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HomeMy WebLinkAboutFPA2016-00008 SEP2016-00057 W.T. Timber - FPA Permit / Conditions - 6/20/2016 r Soza Coate MASON COUNTY COMMUNITY SERVICES FPAJQ)� Mason County Bldg. 8, 615 W. Alder Street, Shelton, WA 98584 - _ -- www.co.mason.wa.us (360)427-9670 Belfair(360)275-4467 Elma(360)482-5269 1854 FOREST PRACTICES APPLICATION/NOTIFICATION Type IV General JUN 2 0 2016 This application should be accompanied with an Environmental Checklist(SEPA) as well as an activity map/site plan which addresses items listed below. TYPE OR PRINT IN INK: 1. Landowner, Timber Owner and Operator information. Legal Name of LANDOWNER Legal Name of TIlvE3ER OWNER Legal Name of OPERATOR VN.T, T:h'16ar LL'L sc,"Me 0.s �,cw,��,, Sc.,wL.c aS Mailing Address: Mailing Address: Mailing Address: 1oZ5 Mo�—[� /w,a � City, State,Zip W City, State,Zip City, State,Zip fvl ar� �Ati.v, q Fl563 Phone ? ,) $ 1 37-1 Phone( ) Phone( ) Email:V-A t., I ke mac! Can.. Email: Email: 2. Contact person information. Contact Person Phone V o) 5B I_ 7 ,4— l0t-.ah �'.e i Email: W(LG..►x v%e l 1 C6 P c.c� k-:e r- . evw\ 3. If you are harvesting timber, enter the Forest Tax Reporting Account Number of the Timber Owner: -a54-2-5 Z. For tax reporting information or to receive a tax number,call the Department of Revenue at(800)548-8829. 4. Legal description where the forest practices will occur. Parcel Number Sub Division(1/4 1/4) Section Township Ranee E/W 'La to 7 Sar, 2-9 o ,,v N E yAJ 14 a a N 1. 5. Answer each question as it applies to your proposed forest practice. a. No. [] Yes. Is the activity within an urban growth area? b. [?j No. [] Yes. Is the activity within a public park? C. No. [] Yes. Is the activity within 500 feet of a public park? Park name: d. []No. Yes. Is the activity located on lands platted after January 1, 1960? e. p}No. [] Yes. Is the activity within 200 feet of saltwater lake river/creek/stream pond wetland seasonal runoff slopes which exceed 15%? f. What is the expected duration of FPA? Pagel of 4 I:\Community DevelopmentTLANNINGTAC 2016-Permit Assistance CenterTorest Practice lk Proposed start date: Proposed end date: S_ed { ) Ly 11. A` 6. Are you cutting or removing timber? []No. []Yes. Complete the table below and identify all timber harvest and salvage activity boundaries on the activity map. Acres Volume to be Steepest Slope in Unit# Harvest Type Yarding Method (net) Harvested(mbf) Harvest Unit(% / S C�7, 7. Are you constructing or abandoning roads? []No. Yes. Complete the table below. Show locations and identify all road activities on the activity map. Total Length Steepest Side Slope Abandonment Date Type of Activity (feet) (% (Mo/Yr) Road Construction d Does Not Apply Temporary Road Construction Road Abandonment Work in or over typed water may require a Hydraulic Project Approval(IPA)from the Washington Department of Fish and Wildlife (WDFW). If you have questions concerning the HPA,visit the WDFW website at www.wdfw.wa.gov/habitat.htm. 8. Are you installing or replacing water-crossings? Pq No. []Yes. Complete the table below. Show locations and identify all proposed water-crossings on the activity map. Crossing Crossing Dimensions Crossing Crossing Dimensions Identifier Type (width x length) Identifier Type (width x length) 9. Mark the following activities that will be done in or over typed water. Activity in or over: Type I Stream Type II Stream Type III Stream Type IV Stream Type V Stream Removing culverts of bridges Equipment crossing Ground skidding Suspending cables Cable yarding Falling and bucking Oilier 10. Is any activity in a wetland or wetland buffer? V No. []Yes. Complete the table below. Show locations and identify all wetlands and buffers on the activity map. Wetland Wetland Type Activity Type in Activity Type in Total Wetland Total Area Total Area Identifier (I,z III,IV, Wetland Buffer Area(acres) Drained(acres) Filled(acres) other) 11. Describe how the following are identified on the ground • Harvest boundaries/unit comers: P i n k F/9L 010,1 w • Right-of-way limits and centerlines for road work,c verts and bridges: • Critical areas and critical area buffer boundaries: Page 2 of 4 I:\Community DevelopmentTL ANNINGTAC 2016-Permit Assistance CenterTorest Practice r a 12. Have you reviewed this forest practices activity area to determine whether it may involve historic sites and/or Native American cultural resources? []No. []Yes. 13. We aT=that the information contained herein is true,and understand that this proposed forest practice is subject to the Forest Practices Act and Rules and Mason County Forest Practices Conversion Ordinance as well as all other federal,state or local regulations. Compliance with the Forest Practices Act and Rules and the Mason County Forest Practices Conversion Ordinance does not ensure compliance with the Endangered Species Act or other federal state or local laws. Si ;of ANILO�VNER Signature of TRvIBER OWNER Signature of OPERATOR ,T � (if different than landowner) (If different that landowner) Sa�,..� As /a„aC�wti.�•- 5�- � as Icw,low+.w Print name: Print name: Print name: Date: 6-Zo- I L Date: Date: Additional information: (Optional) �rz: -rv-•e yes 1'o b.e s Per Mason County Ordinance 11.05, Section 11.05.120,a site map shall accompany this application which includes the following information. I Harvest boundaries and tree retention areas. H The approximate location of any structures. III The location of all existing and proposed streets,right-of-ways,easements,skid roads,haul roads,and landings within the proposal. IV The location of future land development including stormwater management facilities and vegetation to be retained for site landscaping,open space,wildlife habitat, screening,and/or buffers. V Site topography at contour intervals of 40 feet. VI Critical areas and critical area buffers regulated pursuant to the Critical Areas Ordinance. VII Drainage ways and culverts. VM Site area targeted for further harvest including proposed timing. IX North arrow and scale shall be shown on all site plans. The scale shall be no smaller than one inch to 200 feet. Staff asks that, at a minimum,the comers of the harvest unit(s)be flagged for clear identification. Page 3 of 4 I:\Community DevelopmenAPLANNINGTAC 2016-Permit Assistance Center�Forest Practice NOTE: Copies of all FPA Applications will be forwarded to Mason County Public Works for stormwater and erosion control review.Projects which disturb more than one acre(regardless of total lot size)will require an engineered stormwater plan consistent with the Mason County Stormwater Ordinance(Chapter 14.48.)and the 1992 WSDOE Stormwater Manual(2005 in Belfair&Allyn UGA's).Applicants will be charged for Public Works staff time to review these plans and applications. Property owners should also be aware that the Washington State Department of Ecology(WSDOE)might ask for a NPDES (National Pollution Discharge Elimination System)Permit. The threshold for such a permit is equivalent to Mason County's threshold.WSDOE will notify applicants through SEPA review if a NPDES is required.An NPDES is not a perquisite for FPA approval. It is the responsibility of the applicant to obtain this permit when required. FPA FEE: $240.00 with SEPA SEPA FEE: 0-9.99 Acres$590 $350.00 without SEPA 10 to 20 Acres$705 Over 20 Acres$885 EIS(DS)$2,360+65/hr Departmental Review (For Office Use Only) Site visit: Date approved: Mason County Community Services 2/1&2016 Page 4 of 4 L•\Community DevelopmentTLANNING\PAC 2016-Permit Assistance Centefforest Practice Inspection Line (360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County 615 W Alder St irflo Shelton, WA 98584 FPA PERMIT FPA2016-00008 OWNER: W T TIMBER LLC RECEIVED: 6/20/2016 CONTRACTOR: LICENSE: EXP: ISSUED: 8/1/2016 SITE ADDRESS: 670 W MAPLE ROCK RD MATLOCK EXPIRES: 8/1/2018 PARCEL NUMBER: 620107500290 LEGAL DESCRIPTION: TR 29 OF SURVEY VOL 1 PG 7 PROJECT DESCRIPTION: DIRECTIONS TO SITE: W MAPLE ROCK Maple Rock Rd PERMIT INFORMATION FEES Type By Date Amount Receipt NUMBER: CLASS: FPA Plan Check Fee with SEF JBN 6/20/2016 $255.00 S2201600000000000582 FPA 16-08 IV Total $255.00 MORITORIUM: BOARD FEET: N 75 TOTAL AREA: CUT AREA: 5.00 5.00 CONVERSION TO: SHORELINE DESIG. RES C WATER BODY: WATER TYPE: Dry Bed Creek SHORELINE OF SIG.: SEPA: Y TYPE: ZONING: Clear Cut RR5 FPA2016-00008 Please refer to the following pages for conditions of this permit. Page 1 of 3 CASE NOTES FOR F PA2016-00008 CONDITIONS FOR FPA2016-00008 1) HOURS OF OPERATION Noise associated with this application shall not exceed what is allowed under Mason County Code 9.36. Harvest operations shall start no earlier than 7:00 AM and shall end before 8:00 PM on a daily basis. x _izzL� 2) SLASH ABATEMENT This Forest Practice Application indicates that forest debris resulting from the proposed logging operation may create an extreme fire hazard under RCW 76.04.600 and WAC 332-24-650. An extreme fire hazard could be created if one or more of the conditions found in WAC 332-24-650 is located within 100 feet of the running surface of a public road; or is within 500 of an existing structure and/or designated public use area, which is not owned by the owner of the fire hazard area. The land owner is fully liable in the event of fire, if he or she fails to appropriately abate the hazard. Extreme fire hazards shall be abated by removing the forest debris, or by other means approved by the Washington State Department of Natural Resources (DNR). X. L� 3) STORM WATER & EROSION CONTROL Escape of silty water or mud from this property shall be considered a violation of County and State storm water management regulations, and could subject the applicant(s) to civil fines or penalties. This project is represented as disturbing less than one-acre of ground and creating less than 5,000 sq ft of new impervious surfaces. The contractor shall comply with the 2005 WSDOE Stormwater Manual compliant best management checklist written by Bob Whann�ell(for rtthis project. X 4) ARCHAEOLOGICAL RESOURCES Archaeological or historical resources, such as ruins, sites, buildings, artifacts, fossils, or other objects of antiquity that may have significance from an historical or scientific standpoint, which may be encountered by the developer/contractor, shall not be further disturbed. If the developer/contractor encounters any such artifacts, he/she shall immediately stop work and notify Mason County and the Washington State Department of Archaeology and Historic Preservation. Failure to do so may result in civil penalties. X � FPA2016-00008 Please refer to the following pages for conditions of this permit. Page 2 of 3 This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of M�asonp County access to"the above described property and structure for review and inspection. OWNER OR AGENT: KM .J w "r"��C� DATE: �- (^ � b FPA2016-00008 Please refer to the following pages for conditions of this permit. Page 3 of 3 1 FINDINGS OF FACT FPA Case # 2016-00008 APPLICANT: WT Timber LLC APPLICATION DATE: June 20, 2016 Mason County has reviewed the above referenced application for Class IV General Forest Practices and finds it in conformance with all applicable County land use regulations in effect at the time of application. FINDINGS The proposed FPA is compliant with the following conditions: The proponent has paid the prescribed fees. The proponent has filed a complete, signed application. A map has been received that complies with the requirements of 11.05.120: (I) Harvest boundaries and tree retention areas. (II) The approximate location of any structures. (III) The location of all existing and proposed streets, right-of-ways, easements, skid roads, haul roads, and landings within the proposal. (IV) The location of future land development including stormwater management facilities and vegetation to be retained for site landscaping, open space,wildlife habitat, screening, and/or buffers. (V) Site topography at contour intervals of 40 feet. (VI) Critical areas and critical area buffers regulated pursuant to the Critical Areas Ordinance. (VII) Drainage ways and culverts. (VIII) Site area targeted for further harvest including proposed timing. (IQ North arrow and scale shall be shown on all site plans. The scale shall be no smaller than one inch to 200 feet. That this FPA is in conformance with the following Mason County ordinances: 11.05 That the proposed FPA involves 5 acres encompassing one parcel. That the notifications required by 11.05.060 have been made if applicable. N/A Mason County Resource Ordinance 1 1 _X_That at the issuance of this permit will not result in a violation of the Mason County Resource Lands and Critical Areas Ordinance. The site was inspected by Michael MacSems of the Mason County Planning Department who determined that any critical area buffer and/or steep slope issues have been resolved. 150'buffer from Dry Bed Creek Geo-Technical Report/Assessment Review A Geo-Technical _ Assessment Report(check one)was written by and a submittal checklist was approved by Michael MacSems of Mason County DCD on N/A Washington State Department of Transportation _X_A DOT Access Permit is not required for this proposal. A DOT Access Permit is required for this proposal. Date Approved by DOT: Mason County Road Access Permit Road Access Permits were issued by Mason County Public Works on Private Road Shoreline Master Program That, if applicable, all activity under this application are in conformance with the Mason County Shoreline Master Program and has a shore line designation of Conservancy. Dry Bed Creek within 200'of subject parcel. State Environmental Policy Act This application for FPA#2016-00008: X Has been reviewed for SEPA compliance under case#: SEP 2016-00057. _Is SEPA exempt. _DNS X MDNS Stormwater Management 2 A 12-Point BMP narrative written by Robert Whannell plan written to the specifications of the 2005 WSDOE Stormwater Manual was provided and accepted Michael MacSems of DCD. Permission from Underlying Property Owners: Same as applicant CONCLUSION In conclusion,this application for Class IV General Forest Practices is consistent with the above criteria and that the public uses and Mason County has fulfilled its statutory obligations. RECOMMENDATIONS I, being the Manager of the Mason County Planning Department,hereby attest to and certify that appropriate provisions have been made for this Class IV General Forest Practices Application and hereby recommend approval. In addition these facts evidenced by the contents of the file for this Forest Practice Application. Signed, David Windom, Director Community Services Dept. Date UG) 7)Z4A-4:3 Michael Mac ems, FPA Reviewer Date 3 620107500020 620107500300 620107500030 620107500290 f'I AW i,A 620101200000 4t, CA 620107500040 620107500280 J Y 3 W 620107500050 I 620107500270 � 620101000000 1 June 20,2016 WT Tmker LLC Timkerland Management Mason County Community Services Department Cruising&Appraisals Attention Michael MacSems Ud Z01V OrFICE Tax Parcel Five Acre �10 625 Monte Elma Road v C�� -/,v)ull U e i vl U I Yt Montesano,WA 98563 •� j�/W m �`�'�� fit!i �� ��L(� PHONE Richard Tagman (360)249-4583(home) (360)580-2904(cell) Project plan---Log and reforest-develop site for resale for one family unit.Unit consists of five acres,95%to be logged,leave trees will be scattered over entire unit Robert Whanne!l (360)262-9929(home) Logging spur marked with blue and white with blue dots flagging,clearing limits marked with blue ((360)581-3759(cell) 'L paint,200 feet in length and 10 feet on each side of center line for total area of 4000 square feet EAx of cleared ground. Prospective purchasers will have the option of clearing on either side or off the (360)249-0096 end logging spur for future home site. FMAIL whannell(g pacifieccom Logging access off harvest spur will come onto Maple Rock Lane witch is a private road.Crushed rock will be used to protect existing road shoulders and to minimize tracking dirt or logging debris onto existing road. Topography is flat and do not visualize water or sediment running off the property onto road or adjacent properties.If a low area develops wheat straw will used to filter run off. Logger will keep logging site clean and protect the machinery site clear of any pollutants. Projected start of operations mid July,completion by September 2016. This schedule will allow this operation to be completed during dry soil period. I Z � -� W1%G 1.el . Robert Whannell 4 C,L-1 5 6/w tv ' Y6Cy�Q�� 6 DUo slc,y' S a 6) 4��ctVti,irt1 -H 1 1 LcySSz�r G.;�. ec�..��6�e�,l••. �� t June 20,2016 WT Timber LLC 1im6erlancl Management Mason County Community Services Department Cruising&Appraisals Attention Michael MacSems Tax Parcel Five Acre" C�Z L j L 7 S-0n 'L Q D Project plan---Log and reforest-develop site for resale for one family unit- Unit consists of five acres,95%to be logged,leave trees will be scattered over entire unit Logging spur marked with blue and white with blue dots flagging,clearing limits marked with blue paint,200 feet in length and 10 feet on each side of center line for total area of 4000 square feet of cleared ground. Prospective purchasers will have the option of clearing on either side or off the end logging spur for future home site. whann II pacifier.com Logging access off harvest spur will come onto Maple Rock Lane witch is a private road.Crushed rock will be used to protect existing road shoulders and to minimize tracking dirt or logging debris onto existing road. Topography is flat and do not visualize water or sediment running off the property onto road or adjacent properties.If a low area develops wheat straw will used to filter run off. Logger will keep logging site clean and protect the machinery site clear of any pollutants. Projected start of operations mid July,completion by September 1 2016. This schedule will allow this operation to be completed during dry soil period. 'lam Robert Whannell �STATt i n� y�2` 0 ��'�IAB9� STATE OF WASHINGTON DEPARTMENT OF ECOLOGY PO Box 47775 •Olympia, Washington 98504-7775 .(360)407-6300 711 for Washington Relay Service •Persons with a speech disability can call 877-833-6341 July 27,2016 Mr.Michael MacSems Mason County Department of Community Development Planning Division PO Box 279 Shelton, WA 98584 Dear Mr.MacSems: Thank you for the opportunity to comment on the mitigated determination of nonsignificance for the W Maple Rock Project(SEP2016-00057) located at 670 West Maple Rock in Matlock as proposed by Robert Whannell, WT Timber LLC. The Department of Ecology(Ecology) reviewed the environmental checklist and has the following comment(s): WATER QUALITY: Chris Montague-Breakwell(360)407-6364 The following construction activities require coverage under the Construction Stormwater General Permit: 1. Clearing, grading and/or excavation that results in the disturbance of one or more acres and discharges stormwater to surface waters of the State; and 2. Clearing, grading and/or excavation on sites smaller than one acre that are part of a larger common plan of development or sale, if the common plan of development or sale will ultimately disturb one acre or more and discharge stormwater to surface waters of the State. a) This includes forest practices(including,but not limited to, class IV conversions) that are part of a construction activity that will result in the disturbance of one or more acres,and discharge to surface waters of the State;and 3. Any size construction activity discharging stormwater to waters of the State that Ecology: a) Determines to be a significant contributor of pollutants to waters of the State of Washington. b) Reasonably expects to cause a violation of any water quality standard. Mr. Michael MacSems July 27,2016 Page 2 If there are known soil/ground water contaminants present on-site, additional information (including, but not limited to:temporary erosion and sediment control plans; stormwater pollution prevention plan; list of known contaminants with concentrations and depths found; a site map depicting the sample location(s); and additional studies/reports regarding contaminant(s))will be required to be submitted. You may apply online or obtain an application from Ecology's website at: http://www.ecy.wa.gov/programs/wq/stormwater/construction/-Application. Construction site operators must apply for a permit at least 60 days prior to discharging stormwater from construction activities and must submit it on or before the date of the first public notice. Ecology's comments are based upon information provided by the lead agency. As such,they may not constitute an exhaustive list of the various authorizations that must be obtained or legal requirements that must be fulfilled in order to carry out the proposed action. If you have any questions or would like to respond to these comments,please contact the appropriate reviewing staff listed above. Department of Ecology Southwest Regional Office (SM:16-3751) cc: Chris Montague-Breakwell, WQ Robert Whannell, WT Timber LLC (Proponent) MASON COUNTY DCD SEPA Contact List Sent SEPA /(- -S6 1 /1 J 7 to (check all that apply) on 7�i3 r7 Skokomish Tribal Nation,Nat Res. Dept WA Department of Ecology ATTN: Randy Lumper Environmental Review Section N 541 Tribal Center Rd., Skokomish Nation,98584 PO BOX 47703,Olympia,98504-7703 riumper@skokomish.org separegister@ecy.wa.gov Skokomish Tribal Historic Preservation Officer WA Department of Commerce ATTN: Kris Miller reviewteam@commerce.wa.gov 80 N Tribal Center Rd, Skokomish Nation, 98584 shlanayl @skokomish.org U.S.Army Corps of Engineers SEPA Reviewer-Jason Sweeney Quinault Indian Nation PO Box C-3755, Seattle,98124 ATTN: Mark Mobbs Jason.t.sweeney@usace.army.mil PO Box 189,Tahola,98587 mmobbs@quinault.org WA Dept of Fish and Wildlife hpaapplications@dfw.wa.gov Squaxin Tribal Nation,Natural Res.Dept 2952 SE Old Olympic HWY,Shelton 98584 WA Dept of Fish and Wildlife jdickison@squaxin.us ATTN: Joshua Benton emarbet@squaxin.us (Habitat Biologist-Hood Canal Watershed) szaniewski@squaxin.us 2391 W Deegan Rd., Shelton, 98574 THeil@squaxin.us oshua.Benton@dfw.wa.gov he Confederated Tribe of the Chehalis ZWA Dept of Fish and Wildlife ATTN: SEPA Reviewer-Glen Connelly ATTN: Margie Bigelow 420 Howanut Rd.,Oakville, 98568 (Habitat Biologist-S Puget Sound Watershed) gconnelly@chehalistdbe.org 2391 W Deegan Rd., Shelton, 98574 margaret.bigelow@dfw.wa.gov WA DNR,South Puget Sound Region 950 Farman Avenue N, Enumclaw,98022-9282 WA Dept of Transportation southpuget.region@dnr.wa.gov ATTN: Dale Severson P.O. Box 47440, Olympia 98504-7440 WA DNR,Aquatic Resources OR-SEPA-REVIEW@wsdot.wa.gov PO BOX 47027,Olympia,98504-7027 rd@dnr.wa.gov City of Shelton CZJ ATTN: Jason Dose WA DNR,SEPA Center 525 West Cota St., Shelton 98584 ATTN: External Coordinator jasond@ci.shelton.wa.us PO BOX 47015,Olympia,98504-7015 epacenter@dnr.wa.gov Port of Shelton ATTN: Brandon Palmer Olympic Region Clean Air Agency 21 West Sanderson Way, Shelton 98584 ATTN:Aaron Manley 2940-B Limited Ln. NW,Olympia.98502 aron.manley@orcaa.org �andonp@portofshelton.com fice of Archaeology&Historic Preservation ATTN: Lance Wollwage Mason County Transit P.O. Box 48343,Olympia, 98504-8343 ATTN: Mike Oliver Lance.Wollwage@dahp.wa.gov PO Box 1880, Shelton, 98584 moliver@masontransit.org Tacoma Public Utilities-Real Property Servicei ATTN: Dave Letterman EZ Mason County PUD#1 3628 S 35th St,Tacoma, 98409-3192 ATTN: Jocelyn Gray dletterm@cityoftacoma.org N 21971 Hwy 101, Shelton,98584 locelyneg@mason-pudl.org Other. Mason Cty P.W.ATTN: School District: Mason Cty E.H.ATTN: Agent: Mason Cty Bldg ATTN: Applicant: MC DCD last updated on 6/1/2016 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Planning Division 615 W Alder St, Shelton, WA 98584 (360)427-9670 MITIGATED DETERMINATION OF NONSIGNIFICANCE (WAC 197-11-350) SEP2016-00057 Description of Proposal: This SEPA is associated with a Class IV General FPA (16-07) on Maple Rock Road (a private rd) near Deckerville, WA. The site is flat with no critical areas except that a small portion of the parcel is with in the 200' Conservancy Shoreline designation for Dry Bed Creek which is off-site. The applicant is proposing a narrow driveway (under 5,000 sq ft impervious) and will disturb (stump) less than one acre of ground and has provided a 12-point stormwater and erosion control BMPs narrative as required by the 2005 WSDOE Stormwater Manual. The site is in a mapped FEMA flood zone. The applicant says that they will replant all but one potential home site. Proponent: W T TIMBER LLC Site Address (If Assigned): 670 W MAPLE ROCK RD MATLOCK Directions to Site: Matlock Deckerville Rd to W Deckerville Rd, right, then right onto W Maple Rock Rd, on right near end of the road. Parcel Number: 620107500290 Legal Description: TR 29 OF SURVEY VOL 1 PG 7 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. MITIGATED MEASURES ARE ATTACHED. Please contact Michael MacSems at ext. ext 571 or mms@co.mason.wa.us with any questions. This DNS is issued under WAC 197-11-350. 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 Community Services Department, 615 W Alder St, Shelton WA 98584 by 7/27/2016. 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. Authorized Local Government Official Date SEP2016-00057 Page 1 of 2 f MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Planning Division 615 W Alder St, Shelton, WA 98584 otoM (360)427-9670 MITIGATED DETERMINATION OF NONSIGNIFICANCE (WAC 197-11-350) SEP2016-00057 CONDITIONS OF THIS DETERMINATION 1) HOURS OF OPERATION Noise associated with this application shall not exceed what is allowed under Mason County Code 9.36. Harvest operations shall start no earlier than 7.00 AM and shall end before 8.00 PM on a daily basis. 2) SLASH ABATEMENT This Forest Practice Application indicates that forest debris resulting from the proposed logging operation may create an extreme fire hazard under RCW 76.04.600 and WAC 332-24-650. An extreme fire hazard could be created if one or more of the conditions found in WAC 332-24-650 is located within 100 feet of the running surface of a public road; or is within 500 of an existing structure and/or designated public use area, which is not owned by the owner of the fire hazard area. The land owner is fully liable in the event of fire, if he or she fails to appropriately abate the hazard. Extreme fire hazards shall be abated by removing the forest debris, or by other means approved by the Washington State Department of Natural Resources (DNR). 3) STORM WATER & EROSION CONTROL Escape of silty water or mud from this property shall be considered a violation of County and State storm water management regulations, and could subject the applicant(s) to civil fines or penalties. This project is represented as disturbing less than one-acre of ground and creating less than 5,000 sq ft of new impervious surfaces. The contractor shall comply with the 2005 WSDOE Stormwater Manual compliant best management checklist written by Bob Whannell for this project. 4) ARCHAEOLOGICAL RESOURCES Archaeological or historical resources, such as ruins, sites, buildings, artifacts, fossils, or other objects of antiquity that may have significance from an historical or scientific standpoint, which may be encountered by the developer/contractor, shall not be further disturbed. If the developer/contractor encounters any such artifacts, he/she shall immediately stop work and notify Mason County and the Washington State Department of Archaeology and Historic Preservation. Failure to do so may result in civil penalties. SEP2016-00057 Page 2 of 2 MSAA1 D Department of Archaeology and Historic Preservation 62 0033 40(}000 �(� G20033000Q00 620040003000 ___----620030002000 620033400030 \\620(0300030001 62 00 43 40 0010 620033400000 620034300000 62003006000062002400000 620033000000 G20033400Q20 620030003000 620040003000 620033400010 G2002999999 6120107500010620107500310 I� 62011000000 620107500020620107500300 f� * 620101200000 620107500030620107500290 c � 620107500040620107500280 �' 62011000000 r Q 620090000000 620100004000 6 2010750005 C620107500270 620101000000 62010750006CG20107500260 } 620107 50007062 0107 5002 50 62011006000 r 6201075Q008Q6201Q7 500240 620101000000 620ii3z0000 fl I I 620100060000 620103200010 620107500090620107500230 620104000000'-"� ' r ' II I , 620104000000 620107 500100 ' July 12, 2016 1:11,868 0 0.1 0.2 0.4 mi Determined Eligible Heritage Barns Register Properties (Polygons) 0 0.15 0.3 0.6 km Determined Not Eligible Register Properties (Points) ® Register Districts Sources: Esn, HERE, DeLorrne, Intermap, ncrement P Corp., GEBCO, USGS,FAO,NPS,NRCAN,GeoBase,IGN,Kadaster NL,Ordnance Survey, No Determination — Register Properties (Lines) Parcels '.���'"r ,c,'ti.��.. �`�- +.b'`t� � �,F� . r � ` � ,Y r f�:/ � r' J( � � .y•-M� � �.. ,Iy{A� �,� y��r•��y-Js_.kr � tce t� .� � i I !�I ,r! ff �x� � � �,'�. t� + aat±str -- '. f ��rt•� � � ' tip` t - �`,� � ' r �\) CGr�/l,e✓ /�G�yC C' SEPA Environmental Checklist Mason County //Permit Center Use: SEP DZU Single Family DNS: $385 �y ❑ Other DNS: 0 to 9.99 acres: $630 Parcel#: 0- /y 5—a)2-q0 10 to 20 acres: $755 Date Rcvd: Over 20 acres: $945 �t ❑ DS/EIS: $2,525+70 Per hr RECEIVED JUN 2 0 2016 - 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: hf e 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. 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. A. BACKGROUND h 1. Name of proposed project, if applicable: hef W, AA0.ple Eck 2. Name of applicant: h� 2M W T T L, ,,- LLA.- 3. Address and phone number of applicant and contact person: ltgtlo �o Z-S M�n� �"f rv,v, mod• WA- Off'. P ►.� (31,D) 2-49 _g5-B3 CdYd�cf' pc.�,• �c�•�' �-J�.ar.nQ P1 (�1�)-5r I-37---A `l SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 1 of 11 4. Date checklist prepared: hI el 6 fZof/6 5. Agency requesting checklist: h� e1pl 6. Proposed timing or schedule (including phasing, if applicable): Jhelp 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. her 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. 1hei 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. Jhem &) D 10. List any government approvals or permits that will be needed for your proposal, if known. Jhelp 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 description.) rhea LecICL hJ p►—P-ir L o;, C) hat.,---, 5:-16— "^4 r-�e j(I«r�' Lnyej.d cL,.ct,- 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. hei Parcel #(s): 64 C/G-7 513" 2.9 0 Address: Legal Description: S •�- ''^ �� Nw Twp/Range/Section and/or GPS location: � � rj �'W P �� (Ze.•.rje �''� SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 2 of 11 4. Date checklist prepared: lLei 5. Agency requesting checklist: 1het irIGSG11 cdCAA�/ 6. Proposed timing or schedule (including phasing, if applicable): them N wLeV— Z0 Jo 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. JLey e vev oc-) RC41 'C4I�� 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. Jhey TV" 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. JheM A) 1) 10. List any government approvals or permits that will be needed for your proposal, if known. Jhem 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 fo//r�'m, to include additional specific information on project description.) hj elM C-,,J p,-,par` 1tst, Gi�� C�J tl��-ISC� J '� ��� re p't— Lr4jC�iad ILrCCt 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. Fhelpl Parcel #(s): Address: Legal Description: S -1 Twp/Range/Section and/or GPS location: SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 2 of 11 B. ENVIRONMENTAL ELEMENTS jbet 1. Earth a. General description of the site b (circle one): (Ea , rolling, hilly, steep slopes, mountainous, other: b. What is the steepest slope on the site (approximate percent slope)? 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. help e) u� ft�al ku/kA S,i } L..dr-m 1 Sol DC4 c Gravel l� S V)C4y L ac,►%,, d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. 1bgip 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. fhel f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. 1hey /J u 13m ps g. About what percent of the site will be covered with impervious surfaces after project , construction (for example, asphalt or buildings)?1hel 1rZ A Les.> Ph" S,0 C a _S'j f4 h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: LLelp /i l )Z - Pc►�'n.3 s kv e- We le" e{ Z`VOS)L�k cc\ ,)\/"I 2. Air f?V4 ps 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 quantities if known. bet t e e b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. lbeip Na c. Proposed measures to reduce or control emissions or other impacts to air, if any: hero SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 3 of 11 3. Water a. Surface Water: fheip 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 type and provide names. If appropriate, state what stream or river it flows into. hey Nv 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. jhey ur, 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. lteirs 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. hf e ND 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. 'help &)I;� 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. fhelp IVa 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. hey 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. rhelpl 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. rhebl SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 4 of 11 2) Could waste materials enter ground or surface waters? If so, generally describe. jLeip N;O 3) Does the proposal alter or otherwise affect drainage patterns in the vicinity of the site? If so, describe. 40 d. Proposed measures to reduce or control surface, ground, and runoff water, and drainage pattern impacts, if any: - 1 Z ka),nli S)Cv►M WrJe' CVd Sr'O�A Co\A7vU' 4. Plants 1net a. Check the types of vegetation found on the site: jtetto deciduous tree: alder, maple, aspen, other evergreen tree: fir, cedar, pine, other 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?1Help n^�..�► �,...� �►� � Alder, f IR eQdw. tilapl-p- c. List threatened and endangered species known to be on or near the site. k d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: rhel F,r se�j I e~"1 s e. List all noxious weeds and invasive species known to be on or near the site. Nc,vx- 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. Examples include: rhe)p { 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)(MC version-non project portion omitted): 2016 Page 5 of 11 b. List any threatened and endangered species known to be on or near the site. nei c. Is the site part of a migration route? If so, explain. mei Ov d. Proposed measures to preserve or enhance wildlife, if any: h[ eM e. List any invasive animal species known to be on or near the site. 6. Energy and natural resources 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. JLel b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. tf�M 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: ltje U one 7. Environmental health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. Jt2jo , Jo 1) Describe any known or possible contamination at the site from present or past uses. 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. 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. 4) Describe special emergency services that might be required. 5) Proposed measures to reduce or control environmental health hazards, if any: SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 6 of 11 b. List any threatened and endangered species known to be on or near the site. h�p1 hc'Ine oti c. Is the site part of a migration route? If so, explain. hf tm Ov d. Proposed measures to preserve or enhance wildlife, if any: 1help e. List any invasive animal species known to be on or near the site. 6. Energy and natural resources 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. FheM } o b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. lteto k,G 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: lbgm +J c rQ-- 7. Environmental health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. hero Nc> 1) Describe any known or possible contamination at the site from present or past uses. i 2) Describe existing hazardous chemicals/conditions that might affect project development and design. This includes underground hazardous liquid and gas transmission pipelines located LA j I� within the project area and in the vicinity. 3) Describe any toxic or hazardous chemicals that might be stored, used, or produced during 1A/K the project's development or construction, or at any time during the operating life of the project. W k, 4) Describe special emergency services that might be required. 5) Proposed measures to reduce or control environmental health hazards, if any: navt— SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 6 of 11 b. Noise 1) What types of noise exist in the area which may affect your project (for example: q,41 le traffic, equipment, operation, other)? hj eigl ��yib;Wlo��<� 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. lbel J� 'I ©P' :')' 5 An^ 4o 4 PM g •.moo TM 3) Proposed measures to reduce or control noise impacts, if any: he) Abw L. 8. Land and shoreline use 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. 1h C,,_t,,,", fiQej c,•, d _A j c�� V, S A-z.- p& -c:A S (4c>�e_s pry -n,,, b. Has the project site been used as working farmlands or working forest lands? If so, describe. IJ 0 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? 5r 4 C_ 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? t 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: AJ_D c. Describe any structures on the site. 1help d. Will any structures be demolished? If so, what?+ ht elpl h C.i tic r J (I 10� V-e m 0 1rc d e. What is the current zoning classification of the site? rhelpl 5 Ac f. What is the current comprehensive plan designation of the site? hl elpl 1?(,Y C, g. If applicable, what is the current shoreline master program designation of the site?Jhelp Cav►-e,,e,r uwKc� NA h. Has any part of the site been classified as a critical area by the city or county? If so, specify. help N C) SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 7 Of 11 i. Approximately how many people would reside or work in the completed project? help Uk 1-\ V�.v_CJ VW r S`"'} t, JP "-"a lam/ j. Approximately how many people would the completed/project displace? mgi N C>h V_ k. Proposed measures to avoid or reduce displacement impacts, if any: n[ eial L. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: jto m. Proposed measures to ensure the proposal is compatible with nearby agricultural and forest lands of long-term commercial significance, if any: 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low- income housing. ib�eM I N r,,y\, b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. h q 011•- c. Proposed measures to reduce or control housing impacts, if any: jbei 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? hel, uvx b. What views in the immediate vicinity would be altered or obstructed? h� eipl n1,&vt� c. Proposed measures to reduce or control aesthetic impacts, if any: t, 11. Light and glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? h[ 21 b. Could light or glare from the finished project be a safety hazard or interfere with views?Jb2tpl foo c. What existing off-site sources of light or glare may affect your proposal?1hgm N r,Tt'f_ d. Proposed measures to reduce or control light and glare impacts, if any: [help] SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 8 of 11 i. Approximately how many people would reside or work in the completed project?JheM Uk h V-0 YV Y� S`"i', 1.' Cris (4-/ j. Approximately how many people would the completed project displace? beg N chi k. Proposed measures to avoid or reduce displacement impacts, if any: jtgel NGVw— L. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: heio 5 r m. Proposed measures to ensure the proposal is compatible with nearby agricultural and forest LA3 e ' lands of long-term commercial significance, if any: Noh%z 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low- income housing. )he( b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. lb2elp aow-2- c. Proposed measures to reduce or control housing impacts, if any: lteM 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?Lhelpi 3S vv,c�c uv\ kv.c �• b. What views in the immediate vicinity would be altered or obstructed? t� e(pl Nr�-+nV-- c. Proposed measures to reduce or control aesthetic impacts, if any: 1heM Nc'vtl � 11. Light and glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? lb2j vk v- b. Could light or glare from the finished project be a safety hazard or interfere with views?lbglo A)L�> c. What existing off-site sources of light or glare may affect your proposal?1help N CrKl'r d. Proposed measures to reduce or control light and glare impacts, if any: [help] SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 8 of 11 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? t N cmQ- b. Would the proposed project displace any existing recreational uses? If so, describe. help No c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: jtLee 13. Historic and cultural preservation 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 located on or near the site? If so, specifically describe. t N G 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. 1 MID 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. JLeM Nekk&,e,'A WI S A O P IC) S titcw v\ 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. _�" c.Cf V ol)e� 01)`.YCCVevol 14. Transportation a. Identify public streets and highways serving the site or affected geographic area and describe proposed access to the1 existing street system. Show on site plans, if any. rne� 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?JLeM 140 c. How many additional parking spaces would the completed project or non-project proposal have? How many would the project or proposal eliminate? help' N IN SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 9 of 11 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). of el Mt) e. Will the project or proposal use (or occur in the immediate vicinity of)water, rail, or air transportation? If so, generally describe. fhg! Nv 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? hf 2jo �;`^ k„ow n 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. t�+J h. Proposed measures to reduce or control transportation impacts, if any: bed 15. Public services 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. Jnei t4D b. Proposed measures to reduce or control direct impacts on public services, if any. JLei 16. Utilities a. Circle utilities currently available at the site: r L electricit natural gas, water, refuse service, elepho sanitary sewer, 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. fb SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 10 of 11 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 privatAte,,). !,�] 1V-L> e. Will the project or proposal use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. fhe� 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? hj Clp] i'Ah knOurA 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. h. Proposed measures to reduce or control transportation impacts, if any: 1help ; 15. Public services 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. hf gM iJ D b. Proposed measures to reduce or control direct impacts on public services, if any. hie! ] 16. Utilities a. Circle utilities currently available at the site: he!a electricit natural gas, water, refuse service, eleph no e� sanitary sewer, 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. SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 10 Of 11 C. SIGNATURE of e The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its decision. Signature: ua'cti Date Signed: 191 Z1> / Print Name of Signee: �����-� �Lw� t If applicable, Position and Agency/Organization: W,tl, 17,vo,6►- I I C Date Submitted: e, Lz,i& SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 11 of 11