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Permit PL11-017 - AT&T MOBILITY - WIRELESS TELECOMMUNICATIONS
This record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. PL11-017 AT&T MOBILITY — ARK VILLA NELLE WIRELESS TELECOMMUNICATIONS 3516 South 146th Street THE ABOVE MENTIONED Page # DIGITAL Code RECORDS PERMIT FILE INCLUDES Exemption (DR) EXEMPTION LOG THE FOLLOWING REDACTED INFORMATION , Bnet Explanatory Description Statute/Rule Personal Information — The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. 35 DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW DR2 Financial Information — RCW 42.56.230(4 5) account numbers, which are exempt from disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. 42.56.230(5) Personal Information — Driver's License. RCW Redactions contain information used to prove RCW DR3 — identity, age, residential address, social security 42.56.230 (7a 42.56.230 (7a & c) number or other personal information required to apply for a driver's license or identicard. & c) Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from RCW DR4 Attorney -Client Privilege — RCW 5.60.060(2)(a); RCW disclosure pursuant to RCW 5.60.060(2)(a), which protects attorney -client privileged 5.60.060(2)(a); RCW 42.56.070(1) communications, and RCW 42.56.070(1), which protects, under the PRA, information exempt or prohibited from disclosure under another statute. 42.56.070(1) AT&T MOBILITY (ARK VILLA NEI.I,F) 3516 S 146 ST El 1-002 PL1 1-017 City of Tukwila Jim Haggerton, Mayo Department of Community Development Jack Pace, Direct. NOTICE OF DECISION To: Sunny Ausink, AT&T Mobility Ark Villa Nelle LLC, Owner State Department of Ecology, SEPA Division King County Assessor PROJECT: AT&T Mobility SG19 Riverton North — Villanelle Apartments Rooftop FILE NUMBERS: E11-002 (SEPA File Number) ASSOCIATED FILES: L11-023 (Wireless Permit Number), PL11-017 (Land Use Project File Number) APPLICANT: REQUEST: SEPA approval to upgrade an existing wireless telecommunication facility on the rooftop of an apartment complex within the High Density Residential (HDR) zoning district. Equipment proposed to be added to the rooftop facility includes 3 antennas, 6 Remote Radio Head (RRH) units, 3 surge suppression units, and a "Back Pack" cabinet. LOCATION: 3516 S. 146th Street (Rooftop of the Villanelle Apartments) This notice is to confirm the decision reached by Tukwila's SEPA Official to issue a Determination of Non -significance (DNS) for the above project based on the environmental checklist and the underlying permit application. Project materials including the application, any staff reports, and other studies related to the permits are available for inspection at: Tukwila Department of Community Development 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Monday through Friday 8:30 a.m. - 5:00 p.m. The project planner is Jaimie Reavis, who may be contacted at (206) 431-3670 for further information. The decision is appealable to the Superior Court pursuant to the Judicial Review of Land Use Decisions, Revised Code of Washington (RCW 36.70C). 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 . City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director FINAL STAFF EVALUATION FOR ENVIRONMENTAL CHECKLIST File No: E11-002 SUMMARY OF PROPOSED ACTION The proposal is to upgrade an existing wireless telecommunication facility on the rooftop of an apartment complex. Equipment proposed to be added to the rooftop facility includes 3 antennas, 6 Remote Radio Head (RRH) units, 3 surge suppression units, and a "Back Pack" cabinet. II. GENERAL INFORMATION Project Name: AT&T Mobility — Villanelle Apartments Rooftop Applicant: Sunny Ausink, AT&T Mobility Property Owner: Ark Villa Nelle LLC Location: 3516 S. 146th Street (tax parcel number 004000-0315). Zoning and Comprehensive Plan Designation: High Density Residential (HDR) The following information was considered as part of review of this application. 1. SEPA Checklist and ESA screening checklist dated March 11, 2011. 2. Plans prepared by Pacific Telecom Services, LLC, dated March 25, 2011. 3. Non -Ionizing Electromagnetic Exposure Analysis and Engineering Certification prepared by Morrison Hershfield and dated March 27, 2011. 4. Coverage Map — Before and After project completion. 5. Photo Simulation prepared by Pacific Telecom Services and dated February 2, 2011. NOTE: Technical reports and attachments referenced above may not be attached to all copies of this decision. Copies of exhibits, reports, attachments, or other documents may be reviewed and/or obtained by contacting Jaimie Reavis, Assistant Planner, 6300 Southcenter Boulevard, Tukwila, Washington, 98188, Phone: (206) 431-3659. III. REVIEW PROCESS The proposed action is subject to State Environmental Policy Act (SEPA) review as the project does not meet the exemptions listed under WAC 197-11-800. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax: 206- 431-3665 IV. BACKGROUND/PROPOSAL The proposal is to add wireless facility equipment to an existing facility located on the rooftop of the Villanelle Apartments located at 3516 S. 146th Street (tax parcel number 004000-0315). New equipment to be added to the existing wireless telecommunications facility includes 3 antennas, 6 Remote Radio Head (RRH) units, 3 surge suppression units, and a "Back Pack" cabinet. The antennas, RRH units, and surge suppression units proposed with this application will be concealed within three new faux chimneys which will be painted to match other existing faux chimneys on the rooftop of the building. The "Back Pack" cabinet will be attached to an existing cabinet and will not increase the footprint of the equipment enclosure on the existing rooftop of the building. The new equipment will be the same height as the existing faux chimneys, which meet the definition of "Rooftop Appurtenances" under Tukwila Municipal Code section 18.50.080. V. REVIEW OF THE ENVIRONMENTAL CHECKLIST The following lists the elements contained within the Environmental Checklist submitted for the proposed project. The numbers in the staff evaluation correspond to the numbers in the Environmental Checklist. If staff concurs with the applicant's response, this is so stated. If the response to a particular item in the checklist is found to be inadequate or clarification is needed, there is additional staff comment and evaluation. A. BACKGROUND: 1-7- Concur with checklist. 8- A business license must be obtained for the wireless facility at this location, per TMC 18.58.070, in addition to the Type 2 land use and building permit approval. 9-12 - Concur with checklist. B. ENVIRONMENTAL ELEMENTS: 1. Earth: a-h Concur with checklist. 2. Air: a-c Concur with checklist. 3. Water: Surface: a(1-6) — Concur with checklist. Ground: b(1-2) - Concur with checklist. Water Runoff (including storm water): c(1-2) — Concur with checklist. d - Concur with checklist. 4. Plants: a -d- Concur with checklist. JR Page 2 of 4 July 21, 2011 H:\Wireless Telecommunication Facilities\PL11-016_L11-022_E11-001_AT&T Mobility WA647\SEPA 5. Animals: a- Animals known to be in the vicinity of the project site include a variety of birds, including hawks, eagles, and songbirds. b- Concur with checklist. c- This area is part of the Pacific Flyway, a primary corridor for migratory bird species. d — Concur with checklist. 6. Energy and Natural Resources: a- Electricity will be used to meet the completed project's needs. b-c - Concur with checklist. 7. Environmental Health: a(1-2) - Concur with checklist. b (1-3) - Concur with checklist. The project must meet City of Tukwila noise ordinance requirements. Compliance with applicable local, state and federal noise regulations will mitigate any potential adverse noise impacts associated with the project. 8. Land and Shoreline Use: a-b- Concur with checklist. c- The project parcel is developed with an apartment building. There are existing wireless telecommunications facilities on the rooftop of this building. d-e - Concur with checklist. f- The current Comprehensive Plan designation of the project site is High Density Residential (HDR). g-1 Concur with checklist. 9. Housing: a-c - Concur with checklist. 10. Aesthetics: a-c - Concur with checklist. The new equipment will be concealed within faux chimney structures and the "Back Pack" unit will be located within the existing equipment cabinet on the rooftop of the apartment building. 11. Light and Glare: a-d - Concur with checklist. 12. Recreation: a-c - Concur with checklist. 13. Historic and Cultural Preservation: a-c Concur with checklist. 14. Transportation: a- Concur with checklist. JR Page 3 of 4 July 21, 2011 H:\Wireless Telecommunication Facilities\PL11-016_L11-022_E11-001_AT&T Mobility WA647\SEPA b- The site is served by public transit. Bus stops for Metro bus routes 124 (Tukwila LINK station to downtown Seattle) and 128 (West Seattle to Tukwila LINK station) are located along Tukwila International Blvd, to the east of the project site. c-g - Concur with checklist. 15. Public Services: a-b- Concur with checklist. 16. Utilities: a-b - Concur with checklist. VI. COMMENTS: No comments were received during the Notice of Application period for this project. VII. CONCLUSION The proposal can be found to not have a probable significant adverse impact on the environment and pursuant to WAC 197-11-340 a Determination of Nonsignificance (DNS) is issued for this project. This DNS is based on impacts identified within the environmental checklist, attachments, and the above Final Staff Evaluation for Environmental Checklist File No. E11-002, and is supported by plans, policies, and regulations formally adopted by the City of Tukwila for the exercise of substantive authority under SEPA to approve, condition, or deny proposed actions. Prepared by: Jaimie Reavis, Assistant Planner Date: July 22, 2011 JR Page 4 of 4 July 21, 2011 H:\Wireless Telecommunication Facilities\PL11-016_L11-022_E11-001_AT&T Mobility WA647\SEPA City of __'ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206-431-3665 Web site: http://www.TukwilaWA.gov DETERMINATION OF NON -SIGNIFICANCE (DNS) File Number: E11-002 Applied: 03/30/2011 Issue Date: 07/22/2011 Status: APPROVED Applicant: AT&T MOBILITY Lead Agency: City of Tukwila Description of Proposal: SEPA review to add the following to an existing facility located on the rooftop of an apartment building: 3 new LTE antennas, 6 Remote Radio Head (RRH) units, 3 surge suppression units, and a "Back Pack" cabinet. Location of Proposal: Address: 3516 S 146 ST TUKW Parcel Number: 0040000315 Section/Township/Range: NW 22-23-04 The City has determined that the proposal does not have a probable significant adverse impact on the environment. An environmental impact statement (EIS) is not required under RCW 43.2 lc.030(2) (c). This decision was made after review of a completed environmental checklist and other information on file with the lead agency. This information is available to the public on request. This DNS is issued under WAC 197-11-340(2). Comments must be submitted by Atli Una t �.7� 2011 . The lead agency will not act on this proposal for 14 days from the date below. �C// Jack P, Respo ible O f cial City of kwila 6300 Southcenter Blvd Tukwila, WA 98188 (206)431-3670 Any appeal shall be linked to a specific governmental action. The State Environmental Policy Act is not intended to create a cause of action unrelated to a specific governmental action. Appeals of environmental determinations shall be commenced within the time period to appeal the governmental action that is subject to environmental review. (RCW 43.21C.075) eit* of J u itac Department Of Community Development AFFIDAVIT OF DISTRIBUTION I, Jaimie Reavis HEREBY DECLARE THAT: Notice of Public Hearing X Determination of Non -Significance Notice of Public Meeting Mitigated Determination of Non - Significance Board of Adjustment Agenda Packet Determination of Significance & Scoping Notice Board of Appeals Agenda Packet Notice of Action Planning Commission Agenda Packet Official Notice Short Subdivision Agenda Notice of Application Shoreline Mgmt Permit Notice of Application for Shoreline Mgmt Permit _ — FAX To Seattle Times Classifieds Mail: Gail Muller Classifieds PO Box 70 - Seattle WA 98111 Other: Was mailed to each of the addresses listed/attached on this 22 day of July in the year 2011. See list of recipients on Notice of Decision. Project Name: AT&T Mobility Riverton North - Villanelle Rooftop Facility Upgrades Project Number: E11-002 Mailing requested by: Jaimie Reavis Mailer's signature: /L1,1./Iil�'2 H:\Wireless Telecommunication Facilities\PL11-017_L11-023_E11-002_AT&T Mobility Riverton North\SEPA\Affidavit of Distribution DNS 7-22-2011.doc N1Ay1a2011DO CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-3670 FAX (206) 431-3665 E-mail: tukp a l'@c.i.tukw'ila.wa.us AFFIDAVIT OF INSTALLATION AND POSTING OF PUBLIC INFORMATION SIGN(S) State of Washington County of King City of Tukwila I $ Y DAVIS (PRINT NAME) understand that Section 18.104.110 of the Tukwila Municipal Code requires me to post the property no later than fourteen (14) days following the issuance of the Notice of Completeness. 5/2/// I certify that on the Public Notice Board(s) in accordance with Section 18.104.110 and the other applica,ble guidelines were posted on the property located at lto 5 )4(c 5 so as to be clearly ssen from each right-of-way primary vehicular access to the property for application file number U I herewith authorize the City of Tukwila or its representative to remov sign at the property owner's expense, if not removed in a timely a Notice letter. nd im•diately dispose of the r or fourteen (14) dj.v..s of Applicant or Project Manager's Signature On this day personally appeared before me Salt l\ to me known to be the individual who executed the foregoing instrument and acknowledged that he/she signed the same as his/her voluntary act and deed for the uses and purposes mentioned therein. SUBSCRIBED AND SWORN to before me this _ day of ' ` dos _-:. A f�iO. >ys NOT 'i 0 y i31i . i —Ii r//���sti/NQTON � '��. P:\Planning Forms \App itiVR eSpecHandout-12-06.doc October 20, 2006 NOTA]RJ PUBLIC n and fo6ylkat\I e State of Washington 1V residing at ��q My commission expires on - `1 ,204I City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director May 4, 2011 Sunny Ausink AT&T Mobility 568 — lst Ave S, Ste 650 Seattle WA 98104 RE: AT&T Wireless -Villa Nelle Apts, Rooftop Notice of Application, PL11-017 3516 S 146 St. Dear Sunny Ausink: There is a fee due on your permit application in the amount of $915.00 to cover fees associated with mailing the attached public notice. The number of required notices sent for your application was 515. This included property owners and tenants within 500 feet of your project site as well as interested parties and agencies with jurisdiction. Per the City's Land Use Fee Schedule (enclosed), there is a $1.00 fee applied for each address the notice must be mailed to; totaling $776.00. The remaining $400.00 is the fee for the City to research and generate the required address database for the mailing. The cost is based on the land use fee schedule adopted by Resolution Number 1718 covering Public Notice mailings required for your application. This fee covers the attached notice only. Additional fees may be assessed for future mailings or other review tasks per the fee schedule. This amount needs to be paid before the city can continue processing your permit application. The payment may be paid by cash, check or credit card. The city will accept credit card payments by phone. If paying by check please send the check made out to: City of Tukwila 6300 Southcenter Blvd, Ste 100 Tukwila, WA 98188 If payment is not received within 15 days of this notice your permit application may be put on hold. If you have any questions, please feel free to contact me at 206 431 3670. Sincerely, Teri Svedahl Administrative Support Technician MD Invoicing Public Mailings.doc Page 1 of 1 05/03/2011 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax: 206-431-3665 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206-431-3665 Web site: http://www.TukwilaWA.gov Parcel No.: 0040000315 Address: 3516 S 146 ST TUKW Suite No: Applicant: AT&T MOBILITY RECEIPT Permit Number: L11-023 Status: PENDING Applied Date: 03/30/2011 Issue Date: Receipt No.: R11-01043 Initials: User ID: TLS 1670 Payment Amount: $915.00 Payment Date: 05/23/2011 02:47 PM Balance: $0.00 Payee: GOODMAN NETWORKS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 099349 915.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts MAPS/PUBLIC/MAILING ZONING/SUBDIVISION 000.341.500 400.00 000.345.810 515.00 Total: $915.00 doc: Receiot-06 Printed: 05-23-2011 LiUUUMAN Nt I WUKKJ, !NU'. City of Tukwila 16-MAY-11 Total: $915.00 099349 SG19 LU FEE $915.00 &ti of J u:�'uu:ea Department Of Community Development AFFIDAVIT OF DISTRIBUTION I, Teri Svedahl HEREBY DECLARE THAT: x Notice of Application Notice of Decision Notice of Public Hearing Notice of Public Meeting Determination of Non- Significance Mitigated Determination of Non - Significance Determination of Significance & Scoping Notice Short Subdivision Agenda Notice of Application for Shoreline Mgmt Permit Shoreline Mgmt Permit Board of Appeals Agenda Packet Board of Adjustment Agenda Packet Official Notice Notice of Action Other: Was mailed to each of the addresses listed/attached on this _4 day of May in the year 2011 Project Name: AT&T Wireless -Villa Nelle Apts - Rooftop Project Number: PL11-017 Associated File Number (s): L11-023, E11-002 Mailing requested by: Jaimie Reavis Mailer's signature: Alit, flu-- WAUSERS\TERI\TEMPLATES\AFFIDAVIT OF DISTRIBUTION.DOC City of Tukwila Notice of Application AT&T Wireless Facility Permit-3516 S 146th Street (Villa Nelle Apts.-Rooftop) City of Tukwila Notice of Application AT&T Wireless Facility Permit-3516 S 146th Street (Villa Nelle Apts.-Rooftop) T' 4th SF 4eaTac Project Location-3516 S 146th Street Location: 3516 S. 146th Street, tax parcel #004000-0315 File #'s: El1-002, L11-023+,,4411'017 Applicant: Sunny Ausink, AT&T Mobility Property Owners: Ark Villa Nelle LLC Project Planner: Jaimie Reavis, Assistant Planner, (206) 431-3659 or jreavis@ci.tukwila.wa.us Project Description: SEPA Environmental Review and a Wireless Facility Permit to add the following to an exist- ing facility located on the rooftop of an apartment build- ing: 3 new LTE antennas, 6 Remote Radio Head (RRH) units, and surge suppression units. Comments and Appeals: The application is available for review at the City of Tukwila, Department of Com- munity Development (DCD), located at 6300 Southcenter Blvd #100. Your written comments on the project are requested and can be delivered to DCD, 6300 Southcenter Blvd., Ste 100. Comments must be received by 5:00pm on May 20, 2011. You may request a copy of any deci- sion, information on hearings, and your appeal rights by calling 206-431-3659. You are receiving this notice as an applicant or a department or agency with jurisdiction for this project. City of Tukwila Notice of Application AT&T Wireless Facility Permit-3516 S 146th Street (Villa Nelle Apts.-Rooftop) 7 4th St Project Location-3516 S 146th Street Location: 3516 S. 146th Street, tax parcel #004000-0315 File #'s: E11-002, LI 1-023, PL11-017 Applicant: Sunny Ausink, AT&T Mobility Property Owners: Ark Villa Nelle LLC Project Planner: Jaimie Reavis, Assistant Planner, (206) 431-3659 or jreavis@ci.tukwila.wa.us Project Description: SEPA Environmental Review and a Wireless Facility Permit to add the following to an exist- ing facility located on the rooftop of an apartment build- ing: 3 new LTE antennas, 6 Remote Radio Head (RRH) units, and surge suppression units. Comments and Appeals: The application is available for review at the City of Tukwila, Department of Com- munity Development (DCD), located at 6300 Southcenter Blvd # 100. Your written comments on the project are requested and can be delivered to DCD, 6300 Southcenter Blvd., Ste 100. Comments must be received by 5:00pm on May 20, 2011. You may request a copy of any deci- sion, information on hearings, and your appeal rights by calling 206-431-3659. Project Location-3516 S 146th Street Project Location-3516 S 146th Street Location: 3516 S. 146th Street, tax parcel #004000-0315 File #'s: E11-002, L11-023, PL11-017 Applicant: Sunny Ausink, AT&T Mobility Property Owners: Ark Villa Nelle LLC Project Planner: Jaimie Reavis, Assistant Planner, (206) 431-3659 or jreavis@ci.tukwila.wa.us Project Description: SEPA Environmental Review and a Wireless Facility Permit to add the following to an exist- ing facility located on the rooftop of an apartment build- ing: 3 new LTE antennas, 6 Remote Radio Head (RRH) units, and surge suppression units. Comments and Appeals: The application is available for review at the City of Tukwila, Department ofCom- munity Development (DCD), located at 6300 Southcenter Blvd # 100. Your written comments on the project are requested and can be delivered to DCD, 6300 Southcenter Bh , Ste 100. Comments must be received by 5:00pm on May 20, 2011. You may request a copy of any deci- sion, information on hearings, and your appeal rights by calling 206-431-3659. You are receiving this notice as an applicant or a department or agency with jurisdiction for this project. City of Tukwila Notice of Application AT&T Wireless Facility Permit-3516 S 146th Street (Villa Nelle Apts.-Rooftop) Location: 3516 S. 146th Street, tax parcel #004000-0315 File #'s: E11-002, L11-023, PL11-017 Applicant: Sunny Ausink, AT&T Mobility Property Owners: Ark Villa Nelle LLC Project Planner: Jaimie Reavis, Assistant Planner, (206) 431-3659 or jreavis@ci.tukwila.wa.us Project Description: SEPA Environmental Review and a Wireless Facility Permit to add the following to an exist- ing facility located on the rooftop of an apartment build- ing: 3 new LTE antennas, 6 Remote Radio Head (RRH) units, and surge suppression units. Comments and Appeals: The application is available for review at the City of Tukwila, Department of Com- munity Development (DCD), located at 6300 Southcenter Blvd # 100. Your written comments on the project are requested and can be delivered to DCD, 6300 Southcenter Blvd., Ste 100. Comments must be received by 5:00pm on May 20, 2011. You may request a copy of any deci- sion, information on hearings, and your appeal rights by calling 206-431-3659. You are receiving this notice as an applicant or a department or agency with jurisdiction for this project. You are receiving this notice as an applicant or a department or agency with jurisdiction for this project. -b4-{uu0 D t c AGENCY LABELS ( ) US Corps of Engineers ( ) Federal HWY Admin ( ) Federal Transit Admin, Region 10 ( ) Dept of Fish & Wildlife Section 1 FEDERAL AGENCIES ( ) US Environmental Protection Agency (E.P.A.) ( ) US Dept of HUD ( ) National Marine Fisheries Service Section 2 ( ) Office of Archaeology ( ) Transportation Department (WSDOT NW) ( ) Dept of Natural Resources ( ) Office of the Governor ( ) WA State Community Development ( ) WA Fisheries & Wildlife WASHINGTON STATE AGENCIES ( ) Dept of Social & Health Services ( ) Dept of Ecology NW Regional Office, Shoreland Division Dept of Ecology, SEPA ( ) Office of Attorney General ( ) Office of Hearing Examiner ( ) KC Boundary Review Board ( ) Fire District # 11 ( ) Fire District # 2 ( ) KC Wastewater Treatment Div ( ) KC Dept of Parks & Recreation DO KC Assessor's Office Section 3 KING COUNTY AGENCIES ( ) Health Department ( ) Port of Seattle ( ) KC Dev & Enviro Services-SEPA Info Center ( ) KC Metro Transit Div-SEPA Official, Environmental Planning ( ) KC Dept of Natural Resources ( ) KC Dept of Natural Resources, Andy Levesque ( ) Tukwila School District ( ) Tukwila Library ( ) Renton Library ( ) Kent Library ( ) Seattle Library Section 4 SCHOOLS/LIBRARIES Foster Library ( ) KC Public Library System ( ) Highline School District ( ) Seattle School District ( ) Renton School District ( ) Westfield Mall Library ( ) QWEST Communications ( ) Seattle City Light ( ) Puget Sound Energy ( ) Highline Water District ( ) Seattle Planning &Dev/Water Dept ( ) Comcast Section 5 UTILITIES ( ) BP Olympic Pipeline ( ) Val-Vue Sewer District ( ) Water District # 20 ( ) Water District # 125 ( ) City of Renton Public Works ( ) Bryn Mawr-Lakeridge Sewer/Water Dist ( ) Seattle Public Utilities ( ) Allied Waste Services ( ) Tukwila City Departments ( ) Public Works ( ) Fire ( ) Police ( ) Finance ( ) Planning ( ) Building ( ) Parks & Rec ( ) Mayor ( ) City Clerk Section 6 CITY AGENCIES ( ) Kent Planning Dept ( ) Renton Planning Dept ( ) City of SeaTac ( ) City of Burien ( ) City of Seattle ( ) Strategic Planning *Notice of all Seattle Related Projects ( ) Puget Sound Regional Council ( ) SW KC Chamber of Commerce ( ) Muckleshoot Indian Tribe * ( ) Cultural Resources ( ) Fisheries Program ( ) Wildlife Program ( ) Duwamish Indian Tribe * Section 7 OTHER LOCAL AGENCIES ( ) Puget Sound Clean Air Agency ( ) Sound Transit/SEPA ( ) Duwamish River Clean Up Coalition * ( ) Washington Environmental Council ( ) People for Puget Sound * ( ) Futurewise * send notice of all applications on Green/Duwamish River ( ) Seattle Times ( ) South County Journal Section 8 MEDIA ( ) Highline Times ( ) City of Tukwila Website P:Admin\Admin Forms\Agency Checklist Public Notice Mailings For Permits SEPA MAILINGS Mail to: (comment period starts on date of mailing) Dept. of Ecology Environmental Review Section *Applicant *Other agencies as necessary (checked off on attached list) *Any parties of record * send only the staff report, site plan and the SEPA Determination KC Transit Division — SEPA Official would like to receive information about all projects that might affect transit demand Tribes — For any application on the Green/Duwamish River, send the checklist and a full set of plans with the Notice Of Application Send These Documents to DOE: SEPA Determination (3-part from Sierra) Findings (staff report, usu. with MDNS) SEPA Checklist (filled out by applicant) Drawings/Plans of project (site plan, elevations, etc. from PMT's) Affidavit of Distribution (notice was mailed or sent to newspaper) SHORELINE MAILINGS: Notice of Application for a Substantial Development Permit must be mailed to owners and to property owners within 500 feet of subject property, comments are due 30 days after the notice of application is mailed/posted. The Notice of Application for Shoreline Substantial Development Permit must include a statement that any person desiring to submit written comments on the application or desiring to receive notification of the final decision on the application may do so within 30 days of the Notice of Application. If a hearing will be held on the application, the hearing notice must include the information that written comments may be submitted, or oral presentation made at the hearing. Notice is sent to Ecology's NW Regional Office Shorelands & Environmental Assistance Program. Shoreline Permit Notice of Decision: Mail to: (within 8 days of decision; 21-day appeal period begins date received by DOE) Department of Ecology Shorelands Section, NW Regional Office State Attorney General *Applicant *Indian Tribes *Other agencies as necessary (checked off on attached list). *Any parties of record * send only the staff report, site plan and the SEPA Determination Send These Documents to DOE and Attorney General: Permit Data Sheet Shoreline Substantial Development Permit (3-part from Sierra) Findings (staff report or memo) Shoreline Permit Application Form (filled out by applicant) Drawings/Plans of project (site plan, elevations, etc. from PMT's) — Site plan, with mean high water mark & improvements — Cross -sections of site with structures & shoreline - Grading Plan — Vicinity map SEPA determination (3-part from Sierra) Findings (staff report or memo) SEPA Checklist (filled out by applicant) Any background studies related to impacts on shoreline Notice of Application Affidavit of Distribution (notice was mailed) P:Admin\Admin Forms\Agency Checklist Page 1 of 1 Teri Svedahl - PL11-017 Mailing From: To: Date: Subject: Attachments: Jaimie Reavis Teri Svedahl 04/29/2011 4:58 PM PL11-017 Mailing L11-023_E11-002_NOA_AT&T_3516 S 146th St.pub; NWMapsNotification_Riverton North.csv; Apts.dbf Hi Teri, Attached is the postcard, mailing label addresses, and list of apartments that this mailing needs to go out to, by Friday May 6th. I do not have a list of businesses yet. I will talk to you about this when I get in on Monday. Thanks, Jaimie salTh i\XT file://C:\Documents and Settings\Teri-S\Local Settings\Temp\XPgrpwise\4DBAEE3Atuk... 05/02/2011 -VLl 1-01-- FirstName Sangoeun & Sim Sophorn Elias Yirga Dave Paul Timothy M Imane Tukwila Robin Tukwila Tukwila Tukwila Anteneh A Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Soo Man & Kyung Jae Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Ruth Z Joy John R Daniel 1 Tukwila Tukwila Tukwila Angel & Milena Tukwila Tukwila Tukwila Jorge & Maria Tukwila Tukwila Tukwila Tukwila LastName WALGREN CO Mam Wolde Poletti Cun KARED LLC Obrien Jeaouani Community Member Svenson Community Member Community Member Community Member Woldeselassie Community Member Community Member Community Member Community Member Community Member Community Member Community Member Lee Community Member EXPRESS LINEN SERVICE LLC Community Member Community Member Community Member RELIANCE INVESTMENTS INC Community Member Community Member Community Member Community Member Community Member Community Member Community Member Community Member Community Member Community Member Cagle ARK SUNSET VISTA LLC HUBNER SAMARA INC Hartley APNA INVESTMENTS INC Gardner Wise PREMIERE RUE LLC Community Member Community Member Community Member Dimitrov Community Member Community Member Community Member Joya Community Member Community Member Community Member Community Member Address 104 WILMOT RD #MS 1435 11015 21ST AVE SW 11400 MILITARY RD S 1200 WESTLAKE AVE N #1001 125 145TH PL NE 131 185TH PL SW 14217 59TH AVE S 14406 34TH AVE S CityState DEERFIELD IL SEATTLE WA SEATTLE WA SEATTLE WA BELLEVUE WA BOTHELL WA TUKWILA WA TUKWILA WA 14413 TUKWILA INTERNATIONAI Tukwila WA 14414 34TH AVE S 14420 34TH AVE S 14422 34TH AVE S 14426 34TH AVE S 14434 34TH AVE S 14436 34TH AVE S 14438 34TH AVE S 14440 34TH AVE S 14442 34TH AVE S 14444 34TH AVE S 14446 34TH AVE S 14446 59TH AVE S 14450 34TH AVE S TUKWILA WA Tukwila WA Tukwila WA Tukwila WA TUKWILA WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA TUKWILA WA TUKWILA WA 14462 34TH AVE S Tukwila WA 14603 35TH AVE S TUKWILA WA 14604 TUKWILA INTERNATIONAI Tukwila WA 14607 TUKWILA INTERNATIONAI Tukwila WA 14612 MILITARY RD S Tukwila WA 14620 PACIFIC HWY S TUKWILA WA 14621 TUKWILA INTERNATIONAI Tukwila WA 14623 35TH AVE S Tukwila WA 14624 TUKWILA INTERNATIONAI Tukwila WA 14626 MILITARY RD S Tukwila WA 14628 MILITARY RD S Tukwila WA 14636 MILITARY RD S Tukwila WA 14638 TUKWILA INTERNATIONAI Tukwila WA 14639 TUKWILA INTERNATIONAI Tukwila WA 14643 TUKWILA INTERNATIONAI Tukwila WA 14645 TUKWILA INTERNATIONAI Tukwila WA 14802 109TH AVE E 18107 NORMANDY TER SW 19655 1ST AVE S #208 20222 SE 152ND ST 26220 116TH AVE SE 28318 45TH S 306 S 165TH ST 320 15TH AVE 3400 S 148TH ST 3416 S 146TH ST 3417 S 144TH ST 3418 S 146TH ST 3421 S 144TH ST 3422 S 146TH ST 3424 S 146TH ST 3425 S 146TH ST 3426 S 146TH ST 3429 S 144TH ST 3430 5 146TH ST 3434 S 144TH ST PUYALLUP WA NORMANDY PARK WA NORMANDY PARK WA RENTON WA KENT WA AUBURN WA BURIEN WA SEATTLE WA Tukwila WA Tukwila WA Tukwila WA TUKWILA WA Tukwila WA Tukwila WA Tukwila WA SEATTLE WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Zip 60015 98146 98168 98109 98007 98012 98188 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98374 98166 98148 98059 98030 98001 98148 98122 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Tukwila Mike Chau Tieu Mark & Mary Jorge C & Joya Maria L Bounson Tukwila Dept of Ecology - SEPA KC Assessor's Office Foster Library Sunny Ausink - AT&T Mobility TESSEMA AND DIBABA LLC SOKA GAKKAI INTERNATIONAL Community Member Community Member Community Member Community Member Community Member Community Member Community Member Community Member Community Member Community Member Community Member Community Member Community Member Community Member Community Member Community Member Community Member Community Member Community Member Overbeck Huynh PARK AVE APARTMENTS LLC SEG 56TH LLC POLL TUKWILA LLC SILVERDALE-TUKWILA LLC ET A COLONIAL GARDEN LLC Harrison RIDGE SPRINGS LLC KING COUNTY WATER DIST#125 Joya Phavong THE SOUTHLAND CORPORATION Community Member 3435 S 164TH ST 3438 S 148TH ST 3440 S 146TH ST 3455 S 144TH ST 3456 S 148TH ST 3460 S 148TH ST 3462 S 148TH ST 3464 S 148TH ST 3465 S 144TH ST 3466 S 148TH ST 3468 S 148TH ST 3515 S 146TH ST 3516 S 146TH ST 3530 S 146TH ST 3531 S 146TH ST 3703 S 146TH ST 3705 S 146TH ST 3707 S 146TH ST 3716 S 144TH ST 3725 S 144TH ST 3920 S 146TH ST 4620 S 148TH ST 5210 NE 8TH PL 626 S 312TH ST 845 106TH AVE NE #100 8915 SE 44TH ST 9777 WILSHIRE BLVD #1009 PO BOX 40252 PO BOX 497 PO BOX 58184 PO BOX 68147 PO BOX 69315 PO BOX 69712 PO BOX 711 S 146TH ST PO BOX 47703 500 - 4th AVE, Room 709A 4060 S 144th Street 568 - 1st AVE S, Ste 650 SEATAC WA SEATTLE WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA Tukwila WA TUKWILA WA RENTON WA FEDERAL WAY WA BELLEVUE WA MERCER ISLAND WA BEVERELY HILLS CA BELLEVUE WA PRESTON WA TUKWILA WA SEATTLE WA SEATTLE WA SEATTLE WA DALLAS TX Tukwila WA Olympia WA SEATTLE WA TUKWILA WA SEATTLE WA 98188 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98168 98059 98003 98004 98040 90212 98015 98050 98138 98168 98168 98168 75221 98168 98504 98104 98168 98104 name address city st zip TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 101 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 102 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 103 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 104 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 105 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 106 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 107 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 108 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 109 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 110 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 111 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 112 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 113 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 114 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 115 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 116 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 117 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 118 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 119 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 120 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 201 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 202 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 203 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 204 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 205 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 206 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 207 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 208 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 209 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 210 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 211 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 212 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 213 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 214 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 215 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 216 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3445 S 144TH ST Apt 217 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3465 S 144TH ST Apt 101 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3465 S 144TH ST Apt 102 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3465 S 144TH ST Apt 103 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3465 S 144TH ST Apt 104 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3465 S 144TH ST Apt 105 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3465 S 144TH ST Apt 106 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3465 S 144TH ST Apt 107 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3465 S 144TH ST Apt 108 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3465 S 144TH ST Apt 109 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY 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MEMBER TUKWILA COMMUNITY MEMBER 3465 S 144TH ST Apt 110 3465 S 144TH ST Apt 111 3465 S 144TH ST Apt 112 3465 S 144TH ST Apt 114 3465 S 144TH ST Apt 115 3465 S 144TH ST Apt 116 3465 S 144TH ST Apt 117 3465 S 144TH ST Apt 118 3465 S 144TH ST Apt 119 3465 S 144TH ST Apt 120 3465 S 144TH ST Apt 121 3465 S 144TH ST Apt 122 3465 S 144TH ST Apt 123 3465 S 144TH ST Apt 201 3465 S 144TH ST Apt 202 3465 S 144TH ST Apt 203 3465 S 144TH ST Apt 204 3465 S 144TH ST Apt 205 3465 S 144TH ST Apt 206 3465 S 144TH ST Apt 207 3465 S 144TH ST Apt 208 3465 S 144TH ST Apt 209 3465 S 144TH ST Apt 210 3465 S 144TH ST Apt 211 3465 S 144TH ST Apt 212 3465 S 144TH ST Apt 213 3465 S 144TH ST Apt 214 3465 S 144TH ST Apt 215 3465 S 144TH ST Apt 216 3465 S 144TH ST Apt 217 3465 S 144TH ST Apt 218 3465 S 144TH ST Apt 219 3465 S 144TH ST Apt 220 3465 S 144TH ST Apt 221 3465 S 144TH ST Apt 222 3465 S 144TH ST Apt 223 14434 34TH AVE S Apt L 14434 34TH AVE S Apt U 14016 33RD PL S Apt A 14016 33RD PL S Apt B 14444 34TH AVE S Apt 1 14444 34TH AVE S Apt 2 14444 34TH AVE S Apt 3 14444 34TH AVE S Apt 4 14442 34TH AVE S Apt 1 14442 34TH AVE S Apt 2 14442 34TH AVE S Apt 3 TUKWILA WA 98168 TUKWILA WA 98168 TUKWILA WA 98168 TUKWILA WA 98168 TUKWILA WA 98168 TUKWILA WA 98168 TUKWILA WA 98168 TUKWILA WA 98168 TUKWILA WA 98168 TUKWILA WA 98168 TUKWILA WA 98168 TUKWILA WA 98168 TUKWILA WA 98168. 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MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER TUKWILA COMMUNITY MEMBER 14442 34TH AVE S Apt 4 14628 MILITARY RD S Apt 1 14628 MILITARY RD S Apt 2 14628 MILITARY RD S Apt 3 14628 MILITARY RD S Apt 4 3424 S 146TH ST Apt 1 3424 S 146TH ST Apt 2 3424 S 146TH ST Apt 3 3424 S 146TH ST Apt 4 3530 S 146TH ST Apt 1 3530 S 146TH ST Apt 2 3530 S 146TH ST Apt 3 3530 S 146TH ST Apt 4 14436 34TH AVE S Apt 1 14436 34TH AVE S Apt 2 14436 34TH AVE S Apt 3 14436 34TH AVE S Apt 4 14440 34TH AVE S Apt 1 14440 34TH AVE S Apt 2 14440 34TH AVE S Apt 3 14440 34TH AVE S Apt 4 3422 S 146TH ST Apt 1 3422 S 146TH ST Apt 2 3422 S 146TH ST Apt 3 3422 S 146TH ST Apt 4 3466 S 148TH ST Apt 1 3466 S 148TH ST Apt 2 3515 S 146TH ST Apt 101 3515 S 146TH ST Apt 102 3515 S 146TH ST Apt 103 3515 S 146TH ST Apt 104 3515 S 146TH ST Apt 105 3515 S 146TH ST Apt 106 3515 S 146TH ST Apt 107 3515 S 146TH ST Apt 108 3515 S 146TH ST Apt 109 3515 S 146TH ST Apt 110 3515 S 146TH ST Apt 111 3515 S 146TH ST Apt 112 3515 S 146TH ST Apt 113 3515 S 146TH ST Apt 114 3515 S 146TH ST Apt 115 3515 S 146TH ST Apt 116 3515 S 146TH ST Apt 201 3515 S 146TH ST Apt 202 3515 S 146TH ST Apt 203 3515 S 146TH ST Apt 204 TUKWILA WA 98188 TUKWILA WA 98168 TUKWILA WA 98168 TUKWILA WA 98168 TUKWILA WA 98168 TUKWILA WA 98168 TUKWILA WA 98168 TUKWILA WA 98168 TUKWILA 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COMMUNITY MEMBER 3515 S 146TH ST Apt 210 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 211 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 212 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 213 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 214 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 215 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 216 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 301 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 302 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 303 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 304 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 305 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 306 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 307 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 308 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 309 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 310 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 311 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 312 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 313 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 314 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 315 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3515 S 146TH ST Apt 316 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 1 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 10 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 11 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 12 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 2 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 21 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 22 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 23 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 24 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 25 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 26 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 27 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 28 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 29 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 3 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 30 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 31 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 32 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 33 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 4 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 5 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 6 TUKWILA WA 98168 TUKWILA COMMUNITY MEMBER 3440 S 146TH ST Apt 7 TUKWILA WA 98168 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Director NOTICE OF COMPLETE APPLICATION April 22, 2011 Sunny Ausink, AT&T Mobility 568 1st Avenue S., Suite #650 Seattle, WA 98104 Subject: AT&T Mobility Wireless Telecommunications Facility Permit at 3516 S 146th Street (Riverton North) L11-023 (Wireless Permit Number) E11-002 (SEPA Environmental Review) PL11-017 (Land Use Project File Number) Dear Sunny Ausink: Your applications for a Wireless Telecommunications Facility permit and SEPA Environmental Review are considered complete on April 22, 2011 for the purposes of meeting state mandated time requirements. This determination of complete application does not preclude the ability of the City to require that you submit additional plans or information, if in our estimation such information is necessary to ensure the project meets the substantive requirements of the City or to complete the review process. This notice of complete application applies only to the permits identified above. It is your responsibility to apply for and obtain all necessary permits issued by other agencies. Please arrange to have the public notice board for this project manufactured and installed on site within the next 14 days. The City of Tukwila will coordinate the public notice mailing with installation of the public notice board. The public comment period for this project will be 14 days for both the wireless facility permit and the SEPA Environmental Review applications. These notice periods will run concurrently. Please feel free to contact me with any questions at (206) 431-3659 or ireavis@ci.tukwila.wa.us. Sincerely, gefizart7y— Jaimie Reavis Assistant Planner 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 •Phone 206-431-3670 • Fax 206-431-3665 ACOUSTIC r '„ d. z„: �.n� w'.➢ :4 a°xix'.ar C07 4 V` ACOUSTICS , ra ACOUSTICS .;:ti�.11 .�t:aEi'd ACOUSTICS Stewart. AR Allaoua February 28, 2011 Mr. Paul Long Goodman Networks 8815 122"d Avenue NE Kirkland, WA 98033 RECEIVED MAR 3 0 2011 COMMUNITY DEVELOPMENT Re: Acoustical Report — AT&T SG19 Riverton North Site: 3516 S 146th Street, Tukwila, WA 98168 Dear Paul, This report presents a noise survey performed in the immediate vicinity of the proposed AT&T telecommunications facility at 3516 S 146th Street in Seattle, Washington. This noise survey extends from the proposed equipment to the nearest properties. The purpose of this report is to document the existing conditions and the impacts of the acoustical changes due to the proposed equipment. This report contains data on the existing and predicted noise environments, impact criteria and an evaluation of the predicted sound levels as they relate to the criteria. Ambient Conditions Existing ambient noise levels were measured on site with a Larson -Davis 820 sound level meter on February 25, 2011. Measurements were conducted as close to the proposed location as possible and the property lines in accordance with the State of Washington code for Maximum Environmental Noise Levels WAC 173-60-020. The average ambient noise level was 58 dB(A), due to traffic noise. The weather during the measurements was overcast with Tight snow and the roads were wet. Code Requirements The site is located within the City of Tukwila Zoning jurisdiction on property with an HDR zoning designation. Tukwila Municipal Code Chapter 8.22.020.5.a defines HDR as being within a Residential district. The receiving properties are all zoned HDR. The proposed new equipment consists of equipment support cabinets, which are expected to run 24 hours a day. Under Tukwila Municipal Code 8.22.040 noise from equipment on a within a Residential district is limited as follows: Residential District Receiver: Noise is limited to 55 dB(A) during daytime hours. During nighttime, defined as the hours between 10 p.m. and 7 a.m., maximum sound levels are reduced by 10 dB(A) for where the receiving property lies within a residential district of the City. As the support cabinets are expected to operate 24 hours a day, they must meet the 45 dB(A) nighttime limit. SSA Acoustics, LLP 222 Etruria Street, Ste 100 Seattle, Washington 98109 t. 206.839.0819 f. 206.839.0824 AT&T SG19 Riverton North Predicted Equipment Sound Levels 24-Hour Operation Equipment The proposed equipment includes one Alcatel -Lucent LTE cabinet. According to manufacturer data, the Alcatel -Lucent LTE cabinet produces a sound power level of 65 LW(A), which is equivalent to 55 dB(A) at 5 feet. The proposed LTE equipment will be mounted on an existing Argus TE43 rack, which is at grade level. To predict equipment noise levels at the receiving properties, this survey uses the methods established by ASHRAE and AHRI Standard 275-2010. Application factors such as location, height, and reflective surfaces, and noise reduction from intervening elements are accounted for in predicting the sound level at the receiving properties. The nearest receiving property line is 55 feet west of the equipment location. The predicted sound level at the nearest property line is shown in Table 1 below. Table 1 Application Factors and Predicted Noise Levels For Proposed New Equipment Line Application Factor dB(A) 1 Equipment Sound Pressure Level at 5 ft., LPS 55 2 3 Distance Factor (DF) DF = 20 log1o(D,/D2) New Equipment Sound Pressure Level at Receiver, LPR -21 (55 ft) 34 The predicted sound pressure level from the proposed equipment at the nearest receiving property is 34 dB(A), which meets the 45 dB(A) nighttime code limit. Please contact us if you have any questions or require further information. Sincerely, SSA Acoustics, LLP Dee Trang Nguyen Technician Page 2 Reviewed by: Alan Burt, P.E. Associate Partner Acoustical Consultant Pacific Telecom Services, LLC 11 March 2011 City of Tukwila Department of Community Development 6300 Southcenter Boulevard Tukwila, WA 98188 RECEIVED MAR 3 0 20111 COMMUNITY DEVELOPMENT RE: TYPE 2 Permit for Wireless Telecommunications Facility Modification to Existing AT&T Facility SG19 Riverton North — 3516 S. 146th Street APN#: 0040000315 Dear Reviewing Parties, AT&T is proposing to modify an existing site at the address reference above. AT&T proposes to modify the existing personal wireless facility by adding (3) new LTE antennas antennas, adding (6) RRHs units, and (3) surge suppression units mounted on existing facility on rooftop. The proposed antennas and additional appurtenances will be painted to match the existing. No increase in height. The modification will not result in a change in visual impact, and is part of a technology upgrade being performed on AT&T/New Cingular Wireless's network, in order to improve service to its customers and strengthen reliability and capacity in its network. Please find below AT&T's evaluation in regards to City of Tukwila's Chapter 18.58 Wireless Communications Facilities Code: Proposal is an existing facility attached to an existing rooftop in the HDR zone. Proposed modifications will not increase the height of the existing structure. Proposal is for a concealed building mounted antennas, therefore a Type 2 Land Use Process and SEPA is required. 18.58.100 Concealed Building Mounted Development Requirements. 1. Height — The proposed facility must meet the height requirement of the applicable zoning category. The antennas can qualify under TMC Section 18.50.080, "Rooftop Appurtenances", if the antennas are located in a church spire, chimney or fake chimney, elevator tower, mechanical equipment room, or other similar rooftop appurtenances usually required to be placed on a roof and not intended for human occupancy. Stand-alone antennas shall not qualify as rooftop appurtenances. Answer: Proposal is for the addition of (3) new LTE antennas and ancillary equipment to be attached on existing building rooftop. The proposed antennas and equipment will be concealed with faux chimneys and will not increase the height of the existing. 2. Antennas aesthetics — The antennas must be concealed from view by blending with the architectural style of the building. This could include steeple -like structures and parapet walls. The screening must be made out of the same material and be the same color as the building. Antennas shall be painted to match the color scheme of the building(s). Answer: Antennas and ancillary equipment hardware will be painted to match the existing color of existing antennas and building. The proposed antennas will be concealed in faux chimneys. 3. Feed lines and coaxial cables — Feed lines and cables should be located below the parapet of the rooftop. Answer: Coax lines will adhere to this section of the code 4. Cabinet equipment — If cabinet equipment cannot be located within the building where the wireless communication facilities will be located, then the City's first preference is to locate the equipment on the rooftop of the building. If the equipment can be screened by placing the equipment below the parapet walls, no additional screening is required. If screening is required, then the proposed screening must be consistent with the existing building in terms of color, style, architectural style and material. If the cabinet equipment is to be located on the ground, the equipment must be fenced with a 6-foot-tall fence, and materials shall be used to screen the equipment from view. Barbed wire may be used in the TVS, LI, HI, MIC/L, and MIC/H zones. Answer: Proposed "Back -Pack" cabinet will be attached to existing cabinet and will not increase the footprint of the equipment enclosure on existing building rooftop. 5. Setbacks — The proposed wireless communication facilities facility must meet the setback of the applicable zoning category where the facility is to be located. Answer: This is an existing facility, all setbacks will be met. Enclosed with this narrative you will find: • Application Checklist (1) • Completed Application Form and drawings (5) • Site plans (4) • Applicable Fees/ • Copy of the Lease • (4) sets of photosims • Materials Board for screening Material • Letter from Engineer (NIER) Please note that a Copy of Lease Agreement is submitted in lieu of the Affidavit of Ownership. This is an existing facility and AT&T has an agreement from the property to submit for government approvals and access. Proposed site is not in a sensitive area. An outdoor generator is not proposed for this project. Please let me know if you require further information to process this request. Sincerely, Sunny Ausink Land Use Planner Pacific Telecom Services sausink©ptswa.com (206)446-0448 Cell Site Number: 961S03-059 (SG19) MAR R 0 20111 Address:3516 S 146th Street, Tukwila, WA 98168 CU MUNtTY DEVELOPMENT OPTION AND LEASE AGREEMENT THIS OPTION AND LEASE AGREEMENT ("Agreement"), dated as of the date below, is entered into by The Patrick J. O'Hare and Laura J. O'Hare Revocable Living Trust, UTA dated March 12, 1997, with a Tax ID# of having its principal office/residing at 967 Utsalady Road, Camano Island, WA 98282 (hereinafter referred to as "Landlord") and AT&T Wireless Services of Washington, LLC, an Oregon limited liability company, d/b/a AT&T Wireless, by AT&T Wireless Services, Inc., a Delaware corporation, its member, having an office at 617 Eastlake Ave E, Seattle, WA 98109. (hereinafter referred to as "Tenant"). BACKGROUND Landlord owns that certain plot, parcel or tract of land, together with all rights and privileges arising in connection therewith, located at 3516 S 146th Street, Tukwila, WA 98168, identified as Lot 30 in Brock 2 in the Adams Home Tracts, in the City of Tukwila, King County, State of Washington (collectively "Property"). A legal description of the Property is attached hereto as Exhibit 1. Tenant desires to use a portion of the Property in connection with its federally licensed communications business. The parties agree as follows: 1. OPTION TO LEASE. (a) Landlord hereby grants Tenant the option to lease a portion of the Property consisting of space on the structure and such easements as are necessary for the antennas and initial installation as described on attached Exhibit 2 (collectively, "Premises"). (b)• During the Option period and any extension thereof, and during the term of this Agreement, Tenant and its agents, engineers, surveyors and other representatives will have the right to enter upon the Property to inspect, examine, conduct soil borings, drainage testing, material sampling, and other geological or engineering tests or studies of the Property (collectively the "Tests"), to apply for and obtain licenses, permits, approvals, or other relief required of or deemed necessary or appropriate at Tenant's sole discretion for its use of the Premises and include without limitation applications for zoning variances, zoning ordinances, amendments, special use permits, and construction permits (collectively referred to as "Governmental Approvals"), and otherwise to do those things on or off the Property that, in the opinion of Tenant, are necessary in Tenant's sole discretion to determine the physical condition of the Property, the environmental history of the Property, Landlord's title to the Property and the feasibility or suitability of the Property for Tenant's Permitted Use, all at Tenant's expense. Tenant will not be liable to Landlord or any third party on account of any pre-existing defect or condition on or with respect to the Property, whether or not such defect or condition is disclosed by Tenant's inspection. (c) In consideration of Landlord granting Tenant the Option, Tenant hereby agrees to pay Landlord the sum of , .ipon execution of this Agreement. T19 Option will 67 J be for an initial term of one (1) year (the "Initial Option Term") and may be renewed by Tenant for an additional one (1) year upon written notification to Landlord and the payment of an additional One no later than ten (10) days prior to the expiration date of the Initial Option Term. (d) During the Initial Option Term and any extension thereof, Tenant may exercise the Option by notifying Landlord in writing. If Tenant exercises the Option then Landlord leases the Premises to the Tenant subject to the following terms and conditions. If Tenant does not exercise the Option during the Initial Option Term, or any extension thereof, this Agreement will terminate and the parties will have no further liability to each other. Tenant does not have to provide notice to Landlord that Tenant will not exercise the Option. 2. PERMITTED USE. (a) Tenant may use the Premises for the transmission and reception of communications signals and the installation, maintenance, operation, repair and replacement of its communications fixtures and related equipment, cables, accessories and improvements, which may include a suitable support structure, associated antennas, not to exceed 4 panel antennas and 2 metrocell cabinets as described in Exhibit 2, and any other items necessary to the successful and secure use to the Premises (collectively, the "Communication Facility"); such use may include the right to test, survey and review title on the Property (collectively, the "Permitted Use"). Landlord's execution of this Agreement will signify Landlord's approval of Exhibit 2. Tenant has the right to make Property improvements, alterations or additions ("Tenant Changes") appropriate for Tenant's use. Tenant agrees to comply with all applicable governmental laws, rules, statutes and regulations, relating to its use of the Communication Facility on the Property. Tenant has the right to modify, supplement, replace, upgrade, expand the equipment, increase the number of antennas or relocate the Communication Facility within the Premises at any time during the term of this Agreement. (b) Prior to the installation of Tenant's Changes, Tenant will supply the Landlord with plans and specifications ("Plans") to be reviewed and approved by the Landlord prior to commencement of Tenant's Changes. Landlord's approval will not be unreasonably withheld, conditioned or delayed (and in no event delayed beyond fifteen (15) days. After Landlord's (i) acceptance of any Plans; or (ii) failure to respond in writing to Tenant's proposed Plans within fifteen (15) days of their receipt; or (iii) failure to provide a written response within five (5) days of receipt of Plans revised by Tenant after comment from Landlord in accordance with this paragraph, the PIans will be deemed approved. After approval, the Plans will be considered incorporated in this Agreement as Exhibit 2. If the Landlord disapproves the plans then the Tenant will provide the Landlord with revised plans, such revisions to be within Tenant's reasonable discretion. In the event Landlord disapproves of the Plans upon a second (2nd) submission, Tenant may terminate this Agreement. Landlord will not knowingly permit or suffer any person to copy or utilize the Plans for any purpose other than as provided in this Agreement and will return the Plans to Tenant promptly upon request. 3. TERM. (a) The initial lease term will be five (5) years ("Initial Term"), commencing upon the Commencement Date, as defined below. The Initial Term will terminate on the last day of the month in which the fifth annual anniversary of the Commencement Date occurred (b) This Agreement will automatically renew for five (5) additional five (5) year Term(s) (the "Extension Term"), upon the same terms and conditions unless the Tenant notifies the Landlord in writing of Tenant's intention not to renew this Agreement at Least ninety (90) days prior to the expiration of the existing Term. (c) If Tenant remains in possession of the Premises after the termination or expiration of this Agreement then Tenant will be deemed to be occupying the Premises on a month to month basis (the "Holdover Term"), subject to the terms and conditions of this Agreement. (d) The Initial Term and the Extension Term and the Holdover Term are collectively referred to as the Term. ("Term"). 4. RENT. (a) Commencing on the date that Tenant commences construction (the "Commencement Date"), Tenant will pay the Landlord a monthly rental payment of _ _ „ plus any applicable tax, to Landlord, at the address set forth above, on or before the 561 day of each calendar month in advance. Rent will be prorated for any partial month. (b) Beginning with year one of the Extension Term, the monthly rent will increase by twenty percent (20%) over the previous year's rent. 5. APPROVALS. (a) Landlord agrees that Tenant's ability to use the Premises is contingent upon its suitability for Tenant's intended use and Tenant's ability to obtain all governmental licenses, permits, approvals or other relief required of or deemed necessary by Tenant for its use of the Premises, including without limitation applications for zoning variances, zoning ordinances, amendments, special use permits, and construction permits (collectively referred to as "Governmental Approvals"). Landlord authorizes Tenant to prepare, execute and file all required applications to obtain Governmental Approvals for Tenant's use under this Agreement and agrees to reasonably assist Tenant with such applications (b) Tenant has the right to obtain a title report or commitment for a leasehold title policy from a title insurance company of its choice and to have the Property surveyed by a surveyor of its choice. (c) Tenant may also obtain, at Tenant's sole cost and expense, soil boring, percolation, engineering procedures, environmental investigation or other tests or reports ("Tests") on, over, and under the Property, necessary to determine if the Tenant's use of the Premises will be compatible with Tenant's engineering specifications, system, design, operations or Governmental Approvals. 6. TERMINATION. This Agreement may be terminated, without penalty or further liability, as follows: (a) by either party on thirty (30) days prior written notice, if the other party remains in default under Paragraph 15 of this Agreement after the applicable cure periods; (b) by Tenant upon written notice, if Tenant is unable to obtain, or maintain, any required approval(s) or the issuance of a license or permit by any agency, board, court or other governmental authority necessary for the construction or operation of the Communication Facility as now and hereafter intended by Tenant or if Tenant determines in its sole discretion that the cost of obtaining or retaining the same is commercially unreasonable; (c) by Tenant on ninety (90) days written notice for any reason other than (a) or (b) above, or Paragraph 8, below, so long as Tenant pays Landlord a termination fee equal to six (6) months rent, at the current rent rate. 7. INSURANCE. Tenant will carry during the Term, at its own cost and expense, the following insurance: (i) "All Risk" property insurance for its property's replacement cost; (ii) commercial general liability insurance with a minimum limit of liability of $2,500,000 combined single limit for bodily injury or death/property damage arising out of any one occurrence; and (iii) Workers' Compensation Insurance as required by law. 8. INTERFERENCE. (a) Where there are existing radio frequency user(s) on the Landlord's Property, the Landlord will provide Tenant with a list of all existing radio frequency user(s) and their frequencies on the Property to allow Tenant to evaluate the potential for interference. Tenant warrants that its use of the Premises will not interfere with existing radio frequency user(s) on the Premises as long as the existing radio frequency user(s) operate and continue to operate within their frequencies and in accordance with all applicable laws and regulations. (b) Landlord will not grant, after the date of this Agreement, a lease, license or any other right to any third party for use of the Property, if such use may in any way adversely affect or interfere with Tenant's Communication Facility. Landlord will notify Tenant prior to granting any third party the right to install and operate communications equipment on the Property Nothing contained herein will restrict Tenant nor its successors and assigns from installing and modifying its communications equipment. (c) Landlord will not use, nor will Landlord permit its employees, tenants, licensees, invitees or agents to use, any portion of the Property in any way that interferes with the operations of Tenant or the rights of Tenant under this Agreement. Landlord will cause such interference to cease upon not more than twenty-four (24) hour notice from Tenant. In the event any such interference does not cease within the aforementioned cure period then the parties acknowledge that Tenant will suffer irreparable injury, and therefore, Tenant will have the right, in addition to any other rights that it may have at law or in equity, for Landlord's breach of this Agreement, to elect to enjoin such interference or to terminate the Agreement upon notice to Landlord. 9. INDEMNIFICATION. (a) Tenant agrees to indemnify, defend and hold Landlord harmless from and against any injury, loss, damage or liability (or any claims in respect of the foregoing), costs or expenses (including reasonable attorneys' fees and court costs) arising directly from the installation, use, maintenance, repair or removal of the Communication Facility or the breach of any provision of this Agreement, except to the extent attributable to the negligent or intentional act or omission of Landlord, its employees, agents or independent contractors. (b) Landlord agrees to indemnify, defend and hold Tenant harmless from and against any and all injury, loss, damage or liability (or any claims in respect of the foregoing), costs or expenses (including reasonable attorneys' fees and court costs) arising directly from the actions or failure to act of Landlord or its employees or agents, or the breach of any provision of this Agreement, except to the extent attributable to the negligent or intentional act or omission of Tenant, its employees, agents or independent contractors. (c) Notwithstanding anything to the contrary in this Agreement, each of Tenant and Landlord hereby waives any claims that they may have against the other with respect to consequential, incidental or special damages. 10. WARRANTIES. (a) Tenant and Landlord each acknowledge and represent that it is duly organized, validly existing and in good standing and has the right, power and authority to enter into this Agreement and bind itself hereto through the party set forth as signatory for the party below. (b) Landlord represents and warrants that: (i) Landlord solely owns the Property as a legal lot in fee simple, or controls the Property by lease or license, unencumbered by any liens, restrictions, mortgages, covenants, conditions, easements, leases, agreements of record or not of record, which would adversely affect Tenant's use and enjoyment of the Premises under this Agreement; (ii) as tong as Tenant is not in default then Landlord grants to Tenant sole, actual, quiet and peaceful use, enjoyment and possession of the Premises; (iii) its execution and performance of this Agreement will not violate any Laws, ordinances, covenants or the provisions of any mortgage, lease or other agreement binding on the Landlord; and (iv) if the Property is or becomes encumbered by a deed to secure a debt, mortgage or other security interest, Landlord will use best efforts to provide promptly to Tenant a mutually agreeable Subordination, Non -Disturbance and Attornment Agreement. 11. ENVIRONMENTAL. (a) Landlord and Tenant agree that each will be responsible for compliance with any and all environmental and industrial hygiene laws, including any regulations, guidelines, standards, or policies of any governmental authorities regulating or imposing standards of liability or standards of conduct with regard to any environmental or industrial hygiene condition or matters as may now or at any time hereafter be in effect, that are now or were related to that parry's activity conducted in, or on the Property. (b) Landlord and Tenant agree to hold harmless and indemnify the other from and to assume all duties, responsibilities, and Iiabilities at is sole cost and expense, for all duties, responsibilities and liability (for payment of penalties, sanctions, forfeitures, losses, costs, or damages) and for responding to any action, notice, claim, order, summons, citation, directive, litigation, investigation or proceeding which is related to (I) failure to comply with any environmental or industrial hygiene law, including without limitation any regulations, guidelines, standards or policies of any governmental authorities regulating or imposing standards of liability or standards of conduct with regard to any environmental or industrial hygiene conditions or matters as may now or hereafter be in effect, and (ii) any environmental or industrial hygiene conditions that arise out of or are in any way related to the condition of the Property or activities conducted by the party thereon, unless the environmental conditions are caused by the other party. (c) The indemnifications of this Paragraph specifically include reasonable costs, expenses and fees incurred in connection with any investigation of Property conditions or any clean-up, remedial, removal or restoration work required by any governmental authority. The provisions of this Paragraph will survive the expiration or termination of this Agreement. 12. ACCESS. At all times throughout the term of this Agreement, and at no additional charge to Tenant, Tenant and its employees, agents, and subcontractors, will have twenty-four hour, seven day access to and over the Property, from an open and improved public road to the Premises, for the installation, maintenance and operation of the Communication Facility and access to, over and under the Property for any utilities serving the Premises. In the event any public utility is unable to use the access provided to Tenant the Landlord hereby agrees to grant an additional access either to Tenant or to the public utility, for the benefit of Tenant, at no cost to Tenant. 13. REMOVAL All portions of the Communication Facility brought onto the Property by Tenant will be and remain Tenant's personal property and, at Tenant's option, may be removed by Tenant at any time during the Term. Landlord covenants and agrees that no part of the Communication Facility constructed, erected or placed on the Premises by Tenant will become, or be considered as being affixed to or a part oft, the Property, it being the specific intention of the Landlord that all improvements of every kind and nature constructed, erected or placed by Tenant on the Premises will be and remain the property of the Tenant and may be removed by Tenant at any time during the Term. Within one hundred twenty (120) days of the termination of this Agreement, Tenant will remove all such improvements. Footings, foundations, and concrete will be removed to a depth of one foot below grade. 14. MAINTENANCE; UTILITIES. (a) Tenant will keep and maintain the Premises in good condition, reasonable wear and tear and damage from the elements excepted. Landlord will maintain and repair the Property and access thereto, in good and tenantable condition, subject to reasonable wear and tear and damage from the elements. (b) Tenant will be solely responsible for and promptly pay all utilities charges for electricity, telephone service or any other utility used or consumed by Tenant on the Premises. Landlord will fully cooperate with any utility company requesting an easement over, under and across the Property in order for the utility company to provide service to the Tenant. In the event Tenant cannot secure its own metered electrical supply, Tenant will have the right, at its own cost and expense, to submeter from the Landlord. Tenant will pay on a monthly basis the current local utility company rate for submetered electric, after the meter is read by the Landlord and billed to Tenant. Landlord will not be responsible for interference with, interruption of or failure, beyond the reasonable control of Landlord, of such services to be furnished or supplied by Landlord. 15. DEFAULT AND RIGHT TO CURE. (a) The following will be deemed a default by Tenant and a breach of this Agreement: (i) non-payment of Rent if such rent remains unpaid for more than thirty (30) days after receipt of written notice of such failure to pay from Landlord; or (ii) Tenant's failure to perform any other term or condition under this Agreement within forty-five (45) days after receipt of written notice from Landlord specifying the failure. No such failure, however, will be deemed to exist if Tenant has commenced to cure such default within such period and provided that such efforts are prosecuted to completion with reasonable diligence. Delay in curing a default will be excused if due to causes beyond the reasonable control of Tenant. If Tenant remains in default beyond any applicable cure period, Landlord will have the right to exercise any and all rights and remedies available to it under law and equity. (b) The following will be deemed a default by Landlord and a breach of this Agreement. Landlord's failure to perform any term or condition under this Agreement within forty-five (45) days after receipt of written notice from Tenant specifying the failure. No such failure, however, will be deemed to exist if Landlord has commenced to cure the default within such period and provided such efforts are prosecuted to completion with reasonable diligence. Delay in curing a default will be excused if due to causes beyond the reasonable control of Landlord. If Landlord remains in default beyond any applicable cure period, Tenant will have the right to exercise any and all rights available to it under law and equity, including the right to cure Landlord's default and to deduct the costs of cure from any moneys owed to Landlord by Tenant 16. ASSIGNMENT/SUBLEASE. Upon written notification to the Landlord, Tenant may assign, sell or transfer its interest under this Agreement without the approval or consent of Landlord, to the Tenant's principal, affiliates, subsidiaries, subsidiaries of its principal or to any entity which acquires all or substantially all of the Tenant's assets in the market defined by the Federal Communications Commission in which the property is located by reason of a merger, acquisition, or other business reorganization. Upon notification to Landlord of such assignment, transfer or sale, Tenant will be relieved of all firture performance, liabilities and obligations under this Agreement. Tenant may not otherwise assign this Agreement without Landlord's consent 17. NOTICES. All notices, requests, demands and communications hereunder will be given by first class certified or registered mail, return receipt requested, or by a recognized overnight courier, postage prepaid, to be effective when properly sent and received, refused or returned undelivered. Notice will be addressed to the parties at the addresses set forth below: To Landlord: To Tenant: With Copy to: Pat and Laura O'Hare 967 Utsalady Road Camano Island, WA 98282 AT&T Wireless Services 14#n = Propze49 r144434..<,1! $ Ve si/6a-r ?Me hc-teiv4., Sri I'D' 1Qix.,aU-0 Cor.t.va G °i Ce+t) AT&T Wireless Services Attn: Legal Department 2729 Prospect Park Drive, Suite 200 Rancho Cordova, CA 95670 Either party hereto may change the place for the giving of notice to it by thirty (30) days written notice to the other as provided herein. 1& SEVERABILITY. If any term or condition of this Agreement is found unenforceable, the remaining terms and conditions will remain binding upon the parties as though said unenforceable provision were not contained herein. However, if the invalid, illegal or unenforceable provision materially affects this Agreement then the Agreement may be terminated by either party on ten (10) days prior written notice to the other party hereto. 19. CONDEMNATION. In the event Landlord receives notification of any condemnation proceedings affecting the Property, Landlord will provide notice of the proceeding to Tenant within forty- eight (48) hours. If a condemning authority takes all of the Property, or a portion sufficient, in Tenant's sole determination, to render the Premises unsuitable for Tenant, this Agreement will terminate as of the date the title vests in the condemning authority. The parties will be entitled to share in the condemnation proceeds in proportion to the values of their respective interests in the Property, which for Tenant will include, where applicable, the value of its Communication Facility, moving expenses, prepaid rent, and business dislocation expenses. Tenant will be entitled to reimbursement for any prepaid Rent. 20. CASUALTY. Landlord will provide notice to Tenant of any casualty affecting the Property within forty-eight (48) hours of the casualty. If any part of the Communication Facility or Property is damaged by fire or other casualty so as to render the Premises unsuitable, in Tenant's sole determination, then Tenant may terminate this Agreement by providing written notice to the Landlord, which termination will be effective as of the date of such damage or destruction. Upon such termination, Tenant will be entitled to collect all insurance proceeds payable to Tenant on account thereof and to be reimbursed for any prepaid Rent. 21. WAIVER OF LANDLORD'S LIENS. Landlord hereby waives any and all lien rights it may have, statutory or otherwise, concerning the Communication Facility or any portion thereof The Communication Facility shall be deemed personal property for purposes of this Agreement, regardless of whether any portion is deemed real or personal property under applicable law, and Landlord hereby consents to Tenant's right to remove all or any portion of the Communication Facility from time to time in Tenant's sole discretion and without Landlord's consent. 22. MISCELLANEOUS. (a) Amendment; Waiver. This Agreement cannot be amended, modified or revised unless done in writing and signed by an authorized agent of the Landlord and an authorized agent of the Tenant. No provision may be waived except in a writing signed by both parties. (b) Short Form Lease. Either party will, at any time upon fifteen (15) days prior written notice from the other, execute, acknowledge and deliver to the other a recordable Memorandum of Lease. Either party may record this memorandum at any time, in its absolute discretion. (c) Bind And Benefit. The terms and conditions contained in this Agreement will run with the Property and inure to the benefit of the parties, their respective heirs, executors, administrators, successors and assigns. (d) Entire Agreement. This Agreement and the exhibits attached hereto, all being a part hereof; constitute the entire agreement of the parties hereto and will supersede all prior offers, negotiations and agreements. (e) Governing Law. This Agreement will be governed by the laws of the state in which the Premises are located, without regard to conflicts of law. (f) Interpretation. Unless otherwise specified, the following rules of construction and interpretation apply: (i) captions are for convenience and reference only and in no way define or limit the construction of the terms and conditions hereof; (ii) use of the term "including" will be interpreted to mean "including but not limited to"; (iii) whenever a party's consent is required under this Agreement, except as otherwise stated in the Agreement or as same may be duplicative, such consent will not be unreasonably withheld, conditioned or delayed; (iv) exhibits are an integral part of the Agreement and are incorporated by reference into this Agreement; (v) use of the terns "termination" or "expiration" are interchangeable, and (vi) reference to a default will take into consideration any applicable notice, grace and cure periods. (g) Estoppel. Either party will, at any time upon fifteen (15) days prior written notice from the other, execute, acknowledge and deliver to the other a statement in writing (i) certifying that this Agreement is unmodified and in full force and effect (or, if modified, stating the nature of such modification and certifying this Agreement, as so modified, is in full force and effect) and the date to which the rent and other charges are paid in advance, if any, and (ii) acknowledging that there are not, to such party's knowledge, any uncured defaults on the part of the other party hereunder, or specifying such defaults if any are claimed. Any such statement may be conclusively relied upon by any prospective purchaser or encumbrancer of the Premises. Failure to deliver such a statement within such time will be conclusive upon the requesting party that (i) this Agreement is in full force and effect, without modification except as may be properly represented by the requesting party, (ii) there are no uncured defaults in either party's performance, and (iii) no more than one month's rent has been paid in advance. (h) No Option. The submission of this Agreement for examination or consideration does not constitute a reservation of or option for the Premises. This Agreement will become effective as an Agreement only upon the legal execution, acknowledgment and delivery hereof by Landlord and Tenant. IN WITNES1 OF, the undersigned has caused this Agreement to be executed this day of 0I��11 ai "LANDLORD" The Patrick J. O'Hare and Laura Jr. O'Hare Revocable Living Trust, UTA Date+Iarch 12, 1997 By: Print Name: Patrick J. O'Hare Its: Trustee By: r-/4.4e.t,4J49--"xL"L.iz, Laura J. O'Hare Its: Trustee "TENANT" AT&T Wireless Services of Washington, LLC, an Oregon limited liability company, d/bla AT&T Wireless By: AT&T Wireless Services, Inc., a Delaware corporation, its member By: Louis R. Levy Its: System Development Manager [ACKNOWLEDGEMENTS ON NEXT PAGE] STATE OF WASHINGTON COUNTY OF KING ) ) ss On the (.I day of apf /, 2002, before me personally appeared Patrick J. O'Hare, and acknowledged under oath that he is/the Trustee of The Patrick J. O'Hare and Laura J. O'HarVevocable Living Trust, UTA dated March 12, 1997, the 7—./0.414-'e namg�r `' e� a;� instrument and as such was authorized to execute this instrument on behalf of the vim" 051 A d �a��oo IL s to ��`°�; eQi-__-\y +, .. 0-;il • oa: s STATE OF WASHINGTON ) ) ss ) COUNTY OF KING Notary Public My Commission Expires: On the ( day of /'f l , 2002, before me personally appeared Laura J. O'Hare, and acknowledged under oath that she is the Trustee of The Patrick J. O'Hare and Laura J. O'Hare Revocable Living Trust, UTA dated March 12, 1997, the ,�GGt'FC� named .f hed instrument, add as cth was authorized to execute this instrument on behalf of the � t{ -. $toy* itt - crt i.�►%,., U8L1�,, it Ii9�� a 28. ,ao a �"t F WAS`'��Q STATE OF WASHINGTON ) ss COUNTY OF KING ) Notary Public My Commission Expires: I CERTIFY that on \ J k tC. L , 2002, Louis R. Levy personally came before me and this person acknowledged under oath to my satisfaction, that: (a) this person signed, sealed and delivered the attached document as System Development Manager of AT&T Wireless Services, Inc, a corporation of the State of Delaware, which is the member of AT&T Wireless Services of Washington, LLC, the limited liability company named in this document; (b) this document was signed and delivered by the corporation as its voluntary act and deed, as the member of the limited liability company, on behalf of limited liability co A R Hoof tolr 11 .,r. NOTARk ti Ndtafy public My Commission Expires: IEND OF ACKNOWLEDGEMENTS] EXHIBIT 1 (Legal Description of Property) LOT 30, BLOCK 2, ADAMS HOME TRACTS, ACCORDING TO THE PLAT THEREOF, RECORDED IN VOLUME i1 OF PLATS, PAGE(S) 31, IN KING COUNTY, WASHINGTON. EXHIBIT 2 (Page 1 of 2) (Description of Premises) ['Ibis page may be replaced by a land survey of the Premises and/or coastructioe drawings of the Commuaicatioa Facility, upon receipt each documents by Tenant] EXHIBIT 2 (Page 2 of 2) (Description of Premises) [This page may be replaced by a land survey of the Premises and/or construction drawings of the Communication Facility, upon receipt of such documents by Tenant] rile amen., ....e.rebe.s V4141 WILL/ AP% AM* WIN MIME? — Y91h• M /M OMr 1V ATTACHMENT 1 MEMORANDUM OF LEASE [FOLLOWS ON NEXT PAGE] Name: CITY OF TUKWILA SEPA Department of Community Development ENVIRONMENTAL 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-3670 FAX (206) 431-3665 "CAN REVIEW E-mail: tukplan@ci.tukwila.wa.us S. 1011� MAR?)O APPLICATION FOR STAFF USE ONLY Permits Plus TYPE P-SEPA Planner:�� /Vttid (' Gc o s File Number: " O 5. [I Application Complete (Date: if zz/ 1 ( ) Project File Number: pLi 1 _ Q ( 7 Application Incomplete (Date: ) Other File Numbers: L. I, 1, - v �� NAME OF PROJECT/DEVELOPMENT: kr4 T f ps i u S6, q ,L( VVCID !U Mehl LOCATION OF PROJECT/DEVELOPMENT: Give street address or, if vacant, indicate lot(s), block and subdivision, access street, and nearest intersection. 351 Li 9. iefterief ,Sit r f 7u,,e to/ Lam} tut- R el 10 LIST ALL TAX LOT NUMBERS (this information may be found on your tax statement). OaY000 3/5 DEVELOPMENT COORDINATOR : The individual who: • has decision making authority on behalf of the owner/applicant in meetings with City staff, • has full responsibility for identifying and satisfying all relevant and sometimes overlapping development standards, and • is the primary contact with the City to whom all notices and reports will be sent. SU9¼J A14 / fv Address: J s 1 s1- 1 II EiUu C 5 . �SU Phone: 201# - ¥6 ' d`t Z O FAX: -n-D(e ` l d-45/ E-mail: SA -US/ c-e)ti% Signature: Date: 03/30frio/! W:\Forms\Applications, Land Use\2011 Applications\SEPA Environmental Review Application-Jan2011.doc CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-3670 FAX (206) 431-3665 E-mail: tukplanna ci.tukwila.wa.us SEPA ENVIRONMENTAL REVIEW INFORMATION The State Environmental Policy Act (SEPA) requires all agencies to consider the environmental impacts of a development before making decisions (43.21C RCW). The purpose of environmental review is to identify a proposal's significant adverse impacts, measures to minimize or avoid such impacts, and allow wide public review for a wide range of projects. REQUIREMENTS: SEPA review is required for any action associated with the following types of decisions: 1. Developing 10 or more dwelling units. 2. Developing agricultural structures over 10,000 s.f. 3. Developing office, school, commercial, recreational, service or storage buildings over 12,000 s.f. and 40 parking spaces (certain utility lines, personal wireless communication facilities, and normal maintenance/replacement activities are fully exempt). 4. Developing parking lots with over 40 spaces. 5. Landfills and excavations over 500 cubic yards. 6. Installation of impervious underground tanks with a capacity over 10,000 gallons. The accompanying application must be completed for any new SEPA application or request to issue an addendum to any previous SEPA determination. If a question does not apply, "Does not apply" or "NA" may be entered. Complete answers to the checklist may avoid unnecessary delays later. City staff may also be able to help about governmental designations (e.g., zoning, shoreline, and landmark status). PROCEDURES: At the time you submit your application you must have all of the items listed on the attached "Complete Application Checklist" as well as the submittal for the underlying action (building permit, subdivision etc.). You may request a waiver from items on the checklist that are not applicable to your project. Please discuss this waiver request with City staff either at a pre -application meeting or at the time of application submittal. Within 28 days of receiving your application, City staff will determine if it is complete based on the attached checklist. If not complete City staff will mail to you a letter outlining what additional information is needed. If you do not submit requested materials within 90 days from the City's request for additional information the City may cancel your application. Once the application is "complete," substantive review will begin and a "Notice of Application" must be posted/mailed to begin a public comment period. After completing the environmental analysis and considering public comments, the Director will issue a determination for the project. A Determination of Non -Significance (DNS) says that the project as proposed will not have probable, significant, negative environmental impacts. A mitigated DNS will be issued if the project must be modified to mitigate its negative impacts. An Environmental Impact Statement (EIS) must be prepared if the probable negative impacts are unavoidable. Q:\Department Folders\DCD\DCD Common\Forms\Applications, Land Use\2011 Website\SEPA Environmental Review Application- Jan2011.doc COMPLETE APPLICATION CHECKLIST The materials listed below must be submitted with your application unless specifically waived in writing by the Public Works Department and the Department of Community Development. Please contact each Department if you feel that certain items are not applicable to your project and should be waived. Application review will not begin until it is determined to be complete. ADDITIONAL MATERIALS MAY BE REQUIRED. The initial application materials allow project review to begin and vest the applicant's rights. However, the City may require additional information as needed to establish consistency with development standards. City staff are available to answer questions about application materials at 206-431-3670 (Department of Community Development) and 206-433-0179 (Department of Public Works). Check items submitted with application Information Required. May be waived in unusual cases, upon approval of both Public Works and Planning APPLICATION MATERIALS: _.. 1. Application Checklist (1 copy) indicating items submitted with application. l 2. Completed ESA Screening Checklist, SEPA Environmental Checklist and drawings (5 copies). / 3. One set of all plans reduced to 8 1/2" by 11" or 11" by 17". 4. Application Fee: See Land Use Fee Schedule. 5. Underlying permit application that triggers SEPA review. PUBLIC NOTICE MATERIALS: 6. Payment of a $365 notice board fee to FastSigns Tukwila or Provide a 4' x 4' public notice board on site within 14 days of the Department determining that a complete application has been received (see Public Notice Sign Specifications Handout). 7. Pay the fee as established by the Land Use Fee Schedule for generating mailing labels; Or provide an excel spreadsheet of mailing labels for all property owners and tenants (residents and businesses) within 500 feet of the subject property. Each unit in multiple family buildings e.g. apartments, condos, trailer parks --must be included. Once your project is assigned to a planner, you will be required to provide an electronic copy of the mailing label spreadsheet in the following format: Name, Street Address, City St Zip, with each of these fields as an individual column: Name Street Address City, St, Zip Mr. Smith 1234 Park Ave S Tukwila WA 98188 PLEASE NOTE: Regardless of whether you pay the City to generate the mailing labels or you provide them, there is an additional fee for postage and material as listed under Public Notice Mailing Fee on the Land Use Fee Schedule. Payment of this fee is due prior to issuance of the decision and you will receive a separate bill for this fee. 8. If providing own labels, include King County Assessor's map(s) which shows the location of each property within 500 ft. of the subject lot. PROJECT DESCRIPTION AND ANALYSIS: `.—' 9. Vicinity Map with site location. V,51 N 10. Provide four (4) copies of any sensitive area studies such as wetland or geotechnical reports if needed per Tukwila's Sensitive Areas Ordinance (TMC 18.45). See the Geotechnical Report Guidelines and Sensitive Area Special Study Guidelines (online at www.ci.tukwila.wa.us/dcd/dcdplan.htm) for additional information. Q:\Department Folders\DCD\DCD Common\Forms\Applications, Land Use\2011 Website\SEPA Environmental Review Application- Jan2011.doc Check items submitted with application Information Required. May be waived in unusual cases, upon approval of both Public Works and Planning / 11. Any drawings needed to describe the proposal other than those submitted with the underlying permit. Maximum size 24" x 36". Q:\Department Folders\DCD\DCD Common\Forms\Applications, Land Use\2011 Website\SEPA Environmental Review Application- Jan2011.doc ���Nit9 0-vim PrP ' o��oe ' City of Tukwila � Endangered Species Act Screening Checklist Date: 03-11-2011 Applicant Name: SUNNY AUSINK FOR AT&T MOBILITY Street Address: 568 1ST AVENUE S. SUITE#650 City, State, Zip: SEATTLE, WA 98104 Telephone: 206-446-0448 Directions This Screening Checklist has been designed to evaluate the potential for your project to result in potential "take" of Chinook salmon, Coho salmon, or Cutthroat trout as defined by Section 9 of the Endangered Species Act. The checklist includes a series of "Yes" or "No" questions about your project, organized into four parts. Starting with Part A on Page 1, read each question carefully, circle "Yes" or "No," and proceed to the next question as directed by the checklist. To answer these questions, you may need to refer to site plans, grading and drainage plans, critical areas studies, or other documents you have prepared for your project. The City will evaluate your responses to determine if "take" is indicated. Q:\Department Folders\DCD\DCD Common \ Forms \ Applications, Land Use\2011 Website\SEPA Environmental Review Application-Jan2011.doc Part A: Please review and answer each question carefully. Consider all phases of your project including, but not limited to, construction, normal operation, potential emergency operation, and ongoing and scheduled maintenance. Continue to the next question as directed for each No or Yes answer. 1-0 Will the project require any form of grading? Grading is defined as any excavating, filling, clearing, or creation of impervious surface, or any combination thereof, which alters the existing ground surface of the earth (TMC 18.06.370). Please circle appropriate response. NO - Continue to Question 2-0 YES - Continue to Question 1-1 (Page 3) 2-0 Will the project require any form removed, through either direct or Please circle appropriate response. of clearing? Clearing means the removal or causing to be indirect actions, any vegetation from a site (18.06.145). (Page 4) NO - Continue to Question 3-0 YES - Continue to Question 2-1 3-0 Will the project require work, during any time of the project, below the ordinary high water mark of a watercourse or the Green/Duwamish or Black Rivers or in wetlands? Ordinary high water mark is the mark that is found by examining the bed and banks of a stream and ascertaining where the presence and action of waters are so common and usual as to distinctly mark the soil from that of the abutting upland, in respect to vegetation (see TMC Chapter 18.06, Page 18-15). Please circle appropriate response. NO - Continue to Question 4-0 YES - Continue to Question 3-1 (Page 5) 4-0 Will the project result in the processing substances? This does not include Hazardous substances are any liquid, product, commodity, or waste, regardless of hazardous waste as defined by This includes fuel or other chemicals appropriate response. or handling, storage, or treatment of hazardous the proper use of fuel stored in a vehicle's fuel tank. solid, gas, or sludge, including any material, substance, of quantity, that exhibits the characteristics or criteria Washington Administrative Code 173-303 (TMC 18.06.385). stored on -site during construction. Please circle NO - Continue to Question 5-0 YES - Continue to Question 5-0 5-0 Will the project result in the withdrawal, of projects that may affect groundwater well, change in water withdrawals construction dewatering, projects lines. For the purpose of this analysis, the requirements of TMC 18.45.060 should answer Yes. Please circle injection, or interception of groundwater? Examples include, but are not limited to: construction of a new from an existing well, projects involving prolonged installing French drains or interceptor trenches, and sewer projects that require a geotechnical report pursuant to or would require a geotechnical report if not exempt appropriate response. NO - Continue to Question 6-0 YES - Continue to Question 6-0 Q:\Department Folders\DCD\DCD Common\Forms\Applications, Land Use\2011 Website\SEPA Environmental Review Application-Jan2011.doc City of Tukwila 4 Screening Checklist Part A (continued) 6-0 Will the project involve landscaping or re -occurring outdoor maintenance that includes the regular use of fertilizers, pesticides, or herbicides? This does not include the one-time use of transplant fertilizers. Landscaping means natural vegetation such as trees, shrubs, groundcover, and other landscape materials arranged in a manner to produce an aesthetic effect appropriate for the use of the land (TMC 18.06.490). For the purpose of this analysis, this includes the establishment of new lawn or grass. Please circle appropriate response. NO — Checklist Complete YES — Checklist Complete Part B: Please answer each question below for projects that include grading. Review each question carefully, considering all phases of your project including, but not limited to construction, normal operation, potential emergency operation, and ongoing and scheduled maintenance. Continue to the next question as directed for each No or Yes answer. 1-1 Will the project involve the modification of a watercourse bank or bank of the Green/Duwamish or Black Rivers between the ordinary high water mark and top of bank? This includes any projects that will require grading on any slope leading to a river or stream, but will not require work below the ordinary high water mark. Work below the ordinary high water mark is covered in Part C. Please circle appropriate response. NO - Continue to Question 1-2 YES - Continue to Question 1-2 1-2 Could the construction, operation, or maintenance of the project result in sediment transport off site or increased rates of erosion and/or sedimentation in watercourses, the Green/Duwamish rivers, or the Black River? Most projects that involve grading have the potential to result in increased erosion and/or sedimentation as a result of disturbances to the soil or earth. If your project involves grading and you have not prepared a Temporary Erosion and Sedimentation Control Plan specifically designed to retain 100 percent of the runoff (including during construction) from impervious surface or disturbed soils, answer Yes to this question. If your project is normally exempt under the Tukwila Municipal Code and would not require the preparation of a Temporary Erosion and Sedimentation Control Plan, BUT may still result in erosion or sediment transport off site or beyond the work area, answer Yes to this question. Please circle appropriate response. NO - Continue to Question 1-3 YES - Continue to Question 1-3 1-3 Will the project result in the construction of new impervious surfaces? Impervious surfaces include those hard surfaces which prevent or restrict the entry of water into the soil in the manner that such water entered the soils under natural conditions prior to development; or a hard surface area that causes water to run off the surface in greater quantity or at an increased rate of flow from the flow presented under natural conditions prior to development. Such areas include, but are not limited to, rooftops, asphalt or concrete paving, compacted surfaces, or other surfaces that similarly affect the natural infiltration or runoff patterns existing prior to development (TMC 18.06.445). Please circle appropriate response. NO - Continue to Question 2-0 (Page 2) YES - Continue to Question 1-4 Part B (continued) City of Tukwila _ 1 Screening Checklist 1-4 Will your project generate stormwater from the creation of impervious surfaces that will not be infiltrated on site? For the purpose of this analysis, infiltration includes the use of a stormwater treatment and management system intended to contain all stormwater on site by allowing it to seep into pervious surface or through other means to be introduced into the ground. If your project involves the construction of impervious surface and does not include the design of a stormwater management system specifically designed to infiltrate stormwater, answer Yes to this question. Please circle appropriate response. NO - Continue to Question 2-0 (Page 2) YES - Continue to Question 2-0 (Page 2) Part C: Please review each question below for projects that include clearing. Review each question carefully, considering all phases of your project including, but not limited to construction, normal operation, potential emergency operation, and ongoing and scheduled maintenance. Continue to the next question as directed for each No or Yes answer. 2-1 Will the project involve clearing within 200 feet of the ordinary high water mark of a watercourse or the Green/Duwamish or Black Rivers? Please circle appropriate response. NO - Continue to Question 3-0 (Page 2) YES - Continue to Question 2-2 2-2 Will the project involve clearing of any trees within 200 feet of the ordinary high water mark of a watercourse or the Green/Duwamish or Black Rivers? A tree is defined by TMC 18.06.845 as any self-supporting woody plant, characterized by one main trunk, with a potential diameter - breast -height of 2 inches or more and potential minimum height of 10 feet. Please circle appropriate response. NO - Continue to Question 2-3 YES - Continue to Question 2-3 2-3 Will the project involve clearing of any evergreen trees from within 200 feet of the ordinary high water mark of a watercourse or the Green/Duwamish or Black Rivers? For the purpose of this analysis evergreen means any tree that does not regularly lose all its leaves or needles in the fall. Please circle appropriate response. NO - Continue to Question 2-4 YES - Continue to Question 2-4 2-4 Will the project involve clearing within 100 feet of the ordinary high water mark of a watercourse or the Green/Duwamish or Black Rivers? Please circle appropriate response. NO - Continue to Question 3-0 (Page 1) YES - Continue to Question 2-5 1-c Will the project involve clearing within 40 feet of the ordinary high water mark of a watercourse or the Green/Duwamish or Black Rivers? Please circle appropriate response. NO - Continue to Question 3-0 (Page 2) YES - Continue to Question 3-0 (Page 2) City of Tukwila A Screening Checklist Part D: Please review each question below for projects that include work below the ordinary high water mark of watercourses or the Duwamish/Green or Black Rivers or in wetlands. Review each question carefully, considering all phases of your project including, but not limited to, construction, normal operation, potential emergency operation, and ongoing and scheduled maintenance. Continue to the next question as directed for each No or Yes answer. 3-1 Will the project involve the direct alteration Green/Duwamish rivers, or Black River? area between the ordinary high water bottom substrates, typically within the temporary and permanent modifications. of the channel or bed of a watercourse, the For the purpose of this analysis, channel means the mark of both banks of a stream, and bed means the stream normal wetted -width of a stream. This includes both Please circle appropriate response. NO - Continue to Question 3-2 YES - Continue to Question 3-2 3-2 Will the project involve any physical Green/Duwamish River? For the purpose flowing into via a surface connection allow for access by salmonids. This remnant oxbows, ditches formed from that may provide off channel rearing includes both temporary construction or wetlands draining to the Green/Duwamish flap gate, diversion, or any entirely should answer Yes to this question. alteration to a watercourse or wetland connected to the of this analysis, "connected to the river means" or culvert, or having other physical characteristics that includes impacts to areas such as sloughs, side channels, channelized portions of natural watercourses or any area habitat for juvenile fish from the Duwamish River. This alterations and permanent modifications. Watercourses River that have a hanging culvert, culvert with a man-made or artificial structure that precludes fish access Please circle appropriate response. NO - Continue to Question 3-3 YES - Continue to Question 3-3 3-3 Will the project result in the construction a barrier to salmonid passage within For the purpose of this analysis, a barrier hydraulic condition that inhibits the including both juveniles and adults. of a new structure or hydraulic condition that could be the watercourse or the Green/Duwamish or Black Rivers? means any artificial or human modified structure or natural upstream or downstream movement of salmonids, Please circle appropriate response. NO - Continue to Question 3-4 YES - Continue to Question 3-4 3-4 Will the project involve a temporary watercourse or the Green/Duwamish cross -sectional area is defined as bank to the ordinary high water or permanent change in the cross -sectional area of a or Black Rivers? For the purpose of this analysis, the a profile taken from the ordinary high water mark on the right mark on the left bank. Please circle appropriate response. NO - Continue to Question 3-5 YES - Continue to Question 3-5 3-5 Will the project require the removal watercourse or the Green/Duwamish includes, but is not limited to fallen and broken concrete or other building from a watercourse or the Green/Duwamish should answer Yes to this question. of debris from within the ordinary high water mark of a or Black Rivers? For the purpose of this analysis, debris trees, logs, shrubs, rocks, piles, rip -rap, submerged metal, materials. Projects that would require debris removal or Black Rivers as part of a maintenance activity Please circle appropriate response. NO - Continue to Question 3-6 YES - Continue to Question 3-6 3-6 Will the project result in impacts to watercourses or wetlands that have a surface connection to City of Tukwila 4 Screening Checklist another watercourse or the Green/Duwamish or Black Rivers but do not contain habitat conditions that support salmonid use? Such areas may include, but not be limited to hillside seeps and wetlands isolated from the watercourse or river that have a surface water connection to the watercourse or river but are not assessable, nor would be assessable to salmonids under natural conditions. Wetlands with a "functions and values" rating for baseflow/groundwater support of 9 and above (or moderate) as described in Cooke (1996) should be included. Please circle appropriate response. NO - Continue to Question 3-7 YES - Continue to Question 3-7 3-7 Will the project include the construction of artificial waterways or wetlands connected to a watercourse containing salmonids? For the purpose of this analysis, the construction of artificial waterways or wetlands includes wetlands, channels, sloughs, or other habitat feature created to enhance wildlife use, particularly waterfowl use, or may be attractive to wildlife, particularly waterfowl. Please circle appropriate response. NO - C'nntimiein Qiiectinn 1-R YES - Continue to Question 3-8 3-8 Will the project include bank stabilization? For the purpose of this analysis, bank stabilization includes, but is not limited to, rip -rap, rock, log, soil, or vegetated revetments, concrete structures. or similar structures. Please c rcle appropriate response. NO - Continue to Question 4-0 (Page 2) YES - Continue to Question 4-0 (Page 2) STATE ENVIRONMENTAL POLICY ACT CHECKLIST Please respond to all questions. Use separate sheets as necessary. Applicant Responses: A. BACKGROUND 1. Name of proposed project, if applicable: AT&T SG19 RIVERTON NORTH 2. Name of Applicant: SUNNY AUSINK FOR AT&T MOBILITY 3. Date checklist prepared: 03-11-2011 4. Agency requesting checklist: City of Tukwila 5. Proposed timing or schedule (including phasing, if applicable): UPON APPROVAL ALL APPLICABLE PERMITS Agency Comments 6. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. POSSIBLE ANTENNAS REPLACEMENT OR UPGRADES IN THE FUTURE TECHNOLOGY 7. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. SEPA CHECKLIST 8. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. TYPE 2 LANDUSE APPROVAL FOR WIRELESS TELECOMMUNICATIONS FACILITY AND BUILDING PERMIT. Q:\Department Folders\DCD\DCD Common\Forms\Applications, Land Use\2011 Website\SEPA Environmental Review Application-Jan2011.doc Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments 9. List any government approvals or permits that will be needed for your proposal. SEPA DNS, TYPE 2 LANDUSE APPROVAL FOR WIRELESS TELECOMMUNICATIONS FACILITY, AND BUILDING PERMIT. 10. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. AT&T PROPOSES TO MODIFY EXISTING WIRELESS FACILITY BY ADDING(3) NEW LTE ANTENNAS, ANCILLARY EQUIPMENT TO EXISTING ROOFTOP. 11. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, the tax lot number, and section, township, and range. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. 3516 SOUTH 146TH STREET, TUKWILA APN:# 0040000315 12. Does the proposal lie within an area designated on the City's Comprehensive Land Use Policy Plan Map as environmentally sensitive? NO Please respond to all questions. Use separate sheets as necessary. Applicant Responses: B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous, other: PROPOSAL IS ON AN EXISTING ROOFTOP. Agency Comments b. What is the steepest slope on the site (approximate percent slope)? LESS THAN 1%, PROPOSAL IS ON AN EXISTING ROOFTOP. c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. NONE KNOWN. PROPOSAL IS ON AN EXISTING ROOFTOP. d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. NONE KNOWN. e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. NOT APPLICABLE Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. g. NO About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? NO NEW IMPERVIOUS IS PROPOSED FOR THIS SITE, SITE IS AN EXISTING ROOFTOP. h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: NOT APPLICABLE 2. Air a. What types of emissions to the air would result from the proposal (for example, dust, automobile odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities if known. PROPOSAL IS A PASSIVE USE. EMISSIONS FROM VEHICULAR TRAFFIC DURING CONSTRUCTION MIGHT BE POSSIBLE. b. Are there any off -site sources of emissions or odor that may affect your proposal? If so, generally describe. NOT APPLICABLE. Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments c. Proposed measures to reduce or control emissions or other impacts to air, if any: NONE 3. Water a. Surface: 1. Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. NO 2. Will the project require any work over, in, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. NO 3. Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. NOT APPLICABLE Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments 4. Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities, if known. NOT APPLICABLE 5. Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. NOT APPLICABLE 6. Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. NOT APPLICABLE b. Ground: 1. Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities, if known. NOT APPLICABLE Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments 2. Describe waste materials that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals...; agricultural; etc). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve: NOT APPLICABLE c. Water Runoff (including storm water): 1. Describe the source of runoff (including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water flow? Will this water flow into other waters? If so, describe. NOT APPLICABLE 2. Could waste materials enter ground or surface waters? If so, generally describe. NOT APPLICABLE d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: NOT APPLICABLE Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments 4. Plants a. Check or circle types of vegetation found on the site: Deciduous tree: alder, maple, aspen, other Evergreen tree: fir, cedar; pine, other Shrubs Grass Pasture Crop or grain Wet soil plants: cattail, buttercup, bulrush, skunk cabbage, other Water plants: water lily, eelgrass, milfoil, other Other types of vegetation b. What kind and amount of vegetation will be removed or altered? NOT APPLICABLE, THIS IS AN EXISTING ROOFTOP SITE. c. List threatened or endangered species known to be on or near the site. NONE KNOWN d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: NOT APPLICABLE Please respond to all questions. Use separate sheets as necessary. Applicant Responses: 5. Animals a. Circle any birds or animals which have been observed on or near the site or are known to be on or near the site: Birds: Mammals Hawk, heron, eagle, songbirds, other: Deer, bear, elk, beaver, other: Fish Other Bass, salmon, trout, herring, shellfish, other: NOT APPLICABLE, THIS IS A ROOFTOP SITE b. List any threatened or endangered species known to be on or near the site. NONE KNOWN c. Is the site part of a migration route? If so, explain. NO d. Proposed measures to preserve or enhance wildlife, if any: NOT APPLICABLE 6. Energy and Natural Resources a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. NONE PROPOSED Agency Comments Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. NOT APPLICABLE c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: NONE PROPOSED 7. Environmental Health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. NONE 1. Describe special emergency services that might be required. NONE ? Proposed measures to reduce or control environmental health hazards, if any: NOT APPLICABLE Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments b. Noise 1. What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? NONE 2. What types and levels of noise would be created by or associated with the project on a short-term or long-term basis (for example: traffic, construction, operation, other)? Indicate what hours noise would come from the site. NONE 3. Proposed measures to reduce or control noise impacts, if any: NOT APPLICABLE 8. Land and Shoreline Use a. What is the current use of the site and adjacent properties? HDR - HIGH DENSITY RESIDENTIAL - APARTMENTS Has the site been used fnr agriculture? If so, describe. NO Please respond to all questions. Use separate sheets as necessary. Applicant Responses: c. Describe any structures on the site. EXISTING AT&T ANTENNAS AND EQUIPMENT d. Will any structures be demolished? If so, what? NO e. What is the current zoning classification of the site? HDR - HIGH DENSITY RESIDENTIAL f. What is the current comprehensive plan designation of the site? RESIDENTIAL g. If applicable, what is the current shoreline master program designation of the site? NOT APPLICABLE h. Has any part of the site been classified as an "environmentally sensitive" area? If so, specify. NO Agency Comments Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments i. Approximately how many people would reside or work in the completed project? THIS IS AN UNSTAFFED FACILITY FOR WIRELESS TELECOMMUNICATIONS FOR THE AT&T NETWORK. Approximately how many people would the completed project displace? NONE k. Proposed measures to avoid or reduce displacement impacts, if any: NOT APPLICABLE 1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: PROPOSAL IS FOR THE MODIFICATION OF AN EXISTIN WIRELESS FACILITY, PROPOSED ADDITIONAL ANTENNAS WILL BE SCREENED FROM PUBLIC VIEW AND THE VISUAL IMPACT WILL BE MINIMAL TO THE SURROUNDING LAND USE. 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing? NONE PROPOSED Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. NONE c. Proposed measures to reduce or control housing impacts, if any: NONE 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? EXISTING ROOFTOP HEIGHT IS 34 FEET. ANTENNAS HEIGHT IS 41'-6". b. What views in the immediate vicinity would be altered or obstructed? NONE c. Proposed measures to reduce or control aesthetic impacts, if any: PROPOSED ANTENNS WILL BE CONCEALED WITHIN FAUX CHIMNEY SHROUDS. Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments 11. Light and Glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? NONE b. Could light or glare from the finished project be a safety hazard or interfere with views? NONE c. What existing off -site sources of light or glare may affect your proposal? NOT APPLICABLE d. Proposed measures to reduce or control light and glare impacts, if any: NOT APPLICABLE 12. Recreation a. What designed and informal recreational opportunities are in the immediate vicinity? NOT APPLICABLE Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments b. Would the proposed project displace any existing recreational uses? If so, describe. NOT APPLICABLE c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: NOT APPLICABLE 13. Historic and Cultural Preservation a. Are there any places or objects listed on, or proposed for, National, State, or Local preservation registers known to be on or next to the site? If so, generally describe. NO b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. NONE c. Proposed measures to reduce or control impacts, if any: NONE PROPOSED Please respond to all questions. Use separate sheets as necessary. Applicant Responses: 14. Transportation a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Show on site plans, if any. PACIFIC HIGHWAY SOUTH AND S. 146TH STREET b. Is the site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? NO c. How many parking spaces would the completed project have? How many would the project eliminate? NONE d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). NO e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. NO Agency Comments Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. ONCE A MONTH FOR MAINTENANCE g. Proposed measures to reduce or control transportation impacts, if any: NONE PROPOSED 15. Public Services a. Would the project result in an increased need for public services (for example: fire protection, police protection, health care, schools, other)? If so, generally describe. NO b. Proposed measures to reduce or control direct impacts on public services, if any. NONE PROPOSED 16. T Tt 4jes a. Circle utilities currently available at the site: iectricity natural gas, water, refuse service, telephone, sanitary sewer, septic system other: Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. ELECTRICTY AND TELCO (NON -PROJECT PROPOSALS (E.G., SUBURBAN PLANS AND ZONING CODE TEXT CHANGES) MUST COMPLETE THE FOLLOWING PAGES). C. SUPPLEMENTAL SHEET FOR NON -PROJECT PROPOSALS (do not use this sheet for project actions) Because these questions are very general, it may be helpful to read them in conjunction with the list of elements of the environment. When answering these questions, be aware of the extent the proposal, or the types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments 1. How would the proposals be likely to increase discharge to water; emissions to air; production, storage, or release of toxic or hazardous substances; or production of noise? NO Proposed measures to avoid or reduce such increases are: NONE PROPOSED Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments 2. How would the proposal be likely to affect plants, animals, fish, or marine life? NOT APPLICABLE Proposed measures to protect or conserve plants, animals, fish, or marine life are: NONE PROPOSED 3. How T APPLICABLE the l be likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources are: NONE PROPOSED 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection; such as parks, wilderness, wild and scenic rivers, threatened or endangered species habitats, historic or cultural sites, wetlands, floodplains, or prime farmlands? NOT APPLICABLE Please respond to all questions. Use separate sheets as necessary. Applicant Responses: Agency Comments Proposed measures to protect such resources or to avoid or reduce impacts are: NOT APPLICABLE 5. How would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? NOT APPLICABLE Proposed measures to avoid or reduce shoreline and land use impacts are: NOT APPLICABLE 6. How would the proposal be likely to increase demands on transportation or public service and utilities? NOT APPLICABLE Proposed measures to reduce or respond to such demand(s) are: NOT APPLICABLE Please respond to all questions. Use separate sheets as necessary. Applicant Responses: 7. Identify, if possible, whether the proposal may conflict with Local, State, or Federal laws or requirements for the protection of the environment. NONE D. SIGNATURE Under the penalty of perjury the above answers under ESA Screening Checklist and State Environmental Policy Act Checklist are true and complete to the best of my knowledge. I understand that the lead g cy is relying on them to make its decision. Signature: Date Submitted: 03-11-2011 Agency Comments RECEIVED MAR 3 0 20111 COMMUNITY DEVELOPMENT NON -IONIZING ELECTROMAGNETIC EXPOSURE ANALYSIS ENGINEERING CERTIFICATION FOR at&t SITE NUMBER: SG19 SITE NAME: RIVERTON NORTH SITE ADDRESS: 3516 S 146 STREET TUKWILA, WA 98168 DATE: March 27, 2011 PREPARED BY: Wei MORRISON HERSHFIELD 10900 NE 8th Street, Suite 810 Bellevue, WA 98004 425-451-1301 2 AT&T Site SG19 3 INTRODUCTION Morrison Hershfield has been retained by AT&T Wireless ("AT&T") to evaluate a proposed AT&T Mobility telecommunications site as described below. Evaluation is for compliance with current Federal Communications Commission (FCC) and local rules regarding public exposure to radiofrequency (RF) electromagnetic fields (EMFs). PROJECT The proposed AT&T project consists of a WCF (Wireless Communications Facility) located at 3516 S 146th Street, Tukwila, WA 98168; Property parcel number 0040000315. AT&T site No SG19. The planned improvements will include the addition of antennas as described below. These antennas will be mounted to an existing building rooftop structure at approximately 38.0' AGL to the centerline of the antennas. All antennas face outward and point directionally away. Therefore it is unlikely that anyone other than authorized RF workers could approach near enough to any of the transmit antennas to cause that person's RF exposure to exceed FCC limits. It is expected that RF exposure conditions near ground level at the site, and at all adjacent properties, due to the contributions from all transmitting antennas will be well below the FCC public exposure limit. PROPOSED EQUIPMENT Type of Service: GSM/UMTS/LTE Cellular Antennas: Sector Azimuth Height Description X 80 38' 1 Kathrein 742 264 Panel Antenna (existing GSM) 80 38' 1 Kathrein 742 264 Panel Antenna (existing UMTS) 65 38' 1 proposed KMW AM-X-CD-16-65-00T-RET LTE panel antenna Y: 240 38' 1 Kathrein 742 264 Panel Antenna (existing GSM) 240 38' 1 Kathrein 742 264 Panel Antenna (existing UMTS) 210 38' 1 proposed KMW AM-X-CD-16-65-00T-RET LTE panel antenna Z: 330 38' 1 Kathrein 742 264 Panel Antenna (existing GSM) 330 38' 1 Kathrein 742 264 Panel Antenna (existing UMTS) 300 38' 1 proposed KMW AM-X-CD-16-65-00T-RET LTE panel antenna AT&T Site SG19 PROPOSED EQUIPMENT (cont) Maximum Power: CALCULATIONS 2089 watts 4 Calculations for RF power densities near ground level are based on the "Evaluating Compliance with FCC Guidelines for Human Exposure to Radio Frequency Electromagnetic Fields, OET Bulletin 65" Edition 97-01, August 1997; issued by the Federal Communications Commission Office of Engineering & Technology. Compliance is determined by comparing RF field predictions with the general population/uncontrolled environment (i.e., "Public") Maximum Permissible Exposure limits (MPEs) allowed by the FCC rules, as specified in CFR 47 §1.1310. The following formula has been used to calculate the power densities at specific locations: S = 0.36 x ERP / R2 Where: S = power density (mW/cm2) ERP = power in watts R = distance to the center of the radiation antenna (ft) Formula is based on Equation 9 on page 21 of OET Bulletin 65. It includes the effect of ground reflections. The Effective Radiated Power (ERP) depends on the vertical antenna pattern. THEORETICAL ANALYSIS All existing and proposed transmit antennas are highly directional and project the majority of the transmitted RF energy horizontally and well above all nearby accessible areas. The following theoretical calculations predict the peak exposure condition for a six-foot person standing at the nearest approach to the transmit antennas. A six-foot tall person standing on the ground near the base of the antenna support or building would be at least approximately 32 feet below all of the existing and proposed transmit antennas. AT&T Site SG19 m� 5 CONTRIBUTION OF AT&T FACILITY TO RF EXPOSURE ENVIRONMENT Based on information provided by AT&T RF Engineers, the maximum ERP from any sector of the proposed AT&T facility will be Tess than or equal to 2089 watts with all channels activated. Thus the worst -case downward ERP is 20.89 watt (i.e., 1/100th of 100 watts) from the facility. By use of the power density formula previously described, with input values of 20.89 watt downwards ERP, and a distance of 32 feet, the worst -case calculated power density at head height from the AT&T facility to a six-foot person standing at ground level is 0.007344 mW/cm2. AT&T antennas will transmit and/or receive at different MHz frequency bands worst case being the LTE at 700 MHz. The Public MPE limit for the LTE frequency transmitted by this facility is 0.47 mW/cm2. The worst -case calculated exposure condition resulting from the AT&T facility is the power density divided by the Public MPE limit = 1.57371% of the Public MPE limit. All ground level areas are expected to have exposure conditions less than the calculated Public MPE due to the proposed AT&T facility. OTHER CARRIERS The following are examples of wireless carriers providing service to the local area: ESMR 851-866 Mhz Nextel Cellular 869-894 Mhz Verizon PCS >1800 Mhz Sprint, T-Mobile, CONTRIBUTION OF OTHER EXISTING CARRIERS TO RF EXPOSURE ENVIRONMENT Based on our information, Sprint is currently collocated on the existing structure. Worst case parameters of similar facilities in the area, the maximum ERP from any sector of the existing Sprint antennas on the structure is less than or equal to 3000 watts with all channels activated. Therefore the worst -case downward ERP is 3000 / 100 = 30 watts from the existing facility. By use of the power density formula previously described, with input values of 30 watts downwards ERP, and a distance of 32 ft, the worst -case calculated power density at head AT&T Site SG19 6- height from the existing Sprint facility to a six-foot person standing at ground level is 0.0105469 mW/cm2. All of the existing antennas transmit and/or receive within the PCS, ESMR or Cellular frequency band. The Public MPE limit for all frequencies at worst case scenario for the purpose of this calculation is 0.567 mW/cm2. The worst -case calculated exposure condition resulting from Sprint's facility is the power density divided by the Public MPE limit = 1.86121 % of the Public MPE limit. All accessible ground level areas are expected to have exposure conditions less than the calculated Public MPE due to this existing facility. COLOCATED FACILITITES TOTAL MPE The predicted maximum worst -case RF exposure conditions resulting from all proposed and existing wireless facilities at all ground -level areas is the arithmetic sum of the contributions from each facility: 1.57371 + 1.86121 = 3.43492% of the Public MPE limit allowed by FCC rules. This worst -case calculated exposure level is well below the 100% FCC limit. The actual exposure conditions are likely to be many times less than this worst -case value. FCC COMPLIANCE The general population/uncontrolled exposure near this facility, including persons at ground level, surrounding properties, inside and on existing structures will have RF exposure much lower than the "worst case" scenario, which is a small fraction of the MPE limit. Only, trained personnel will be allowed to access the AT&T antennas and equipment for maintenance operations. It shall be the responsibility of AT&T and/or its contractors to provide adequate occupational training making employees fully aware of the potential for RF exposure, and to exercise control over their exposure that is within their occupational/controlled limits. The FCC has determined that at sites where multiple wireless facilities are co -located, the responsibility for site -wide RF safety compliance is the shared responsibility of all licensees whose facilities produce exposure conditions greater than 5% of the applicable MPE exposure limit. Thus a new applicant is responsible for compliance (or submitting an environmental assessment) at a multiple -facility site only if the proposed facility, when considered alone, would produce exposure conditions in excess of 5% of the MPEs. AT&T Site SG19 iri -7- Wireless facilities that produce Tess than 5% of the applicable MPE exposure limit at accessible locations are considered to be exempt from further study. As demonstrated in this report by worst -case exposure calculations, the proposed AT&T wireless facility will produce far less than 5% of the applicable exposure limit for public environments. Therefore, pursuant to the Commission's rules no further calculations, measurements or other RF studies are required, and the proposed AT&T facility is presumed to be in compliance with the FCC's RF exposure rules. Because the proposed AT&T wireless facility is in compliance with federal rules, it is also in compliance with local regulations concerning RF exposure. The following is the complete text of 47 U.S.C. § 332(c)(7)(B)(iv): "No State or local government or instrumentality thereof may regulate the placement, construction, or modification of personal wireless service facilities on the basis of the environmental effects of radio frequency emissions to the extent that such facilities comply with the Commission's regulations concerning such emissions." CONCLUSIONS Based on these calculations, the proposed WCF will comply with current FCC and local rules and guidelines regarding human exposure to radio frequency electromagnetic fields. This conclusion is based solely on the comparison of predicted RF conditions in specific areas with the corresponding safe exposure limits set forth in the FCC rules. The FCC exposure limits are based on recommendations by federal and private entities with the appropriate expertise in human safety issues. To avoid any misunderstanding, I hereby state that, to the best of my knowledge, belief and professional judgment, this report represents an accurate appraisal of exposure to RF EM fields based upon careful evaluation to the extent reasonably possible. Respectfully Submitted For the Firm, Yan Wang, PE Morrison Hershfield Cor #44138 AT&T Site SG19 SG 1 9 RIVERTON NORTH 3516 S 146TH ST TUKWILA, WA 98168 RECEIVED MAY 032011 PUBLIC TUKWILA AT&T Mobility 16221 NE 72nd Way Redmond, WA 98052 Sunny Ausink - Phone: (206) 342-6390 %GoodmanNetworks View #: 3 PROPOSED ATILT LTE PANEL ANTENNAS NODNTED IN PROPOSED ROOTTOP MOUNTED CANNISTEf15 (MINTED TO MATCH EXISTING CANISTER) at&t February 02, 2011 Tho Illustration above Is a representation of the proposed project based on Information provided by Iho client. Actual construction may vary dependant on opprovad construction piano and thororaa PIS (Pacific Telecom Services)1$ not responsible for any post production design changes. Monotree disclaimer: (In the event that the proposed Installotion Includes a monobeo) The proposed Installation is an artistic representation of a tree, and not intended to be an exact reproduction of on actual living tree.The final installation will have cables, cable ports, and various attachments, such as antennas, nuts, and bolts. White every effort will bo made to disguise those components, lhoy will not bo readily opperenl to the Casual observer or passerby. However, upon close scrutiny, the true nature of the Installation will be opparont. Prepared by:CJL pPacific Telecom Services, LLC 3199 C A(rpall Loop Drive, Costa Mesa, CA 92626.3414 REV: SG19 RIVERTON NORTH 3516 S 146TH ST TUKWILA, WA 98168 AT&T Mobility 16221 NE 72nd Way Redmond, WA 98052 Sunny Ausink - Phone: (206) 342-6390 qi)GoodmanNetworks e.n.w»0I0dor os..x, View #: 4 PMOPOSED. AT&T LTE PANEL ANTENNA MOUNTED HI PITOP06ED 11100PTOP YOUNTED GNMRTEA (PAWED TO MATCH EEISTIMO CAMPSITE) at&t February 02, 2011 The Illustration above is a represoMalian of the proposed project based on Information provided by the client. Actual Construction may vary dependent on approved construction plans and therefore PTS (Pacific Telecom Services) Is net responsible for any post production design changes. Monolra° disclaimer. (In the event thel the proposed installation includes a mononoe) The proposed installation is an artistic representation of a tree, and not intended to be an exact reproduction of an actual living tree. The final installation will have cables, cable parts, and various attachments, such as antennas, nuts, and bolts. While every effort will be made to disguise these components, they will not be readily apparent to the casual observer or passerby. However, upon close scrutiny, the true nature of the Installation will be apparent rms Prepared by: CJL Pacific Telecom Services, LLC 3199 C Airpall loop Drive, Costa Mesa, CA 92626.3414 REV: A RECEIVED Without SG19 Riverton North Coverage MapAYO3ZQll ® C PU RK8 With SG19 Riverton North Coverage Map PROJECT INFORMATION PROJECT DESCRIPTION. AT&T PROPOSES TO MODIFY AN EXISTING UNSTAFFED TELECOMMUNICATIONS FACILITY BY ADDING (3) NEW LTE PANEL ANTENNAS (1 PER SECTOR) CONCEALED WITHIN (3) NEW FAUX CHIMNEY CANISTERS AND PAINTED TO MATCH OTHER EXISTING ROOF TOP FAUX CHIMNEYS DESIGNED TO BLEND IN WITH THE EXISTING 4-STORY MULTIFAMILY RESIDENTIAL BUILDING. INSTALLATION ALSO INCLUDES THE ANCHORING OF (6) RRH UNITS (2 PER SECTOR), (3) SURGE SUPPRESSION BOXES (1 PER SECTOR), (1) FIBER/POWER BOX, (1) LTE E-NODE B UNIT AND (1) GPS ANTENNA PARTIALLY CONCEALED BEHIND THE PARAPET WALL ON THE ROOF OF THE SAME BUILDING. APPLICANT - AT&T MOBILITY RTC BUILDING 3 16221 NE 72ND WAY REDMOND, WA 98052 CODE INFORMATION: ZONING CLASSIFICATION: HDR BUILDING CODE: 2009 IBC CONSTRUCTION TYPE: [E] IIA (Al] 11E1 OCCUPANCY: [E] R-2 [N] 5-2 JURISDICTION: CITY OF TUKWILA CURRENT USE: TELECOMMUNICATIONS FACILITY PROPOSED USE: TELECOMMUNICATIONS FACILITY SITE LOCATION: (BASED ON NAD 83)• LATITUDE: 47 28' 22.7" N LONGITUDE: 122' 17' 14.1" W TOP OF STRUCTURE AGL' BASE OF STRUCTURE AMSL• PARCEL NUMBER(S)• 0040000315 GENERAL INFORMATION: 1. PARKING REQUIREMENTS ARE UNCHANGED. 2. TRAFFIC IS UNAFFECTED. PROPERTY OWNER - ARK VIA NELLE LLC. 18107 NORMANDY TERRACE SW NARMANDY PARK, WA 98166 TEAM LEAD. GOODMAN NETWORKS 8815 122ND AVE NE KIRKLAND, WA 98033 CONTACT: WENDY LONG PH: (206) 321-1116 SITE ACQUISITION. PACIFIC TELECOM SERVICES, LLC 568 FIRST AVENUE, S., SUITE 650 SEATTLE, WA 98104 CONTACT: MEAGAN DOCKTER PH: (206) 342-6381 PERMITTING: PACIFIC TELECOM SERVICES, LLC 568 FIRST AVENUE, S., SUITE 650 SEATTLE, WA 98104 CONTACT: SUNNY AUSINK PH: (206) 342-6390 CONSTRUCTION MANAGER. PACIFIC TELECOM SERVICES, LLC 568 FIRST AVENUE, S., SUITE 650 SEATTLE, WA 98104 CONTACT: PAT HEALY PH: (425) 471-3553 RF ENGINEER. AT&T MOBILITY CONTACT: LUKASZ GRABARSKI PH: (425) 698-8272 PROJECT TEAM PROJECT ARCHITECT RICHARD B. HALL, AIA PACIFIC TELECOM SERVICES, LLC 568 FIRST AVENUE, S., SUITE 650 SEATTLE, WA 98104 CONTACT: ROBERT LEIGHTON PH: (206) 464-4402 EMAIL: RLEIGHTONOPTSWA.COM PROJECT CONSULTANT PROJECT CONSULTANT PACIFIC TELECOM SERVICES, LLC 568 FIRST AVENUE, S., SUITE 650 SEATTLE, WA 98104 CONTACT: KATIE KENNEY PH: (206) 909-9454 GOODMAN NETWORKS 8815 122ND AVE NE KIRKLAND, WA 98033 PH: (206) 321-1116 at&t Your world. Delivered. RIVERTON NORTH SG19 3516 S 146TH ST. TUKWILA, WA 98168 VICINITY MAP S I46U St 5:348Th :50th:St::::; 5152t1tt::St:: 5::140th St. 5 Id} Si 4,1 :S::JSoth.... DRIVING DIRECTIONS START FROM REGIONAL OFFICE: DEPART NE 72ND WAY TOWARD 164TH AVE NE 0.1 MI TURN RIGHT ONTO 164TH AVE NE, AND THEN IMMEDIATELY TURN RIGHT ONTO BEAR CREEK PKWY 0.4 MI TURN LEFT ONTO LEARY WAY NE 0.1 MI ROAD NAME CHANGES TO NE LEARY WAY 0.2 MI TAKE RAMP RIGHT FOR SR-520 WEST TOWARD SEATTLE 5.0 MI TAKE RAMP RIGHT FOR 1-405 SOUTH TOWARD RENTON 15.0 ROAD NAME CHANGES TO SR-518 WEST 1.0 M TAKE RAMP RIGHT FOR SR-99 SOUTH TOWARD SEA-TAC AIRPORT 0.4 M TURN LEFT ONTO S 154TH ST, AND THEN IMMEDIATELY TURN RIGHT ONTO 32ND AVE S 0.2 M TURN RIGHT ONTO S 152ND ST 0.1 M TURN LEFT ONTO MILITARY RD S 0.4 M TURN RIGHT ONTO S 146TH ST 0.1 M ARRIVE AT 3516 S 146TH ST, TUKWILA, WA 98168-4389 ON THE LEFT MI APPROVAL DATE SIGNATURE APPROVAL DATE SIGNATURE RF ENGINEER: LANDLORD: RF MANAGER: SITE ACQUISITION: OPPS MANAGER: ZONING AGENT: CONSTR MANAGER: PROJECT MANAGER: NSB MANAGER: CONSTR MANAGER: TRANSPORT: EQUIP ENGINEER: COMPLIANCE: REVIEWERS SHALL CLEARLY PLACE INITIALS ADJACENT TO EACH REDUNE NOTE AS DRAWINGS ARE BEING REVIEWED RECEIVED MAR 3 0 2011 COMMUNITY DEVELOPMENT DRAWING INDEX SHEET DESCRIPTION T-1 TITLE SHEET A-1 SITE PLAN A-2 EXISTING & PROPOSED ENLARGED ROOF PLANS A-3 EXISTING EQUIPMENT LAYOUT A-4 PROPOSED EQUIPMENT LAYOUT A-5 EXISTING & PROPOSED WEST ELEVATIONS PROPRIETARY INFO.__.ATION THE INFORMATION CONTAINED IN THIS SET OF CONSTRUCTION DOCUMENTS IS PROPRIETARY BY NATURE. ANY USE OR DISCLOSURE OTHER THAN THAT WHICH RELATES TO CARRIER SERVICES IS STRICTLY PROHIBITED. FINAL ZONING DRAWINGS 03/25/2011 LEGAL DESCRIPTION LOT 30, BLOCK 2, ADAMS HOME TRACTS, ACCORDING SO THE PLAT THEROF RECORDED IN VOLUME II OF PLATS, PAGE 31, RECORDS OF KING COUNTY, WASHINGTON ABBREVIATIONS A/C AIR CONDITIONING AGL ABOVE GROUND LEVEL APPROX APPROXIMATELY BLDG BLK CLG CLR CONC CONST CONT DBL DIA DIAG DN DET DWG EA ELEV ELEC EQ EQUIP EXT FIN FLUOR FLR Fr BUILDING BLOCKING CEIUNG CLEAR CONCRETE CONSTRUCTION CONTINUOUS DOUBLE DIAMETER DIAGONAL DOWN DETAIL DRAWING EACH ELEVATION ELECTRICAL EQUAL EQUIPMENT EXTERIOR FINISH FLOURESCENT FLOOR FOOT GA GAUGE GALV GALVANIZED GC GENERAL CONTRACTOR GRND GROUND GYP BD GYPSUM WALL BOARD HORZ HR HT HVAC D N NFO NSUL NT BC HORIZONTAL HOUR HEIGHT HEATING VENTILATION AIR CONDITIONING NSIDE DIAMETER NCH NFORMATION NSULATION NTERIOR NTERNATIONAL BUILDING CODE LBS POUNDS MAX MAXIMUM MECH MECHANICAL MTL METAL MFR MANUFACTURE MGR MANAGER MIN MINIMUM MISC MISCELLANEOUS NA NOT APPUCABLE NIC NOT IN CONTRACT NTS NOT TO SCALE OC ON CENTER OD OUTSIDE DIAMETER PLYWD PROJ PROP PT REQ RM RO SHT SIM SPEC SF PLYWOOD PROJECT PROPERTY PRESSURE TREATED REQUIRED ROOM ROUGH OPENING SHEET SIMILAR SPECIFICATION SQUARE FOOT SS STAINLESS STEEL STL STEEL STRUCT STRUCTURAL STD STUD SUSP SUSPENDED THRU THROUGH TNNG TINNED TYP TYPICAL UNO UNLESS NOTED OTHERWISE VERT VERTICAL VIF VERIFY IN FIELD W/ W/O WP WITH WITHOUT WATER PROOF at&t Your world. Delivered. PACIFIC TELECOM SERVICES, LLC 8828 REGISTERED ARCHITE RI B. HALL STATE OF WASHINGTON EXPIRATION DATE OF THE LICENSE: 08/20/11 RIVERTON NORTH to � S co a1 0 < REVISIONS NO. DATE DESCRIPTION INITIAL 0 01/ES/2011 ISSUED FOR FZD BF NOT FOR CONSTRUCTION UNLESS LABELED AS CONSTRUCTION SET SHEET TITLE TITLE SHEET SHEET NUMBER T-1 THE INFORMATION CONTAINED IN THIS SET OF CONSTRUCTION DOCUMENTS IS PROPRIETARY BY NATURE. ANY USE DR DISCLOSURE OTHER THAN THAT WHICH RELATES TO CARRIER SERVICES IS STRICTLY PROHIBITED. EXISTING :f BUILDING EXISTING BUILDING • EXISTING BUILDING /EXIST NG CAR PARKING LOTS/ j EXIS11NG 2 BUILDING /EXISTING CAR PARKING LOTS/ l j EXISTING CAR PARKING LOTS/ / EXISTING • BUILDING • EXISTING BUILDING • of = • a ¢i• PROPERTY LINE (128'-0") a .°4 N ` z Zw". e:N °a w ao,), AT&T PROPOSES TO MODIFY AN EXISTING UNSTAFFED TELECOMMUNICATIONS FACILITY BY ADDING (3) NEW LTE PANEL ANTENNAS (1 PER SECTOR) CONCEALED WITHIN (3) NEW FAUX CHIMNEY CANISTERS AND PAINTED TO MATCH OTHER EXISTING ROOF TOP FAUX CHIMNEYS DESIGNED TO BLEND IN WITH THE EXISTING 4-STORY MULTIFAMILY RESIDENTIAL BUILDING. INSTALLATION ALSO INCLUDES THE ANCHORING OF (6) RRH UNITS (2 PER SECTOR), (3) SURGE SUPPRESSION BOXES (1 PER SECTOR), (1) FIBER/POWER BOX, (1) LTE E-NODE B UNIT AND (1) GPS ANTENNA PARTIALLY CONCEALED BEHIND THE PARAPET WALL ON THE ROOF OF THE SAME BUILDING ox J D 0 D D D 'ell-r `O• x — PROPERTY LINE (128'-0") S 146TH STREET i EXIS11NG BUILDING / • o • as /EXISTING CAR PARKING LOTS/ EXISTING BUILDING ao• ° .'yes zz X /EXISTING CAR PARKING LOTS/ EXISTING BUILDING EXISTING BUILDING .," ..:, •L Iw IT I PI LEGEND SUBJECT BOUNDARY UNE - — RIGHT-OF-WAY CENTERLINE RIGHT-OF-WAY LINE OHP OHP - ADJACENT BOUNDARY LINE SECTIONAL BREAKDOWN LINE OVERHEAD POWER LINE — UCP UGP— UGP— BURIED POWER LINE BURIED GAS LINE OHT OHT OVERHEAD TELEPHONE LINE — UGT UGT UGT — BURIED TELEPHONE LINE — W —W —W —W BURIED WATER LINE — SS SS SS — BURIED SANITARY SEWER — SD SD SD— BURIED STORM DRAIN DITCH LINE/FLOW LINE ROCK RETAINING WALL VEGETATION LINE — x — x — x — x — X — CHAIN LINK FENCE ❑ ❑ ❑ WOOD FENCE — x — x — x — x — x — BARBED WIRE/WIRE FENCE ❑p TRANSFORMER O LIGHT STANDARD POWER VAULT ® UTILITY BOX O UTILITY POLE POLE GUY WIRE El GAS VALVE E GAS METER TELEPHONE VAULT TELEPHONE RISER -9- FIRE HYDRANT D4 GATE VALVE W WATER METER 5G FIRE STAND PIPE ❑ CATCH BASIN, TYPE I ® CATCH BASIN, TYPE II - SIGN ° BOLLARD • MAIL BOX 234.21 SPOT ELEVATION NOTE: PROPOSED AT&T LTE ANTENNAS, MOUNTING HARDWARE AND EQUIPMENT TO BE PAINTED TO MATCH EXISTING BUILDING LEGAL DESCRIPTION. LOT 30, BLOCK 2, ADAMS HOME TRACTS, ACCORDING SO THE PLAT THEROF RECORDED IN VOLUME II OF PLATS, PAGE 31, RECORDS OF KING COUNTY, WASHINGTON PARCEL NUMBER(S)• 0040000315 VICINITY MAP at&t Your world. Delivered. PACIFIC TELECOM SERVICES, LLC 8828 REGISTERED ARCHITEC RI "'•1' ' B. HALL STATE OF WASHINGTON EXPIRATION DATE OF THE LICENSE: 08/20/11 RIVERTON NORTH 3516 S 146TH ST. TUKWILA, WA 98168 REVISIONS N0. DATE DESCRIPTION INITIAL 0 0/4/2011 ISSUED FOR FZD BF NOT FOR CONSTRUCTION UNLESS LABELED AS CONSTRUCTION SET SHEET TITLE SITE PLAN SHEET NUMBER A-1 24"x36" SCALE: 1" = 30'-O" 11"x17" SCALE: 1" = 60'-0" 30' 15" O" 0' THE INFORMATION CONTAINED IN THIS SET OF CONSTRUCTION DOCUMENTS IS PROPRIETARY BY NATURE. ANY USE OR DISCLOSURE OTHER THAN THAT WHICH RELATES TO CARRIER SERVICES IS STRICTLY PROHIBITED. SITE PLAN EXISTING SPRINT ANTENNAS I—X -X EXISTING ANTENNA CABLES ON SLEEPERS x EXISTING SPRINT EQUIPMENT PROPOSED AT&T (2) DC RUNS AND (1) FIBER RUN ROUTED IN EXISTING COAX TRAY PROPOSED AT&T DC/FIBER JUNCTION BOX EXISTING AT&T ARGUS TE43 CABINET MOUNTED AT GRADE WITHIN EXISTING WOOD FENCE EXISTING AT&T CABLE TRAY PROPOSED AT&T FC12 JUNCTION BOX AND FIBER CABLE LOOP BOX EXISTING SKIDS ON ROOF PROPOSED AT&T LTE 9412 E-NODE B MOUNTED ON NEW H-FRAME ATTACHED TO EXISTING SKIDS ON ROOF. - PROPOSED AT&T GPS ANTENNA MOUNTED ON EXISTING PARAPET WALL EXISTING AT&T GPS ANTENNA EXISTING AT&T EQUIPMENT CABINET EXISTING AT&T (2) UMTS PANEL ANTENNA WITHIN CANISTER TO REMAIN PROPOSED AT&T LTE PANEL ANTENNA EXISTING AT&T GSM PANEL ANTENNA WITHIN CANISTER TO REMAIN \ \ PROPOSED AT&T 700MHz RRH UNIT (TYP. OF 3 (1) PER ANTENNA) 7 PROPOSED AT&T AWS RRH UNIT (TYP. OF 3 (1) PER ANTENNA) PROPOSED AT&T SURGE SUPPRESSION BOX (TYP. OF 3 (1) PER ANTENNA) / / PROPOSED AT&T LTE PANEL ANTENNA x X �I I \ EXISTING AT&T GSM PANEL ANTENNA WITHIN CANISTER TO REMAIN EXISTING AT&T 12" CABLE TRAY PROPOSED ROUTE OF FIBER AND DC CABLE FROM ARGUS 1E43 TO LTE 9412 IN 2 1/2' CONDUIT EXISTING CHAIN LINK FENCE EXISTING AT&T 18" CABLE TRAY EXISTING AT&T 12" CABLE TRAY EXISTING AT&T UMTS PANEL ANTENNA WITHIN CANISTER TO REMAIN EXISTING AT&T GSM PANEL ANTENNA WITHIN CANISTER TO REMAIN PROPOSED AT&T LTE PANEL ANTENNA EXISTING SPRINT ANTENNAS X - X EXISTING ANTENNA CABLES ON SLEEPERS >' EXISTING SPRINT EQUIPMENT EXISTING AT&T ARGUS TE43 CABINET MOUNTED AT GRADE WITHIN EXISTING WOOD FENCE / / EXISTING AT&T CABLE TRAY EXISTING AT&T GPS ANTENNA EXISTING AT&T (2) UMTS PANEL ANTENNA WITHIN CANISTER TO REMAIN EXISTING AT&T GSM PANEL ANTENNA WITHIN CANISTER TO REMAIN / \ \ I I LI I II I I / 0 I EXISTING AT&T GSM PANEL ANTENNA WITHIN CANISTER TO REMAIN EXISTING AT&T 12" CABLE TRAY EXISTING CHAIN LINK FENCE EXISTING AT&T 18" CABLE TRAY EXISTING AT&T 12" CABLE TRAY EXISTING AT&T UMTS PANEL ANTENNA WITHIN CANISTER TO REMAIN EXISTING AT&T GSM PANEL ANTENNA WITHIN CANISTER TO REMAIN m N.i I ew).y S. ,,," at&t Your world. Delivered. PACIFIC TELECOM SERVICES, LLC REGISTERED ARCHITEC • RIC ■ B. HALL STATE OF WASHINGTON EXPIRATION DATE OF THE LICENSE: 08/20/11 RIVERTON NORTH REVISIONS NO. DATE DESCRIPTION INITIAL 0 01/75/7011 ISSUED FOR FZD BF NOT FOR CONSTRUCTION UNLESS LABELED AS CONSTRUCTION SET SHEET TITLE DGSDNG & PROPOSED ENLARGED ROOF PLANS SHEET NUMBER A-2 24"x36" SCALE: 1/16" = 1'-0" ;; ti■;;;; � PROPOSED ENLARGED ROOF PLAN 2 24"x36" SCALE: 1/16" = 1'-0" • I I U U I; ■ti 1 11'x17' SCALE: 1/32' = 1'-0' 16 12 8 4 0 16' 1"x17" SCALE: 1 /32" = 1'-0" 16 12 8 4 0 16' EXISTING ENLARGED ROOF PLAN THE INFORMATION CONTAINED IN THIS SET OF CONSTRUCTION DOCUMENTS IS PROPRIETARY BY NATURE. ANY USE OR DISCLOSURE OTHER THAN THAT WHICH RELATES TO CARRIER SERVICES IS STRICTLY PROHIBITED. EXISTING SPRINT ANTENNAS EXISTING ANTENNA CABLES ON SLEEPERS EXISTING ROLLING GATE POST EXISTING WOOD FENCE EXISTING ROLLING GATE EXISTING BOLLARDS EXISTING FIBER JUNCTION BOX EXISTING AT&T VERTICAL CABLE TRAY EXISTING AT&T ARGUS TE43 EQUIPMENTY EXISTING WOOD FENCE EXISTING BUILDING OUTSIDE WALL EXISTING AT&T UMTS CABINET WITHIN WOOD FENCE EXISTING UMTS CONCRETE SLAB EXISTING DISCONNECT EXISTING POWER BOX EXISNNG AT&T METER EXISTING AT&T VERTICAL CABLE TRAY EXISTING SKIDS ON ROOF EXISTING AT&T GPS ANTENNA 1 1 h EXISTING AT&T EQUIPMENT CABINET EXISTING CABLE TRAY N ti EXISTING AT&T GSM PANEL ANTENNA WITHIN CANISTER TO REMAIN EXISTING CABLE TRAY EXISTING PARAPET WALL EXISTING AT&T GSM PANEL ANTENNA WITHIN CANISTER TO REMAIN EXISTING AT&T UMTS PANEL ANTENNA WITHIN CANISTER TO REMAIN EXISTING CABLE TRAY EXISTING AT&T GSM PANEL ANTENNA WITHIN CANISTER TO REMAIN at&t Your world. Dernered. PACIFIC TELECOM SERVICES, LLC 8828 REGISTERED ARCHITECT ee RI B. HALL STATE OF WASHINGTON EXPIRATION DATE OF THE LICENSE: 08120/11 RIVERTON NORTH REVISIONS NO. DATE DESCRIPTION INITIAL 0 07/25/2011 ISSUED FOR FZD BF NOT FOR CONSTRUCTION UNLESS LABELED AS CONSTRUCTION SET SHEET TITLE EXISTING EQUIPMENT LAYOUTS SHEET NUMBER WO to be ete,n mob, see survey If possible). 24%36` SCALE: 1/4* = 1'-0" 11'x17* SCALE: 1/8* = 1'-0* 4 3 2 1 0 4' THE INFORMATION CONTAINED IN THIS SET OF CONSTRUCTION DOCUMENTS IS PROPRIETARY BY NATURE. ANY USE OR DISCLOSURE OTHER THAN THAT WHICH RELATES TO CARRIER SERVICES IS STRICTLY PROHIBITED. EXISTING EQUIPMENT LAYOUT A-3 NOTE: PROPOSED AT&T LTE ANTENNAS. MOUNTING HARDWARE AND EQUIPMENT TO BE PAINTED TO MATCH EXISTING BUILDING EXISTING SPRINT ANTENNAS EXISTING ANTENNA CABLES ON SLEEPERS EXISTING ROLLING GATE POST EXIS11NG WOOD FENCE EXISTING ROLLING GATE EXISTING BOLLARDS EXISTING FIBER JUNCTION BOX EXISTING AT&T VERTICAL CABLE TRAY EXISTING AT&T ARGUS TE43 EQUIPMENTY EXISTING WOOD FENCE EXISTING BUILDING OUTSIDE WALL EXIS11NG AT&T UMTS CABINET WITHIN WOOD FENCE EXISTING UMTS CONCRETE SLAB EXISTING DISCONNECT EXISTING POWER BOX EXISTING AT&T METER EXISTING AT&T VERTICAL CABLE TRAY PROPOSED AT&T DC/FIBER JUNCTION BOX PROPOSED AT&T FC12 JUNCTION BOX AND FIBER CABLE LOOP BOX EXISTING SKIDS ON ROOF PROPOSED AT&T LTE 9412 E—NODE B MOUNTED ON NEW H—FRAME ATTACHED TO EXISTING SKIDS ON ROOF (W/ ANCHORAGE PER STRUCT) 0 1 1 EXISTING CABLE TRAY PROPOSED AT&T (2) DC RUNS AND (1) FIBER RUN ROUTED IN EXISTING COAX TRAY PROPOSED ROUTE OF FIBER AND DC CABLE FROM ARGUS TE43 TO LTE 9412 IN 2 1/2' CONDUIT PROPOSED AT&T (2) DC RUNS AND (1) FIBER RUN ROUTED IN EXISTING COAX TRAY PROPOSED AT&T GPS ANTENNA MOUNTED ON EXISTING PARAPET WALL EXISTING AT&T GPS ANTENNA EXISTING AT&T EQUIPMENT CABINET N rpi of EXISTING PARAPET WALL EXISTING AT&T GSM PANEL ANTENNA WITHIN CANISTER TO REMAIN PROPOSED AT&T 700MHz RRH UNIT (TYP. OF 3 (1) PER ANTENNA) (W/ ANCHORAGE PER STRUCT) PROPOSED AT&T AWS RRH UNIT (TYP. OF 3 (1) PER ANTENNA) (W/ ANCHORAGE PER STRUCT) PROPOSED AT&T SURGE SUPPRESSION BOX (TYP. OF 3 (1) PER ANTENNA) (W/ANCHORAGE PER STRUCT) \ ` PROPOSED AT&T LTE PANEL ANTENNA MOUNTED WITHIN NEW CANISTER EXISTING CABLE TRAY PROPOSED AT&T SURGE SUPPRESSION BOX (TYP. OF 3 (1) PER ANTENNA) PROPOSED AT&T AWS RRH UNIT (TYP. OF 3 (1) PER ANTENNA) PROPOSED AT&T 700MHz RRH UNIT (TYP. OF 3 (1) PER ANTENNA) PROPOSED AT&T LTE PANEL ANTENNA MOUNTED WITHIN NEW CANISTER EXISTING AT&T GSM PANEL ANTENNA WITHIN CANISTER TO REMAIN EXISTING AT&T UMTS PANEL ANTENNA WITHIN CANISTER TO REMAIN EXISTING CABLE TRAY EXIS11NG AT&T GSM PANEL ANTENNA WITHIN CANISTER TO REMAIN PROPOSED AT&T LTE PANEL ANTENNA MOUNTED WITHIN NEW CANISTER PROPOSED AT&T 700MHz RRH UNIT (TYP. OF 3 (1) PER ANTENNA) PROPOSED AT&T AWS RRH UNIT (TYP. OF 3 (1) PER ANTENNA) PROPOSED AT&T SURGE SUPPRESSION BOX (TYP. OF 3 (1) PER ANTENNA) atstt Your world. Delivered. PACIFIC TELECOM SERVICES, LLC 8828 REGISTERED ARCHITECT RI ""—= D B. HALL STATE OF WASHINGTON EXPIRATION DATE OF THE LICENSE: 08120/11 RIVERTON NORTH Li) REVISIONS NO. DATE DESCRIPTION INITIAL 0 0.1/B/1011 ISSUED FOR FZD BF NOT FOR CONSTRUCTION UNLESS LABELED AS CONSTRUCTION SET SHEET TITLE PROPOSED EQUIPMENT LAYOUT SHEET NUMBER Nob wrvq Q/ pov� kjM 24'x36' SCALE: 1/4' = 1'—O' 11'x17' SCALE: 1/8- = 1'-0' 4 3 2 1 0 4' PROPOSED EQUIPMENT LAYOUT THE INFORMATION CONTAINED IN THIS SET OF CONSTRUCTION DOCUMENTS IS PROPRIETARY BY NATURE. ANY USE OR DISCLOSURE OTHER THAN THAT WHICH RELATES TO CARRIER SERVICES IS STRICTLY PROHIBITED. A-4 NOTE: PROPOSED A1ecT LTE ANTENNAS, MOUNTING HARDWARE AND EQUIPMENT TO BE PAINTED TO MATCH EXISTING BOLDING EXISTING AT&T GSM PANEL ANTENNA WITHIN CANISTER TO REMAIN EXISTING SPRINT ANTENNAS TOP OF EXISTING BUILDING 34'-0" A.G.L. II II IIIIIIIIIIIIIIIIIIII M II ��.. �;'lllllllllllllllllll EXISTING SPRINT ANTENNAS PROPOSED AT&T DC/FIBER JUNCTION BOX PROPOSED AT&T (2) DC RUNS AND (1) FIBER RUN ROUTED IN EXISTING COAX TRAY EXISTING AT&T ARGUS TE43 CABINET MOUNTED AT GRADE WITHIN EXISTING WOOD FENCE PROPOSED AT&T LTE 9412 E—NODE B MOUNTED ON NEW H—FRAME ATTACHED TO EXISTING SKIDS ON ROOF. PROPOSED AT&T FC12 JUNCTION BOX AND FIBER CABLE LOOP BOX PROPOSED AT&T GPS ANTENNA MOUNTED ON EXISTING PARAPET WALL EXISTING AT&T GPS ANTENNA EXISTING AT&T UMTS PANEL ANTENNA WITHIN CANISTER TO REMAIN EXISTING AT&T GSM PANEL ANTENNA WITHIN CANISTER TO REMAIN PROPOSED AT&T LTE PANEL ANTENNA WITHIN PROPOSED CANNISTER CTYP. OF 3 (1) PER SECTOR) TOP OF PROPOSED CHIMNEY 41 —6 A.G.L. RAD CENTER OF PROPOSED AT&T LTE PANEL ANTENNA 0 38"-0" A.G.L PROPOSED AT&T 700MHz RRH UNIT . 1 (TYP. OF 3 ( ) PER ANTENNA) PROPOSED AT&T AWS RRH UNIT (TYP. OF 3 (1) PER ANTENNA) PROPOSED AT&T SURGE SUPPRESSION BOX (TYP. OF 3 (1) PER ANTENNA) GRADE 4, 0'-0" A.G.L. 24"x36" SCALE: 1/8" = 1'-0" 11"07" SCALE: 1/16" = 1'-0" 8 6 4 2 0 8' PROPOSED WEST ELEVATION 2 EXISTING AT&T GSM PANEL ANTENNA WITHIN CANISTER TO REMAIN EXISTING SPRINT ANTENNAS EXISTING SPRINT ANTENNAS EXISTING AT&T ARGUS TE43 CABINET MOUNTED AT GRADE WITHIN EXISTING WOOD FENCE • illllllllllllllll iii 1111IIIIIIIIIIIIIII iiii EXISTING AT&T GPS ANTENNA EXISTING AT&T UMTS PANEL ANTENNA WITHIN CANISTER TO REMAIN EXISTING AT&T GSM PANEL ANTENNA WITHIN CANISTER TO REMAIN RAD CENTER OF PROPOSED AT&T LTE PANEL ANTENNA 38'-0" AG.L TOP OF EXISTING BUILDING 34'-0" A.G.L. GRADE 0 —0 A.G.L. at&t Your world. Delivered. PACIFIC TELECOM SERVICES, LLC REGISTERED ARCHITEC EXPIRATION DATE OF THE LICENSE: 08/20/11 RIVERTON NORTH REVISIONS NO. DATE DESCRIPTION INITIAL 0 03/25/20II ISSUED FOR FZD 8F NOT FOR CONSTRUCTION UNLESS LABELED AS CONSTRUCTION SET SHEET TITLE DUSTING & PROPOSED WEST ELEVATIONS SHEET NUMBER 24"x36' SCALE: 1/8" = 1'-0" 11"x17" SCALE: 1/16" = 1'—O" 86' 4 2 0" 8' • • • NI EXISTING WEST ELEVATION 1 THE INFORMATION CONTAINED IN THIS SET OF CONSTRUCTION DOCUMENTS IS PROPRIETARY BY NATURE. ANY USE OR DISCLOSURE OTHER THAN THAT WHICH RELATES TO CARRIER SERVICES IS STRICTLY PROHIBITED. A-5 • EXISTING BUILDING 7/ EXISTING BUILDING ////////////////////////4 /EXISTING CAR PARKING LOTS? BUIEXISTINGLDING / / /EXISTING CAR PARKING LOTS/ /EXISTING CAR PARKING LOTS/ EXISTING BUILDING AT&T PROPOSES TO MODIFY AN EXISTING UNSTAFFED TELECOMMUNICATIONS FACILITY BY ADDING (3) NEW LTE PANEL ANTENNAS (1 PER SECTOR) CONCEALED WITHIN (3) NEW FAUX CHIMNEY CANISTERS AND PAINTED TO MATCH OTHER EXISTING ROOF TOP FAUX CHIMNEYS DESIGNED TO BLEND IN WITH THE EXISTING 4-STORY MULTIFAMILY RESIDENTLAL BUILDING. INSTALLATION ALSO INCLUDES THE ANCHORING OF (6) RRH UNITS (2 PER SECTOR), (3) SURGE SUPPRESSION BOXES (1 PER SECTOR), (1) FIBER/POWER BOX, (1) LTE E-NODE B UNIT AND (1) GPS ANTENNA PARTIALLY CONCEALED BEHIND THE PARAPET WALL ON THE ROOF OF THE SAME BUILDING is ° PROPERTY UNE (128'-0") S 146TH STREET EXISTING BUILDING / • /EXISTING CAR PARKING LOTS? • go 00 zz 5<"Q /EXISTING CAR PARKING LOTS/ EXISTING BUILDING LEGEND SUBJECT BOUNDARY LINE — - — - — - RIGHT-OF-WAY CENTERLINE RIGHT-OF-WAY LINE - - ADJACENT BOUNDARY LINE SECTIONAL BREAKDOWN LINE OHP OHP OVERHEAD POWER LINE UGP UGP UGP— BURIED POWER LINE BURIED GAS LINE OHT OHT OVERHEAD TELEPHONE UNE — UCT UCT UGT— BURIED TELEPHONE LINE — W —w —w —w — BURIED WATER LINE —SS SS SS— BURIED SANITARY SEWER —SD SO SD— BURIED STORM DRAIN DITCH LINE/FLOW LINE ROCK RETAINING WALL VEGETATION LINE — X — x — X — X —X — CHAIN LINK FENCE ❑ ❑ ❑ WOOD FENCE — x — x — x —X — X — BARBED WIRE/WIRE FENCE I PI TRANSFORMER LIGHT STANDARD POWER VAULT ® UTILITY BOX O UTILITY POLE E— POLE GUY WIRE el GAS VALVE • CAS METER MT TELEPHONE VAULT ❑ TELEPHONE RISER -¢ FIRE HYDRANT .Ty D4 GATE VALVE e3 WATER METER f,I FIRE STAND PIPE ❑ CATCH BASIN, TYPE I © CATCH BASIN, TYPE II SIGN ° BOLLARD MAIL BOX 234.21 SPOT ELEVATION NOTE PROPOSED AT&T LTE ANTENNAS, MOUNTING HARDWARE AND EQUIPMENT TO BE PAINTED TO MATCH EXISTING BUILDING LEGAL DESCRIPTION - LOT 30, BLOCK 2, ADAMS HOME TRACTS, ACCORDING SO THE PLAT THEROF RECORDED IN VOLUME II OF PLATS, PAGE 31, RECORDS OF KING COUNTY, WASHINGTON PARCEL NUMBER(S). 0040000315 VICINITY MAP xu4 nlmy (..nnin . by at&t Your world. Delivered. PACIFIC TELECOM SERVICES, LLC STATE OF WASHINGTON B. HALL 1 EXPIRATION DATE OF THE LICENSE: 08/20/11 1� O Ol V � O Ng T Y Ih M D W R EIVED MAR 3 0 20111 COMMUNITY DEVELOPMENT REVISIONS NO. DATE DESCRIPTION INITIAL 0 03/75/2111 ISSUED FOR FZD BF NOT FOR CONSTRUCTION UNLESS LABELED AS CONSTRUCTION SET SHEET TITLE SITE PLAN SHEET NUMBER A-1 24"x36" SCALE: 1" = 30'-0" 11"x17" SCALE: 1" = 60'-O" 30O' SITE PLAN THE INFORMATION CONTAINED IN THIS SET OF CONSTRUCTION DOCUMENTS IS PROPRIETARY BY NATURE. ANY USE OR DISCLOSURE OTHER THAN THAT WHICH RELATES TO CARRIER SERVICES IS STRICTLY PROHIBITED.