HomeMy WebLinkAboutSEPA EPIC-233-84 - SEATTLE RENDERING - UNCLASSIFIED USE PERMITSEATTLE RENDERING
5795 S 130' PLACE
EPIC - 233 -84
WAC 197 -11 -1350
DECLARATION'OF NONSIGNIFICANCE
Description of proposal Unclassified Use Permit
Proponent Seattle Rendering
Location of proposal
5795 S. 130th P1.
Lead Agency City of Tukwila
File No. EPIC - 233 -84
This proposal has been determined not to 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 by the lead agency of, a completed environmental checklist and other
information on file with the lead agency. This information is available to
the public on request.
There is no comment period for this DNS.
Responsible official Brad Collins
Position /title Planning Director
Address and phone 6200 Southcenter Blvd., Tukwila, WA 98188 433 -1845
Date 5= IC-kV
Signature
This declaration is conditioned upon approval of the septic tank and
drainfield system by the King County Health Department.
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GRAYLINE FORM 44-900 ART
01983• PRINTED IN U.S
•
Seattle, .
RENDERING "WORKS, Inc.
•
May 23, 1984
Tukwila Planning Commission
6200 Southcenter Boulevard
Tukwila, WA 98188
Dear Mr. Rick Beeler:
In regards to the question of attaching the proposed building
to the existing septic system, we at Seattle Rendering have
retained Central Engineers, Inc. 201 S. Division, Suite A,
Auburn, WA 98001, to study and plan this project. The engineer
in charge is Mr. Chuck Bull and he can be reached at 941 -2750 for
any questions.
The King County Health Department has also been advised, and we
are taking the necessary steps to comply with the health code.
The inspector that we have contacted is Mrs. Liz Kvest. Her
office hours are 7:30am - 9:OOam and she can be reached at
228 -2620 Monday - Friday.
If you wish any further information, please advise.
Sincerely,
Seattle Rendering Works, Inc.
Charlie Frame
Representative
5795 S. 130th PLACE • SEATTLE, WA 98178
P. 0. BOX 58368 • SEATTLE, WA 98188
(206) 243 -7387
U L
Vim.._._..... , ... .
MAY 231984
CITY OP `i i✓;:'v °1 ";�,�
PLANNING DEPT.
'43.21C.075 .
Tit3 RCW: State Government Executii
party seeking review to pay for additional portions of the
written transcript.
(c) Judicial review under this chapter shall without
exception be of the governmental action together with,its
acconwznying environmental determinations.
(7) Jurisdiction over the review of determinations un-
der this chapter in an appeal before an agency or supe-
rior court shall upon consent of the parties be
transferred in whole or part to the shorelines hearings
board. The shorelines hearings board shall hear the
matter and sign the final order expeditiously. The supe-
rior court shall certify the final order of the shorelines
hearings board and said certified final order may only be
appealed to an appellate court.
'(8) For purposes of this section and RCW 43.21C-
.080, the words "action ", "decision ", and "determina-
tion" mean substantive agency action .including any
accompanying procedural determinations under this
chapter (except where the word "action" means "ap-
peal' in RCW 43.21C.080(2) and (3)). The word "ac-
tion in this section and RCW 43.21C.080•does not
mean a procedural determination by itself made under
this chapter. The word "determination" includes any en-
: vironmental document required by this chapter and state
or local implementing rules. The word "agency" refers to
any state or local unit of government. The word "ap-
peal' refers to administrative, legislative, or judicial
appeals.
(9) The court in its discretion may award reasonable
attorney's fees of up to one thousand dollars in the ag-
gregate to the prevailing party, including a governmental
agency, on issues arising out of this chapter if the court
makes specific findings that the legal position of a party
is frivolous and without reasonable basis. [1983 c 117 §
4.)
= --
::..
Notice .: of action by governmental
agency How publicized Form Time limita-
tion for commencing challenge to action. (1) Notice of
any action taken by a governmental agency may be
publicized by the acting governmental agency, the appli-
cant for, or the proponent of such action, in substantially
the form as set forth in subsection (3) of this section and
in the following manner: • •
.(a) By publishing notice on.•the same day of each
week for two consecutive weeks in a legal newspaper of
general circulation in the area where the property which
is the subject of the action is located;
(b). By filing notice of such action .with the depart-
ment of ecology at its main- office in Olympia prior to
the date of the last newspaper publication; and
(c) Except for those actions which are of a nonproject
nature, by one of the following methods which shall be
accomplished prior to . the date of last newspaper
publication;
(i) Mailing to the latest recorded real property own-
ers. as shown by the records of the county treasurer, who
share a common boundary line with the property upon
which the project is proposed through United States
mail, first class, postage prepaid.
[Title 43 RCW—p )02)
(ii) Posting of the notice in a conspicuous manner on
the property upon which the project is to be constructed,
•(2) (a) Any action to set aside, enjoin, review, or
otherwise challenge any such governmental action for
which notice is given as provided in subsection (1) of
this section on grounds of noncompliance with the provi-
sions of this chapter shall be commenced within thirty
days from the date of last newspaper publication of the
notice pursuant to subsection (1) of this section, or be
barred: Provided, however, That the time period within
which an action shall be commenced shall be ninety days
(1) for projects to be performed by a governmental
agency or to be performed under government contract,
or (ii) for thermal power plant projects: Provided fur-
ther, That any subsequent governmental action on the
proposal for which notice has been given as provided in
subsection (1) of this section shall not be set aside, en-
joined, reviewed, or otherwise challenged on grounds of
noncompliance with the provisions of RCW
43.21C.030(2)(a) through (h) unless there has been a
substantial change in the proposal between the time of
the first governmental action and the subsequent gov-
ernmental action, or unless the action now being consid-
ered was identified in an earlier detailed statement or
declaration of nonsignificance as being one which would
require further environmental evaluation: (b) Any action
to challenge a subsequent governmental action based
upon any provisions of this chapter shall be commenced
within thirty days from the date of last newspaper pub-
lication of the subsequent governmental action except (i)
for projects to be performed by a governmental agency
or to be performed under 'governmental contract, or (ii)
for thermal power plant projects which shall be chal-
lenged within ninety days from the date of last newspa-
per publication of the subsequent governmental action,
or be barred. .
(3) The form for such notice of action shall be issued
by the department of ecology and shall be made.avail-
able by the governmental agency taking an action sub-
ject to being publicized pursuant to . this section, by the
county auditor, and /or the city clerk to the project ap-
plicant or proposer. The form of such notice shall be
substantially as follows:
NOTICE OF ACTION BY
(Government agency or entity)
Pursuant to the provisions of chapter 43.21C RCW,
notice is hereby given that:
The (Government agency or entity)
did on (date), take the action described
below.
Any action to set aside, enjoin, review, or otherwise
challenge such action on the grounds of noncompliance
with the provisions of chapter 43.21C RC \'V (State En-
vironmental Policy Act) shall be commenced within
days or be barred.
The action taken by (Government
agency or entity), notice of which is hereby given, was 25
follows:
(19E3 E43
NOTICE OF ACTION BY
c-t-t'`f OP- 1) t L.A
Pursuant to the provisions of chapter 43.21C RCW, notice is hereby given that:
Ut`f OF 5..\/\(lLb\
The
did on (date), take the action described below.
Any action to set aside, enjoin, review, or otherwise challenge such action on the grounds of
noncompliance with the provisions of chapter 43.21C RCW (State Environmental Policy Act)
shall be commenced within 3C) days or be barred.
The action taken by
C1'fi�( O� rtz LA[V tl.A
notice of which is hereby given, was as follows:
(1)
(Here insert description of action taken such as: Adoption Ordinance No
Issued Building Permit; Approved preliminary (or final) plat, etc.)
(2)
(Here insert brief description of the complete project or proposal.)
(3) Said action pertained to property commonly known as:
(Sufficient description to locate property, but complete legal description not required)
(4) Pertinent documents may be examined during regular business hours at the office of -
PLPs-Ok \ t C t- t located at:
(2( ���tL� C Y c�(L iS(Y )l_VP'S LO , iU �N.11(P ,"(A .
(Name of proponent, or applicant giving notice)
Filed by
(Signature of individual and capacity in which such individual is signing)
CITY OF TUKWILA
CENTRAL PERMIT SYSTEM.
ENVIRONMENTAL REVIEW ROUTING FORM
TO: ti<1 BLDG PLNG
PROJECT (6.Qp amu'/JG
LOCATION 5-7q5- S. J3€-)&/.
DATE TRANSMITTED 54/36/
STAFF COORDINATOR '(�J
P.W.
FIRE
"" CN 8y -/56
EPIC V3,2-211
FILE
POLICE I I P & R
FILE NO.
RESPONSE REQUESTED BY
RESPONSE RECEIVED
S /�i /by
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
DATE J —�-- �7' COMMENTS PREPARED BY
C.P.S. Form 11
CITY OF TUKWILA
CENTRAL PERMIT SYSTEM
ENVIRONMENTAL. REVIEW ROUTING FORM
TO: BLDG g PLNG
PROJECT it tit AIOLUAL/Q
LOCATION 5795 5. 43e)=)421.
DATE TRANSMITTED 57813'/
STAFF COORDINATOR ja'afivj
P.W.
FIRE
EPIC ?32 22%
FILE
POLICE
P &R
FILE NO.
RESPONSE REQUESTED BY
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
�po:JS,
DATE gel COMMENTS PREPARED BY
C.P.S. Form 11
CITY OF TUKWILA
CENTRAL PERMIT SYSTEM.
ENVIRONMENTAL REVIEW ROUTING FORM
TO:
BLDG I PLNG I ( FIRE
PROJECT olQap4/GUAL/G
LOCATION 57q5" .5. J3)&/.
DATE TRANSMITTED 578%8'/
STAFF COORDINATOR k7j'(/
CN gy15 -
EPIC :732-2411
FILE
POLICE
P &R
FILE NO.
RESPONSE REQUESTED BY
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
.11 C., 5:0c wA w o■n -TIZIi-C.117 w y TLS ^DL-vu vO PAUCC -
-Lo o / S H-v P. �c l_ ft' 1� 0,;1^n c.--kc:?) •
l 1 L6--) T ,
DATE COMMENTS PREPARED BY
C.P.S. Form 11
CITY OF TUKWILA
CENTRAL PERMIT SYSTEM
ENVIRONMENTAL. REVIEW ROUTING FORM
[I:CEP/END 8y -,56--
BY MAY
TUKWILA FIRE PRE
TO: BLDG I PLNG ( 1 P.W.
PROJECT (6_Q (,p d/AideG
LOCATION fr/qtr J. /36 v-- )421.
J
DATE TRANSMITTED .578/84/
STAFF COORDINATOR aCk2J
FIRE
EPIC V32-1-/
BURENIUI LE
POLICE
P & R
FILE NO.
RESPONSE REQUESTED BY :0/ /lFy
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 / 1
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14e; i mg/ Y-oki R 7�/ f ig/' c. .5 ,r j v ,4J -e r5
DATE
COMMENTS PREPARED BY
C.P.S. Form 11
, CITY OF TUKWILA.
CENTRAL PERMIT SYSTEM.
ENVIRONMENTAL REVIEW ROUTING FORM
CN 8N -,56
EPIC V32-2q
FILE
TO: BLDG PLNG 1 P.W. pi FIRE POLICE 1 P & R
1
PROJECT j(, p jam dlid /)�
LOCATION 5795 .5. /3 L Q ./
DATE TRANSMITTED S /elcq
STAFF COORDINATOR ? 'OeJ
FILE NO.
S / /i /fy
RESPONSE REQUESTED BY
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
DATE COMMENTS PREPARED BY
C.P.S. Form 11
CITY OF TUKWILA
CENTRAL PERMIT SYSTEM
ENVIRONMENTAL. REVIEW ROUTING FORM
TO: BLDG I I PLNG I I P. W.
PROJECT ti —.p Ji?kICILILL9Q
LOCATION -795 J. J3t K-)Qi.
DATE TRANSMITTED 5,8484,
STAFF COORDINATOR 16',42J
FIRE
• C N Sq -/5
EPIC o?,32 4ii
FILE
POLICE '�P & R
FILE NO.
RESPONSE REQUESTED BY
57 ///ey
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
DATE c� ? —/ 7' COMMENTS PREPARED BY
C.P.S. Form 11
CITY OF TUKWILA PERMIT NUMBER CONTROL NUMBER g4-/S5-
CENTRAL PERMIT SYSTEM - ROUT RIG FORM
TO: (] BLDG. a PLNG. P.W. a FIRE a POLICE a P. & R.
PROJECT Ojazaj, 0/ 41/
ADDRESS 57Q5- /36 u-i- .
DATE TRANSMITTED 57846,/ RESPONSE REQUESTED BY 51/1/3 y
C.P.S. STAFF COORDINATOR kj1�� RESPONSE RECEIVED
PLEASE REVIEW THE ATTACHED PROJECT PLANS AND RESPOND WITH APPROPRIATE COMMENTS IN THE
SPACE BELOW. INDICATE CRUCIAL CONCERNS BY CHECKING THE BOX NEXT TO THE LINE(S) ON WHICH
THAT CONCERN IS NOTED:
a
a
a
a
a
a
D.R.C. REVIEW REQUESTED a
PLAN SUBMITTAL REQUESTED [�
PLAN APPROVED (�
P'L "Ncrm- HE-e DATE
COMMENTS PREPARED BY,_--tr
C.P.S. FORM 2
CITY OF TUKWILA
CENTRAL PERMIT SYSTEM
ENVIRONMENTAL REVIEW ROUTING FORM
TO: [BLDG [ rPLNG
PROJECT j,QtLp 1141 �' / j19
LOCATION 5795' .5. Amy- .
DATE TRANSMITTED s /8/8'/
STAFF COORDINATOR Aj'CkJ
41,N 8t/ -/56
EPIC. v3.2-2L/
FILE
FIRE [ OLICE
&R
FILE NO.
RESPONSE REQUESTED BY
s/ ///W
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
DATE COMMENTS PREPARED BY
C.P.S. Form 11
CITY OF TUKWILA • . PERMIT NUMBER • CONTROL NUMBER jj1/- /55
CENTRAL PERMIT SYSTEM - ROUTING FORM
TO: Q BLDG. .Q PLNG. Q P.W. Q FIRE Q POLICE EA P. & R.
PROJECT .:r(., kkf7d/AJ'i2C
ADDRESS 57Q5- .
DATE TRANSMITTED 57Ver../ RESPONSE REQUESTED. BY 5/11/59
C.P.S. STAFF COORDINATOR /2/.6', RESPONSE RECEIVED
PLEASE REVIEW THE ATTACHED PROJECT PLANS AND RESPOND WITH APPROPRIATE COMMENTS, IN THE
SPACE BELOW. INDICATE CRUCIAL CONCERNS BY CHECKING THE BOX NEXT TO THE LINE(S) ON WHICH
THAT CONCERN IS NOTED:
D.R.C. REVIEW REQUESTED Q
PLAN SUBMITTAL REQUESTED [J
PLAN APPROVED [�
PLAN CHECK DATE
COMMENTS PREPARED BY
C.P.S. FORM 2
CITY OF TUKWILA
•1 L : J �.7.
MAY 3 1984
ENVI RONMENTAL CHECKLI ST FORM CITY CAF TUK0,I .A
PLANNING DEPT.
This questionnaire must be completed and submitted with the application for
permit. This questionnaire must be completed by all persons applying for a
permit from the City of Tukwila, unless it is determined by the Responsible
Official that the permit is exempt or unless the applicant and Responsible
Official previously agree an Environmental Impact Statement needs to be completed.
A fee of $60.00 must accompany the filling of the Environmental Questionnaire
to cover costs of the threshold determination.
I. BACKGROUND
1. Name of Proponent: CF e. >9r tl -
. 2. Address and Phone Number .of Proponent: ,S794" ,S� x, go X)/ac
T AAu�, //a . A 9�/6 7V 73r7
3. Date Checklist Submitted: ,"1..3/r�fZ/
4. Agency Requiring Checklist: Ala or- 722AvAA.,
5. Name of Proposal , if applicable: /1/4aj OroCJl, " c ',1u,o A.i/cJ ,,a
6. Nature.and Brief Description of the Proposal (including but not limited
to its size, general design elements, and other factors that will give
an accurate understanding of its scope and nature):
47115 -h', c 3'' s i 'A/J.2 1 ✓, L/ Una �� �e /mil fee i- r .O 40446'P
;psi "4, AnTr leter404 410 .r4e-kA exi c�►-3- 4.e Aaal
J '
7. Location of Proposal (describe the physical setting of the proposal, as
well as the extent of the land area affected by any environmental im-
pacts, including any other information needed to give an accurate under-
- standing of the environmental setting of the proposal):
J J _-
fer942/Je- eir 1ft/
8. Estimated Date for Completion of the Proposal: �4EP 1 Jew r'uhl:1,0/ /ind5'.
9. List of all Permits, Licenses or Government Approvals Required for the
Proposal (federal, state and local):
(a) Rezone, conditional use, shoreline permit, etc. YES NO
(b) King County Hydraulics Permit YES NO
(c) Building permit YES y/ NO
• •
(d) Puget Sound Air Pollution Control Permit YES NO y"
(e) Sewer hook up permit YES NO v,
(f) Sign permit YES NO ,y'
(g) Water hook up permit YES NO!/
(h) Storm water system permit YES NO it"
(i) Curb cut permit YES NO A/'
(j) Electrical permit (State of Washington) YES /NO
(k) Plumbing permit (King County) YES fr' NO
(1) Other:
10. Do you have any plans for future additions, expansion, or futher activity
related to or connected with this proposal? If yes, explain:
d)
11. Do you know of any plans by others which may affect the property covered by
your proposal? If yes, explain:
RIP
12. Attach any other application form that has been completed regarding the pro-
posal; if none has been completed, but is expected to be filed at some future
date, describe the nature of such application form:
II. ENVIRONMENTAL IMPACTS
(Explanations of all "yes" and "maybe" answers are required
1. Earth. Will the proposal result in:
(a) Unstable earth conditions or in changes in geologic
substructures?
(b) Disruptions, displacements, compaction or overcover-
ing of the soil?
(c) Change in topography or ground surface relief fea-
tures?
(d) The destruction, covering or modification of any
unique geologic or physical features?
-2
YES MAYBE NO
(e) Any increase in wind or water erosion of soils,
either on or off the site?
(f) Changes in deposition or erosion of beach sands, or
changes in siltation, deposition or erosion which
may modify the channel of a river or stream or the
bed of the ocean or any bay, inlet or lake?
Explanation:
2. Air. Will the proposal result in:
(a) Air emissions or deterioration of ambient air
quality?
(b) The creation of objectionable odors?
(c) Alteration of air movement, moisture
or temperature, or any change in climate, either
locally or regionally?
Explanation:
.• Water. Will the proposal result in:
(a) Changes in currents, or the course or direction
of water movements, in either marine or fresh
waters?
(b) Changes . in absorption rates, drainage patterns,
or the rate and amount of surface water runoff?
(c) Alterations to the course or flow of flood waters?
(d) Change in the amount of surface water in any water
body?
(e) Discharge into surface waters, or in any alteration
of surface water quality, including but not limited
to temperature, dissolved oxygen or turbidity?
Gf) Alteration of the direction or rate of flow of
ground waters?
(g) Change in the quantity of ground waters, either
through direct additions or withdrawals, or through
interception of an aquifer by cuts or excavations?
-3-
YES MAYBE NO
14,
(h) Deterioration in ground water quality, either
through direct injection, or through the seepage
of leachate, phosphates, detergents, waterborne
virus or bacteria, or other substances into the
ground waters?
(i) Reduction in the amount of water otherwise avail-
able for public water supplies?
Explanation:
4. Flora. Will the proposal result in:
(a) Change in the diversity of species, or numbers
of any species of flora (including trees, shrubs,
grass, crops, microflora and aquatic plants)?
(b) Reduction of the numbers of any unique, rare or
endangered species of flora? kr
(c) Introduction of new species of flora into an area,
or in a barrier to the normal replenishment of
existing species?
YES MAYBE NO
(d) Reduction in acreage of any agricultural crop?
Explanation:
5. Fauna. Will the proposal result in:
(a) Changes in the diversity of species, or numbers
of any species of fauna (birds, land animals
including reptiles, fish and shellfish, benthic
organisms, insects or microfauna)?
(b) Reduction of the numbers of any unique, rare or
endangered species of fauna?
(c) Introduction of new species of fauna into an
area, or result in a barrier to the migration
or movement of fauna?
(d) Deterioration to existing fish or wildlife
habitat?
Explanation:
6. Noise. Will the proposal increase existing noise
levels?
Explanation:
7. Light and Glare. Will the proposal produce new
light or glare?
Explanation:
8. Land Use. Will the proposal result in the altera-
tion of the present or planned land use
of an area?
Explanation:
9. Natural Resources. Will the proposal result in:
(a) Increase in the rate of use of any natural
resources?
(b) Depletion of any nonrenewable, natural
resource?
Explanation:
10. Risk of Upset. Does the proposal involve a risk of an
explosion or the release of hazardous
substances (including, but not limited
to, oil, pesticides, chemicals or radi-
ation) in the event of an accident or
upset conditions?
Explanation:
YES MAYBE NO
7
7
11. Population. Will the proposal alter the location,
distribution, density, or growth rate
of the human population of an area?
Explanation:
12. Housing. Will the proposal affect existing housing,
or create a demand for additional housing?
Explanation:
13. Transportation /Circulation. Will the proposal result in:
(a) Generation of additional vehicular movement?
(b) Effects on existing parking facilities, or
demand for new parking?
(c) Impact upon existing transportation systems?
(d) Alterations to present patterns of circulation
or movement of people and /or goods?
(e) Alterations to waterborne, rail or air traffic?
(f) Increase in traffic hazards to motor vehicles,
bicyclists or pedestrians?
Explanation:
14. Public Services. Will the proposal have an effect upon,
or result in a need for new or altered
governmental services in any of the
following areas:
(a) Fire protection?
(b) Police protection?
(c) Schools?
(d) Parks or other recreational facilities?
(e) Maintenance of public facilities, including
roads?
YES MAYBE NO
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17.
(f) Other governmental services?
Explanation:
15. Energy. Will the proposal result in:
(a) Use of substantial amounts of fuel or energy?
(b) Demand upon existing sources of energy, or
require the development of new sources of
energy?
Explanation:
YES MAYBE. NO
v
16. Utilities. Will the proposal result in a need for
new systems, or alterations to the
following utilities:
(a) Power or natural gas?
(b) .Communications systems?
(c) Water?
(d) Sewer or septic tanks?
•(e) Storm water drainage?
(f) Solid waste and disposal?
Explanation: /0 (,Lhh7L /eS &X 4.0.0. ! .4sr e ,k /f?',12. Leh) /Pies,
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17. Human Health. Will the proposal result in the crea-
tion of any health hazard or potential
health hazard (excluding mental health)?
Explanation:
YES MAYBE NO
18. Aesthetics. Will the proposal result in the obstruc-
tion of any scenic vista or view open to
the public, or will the proposal result
in the creation of an aesthetically of-
fensive site open to public view?
Explanation:
19. Recreation. Will the proposal result in an impact
upon the quality or quantity of exist-
ing recreational opportunities?
Explanation:
20. Archeological /Histroical. Will the proposal result in
an alteration of a signifi-
cant archeological or his-
torical site, structure,
object or building?
Explanation:
CERTIFICATION BY APPLICANT:
I, the undersigned, state that to the best of my knowledge the above
information is true and complete. It is understood that the lead agency
may withdraw any declaration of non - significance that it might issue in
reliance upon this checklist should there be any willful misrepresentation
or willful lack of full disclosure on my part.
1 84(
Signature and Title Date .
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