HomeMy WebLinkAboutSEPA EPIC-214-83 - CITY OF TUKWILA / PARKS AND RECREATION - FOSTER GOLF CLUBHOUSEFOSTER GOLF LINKS
CLUBHOUSE
EPIC- 214 -83
Igo, a) From (tech 4/O /, 575, OM (pc
CITY OF TUKWILA
• C.v)•_ f 3 38 $
ENVIRONMENTAL CHECKLIST FORM NOV 30 1983
CITY OF TLT5 1LA
PLANNING DEP
This questionnaire must be completed and submitted with t e app 1
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 $50.00 must accompany the filling of the Environmental Questionnaire
to cover costs of the threshold determination.
I. BACKGROUND UK-1,,DILA
1. Name of Proponent: 1L� i�L1(, bJ O&L 7T- Ec 1LEYt
IS
2. Address and Phone Number of Proponent: (DD �� qc -j-L� � Lvl
3. Date Checklist Submitted: IJj Eo/ S 3
4. Agency Requiring Checklist: Cj-ry of (L(1(_(,.)(t1A-
5. Name of Proposal, if applicable: „ (24_14R14.4,4 2.e`
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):
t1T�to b911_ r l L fr' 1� >+At_l_S / DIT(6►�)
Q F 1Z W OL si-A -( Sege
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):
41-- .E(51) 0 c) c n 1-I L-h, n �x 1 S i i N C�- ST U agI'2-& Fobs-TOL C.,-c LF Lt I4Wc C_lii_131- 1-ngst — 13S-0-0 I NI11✓1lU kQF -ND
8. Estimated Date for Completion of the Proposal:
11 9)9
9. List of all Permits, Licenses or Government Approvals Required for the
Proposal (federal, state and local):
(a) Rezone, conditional use, shoreline permit, etc. 1-3rlil_ YES' NO
(b) King County Hydraulics Permit YES NO,(
(c) Building permit - YES X NO
(d) Puget Sound Air Pollution Control Permit YES NO )(
(e) Sewer hook up permit YES NO )(
(f) Sign permit YES NO
(g) Water hook up permit YES NO X
(h) Storm water system permit YES NO J-
(i) Curb cut permit YES NO k
(j) Electrical permit (State of Washington) YES x. NO
(k) Plumbing permit (King County) YES 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:
N
11. Do you know of any plans by others which may affect the property covered by
your proposal? If yes, explain:
■c�
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:
N /14-
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?
YES MAYBE NO
Explanation: Fiury bA-flovJ t,00RAL �2 41(L f�o'Ywu1�L
OuLkc-OJ tz_t1. I NCr- ( lint L. fv4 01A
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-
`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?
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?
YES MAYBE NO
Explanation: - D4iq,k; ,ST m• ELZ-m G
sm� w1u.
1-401sc me ok
7'-VUU m(--Mti•JA-CIZ, Nts DMIN
Ly x,c 1A -r t'tn — P
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:
• •
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:
YES MAYBE NO
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? 4
(b) Police protection?
(c) Schools?
(d) Parks or other recreational facilities?
(e) Maintenance of public facilities, including
roads?
X
• •
YES MAYBE NO
(f) Other governmental services?
Explanation:
C3u 11.0 - C_LE fal7N i
kt.V c--0005
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
'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.
Signature and Title
SEA (o& �I\NC -1/\)L R__
-8-
Date
h'AC 197 -11 -1350
DECLARATION OF NONSIGNIFICANCE
Description of proposal Foster Golf Links Clubhouse remodel
Proponent City of Tukwila
Location of proposal 13500 Interurban Ave. So.
Lead agency City of Tukwila
File N.
EPIC- 214 -83
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. 433 -1800
Date 1Z-/.S g3 Signature
co?nt:‘,,
CITY. OF TUKWILA
"FERMI NUMBER 4.83. CO•ROL NUMBER 'Y 3A3
CENTRAL PERMIT SYSTEM - PLAN CHECK ROUTING FORM
1
1
TO: BLDG, PLNG, P,W, FIRE POLICE P,& R,
PROJECT
ADDRESS
DATE. TRANSMITTED RESPONSE REQUESTED BY
C,P,S, STAFF COORDINATOR y4 S--\(--. 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:
3)
1
• 9)
1
1
1
D, R, C, *REVIEW REQUESTED
PLAN RESUBMITTAL REQUESTED
DI nH rtPoor\ITri
PLAN CHECK DATE /2--"1— �$
COMMENTS PREPARED BY
C,P,S, FORM 2
CITY OF TUKW I LA
ERMIT NUMBER 2( Ci R0L NUnER1e3 -52
or KJt
CENTRAL PERMIT SYSTEM - PLAN CHECK ROUTING FORM
TO: BLDG; PLNG, P,W, FIRE POLICE 1 P,S P,,
"PROJECT -{ S1' ( \i=skpc T t
ADDRESS (35c . UC )REDIDALt Sa -
DATE. TRANSMITTED (2---S - '53 - RESPONSE REQUESTED BY l 2 7
C, P, S, STAFF COORDINATOR '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 LINECS) ON WHICH.THAT CONCERN IS NOTED:
1
r-
1
2)
3) .
4)
5)
5)
7)
8)
9)
10)
11)
12)
13)
14)
D, R, C, REVIEW REQUESTED
PLAN RESUBMITTAL REQUESTED
.-. 1 A l l
,r. fl
PLAN CHECK DATE %Z ( i'S�
COMMENTS PREPARED BY
C,P,S, FORM 2
CITY OF TUK\ ILA all
•ERMIT NUMBER 2.14-x3 . C•ROL MITER 53 -522
Ktu t LA
CENTRAL PERMIT SYSTEM - PLAN CHECK ROUTING FORM
TO: j BLDG. PLNG, P,W, FIRE I POLICE P.g R.
PROJECT S1 2 (1,(L LA1.1‘cS (1( V Zr o \_. ,d _
ADDRESS (55C 1 2 'S i Sn-
DATE. TRANSMITTED (Z- -S - 3 . .RESPONSE REQUESTED BY 12 - 7
C, P, S. STAFF COORDINATOR r-AC! is • 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 LINECS) ON WHICH.THAT CONCERN IS NOTED:
1
1
2)
3)
iv,
010)di en
L4)
5)
5)
7)
8)
9)
10)
11)
12)
13)
14)
R,C, REVIEW REQUESTED
PLAN RESUBMITTAL REQUESTED
., i A 171
PLAN CHECK DATE ) 2
C0MMIEN i S PREPAREP 3Y
C,P,S. FORM 2
CITY OF TUKWILA . ei'1L
oERMIT NUMBER •21 &3 . C I.ROL NUI`BERT3 -3�-
CENTRAL PERMIT SYSTEM - PLAN CHECK ROUTING FORM
TO: BLDG; PLNG, P,W, FIRE L POLICE JPig R.
'PROJECT St-. (L(L= L S (J ( =S eY
ADDRESS 155 u(T O� , Sa
DATE.. TRANSMITTED 12--S - .E53 . RESPONSE REQUESTED BY 1-2 - 7
C,P,S, STAFF COORDINATOR r,K! ,IS. 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 (DOTED:
1
1
1
1
1 1
1)
2)
4)
6)
7)
8)
9)
10)
11)
12)
13)
14)
1 15)
D, R, C, REVIEW REQUESTED
PLAN RESUBMITTAL REQUESTED
r," n f.I A nr'1
PLAN CHECK DATE /02
COMMENTS PREPARED BY
C,P,S, FORM 2
CITY. OF TUNILA
�ERMIT NUi`iB�P, 2( °3 C• ROL NUI.TER 83 -�°
fo KwkL
CENTRAL PERMIT SYSTEM — PLAN CHECK ROUTING FORM
TO: 1 BLDG, 1 PLNG, P.W. FIRE POLICE P R.
PROJECT -{ S'7 LIB \S (1 c = pc
ADDRESS f 35C 1)C1T0- DPI.4 S
DATE. TRANSMITTED (Z--S — 3 . .RESPONSE REQUESTED BY t2 — 7
C, °,_S, STAFF COORDINATOR .�� 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:
1) �Y�-� �� �; r - ,• -i _ — .,�.
2) i•x7 ,e�.:� -...1;
t
3)
4)
5)
[I] 6)
7)
8)
9)
10)
11)
12)
13)
14)
1 15>
1
1 1
1
D, R, C, REVIEW REQUESTED
PLAN RESUBMITTAL REQUESTED
� ri
r,t Ati Ann nnr
PLAN CHECK DATE
COMMENTS PREPARED ___ ___
C,P,S, FORM 2
� f tK` I I NUI"i'r.; K - "Llft' -6..3 - LL;N I KUL �NUt "uLK S -_�
CENTRAL PERIIT. SYSTEM *LAN CHECK ROUTING FORM
TO: BLDG, 1 PLNG, P,W, FIRE 6 POLICE P,& R.
'PROJECT re Ea'' AL S
ADDRESS I55cc D CS Ya 15 L �- Sa.r
DATE. TRANSMITTED (2--S - S3 . RESPONSE REQUESTED Y t2 ;7r
C, P, S. STAFF COORDINATOR r-K _. . RESPONSE RECEIVED .. 14/
's. a ..15
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:
ri
1)
2)
ni 3)
4) .
5)
6)
.7)
8)
9) .
10)
11).
12) ti;// it/or /C�Sc Ow —leg— g /gex,s
14)
1 1 15) .
1 1
1
1
1
1
1
D, R, C, REVIEW REQUESTED
PLAN RESUB!IITTAL REQUESTED
.► PP?nVRfl 1
PLAN CHECK DATE /'0"f3
COMMENTS PREPARED BYP
C.P-.S, FORM 2
CITY OF TUKWILA eet`
•ERMIT NUMBER -2.14--a3; . Cf ROL NUhTBER 53 -582
CENTRAL PERMIT SYSTEM - PLAN CHECK ROUTING FORM M
TO: BLDG, 'J PLNG, 1 l P,W, U FIRE k! j POLICE L1J Pia R.
P ROJECT, S' E (4)11= L ILR S L A * \ Ja xNa_
ADDRESS
DATE. TRANSMITTED (2--S - E 3
.RESPONSE REQUESTED BY 12 -
C,P,S, STAFF COORDINATOR F,k(-V iS • 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 LINECS) ON WHICH. THAT CONCERN IS NOTED:
n 1)
2)
3)
�J 4 )
(-( 5)
6)
E 1 7)
ri 8)
7 9)
10)
pi 11)
ri 12)
ri 13)
14)
1 15)
1 1
1- 1
1 1
•
D,R,C,REVIEW REQUESTED
PLAN RESUBMITTAL REQUESTED
�i nFd APPPMPTI
PLAN CHECK DATE
COMMENTS PREPARED BY
C,P,S, FORM 2