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HomeMy WebLinkAboutSEPA EPIC-FD-7 - TUK-INN RESTAURANT - ADDITIONTUK -INN RESTAURANT 13050 INTERURBAN AV S EPIGFD -07 � • CITY OF TUKWILA CERTIFICATION BY APPLICANT: I, the undersigned, state that mation is true and complete. It is any declaration of n. - significance checklist should er be any disclosure on • / THOMAS A. SCONZO /dfriikt- to the best of my knowledge the above infor- understood that the lead agency may withdraw that it might issue in reliance upon this srepresentation or willful lack of full Signature . d Title Iqftcgirecr Project Name: °" U K.- yr j N' g-"'"'S i A-t2 gAi r '• X7,/974 Date Project Address: l30S0 44 i mfzi, a ?d 1 u i- , Tv 1 1A/L1 BELOW THIS LINE FOR CITY USE ONLY ACTION BY OTHER DEPARTMENTS: 1. Date of Review: Building Planning /z'Lr -v' Engineering Police Fire by: by: by: by:. by: Check one +) or ( -) 2. Agency review of environmental checklist determined that: The project is exempt by definition. /� The project has no significant environmental impact and application should be processed without further consideration of environmental effects. The project has significant environmental impact and a complete.environ- mental impact statement must be prepared prior to further action for permit. More specific information is needed to determine impact. Signa ure and Title of Responsible Official • 3. Applicant was notified of decision on: Date 2 /ZI/7r Date by by Staff Person Letter, phone In accordance with Washington State Environmental Policy Act and City of Tukwila Ordinance No. 759. ( +) Means recommend a full environmental impact statement be done. ( -) Means recommend a full environmental impact statement not be done. EPIC -FD -7 CITY OF TUKWILA ENVIRONMENTAL CHECKLIST FORM 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. I. BACKGROUND 1. Name of Proponent: Robert Oldright 2. Address and Phone Number of Proponent: c/o Tempo Twenty 331 Andover Park East, Tukwila, Washington 98188 244 -9009 3. Date Checklist Submitted: December 28, 1976 4. Agency Requiring Checklist: Building Department 5. Name of Proposal, if applicable: Tuk -Inn Addition 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 ac- curate understanding of its scope and nature): 20' 4" x 51' 8" Addition to existing restaurant 7. Location of Proposal (describe the physical setting of the proposal, as well as the extent of the land area affected by any environmental impacts, in- cluding any other information needed to give an accurate understanding of the environmental setting of the proposal): 13050 Interurban South, Tukwila, Washingtnn 8. Estimated Date for Completion of the Proposal: March 1. 1 977 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 x (b) King County Hydraulics Permit YES NO x (c) Building permit YES x NO • Puget Sound Air Pollution Control Permit .YES NO X_ Sewer hook up permit YES NO K Sign permit YES NO x Water hook up permit YES NO x Storm water system permit YES NO x Curb cut permit YES NO.X Electrical permit (State of Washington) YES X NO Plumbing permit (King County) YES X NO Other: 10. Do you have any plans for future additions, expansion, or futher activity related to or connected with this proposal? If yes, explain: No 11. Do you know of any plans by others which may affect the property covered by your proposal? If yes, explain: No 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: Does not apply 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: 3. 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? (f) 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 __X__ X (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: 3 B and F: Existing planting and parking area will be removed to make room for addition. YES MAYBE NO __X__ 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)? N (b) Reduction of the numbers of any unique, rare or endangered species of flora? (c) Introduction of new species of flora into an area, or in a barrier to the normal replenishment of existing species? X (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: X • • 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 • • 11. Population. Will the proposal alter the location, distribution, density, or growth rate of the human population of an area? Explanation: YES MAYBE NO 12. HousinW. Will the proposal affect existing housing, or create a demand for additional housing? X 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: 13B. New parking provided at a ratio of 1 :5 persons (SEE, revised parking layout). 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: X (a) .Fire protection? X (b) Police protection? X (c) Schools? X (d) Parks or other recreational facilities? X (e) Maintenance of public facilities, including roads? _ X (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: 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: 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 X X X • • 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 /Historical. Will the proposal result in an alteration of a signifi- cant archeological or histor- ical'.site, structure, object or building? Explanation: YES MAYBE NO