Loading...
Environmental Checklist ENVIRONMENTAL CHECKLIST (' APrdo'd~oenen~_ (c)._ .~\>~~ ~'~~\0lY\ r ss""<' * * * * * OFFICIAL USE ONLY * * * * ,. Yc:""L -"1. Jurisdiction TC 0 L Other Phone SEPA it (a) Case it (b) I}/t/)( -/0 ~ I 2 Representative k: i (' H '"( ':3 Address tJ\)'":\:a\.. fC\'\\ ~{Y\.,\ ~ ~\Y'\^ . \\.\0.. CVo59~ Phone ~5~-S \4.C' Related Cases Date Received. dJ/J'1 /1, '12.. I By 1] Incomplete X Submittal Complete Information Requested _ L~~ ..,( /(/J'C.r-'fpr;...... (;7 , 3. Property Address or location (e) 5 lief (/ A v;:; rv c / c- ICp Nt? II. t S/T/R (f) Proposa I (d) N17l1i?< q,rri""0 1 ,/0 /'fer".:' 5 Tax Parcel it (g) /VVf't I;i;",v > 6. Total Acres '1 {/ 7 Permit Type /illn ,?.{ 8 Zoning /(1} .-S- 9 Shoreline Environment -""" * ,. * ,. * OFFI CIAL USE ON L Y * ,. ,. * * 10 Water Body ---- 11 Brief Description of the Proposal and Project Name VI9/'--crL /J /}/J-t? .( Y tl /I-c.- /&;; .J tJ "- ? 12. Estimated Completion Date. 13. List of all Permits, Licenses or Government Approvals Required for the Proposal (federal, state and local--including rezones) 111. Do you have any plans for future additions, expansion or further activity related to or connected with this proposal? If yes, explain \\ll"'\ 15. Do you know of any plans by others which may affect the property covered by your proposal? If yes, explain t\jQ '6. Proposed timing or schedule (including phasing, if applicable) 17 List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. ~n." +0 ~~ 'f\~u.'\\eA~e.... - 1 - j~"""---="'~ ~ /,">~:':'"'~ ;~ '~;"7Y"~1 ....!\ ~~, ' l 1 "'~ "':i;n~] ;~ ,,~~ ~.L ; ,1 J~ f,., ,.<7 ~;;.- '-"~:--=::'~1\ n ' i'r>'u",~'=~ . ~\"!J~~ i ;j~, '3 ~ t, " j,.,1\ ENVI RONMENT AL ELEMENTS ~,H~ dn~a ,~~.J.,Q'.Q"~CiQlJlPJred by Applicant ~ ...",""""""",",._,e;f~:<>l,""",,,o...Ea"th"''''. ~~"''''"f;'1''''''''V'''';'-_''- - a. ~eral description of the site (circle one.) Q,~, ~, steep slopes, mountainous, other b What is the steepest slope on the site (approximate percent slope)? There is a small portion on the south of the site which exceeds 40 percent slope. Evaluation for Agency Use Only ~~~=:'- ~~ _?2:~~ ~~~_-: 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 tl'lem and note any prime farmland. The soil type was found to be ~ gravelly sandy loam, typical of Everett soils dharacteristics with some top soils and silts. d. Are there surface indicators or history of unstable soils in the immediate vicinity? If so, describe. e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. There is no proposed filling or grading as part of this annexation. f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. The proposed annexation will not cause any erosion. g. About what percent of the site will be covered with impervious surfaces after project construction (for example. asphalt or buildings)? Other than the existing improvements, there will be no impervious surfaces for this annexation. h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any No measures are required as part of this proposed annexation. 2. Air a. What types of emissions to the air would result from the proposal (i.e., dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities if known. The proposed annexation will not produce any emissions. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. The proposed annexation abuts SR-507, and the town of Yelm, are sources of off-site emissions. However, these sources will not adversely affect our proposal. c. Proposed measures to reduce or control emissions or other impacts to air, if any As part of this annexation, no measutes ate required. - 2 - , }. ;~. .!'-" To be Completed by Applicant 3 Water Evaluation for Agency Use Only 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 There are none. (2) Will the project require any work over, i.r, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans . . No work is ~einq done as part of this annexat10n~ (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. No work is being done as part of this annexation. (4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known No work is being done as part of this annexation. (5) Does the proposal lie within a lOa-year flood plain? If so, note location on the site plan. No this property is located entirely outside of any lOO-year floodplain. (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. No. However, there are a few existing individual septic systems and drainfield areas installed under the jurisdiction of the Thurston County Health Department. Ground b (1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximately quantities if known. As part of this annexation, no groundwater will be with- drawn or discharged. (2) Describe waste material 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. Same as 3-a-6. To be Completed by Applicant Evaluation for Agency Use Only c. Water Runoff (including stormwater) (1) Describe the source of runoff (including stormwater) and method of collection and disposal, if any (include quantities, in known) Where will this water flow? Will this water flow into other waters? If so, describe. No. (2) Could waste materials enter ground or surface waters? (f so, generally describe. No change. . d Proposed measures to reduce or control surface, ground, and runoff water impacts, if any Not applicable. 4 Plants a Check or circle types of vegetation found on the site ~ Deciduous tree alder, maple, aspen, other X Evergreen tree fir, cedar, pine, other -X Shrubs -X... Grass X Pasture - Crop or grain - Wet soil plants cattail, buttercup, bullrush, 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? No vegetation will be removed or altered in this annexation. c. List threatened or endangered species known to be on or near the site. This annexation is farmland and home sites. To my know- It:l?gEpfopts~EdrE1anacfs~apPn~~e use of native plants, or other measures to preserve or enhance vegetation on the site, if any Not applicable. 5. Animals a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site Birds ~ ~, eagle, ~birds, oth~ Mammals.~ ear, elk, beaver, other Fish bass. salmon, trout, herring, shellfish, other b. List any threatened or endangered species known to be on or near the site. There are none. c Is the site part of a migration route? If 50, explain. To my knowledge, it is not. d. Proposed measures to preserve or enhance wildlife, if any None are required as part of this annexation. - 4 - To be Completed by Applicant Evaluation for Agency Use Only 6. .Energy and Natural Resources a What kinds of energy (electric, natural gas, oi I, wood stove, solar) will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. Th~ ~,\.\.. 't>Q.. ~1::) c.~~. b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. ~Ci . 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 ~O'\\\ ~ . 7 Environmental Health a Are there are 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. ~C)~ e . (1) Describe special emergency services that might be required . ~e~e . (2) Proposed measures to reduce or control environmental health hazards, if any ~c~. b. Noise (1) What types of noise exist in the area which may affect your project (for example traffic, equipment, operation, other)? 1~e.. Q~\~ ~~\.e.Q.. \:~ \,;o.."~\c.. ~~~'('Y\ ~:ne.. \.\.\~ ~ ':le.\m ~ S~ ,-S'b'1; (2) What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example traffic, construction, operation, other)? Indicate what hour,S noise would come from the site. ~C)~e ' (3) Proposed measures to reduce or control noise impacts, if any ~o~. 8. Land and Shoreline Use b What is the current use of the site and adjacent properties? \, \~e. W'\cs..ic~\.\:,<\ o~ "'\-.e.. ~\"\.es o..'te... s-:'(\~\e.~o..m\\~ C\\Ue..\\\tl~5 G.n~ ~o..H-(\S . H;:Js the site been used for agriculture! I f so, describe 1\e.-e cx..~e. 5()"('r\€ 5 mo.\..\.. ~o,S~S \cco...\e.c\. em, ~ ~ "'''--... s... \:e ' a. Evaluation for Agency Use Only To be Completed by Applicant 9. c. Describe any structures on the site. ~~~-e." ~o."'\.\~ ~~Q.\\'~~~ o...~S~~\.\.. \o.s;~~. Will any structures be demolished? If so, what? ~~ . d. e. What is the ,current zoning classification bf the 'site? ~e. r;.~~\e~ ~o..~\.\~ ~e.s ,-k~~~o-\ ~~~\::: {>~, 't\.~e.. O(!.~eS. What is the current comprehensive plan designation of the \ site? .:n \~ ""''''~';\\1''\ ~'he... \)".,'oo.."C' ~~oU)~" ~~e~~\: bt)~no.os\e.s ~ '\ 'ne <:.." \- ~ f:)~ '--\ e \"<' . . If applicable, what is the current Shoreline Master Program designation of the site? ~o\; ~~\ " ecU>\ ~ . Has any part of the site been classifi~d an. "environmentally sensitivell area? If so, specify. f g h i. Approximately how many people would reside or work in the completed project? 3l'b. j. Approximately how many people would the completed project displace? NO~ . k. Proposed measures to avoid or reduce displacement impacts, if any? h ~\:;)~. I. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any.\ 1"', to C>.."'~e ......0..\ , on W ~ \..\. \~H2- -.:'Col. " '- -<<e.\...),) e.c \. ~ 'bo" 't\ \- ~e.-. ~i.. \~ ~ ~e\ll\ ~nc\ \~\l,.~5~Q'r\ <::.c"c'I\-~ Housmg ....> a. Approximately how many units would be provided. if any? Indicate whether high-, middle-, or low-income housing. ~c::.. b. Approximately how many units, if al)y, would be eliminated? Indicate whether high-, middle-, or low-income housing. ~e~~. c. Proposed measures to reduce or control housing impacts, if any tu o~e . 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? \ \)e."e ac Q.. ~ t ~,0<Se d What views in the immediate vicinity would be altered or obstructed? ~C>'Ne.. b. c. Pr.oposed measures to reduce or control aesthetic~ impacts, if any ~c~e - 6 - To be Completed by Applicant 11 Light and Glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? ~I':>"~' Evaluation for Agency Use Only b Could light or glare from the finished project be a safety hazard or interfere with views? \X) . c. What existing off-site sources of light or glare may affect your proposal? No.\ e . d Proposed measures to reduce or control Ioight and glare impacts, if any \\)~ 12. Recreation a. What designated and informal recre..ational opQortunities are ('" ~ in the immediate vicinity? \" "'E\Q.. '-":) 0... \ "b '\..o\e.. ~ 6.~ tt.~~~) ~\.. p().("\", oS\t\ ~c'noc\ ~o..c...~\.',~e~ o...\1o.\.\o..'o\e: \:-1) \::"e... ~u.'o "Co . b Would the proposed project displace any existing recreational uses? If so, describe. ~t) . c Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any ~o ~e. . 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. ~O\U e b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site \lJ~l,;;,,~'C"\ ~~e.. c..u.:('('e('\ \. "-~ ~ c.c\3~\-) ~~e.... o..~ a... n\l..rt\'De( o~ ~u..~\Ules \aen"~~\e~ ~~ \ne..- u \~tQ9\9(:t) 1o~ J..\\.~c.~ lc.. eu..\\c\~n5 ~"\\e~~~~" . c. Proposed measures to reduce or control impacts, if any ~ \.\ Q.... 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. ~~.S()'- \ \to.~ \ \(co..o. b Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? Ne. c. How many parking spaces would the completed project have? How many would the project eliminate? ~~e - 7 - To be Completed by Applicant " Evaluatj.-)n for . Agency Use Only d Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? I f so, generally describe (indicate whether public or private). ~Cl. e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe ~. f How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur ~ ~\c\.\.~\t:lRo.....\ "h..a.~f.(c... W~\.\. b'L te.~{"'o...\~ g. Proposed measures to reduce or contr.o/, transportation impacts, if any ~~. 15 Public Services a Would the project result in services (for example fire health care, schools, other)? No an increased need for public p,rotection, police protection, If so, generally describe b Proposed measures to reduce public services, if any. ~~e.. or control direct impacts on 16. Utilities a 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. ~\lSe'(' f~.:l>~.:.Aec\. '0.1 \-k (I..~~ o~ ~\'f'(\. o...\- ~o~~~ O\1)ne..~ .s. €-"- ~ nse.. SIGNATURE The above 'answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them tq make its decision Date Submitted 1 0 ll\~"'i q"")... Signature ~~'C~/"" o - 8 - To be Completed by Applicant Evaluation for Agency Use Only SUPPLEMENTAL SHEET FOR NON PROJECT ACTIONS (do not use this sheet for project actions) Nonproject proposals are those which are not tied to a specific site, such as adoption of plans, pol icies, or ordinances. Because these questions are very general, it may be helpful to read them in conjunction with the list of the 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. How would the proposal be likely to increase disct.arge to water, emissions to air. production, storage, or release of toxic or hazardous substances, or production of noise? Proposed measures to avoid or reduce such increases are 2 How would the proposal be likely to affect plants, animals, fish, or marine life? Proposed measures to protect or conserve plants, animals, fish. or marine life are 3. How would the proposal be likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources are 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 habitat, historic or cultural sites. wetlands, flood plains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are 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? Proposed measures to avoid or reduce shoreline and land use impacts are - 9 - To be Completed by Applicant 6. How would the proposal be likely to increase demands on transportation or public services and utilities? Proposed measures to reduce or respond to such demand (s) are 7 Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. . 984 13 (Revise~ 10/4/84) - 10 - Evaluation for Agency Use Only " \, '"