe. Nd'r (AKgc4�
X Ctli,C*tF moue 1 toadA, u.s esF
eit*,ST+ riotit lotot kr A Coax -r) cam- +'tit_
(1700 744) . 14 2. Sc' ic4- ktot S c > -15...r
1=01P.. 'Pec'4'A 6,
d. Proposed measures to reduce or control surface,
ground, and runoff water impacts, if any:
,111-2410tgY 4015%#1:.
71t4V C Vr.�l Qro 1>ct0
4. Plants
a. Check or circle
site: iJ>c
dec iduo ss t
_ evergreen tree:
shrubs
grass
pasture
_ crop or grain
wet soil plants: cattail,
skunk cabbage, other
_ water plants: water lily, eelgrass,
_ other types of vegetation
types of vegetation found on the
Sty IS ta-t�� -L-�-j Cc�+3 w
Atmaple, aspen, other
fir, cedar, pine, other
buttercup, bullrush,
milfoil, other
b. What kind and amount of vegetation will be removed
or altered? N, A .
c. List threatened or endangered species known to be on
or near the site. NINE
• •
d. Proposed landscaping, use of native plants, or other
measures to preserve or enhance vegetation on the
site, if any: MOW Lkto1Se*ALX tout. C'0uScS1-
csXcWN St 't•S Aout S- •k���t ., -Rom
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
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. Pbkle
c. Is the site part of a migration route? If so,
explain._JJJ
d. Proposed measures to preserve or enhance wildlife,
if any: NDNE
Evaluation for
Agency Use Only
•
• Evaluation for
Agency Use Only
6. Energy and Natural Resources
a. What kinds of energy (electric, natural gas, oil,
wood stove, color) will be used to meet the
completed project's energy needs? Describe whether
it will be uspd for heating, manufacturing, etc.
454a 'rag- tFuRic0440.1Ni14.. rj>ccx:set,
_ 'Q U�-1i.
b. Would your project affect the potential use of solar
energy by adjacent properties? If so, generally
describe. WC
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: ep (x)N1-74 toiCali,] rra.1
1%E "a�•rf'lI kti 1-* (it-.
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. ' .iGS a2. Trot.6
2) Proposed measures to reduce or control environ-
mental health hazards, if any: NA 0,4
G40FfS .
•
b. Noise
• Evaluation for
Agency Use Only
1) What types of noise exist in the area which may
affect your project (for example: traffic,
equipment, operation, other)? -j1A Al ctc, po(Si✓
- Oster SmSE4CrfAtrit, PAGMa..Nati
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: traf-
fic, construction, operatioi .other)? Indicate
what hours noise would come from the site.
Shat cr -1s« -" - Tor. Av CAS tactic ►b `[ -ai
1401St -Tkfi0 44:44A t S
LAD tAn — ` u *t t 1b No (e�GUASE
DJ Look. I�S��
tx -(o 11-1A.A 44‹: -I-d
)10.45 -P4,44444 P,A-42L-05er.
3) Proposed measures to reduce or control noise
impacts, if any: NO. X.5.
8. Land and Shoreline Use
a. What is the current use of the site and adjacent
properties? S( (S (Ag5A4a17, S( 111-6, C srZ
-f r, $;ocm.l k+4• i (,)k crrikcr
n e E off) -7a i to ti-t 1:-E5
-ta
b. Has the site been used for agriculture? If so, ,
describe;-r �- S (4.61"514 A L ' awl
LAP AO ,55414V/EF1444.
c. Describe any structures on the site. DNS
•
• Evaluation for
Agency Use Only
d. Will ny structures be demolished? If so, what?
WO
e. What is the current zoning classification of the
site? G -2
f. What is the current comprehensive plan designation
of the site? eAPGLAAAJEAGIAL,
g.
If applicable, what is the current shoreline master
program designation of the site W.
h. Has any part of the site been classified as an
"environmentally sensitive" area? If so, specify.
NO
i. Approximately how many people would reside or work
in the completed project? (E5 -t z 5
j. Approximately how many people would the completed
project displace? moos
k. Proposed measures to avoid or reduce displacement
impacts, if any:_ f-.A1.
1. Proposed measures to ensure the proposal is com-
patible with existing and projected land uses and
plans, i f any: Gt�u i T tt4'u
(-) crtcf Zopoaco irs wtts
•
• Evaluation for
Agency Use Only
9. Housing
a. Approximately how many units would be provided, if
any? Indicate whether high, middle, or low - income
housing? E
b. Approximately how many units, if any, would be eli-
minated? Indicate whether high, middle, or low -
income housing. 1,/eN6'
c. Proposed measures to reduce or control housing
impacts, if any: Nam
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?
A4*Le2 24> 'fit % rgunsts2D GUAlakst1T5. Ao140
o CA-e w I Sat 1t 7 C401-00!
� w w &Ju 216 'fi r S9 f 4+ .
b. What views in the immediate vicinity would be
altered or obstructed? Newt,
c. Proposed measures to reduce or control aesthetic
impacts, if any: p t _t lh . C'cx.cao..S W e u- 5
CDOst l II ....
A. eO�-� VSO 1P404:0) zzatur
erF
•
•
11. Light and Glare
a. What type of light or glare will the proposal
produce? What time of day would it mainly occur?
twt- U6 td-T 1a6 Botch, LE UL E kr- pt , t4't
tutu- 1.151- (�6�( -'t �►a6 .
b. Could light or glare from the finished project be a
safety hazard or interfere with views? 140
c. What existing off -site sources of light or glare may
affect your proposal?__IJem.OF
d. Proposed
glare impacts, if
x �e
5 0�
ropose measures to reduce or control light an
i
any : (. l.- l�-t>sp
t6 -rtf -aG —Ic 6� oFr�, 1.36, LOT
d.
12. Recreation
a. What designed and informal recreational oppor-
tunities are in the immediate vicinity?
'gcom S150AJWCISF ANARer.
b. Would the proposed project displace any existing .
recreational uses? If so, describe. 1.
c. Proposed measures to reduce or control impacts on
recreation, including recreation opportunities to be
provided by the project or applicant, if any: Pos.
Evaluation for
Agency Use Only
•
13. Historic and Cultural Preservation
a. Are there any places or objects listed on, or pro-
posed for, national, state, or local preservation
registers known to be on or next to the site? If
so, generally describe. NO
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: 1.1o4-16
14. Transportation
a. Identify public streets and highways serving the
site, and describe proposed accss to the existing
street system. Show on site plans, if any.
otrh- - ettcwAci Scaw�5
�t tt.9 U' 4 - t vswkci .
b. Is the site currently served by public transit? If
not, what is the approximate distance to the nearest
transit stop? (ate , t& t 1,4 t t- 20 'F6;":
c. How.many parking spaces would the completed project
have? How many would the project eliminate?
• l't cou t 06p f •lpb4 Et.t w. t'., 4t1O .
Evaluation for
Agency Use Only
Evaluation for
• • Agency Use Only
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). WO
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. - lL4.1owN .
uou,.4.4 os 6.5oc., cr p P4444•4061-9 c .t. Art -
AtFls't- JC O ( K S 144,0•>6 CN ( .IGS.41:6
g. Proposed measures to reduce or control transpor-
tation impacts, if any: F-lD11. , dDpj -t.- N
—� 'lit) t6 A •.T15- {mac td�a-To Cvz Srre .
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. 1•b Pt' 1A_
b. Proposed measures to reduce or control direct
impacts on public services, if any. WeNE.
• Evaluation for
• • Agency Use Only
16. Utilities
a. Circle utilities currently available at the site:
t •1
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 whichi_might be needed.
,dew tmc.ctlt� ,�,� AuAtc.A6LE 0.1
1 tm�-rt
eiA&Sqmmlik4r o ,-r*& PAciue -w e i
oroz A41sk05-rr- —f c 6 scte .
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: �y /pr
Date Submitted:
t4 88
_AwG p,weu.s1, Aata .4t-tvfl-
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•
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