HomeMy WebLinkAboutSEPA EPIC-ND-31 - CITY OF TUKWILA / PUBLIC WORKS - LOCAL IMPROVEMENT DISTRICT #27 (LID)LID 27
EPIGND -31
CITY OF TUKWILA
June 24, 19/5
CERTIFICATION BY APPLICANT: _
I hereby certify;that" the information furnished in this environmental checklist
sheet is true and accurate to the best. of any knowledge.
Steve Hall, Public Works Direcior
Signature and Title
Project Name:
Project Address:
BELOW THIS LINE. FOR CITY USE ONLY
ACTION.BY OTHER. DEPARTMENTS:
1. Date of Review: Building
Planning.
Engineering
Police
Fire
July 23 1976
Date
1
2. Agency review of environmental checklist determined that:
':The project is exempt by definition.
The project has no significant environmental i ioactfandvapplicationaffects
should be processed without further con
The project has significant environmental
riorctoafurthexmactionefo.r permi
mental impact statement must be prepared p
More specific information is needed to determine impact.
.i;natur- an•:Titl
Responsible Official
3. A,plicant was notified of decision on:.
by
Date •
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:
Staff Person
by
e
Letter, phone
CITY OF TUKWILA
ENVIRONMENTAL QUESTIONNAIRE
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 an environmental assessment or full impact statement is required. Other
forms have been developed for single- family home applications and legislation
proposals.
cf
1. Name of applicant: C,1 Ty of L)WJAk A Qh3%.AC WW1 DATA:
2. Address and phone of Applicant:
3. Project name: l_ O
4. Project location:
5. Nature and b ief descripti of pro osal:
A 1 NF Ca �I"vMP 00 iF to OEs
Qty
. Estimated completion date: Jv t..�
'on if yes please explain :_1111_
7. Do you have any plans for future expansion, y p
What other governmental permits are required prior to completion of this
project?
(a) Rezon e , conditional use, substantial development, etc.. YES NO ✓ -
;'
(b) King County Hydrolics. Permit. (COVNICteur‘A YES NO • (c) Building permit YES NO
(d) Puget Sound Air Pollution Control Permit YES NO ✓
(e) Sewer hook permit
YES NO ✓
k
(f) Sign permit YES NOV
(g) Water hook up permit YES ✓ NO
(h) Storm water system permit YES ✓ NO
(i) Curb cut permit
YES ✓ NO
(j) Electrical permit (State of Washington) YES ✓ NO
(k) Plumbing permit (King County)
YES � NO
(1) Other
9. Do you know of any plans by others whic may affect the property covered by
your proposal? If yes, explain: whic
/� �
10. Agency requiring checklist: City of Tukwila, Department -�icEr r. Vim./•
11. Accepted by agency on: by:
(to be filled in by city upon receipt of checklist)
ENVIRONMENTAL IMPACTS
(Explanations of all "yes" and "maybe" answers are required.) Y be
Earth. Will /the proposal result in:
(a) Unstable earth conditions or in
any changes in geologic sub -
structures:
(b) Disruptions, displacements
or overcovering of the soils:
(c) Change in topography or ground
surface relief features?
(d) The destruction, covering, or
modification of any unique
geologic or physical features?
(e) Any increase in wind or water
erosion of soils, either on
or off the site?
Changes in deposition or
erosion of beach sands, or .
in changes in siltation,
deposition, or erosion which
ma tie channel of a
river or stream or the bed of
the ocean or any bay, inlet
or lake?
Explanation-
(f)
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
in 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 s,
draina'e •a. erns,
(c) Alterations to the course or
flow of flood waters?
(d) Change in the amount of surface
water in any watercourse?
(e) Discharge into surface waters,
or in any alteration of sur-
face.water quality, including
temperature or turbidity?
Alteration of the direction or
rate of flow of ground waters?
(f)
(
Change in the quantity of
ground waters, either through
direct additions or withdrawals,
or through interception of an
acquifer by cuts or excavations?
(h) Deterioration in ground water
quality, either through direct
injection; or through the seep -
age of leachate, phosphates,
detergents, waterborne virus
or bacteria, or other substances
into the ground waters?
(i) Reduction in the amount of water
otherwise available for public
water. supplies?
Explanation:
Yes Maybe
411 4110 Yes -Maybe No
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; micro-flora and aquatic
plants)?
(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 bar-
rier to the normal replenishment of
existing species?
Explanation:
• Fauna.' Will the proposal result in:
• (a) Changes in the diversity of species,
or numbers of any species of,fauna
(birds, land animals including rep-
tiles, fish and shellfish, benthic
organisms, insects, or micro-fauna)?
• (b) Reduction of the numbers of any
unique, rare or endangered species
of fauna?
• (c) Introduction of new species of fauna
into an area, ar--taestrit--414—&-+Tarrter
. • "
(d) Deterioration to existing wildlife
habitat?
Explanation:
Noise.- Will the proposal increase exist-. .
ing noise levels? •
Explanation:
••
•
Light and Glare. Will the proposal produce,
new light or glare?
Explanation:;'
Land Use. Will . the proposal result in the
alteration of_the present or planned land
use of an area?
Explanation:
Natural Resources. Will the proposal re-
sult in:
(a) Increase in the rate of use of any
natural resource?
(b) Depletion of any nonrenewable nat-
ural resource? . .
Explanation:
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
radiation) in the event of an accident or .
upset conditions?
Explanation:
Population. Will the proposal alter the
location, distribution, density, or growth
rate of the human population of an area? .
Explanation:
Yes Maybe No
Housing. Will the proposal affect existing
housing availability, or create a demand for
additional housing?
Explanation:
Transportation /Circulation. Will the pro-
posal 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 or air
traffic?
Explanation:
Yes Maybe
Local Services. Will the'proposal have an
effect upon, or result in a need for new
services in any of the following areas:
(a) Fire protection?
(b), Police protection?
(c) Schools?
(d) Parks?
(e) Maintenance of public facilities,
including roads?
(f) Other governmental services?
Explanation:
•
Energy. Will the proposal result in:
(a) Use of substantial amounts of fuel or
.energy?
(b) Demand upon existing sources of energy,
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•
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Explanation: •
Utilities. Will the proposal result in a need
for oftrftstmasivovalterations to the follow-
ing utilities: 014,
(a) Power aila-weberrel-15034'
(b) Communications systems?
(c) Water?
(d) Sewer or septic tanks?
(e) Storm water drainage? Vitris
U.:WrpeoL Cle.4%NordE A=CKAILAsti
(f) • Solid waste and disposal?
Explanation;
•
Human Health. Will the proposal result in the
creation of any health hazard or potential .
health hazard (excluding mental health)?
Explanation:
Aesthetics. Will the proposal result in the
obstruction of any scenic vista or view open
to the public, or will the proposal result
in the creation of an aesthetically offensive
site open to public view?
Explanation:.
Yes Maybe No
•
Recreation. Will the proposal result in an
impact upon the quality or quantity of ex-
isting recreational opportunities?
Explanation:
Archeological /Historical. Will the proposal
result in an alteration of a significant
archeological or historical site?
Explanation:
Revenue. Will the proposal cause a signifi-
cant.increase in city revenues?
Explanation:
Employment. Will the proposal create a
significant amount of new jobs?
Explanation:
•
Yes Maybe • No