Environmental Review
SEPA NO' 8206
MITIGATED
DETERMINATION OF NONSIGNIFICANCE
Proponent:
George L. Hom
Description of Proposal
Senior assisted living facility with 118 bed capacity and a 1,100 sq ft
daycare
Location of the Proposal
East side of Burnett Road
Sectionrr ownship/Range
SW 1/4 Section 13, Township 17N Range 1E, Tax Parcel 21713340200
Threshold Determination
The City of Yelm as lead agency for this action has determined that this
proposal does not have a probable significant adverse impact on the
environment. Therefore, an environmental impact statement (EIS) will not
be required under RCW 43.21 C 030(2)(c) This decision was made after
review of a completed environmental checklist and other information on
file with the lead agency This information is available to the public on
request.
Conditions/Mitigating Measures
SEE ATTACHED
Lead agency'
Responsible Official
City of Yelm
Kathy Wolf, Mayor
Date of Issue
Comment Deadline
January 30, 1998
5'00 pm, February 13, 1998
K'6:~Mat;!4
This Mitigated Determination of NonSignificance is issued pursuant to Washington Administrative Code 197-11-
340(2) Comments must be submitted to Catherine Carlson, City Planner, at the address below by 5'00 pm,
February 13, 1998
You may appeal this determination to the Yelm City Council, at above address, by submitting a written appeal no later
than 5 00 pm, February 19, 1998 You should be prepared to make specific factual objections. Contact Agnes
Bennick, City Clerk, to learn more about the procedures for SEPA appeals This MDNS is not a permit and does not
by itself constitute project approval The applicant must comply with all applicable requirements of the City of Yelm
prior to receiving construction permits which may include but are not limited to the City of Yelm Comprehensive Plan,
Zoning Title (17), Critical Areas Ordinance (14 08), Storm water Drainage Design and Erosion Control Manual (DOE),
Uniform Building Code, State Environmental Policy Act (SEPA) Title (14), Road Design Standards, Platting and
Subdivision Title (16), and the Shoreline Master Program
DO NOT PUBLISH BELOW THIS LINE
Published Nisqually Valley News, Thursday, February 5, 1998
Posted in public areas January 30, 1998
Copies to Dept. of Ecology w/checklist
All agencies/citizens on SEPA mailing list.
ATTACHMENT
SEPA CASE NO 8206
This Mitigated Determination of Non Significance is based on the project as proposed and impacts and
mitigation reflected in the fOllowing
. Environmental Checklist (dated November 5, 1997, prepared by George Hom and revised on
January 22, 1998 by David Combs)
. Preliminary Stormwater Report (dated December 18, 1997, prepared by SCA Engineering)
. Traffic Letter (dated November 7, 1997, prepared by SCA Engineering)
And the following conditions
1 The project proponent will be responsible for a Transportation Facility Charge as provide for in
Chapter 1540, Concurrency Management. The projected number of new pm peak hour trips is
39
2 The project shall provide one passenger van for every 60 residents Passenger vans shall have
a minimum 8-person capacity
/
~
City of Yelm
105 Yelm Avenue West
PO Box 479
Yelm, Washington 98597
(360) 458-3244
January-15, 1998
I
Mr George Hom
2218 Blossomwood Ct. N.W
Olympia, WA 98502
Re: Environmental Review for Canyon Ranch of Washington
Dear Mr Hom:
The City is in the process of reviewing your land use application for the Canyon Ranch of _
Washington. Prior to completing the environmental review there are a number of questions on
the environmental checklist that either need an answer or the answer given is incomplete.
Please remember that the answers to these questions are important: they provide information to
the st~ff 9n the environmental impacts of a proposed project and without the correct information
an environmental determination can not be made. Also the environmental checklist and , "
1 application contents are public records and must provide adequate information on a project to
interested citizens and other public agencies.
Below I have indicated the question and the information requested so that the City can complete
the~nvironmental review process THE INFORMATION MUST BE RECEIVED BY THE CITY
NO LATER THAN 5:00 pm, JANUARY 26, 1998, TO KEEP THE PUBLIC HEARING
SCHEDULED .FOR FEBRUARY. Inadequate information or responses to the list below will
also result in the postponement of the February public hearina.. .
Also there are a number of questions the City staff has regarding the site plan and the conditional
use application. I will be forwarding those questions to you shortly in an effort to keep your
project scheduled for the February public hearing
Environmental Checklist - responses required prior to S'OO pm, January 26, 1998.
The numbers below correspond with the question on the checklist.
" ./..f'" Need date checklist was prepared.
~~'Future plans for adjacent 5 acres owned by developer?
C.4Q-You have made application With the City for Site Plan Approval and Conditional Use
. Permit.. Also the health department will need to approve the kitchen facilities Other
"'" permits would include grading permits, civil plan approval and building permits All this
,
*
Recyc1e4 paper
'.
Mr George Hom
January 15,1998 '
_ Page.2 '
!
information should be included in your answer Most of these approvals and permits can
be found on the information provided to you by the City during the presubmission meeting
on September 30, 1997 '
~ Need a more complete description of the project. What is the square footage of the
buildings, how many occupants, how large is the daycare, function ()f the recreation ar~a,
etc. ' '
,;.
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Earth
-';
~ Site preparation'will require grading. How many cubic yards will the grading involve,
J" , " ,,:1 ,and will any soils be removed or brought onto th~ site? Please verify the topography ot'" )
;. j; r~~~;" the site, the drawings submitted contradict each other
,~ :~~l ~f-~ ""?~: Too large a range - give a better estimated based on the Site Plan.
, ~ Need written description of emissions, dust; etc. and approximate quantities jf
~wn. Please note the question is for during and after construction.
, ~. Please de~cribe how and/or what methods will be used to encourage the use of
bicycles.(~ ~IA.JH ()j~
Groundwater -)
~Give description of runoff and any other water discharge and the approximate
~ilies. This infonnalion should be available from the slonnwaler report.
Provide a complete answer i ,
... . Waste material will be discharged into the ground through the detention/retention
system. Provide a compl~te answer
I .~, Provide a complete answer
. ~ Provide a complete answer
PJant~' I
~ Provide a complete answer,
ArWhatabout ,landscaping requirements? Garden area?
"Land and Shoreline Use
/1\ The current site is not used or designated as open space Give a better description of' .'
'-ui'e site and ALL adjacent properties .1
'. I,. (fi)The site has been classified as a critical area please correct the answer ,."
", ~ Provide,a complete answer
" r <.!)provide a complete answer
Housing ,
~ What is the income type of the housing? (Low, medium, high)
,/Provide a complete answer
Aesthetics
(~)Adjacent properties do have a vi.ew of Mt. Rainier How will a two story building affect
those sites.
,G::""Provide a complete answer
Light & Glare
, ...cr.'4"he proposed project will produce light and glare. Provide a complete answer.
~ Provide a complete answer
o ~ Provide a complete answer
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Mr George Hom
"" January 1p, 1998,
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'- .,":, Recreation ',. "
v ~.; "\~: i." ,~' .. ~Provide a complete answer
";;" ,r. .', '. transportation.. .
! '. "> 7;;' 'l, ' ~Provide a complete answer ' , .
. . (' ,. ~::,. ".\~ ' ./..7O')The !ype Of. resident in this farility may r~quire transit se~i~e, what plans exi~t?
, ~ c. ." ' , 7P! PrOVide a ,complete answer J , , \\ r
. , '" - ,'.~ Please r~ferto the City Development Guidelines for the required improvements to ".
,,~. .;;:.; ',~i,' \~f,;~.' '. Burnett Road; The street classification for Burnett Road does not include a bicycle lane.."-' I'
'~, "~~. ~,. ,} '~~ :, ~provide iriformation the question requested. Don't just refer to the SCA study _
',' <.,(;;:,} t., '(.;~'~,~Ifoccupants do not own :cars, what type of private transportation will be provided by",
\ ,,( ;",,- _, ?;" ,,:,~O': \ the .facility and how much will the occupants rely on Publi~ Tr~nsportation? -', -
;~ ',' "ty :~J .:~~Ii~ ~~~;Will ther.e not be any additional health ,care service~. required? Will Public Transit
'" " ~mp~cted?~, 1 .. .
,.' '<..!L)iow do you proposed to pay for impact to fire service?
Utilities. . ,- . ,
" .~rovide,.a compl~te an~vver
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.. i~' I have enclosed a copy of the Environmental Checklist you submitted. You can either complete . '
the information on the enclosed form or you could submit a new checklist. whichever you find :'~ -.
<' more convenient. AlsQ, I have included a sample environmental checklist from a previous project
'"1 , whi~h will illustrate the type of answers that are requirea~ If you are unsure of an answer or ~",
~ ~here to obtain ,the information, you may want to consult with your project engineer Again;~ \",
;' ". \. please return the completed information to me no later than 5:00 pm, January 26, 1998, to"
~ - ' . . ')'
,c' r:keep to the February ,public hearing schedule. If you have any questions please contact me at
. "':-(360) 458-8408. .
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.' City Planner
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ENVIRONMENTAL CHECKLIST
CITY USE ONLY
FEE: SS8.80 I~o~
DATE REC'D
BY:
FILE NO.
CITY OF YELM
A BACKGROUND
1. Name of proposed project, if any:
Canyon Ranch ofWaslungton
2.
Name of applicant:
George L Horn
3.
Address
person:
and phone number of applicant and of any other contact
2218 Blossomwood
OlympIa, W A 98502 360-943-7437
4.
Date checklist prepared:
11/5/97
5.
Agency requesting checklist:
City of Yelm
(!)
Proposed timing
applicable):
or
schedule
(including
phasing,
if
After all approva1s and pcnnits are issued. construction of the. first phase of the facility and the landscaping and parlcing are schedule to take approximately one
year. Second and third phases to be constrw:tcd aver the next five yeazs, No other plans for struclUrCS beyond what is shown on the plans are proposed.
7. Do you have any plans for future additions, expansion, or
further activity related to or connected with this proposal?
If yes, explain.
None at this time,
8. List any environmental information you know about that has
been prepared, or will be prepared, directly related to this
proposal.
None at this time,
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.
/Va
10. List any government approvals or permits that will be needed
for vour proposal, if known.
= ~~t by the City of Yem Site Plan Approval by the City of Yem Building. Electrical. Plumbing and Grading Permits, Health
CITY OF YELH ENVIRONMENTAL CHECKLIST PAGE 1
for.s\sepa
..
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.
e::~
Project includes site preparation, landscaping. stann drainage and driv ' '. . . . , .
Approximately 88,000 square fecI to be buill in three phases, eway unprovemcnts, Construction of 18-umt Assisted Living F~th Day Care, (
~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.
Project is proposed to be on 10 aaes located on Burnett Road SE Go northcastfromCityCenlcron Yc1mAvcnuc, tumnorthonBurnettRoad SE :
approximately 1/4 mile. Subject property bas 329 42 feet on Burnett Road SE and extends back 1270 feet to Mountain View Road SE, The project is 1~ ~
just to the south of the Mcadow View Dcve1optnent. '5(/<.. P/.v\ 6hfJ~' ""'~e.- # ~ rr~l"(.. S- r
B. ENVIRONMENTAL ELEMENTS
1.
Earth
a. General description of the
flat, rolling, hilly,
other
site (circle one):
steep slopes, mountainous,
! .
r
b.
i
I
What is the steepest slope on the
percent slope)? Oto 10%
Flattoro1ling.
site
(approximate
c.
i
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 them and
note any prime farmland.
SCS soil Classification is "Spanaway gravelly sandy loam."
d. Are there surface indications or history of unstable
soils in the immediate vicinity? If so, describe.
. ' , ' , ' ' of unstable soils in the area were di5caVCfCd.
lbcrc are no indicatiOllS of unstable soils on Site or In the V1C1tl1t:y of the Site, No bistolY
CITY OF YELH ENVIRONMENTAL CHECKLIST
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PAGE 2
e. Describe the purpose, type, and approximate quantities of
any filling or grading proposed. Indicate source of
fill.
Construction of the buildings. ftOol,.;M and stonn 'II' ,
back flVC acres, .--'lS water WI reqwre movement of &pproxunately 5.000 cf of soil. E>ctra soil will be for landscaping bc:nns on the
f.
Could erosion occur
construction, or use?
as a result of clearing,
If so. nAnerallv describe.
Ifrains occur during construction. erosion could occur, However. erosion off site is not anticipated Silt fences and straw bales will be used as needed along
with siltation ponds,
@ AOout wnat percent of the site will be covered with
impervious surfaces after project construction such as
asphalt or buildings?
.88 acres will be covered with buildings, walks, puking and driveways. equaling 9% of the property
h. Proposed measures to reduce or control erosion, or other
impacts to the earth, if any:
Erosion off site is ,not anticipated Silt fences and straw bales will be used as needed along with siltation ponds, Grading will be kept to 8 minimum along with
the retenl10n of Py,.toM sIuub"-. and All des' will be ' .
---... - Y gnlSSCS, tgn m accordance with the standards of the CIty of Yelm.
2.
{5
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 q~antities if known.
Some emissions to the air may occur during and after 'All' .
constnJctjon. eqwpmem and worIcing standards will be in accordance with State and local standards, !
b. Are there any off-site sources of emissions or odor that
may affect your proposal? If so, generally describe.
Off.site emissions and -..--
'^""" are not c:xpected to effect this project.
c. Proposed measures to reduce or control emissions or other
impacts to air, if any:
Latest standards of construction will used. Area will be watered down as required during constructed as needed to minimize dust.
3 . 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)? If yes,
describe type and provide names. State what stream or
river it flows into?
No water or wet lands are on or near the site,
CITY OF YELH ENVIRONMENTAL CHECKLIST
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PAGE 3
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.
No,
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.
Not applicable,
I
4) will the proposal require surface water withdrawals or
diversions? Give general description, purpose, and
approximate quantities if known.
No,
5) Does the proposal lie within a 100-year floodplain? If
so, note elevation on the site plan.
No,
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.
Storm water will be discharged into approved storm water retention ponds.
b. Groundwater:
1) will groundwater be withdrawn, or will water be
discharged to groundwater? Give general description,
nurnose. and approximate quantit~es if known.
On.site storm water will be collected by catch basins and storm lines with release through an oi1!watel' separator that will then filtrate into the subsoils of the
~ Describe the underlying aquifer with regard to qUa~~~~
~ and quantity, sensitivity, protection, recharge areas,
etc.
Site is located in an aquifer rcchazge area. Storm water system will be designed to the DOE and City of Yelm Standards,
3) Describe waste material that will be discharged into or
onto the ground from septic tanks or other sources, if
any (such as domestic sewage; industrial byproducts;
agricultural chemicals).
. industrial byproducts or agricultural chemicals are intended
Building will be COIUlected to the City of Yelm sewer system. No discharge of domestlC sewage. ..... '
-- --.'---'-- -----.--..
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PAGE 4
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.
There will be a storm water nmoff plan designed to the State and local standards, All water will be treated on site,
2) Could waste materials enter ground or surface waters? If
so, generally describe.
~~ from thed daily use of cars and other equipment could occur. however. the design of the storm run off should direct all material th~..... the ._-'
~""'LUent an rctenl10n ponds, -......... .......u.~
d. Proposed measures to reduce or control surface, ground,
and runoff water impacts, if any:
4.
T emponlly sedimentation erosion control ponds will help during c:onstnIdion. All storm run off should direct all material through the approved treatment and
retention ponds
t"~an1;.ti
a. Check
or circle types of vegetation found on the site:
deciduous tree: ~maPle, oak, aspen, other
evergreen tree: ~edar, pine, other
shrubs
-
grasses_
Easture .
crops or gra~ns
wet soil plants: cattail, buttercup, bulrush,
skunk cabbage, other
water plants: water lily, eelgrass, milfoil, other
other types of vegetation
A
~
~
b. What kind and amount of vegetation will be removed or
altered?
Only vegetation needed for the construction will be removed. Landscaping will uy to use existing shrubbery as much as possible,
c. List threatened or endangered species known to be on or
near the site.
None that we knoW 0'(
d. proposed landsqaping, use of native plants, or other
measures to preserve or enhance vegetation on the site,
if any:
Landscaping is designed to save as much existing native plants as possible,
,
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: hawk, heron, ducks, eagle,~
other: ~
mammals: deer, bear, elk, beaver, other:
fish: bass, salmon, trout, shellfish, other:
CITY OF YELH ENVIRONHENTAL CHECKLIST
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PAGE 5
b. List any priority, threatened or endangered species known
to be on or near the site.
None noted
c. Is the site part of a migration route? If so, explain.
Nu~ICO;:
d. Proposed measures to preserve or enhance wildlife, if
any:
60% of the land will be kept in open space and/or landscaping using exiting native plants.
Use as many native plants as possible and keep larger areas of open space.
6. Energy and Natural Resources
a. What kinds of energy (electric, natural gas, gasoline,
heating oil, wood, solar etc.) will be used to meet the
completed project's energy needs? Describe whether it
will be used for heating, manufacturing, transportation,
etc.
Electricity and gas will be used to meet the completed projects energy needs for heating. lighting and appliance operation.
b. 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? List other proposed
measures to reduce or control energy impacts, if any:
I
Building1; will be construclcd to the washington State building and Energy Codes.
7. 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.
It is always possible that a fire or fuel leak could occur during and after construction.
1) Describe special emergency services that might be
required.
Medical, Police and Fire services may be required during and after construction.
2) Proposed measures to reduce or control environmental
health hazards, if any:
Use the latest construction standards, Use workplace safety standards as required by the Washington State Department of Labor and Industry,
b.
1)
Noise
What types of noise exist
your project (for example:
other)?
in the area which may affect
traffic, equipment operation,
Traffic noise could effect our project.
CITY OF YELH ENVIRONMENTAL CHECKLIST
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PAGE 6
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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 hours noise would come
from the site.
On a short-term basis. it is possible that constlUCtion activities will generate noise,
3) Proposed measures to reduce or control noise impacts, if
any:
Use the latest construction standards to provide a sound barrier to the living units,
~d
D
and Shoreline Use
What is the current
properties?
Site is open space. covered with shrubberY and grasses.
use
site
and
adjacent
of
the
b. Has the site been used for mineral excavation,
agriculture or forestry? If so, describe.
The site has most likely been used for some type of farming.
c. Describe any structures on the site.
None:
d. will any structures be demolished? If so, what?
No.
e.
What is
site?
the current comprehensive plan designation of the
~(~(W.J
R6,
f.
What is the c~ent zoning classification of the site?
If-::'licable, ~t is the current sboreline master
program designation of the site?
g.
N/A
e
Has any part of the site been classified as a "natural
resource" , " cr_itical " or "environmentally sensitive"
area? If so, specify.
Only as part of the aquifer recharge area
i. Approximately how many people would reside or work in the
completed project?
118 residence. 20 employees
j. Approximately how many people would the completed project
displace?
None,
k. Proposed measures to avoid or reduce displacement
impacts, if any:
N/A
CITY OF YELK ENVIRONMENTAL CHECKLIST
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PAGE 7
CJ
Proposed measures to ensure the proposal is compatible
with existing and projected land uses and plans, if any:
Use good building design
9 . Rous ing
a. Approximately how many units would be provided, if any?
Indicate whether high, middle. or low-income housing.
118 assisted living units, renting in lhe low- to middle-income housing.
b. Approximately how many units, if any, would be
eliminated? Indicate whether high, middle, or low-income
housing.
None,
c. Proposed measures to reduce or control housing impacts,
if any:
Use proper design methods.
10. Aesthetics
a. What is the tallest height of any proposed structure(s),
not including antennas; what is the principal exterior
building materialfs) proposed?
TWD-5Ioty structure approxiInatcly 30 feet high. constructed wilh wood ~or finish.
e
What views in the immediate vicinity would be altered or
obstructed?
None,
I
a l Proposed measures to reduce or control aesthetic impacts,
L/ if any:
Use good design and coJOts that hannonizes wilh nature,
11. Light and Glare
a. What type of light or glare will the proposal produce?
What time of day would it mainly occur?
Yard and parking lights will cause some glare.
b. Could light or glare from the finished project be a
safety hazard or interfere with views?
Yes,
CITY OF YELM ENVIRONMENTAL CHECKLIST
forllls\sepa
PAGE 8
c. What existing off-site sources of light or glare may
affect your proposal?
None,
d. Proposed measures to reduce or control light and glare
impacts, if any:
The use of down and low yard lights should help reduce glare, Use of cut-off"type" parlcing lights should reduce glare,
12. Recreation
a. What designated and informal recreational opportunities
are in the immediate vicinity? Highschoolplayground.go1f8lldwa!king,
b. Would the proposed project displace any existing
recreational uses? If so, describe. He
c. Proposed measures to reduce or control impacts or provide
recreation opportunities:
Onc-site landscaping will provide walking trails. A recreation room will also be provided.
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.
None,
b. Generally describe any landmarks or evidence of historic,
archeological, scientific, or cultural importance known
to be on or next to the site.
None,
c. Proposed measures to reduce or control impacts, if any:
None,
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.
BwncU Road to YelmRoad.
B
Is site currently served by public transit? By what
means? If not, what plans exist for transit service?
Yes. Yelm Road. We will also provide access to the site for public transit
c. How many parking spaces would the completed project have?
How many would the project eliminate?
54
CITY OF YELH ENVIRONHENTAL CHECKLIST
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PAGE 9
31 fJtcJe
1f{f
1f0
() ~ lytlU
Ie Q 15.
I v,jV'~
pM
d. Will the proposal require any new sidewalks, trails,
roads or streets, or improvements to existing sidewalks,
trails, roads or streets, not including driveways? If
so, generally describe (indicate whether public or
private) .
New sidewalks and street frontage improvements will be required.
e. will the project use (or occur in the immediate vicinity
of) water, rail, or air transportation? If so, generally
describe.
No,
Q
How many vehicular trips per day would be generated by
the completed project? If known, indicate when peak
volumes would occur.
.!l
See attached study by SCA Engineering.
C!)
Proposed measures to reduce or control transportation
impacts, if any:
Vecy few occupants will have cars, Staff will be encouraged to car pool and ride bikes or transit
Public Services
a. Would the project result in
services (for example:
protection, health care,
generally describe:
an increased need for public
fire protection, police
schools, other)? If so,
Increase need for fire protection, police protection and health care will be required.
f)
Proposed measures to reduce or control direct impacts on
public services, if any.
Pay impact fees,
16 . Utili ties Electricity will be used for heating and lighting of the structure,
a. Circle utilities currently ava1~au~c Q~' the site:
~~tricl.~Y) natura s CE:atei') ~fuse servi~
~~ephone; anl. ary sewer, sept1c system, other.
;;;) Descri.be the utilities that are proposed for the project,
U the utility providing the service, and the general
construction activities on the site or in the immediate
vicinity which might be needed.
C.
Water'. sewer and rclUse service will by provide by the City of Yelm.
Phone and power services will be supplied by Puget Sound Energy,
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: ~~O IJhl~}
Date Submitte: Rt;V{~E jA'22- 9g
j)A CJ fa /11. Co YH 1;,5
Cd h1 e { ~ A- f) Q clllre> (l:-JC .
360 - -:; g 6 -0 / '3 (;)
P 0 lJ ~ 2. (; 2.... CJLLf frJ P I ,:1./ to (l 1 !r 5" ~ --r
CITY OF YELH ENVIRONMENTAL CHECKLIST
forAls\sepa
PAGE 10
SUPPLEMENTAL ENVIRONMENTAL CHECKLIST FOR NONPROJECT ACTIONS
(Do not use this sheet for project actions.)
When answering these questions, be aware of the extent of 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.
1. How would the p oposal be likely to increase discharge to
water; emissions to air; production, storage, or release of
toxic or hazardou substances; or production of noise?
Proposed measures t avoid or reduce such increases are:
2. How would the proposal be likely to affect plants, animals,
fish, or marine life?
Proposed measures to pr teet or conserve plants, animals,
fish, or marine life are:
3. How would the proposal be 1 kely 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 critical or
environmentally sensitive area or areas designated (or
eligible or under study) for gove nmental protection, such as
parks, wilderness, wild and see ic rivers, threatened or
endangered species habitat, his oric or cultural sites,
wetlands, floodplains, or natural esource areas?
\
\
\
CITY OF YEUK ENVIRONMENTAL CHECKLIST
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PAGE 11
Proposed measures to prot ct 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 I
impacts are: \
6.
How would the proposal
transportation or public
ely to increase demands on
s and utilities?
Proposed measures to reduce or re pond to such demand(s) are:
7.
Identify, if possible, whether the
local, state, or federal laws
protection of the environment.
roposal may conflict with
requirements for the
\
\
CITY OF YELH ENVIRONMENTAL CHECKLIST
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PAGE 12
CITY OF YELM
ENVIRONMENTAL CHECKLIST
Instructions:
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.
. Th..is- environmental checklist asks ymf to describe some 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 €an. If you have problems, the city staff can assist you.
The checklist questions apply to all parts of yqur 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 ckecklist to the words "project," "applicant," and "property
or site" should be read as "proposal," "proposer," and "affected
geographic area," respectively.
",
CITY OF YELM
CITY USE ONLY
FEE: S-S8 . 80 , c:;o 951
DATE REC' D
BY:
FILE NO.
ENVIRONMENTAL CHECKLIST
A BACKGROUND
1. Name of proposed project, if any:
Q. A MY 'O^" ~d.t'\.c..h Dt WA~~) "'4+oN
2 .
Name of applicant:
be.o~ge L HDm
3. Address and phone number of applicant and of any other contact
person: ~~(g 'B IOSSDh'1 W l> ~ c1.
f9"1rnp~Ow W~. qtSO;;J.
~4"1 .3~o-q4g. '11../37
~ Date checklist preparea:
5. Agency requesting checklist: C IIY t9F tI t;'L/v1
6.
Proposed timing or
applicable): AS ~D()N
schedule (including phasing, if
AS tp6t2h1lfS JTtJAILABLE JPo;f\j tqqg
QUJQC ~ c~
~~JttL-c)\;~ \.!Y
5 f1U'~<-)
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. }J OM ~
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.
No
t), fe, JfJ/(JAL 4/JfJ
{'Jj1dJnon"~ @ List any
U~, for your
q(o.a'~1 fdlV-I-r
,II '~lfn: CITY OF YELM ENVIRONMENTAL CHECKLIST
l1Df-r forms\sepa
government approvals or permits that will be needed
proposal, if known.
NO
PAGE 1
,G)
~aJ 11~{.j
pevpk;
?t}{ I.
12.
B.
1.
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.
E~uc1. A-I..i A~~f.s+d (lV/AU? I;"~;//~ lJ)J.l ~ dAy C!.ItI2.€
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 larea,. provide the ,range ;or., boundaries of the
si.te(s),. pI:;ovid~ a _legal d~scription, site plan, vicinity
map, and topographic map, 'if reasonably ~vailable. You need
not duplicate maps or detailed plans submitted with any permit
applications related to this checklist.
$6u....th ON Ye11'h .jJ~^~ Le.-V+ ON. "ELL-rV\.e-tt. DN
+ke It ~, k. + h.Prt.4el 6}k ~.p Mea ~1)W (): ew
ENVIRONMENTAL ELEMENTS
Earth
a. General description of the
~ rolling, hilly,
0t:Iier
site (circle one):
steep slopes, mountainous,
b. What is the steepest slope on the site (approximate
p~ercent slope)? ID 0/0 " \ "
//0.- CJ
,~n=j D
What gene~l tY~Of soils are found on the site (for
example, la and (gravel, peat, muck)? If you know the
classifica 10n 0 agr1CU~~ral soils, specify them and
note any prime farmland.
d.
Are there surface indications or history of unstable
soils in the immediate vicinity? If so, describe.
ND
CITY OF YELH ENVIRONMENTAL CHECKLIST
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PAGE 2
5;/0 ~
p{epe(ft~U\ . e.,
f.
~ loI1Z, (!)
1~~
h.
@~
b.
e
3.
..
Describe the purpose, type, and approximate quantities of
any filling or grading proposed. Indicate source of
fill.
ND
FILL
Could eros ion occur
construction, or use?
Ve R-~
as a result of clearing,
If so, generally describe.
/....1 rTJ-€
About what percent of the site will be covered with
impervious surfaces after project construction such as
asphalt or buildings?
.:to - 40 6/0
Proposed measures to reduce or control erosion, or other
impacts to the earth, if any:
1?e.-feN'Hl>N pDM.~ W~ l\ be.. do~e.
+() cU ~ Pr (l 1~..I.U'\ ~ +0 5+1\1.{
\, ~W.e.M a:fe('1
Ok! f> tie.
What types of emissions to the air would result
proposal (.i. e." dust, automobile. ~~ aus
iDd~stria~ wood. s~oke) durihg cons ruc on
project is completed? If any, generally
give approximate quantities if known.
from the
odors,
when the
describe and
Are there any off-site sources of emissions or odor that
may affect your proposal? If so, generally describe.
No
Proposed measures to reduce or control emissions or other
impacts to air, if any:
E/oJC-b~e a..({ l.V~~s ~ s+f\f.f -1-0
e,d.e. b c'C-~ de.$
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)? If yes,
describe type and provide names. State what stream or
river it flows into?
f..I D IJ fE
CITY OF YELH ENVIRONMENTAL CHECKLIST
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PAGE 3
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.
NON r;
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.
IJoA.lG.
4) will the proposal require surface water withdrawals or
diversions?; 'Give general description, purpose, and
approximate quantities if known.
NO
5) Does the proposal lie within a lOO-year floodplain? If
so, note elevation on the site plan.
No
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.
NDNE
r~n~~
B' Groundwater:
, 1) Will groundwater be withdrawn, or will water be
discharged to groundwater? Give general description,
purpose, and approximate quantities if known.
ND
~Describe the underlying aquifer with regard to quality
~/and quantity, sensitivity, protection, recharge areas,
etc.
f fl(U~ G
-tf?J. (JcifM
~~/(!..;L)i 11 ().~
GJ
Describe waste material that will be discharged into or
onto the ground from septic tanks or other sources, if
any (such as domestic sewage; industrial byproducts;
agricultural chemicals). NON E
CITY OF YELH ENVIRONMENTAL CHECKLIST
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PAGE 4
~ Water Runoff (including storm water):
~ 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.
A 1\ Ru...h D~~ ~a..o W\ Q.DO~ aA-d ~4\R ~J ALq WI t\
t5l be.. ee-;'AcNee{ DN s~+e.
~ Could waste materials enter ground or surface waters? If
so, generally describe.
~
d. Proposed measures to reduce or' control surface, ground,
and runoff water impacts, if any:
U. ":> e. ~0,....41\ W\. Me -P-j lt~~ t-i [)N P t) N. cl w' + '"' NL+u..Q..a.1
Plants~lA-t-J.-f-s -t~a. cJe.aA~ALor 4 e.lU1P()(2.A-ftoN
a. Check or circle types of vegetation found on the site:
v deciduous tree: ~ m~ple, oak, aspen, other
~ evergreen tree: ~ cedar, pine, other
,/ shrubs
v grasses
V' pasture
~ crops or grains
....er wet soil plants: cattail, buttercup, bulrush,
skunk cabbage, other
~ water plants: water lily, eelgrass, milfoil, other
~ other types of vegetation
What kind and amount of vegetation will be removed or
altered?
4.
c.
List threatened or endangered species known to be on or
near the site.
ND^,6
v
Proposed
measures
if any:
landscaping, use of native plants, or other
to preserve or enhance vegetation on the site,
tUe. W\ \\ Sa...lJe.. e.u~ ~e p05Si6(e.
5 . Animals
a. Circle any pirds and animals which have been observed on
or near the site or are known to be on or near the site:
birds: hawk, heron, ducks, eagle, songbirds,
other: ~
mammals: deer, bear, elk, beaver, other:
fish: bass, salmon, trout, shellfish, other:
..e-
~
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.
N-DJ.JG
c. Is the site part of a migration route? If so, explain.
No
d. Proposed measures to preserve or enhance wildlife, if
any:
lJe. h.a..t.Je.. b l) D/ 0 ~e.t-J t>~ "o.e.
6. Energy and Natural Resources
a. What kinds of energy (electric, natural gas, gasoline,
heating oil, wood, solar etc.) will be used to meet the
completed project'sen~rgy needs? Describe whether it
will be used for heating, manufacturing, transportation,
etc. 81 e.c.:t RJ Co ,{! 0 r't. SttLJl NCf J LU-t.c. b~
b.
Would your project affect the potential use of solar
energy by adjacent properties? If so, generally
describe.
/\Lo
7.
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:
\Je. w~d \ /~\",c...e A~ t'\'\AM.lf ftS pc:6~1 b I e ~ou..3-/...
~P,C-i'N..q W) ",dows .r oR. so (A,R. q 'tiN.
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.
V\o N e..
1) Describe special emergency services that might be
required.
NDN~
.n
2) Proposed measures to reduce or control environmental
health hazards, if aQY:
#Jo~e.
b. Noise
1) What types of noise exist in the area which may affect
your project (for example: traffic, equipment operation,
other) ? I{~N ~
CITY OF YELM ENVIRONMENTAL CHECKLIST
forms\sepa
PAGE 6
tJ b l' (1D ( IltcVt ,.
CUV\.-? t"ft<.-<-:r r)\r- ~
tV~ l7
3)
eLand
1lu.cJ-" ~
I t illt61.~ (
f'dfllfrl
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 hours noise would come
from the site.
S A- M" 5 pM ttL.utJ N CJ l!..o ,,(.~ t r2lLC.fi'DN
Proposed measures to reduce or control noise impacts, if
any: I-lOMe.
and Shoreline Use
What is the current use of
properties?
bpe.M ~pf\U
site
the
and
adjacent
b. Has the site been used for mineral excavation,
agriculture or forestry? If so, describe.
NO
c. Describe any structures on the site.
NDN.~
d. will any structures be demolished? If so, what?
N/A-
111/ d 14-0 ff4.. W~at is the current comprehensive p. lan designation of
olD .e..i-, ""Sf '.e'" 1-. d slte?
de/lt.x fC/) I L. . "~I '\ 'K b .
_ cJ) What
~-& ~[)(6f{(zr
g.
4wf~&\ G
~!l vt{O!\'- iT (j,U
EfJA0{) [
i.
j .
the
is the current zoning classification of the site?
't?e~Lcle.~i-/ AI
If applicable, what is the current shoreline master
program designation of the site?
N/A
Has any part of the site been classified as a "natural
resource", "critical" or "environmentally sensitive"
area? If so, specify. ~D
Approximately how many people would reside or work in the
completed project? { \c,(
leD ~eop e I2esI e..
;to W~~}~:f
Approximately how many people would the completed project
displace? NON t:
k. Proposed measures to avoid or reduce displacement
impacts, if any:
CITY OF YELH ENVIRONMENTAL CHECKLIST
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PAGE 7
o
Proposed measures to ensure the proposal is compatible
with existing and projected land uses and plans, if any:
9.6uSing
a. Approximately how many
Indicate whether high,
I 00 Luut4s
b.
e
units would be provided, if any?
middle, or low-income housing.
Approximately how many units, if any, would be
eliminated? Indicate whether high, middle, or low-income
housing.
NON,;"
Proposed measures to reduce or control housing impacts,
if any:
Aesthetics
a. What is the tallest height of any proposed structure(s),
not including antennas; what is the principal exterior
building material(s) proposed?
-1-A-\\e.sf I\e.t~k:t -~ f7tDR.~ Wood. a. "'ArG.J.ibo~~
10.
&
@
What views in the immediate vicinity would be altered or
obstructed?
NONtt
Proposed measures to reduce or control aesthetic impacts,
if any:
11'Vt and Glare
a~ . What type of light or glare will the proposal
What time of day would ittfainly occur?
(j
produce?
NbNES
Could light or glare from the finished project be a
safety hazard or interfere with views?
CITY OF YELM ENVIRONMENTAL CHECKLIST
forms\sepa
PAGE 8
c.
What existing off-site sources of light or glare may
affect your proposal? IJOIV~
G
Proposed measures to reduce or control light and glare
impacts, if any:
12.
Recreation
a. What designated and informal recreational opportunities
arHl~n~ t~~ed~~V~~~? 4D\~
b. Would the proposed ~roject aisplace any existing
recreational uses? If so, describe.
~ Proposed measures to ~e~uce Dr control impacts or provide
l:l recreation opportunities:
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.
ND"ie
b. Generally q,escribe any.landmarks or evidence, of historic,
archeological, scientific, or cultural importance known
to be on or next to the site.
NOM6
c. Proposed measures to reduce or control impacts, if any:
NDM6
14'gj nsportation
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.
G
Is site currently served by public transit? By what
means? If not, what plans exist for transit service?
N f)~ f
@
How many parking spaces would the completed project have?
How many would the project eliminate?
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 9
Proposed measures to reduce or control transportation
impacts, if any: I. C9c...c..u..pltA.1S O-R.~ No oi P. Uo uJed i"l:> ouJt.l
~. ~+A.f.f ARe.. e...<ce..c""-(l.o~ec:C. 1-0 R~d..e.
15 @l. S . b ~~uC!./e.. +0 WC>~
. '1C erv1ces I
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: fa'f2.e. p(2.cded~ON - L(e ~
po ( t ~ - No 0'" ~Lu:.J.. ~ u....o 0 1- "crt m,u...ti.J..
H e..A...l f-k. a.A(U.. - N Q
-~v---
fJ
e.
g
CJ
c9
16.
a.
c9
Will the proposal require any new sidewalks, trails,
cro~f:r ~~~~ or improvement.s to e~istin9 sidewalks,
tral, ~r streets, not lncludlng drlveways? If
so, generally describe (indicate whether public or
private) .
uJe. \.()~ l\ h\-\.pe.ove.. ~CU>I\..+4..~e 5ldeu.Ja./.k.s ~ tUI..cJ...
b t c. '1 eJ e. -!rut J Is ti J b tJ. t; ~ 1 e:( e tJf +k StIt..eeT
will the project use (or occur in the immediate vicinity
of) water, rail, or air transportation? If so, generally
describe.
We... wi (( f\D'I- he..e.c1 W A-fe..n.. #CA..~ {O~ A,' R. TfCtuts (>Ca..-fMi'DAI
How many vehicular trips p~r day would be generated by
the completed ptoject? If known, indicate when peak
volumes would occur.
5 ~ A LU'1 \ ~ &0 ~;tu.c:!.'i
~
proposed measures to reduce or control direct impacts on
public services, if any.
PA ~ J=~tz. 'I~~o..d- ~oa. ~\R.e. ~R..csfec:l}oN
available at the site:
(Water) aefuse service:t;>
septic system, 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.
C. SIGNATURE
The above answe~s are true and complete
knowledge. I understand that the City of
t~em to make itSdeCiB~n.~
Slgnature: ~.L. _
Date Submitted: ::;: - 9'7
CITY OF YELM ENVIRONMENTAL CHECKLIST
forms\sepa
to the best of my
Yelm is relying on
PAGE 10
SUPPLEMENTAL ENVIRONMENTAL CHECKLIST FOR NONPROJECT ACTIONS
(Do not use this sheet for project actions.)
When answering these questions, be aware of the extent of the
proposal, or the types of activities likely to res~lt 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.
1. How would the proposal be likely to increase discharge to
water; emissions to air; production, storage, or release of
toxic or hazardous substances; or production of noise?
ND R-e..(ea..se. 6,Q -+D)c.~N.S h~Z.AR~Du...S S\J-b'::J+a..lACes
Proposed measures to avoid or reduce such increases are:
Re+e..N-\-\ol\( ~o~cl ON. Sere
2. How would the proposal be likely to affect plants, animals,
fish, or marine life?
N.vN6
Proposed measures to protect or conserve plants, animals,
fish, or marine life are:
We. "'f (1;1fJ eN. fetlLd -1-0 plAN;' -+ee~~ a.~ ve1e+Pt6lec
DN 3 -g 6...t!:.Re.6
3. How would the proposal be likely to deplete energy or natural
resources?
Proposed measures to protect or conserve energy and natural
resources are: r.? . \' L.. I ..L..... '" l +l .L..
DO-\. C\- '=:) l Q....~ C-l e. .. \ '<...fT' S a..o ~ ~u-..
i--k.~~ f>~Je.d
4. How would the proposal be likely to use or affect critical or
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, floodplains, or natural resource areas?
No we.:\- l Pr~ ON ~R.ope~
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 11
-y
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:
N f.t Mo .5A-of1.e. ti-4e- ^" ~ flU> p~
6.
How would the proposal be likely to increase demands on
transportation or public services and utilities?
7.
Proposed measures to reduce or respond to such demand(s)
~e.. a.... wd k. i t,u.$ +0 +t2.1tf..tS~OtU- Ii tl '-/-{e oc.c..u..pa..,qs
M(2.~ 4..((0 we..e( e.1<..~..J.. +e~ sf~9r
Identify, if possible, whether the proposal may conflict
local, state, or federal laws or requirements for
protection of the environment.
LUe.
fo~
are:
AD
with
the
tU2e. U~} AL4 DNf~ ..:l. ~5 b!t
b u...\ lolJ ^'-, too "Ie I~ 0 peA! S P a..C!.e .
o~
b- tUuGe s
CITY OF YELH ENVIRONMENTAL CHECKLIST
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PAGE 12
. .
CITY OF YELM
ENVIRONMENTAL CHECKLIST
Instructions:
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.
Th.;Ls... environmental checklist asks Y<?l.J.." 'tp describe some 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 8an. If you have problems, the city staff can assist you.
The checklist questions apply to all parts of you~ 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 ckecklist to the words "project," "applicant," and "property
or site" should be read as "proposal," "proposer," and "affected
geographic area," respectively.
CITY OF YELM
CITY USE ONLY
FEE: $-S8 . 80 ,~O <j9
DATE REC'D
BY:
FILE NO.
ENVIRONMENTAL CHECKLIST
A BACKGROUND
1. Name of proposed project, if any:
c.. A MLP'^" Ka..V\e.h Dt WAsh) 1U4+cN
2.
Name of applicant:
be.o ~ge L H 011\-'\
3.
Address and phone number of applicant and of any other contact
person:
4.
;;t~f3 13/o$S0h'1 fA) 19 €J,J.
f9/I..{n-tp;a.. tJ~. qtSO""
.3~o~q4~. 7431
Date checklist preparea:
Agency requesting checklist: e IIY t9F t( ~'-}./J
5.
6.
Proposed timing or
applicable): AS 50DN
schedule (including phasing, if
AS rp€R.WllfS I\-tJ A I L/7 Eu; Jf\tIJ ICfQg
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. ^,D^,~
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.
No
10. List any government approvals or permits that will be needed
for your proposal, if known.
NO
CITY OF YELM ENVIRONMENTAL CHECKLIST
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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.
:BuJId. A-I..I AS~f.sfd //vi'N1 1~(!.,\;//-4t JJ)../.J.. ~ dAy C!.I'J~E
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 ~ange, if known. If a proposal would occur over
a range of' \ar'ea,. provide the. r~nge ,or boundaries of the
si.te(s),. P~ovid~ 1 a legal d~scription, ,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.
S6u.-th l>N Yel~ -kJ~~~ Le.-V+ ()N. 1SU-fLJ.\e:tt.. DN
-t-ke. ~?cyk...+ Io\.,,"'-'.c\. s~d.e. O-P }t[ea.~1JW V;ew
B. ENVIRONMENTAL ELEMENTS
1.
Earth
a. General description of the
~ rolling, hilly,
~
site (cir9le one):
steep slopes, mountainous,
b. What is the steepest slope on the site (approximate
p'ercent slope)?' 'IDofo
c.
What gene~l ty~S of soils are found on the site (for
example, la and <[ravel, peat, muck)? If you know the
classifica lon 0 agrlCU~~ral 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.
ND \
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e.
Describe the purpose, type, and approximate quantities of
any filling or grading proposed. Indicate source of
fill.
ND
FILL
f.
Could erosion occur
construction, or use?
\if; ~l(
as a result of clearing,
If so, generally describe.
1.." I rn..€.
... ~ \
g. About what percent of the site will be covered with
impervious surfaces after project construction such as
asphalt or buildings?
~ 0 ... 4D 6/0
h. Proposed measures to reduce or control erosion, or other
impacts to the earth, if any:
Re.-feN1~t>N pOMd. W~ l\ be. dOMe. \/~~a:fe.(Lf
+'0 oJR.ed Pc (\ ~Y\ ~ +0 s-tf\t.i DM ~t1e
2 . Air
a. What types of emissions to the air would result from the
proposal ( i . e ..' dust, automobile ,e~ aus odors,
industrial wood. smoke) during cons ruc lon when the
project is completed? If any, generally describe and
give approximate quantities if known.
b. Are there any off-site sources of emissions or odor that
may affect your proposal? If so, generally describe.
No
c. Proposed measures to reduce or control emissions or other
impacts to air, if any:
EJJcolLf2-17Cje O-U LV~.~s ~ s+~f-f -1-0
e,&e. b t'C..I"1 de.$
3.
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)? If yes,
describe type and provide names. State what stream or
river it flows into?
f..{ D IJ E
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 3
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.
NON~
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.
}.JolJG:
4) 'will the proposal' require surface water withdrawals or
diveEsions?,,' Give general descrIption, 'purpose, and
approximate quantities if known.
NO
5) Does the proposal lie within a 100-year flpodplain? If
so, note elevation on the site plan.
No
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.
NDNE
b.
1 )
Groundwater:
will groundwater be withdrawn, or will water be
discharged to groundwater? Give general description,
purpose, and approximate quantities if known.
ND
2)
\
Describe the underlying aquifer with regard to quality
and quantity, sensitivity, protection, recharge areas,
etc.
3 )
Describe waste material that will be discharged into or
onto the ground from septic tanks or other sources, if
any (such as domestic sewage; industrial byproducts;
agricultural chemicals).
NONE
CITY OF YELM ENVIRONMENTAL CHECKLIST
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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.
A 1\ R.lLh o~t ~a..oW\ Q()O-r tULd ~4\~~JAL9 WII\
be. ee..-tA~ Nee(, DN 5~+e.
2) Could waste materials enter ground or surface waters? If
so, generally describe.
d. Proposed measures to reduce or\ control surface, ground,
and runoff water impacts, if any:
U':>e- W\.~ Wl~e ..p.,lt~P\-TieN ~DN.cl WI+~ NL+u..Q..tL1
Plan t s ~ l A- "-L-f-$ -tbt2.. "--' e.a.,rH #.L OJ a e..utl ~ () QJ\- + teN
a. Check or circle types of vegetation found on the site:
4.
vi'
v'
./
v-
I.-""
.er
......er
A7
-B--
,
~ m~ple, oak, aspen, other
~ cedar, pine, other
deciduous tree:
evergreen tree:
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. List threatened or endangered species known to be on or
near the site.
NDN6
d.
Proposed
measures
if any:
landscaping, use of native plants, or other
to preserve or enhance vegetation on the site,
LUe. W\ U 6CL-Ue... e.u~ tRee p05$( 6{e.
5. Animals
a. Circle any Qirds,ahd animals which have been observed on
or near the site or are known to be on or near the site:
birds: hawk, heron, ducks, eagle, songbirds,
other: ~
mammals: deer, bear, elk, beaver, other:
fish: bass, salmon, trout, shellfish, other:
-e-
..@-
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.
liD"iC;
c. Is the site part of a migration route? If so, explain.
No
\ \ \
d. Proposed measures "to preserve or enhance wildlife, if
any:
lUe.. h.a..tJe.. (, f) o/f) D~eN t>~,P.tU
6. Energy and Natural Resources
a. What kinds of energy (electric, natural gas, gasoline,
heating oil, wood, solar etc.) will be used to meet the
completed project I s .energy needs? Describe whether it
will be used for heating, manufacturing, transportation,
etc. 81 ec.:t R-t'c. +>0 vt. Stllil N.Cf I U-Vk. be...t'L
b.
Would your project affect the potential use of solar
energy by adjacent properties? If so, generally
describe.
No
7.
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:
\Je. W', \ t '~ \ f\c...e A~ t'\'\fHJ..y AS Pt:6:=,; 6( e ~ t> u... t/....
~PtC-i'N..q w) N.dDWS ~oR.. S() (At< CJ 4.../N.
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.
V\oN e.
1) Describe special emergency services that might be
required.
N DNe-
2) Proposed measures to reduce or control environmental
health hazards, iJ ~~y:
lJo~e.
b. Noise
1) What types of noise exist in the area which may affect
your project (for example: traffic, equipment operation,
other) ? I{'f) N ~
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 6
8.
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 hours noise would come
from the site.
S A-M . 5" p""" d.u..t'lJ Nct (!...oNSft'2.1.l.,c.f1'oN
3) Proposed measures to reduce or control noise impacts, if
any: 1-J~Ale
Land and Shoreline Use
a. What is the current
properties?
use
of
site
and
adjacent
the
bpeM ~p f\c...E:.
b. Has the site been use<:i for. mineral excavation,
agriculture or forestry? If so, describe.
ND
c. Describe any structures on the site.
N.ON.E
d. will any structures be demolished? If so, what?
e.
g.
h.
NIPr
What is the current comprehensive plan designation of the
't ?
s1. e:.
~b
\ :
f.
What is the current zoning classification of the site?
rt?e~~c;lek{tl A I
If applicable, what is the current shoreline master
program designation of the site?
N/A
Has any part of the site been classified as a "natural
resource", "critical" or "environmentally sensitive"
area? If so, specify. ~D
1..
Approximately how many people would reside or work in the
completed project? { \ I
lOO ~eo p e I2esc ae.
~O W~*)-"'~
Approximately how many people wouId the completed project
displace? NON t:
j .
k. Proposed measures to avoid or reduce displacement
impacts, if any:
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 7
<>
1. Proposed measures to ~nsure the proposal is compatible
with existing and projected land uses and plans, if any:
9 . HOllS ing
a. Approximately how many units would be provided, if any?
Indicate whether high, middle, or low-income housing.
loa LU\M.s
b.
Approximately how many units, if any, would be
eliminated? Indicate wh~ther high, middle, or low-income
housing.
NON~
c.
Proposed measures to reduce or control housing impacts,
if any:
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?
-t"A-\\es+ I\ele;"-t -.~ :>+OR.~ Wood. a. "'Aa.J.lboct.~
b.
What views in the immediate vicinity would be altered or
obstructed?
NONtt ' i
c.
Proposed measures to reduce or control aesthetic impacts,
if any:
11. Light and Glare
a. What type of light or glare will the proposal produce?
what time of day would i~~~inly occur?
N C:>NlS
b. Could light or glare from the finished project be a
safety hazard or interfere with views?
CITY OF YELM ENVIRONMENTAL CHECKLIST
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12.
13.
14.
a
c. What existing off-site sources of light or glare may
affect your proposal? IJON~
d. Proposed measures to reduce or control light and glare
impacts, if any:
Recreation
a. What designated and informal recreational opportunities
are in the immediate vicinity? ~
H,c:l"- Sc-kool P(~CjjU)uA.A' I aD\-'r
b. Would the proposed project aisplace any existing
recreational uses? If so, describe.
ND
c. Proposed measures to reduce .or control impacts or provide
recreation opportunities:
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.
NDr-.J.6
b. Generally q,escribe any landmarks or evidence of historic,
archeological, scientific, or cultural importance known
to be on or next to the site.
NON6
c. Proposed measures to reduce or control impacts, if any:
NOM6
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.
b. Is site currently served by public transit? By what
means? If not, what plans exist for transit service?
NON [.
c. How many parking spaces would the completed project have?
How many would the project eliminate?
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 9
..
d. Will the proposal require any new sidewalks, trails,
roads or streets, or improvements to existing sidewalks,
trails, roads or streets, not including driveways? If
so, generally describe (indicate whether public or
private) .
u)e.W)!\ 'I~PIW()e- .\?R.oI\..+CL~e 5?&eu)ajk:.s t&J ~
b t Coif e.1 e -frz.-~ } Is tl J b ^' q ~ , ~ e of +k S+It..ee:r
e. Will the project use (or occur in the immediate vicinity
of) water, rail, or air transportation? If so, generally
describe.
LJ e.. wi I( f\.o'l- he.e.cf W A-+e..n... #e.A..~ {O~ A,' R. (fCt1t1S (>ca..-1-Mr?;4
15.
f. How many vehicular trips p~r day would be generated by
the completed project? If known, indicate when peak
volumes would occur.
;; ~A LU~c\~ &.0 '&"tu.cl'i
g. Proposed measures to reduce'or control transportation
impacts, if any: I. 19c..t:,..I...A..p~-fs ~e.. 1\1.0i p.l(ou:e& -ro ouJ"l ~
~. ~+A-r.f ARe.. e..<c<!-o~n.()~ecC. "'to ~~~e.
Public Services b t~L((!./e.. +0 WCCC.tC
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: ft'fae. pC2..cdee.:hoN - L{e '&
P D (k...e. - N. 0 -t l'Y\,'uc.J.., <f:.J t!-ko 0 l :- \ f\ cft I f.'1 u...c.J..
H e..A...H-k. l!..A-(l.e.. - N. c
b. Proposed measures to reduce or control direct impacts on
public services, if any.
PA ~ J:~ (Z. ',Vv\.~ o.c.i- -C () ~ ~t Reo ~ R...crfed> oN
16. Utilities
a. Circle utilities currently available at the site:
1 trici ty natural gas, (Water:) <:::::refuse service']:>
telep one ~nitary sewe!) septic: system, other.
", ,
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.
C. SIGNATURE
The above, an~weFs are true and complet~
knowledge. I ufiderstand that the City of
them to make its dec~~~
Slgnature: ~
Date Submitted: _. ~;/'
CITY OF YELM ENVIRONMENTAL CHECKLIST
forms\sepa
to the best of my
Yelm is relying on
PAGE 10
.'
SUPPLEMENTAL ENVIRONMENTAL CHECKLIST FOR NONPROJECT ACTIONS
(Do not use this sheet for project actions.)
- When answering thes-e questions t' be' awa.re of the extent of the
proposal, or> the types of activities ,likely .to resl,llt 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.
1. How would the proposal be likely to increase discharge to
water; emissions to air; production, storage, or release of
toxic or hazardous substances; or production of noise?
N D R-e..(eA.Se. 6.Q -fO)d NoS h~Z.A R~Du....S S\.J.-..b~+a.f,1Ces
Proposed measures to avoid or reduce such increases are:
Re+e..N--\--~oN ~o~d DN Sc+e.
.2 . How would the proposal be. likely to affect plants, animals,
fish, or mari~e life?
NONE.
Proposed measures to protect or conserve plants, animals,
fish, or marine life' are:
We.. ~J € N. fet\4.cJ +0 f (A-Ni ~e. ~ ttrA2.cf.. Ve 1e+F761e <
DN. 3 -g 6...t!.R..e 6
3. How would the proposal be likely to deplete energy or natural
resources?
Proposed measures to protect or conserve energy and natural
resources are: r.? l L ,I..L.... . I ' I
ow cL '=:) ~ Q....'-{ C-( e.\ I<.J'T (' '5 -H\..UL.o ~ h..c~ t-
t-~(S '-P(IU)Je.d
4, How would the proposal be likely to use or affect critical or
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, floodplains, or natural resource areas?
No We:\- l Prruk. ON ~R-ope~
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 11
'"
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:
NfJr
MO .5A..ofl.e- like:...
tJ-evL plU>p~
6. How would the proposal be likely to increase demands on
transportation or public services and utilities?
7 .
Proposed measures to reduce or respond to such demand(s)
U5e. a.... Wi t,,,," t>u...S +0 -t-R.1t}J.S(potvl- it Ii +It.e bc..c..U.pCL,qS
Mea::;. 4,.({o We.A e.Jt...c.e.-p.J- +e~ s-l-~ fr
Identify, if possible, whether the proposal may conflict
local, state, or federal laws or requirements for
protection of the environment.
LUe.
~D~
are:
AD
with
the
aAe. u~l N..~ t:>,...d~ ~ ~5 btt o~
b t..L\ LeU ALj too "/e I~ 0 peA.( S ~ a.Q.e ~
b- ti.J!...R.e s
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 12