Environmental Checklist
~
ENVIRONMENTAL CHECKLIST
FEE:
DATE
BY.
FILE
CITY OF YELM
A BACKGFOUNt;)
Na~e of proposed proJect, if any
Nisqualy Estates Div. 2
2
Name or applicant'
3
Mark J. Carpenter
Address and phone n~moer of applicant and of any other cont3ct
person
P.o. BOX 77
McKenna, WA
98558
4
Date checklist prep3red.
10-13-93
5 Agency requesting c~eckli5t. Yelm
6
Proposed timing
app 1 i ce.D 1 e) .
cr sC;leaule
( hcluding
phasing
-: i
1994
7
Do you have any ::"ans for f\..,;ture additions
further acti~ity re~ated to or connected with
If yes, explain Division 1 owned by Paul
be developed simultaeneously
expans ion 0..
this proposal'"'
Steadman, will
8
Llst any environmen::.al information
been preaared, or wl11 be prepare?'
proposal
lOU knew aoout that. roas
directly ~elated te this
None
9 Do yo\..,; know whetrer ao~licatlcns are Dencing fcr governmer:al
approvals of othe~ proposals dlrectly affecting the prooert/
covered by your procosai? If yes explain
No
10 List any government approvals or permits that will be neeced
f or your pr oposa 1 if known
Easement and Approach S.R. 507
CITY OF YELM ENVIR~NT AL G";E~LIST
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. '
11 Give brier. complete descriptlon or your proposal includi~g
the proposed uses and the si=e of the project ard site There
are several questions later in this checklist ~hat ask you to
describe certain aspects of your proposal You do not need to
repeat those answers on this page
61 Lot residential subdivision.
12 Location of the proposal Give sufficient information for a
person to understand the precise location or your proposea
project including a street address, if any' and section
townshlp, and range, ,f known !f a proposal Nould occur over
a range of area prOVide the ;ange or bo:..;ndar ies of the
site(s) Prov,de a legal cesc; ption. site ;:lan vicinity
map and topographic map if reasonablY aVal!a0~e You need
not duplicate maps or detailec plans submitted ~ith any perm,t
appl,cat;ons related to this chee~list
Please refer to ReZone application.
~ ENVIRONMENTAL ELEMENTS
Earth
a General descr,=tion of tie
f1 at rrol l~ h , 1 i y
other ,'--~- ~:~
site (e,re"e c~e)'
~:eep slopes ~ountalnou5,
b What lS the steepest slooe on the slte (approximate
percent slope)?
15%
c What general types of soils are found on the site (for
example clay sand, grave peat, m~cK)~ :f you know t~e
classification or agricultural sOlls scecify them ana
note any prime farmland
d
Sand-Gravel
Are there surface ,nd,cations or
soils in the immediate vicinity~
history or unstable
If so. descr,be
/
No
CITY OF YELM ENVIRONfvENT AL CHEO<LIST
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e Describe the purpose type, and approximate quantities of
any filling or grading proposed Indicate source of
f i 11
minimal, and fi11,wi11 come from on site.
f
Could erosion occur
construction, or use?
minimal
as a result of cleari!'"'!;)
If so, generally describe
g About what percent of the site will be covered Wi':,h
impervious surfaces after project cor.struction such as
asphalt or bui ldings?
5% - 15%
h Proposed measures to reduce or control erosion, or other
imoacts to the earth. if an)!:
Standard erosion control measures as prescribea
by Thurston County.
2
Air
a
What types of emissions to t~e 31r WOUld resul: from ~~e
proposal (i e dust automobile exhaust, odors
industrial wood s~oke) cur1ng construct'cr: and when ~he
pro,:'ect 1S completed? If any, Gieneral1y describe and
give approximate quantitles if known
Truck exhaust.
b ~re tnere any of~-site sources of emissions or odor that
may a~fect your proposa"? ~i so genera-Iv aescrioe
N/A
c Proposed measures to reduce or control emlssions or other
impacts to air lf any
N/A
3 Water
a Surface Water
1) Is there any surface water bocy or wet "and on or in :.~e
lmmeciate vic~~~ty of the sita (including year-round and
seasonal streams saltwater lakes ponds)? If'les
describ~ type and provide names State what stream or
river it flows into?
No
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2) Will the p,.oject require any work over, in or adjacent
to (within 300 feet) the described waters? If yes,
please describe and attach avai1able plans
NO
3) Estimate the amount of fiil and drecge mate,.ial that
wou 1 d be placed in or removed from SL;r face wa tel" cr
wetiands and lndicate the area of the site that would be
affected Indicate the sowrce cf fill material
NO
4) Will the proposal require surface water withdrawals or
diversions? Give genera! description purpose, and
aDproxlmate quantities 1f known
NO
5) Does the proposal iie within a 100-year ;ioodpiain? If
so note elevation on the slte p an
NO
6) Does the proposal 1nvolve any discharges of waste
materials to surface waters~ If so, describe the tipe of
waste and anticipated volume of dischar;e
NO
b Groundwater
1) Will groundwater be witndrawn or wlil water be
discharged to grcundwater7 ,Give general description,
purpose, and aporoximate quantities if known
NO
2) Describe the underlying aquifer with rega~d to quality
and ~uantity, sensitivity, protection, recharge areas
etc
3) Describe waste material that wi;1 be d,scharged intc cr
onto the ground from septic tanks or other sources if
any (such as domestlc sewage: industnai byproduct5.
agricultural chemicals)
NONE
CITY OF YELM ENVIROl\Ma\jT AL CHEG<.LIST
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c Water Runoff (including storm water):
1) Descrlbe the source of runoff (including storm water) and
method of collection and cisposal if any linclude
quartities If ~no'''n) Where will this water flow? I/Jill
thlS water fiow into other wa:crs~ If sc cesc~ibe
Road and Roofls, into Engineered storm water treatment
facility
2) Could waste materials enter ground or surface waters? :i:f
,
so generallyaescribe
NO
d Propcsed measures tc reduce or contrel s~~face ground
and runoff water impacts if any:
Engineered storm water management system
4. Plants
a Check or Clrcle types or vegetation fc~~c on the Sl:e.
cec1duous
r,' "'",Q
, --
c::''',
=.soen
cthe"
x
x
x
x
x
evergreen
-=,hruo:::::
tree
pine
:::: -,er
grasse~
pasture
crops or grains
wet soi I plants cattai 1. but:er-cup bulrus.'1
skunk cabbage, other
water plants. water liiy eelgrass milfoil. other
other types of vegetatlcn
b 'Nha t ;-, i nd and amour. t c f leseta t lon wi 1: be removed or
altered?
grasses and shrubs removed and to be replaced with
lawns and landscaping
c L1St threatened or endangeree species known to be on or
near the slte
None
d
Proposed
measures
if any
Green belt to be left in natural state, all lot's to be
landscaped to front of the house's.
landscaping
to pr-eserve
u~e c.:; native p1ants
or ennance vegeta:i~r en
or
the
other
site
5 Animals
a Clrcle any birds and anima1s which have been observed cn
or near the slte or are k~ewn to be on or near the site.
birds:
other:
mamma 1 s : deer. bear e i k .
flSh. bass, salmon, trout,
hawk. heron
ducks
eagle, songbirds
beaver other.
shellfish, other
CITf OF YELM ~NVIRa~~NTAL CHECKLIST
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b List any priority, threatened or endangered species known
to be on or near the site
None
c ! s the sit e par t 0 f ami 9 rat ion (' 0 ute -. I;= so ex p .. a i :;
No
d
Proposed measures to preserve or enhance "" i i d life
any.
N/A
, -
, I
6
Energy and Natural Resources
What klnds of energy (electric natural gas. gasoline, heating
oi l, wcod solar etc ) w111 be used to meet the compietec
project's energy needs7 Describe whether it will be used for
heating, manufacturing transportatlon etc
Natural Gas for heat, electricity for all other needs.
b
Wculc 'vour
energy bv
descrlbe
project
aCjacent
a-=;=ect ':he potent'=."
prcoe':'es? ~r
use
Of soiar
genera: 1 'I
so
No
c What ki~ds of e~ergy ccnserva':lon features are lncluced
in the plans of th:5 proposa1? ~ist other proposed
measures to reduce or control energy impacts if any.
Housels to meet current energy conservation
requirements.
I Environmental Health
a Are there any envircnmen:a "ealth hazaros, i;lclud"ng
e^p05ure to toxic chemlcals rlsk of fire and exploslon
spills. of ha=ardous waste :nat could occ~r as a resu"t
of this proposal? If so describe
No
1) Describe special emergency services that might be
required
N/A
2) Proposed meaSL.ires to recuce or centrol environmer.ta
health hazards if any.
N/A
b Noise
1) What types of noise eXlst
your project (for examole'
other)?
The hitting of golf balls.
CITY OF YELM ENVIRONMENTAL O'EO<L!Si
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ln the area which may affect
traffic, equipment operation.
and Traffic
PAGE 6
2) What types and levels of noise would be created b)' or
assooiated w~th the project on a shcrt-term or a lcng-
term basis (fer example traffic co~s~ruct.c-
oaeration othe~)~ Indicate what hours nOlse wou1d co~e
f~om the site
Automobile traffic, construction noise until project
is completed.
3) Proposed measures to ~educe or control nOise i~pacts ,f
any
N/A
a Land and Shoreline Use
a What is the c...rrent use of tne s~te and a(::jacent
propertles?
vacant
b
has the site
agriculture or
No
been used
fcrestry? loT
.;:
,cr
mineral
describe
excavation
c::~
_I..J
c Descr1be any s:ruct~res en t~e site
Small house.
d Will any structu~es be demolished~ If so what~
Yes, small house.
e What is the Cl...r,"'ent comprehens1v'e plan des1gnat~On cf t.he
site?
General
i What is tre Cl...rren~ zonlnG c;~~s~ficaticn or the si~e?
General
g .L'" appl icabie wnat is the, CLirrent shore: ine master
program designation of the site~
N/A
h
Has any part of the site been classified as
resource, critical" or en'lironmentall,
area? If so, specify
No
a "natural
sens it i ;e
Aoproximately how many people wcwlc reside or work in tre
ccmpleted projeot~
152
,J Aporoximately how many people wcuid the como1eted proJect
d"isplace?
o
k
measures
if any.
to
avoid
or
reduce
displacerr.ent
Proposed
lmpacts,
N/A
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1 Proposed measures to ensure the proposal is compatible
with eXlsting and projected l~nd uses and plans, if any:
Quality subdivision, with paved roads.
9 Housing
a ApproXlmately how many units would be provided if any?
Indicate whether hlgh mld~-e or low-income housing
61 units low-middle income housing.
b
Approximately hOW man'! l...n~':s if an'!
eliminated? :nd,oate whether ;.."gh. middle
housing
\N'ould be
or low-income
o
c Proposed mea5~res to reduce cr concrol housing impacts
if any.
10
Green space buffer to S.R. 507.
uninhabiied
Aesthetics
a What is the tallest he'ght c- an'!
not i nc I ud 1 ng an t.ennas. wn:-.: 1::
bUllding materia:(s) propcse~~
301
All other sides are
proposed scructure(s).
the principal exterior
b
Wha: Views in the immec;ate
obstructed?
None
ciniey wOu'd be altered cr
c Proposed me3.s~res ::0 ,eeL-ce c" contra aestret 1C lmpac::s
if any
Green belt. Landscaped entrance, and landscape all
front yards.
11 Light and Glare
a What type of 1 i 9 n ~ or S 1 a l' e .J ~ 1 1 the pro;: 0 S a 1 ::ll' 0 d t... c e '1
What time of day would it ma~nly occur?
Residential and Head lights.
b Could 1 ight or glare from tne finished project be a
safety hazard or interfere with views")
No
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c What existlrg off-site sources of light or glare may
affect your proposal?
None
d Proposed measures to rec:uce or control 1 ignt and glare
impacts I if any
None
i2
Recreation
a What designated and infcrmal recreat,cra;
are in the 1mmediate Vlclnlty?
Golf, Hiking, walkinq, and bicycling.
b Wculd the proposed ;Jr'o]ect ::i"SD!ace
re~reational uses? If so, describe
cpportwnlt1::?S
arw exis1:-g
No
c Proposed measures tc reduce cr ccntrol "1mcacts or provl::e
recreation opportunities
Green Belt along proposed Bicycle/walking route.
Historlc and Cultural Preservation
a .lre there any p laces or o::je,::ts 11stec:::n or
f~r' national state or 'ccal pr'f?Servstlon
k"Q'..Jn to be on or ne'{'c to the site? .;,., so
descrlbe
proposed
registers
generally
No
b Generally cescribe any landmar~s or eV1Ce'lCe of historic
archeo~ogical scie~tiflc or cultural iffiDortance ~nown
to be on or next to the site
N/A
c
?roD03ed measures to reduce or contrel '~pacts
i fan '/ .
N/A
14 Transportation
a Identify sldewalks. tralls public streets and highways
5e"'v i '1g the site and des::r i be proposec access to the
e~isting street sys:em Shew on site ="ans if any
please refer to site plan
b __ s.te current';-' served by publ'c :re.nsit? By lv/hat
mears~ If ret wnat plans exist fer tr=~s~t service?
No, hopefully it will provide mass; transit to sub-
division.
C "';ow ffia!"'i~/ park 1 ng spaces wou '1 d the comp 1 eteo project have?
Hcw many would the project eliminate?
Adequate parking will be provided at each home.
CITY OF YELM ENVIROf\MENT AL CHEO<LIST
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d Wi 11 the proposal recuire any new sidewalks trai 1s
roads or streets or inprove~ents to existing sidewalks.
trails roads or streets not includi~g dr'VeWSys? rr
so, generally descrloe (li'.:,C3.ta whether public cr
private)
Please refer to plot plan.
e W,ll the project use (or occwr in the immed,ate vicin,ty
of) water is, or a,r tran~portation') If so, generally
describe
N/A
f
How many veh-cuiar tries
the completed project')
volumes would occwr
~er cay would be generated by
If fnown, indicate when peal-
Approximately 150 trips per day
g Proposed measures to reduce cr control transDortaticn
,mpacts, if any
Public Services
a Would the pro]ec: ~esult j~
servIces (fo~ eAamaie
protection heaith care
generally descr'be.
Yes
b ProDosed mea~ures to reduce or control direct impac:s en
public serVlces if any
Fire Hydrants will be installed. Houses to be built
16 Util}r;~re most current fire prev~ntion standards.
a Circl~ t,lit1es currently available at the s,te'
electric.t natural gas, water, refuse service
telephone, sanitary sewer septic system other
b Oescr ibe tIJe ut" 1 it ies that are proposed for the proJf',-t-
the utility oroviding the serv,ce anc :he gen'
construction activities on the site or in t,e immed
vicinity wh,cn m,ght be neeced
c
Washington Natural Gas
SIGNATURE
viacom cable
The above answer s are true ana cemp i ete to the bes t 0
knowledge I understand that the City of Yelm is rely;n
;~;;a:;~;::~~~~
CITY OF YELM ENVIRONVENT AL a-1EO<LIST PAG
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SUPPLEMENTAL ENVIRONMENTAL CHECKLIST FOR NONPROJECT ACTIONS
(00 not use this sheet for proj~ct act;ons )
When answer ing these ouest ions, be aware of the extent or ::r,e
proposal, or the types of activities lil<ely to result from the
proposal, wou]d affect the item at a greater intensity or at a
faster, rate than if the proposal were not implemented Respond
br,efly and ,n general terms
How would the proposal be llkel/ to increase discharge to
water. em,ssions to air. product,on. storage or release OT
toxic or hazardous substances. or production of noise?
1.) Storm water from roads and roofs.
2. ) Residential sewage'.
Proposed measures to avoid or reduce such increases are:
1.) Engineered storm water management facility.
2.) Residential sewage to be piped to sewage treatment plant.
2 Ho'.'" would the proposa1 be llh.ely :0 affect piant;, anima1s
fish, or marine l~fe?
N/A
Proposed measures to protect or conserve alants
fish or marine llfe are:
anima"s
N/A
3 How would the proposal be 1 ikelv to deplete e~ergy or nat~ra'
resources?
N/A
Proposed measures to protect or conserve energy and natural
resources are:
N/A
4 How would the proposal be l'keiy to use or affect critlca or
environmentally sensit,ve areas or areas designated (or
eligible or under stucv) for governmental prctection such as
parks, wilderness ,...,id and scenic rivers threatened or
endangered soecies nabltat hlstoric or cuit~ral SiteS
wetlands. floodplalns or natural resource areas?
N/A
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Proposed measures to protect such resources or to avoid or
reduce imcacts are'
N/A
5 How would the proposal oe likely to affect land and shorel"e
use, 1nclLlding whether it would allow or encourage land or
shorelin~ uses incomcatibie with existing plans?
N/A
Proposed measures to avoid or reduce shore11ne and land ~se
impacts are
N/A
6 How would the proposai be likely to ~ncrease aemands en
transportation or public serv,ces and utilities?
Hopefully residents would desire to use I.T. mass
transit.
Proposed measures to ~ecuce or respond to sucn aemandls)
Provide location for bus stop.
-~'"
0., _
7 Identify i~ poss1ble whether the proposal may conflict W1cn
local state or federai 'aws or requ"rements for :he
protection or the en/ironment
None.
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