HomeMy WebLinkAboutSEPA - SEP Application - 10/29/2021 • RECEIVED
OCT 2 9 2021 PLANNNG
SEPA EnvironmentalhcA �r Stre tMason County Permit Center Use:
SEP I
® Single Family DNS: $600.00
❑ Other DNS: 0 to 9.99 acres: $730 Parcel#:
10 to 20 acres: $880 Date Rcvd:
Over 20 acres: $1100
❑ DS/EIS: $5000 + $90 per hour
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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: hj elpl
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,her
1. Name of proposed project, if applicable:
Woolston—Bulkhead Repairs
2. Name of applicant: lh �pj
Woolston, Robert
3. Address and phone number of applicant and contact person:
5409 91st Ave SE
Mercer Island, WA 98040
(206) 914-2992
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 1 of 11
4. Date checklist prepared: they
10/20/2021
5. Agency requesting checklist: [heL
Mason County Building Dept
6. Proposed timing or schedule(including phasing, if applicable): LLe
As soon as possible due to the imminent threat of the existing bulkhead failing
7. Do you have any plans for future additions, expansion, or further activity related to or connected with
this proposal? If yes, explain. ire
No
8. List any environmental information you know about that has been prepared, or will be prepared,
directly related to this proposal. i-
None required
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.
None
10. List any government approvals or permits that will be needed for your proposal, if known.
Mason County Building Permit, SEPA Determination, and Shoreline Exemption
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.) r
Repair of existing bulkhead by excavating behind bulkhead and tying in footer and three buttress walls;
construct new wall behind existing bulkhead to strengthen existing bulkhead
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. `heir__
Parcel#(s): 32232-54-00013
Address: 70 E Madrona Beach Ln, Union, WA 98592
Legal Description: MADRONA INC TR 13&T.L.
Twp/Range/Section and/or GPS location: 22N/3W/32
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 2 of 11
B. ENVIRONMENTAL ELEMENTS ;ne!Fj
1. Earth
a. General description of the site 2�fL-
(circle one): Flat, rolling, hilly, steep slopes, mountainous, 181
Marine shoreline
b. What is the steepest slope on the site(approximate percent slope)? inglp
Unknown
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. fnelp
See geo-tech report
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so,
describe. ;'ne p]
See geo-tech report
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. Ines
Area to be excavated behind the existing bulkhead is approx 50'x 15'(750 sq ft).An estimated 5.77 CYs of concrete will be installed for
the bulkhead footer, 1.78 CYs of concrete will be installed for the wingwall footers,15.89 CYs of concrete installed for the wall,and 6.93
CYs of concrete will be installed for the wing-walls for a total of 30.37 CYs of concrete installed.
f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. inel
Yes.However a CESCL will be assigned to the project,and BMPs will be strictly followed.
g. About what percent of the site will be covered with impervious surfaces after project
construction (for example, asphalt or buildings)?LP�1
Same as existing;there will be no impervious surfaces added as all work will be below ground.
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: :r
A CESCL will be assigned to the project,and BMPs will be strictly followed.
2. Air
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. [help]
During the excavation work,there will be an excavator used,which will emit pollutants.We estimate approx two weeks of use for
construction.
b. Are there any off-site sources of emissions or odor that may affect your proposal? If so,
generally describe. ir)-eip]
No
c. Proposed measures to reduce or control emissions or other impacts to air, if any: Lnti
When not in use,the excavator will be turned off.There is a tracker to monitor unnecessary idle time with a notification to the company
owner when established parameters are exceeded.
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project porh'on omitted): 2016 Page 3 of 11
3. Water
a. Surface Water. lhe'pi
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. 1,helpl
Yes-Hood Canal
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. hf elg
Yes,we will work adjacent to the Hood Canal within the shoreline buffer zone behind an existing bulkhead.
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. ihei
See answer B1e above.All soil spoils and debris shall be disposed of upland.
4) Will the proposal require surface water withdrawals or diversions? Give general description,
purpose, and approximate quantities if known. nee;
No
5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. rein;
Yes
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. irk
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.
No
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. rl-i
None
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. rr,et
Any runoff would be from precipitation.WDoE's BMPs shall be adhered to during the construction process.
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 4 of 11
b. List any threatened and endangered species known to be on or near the site. _ham
Unknown
c. Is the site part of a migration route? If so, explain. Ihe''�j
Yes,fish migrate throughout Hood Canal
d. Proposed measures to preserve or enhance wildlife, if any: hI em
Not required
e. List any invasive animal species known to be on or near the site.
Unknown
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. Lhel Diesel to run the excavator;electricity to charge the batteries for any handtools
b. Would your project affect the potential use of solar energy by adjacent properties?
If so, generally describe. m2!`
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: ;help;
None
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. ;
1) Describe any known or possible contamination at the site from present or past uses.
No known health hazards
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.
No known existing hazardous chemicals or 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.
Any diesel that may be left onsite would be kept in a designated,no-spill diesel can and stored at leat 50'from the shoreline
4) Describe special emergency services that might be required.
In the event of an emergency,911 may be used.
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted). 2016 Page 6 of 11
2) Could waste materials enter ground or surface waters? If so, generally describe. �r_Fio;
No
3) Does the proposal alter or otherwise affect drainage patterns in the vicinity of the site? If so,
describe.
No
d. Proposed measures to reduce or control surface, ground, and runoff water, and drainage pattern
impacts, if any:
WDoE's BMPs will be followed
4. Plants he
a. Check the types of vegetation found on the site: inept
x deciduous tree: alder, maple, aspen, other
X evergreen tree: fir, cedar, pine, other
x shrubs
x 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? fir,,p
Existing lawn
c. List threatened and endangered species known to be on or near the site. r�
Unknown
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance
vegetation on the site, if any: jhelp]
After construction,the homeowners will restore the lawn separately.
e. List all noxious weeds and invasive species known to be on or near the site.
Unknown
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: L�_
birds:Vdeer
eagle, son b' other:
mamar, elk, beaver,fish: rout, herring, shellfis other:
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 5 of 11
5) Proposed measures to reduce or control environmental health hazards, if any:
None
b. Noise
1) What types of noise exist in the area which may affect your project(for example:
traffic, equipment, operation, other)?[heipj
None
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. hel
General construction operations and utilization of an excavator
3) Proposed measures to reduce or control noise impacts, if any: JtLey
Not required
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. r-eiL
Residential and recreational
b. Has the project site been used as working farmlands or working forest lands? If so, describe.
No
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�j
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:
No
c. Describe any structures on the site. 'r eliz;
SFR and bulkhead
d. Will any structures be demolished? If so, what?
hel
e. What is the current zoning classification of the site?
Residential
f. What is the current comprehensive plan designation of the site?
Unknown
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project porlion omitted). 2016 Page 7 of 11
g. If applicable, what is the current shoreline master program designation of the site?tcyp
Residential
I
h. Has any part of the site been classified as a critical area by the city or county? If so, specify.
Ll'i Hood Canal
i. Approximately how many people would reside or work in the completed project? T.eT
None-It is a bulkhead
j. Approximately how many people would the completed project displace?Lee
None
k. Proposed measures to avoid or reduce displacement impacts, if any: Lelpi
Not required
L. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any: jLft j
Bulkheads are common to residences on Hood Canal
m. Proposed measures to ensure the proposal is compatible with nearby agricultural and forest
lands of long-term commercial significance, if any:
N/A-No effect
9. Housing
a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-
income housing. Ltj r
None
b. Approximately how many units, if any, would be eliminated? Indicate whether high,
middle, or low-income housing. _ E_y
None
c. Proposed measures to reduce or control housing impacts, if any: heir;
I
N/A-No effect
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? ;7e:
All work will be completed below grade
b. What views in the immediate vicinity would be altered or obstructed?
None
c. Proposed measures to reduce or control aesthetic impacts, if any: J_��
N/A-No effect
11. Light and glare
a. What type of light or glare will the proposal produce? What time of day would it mainly
occur?
None
b. Could light or glare from the finished project be a safety hazard or interfere with views? ii,el
No
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 8 of 11
c. What existing off-site sources of light or glare may affect your proposal?i�
None
d. Proposed measures to reduce or control light and glare impacts, if any: [�eip
N/A-No effect
12. Recreation
a. What designated and informal recreational opportunities are in the immediate vicinity?Lei i
Boating,fishing,hiking,etc.
b. Would the proposed project displace any existing recreational uses? If so, describe. L
No
c. Proposed measures to reduce or control impacts on recreation, including recreation
opportunities to be provided by the project or applicant, if any: [Le!
N/A-No effect
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.
Unknown
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. ;�e�,c�
Unknown
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. Jqp!pJ
None
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.
None
14. Transportation
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. rneip]
See site plan for vicinity map
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 9 of 11
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? hei
No
c. How many additional parking spaces would the completed project or non-project proposal have?
How many would the project or proposal eliminate?f12ei
None
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). Lbei
No
e. Will the project or proposal use (or occur in the immediate vicinity of)water, rail, or air
transportation? If so, generally describe. �r, ieipi
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?Lr,tipl
No change to existing traffic patterns
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.
No
h. Proposed measures to reduce or control transportation impacts, if any: rein
N/A-No effect
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. zwi
No
b. Proposed measures to reduce or control direct impacts on public services, if any. L_
N/A-No effect
16. Utilities
a. Circle utilities currently available at the site: iheL,,
electricity, natural gas, GD
refuse service, telephone,
sanitary sewe septic system, other
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 10 of 11
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. 1nei
No new utilities will be needed
C. SIGNATURE Lr
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
Date Signed: 10/20/2021
Print Name of Signee: Caralyn valdeman
If applicable, Position and Agency/Organization: Owner,Intearated NW Construction
Date Submitted:
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 11 of 11