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HomeMy WebLinkAboutSEPA EPIC-203B-83 - MCCAW RCC COMMUNICATIONS - RADIO TOWERMCCAW RCC COMMUNICATIONS - RADIO TOWER 760 ANDOVER PARK W. EPIG203B -83 WAC 197 -11 -1350 DETERMINATION OF NONSIGNIFICANCE Description of proposal Low Power Communications Microwave Link Tower (EPIC-203-83) Proponent McCaw RCC Communications, Inc. Location of proposal 760 Andover Park West Lead agency City_of Tukwila This proposal has been determined not to have a probably significant adverse impact on the environment. An environmental impact statement (EIS) is not required under RCW 43- 21C.020(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. Responsible official Brad Collins Position /title Planning Director Address and phone 6200 Southcenter Blvd., Tukwila, WA 98188 433 -1845 Date August 11, 1983 Signature COMMENTS: (mod Control of any emitted radiation of any measurable frequency or wave- length. shall be maintained within safe limits as established for this type of facility, and shall be documented to the responsible official's satisfaction prior to construction. CITY OF TUKWILA *PERMIT NUMBER s3. to- c-PC ROL NUMBER GO- $3- 1B0 CENTRAL PERMIT SYSTEM - PLAN CHECK ROUTING FORM TO: ri BLDG, X PLNG, P,W, 1 FIRE 1 1 POLICE P,& R. PROJECT H -Cear Ate ......� S ADDRESS -Roo 6 ?A-1( tcieit DATE TRANSMITTED &`dot so'R3 RESPONSE REQUESTED C,P,S, STAFF COORDINATOR RESPONSE RECE sI- Get PLEASE REVIEW THE ATTACHED ACT fL AND RESPOND W COMMENTS IN THE SPACE BELOW, INDICATE CRUCIAL CONCERN BOX NEXT TO THE LINE(S) ON WHICH THAT CONCERN IS NOTED: 11 1) •,A.. • _•_% e� -"`�¢, r-d- L-rv-vo--0 t- 2) -25 ` -,.e - -�• w .4. ; 3) - G...�,, ti �.�..�.� .9-4- -. • • n 5) 6) LJn 8) [J9) [� 10) 1 1 • 11 1 11) 12) 1113) r--1 14) 15) 1 1 D, R, C, REVIEW REQUESTED U PLAN CHECK DATE 9 o —s3 PLAN RESUBMITTAL REQUESTED [ ! COMMENTS PREPARED BY &- PLAN APPROVED ,C C, P, S, FORM 2 CITY OF TUKWILA III PERMIT NUMBER 83, 10-04- 41TROL NUMBER 60- $3- IBO CENTRAL PERMIT SYSTEM - PLAN CHECK ROUTING FORM a TO: BLDG, 1 PLNG, 1 1 P,W, PROJECT H G c Ate- ..ADDRESS /lev -PAA- . ' e7" DATE TRANSMITTED aulii" s, i4R3 C.P.S. STAFF COORDINATOR eVAU6 FIRE 1 POLTA. RESPONSE REQUESTED BY 4An-t" ti9MS3 RESPONSE RECEIVED sa c & t PLEASE REVIEW THE ATTACHED 4.04 I^T P-bc. & 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: r--1 1> n 2) 3) 4) El 5) Fl 6) Eij 7) 8) 9) i 1 I-( ion flhi) ri 1 J1• 2) ni 1• 3) ri 1• 4) 15) 1 1 D,R,C, REVIEW REQUESTED El PLAN CHECK DATE V/6/(15 PLAN RESUBMITTAL REQUESTED ❑ COMMENTS PREPARED BY trY` �• FLAN APPROVED C,PISS FORM '2 CITY OF TUKWILA ,I PERMIT NUMBER 83_ LO-CaPIIITROL NUMBER 60- a3- ISO CENTRAL PERMIT SYSTEM - PLAN CHECK ROUTING FORM TO: C BLDG. ) PLNG, 1 J P,W, FIRE 1 POLICE P.& R, PROJECT H 444r PLC_ ADDRESS 7(v klei DATE TRANSMITTED i‘it RESPONSE REQUESTED C,P,S, STAFF COORDINATOR Vl.0 RESPONSE RECEI sePtV a4tzkka PLEASE REVIEW THE ATTACHED 4E T Q1 nnir AND RESPOND W COMMENTS IN THE SPACE BELOW, INDICATE CRUCIAL CONCERN BOX NEXT TO THE LINE(S) ON WHICH THAT CONCERN IS NOTED: n 1�. n 2) 3) r--1 4) ❑ 51 11 6) F-71 7) F-1 8) 1 9) 1 J D, R, C, REVIEW REQUESTED C-1 PLAN CHECK DATE e/7/83 PLAN RESUBMITTAL REQUESTED 1 1 COMMENTS PREPARED BY PLAN APPROVED f C.P.S. FORM 2 CITY OF TUKWILA. PERMIT NUMBER 83, Lo- i PCSTROL NUMBER 60- $3- ISO CENTRAL PERMIT SYSTEM - PLAN CHECK ROUTING FORM TO: n BLDG, PROJECT ADDRESS PLNG, J l P,W, FIRE 1 POLICE IXJ P,& R, K G Cewr R c C- .�.. s 760 G teleir DATE TRANSMITTED auft471" 5, 1583 RESPONSE REQUESTED C,P,S, STAFF COORDINATOR RESPONSE RECEI sah PLEASE REVIEW THE ATTACHED LGT P- cN AND RESPOND WI COMMENTS IN THE SPACE BELOW, INDICATE CRUCIAL CONCERNS BOX NEXT TO THE LINE(S) ON WHICH THAT CONCERN IS NOTED: 1) /V, enp eiwir Alii, Q1. m . , r0,.J'8 -/. 11 2) f--1 3) J 4) El 5) 11 1 1 12) Ti 13) 14) 15) 1 1 1 1 D,R,C, REVIEW REQUESTED fl PLAN CHECK DATE PLAN RESUBMITTAL REQUESTED f 1 COMMENTS PREPARED BY PLAN APPROVED T-7 c,P,S, FORM 2 OF TUKWILA PERMIT NUMBER S37 1.o _ 614AITROL NUMBER GO a3- DSO CENTRAL PERMIT SYSTEM - PLAN CHECK ROUTING FORM TO: ITC BLDG, PROJECT ADDRESS PLNG, P,W, HC- es-- R cc- ,...• c.a,ti. S 7coo G.K � "Pm*. ieir FIRE ---1 POLICE P,& R, DATE TRANSMITTED &Ti' 5,155m RESPONSE REQUESTED BY((�� �t : � E C, P , S, S TA F F COORDINATOR RESPONSE RECEIV : Salk G� t PLEASE REVIEW THE ATTACHED D �- 'T P ah: AND RESPOND WITH RO' AUG 8 1983 • COMMENTS IN THE SPACE BELOW, INDICATE CRUCIAL CONCERNS B BOX NEXT TO THE LINE(S) ON WHICH THAT CONCERN IS NOTED: 2) 4 El 3) r--1 4) U 5) 6) 11 Q » ri 8) [19) 10) 11) 12) El 13) Fl 14) 15) D,R,C, REVIEW REQUESTED C PLAN CHECK DATE PLAN RESUBMITTAL REQUESTED 1 COMMENTS PREPARED BY c,P,s FORM PLAN APPROVED , y 2 CITY OF TUKWILA PERMIT NUMBER 83= Lo-PCITROL NUMBER 60- $3- ISo CENTRAL PERMIT SYSTEM - PLAN CHECK ROUTING FORM TO: ri BLDG, 1 PLNG, 1 P,W, FIRE lY 1 POLICE PROJECT He-c - Rce- ...,eAti.Jxs P.& R, .ADDRESS /coo . Cc� 'L'& ,4J1-fi DATE TRANSMITTED a lLit 5, i 5P) C,P,S, STAFF COORDINATOR RESPONSE REQUESTED RESPONSE RECEI s rat t PLEASE REVIEW THE ATTACHED P t]J C1 P- AND RESPOND WI COMMENTS IN THE SPACE BELOW, INDICATE CRUCIAL CONCERNS BOX NEXT TO THE LINE(S) ON WHICH THAT CONCERN IS NOTED: I1 n n 1 1 1 I it 1) WIE • ©O (NY•s f 6 /-,ect,Cs9 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13) 14) 15) D,R,C, REVIEW REQUESTED LJ PLAN CHECK DATE PLAN RESUBMITTAL REQUESTED 1 1 COMMENTS PREPARED BY e?`fi PLAN APPROVED f C,P,S. FORS 2 • CITY OF TUKWILA NOTICE OF PUBLIC HEARING OF THE TUKWILA PLANNING COMMISSION NOTICE IS HEREBY GIVEN that the Tukwila PLANNING COMMISSION has fixed the 28th day of July, 1983, at 8:00 P.M. in the City Council Chambers of Tukwila City Hall, 6200 Southcenter Boulevard, Tukwila, Washington, as the time and place for PUBLIC HEARING 1) Application 83 -10 -CUP, McCaw RCC Communications, Inc., requesting approval of a conditional use permit to construct a low power communications microwave link tower at 760 Andover Park West. Any and all interested persons are invited to attend. TUKWILA PLANNING COMMISSION Caroline V. Berry ASSISTANT PLANNER Published: DISTRIBUTION: Record Chronicle Date: July 15, 1983 Mayor CITY OF TUKWILA PERMIT NUMBER s37 Lo-oi.1 TROL NUMBER 60-B3- 'so CENTRAL PERMIT SYSTEM - PLAN CHECK ROUTING FORM TO: E BLDG, ['LNG, 1 P,W, PROJECT HGCaw- 1 7 ) . FIRE POLICE P,& R. ADDRESS /rev 6. Tds.-k ' eir DATE TRANSMITTED a.Li" s, iiv, RESPONSE REQUESTED BY at to,cig3 C,P,S. STAFF COORDINATOR RESPONSE RECEIVED s,Pr c t PLEASE REVIEW THE ATTACHED TRWCCT Q1 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: 1--1 1) 1-1 2) 113) ❑ 4) n 5) 6) Ei 7) ri 8) 9) 10) 11) 12) J 1 13) ii 1 1 1 1 14) 15) D,R,C, REVIEW REQUESTED f PLAN CHECK DATE PLAN RESUBMITTAL REQUESTED l COMMENTS PREPARED BY PLAN APPROVED C,P,S, FORM '2 Ccrtitrol' Number � —�06 ._ CITY OF TUKWILA ENVI RONMENTAL CHECKLIST FORM Ji1L 11 1983 CITY of TUi1�i�J►Lq PLANNING . T This questionnaire must be completed and submitted with the applica 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. 1 .A fee of.-50-0-.00 must accompany the filling of the Environmental Questionnaire to cover costs of the threshold determination. I. BACKGROUND 1. Name of Proponent: McCaw RCC Communications, Inc. d /b /a McCaw Technical Center 2. Address and Phone Number of Proponent: 2000 116th Avenue N.E., Bellevue, WA. 48004 (206) 453 -1115 3. Date Checklist Submitted: July 11, 1983 4. Agency Requiring Checklist: City of Tukwila 5. Name of Proposal, if applicable: d /n /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): Construct tower approximately 20 ft. in height for radio communications facilities. and a four (4) ft. parabolic dish. 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): Roof of building at 760 Andover Way lest_ 8. Estimated Date for Completion of the Proposal: 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 !SOX (b) King County Hydraulics Permit YES NOX (c) Building permit YES NOX ( (d) Puget Sound Air Pollution Control Permit YES NO X (e) Sewer hook up permit YES NO X (f) Sign permit YES NO X (g) Water hook up permit YES NO X (h) Storm water system permit YES NO X (i) Curb cut permit • YES NO X (j) Electrical permit (State of Washington) YESX NO (k) Plumbing permit (King County) YES NO X (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: No 11. Do you know of any plans by others which may affect the property covered by your proposal? If yes, explain: Nn 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: Ap- lication for Conditional Use Permit II. ENVIRONMENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required) YES MAYBE NO 1. Earth. Will the proposal result in: (a) Unstable earth conditions or in changes in geologic substructures? X (b) Disruptions, displacements, compaction or overcover- ing of the soil? X (c) Change in topography or ground surface relief fea- X tures? (d) The.destruction, covering or modification of any X unique geologic or physical features? — (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., Dr the rate and amount of surface water runoff? (c) Alterations to the course or flow of flood waters? X (d) Change in the amount of surface water in any water body? X X (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 ?.. YES MAYBE NO X X 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: YES MAYBE NO 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 . X 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 ?. X 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 X X 11. Population. Explanation: • Will the proposal alter the location, distribution, density, or growth rate of the human population of an area? 12. Housing. Will the proposal affect existing housing, or create a demand for additional housing? Explanation: 13. Transportation /Circulation. Will the proposal result (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? Alterations to waterborne, rail or air traffic? Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? Explanation: (e) (f) in: 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: Fire protection? Police protection? Schools? Parks or other recreational facilities? Maintenance of public facilities, including roads? YES MAYBE NO 1 X YES MAYBE NO (f) Other governmental services? X Explanation: • 15. Energy. Will the proposal result in: (a) Use of substantial amounts of fuel or energy? X (b) Demand upon existing sources of energy, or require the development of new sources of energy? X 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:. 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: YES MAYBE NO 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. Signature and Title LuL4t11, ►��3 Date X C &btroi° Number 5i3,106 CITY OF TU KW I LA Reno ENVIRONMENTAL CHECKLIST FORM JUG 11 1983 clrY o� ru�� PLANNING . NILA This questionnaire must be completed and submitted with the applica 1• �r 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 8 @0 must accompany the filling of the Environmental Questionnaire to cover costs of the threshold determination. I. BACKGROUND 1. Name of Proponent: McCaw RCC Communications, Inc. d /b /a McCaw Technical Center 2. Address and Phone Number of Proponent:. 2000 116th Avenue N.E., Bellevue, NJA. 98004 (206) 453 -1115 3. Date Checklist Submitted: July 11, 1983 4. Agency Requiring Checklist: City of Tukwila 5. Name of Proposal, if applicable: d /n /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): Construct tower approximately 20 ft. in height for radio communications facilities... and a four (4) ft. parabolic dish. 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): Roof Is . .1 :1.• - 11est, 8. Estimated Date for Completion of the Proposal: 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 !SOX (b) King County Hydraulics Permit YES NOX (c) Building permit YES NOX (d) Puget Sound Air Pollution Control Permit YES NO X (e) Sewer hook up permit YES NO X (f) Sign permit YES NO X (g) Water hook up permit YES NO X (h) Storm water system permit YES NO X (i) Curb cut permit • YES NO X (j) Electrical permit (State of Washington) YES NO (k) Plumbing permit (King County) YES NO X (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: No 11. Do you know of any plans by others which may affect the property covered by your proposal? If yes, explain: Nn 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: Ap- lication for Conditional Use Permit 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? YES MAYBE NO X X X X (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 ?. YES MAYBE NO X X 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: 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? (c) Introduction of new species of flora into an area, or in a barrier to the normal replenishment of existing species? (d) Reduction in acreage of any agricultural crop? Explanation: YES MAYBE NO X X X 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)? X (b) Reduction of the numbers of any unique, rare or endangered species of fauna? X (c) Introduction of new species of fauna into an area, or result in a barrier to the migration or movement of fauna? X (d) Deterioration to existing fish or wildlife X 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 X X • • 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. Housing. 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? X (b) Effects on existing parking facilities, or X demand for new parking? (c) Impact upon existing transportation systems? X (d) Alterations to present patterns of circulation or movement of people and /or goods? X (e) Alterations to waterborne, rail or air traffic? X. (f) Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? X 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? X X X X • YES MAYBE NO (f) Other governmental services? X Explanation: 15. Energy. Will the proposal result in: (a) Use of substantial amounts of fuel or energy? X (b) Demand upon existing sources of energy, or require the development of new sources of energy? X 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: 18. Aesthetics Explanation: • • 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? 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: YES MAYBE NO 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. (0/ Signature and Title Date X