HomeMy WebLinkAboutSHX2016-00083 SEP2016-00120 Habitat Management Plan - SHX Application - 11/16/2016 `�T 20) 001, CO
SEPA. ENVIRONMENTAL CHECKLIST
Purpose of checklist:
Governmental agencies use this checklist to help determine whether the environmental impacts of your
proposal are significant. This information is also helpful to determine if available avoidance, minimization
or compensatory mitigation measures will address the probable significant impacts or if an environmental
impact statement will be prepared to further analyze the proposal.
Instructions for applicants:
This environmental checklist asks you to describe some basic information about your proposal. Please
answer each question accurately and carefully, to the best of your knowledge. You may need to consult
with an agency specialist or private consultant for some questions. You may use "not applicable" or
"does not apply" only when you can explain why it does not apply and not when the answer is unknown.
You may also attach or incorporate by reference additional studies reports. Complete and accurate
answers to these questions often avoid delays with the SEPA process as well as later in the decision-
making process.
Type equation here.
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. The agency to which you submit this checklist may ask you to explain your
answers or provide additional information reasonably related to determining if there may be significant
adverse impact.
Instructions for Lead Agencies:
Please adjust the format of this template as needed. Additional information may be necessary to
evaluate the existing environment, all interrelated aspects of the proposal and an analysis of adverse
impacts. The checklist is considered the first but not necessarily the only source of information needed to
make an adequate threshold determination. Once a threshold determination is made, the lead agency is
responsible for the completeness and accuracy of the checklist and other supporting documents.
Use of checklist for nonproject proposals: :hie; 3
For nonproject proposals (such as ordinances, regulations, plans and programs), complete the applicable
parts of sections A and B plus the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS art D). Please
completely answer all questions that apply and note that the words "project," "applicant,"and "property or
site"should be read as"proposal,""proponent," and "affected geographic area," respectively. The lead
agency may exclude (for non-projects) questions in Part B- Environmental Elements—that do not
contribute meaningfully to the analysis of the proposal.
A. Background [heJ
1. Name of proposed project, if applicable: [helpl
Stack Dock, Float and Boat Lift After the Fact Permitting
2. Name of applicantls: jhelpl
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 1 of 12
3. Address and phone number of applicant and contact person: h[ elpl
9329 21 st Ave NW Seattle, WA 98117 206 321-6126
4. Date checklist prepared: [help] November 8, 2016
5. Agency requesting checklist: fhelp]_Mason-County
6. Proposed timing or schedule (including phasing, if applicable): [help] Existing Structures
7. Do you have any plans for future additions, expansion, or further activity related to or
connected with this proposal? If yes, explain. fhelpl No
8. List any environmental information you know about that has been prepared, or will be
prepared, directly related to this proposal. [helpl Mason County Environmental Permit and
Habitat Management plan prepared by Bio Resources LLC
11
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. fhelp] See
response to# 10
10. List any government approvals or permits that will be needed for your proposal, if known.
fhelpl Mason County uilding Permit Mason County Environmental Permit Jar pa, Tacoma
Power Shoreline Use JPeroit will be appled for at the same time as the submission of this
checklist
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. (Lead agencies may modify this form to include additional specific information on project
descrip tion.) hLSelp Vear proposing for an existing43x 8' fixed to et after the fact permits o
wood dock a 10' x 8' swirr float and a 12' x 5' galvanized steel boat lift on the west side of Lake
Cushman. These str ctur s are part of a vacation cabin on a 5 acre leasehold site with
approximately 270 L of waterfront. They are on the shoreline of the lake.
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. While you should submit any plans required by the agency, you
are not required to duplicate maps or detailed plans submitted with any permit applications
related to this checklist. [help]Address 2700 W Cushman Ridge Road Hoodsport, WA.
Cushman Westside_#1_, BLK:2, Lot 20
B. ENVIRONMENTAL ELEMENTS JhW
SEPA Environmental checklist(WAC 197.11.960) July 2016 Page 2 of 12
1. Earth 1hel
a. General description of the site: 14W
(circle one): Flat, rolling, hilly, steep slopes, mountainous, other Site is pie shaped sloping down
to the lake with the widest part at the lake shore.
b. What is the steepest slope on the site(approximate percent slope)? rhelpl 50%
c. 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
agricultural land of long-term commercial significance and whether the proposal results in
removing any of these soils. [helpl Rock cobbles gravel and sand
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so,
describe. [help] No indications of unstable soil
e. Describe the purpose, type, total area, and approximate quantities and total affected area of
any filling, excavation, and grading proposed. Indicate source of fill. jhelpl No fill was used.
Approximately 23.5 cu. ft. of cobbles ravel and sand were removed from the dry lake bed
for posts, with the 4poils spread on the adjacent ground.
f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe.
hel No
g. About what percent of the site will be covered with impervious surfaces after project
construction (for example, asphalt or buildings)?jhep]_ 0%
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any
No measures, not rtquired
2. Air hel
a. What types of emissions to the air would result from the proposal during construction
operation, and maintenance when the project is completed? If any, generally describe and
give approximate qquantities if known. [help] No emissions.constructed using hand
implements and b tterydriven tools.
b. Are there any off-site sources of emissions or odor that may affect your proposal? If so,
generally describe. ("e ? N 7
c. Proposed measures to reduce or control emissions or other impacts to air, if any: [help] No,
emissions, so not required.
3. Water [help]
a. Surface Water:
1) Is there any surface water body on or in the immediate vicinity of the site (including
year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 3 of 12
type and provide names. If appropriate, state what stream or river it flows into. 1hel
Lake Cushman -- reservoir for Tacoma Power
2) Will the project require any work over, in, or adjacent to (within 200 feet)the described
waters? If yes, please describe and attach available plans. [helpl Yes the dock was
constructed when thf,, reservoir had been lowered for the winter so work was performed
on dry ground. When the reservoir was raised again for summer, the area under the
dock float and ift w re seasonally inundated with water. See plans.
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. [helpl No fill was used. Approximately 23.5 cu. ft. of
dry lake bed consistinq of cobbles ravel and sand were removed for post holes with the
spoils s read ob the!ad'acent d lake bed.
4)Will the proposal require surface water withdrawals or diversions? Give general
description, purpose, and approximate quantities if known. hel No
5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan.
jhelp] 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. fhelpl No
b. Ground Water:
1) Will groundwater be withdrawn from a well for drinking water or other purposes? If so,
give a general description of the well, proposed uses and approximate quantities
withdrawn from the well. Will water be discharged to groundwater? Give general
description, purpose, and approximate quantities if known. [held No ground water or well
water involved it ith this project
2) Describe waste material that will be discharged into the ground from septic tanks or
other sources, if any (for example: Domestic sewage; industrial, containing the
following chemicals. . . ; agricultural; etc.). Describe the general size of the system, the
number of such systems, the number of houses to be served (if applicable), or the
number of animals or humans the system(s) are expected to serve. [help] No waste
material will bi%discharged into the ground with this project._
c. Water runoff(including stormwater):
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. [help] Rain falling on the dock and
float will run into the lake. This is the same water that would have fallen directly into the
lake if the doO and float were not present.
2) Could waste materials enter ground or surface waters? If so, generally describe. [help]
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 4 of 12
3) Does the propo al alter or otherwise affect drainage patterns in the vicinity of the site? If
so, describe. jh I o
d. Proposed measures to reduce or control surface, ground, and runoff water, and drainage
pattern impacts, if anyl• fhelplNo measures required or proposed.
4. Plants
a. Check the types of vegetation found on the site: [help]
_x_deciduous tree: alder, maple, aspen, other
_ x_evergreen tree: fir, cedar, pine, other
rx_shrubs
grass
pasture
crop or grain
Orchards, vineyards or other permanent crops.
wet soil plants: cattail, buttercup, bullrush, 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?1hel No vegetation will be
removed
c. List threatened and endangered species known to be on or near the site. rhelpl No
threatened or endangered species are known to be near the site.
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance
vegetation on the site, if any: jhelpl_None to_be_ lov_ided-site has been left in it's natural
e. List all noxious weeds and invasive species known to be on or near the site. jhelpl Himalayan
Blackberry
5. Animals
a. List any birds and other animals which have been observed on or near the site or are known
to be on or near the site. fhelpl
The following peces have been observed on or near the site: hawk,eagle, songbirds,
deer, lake Ott r, fish.
Examples include:
birds: hawk, heron, eagle, songbirds, other:
mammals: deer, bear, elk, beaver, other:
fish: bass, salmon, trout, herring, shellfish, other
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 5 of 12
b. List any threatened and endangered species known to be on or near the site. [help] bull trout,
marbled murr let northern spotted owl, streaked horned lark.
c. Is the site part of a migration route? If so, explain. [helpl Site is not part of a migration route
d. Proposed measures to preserve or enhance wildlife, if any: [helpl No measures proposed
other than leaving_the site as close to its natural condition as possible.
e. List any invasive animal species known to be on or near the site. [help] None known.
6. Energy and Natural Resources [help!
a. What kinds of energy (electric, natural gas, oil, wood stove, solar)will be used to meet
the completed project's energy needs? Describe whether it will be used for heating,
manufacturing, etc hel Solar ower from a collector on the batterypack on the dock will
be used for the bo t lift.
b. Would your project affect the potential use of solar energy by adjacent properties?
If so, generally describe. 1helpLNo
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: [help] The only
power used isPV s' tar power for the boat lift provided by a solar cell on top of the boat lift
power mechanism
7. Environmental Health hel
a. Are there any environmental health hazards, including exposure to toxic chemicals, risk
of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal?
If so, describe t . p! Nlo
1) Describe any known or possible contamination at the site from present or past uses.
[be
jpLNone known
2) Describe existing hazardous chemicals/conditions that might affect project development
and design. This includes underground hazardous liquid and gas transmission pipelines
located within the project area and in the vicinity. [help] No hazardous conditions
3) Describe any toxic or hazardous chemicals that might be stored, used, or produced
during the project's development or construction, or at any time during the operating
life of the project. [,help] The boat lift mechanism uses a deep cycle arine battery
contained.in box on the dock.
4) Describe special emergency services that might be required. [help] No emergency
services regu' d.
5) Proposed measures to reduce or control environmental health hazards, if any: 1hpM
No measureslreguired
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 6 of 12
b. Noise 1heIM
1)What types of noise exist in the area which may affect your project(for example:
traffic, equipment, operation, other)? [helpl Noise from boat traffic exists but will not affect
the protect.
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)? Indi-
cate what hours noise would come from the site. [helpl No noise now since improvements
exist.
3) Proposed measures to reduce or control noise impacts, if any: jhelp1 No measures
required.
8. Land and Shoreline Use fhelp"
a. What is the current use of the site and adjacent properties?Will the proposal affect current
land uses on nearby or adjacent properties? If so, describe. [helpl Vacation cabin on
shoreline along with adjacent vacation cabins._
b. Has the project site been used as working farmlands or working forest lands? If so, describe.
How much agricultural or forest land of long-term commercial significance will be converted to
other uses as a result of the proposal, if any? If resource lands have not been designated,
how many acres in farmland or forest land tax status will be converted to nonfarm or
nonforest use? he! P'for to Tacoma Power the land was forest land. It has been
recreational property si ce the Cushman Dam was constructed.
1) Will the proposal affect or be affected by surrounding working farm or forest land normal
business operations, such as oversize equipment access, the application of pesticides,
tilling, and harvesting? If so, how: het No
c. Describe any structure on the site. [helpl the site has a 640 SF cabin with a 300 SF deck, a
30 SF storacie shed an a 30 SF wood shed. The dock is 344 SF the swim float is 80 SF.
The boat lift is an apen frame steel structure.
d. Will any structures be demolished? If so, what? he[ Ip] No
e. What is the current zoning classification of the site?[helpLRR5
f. What is the current comprehensive plan designation of the site? [help] Rural Area
g. If applicable, what is the current shoreline master program designation of the site? het
Rural
h. Has any part of the site been classified as a critical area by the city or county? If so, specify.
fhelpl No
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 7 of 12
i. Approximately how any people would reside or work in the completed project?Lhelpl2
people-would se the dock seasonally while occupying the adjacent cabin.
j. Approximately how many people would the completed project displace? [help] None
k. Proposed measures to avoid or reduce displacement impacts, if any: [helpl No displacement
so no measures to n
L. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any: [help] Exixting improvements are permitted by existing land use plans.
m. Proposed measures to reduce or control impacts to agricultural and forest lands of long-term
commercial significance, if any: [help] No measures proposed
9. Housing [help_]
a. Approximately how many units would be provided, if any? Indicate whether high, mid-
dle, or low-income housing. [helpl No units provided
b. Approximately how many units, if any, would be eliminated? Indicate whether high,
middle, or low-income housing. [help] No units eliminated
c. Proposed measures to reduce or control housing impacts, if any: [help]No measures taken
10. Aesthetics [helf�
a. What is the tallest height of any proposed structure(s), not including antennas; what is
the principal exterior building material(s) proposed?[helpl The dock is 2 feet above the full
reservoir level of 7 8". The dock and swim float are wood and the g=boat lift is made of
galvanized steel.
b. What views in the immediate vicinity would be altered or obstructed?[help None
b. Proposed measures to reduce or control aesthetic impacts, if any: [help] No measures
proposed
11. Light and Glare rlp[
a. What type of light or glare will the proposal produce? What time of day would it mainly
occur? [helpl No light or glare produced
b. Could light or glare from the finished project be a safety hazard or interfere with views? hel
,.�o
c. What existing off-site sources of light or glare may affect your proposal?[help] None
d. Proposed measures to reduce or control light and glare impacts, if any: Lhel�No measures
proposed
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 8 of 12
12. Recreation
a. What designated and informal recreational opportunities are in the immediate vicinity? ihelol
Water activities on lake Cushman
b. Would the proposed project displace any existing recreational uses? If so, describe. thel
No
c. Proposed measures to reduce or control impacts on recreation, including recreation
opportunities to be provided by the project or applicant, if any: ;help] No measures proposed
13. Historic and cultural preservation Lhelpl
a. Are there any buildings, structures, or sites, located on or near the site that are over 45 years
old listed in or eligible for listing in national, state, or local preservation registers? If so,
specifically describe. thel] No
b. Are there any landmarks, features, or other evidence of Indian or historic use or occupation?
This may include human burials or old cemeteries. Are there any material evidence, artifacts,
or areas of cultural importance on or near the site? Please list any professional studies
conducted at the site to identify such resources. [helpl No
c. Describe the methods used to assess the potential impacts to cultural and historic resources
on or near the project site. Examples include consultation with tribes and the department of
archeology and historic preservation, archaeological surveys, historic maps, GIS data, etc.
[help]A cultural re4ource survey is required by Tacoma_Power
d. Proposed measures to avoid, minimize, or compensate for loss, changes to, and disturbance
to resources. Please include plans for the above and any permits that may be required. Lhel�]
No resources present so no measures are proposed
14. Transportation [help]
a. Identify public streets and highways serving the site or affected geographic area and
describe proposed access to the existing street system. Show on site plans, if any. lt@I
West Cushman Ridge Drive
b. Is the site or affected geographic area currently served by public transit? If so, generally
describe. If not, what is the approximate distance to the nearest transit stop?1helpLNot
served 16 miles tm the nearest bus stop
c. How many additional parking spaces would the completed project or non-project proposal
have? How many would the project or proposal eliminate? ['help] No additional parking
spaces provided r eli inated
d. Will the proposal require any new or improvements to existing roads, streets, pedestrian,
bicycle or state transportation facilities, not including driveways? If so, generally describe
(indicate whether public or private).[help] NO NEW IMPROVEMENTS REQUIRED
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 9 of 12
e. Will the project or proposal use (or occur in the immediate vicinity of)water, rail, or air
transportation? If so, generally describe. hel No
f. How many vehicular trips per day would be generated by the completed project or proposal?
If known, indicate when peak volumes would occur and what percentage of the volume would
be trucks (such as commercial and nonpassenger vehicles). What data or transportation
models were used to make these estimates? [help] No new trips will be generated. The dock
will only be used w en th istin cabin is occupied
g. Will the proposal interfere with, affect or be affected by the movement of agricultural and
forest products on roads or streets in the area? If so, generally describe. [helpl No affect by
the proposal butte project could be affected.by intermittent logging activities on ad'acent
Forest Service and1l private timberlands
h. Proposed measures to reduce or control transportation impacts, if any: jhelpLNo measures
proposed
15. Public Services [h 1p1
a. Would the project result in an increased need for public services(for example: fire protection,
police protection, public transit, health care, schools, other)? If so, generally describe. hel
b. Proposed measures to reduce or control direct impacts on public services, if any. [help] No
measures proposed
16. Utilities hel
a. Circle utilities currently available at the site: 1h@jM
electricity, natural gas, water, refuse service,telephone, sanitary sewer, septic system,
other Permitted septic system at the site
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. hei No 'tilities are ro osed
C. Signature 1.helol
The above answers are true and complete to the best of my knowledge. I understand that the
lead agency is relying on�thhm
to make its decision.
Signature: !
Name of signee:��reo kij
Position and Agency/Organization Owner.
Date Submitted: +11/10/16
SEPA Environmental checklist(WAC 197-11-960) July 2016 Page 10 of 12
STAr$. MASON COUNTY
�P C � Department of Community Services
o n o v Planning Division
F o N z 615 W Alder St, Shelton,WA 98584
7 N y ti (360)427-9670
of �O
1864
Exemption from Shoreline Management Act
Case No.: SHX2016-00083 Substantial Development Permit Requirement
The Proposal By: GREGORY STACK
9329 21 STAVE NW
SEATTLE, WA 98117
Parcel Number: 423315002020
Site Address: 2700 W CUSHMAN RIDGE DR SHELTON
To undertake the following development:
ATF - STACK FAMILY DOCKAND LIFT
Within LAKE CUSHMAN and/or its associated wetlands is exempt from the requirement of substantial
development because the development is categorized under WAC 173-27-040(2) as being category:
A-does not exceed dollar threshold
Please contact Kell McAboy at ext 365 if you have any questions.
issued:11/29/2016 Authorized Local Govern PenOfficial
SHX2016-00083 November 29, 201E
QS�N STgT�O� MASON COUNTY
o A o N Department of Community Services
AL Planning Division
y o T 615 W Alder St, Shelton,WA 98584
�oJ Y Doti (360)427-9670
1864
DETERMINATION OF NONSIGNIFICANCE
(WAC 197-11-340)
SEP2016-00120
Description of Proposal: ATF — STACK FAMILY DOCK & LIFT
Proponent: GREGORY STACK
Location of Proposal: 2700 W CUSHMAN RIDGE DR SHELTON
Parcel Number: 423315002020
Legal Description: LAKE CUSHMAN - WESTSIDE #1 BLK: 2 LOT: 20
Directions to Site: N US HWY 101 TO HOODSPORT, LEFT ONTO WA-119N
Lead Agency: Mason County
The Lead Agency for this proposal has determined that it does not have a probable significant
adverse impact on the environment. An Environmental Impact Statement (EIS) is not 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 upon request.
Please contact Kell McAboy at ext. 365 with any questions. This DNS is issued under WAC
197-11-340(2). The Lead Agency will not act on this proposal for 14 days from the date shown
below, when the determination is final. Comments must be submitted to Dept. of Community
Development, 615 W Alder St, Shelton WA 98584 by 12/13/2016. Appeal of this determination
must be filed within a 14-day period following this final determination date, per Mason County
Code Chapter 15.11 Appeals.
G — t 12-ft CQ
Authorized Local Gov/ r ment Official Date
1...
I
PyON-STA °� MASON COUNTY
M
C DEPARTMENT OF COMMUNITY DEVELOPMENT
4 O
o N Z Planning Division
7 N y ti 615 W Alder St, Shelton, WA 98584
(360)427-9670
1864
MASON COUNTY ENVIRONMENTAL PERMIT
December 13, 2016
GREGORY STACK
9329 21 STAVE NW
SEATTLE WA 98117
Parcel Number(s): 423315002020
Expiration Date: 12/13/2018 12:00:00.
Date Issued: 12/13/2016
Case Number: MEP2016-00051
Project Description:
ATF — STACK FAMILY DOCKAND LIFT
The following critical areas are present on this property:
Long-Term Commercial Forest XX FWHCA
Ch. 17.10.060; Ch. 17.01.110;
Mineral Resource Lands Frequently Flooded Areas
Ch. 17.01.066; Ch. 17.01.090;
Inholding Lands Landslide Hazard Areas
Ch. 17.01.062; Ch. 17.01.100;
Wetlands Seismic Hazard Areas
Ch. 17.01.070; Ch. 17.01.102;
Critical Aquifer Recharge Erosion Hazard Areas
Ch. 17.01.080; Ch. 17.01.104.
This permit, with conditions, is granted pursuant to the Mason County Resource Ordinance (Chapter 17.01
MCC.) Nothing in this permit shall excuse the applicant from compliance with any other federal, state, or local
statutes, ordinances, or regulations applicable to this project. This permit may be rescinded if the permitee
fails to complete the project as proposed or fails to comply with the standards of this ordinance.
Authorized Local Governm fficial Date
Conditions:
12/13/2016 Page 1 of 2 MEP2016-00051
MASON COUNTY ENVIRONMENTAL PERMIT
12/13/2016 Case No.: MEP2016-00051
No permit or exemption authorizing construction shall extend for a term of more than five years. If actual construction of
a development for which a permit has been granted has not begun within two years after approval, the Review
Authority, the Mason County Planning Department, shall review the Mason Environmental Permit(MEP)and upon
showing good cause, may extend the initial two year period by one year. No permit shall be extended unless the
applicant has requested such review and extension prior to the exporation date.
igna u e Date
OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
12/13/2016 Page 2 of 2 MEP2016-00051