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A
CITY OF YELM
tG~
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Ws~'~
~4tl;:;ililJ~~t~Cf~L Y I
FEE~n)]"Uf'tIC$"50 00 !
DATE R~ ~~~ i
~i~E NO .kJrr,i-i-l{)5t ~d-
,
ENVIRONMENTAL CHECKLIST
8.'\CKGROUND
Name of proposed proJect. if an;
2
Name of appl1cant
Lee FLoo..2)
3 Address and phone number of applicant and of any other contact
person /"7020 /-I/J'/ S07 .:j ~ YtLH, hlA 98'..597
c: re"E C /f.35oc
-/'.0 .cox '7'08 yeU"7 M ~8.57' 7 4Qs Z874
4 Date check 11 st prepared 7-30 93
5
fIlMJ,g. ~ ' hfl't8
Agency requesting checklist
c flY 0 r '/G t.-lVl
Proposed ~lmlng or schedule
appllce.ole)
(including
6
phasing,
I f
A.~ A.~
7
00 you have any plans for fut.Jre add1tions expansion ot
further acti~lty related to or connected with this proposal?
If yes, explaln
No
8
List any environmental informatlon
been preoared, or will be prepared
proposal
YOU k~ow about that has
directly related to thiS
NOA../ L
9 Do you know whether applications are penclng for governmental
approvals of other proposals dlrectly affecting the property
covered by your proposal? If les explain
Nor
~"..J 0 W"'/
10
List any
for your
,elM
government approvals or permlts that will be needed
proposa I, if known CIJIy o-f 'I'i!J~ Pdth/t'c vVorp I
P/c;''Y\rJ/;'f CO'w\IV1/'.>5'~ I -n-ltJ/~..;-;-ri:N c.-~VNn ...~ 41/ l.{ tii'IJLrJl
J €Nvl,G7i1//"l&wr...-
CITY OF YELM ENVIRO~ENTAL CHECKLIST PAGE 1
forms\sepa
.'
J;
; <:,,,,
1 1
Give brlef, complete descrlptlon of your proposal Including
the proposed uses and the size of the project and site There
are several questions later In this chechllst that ask you to
descrlbe certain aspects of your proposal You do not need to
repeat those answers on this page
-;z:::y wz:>~ .B-t; .-f ~'S /h./7D -r-tAJo LOTS.
&eZ
/.8L ~""5 / ~o Lo""- Z-
LoT
"7 () , Ac.~~
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:i3€/--.J&
12
Location of the proposal Give sufficient information for a
person to understand the precise location of your proposed
project, lncluding a street address, if any, and section
township, and range If known If a proposal would occur over
e. range of ar-ee. provide the range or boundaries of the
site(s) Provide a legal description, site plan vIcinity
map and topographic ~ap if reasonably avallabie You need
not duplloate maps or detailed plans submltted with any permit
applications related to this checklist
~,cKo;(' /S<x:>' E Or 6-k ~/c- Ro o-..J SOuTH S'D~ 0 ~ /0..3 ~ d- ~ s (
N/~ /4 or '77tE IVE ~ or .s z ~ -t/7^,/ ~ Z-E
8
ENVIRONMENTAL ELEMENTS
Earth
a
site (CirC'e one)
steep slopes mounta,nous
hilly
other
b What IS the steepest slope on the site (approximate
percent slope)? ~ 0 ~/
- 0/0
c W hat g e n era 1 t y pes 0 f so i 1 s are f Co U n don the sit e (f 0 "
example clay sand, gravel peat muck)? If YOU know the
classification of agr1cultural sOils speclfy them anc
note any prlme farmland
~AVc-t.7 Lb#-/
d
Are there surface indications or
SOliS In the lmmedlate vlcinity0
history of unstable
If so, describe
No
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 2
e
f
g
Describe the purpose type, and approximate quantities of
any filling or grading proposed Indicate source of
f i 1 i
/15 NC:-c€sS/fl'-Y 7"0 (~Sne..'T
R-7/'-7 fr:5,~d:
Could erosion occur as
construction, or use? If so,
-4
..y JC-<:'C
About
No
.I
what
/ r --:2)/6-6---6-
a result of clearing
generally descrlbe
~r-/T/f. -- FO
,IS
impervlous
asphalt or
percent of the site will be covered with
surfaces after project construction such as
buildlngs?
:z ~ t::
h Proposed measures to reduce or control erosion, or other
impacts to the earth, if anY'
2
Air
a
b
NOr/ E
What types of emissions to the air would result from the
proposal (I e, dust automob~le exhaust, odors
industrial wood smoke) during construct1on and when the
project IS completed? If any, generally describe and
give approximate quantitles if known
,4v7l> ~77 /.6 ~o-/5. ~.2) /&s i 6eL t..:ooD STl>~
j
.::5i-rc~ F.20r-r Z ~ ,~c-CS
Are there any off-site sources of emissions or odor that
may affect your proposal? If so genera~ly describe
"po A.Io r k/o "1l
c Proposed measures to reduce or control emisslons or other
imoacts to alr If any
jJONC
3 Water
a Surface Water
1) Is there any surface water body or wetiand on or in the
Immediate vicinity of the site (including year-round and
seasonal streams saltwater lakes ponds)? If yes
describe type and provide names State ""hat stream or
river It flows into?
Nb
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 3
2) Wi II the project requlre any work over, in or adjacent
to (within 300 feet) the described waters? If yes,
please describe and attaoh available plans
NO
3)
Estimate
would be
wetlands
affected
the amount of fill and dredge material that
placed in or removed from surface water or
and lndlcate the area of the site that would be
Indicate the source of fill material
NoNe
4)
Will the proposal require surface \..;ater
diversions? Give general descriotion
approxlmate quantities If known
wlthdrawals or
purpose and
No
5) Does the proposal lie wlthin a 100-year floodplain? If
so note elevation on the site plan
7=b
NOr
~NOvJ
6 )
Does the proposal lrvolve
materials to surface waters~
waste and anticipated volume
A/o
any discharges of waste
If so, describe the type of
of discharge
b Grouncwater
1) Will groundwater be vJlthdrawn, or will water be
discharged to ground'...;ate"""; Give general description
purpose, and approximate quantities if known
tvcu.<.J- /iJ1Z.. Z. .:5;;V'~' F/!n'L./~ h's ;/t::e-"C-?O<:;
2) Descrlbe the underlYlng aquifer with regard to quality
and auantity, sensitivlty protection recharge areas
etc VN,J::.Now#
3) Describe waste material that will be dlsoharged into or
onto the ground from septic tan~s or other sources if
any (such as domestic sewage. industrlal byproducts.
agricultural chemicals)
z 5r-t0t ~ 0 Y~:>';7:"-' S
r*l/-f
z ::; ;<../~~e /,-f; 7, '- 7' A-~ {])e'..I C~.
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 4
c Water Runoff (lncluding storm water)
n Describe the source of runoff (including storm water) and
method of collection and disposal if any (Include
quantities 1f b-.nown) Where will thlS water flO\.-,1r Will
thls water flow 1nto other waters? If so desc~lbe
,/l.L-L. 1Z(,/;v<)r:fL WIG.4...rtcC &~4<-CF/J OA./
S'rn= ~ 0Ut$J&-r- 70 e~fl7~.5 gy flt.i5U0 W6~~
2) Could waste me.terials enter ground or surface waters? :Lf
so generallY describe
;Vo
d Proposed measures to reduce or control surface ground,
and runoff water impacts if any
Nr)#Jc
4 Plants
a Check or clrcle types of \egetation fo~nd on the site
x-
deCiduous tree
evergreen tree
shrubs
a'der, ~aple oa~ aspen, other
f;~ cedar Olne ot~er
X' grasses
,)C pasture
crops or grains
wet soil plants cattail, butc:.ercup bulrush
skunk cabbage, other
\...;ater plants water 1 i 1'/ eelgrass, mi lfoi 1 other
other types of vegetation
b
What kind
altered?
and amount
of '/egetatlon
will
be
removed or
/0
...sOT7C<=
&-is n:.o",
G~~~ T'f-+-1
/es" /~.:SC or--! L6 r 'Z
& /€-7~
c List threatened or endangered species known to be on or
near the site
']:::u A./o r ~c)"J
d
Proposed
measures
if any
landscaping use of native plants
to preserve or enhance vegetation on
or otrer
the sit:
}..fa;::'r-/4G
4S/J.)~n4L
LA-KJs<AP oJ&-
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
other
hawk heron ducks eagle,~r~
---'
mamma 1 s deer, bear elk beaver other
flSh bass salmon, trout, shellfish, other.
-'
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 5
b List any priority, threatened or endangered species known
to be on or near the site
--:z:> ,\
A./o-r
KA./o't..J
c Is the site part of a migration route0 If so explain
7:Jo Ator ~D K-/
Proposed measLlf"es to preserve or enhance \.flldllfe
any
d
'1 f
NONe
6 Energy and Natural Resources
a What kinds of energy (electric, natura.l gas gasoline, hea:lng
oi 1 wood solar etc ) wi 11 be used to meet the completed
proJect's energy needs? Describe whether It will be used for
heating manufa;;turlng transpOt'tatlon etc
~LEC-TiI2f,- +-'Lc.-r:~~<;,A1<.C) Wj)~i/C roe ~S'~TI-1Z- o~
/ /
b
Would
enerGY
'y o...lr
by
proiect
adJacent
affect the potent'3.'
proper~ies? If
use
Of solar
~ene('a '111
30
des::rlte
/'..10
c What ~lnds of energy conservation features are incluced
in the plans of this proposal? List other' proposed
measures to reduce or control energy lmpacts If any
jUOA/,E
7 Env1ronmental Health
a Are there any' environmenta lealth hazards, i'lclJd'ng
e posure to tOX1C chemicals rlsk of f Ire and eyplOS10n,
spill2 of hazardous waste that could occur as a result
of this proposal? If so describe
NOA../E
I< A/6vJA/'
1)
Describe special
required
emergency services that might
,",,,,,
u~
Nowe
2) Proposed measures to recuce or control en'/lronmental
health hazards if any
f'JON' E
b
1)
Noise
What types of noise e~ist
your proJect (for examp 1 e
other)?
In the area which may affect
:rafflC, eqUipment operatlon,
NfJ~e-
CITY OF YELM ENVIRON~ENTAL CHECKLIST
forms\sepa
PAGE 6
3)
2)
What types and levels of noise would be created by or
associated w1th the project on a short-term or a long-
term basis (for exampie traffic, constructlon
ooeration other)0 Indlcate what hours nOise would come
fro m the sit e e.OA./S~<K.T/o.J So v-eJ ~ Fl::YZ. Z.:5 r"../6~
hP--;~~"7 #'E5~~ 2Jv,€ov(;r 7MYl/(:,...,fr /kJveS.
j
Proposed measures to ~educe or control nOise impacts lf
ani
jVo;V'~
d Land and Shoreline Use
a What is the current use of the site and adJacent
propert les0 5/A/id-c F-4T7/'-Y j?<!$/~~
/1ND AGel C CL 7l.A&f7- ~?/57u,RiE
b Has the site been used for mineral excavation,
agriculture or forestry? If so describe
-:;2>0 NO'- ~ovJ
c Describe any structures cn the SlGe
Lob- Hou56 ~ID tv &tL. flDv'5 ~ (jN Lo r /
d Will any structures be demollshed~ If so what0
No
e
What is the current comorehenslve plan
site?
the
designation of
d;>o
//V'()~
N07
r What IS t~e current zoning class,f,cat'on of the site?
.co
/1./0) ,e/Jo vJ
g
If appllcabie, what
program designation
,vIA
master
IS the current
of the site"
shor-e;lne
h
Has any part of the site been classified as
resource, critical or environmentally
area? If so, specify
-:Z)(.:; No-r ):::A/ () J
a natural
sensitive
Aoproximately how many people would reslde or work in the
completed project?
Z rAn /L/~
,J ApprOXimately how many people would the comoleted project
displace?
;V(j~
k
Proposed
Impacts
to
avoid
reduce
displacement
measures
if any'
or
/vc.-/iE;
CITY OF YELM ENVIRONMENTAL CHECKLIST
forms\sepa
PAGE 7
. .
Proposed measures
with eXlstlng and
N'LL /7EiEr
to ensure the
projected land
(! cH-/V / n tt-./ .s
proposal is compatible
uses and plans if any
Or ~ OF y~
9 Housing
a Appro~lmately how many units would be provided if anv?
Indicate whether high middle or low-income hous1ng
~o
./., ;\....:, ~>
5~/'-../6~ jC~,(.. --y 4s ;DY..--'cr:5
b
Approximately how many units
elimlnated? J::ndlcate whether hlgh,
hous1ng
I f any
middle or
1..,I0U 1 d be
'1 ow- Income
#ONt
c Proposed measures to reduce or control housing imoacts
if any
tJDN6
10
Aesthetics
a What 15 the taliest height of any oroposed structure s),
not including 2,ntenna~;. wh&.t IS the prlnclpal exterior
bUilding mater1al(s) proposed~
2 or.3 S'RJ-e-y /€51Z>0AJ~
/C6-S,CL-7' B.c:,C-iL ().e tAJCJaJ-"J
5-,p, ,.....f:r
b What Views in the immediate viclnltj would be altered or
obstructed?
Na.-.../ <E:
c proposed measures to reCLce Or' contro' aesthetic Impacts
if any
~c/'./c
11 Light and Glare
a W hat t y p e 0 f 1 i g h tor 9 I are \,.,1 1 1 1 the pro p 0 s alp i' 0 due e ?
What time of day would it mainly occur?
L/ t;.-rrr r,.c!()--] z 4s / DcA./C-<f=" 'S "" r /VI 6-//;-
b Could light or glare from the finished project be a
safety hazard or interfere with views0
No
CITY OF YELM ENVIRONMENTAL CHEC~LIST
forms\sepa
PAGE 8
c What existing off-site sources of light or glare may
affect your proposal?
A/'V)...../e!:.
d Proposed measures to reduce or control I ight and glare
1mpacts, If any
/\/6A./6-
12
Recreation
a What designated and informal recreational
are in the Immediate v1cinlty?
NCA/tE ~ow-r
b Would the prooosed project displace
recreatlonal uses? If so, describe
"l/o
c Proposed measures to reduce or control lmpaots or provi:::e
recreation opportunities
/-I'/)"JC
opportunities
anyexist',g
13
Historic and Cultural Preserv?tion
a Are there any claces or objects
for natlonal ste.te or local
known to be on or next to the
descr1be
llsted on or propcsed
Dreservation registers
site? If so, generallY
N07
/?~oW'J
b Generally describe any landmarks or evidence of histor;c
archeological sc,entific, or cultural importance hnown
to be on or next to the site
N6A./E
fC;</o w".J
c
ProDosed measure2 to reduce or control impacts
N'6."JC
i fan 'I
14 Transportation
a Identify sidewalks trails public streets and highways
serving the site and descr1be proposed access to the
0, eXl.sting street system Show on site pians if ~ny , ~_
~s '70 T~~<' /5 -ro &- ~~.I"'~D O~ SOv'TH S~ Or /OS.L.U Ave: 5.5
b
Is site current-y
means~ If not wnat
served
plans
by publ1c transit") 8'1 v/hat
exist for transit service~
Is:le' .~ No
c How many park 1n9 spaces would the completed project have?
How many would the project eliminate?
Ni),,-/€
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 9
d Will the proposal require any new sidewalks trails
roads or streets, or 1nprovements to exist1ng sidewalks,
trails, roads or streets not including driveways? If
so, generally describe (Indicate whether publ1C or
private)
NiJ
e Will the project use (or occur in the immediate v1cinity
of) water ra1l, or a1r transportation? If so, generally
describe
;\/0
f
How many vehicular trios per
the completed project", If
volumes would oocur
day would be generated by
~ nown '1 nd I ca t e when pea~
Z r-A"IL ,C::--=> X
4 r~iJ
8 ffr-/'5 PC-oR .2)/lY
g
Proposed
impacts
measures
If any
to
reduce
or
control
tranSOOt'tat lon
N~
-1.c::
I v
Public Servioes
a Would the project result
services (for e~amole
protection heaith care
generally describe
In an lncreased need for public
fire protection police
schools, other)? =f so
/15
,t!c CH.I //2~ -6 Y
Z A-LJiJ/ n t/'-I'ft
p;f., -1 (,le<5
b Proposed measures to reduce or control direct lnpacts on
public services if any
MNe::.
16 Utilities
a Cir Q utilities currently available at the site
electricity natural gas, ~ refuse serv1ce
: , ~anitary sewer. se~stem other
b Descr' be the ut II it i es that are proposed for the project
the utility providing the service and the general
construction actlv1tles on the site or in the 1mmediate
vicinity which might be ~eeded /J
f?e{;//HiF' WeLLS I f/u&cr ro~ , )fL/7 7Et'C'..&o-r-<
C SIGNATURE
The above answer s ar e true and comp 1 ete
knowledge I understand that the City of
them to make Its decision ~
Signature 2~j- /'1, _~
Date Sub m i t t e d ~/3 /./ / 3
CITY OF YELM ENVIRONMENTAL CHECKLIST
forms\sepa
tc the best of my
Yelm is relY1ng on
PAGE 10
CITY OF YELM
POBox 479
Yelm, WA 98597
458-3244
OFFICIAL USE ONLY
f\7)iTD
Fee j Y.W' -- . . -Cz
Date Received 1.?1 .".3. 0:
rA.JI1/J1tJj~'O , ()113
By Jd//.U. . Z1~'_ """ J.t;...f! ..
File No ~.rn .~.g 1J\1'.~~. .
YELM
WASHINGTON
APPLICATION FOR
SHORT PLAT
Fee. $50 00 per lot
(Plus any professional service charges
per Resolution 252)
~~~~OfVElM
./ ai'
A short plat is a request to subdivide property into four or fewer lots for the purpose of residential, commercial,
or industrial development. No more than four lots may be created by short platting within any five-year period
A short plat is reviewed by the City's staff for conformance with City subdivision standards and other regulations
The plat cannot be approved unless appropriate provisions have been made for public facilities, such as roads,
sewer and water Although a survey is required for the final short plat, the survey should not be done until pre-
liminary short plat approval is granted by the City Preliminary and final review will usually each take about 30
days. Unless appealed, the City Planner's decision is final
NAME OF PROJECT 5~r!c;J--
APPLICANT owll./el<..
Mailing Address
City, State and Zip
Telephone
OWNER LG.€ PLOO.D
Mailing Address 17020 hlWY. 507 5_6.-
City, State and Zip YI:'ELM l.A/ A . 95a597
,
Telephone
ENGINEER! ARCHITECT/OTHER C=, IR.V~ t ASS oc.
Mailing Address p.O. BOX 9o~
City, State and Zip >'61-/11 ; lA/A, c?BSQ7
I
Telephone ~5'8 - ?-694-
SUMMARY OF REQUEST s-HoIZ.T PLA, ~ ) 87- A c-1Z-.6' $. //\/7'""0
z.. L-c?rs t.::>? /..;0 ,<Jc:::..e&5 PLUc:. /2G'r-? A/Nt/e~,
PROPERTY DESCRIPTION
General Location A FlROX. /500'; & c>-/ 6'.eoV6 RJ) ON :5 ou-r/-l
.:sIP€: 103 '5:B AV~. 56
Site Address vAlkA/owN Land Area (acres) g, f3z. ,4c~.5
Section z.~ Township 17N Range z..G
Assessor's Tax Parcel Number ({; 4- 30.310 04--oD
Full legal description of subject property (attach separate sheet if necessary)
S6€ MAP
I affirm that all answers, statements and information contained in and submitted with this application are complete
and accurate to the best of my knowledge. I also affirm that I am the owner of the subject site or am duly au-
thorized by the owner to act with respect to this application Further, I grant permission from the owner to any
and all employees and representatives of the City of Yelm and other governmental agencies to enter upon and
inspect said property as reasonably necessary to process this application I agree to pay all fees of the city which
apply to this application ~
Signed ~-~ Date ~)/ ?7/ 1993
PLEASE ANSWER THE FOllOWING QUESTIONS
ATTACH EXTRA PAGES IF NECESSARY
1 Do the subdivisiofl'S lot sizes, proposed use, etc , conform with the zoning of the property? Please explain
YG":5! \AlITI-l ApPI'ZOVAL or: A1'JNe.X:'~lJotJ
2. Are any provisions proposed to minimize conflicts with neighboring land uses? Describe.
A/O
3 Is the site within 300 feet of any "critical areas" such as wetlands or streams?
/\10
4 What provisions will be made for water supply? 1,-,/ Z> / V / z:> V AI.- 1A/.6' L L:S CJ.I"'J
L-o-rS I e z-
.
5 What provisions will be made for sewage?
oN (.,075 / (' z.
/AJ2)NII)UAL.
S"E PriG. SY$T6/11f
6 What provisions will be made for stormwater and/or flood control?
AS REqV/~D Ps~ e,f'/' Or' YG,,-P'Vl
PU/5Uc:.... lA/O.ek:.s eel? VIRE 1'1/J6N1...:5
7 What provisions will be made for streets, access and/or buses?
/VO/l/G
8 What provisions, if any, will be made for open space and/or recreation?
/VO/VG
9 What provisions will be made for schools and school children?
/lJoA/6
ATTACHMENTS.
o Adjacent Property Owners List including Assessors Tax Parcel Numbers
o Vicinity map showing nearby property, streets, land uses, streams and other features
o Map showing location and size of water mains, sewer, stormwater facilities and other utilities and points
of connection to existing systems
o Copy of any covenants or restrictions that will apply
o Grading plan for cuts and fills over 100 cubic yards
o Ten copies of preliminary plat drawing(s) not larger than 18"x24" showing
1 Datum
2 Boundaries of all lots and streets in relation to city limits, section lines or corners, plus existing and
proposed survey and elevation monuments.
3 Lakes, streams, wetlands, trees and other natural features.
4 Proposed zoning, use of each lot, and any public or common areas
5 Existing buildings and other structures.
6 Existing and proposed streets, alleys, sidewalks, railroads and associated rights-of-way
7 Wells and underground storage tanks.
8 On-site waste disposal systems and proposed sewer lines and tanks.
9 Existing and proposed street lighting, power, natural gas, television and telephone lines.
10 Grade and curvature of streets to 300 feet from the plat.
11 Existing and proposed contours at two-foot intervals (or 5-foot if greater than 5%)
o A reduced size copy of the plat not larger than 11"x17"
pLEASE NOTE:
ADJACENT-PROPERTY OWNERS
TYPE Oil PIlINT LEGIBLY IN BLACK INK
MUST HAVE COIlIlECT ZIP CODES
00 NOT WIlITE PARCEL NUMBEIlS ON THIS FORM
THURSTON COUNTY PROPER17ES ONL~ OBTAIN ADDRESSES
FROM COUNTY ASSESSOIlS, BUILDING # 1, FIRST FLOOIl
CITY OF Ot YMPfA PROPETmES ONt Y. ADJACENT PROPERTY
OWNERS LIST SHALL BE PREPARED BY A TITLE COMPANY FOR THOSE
PARCELS WITHIN THE CITY OF OLYMPIA.
INCLUDE ALL PROPERTY OWNERS WITHIN 300 FEET OF EXTERIOR
BOUNDARY OF THE PROPERTY INVOLVED
CASE NO.
Jack Smi~ f.
4921 Ql.1:!i~a Street
Ol~){i: WA 98503
USE BLACK INK ONLY
T
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,
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