Environmental Checklist 001To be Completed by Applicant
llcna CITY OF YELM
os-oss P.O. Box 479
Yelm, WA 98597
360-458-3244
ENVIRONMENTAL CHECKLIST
A. BACKGROUND
I. Name of Proposed Project, if any.
2. Name of applicant.
Evaluation for
Aeencv Use Only
OFFICIAL USE ONLY
Pee: ~ U
Date Rcccived:J ~ e
By, --7 f'I
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FileNo. ~~-~~-Ola~.~
Del's Farm Supply
DFS Properties, LLC
3. Address and phone number of applicant and contact person.
Linda Michaelis, 10 N Fairway Drive East, Hoodsport, WA 98548 Phone: (360) 877.5420
4. Date ofchecklis't. June 28, 2006
5. Agency requesting checklist City of Yelm
6. Proposed timing of schedule(including phasing, if applicable).
Spring 2007
7. Do you have any plans for future additions, expansion, or furlhcr activity related to or connected with this
proposal? If yes, explain.
None known.
R. List any environmental information you know about thel has been prepared, or will be operated, directly related
to this proposal.
None.
9. Do you know whether applica[ious are pending fur govemmen[ approvals ofother proposals directly affecting
the property covered by your proposal? (Eyes, explain.
None.
IQ List any government approvals or permits that will be needed Cor you[ proposal, if known.
Site plan approval, SEPA, and grading.
I I. Give a brief; complete description of your proposal, including [he proposetl uses antl the srze of the pmleet aptl
site. There ere several questions later in this checklist tltel ask you to describe certain aspects of your proposal.
You do not need to repeat those answers' on this page.
Project includes construction of a pole barn for storage, additional asphalt, and frontage
improvements along Bald Hills Road. The existing retail building will be connected to City
water and sewer.
12. 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, and section, township, and range if know. [f a proposal
would occur over a range of arcs, provide the range ofboundaries of the site(s). Provide a legal description,
site plan, vicinity map, and topographic map if reasonably available. While you should submie nay plans
required by the agency, you arc not rcquisd to duplicate maps of detailed plans submitted with any permit
applications related to this checklist.
The project is located just west of the intersection of Bald Hills Road and Yelm Avenue. Site
address is 10616 Bald Hills Road.
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R. EN~7RONMENTAL F.LF.MENTS
Earth
a. General description of the site (circle one): Flat, rolling, hilly, steep slopes,
mountainous, other Flat
b. What is [he steepest slope on the site (approximate percent slope)?
3%
c. What general types of soils ere found on the site (for example, clay, send
gravel, peat, muck)? if you know the olassification of agriculNral sails,
specify them and note any prime farmland.
McKenna Gravelly Silt Loam
d. Are there surface indicators or history of unstable soils in the immediate
vicinity'? If sq describe.
None.
e. Describe the purpose, type, and approximate quantities of any filling or
grading proposed. [ndicale source of fill.
800 CY of gravel for pavement section and structural fill will 6e
imported to the site.
f. Could erosion occur as a result of clearing constructioq or use'? If sq
generally describe.
Yes, during construction.
g. About what percent of the site will be covered with impervious surfaces after
project construction (for example, asphalt or buildings)?
Approximately 30 % of the site will be covered with impervious
surtaces.
h. Proposed measures to reduce or control erosion, or other impacts to the earth,
if any:
An engineered erosion control plan will be prepared.
?. Air
a. What types of emissions to the air would result from the proposal (i.e-, dust,
automobile, odo[s, industrial wood smoke) during wnstmction and when the
project is completedY If any, generally describe and give approximate
quantities if known.
Dust during construction, and emissions from automobiles.
b. Are Rrere any oCC-site sources of emissions or odor that may affect your
proposal? I(so, generally describe.
None known.
c. Proposed measures to reduce or wntrol emissions or other impacts to air, iF
any:
None.
Evaluation (or
Aeencv Use ONv
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To be Comoleted by Anulicant
Water
a. Surface
(I) Is there any surface water body on or in the immediate vicinity of the
site (including year-round end seasonal streams, saltwater, lakes, ponds,
wetlands)'? If yes, describe type and provide names. Ifappropriate,
stale what stream or river it flows into.
Yelm Creek is located along the east property line.
(2) Will the project rrquire any work over, in, or adjacent to (within 200
feet) the described waters? Ifyes, please describe and attach available
plans.
None.
(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 souroe of fill material.
None.
(4) Will the proposal require suA~aec water withdrawals or diversions'?
Give general description, purpose, and approximate quantities if known.
None.
(5) Does dre proposal lie within a 100-year Flood plain? If so, note location
on the site plan.
The site is with in the 100-year flood plain, but no
improvements are planned within the flood plain.
(6) Does the proposal involve any discharges of waste materials to surface
watcr7 ff so, describe the type of waste and anticipated volume oC
discharge
None, all storm water will be infiltrated on-site.
b. Ground
(I) Will ground water be withdrawn, or will water be discharged to ground
water? Give general desaiptioq purpose, and approximate quantities' if
known.
Storm water will be infiltrated in the ground.
(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, dre number of such systems, the
number of houses to be served (if applicable), or the number of animals
or humans the system(s) arc expected to sewe.
None.
Evaluation for
Aeeocv Use Onlv
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Evaluation for
To be Completed by Aoolicant Aeencv Use Onlv
a Water Runoff tincludinc stormwater)
(I) Describe the source of runoff(including stormwa[er)and method of
collection and disposal, if any (include quantities, if known). Where
will this water do W? WiII this water Flow into other watca? [f s'o.
describe.
Storm water runoff will be generated from the parking lot and
roofs. The water will generally sheet flow to the east side of
the parking lot where it will be collected and directed to a
wet pond for treatment.
(2) Could waste materials enter ground or surface waters'? If so, generally
describe.
Yes, wastes could enter the ground in the infiltration pond.
d. Proposed measures to reduce or control surface, ground, and runoff water
impacts, if any:
stormwater treatment will 6e provided by a wet pond prior to
infiltration.
4. Plants
a. Check or circle types of vegetation found on the site:
x Deciduous nee: 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, 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'?
Approximately 30,000 sf of grass will be removed, and one
large maple as well.
e. 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:
Site will be landscaped as part of project.
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To he Completed by Applicant
5. Animals
Circle any birds and animals which have been observed on or near the
a.
sift or arc known to be on or near the sift:
Birds: hawk, heroq eagle, songbirds, other:
Mammals: deer, bear, elk, beaver, other:
Pish: bass, salmon, trout, herring shellfish, other:
b. List any threatened or endangered species known to be on or near the site.
None known.
c. Is the site part ofa migration route'? If so, explain.
No.
d. Proposed measures ro preserve or enhance wildlife, if any:
None.
6. Energy and Natural Resources
a. What kinds' of cncrgy (electric, naNral gas, oil, wood stove, solar) will be
used to meet the completed projecPs energy needs'? Describe whether it
will be used far heating, manufacturing etc.
Electrical for lighting, gas for heating.
h. Would your project affect the potential use of solar energy by adjacent
properties? If so, generally describe.
No.
c. What kinds of energy conservation features' are included in the plans of
this proposal? Lis[ other proposed measures [o reduce or control cncrgy
impacts, if any:
None.
Z 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.
Fertilizer and pesticides.
Q) Deseribcspccial emergency scrviccs'that migh[be required.
None.
(2) Proposed meesmes to reduce or control envhonmental health
hazards, i(any:
Spill control plan has been prepared for the site.
Evaluation far
Aecncv Usc Ouly
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Evaluation for
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b. Noise
Q) What types of noise exist in Hte area which may affect your
project (for example: haffq equipment, opera[ioq other)'?
Traffic from Yelm Avenue and Bald Hills Road.
(2) What types and levels of noise would be created by or associated
with the project on ashort-term or along-term basis (for example:
traffiq construction, operation, other)'? Indicate what hours noise
would wme from the site.
Construction equipment and fork lifts.
~3) Proposed measures to reduce or control noise impacts, if any:
Limit hours of operation and construction.
R. Land and Shoreline Use
e, What is the current use of the site and adjacent properties?
Commercial.
h. Iles the site been used for agriculture? If s'o, describe.
Possibly, a long time ago.
a Descrbe any structures on the site.
Existing metal retail building, single family home and well
house.
d. Will any slmeNres be demolished'? If sq what?
A single family home.
e. What is the current zoning classification of the site'?
C1 -Commercial.
f. What is the current comprehensive plan designation of the site?
Commercial.
g. If applicable, what is the current Shoreline Master Program designation of
the site?
Not known.
h. Has arty part of the site been classified an "environmentally sensitive"
area? If sq specify.
Yes, Yelm Creek.
i. Approximately how many people would reside or work in the completed
project?
20 people.
~' Approximately haw many people would the completed project displace?
One single family residence will be removed.
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Evaluation for
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k. Proposed measures to avoid or reduce displacement impacts, if any"
None.
I. Proposed measures to ensure the proposal is compatible with existing and
projected land uses and plans', if any:
Site plan approval process at the City.
9. Housine
a. Approximately how many units would be provided, if any'? Indicate
whether high-, middle-, orlow-income housing.
None.
b. Approximately how many units, if any, would be climinalcdP Indicate
whether high-,middle-, orlow-income housing.
One.
a Proposed measures to mduw or control housing inrpacLV, if any:
None.
10. Aesthetics
a What is the tallest height of any proposed structure(s), not including
antennas; what is dre principle exterior building material(s) proposed?
Highest building is 20 feet.
b- What views in the immediate vicinity would be altered or obstructed?
None.
c Proposed measures to reduce or control aesthetic impact, i(any:
None.
1 L Lieht and Glare
a. What type of light or glare will the proposal produce? What time of day
would i[ mainly occuf'
Lighting for parking lot during night time may produce glare.
b. Could light or glare from the finished project be a safety hazard or
interfere with views'?
No.
a What existing off~ite sources of light or glare may affect your proposal'?
Lighting at near by gas station.
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F,valuation for
To be Completed by Aoplicaot Aeencv Gse Only
d. Proposed mensures to reduce or conuol light and glare impacts, if any:
Selection of lights to consider glare.
12. Recreation
s. What designated and informal recreational opportunities are in the
immediate vicinity?
None.
b. Wouldthe proposed project displace any existing recreational uses? If so,
describe.
No.
c. Proposed measures to reduce or control impacts on recreatioq including
recreation opportunities to be provided by the project or applicant, if any:
None.
13. Historic and Cultural preservation
a. Are there any places or objects listed on, or proposed tor, national, slate,
or local preservation registers known to be on or next to the site? If so,
generally describe.
None known.
b. Generally describe any landmarks or evidence of historic, archaeological,
scientifiq or cultural importance known to be on or next to the sire.
None known.
a Proposed measures to reduce or control impacts', if any:
None.
14. Transportation
a. [dcntify public streets and highways serving the site, and describe
proposed access to the existing sheet system. Show on site plans, if any.
Yelm Avenue and Bald Hills Road.
b. [s site currently served by public tmnsif? If not, whet is the approximate
distance to the nearest transit stop?
Yes, on Yelm Avenue.
c. How many parking spaces would the completed project have? How many
would the project eliminate?
34 stalls.
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To be Completed by Applicap[
d. Will the proposal require any new roads or sheets, or improvements [o
existing roads or streets, nat including driveways? tf so, generally
describe (indicate whether public or private).
None.
e. Will the project use (or occur in the immediate vicinity oQ water, rail, or
air nansportation7 If so, generally describe.
No.
f. How many vehicular trips per day would be generated by the completed
project? If known, indicate when peak volumes would occur.
B~ Proposed measures to reduce or control transportation impacts, iC any:
Pay impact fees.
I5. Public Services
a. Would the project result in an increased need for public services (tor
example: fire protectioq police protectioq health care, schools, other)? if
sq generally describe.
Fire protection.
b. Proposed measures to reduce or control direct impacts on public services',
if any.
Pay impact fees.
16. Utilities
z_ Cirole utilities current) available at the site: elechici
y ry, natural gas,
water, refuse service, telephone, sanitary sewer, septic system, other.
Electricity, natural gas, water, refuse service, telephone,
sanitary sewer.
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.
PSE -gas and electricity already on-site.
City of Yelm -water and sewer requiring main extensions.
C. SIGNATURE
Evaluation for
Aeencv Use Only
The above answers are true and complete to the best of my knowledge. I mtderstand that the lead agency is relying on
them to make its decision.
Dale Submitted: ~ JD ~~ Signature: /(~~~~~~t'T'" ~
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