Environmental Checklist 001City of Yelm
Community Development
Deyartment
ENVIRONMENTAL,
CHECKLIST
Instructions:
oa~e aecemee
ey
Plle No.
The State Environmental Policy Act (SEPA) requires all governmental agencies to
consider the environmental impacts of a proposal before making decisions. The
purpose of this checklist is to provide information to help identify impacts from your
proposal, to reduce or avoid impacts from the proposal if it can be done, and to help the
City decide whether an EIS is required. An environmental impact statement (EIS) must
be prepared for any proposal with probable significant adverse impacts on
environmental quality.
This environmental checklist asks you to describe same basic information about your
proposal. The City will use this checklist to determine whether the environmental
impacts of your proposal are significant and require preparation of an EIS. You must
answer each question accurately, carefully and to the best of your knowledge. Answer
the questions briefly, but give the best description you can. In most cases, you should
be able to answer the questions from your own observations or project plans without the
need for experts. If you do not know the answer, or if a question does not apply to your
proposal, write "do not know" or "does not apply". Complete answers to the questions
now may avoid delays later. If the space provided is too small, feel free to attach
additional sheets.
Some questions ask about governmental regulations, such as zoning, shoreline, and
landmark designations. Answer these questions if you can. If you have problems, the
city staff can assist you.
The checklist questions apply to all parts of your proposal even if you plan to do them
over a period of time or on different parcels of land. Attach any additional information
that will help describe your proposal or its environmental effects. You may be asked to
explain your answers or provide additional information for determining if there may be
significant adverse impacts.
Nonproject Proposals Only:
Complete both the checklist (even though many questions may be answered "does not
apply") and the Supplemental Sheet for Nonproject Actions (part D). For nonproject
actions, the references in the checklist to the words "project" "applicant," and "property
or site" should be read as "proposal," "proposer," and "affected geographic area,"
respectively.
106 YeLn AouuFe INes~
PO IIot 499
YeLn, RA 99699
(3G0f J88~3836
(360) 4aFd 166 FAX
wu¢.etyeln,.wn mn
CITY OF YELM CITY USE ONLY
FEE: $750.00
ENVIRONMENTAL CHECKLIST DATE RECD
BY:
FILE NO.
A. BACKGROUND
1. Name of proposed project, if any: ICS 5 ZvtxJS c` ccsh'i c~+r7Trl.. ~ y
rhvi~2 cTh'»~e~~ S
2. Name of applicant y~,.~.~ e~wl~hS7'y Sep/~~4 S
3. Address, phone number and email address of applicant and of any other con}act person:
I-'O b~J;r Y76 ~urmer.' FR<rNrr /3rr?irc ~nl0
yE~rn, ccJ7q `id',f9~' v'6 t7. YS''d!6/Zb~
4. Date checklist prepared: C~d<~kCryRJO i`7 yeS. 4Jc-zJ.aU7~N"11(~
v~• /2.07
5. Agency requesting checklist.
e~ >`y ~~ rF < <n
6. Proposed timing or schedule (including phasing, if applicable):
S~nfi a7 To .7E-nr. o y
7. Do you have any plans for future additions, expansion, or further activity related to or
connected with this proposal? if yes, explain. No
8. List any environmental information you know about that has been prepared, or will be
prepared, directly related to this proposal. N/j~
9. Do you know whether applications are pending for governmental approvals of other
proposals directly affecting the property covered by your proposal? If yes, explain.
~0
10. List any government approvals or permits that will be needed for your proposal, if known.
~vzAy~y~ /~rh `i-~a"7 "1
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City of Yelm Environmen[al Checklist Page 1
11. 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. ~r/c P.eo~osA~ Ss To ADD ~ Qwe7zr'Q /cL~Y
'/ Y /~/x'a7-7 aY' L7!'!~2
rx, ~,aq;zcAY ~ooo 5~.~. I Tc,/o /'v/rr.~acv= -
/(. ~- -_CIC/6SS/~UUm ,S' /7SZ s~ 7./. cti.. ~jNQ ~9N 9/i ~<nKyy
~ --- ~F-sricvum ,L~sb ~f. 7~'= /°vrr~vsc--- of /ten NUJ°/~s4C
~~ To /tr duec~ t~~zsuiart.~ ~r ~~'Sr~-v~~-us E~cmr~.~,e3.
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 known. 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. You need not duplicate maps or
detailed plans submitted with any permit applications related to this checklist.
/asY7 G~w~-r2~ ~cJ, ~tm, Sec.zo~ Tz~S /} ~ Z~
~~'~~~ ~` ~Y3 o5G oa 300
B. ENVIRONMENTAL ELEMENTS
1. Earth
a. eral description of the site (circle one):
tat, rolling, hilly, steep slopes, mountainous, other
b. What Is the steepest slope on the site (approximate percent slope)?
/-P~
c. What general types of soils are found on the site (for example, clay, sand, ravel
peat, muck)? If you know the classificatlon of agricultural soils, specify them and
note any prime farmland.
d. Are there surface indications or history of unstable soils in the immediate vicinity?
If so, describe. ~a
e. Describe the purpose, type, and approximate quantities of any filling or t~(y
grading proposed. Indicate source of fill. Ns F"rcc wove.d dew- b
~c^gv~~zo-z~. e~~s cis ~.,~--~s .~ooD ~sc'~f rzs.e
~~,~~E ~- x,40. > .ao ~~y~.
E Could erosion occur as a result of clearing, construction, or use? If so, generally
describe. ~o
City of Yelm Environmental Checklist Page 2
g. About what percent of the site will be covered with impervious surfaces after
project construction such as asphalt or buildings? ~ _ ~ (JJ
0
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if
any. n9 u.~c-- ~ C'c-,-~srn/~rr oxrl brrr "~<--q~~es~TG--..-~~
C X Qi3v~-7~1-V,.J S s l=cy i a,vJ t cam' S ~~-~1 U
vfresc9-o 5~.~{- ~L~t~~
Air
a. What types of emissions to the air would result from the proposal (i.e., dust,
automobile exhaust, odors, industrial wood smoke) during construction and when
the project is completed? If any, generally describe and give approximate
quantities if known. ~7nzS Srv~vs ~tsvc-vx-.r/G- /=Ko++1 ~nYisrn.~e~7An1
ty r9rlLA l3 <- Cim 7TH TO I)US t- yNJ '4 ~TdmJ.Brt[ C-x.vi~vSf-
77sF O~M/~cm-i z'a Pn JJC:'3i U.1 rcc NOT ?~z Udric t>r Nr>lasdTln/S
Are there any off-site sources of emissions or odor that may affect your
proposal? If sq generally describe. ~o
c. Proposed measures to reduce or control emissions or other impacts to air, if any:
Ac C C'rJn s ray ~ ~ iYo-,J C--zq c.<y/sr/Crc/i w<z c drr- Fl~'~
.~.m'+ n~t<zq ~-xc v inv~ tic ~t~uJf Pvn y-~ ~awc s .
Water
a. Surface Water
1) Is there any surface water body or wetland on or in the immediate vicinity of the
site (including year-round and seasonal streams, saltwater, lakes, ponds)? It
yes, describe type and provide names. State what stream or river it flows into?
yrz rn eRc~-tc - SF-.as o+,.a2 - F'~vw ~~ ~r7i-zs r»'c
,vLZQ~«y ~~ -
2) Will the project require any work over, in, or adjacent to (within 300 feet) the
described waters? If yes, please describe and attach available plans. ~Jo
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. ~o~r? ,v~,c}
4) Will the proposal require surface water withdrawals or diversions? Give general
description, purpose, and approximate quantities if known. ~p
City o1 Velm Environmental Checklist Page J
5) Does the proposal lie within a 100-year floodplain? If so, note elevation on the
site plan. .
/V o
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. ,ilo
b. Groundwater:
1) Will groundwater be withdrawn, or will water be discharged to groundwater?
Give general description, purpose, and approximate quantities if known.
/1)o Ga1d ~,va werrrz wr<L Rr u/.KivAizrowN, AcL wA~T'~ i o ac'~
i5U /vFLItZ~ ray ~1'''y rye ~rZ ~/. fj LC .l~+T ('NAi¢GNt) <UHM'-ecti'L L.
at'TRrNR+'b Un7 srs-rte` ,ay APPrzo uo-z) int7ticld 5 .
2) Describe the underlying aquifer with regard to quality and quantity, sensitivity,
protection, recharge areas, etc. Qrry vx' yazm rs y.u c-7..~• rnrrT. y
SfTJSS'/'SNE gtjJrFeR.
3) Describe waste material that will be discharged into or onto the ground from FW/
septic tanks or other sources, if any (such as domestic sewage; industrial ~ti 6~
byproducts, a@ricultural chemicals). j~yer ScsF-.ts S<7t w~ {3 y A'v g
Onr scsY-.JL-s/~.s+c syS,z~m w ~ A ~A~ ~i-rZ.d .}~~~: kti+
u i (,I l c~Y ,
C L' iti~
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 into other waters? If so, describe. t/wyrc~~ n~-,./<5rF uJ.1zC
Crn,-isrsT O~ SrDRm wafE>z .e.rv1 .zz'.L'lNA~rax7. HGC i?vv vx'h
n 4JLZL ~3c= Crvnli~al~r~ wZ~?/2~1 7Y!` E~ciT~7~>G- Y/~°'~s ~nrw:
735.vA c7R -r~~ywrzcs .
2) Could waste materials enter ground or surface waters? If so, generally describe. -
_ YE^s, w,vrr~L err~L~ r'r-2co<.vrF 7-r{~a++ors ~rP- 5~.z.-rJCa ~~' ~+
--- cgniA chvt>pn rssar rrrtorrvAw.ah-mac. - ,, ~~~t.~_: ~~~~c-/~
~r
t~''~ -e/G'c
_h"'~ .'.~.r.
d. Proposed measures to reduce or control surface, ground, and runoff water t I <; f
impacts, if any: SrvRm ~' ~'/'QGEr ~~G ~dCs ~IMmUL<<'"~ /Z -
7~iz 7fsr •~~i+iro.,r~n fora-.~.w,zc s ~. ,!~"~ j) c -
~,r.] ~~yy_,->a-z~rl Sae vr~~i..c-L.r-
City o{ Yelm Environmental Checklist Page 4
Plants
a. Check or circle types of vegetation found on the site:
/ deciduous tree: alder, maple, oak, aspen, other
v/evergreen tree: (ir, cedar, pine, other
shrubs
grasses
pasture
crops or grains
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? ~c.~e
List threatened or endangered species known to be on or near the site. ,>JpNyf
d. Proposed landscaping, use of native plants, or other measures to preserve or
enhance vegetation on the site, if any: Agn.dserrnw ~~'sro-.v ~ o
r3r ~ S ~ P-f <lfYd 3 y ~Ir9'Y Pf yNLVK 5Ti4N09~ Ot
Animals
a. Circle any birds and animals that have been observed on or near the site or are
known to be on or near the site:
~-
blyds- hawk, heron, ducks, eagle, s ngbird s,
other:
mammals: deer, bear, elk, beaver, other:
fish. bass, salmon, trout, shellfish, other-_
b. List any priority, threatened or endangered species known to be on or near the
site. N,s,~y~
Is the site part of a migration route? If so, explain. ~o
Proposed measures to preserve or enhance wildlife, if any: N/q
6. Energy and Natural Resource
a. What kinds of energy electri ,natural gas, asolin ,heating oil, wood, solar etc.)
will be used to meet the completed projecfsneeds? Describe whether it
will be used for heating, manufacturing, transportation, etc.
L mac, l ~Rrn~ena y rr,,z ~ >z-uc- ~ti~ ~~~
~~6c1+vc'r /~~ c-Z'lJz7'/YIrnJ1- clI'4+c~11Tl~7
City of Yelm Environmental Checklist Page 5
Would your project affect the potential use of solar energy by adjacent
properties? If so, generally describe. ~o
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. /yg~c~ c /'/a'T~ ~~~" AND Cad OC1R7G- ~ a c L CSY~NT.C~-~G- rS
CONTRULGCI~ ~y .vy t-~~y i/J9NH4trr/r~vr .SyS7r'r+'+
r04 mAy h+iJrrl L'~f TC2-F7/Cry.
Environmental Health
a. Are there any environmental health hazards, including exposure to toxic
chemicals, risk of fire and explosion, spills, of hazardous waste, that could occur
as a result of this proposal? If so, describe. No
1) Describe special emergency services that might be required. ~oue
2) Proposed measures to reduce or control environmental health hazards, if any: y~
b. Noise
1) What types of noise exist in the area which may affect your project (for example:
traffic, equipment operation, other)?~o,ut
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~~~.
2) What types and levels of noise would be created by or associated with the, t"l, -~ '_
project on a short-term or a Tong-term basis (for example: traffic, construction, C `~i
operation, other)? Indicate what hours noise would come from the site.
Scfo/tr 7-t-nm' (rbNSr~t/G72'>•hV AC~n'1 7-t'S rvn~PRO AUAF'` S[IfiN•'CS/
lvflCRr79SE"t1 NOt3GT CGN`FZS
<onJ G. T'l~x m.' wz-cc iar CvrtsrsrF~rr wzrrf ~+`rr FxzZ rrxlG 5P~'eoc .
Hv(~re3 9~N'.• G: o0a++-+ To, fUOP~
3) Proposed measures to reduce or control noise impacts, if any:
E c~~c-n .,,c+vr wrcL aN'/nuFFi e-~ Ntvc~ /~emrTZZ~s <r»irir-~J
~o ~ /fo JreS ?2NSeR.P3r*a dy 7YE`~ C/37j/ GYt/c tLAy
Land and Shoreline Use
a. What is the current use of the site and adjacent properties?
,$ZTF..~$ erlR?Eh/lly USEb AS NcV C`Z M'/>b~~/~~/ SC/~OOL
y~i ~yer~rJT i~20Fc'K~Yr'S Az2r-'ResrAr'hJ~ac .
Has the site been used for mineral excavation, agnculWre or forestry? If so,
describe. N~
City or yelm Environmental Checklist Page 6
c. Describe any structures on the site.
,~'T:Srb+v'd~15 Fz E'rl>r~v ~9ieYy Y1, zzv S6-~l, r3~n.t)r•1L-- --
f FB.~2 jolt react CrcNJS ?dP+nS.
d. Will any structures be demolished? If so, what? Na
e- What is the current comprehensive plan designafion of the site?
Sous n-+VT.IORJr7 L
E What Is the current zoning classification of the site? ~ .~
g. If applicable, what is the current shoreline master program designation of the
site? N/~
h. Has any part of the site been classified as a "natural resource', "critical" or
"environmentally sensitive" area? If so, specify. ~O
i. Approximately how many people would reside or work in the completed project?
S~YD ~~ ,q;-Udr~TS __
~At ` ~ ~
~oD FTt S~9r~= r
j. Approximately haw many people would the completed project displace? ~,( AJon7E'
k. Proposed measures to avoid or reduce displacement impacts, if any: ~/9
I. Proposed measures to ensure the proposal is compatible with existing and
projected land uses and plans, if any: /TKO ~tZ,T ... S 9v N~]7ov To
~nJ EX-ts Ja ~r7l,- oSC'NOOL .
9 Housing
a. Approximately how many units woultl be provided, if any? Indicate whether high,
middle, or low-income housing. ~/~
b. Approximately how many units, if any, would be eliminated? Indicate whether
high, middle, or low-income housing. ~/
City o/Yelm Environmental CFecklist Page ]
Proposed measures to reduce or control housing impacts, if any:/^^
'T
10. Aesthetics
a. What is the tallest height of any proposed strucW re(s), not including antennas;
what is the principal exterior building material(s) proposed? ~D f
What views in the immediate vicinity would be altered or obstructed? " ~
~oVE
c. Proposed measures to reduce or control aesthetic impacts, if any: ~ J d.eTl-Vx1 S
x~k~C~ Ci rJNS<STy1JY ull ~/Y C~IJ2 nNh9~ oSi 7Z JL~i?li2 r'S.
11. Light and Glare
a. What type of light or glare will the proposal produce? What time of day would it
`mainly occur? ~vtvs'rzz l/C rrr1.,1 ~C rzv~Tt~s ~drec Qr l'r~X~UGrTc-7J
NIU/2 t'7/C J~fTY <.C7r.'+~T NU]l/CS eSC ~YDOC ~~.~vr~z~r mey .Bc~
eu1'~DJelz°-v r.J 7t/t FVr"a/!~WWI -~fr`sc--<sKCrvcJ n~oT 4,~r~rz-~ ~,a2c'-
b. Could light or glare from the finished project be a safety hazard or interfere with '
views? ~ d
What existing off-site sources of light or glare may affect your proposal?
N~/c
d. Proposed measures to reduce or control light and glare impacts, if any:
qcc e-}rrr>zrznc ~r~•'zzz-~vG 1-s d.nere rzz ~,a~ ~ceit ur~rc
5~c" ~S~si'z~~ iv r??~~xAi2" O"~i ,e SITE -zyi3t'~e%3'.
12. Recreation
a. What designated and informal recreational opportunities are in the immediate
vicinity? iiy1S .sr1'F' ~?O,~rtsr5 q/I rya /~ry~ i2 <2 ~2r q.,ZZ1~r/A'L
C9 /~/~ d2YVrv ~rNS .
Would the proposed project displace any existing recreational uses? If so,
describe. ~o
Proposed measures to reduce or control impacts or provide recreation
opportunities: dJ/~
City of Yelm Envifonmental Checklist Page B
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 Io the site? If so, generally
describe. tiJo
Generally describe any landmarks or evidence of historic, archeological,
scientific, or cultural importance known to be on or next to the site. ~ea~
Proposed measures to reduce or control impacts, if any: ~/
9
14. Transportation
a. Identify sidewalks, trails, public streets and highways serving the site, and
describe proposed access to the existing street system. Show on site plans, if
anY. %ffF Srrr .L's .F~Rvezl ay ~ SiRr~r-i^s. 9ce s-ss io
/N.(: Sr+'r Ss C-jrrSSa-NG-.
b. Is site currently served by public transit? By what means? If not, what plans exist
for transit service? xyJo Funr2r /emu 6 /re i'r~,a,rrr i~.v.vs y.2r , ~,~
UNKNpuSnJ. ,~ Y
r ~.
c. How many parking spaces would the completed prole have? How many would
the project eliminate?>=y,i-.sri-,V4. ~y~rc,rn9 Gb'~~crs A9 i2r
Su.epra.~wT ~ SCRve-TNr-PRp/'E!S q~t .r7o Savc1=S
tJ1L< dc" ri~o-7nwPrJ
d. Will the proposal require any new sidewalks, trails, roads or streets, or
improvements to existing sidewalks, trails, roads or streets, not including
driveways? I(so, generally describe (indicate whether public or private).
~5-roe~+....ac.lcr ~-iNy i3 [-" ~~~~~Y~zl~ Amy ~F L~lYJi cfy,` YC-~q>.
-~l ~rl~C~jt n.,~w1.i 1+.-~5
~~~.jw
e. Will the project use (or occur in the immediate vicinity of) water, rail, or air
transportation? If so, generally describe. rho
f. How many vehicular trips per day would be generated by the completed project?
I(known, indicate when peak volumes would occur. /~eA/c T,~qn-pvZ+ Gc'~157pyLLD~
Ss C2)%wa_
g. Proposed measures to reduce or control transportation impacts, if any.
.'TiaE- ~s'nreT .Dbes /"~R6vzz~F avs ;~/vNS/~oaT9TZ7~sJ.
Clfy o/Yelm Environmental Checklist Page 9
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: ~~,F. ~d ~~ r-1 5 ~,V ~-X i~Flyseb+r9 O~ N~
Ckc-sTnJlr SCHOOG . X13 ~'~dsvs<'rm7 13 aEZ~tSSi9rPy/
/v ~fCCOmmd~9lY-- 1~/Cr7E"9SE'zJ S>Ud~'1/T r~-7~r/u9TLZYnIS.
b. Proposed measures to reduce or control direct impacts on public services, if an~/~
16. Utilities
a. Circle utilities currently available at the site: lectrici atural gas water efus
ervi elephon sanitary sewer is s e other.
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. A<c rTBtQ /.LX E'v rl7~.r~=~3 '9h'~
E x33 r~x~G-. L'6N5J11/@lt-On1 rBC~)Y~"F1YY'T rwrRC ~~~
~c'7~~7.c72c" ADD.r>7'rh'r/AL JT.tY Z~l'~'`S
C. SIGNATURE
The above answers are true and complete to the best of my knowledge. I understand
that the City of Yelm Is relying on them to make its decision.
Signature.
Date Sub ed: ~ r
City of Yelm Environmental CM1ecklisf Page to