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Home My WebLink AboutSEP98-0084 - SEP Determinations - 6/23/1998 MASON COUNTY PUBLIC WORKS DIRECTOR/COUNTY ROAD ENGINEER Shelton,Wuhington 98584 DATE: June 23, 1998 INTER-DEPARTMENTAL COMMUNICATIONS TO: Pam Bennett Cumming, DCD - Planner FROM: Alan A. Tahja, P/W - Co. Hydr. Engr. SUBJ: SEPA MDNS Review Comments NAME: Art Tozier SEP98-0084 Pam, Public Works has reviewed the file pertaining to the Arthur Tozier Jr. fill embankment, and it appears that the engineering and surveying issues required for this proposal have been adequately Mr. H R dell LS#27194 . n r. Lic. No. 9037 and ) provided by Mr. Thomas Richl, P.E. (E g ) �'Y Y ( Inspection of the material suggests that Mr. Richl has considered the scour potential of the 1:1 embankment, and also considered using an armor layer of rock at the embankment's lower elevation. I've discussed Mr. Richl's design with him regarding the potential for scour, and he is confident that the flood flow velocities realized at this location will not present a problem, though we would both like to see softer fill slopes for aesthetic and maintenance (grass mowing) purposes, longer slopes would cause the fill to exceed the 3%requirement the fill footprint is required to respect. A crude estimate of the fill material needed appears to be somewhere between 550 and 600 cubic yards of material including the over-excavation and replacement recommended by Mr. Richl (item#13 of letter dated 6/6/98). Please feel free to contact me at County extension 461 if you have any questions regarding this review, or if you have additional concerns you would like more specifically addressed. Si ce ely, z AIL A. Tahj a File: H:\WP\SEPA\REVIEWS\REVIEWS\TOZR-SV.IDC STATE o�. o � STATE OF WASHINGTON s� DEPARTMENT OF ECOLOGY P.O. Box 47775 • Olympia, Washington 98504-7775 • (360) 407-6300 �C 8 'lsOyco �J 998 July 6, 1998 N�jV,3�FpT Ms.Pam Bennett-Cumming Mason County Department of Community Development PO Box 578 Shelton,WA 98584 Dear Ms. Bennett-Cumming: Thank you for the opportunity to comment on the mitigated determination of nonsignificance for the placement of enough fill to elevate an existing 24 x 66 foot residence above flood waters(Case No. SEP98-0084), located at 401 Bourgault Road West as proposed by Art Tozier. We reviewed the environmental checklist and have the following comments: Shorelands 1• This project appears to be inconsistent with policies and regulations of the Mason County Shoreline Master Program. At a minimum, it is unclear whether the proposed location is located within the floodway,and what impacts it's construction may have on other properties therein. While acknowledging that recent changes in Mason County's local floodplain management plan have raised relevant legal issues about where shoreline jurisdiction applies,that issue will likely have to be resolved in court. Meanwhile,we note that until December,the FEMA designated floodway locations remain in effect, and the regulations need to be applied accordingly. We ask the County to consider the impacts of this and similar projects on a cumulative basis. Placing fill and locating homes in areas known to frequently flood puts citizens in avoidable danger. It also makes necessary continuous maintenance activities and disaster relief at taxpayer expense. We propose that locating homes in higher ground areas is a more sustainable solution,and ask the county to work cooperatively with us toward using such an approach. Shorelands 2• Is this consistent with the county's flood damage prevention ordinance? Have the potential impacts to flood levels on neighboring properties been analyzed? If you have any questions regarding the Shorelands 1 comments,please call Mr.Jeffree Stewart at(360) 407-6521. With questions or comments regarding the Shorelands 2 comments,please call Mr.Dan Sokol at(360)407-7253. erely, ` e ite SEPA Coordinator AW: (98-3960) cc: Dan Sokol, SWRO Jeffree Stewart, SWRO V JUL-06-98 MON 08;04 AM SW O FAX NO, 3604076305 P. 02 ETa'rk o y "yt iaue�0 STATE OF WASHINGTON DEPARTMENT OF ECOLOGY P.O. Box 47775 • Olympia, Washington 98504-7775 • (360) 407-6300 July 6, 1998 Ms. Pam Bennett-Cumming Mason County Department of Community Development PO Box 578 Shelton, WA 98584 Dear Ms. Bennett-Cumming: Thank you for the opportunity to comment on the mitigated determination of nonsignificance for the placement of enough fill to elevate an existing 24 x 66 foot residence above flood waters(Case No. SE.P98-0084), located at 401 Bourgault Road West as proposed by Art Tozier. We reviewed the environmental checklist and have the following comments: Shorelands 1: i This project appears to be inconsistent with policies and regulations of the Mason County Shoreline Master Program. At a minimum, it is unclear whether the proposed location is located within the floodway, and what impacts it's construction may have on other properties therein. While acknowledging that recent changes in Mason County's local floodplain management plan haveSS � 1 raised relevant legal issues about where shoreline jurisdiction applies,that issue will likely have to be w resolved in court. Meanwhile,we note that until December, the FEMA designated floodway locations remain in effect, and the regulations need to be applied accordingly. We ask the County to consider the impacts of this and similar projects on a cumulative basis. Placing till 4 and locating homes in areas known to frequently flood puts citizens in avoidable danger. It also makes kr`'r% necessary continuous maintenance activities and disaster relief at taxpayer expense. We propose that L locating homes in higher ground areas is a more sustainable solution, and ask the county to work \ cooperatively with us toward using such an approach. -� . Shorelands 2: 11 ,` �� , Is this consistent with the Bounty's flood damage prevention ordinance? 1 Have the potential impacts to flood levels on neighboring properties been analyzed? e�,It I If you have any questions regarding the Shorelands 1 comments, please call Mr. Jeffree Stewart at(360) 407-6521. With questions or comments regarding the Shorelands 2 comments, please call Mr.Dan Sokol at(360)407-7253. rVe i Lk� SEPA Coordinator AW: (98-3960) � '(l cc: Dan Sokol, SWRO �- Jeffree Stewart, SWRO SEP98-0084 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Planning-Landfill-Utilities MITIGATED DETERMINATION OF NONSIGNIFICANCE (WAC 197-11-350) Description of Proposal : FILL FOR ELEVATION OF EXISTING 24X66 RESIDENCE: MAXIMUM FILL FOOTPRINT SHALL NOT EXCEED 40X90 FEET FOR ELEVATION OF STRUCTURE AND 40X16 FEET FOR ATTACHED DRIVEWAY. THIS FILL MEETS THE 3; LIMIT FOR FILL IN SROROMISH DETAILED STUDY FLOODPLAIN. NO ADDITIONAL FILL AUTHORIZED. Proponent: ART TOZIER Location of Proposal : 401 W BOURGAULT RD W SHELTON PARCEL#:421153200100 TR 10 OF NW SW 8 miles north of Shelton on highwa : 101 to bourgault rd turn left, site is on left just before intersecti! n with Skokomish Valley Road. Lead Agency: MASON COUNTY The Lead Agency for this pror;isal has determined that it does not have a probable significant adversC: impact on the environment. An Environmental Impact Statement (EIS) is not required under RCW 43 .21C.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. MITIGATION MEASURES ARE ATTACHED. —Please contact Q/Wl &A6� &'Mml at ext. with any questions. This DNS is issued under 197-11-350 (2) , the Lead Agency will not act on this proposal for 14 days from the date below. Comments must be submitted by 07/03/98 . DATE: 06/19/98 Signature of/rej2ponsible official Date Responsible Official : Gary Yando Sc) Director of Community Development -DaA 426 W. Cedar,b��wf PO BOX 578 ACShelton CD c� _ (360) 427-9670 WA 8584 nn��'�Vr`� w�mod-� ► ► t S MIT-DNS, rev: 08/23/96I Conditions of this Case are listed below: Case No.:SEP98-0084 1) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given some other equivalent type of protection against erosion. X 2) Temporary Erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. X 3) Approved per site plan and topographic cross-section by Tom Richl, P.E. dated June 6, 1998 and engineering specifications of letter by Tom Richl, P.E. dated June 6, 1998. X 4) Footprint for fill for elevation of structure shall not exceed 40x90 feet for residence elevation and 40xl6 feet for driveway. Lateral setbacks to property lines shall be as per site plan by Tom Richl, P.E. and dated June 6, 1998. Non-compliance shall result in STOP WORK ORDER. 5) Proposal shall meet all requirements of Frequently Flooded Areas Chapter 17.01 .090 of Mason County's Interim Resource Ordinance including D4(a) Skokomish River Density Flood Fringe requirements for development in the Skokomish River Density Flood Fringe. x 6) Site for elevation of residence is within Zone Al of the Skokomish River Density Flood Fringe, i.e. the Detailed Study Area on Fema map FIRM 530115 0180D, preliminary map dated September 30, 1998, and identified within the Skokomish River Comprehensive Flood Hazard Management Plan. The first habitable floor of this residential structure shall be elevated 1 (one) foot above the Base Flood Elevation for this site which is 30 feet NGVD. Within 30 days of foundation inspection, applicant shall furnish an elevation certificate to Mason County Department of Community Development which certifies that the elevated residence first habitable floor of this structure meets or exceeds this elevation. Electrical heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or other wise elevated or located so as to prevent water from entering or accumulating within the components during conditions of flooding. as per Mason County Flood Damage Prevention Ordinance no. 59-91 . x Thomas E. Richl, P.E. 2119 North 92nd Street Seattle, Wa. 98103 (206) 524-4819 P.O.Box 21 Lilliwaup, WA, 98555 (360) 877-5545 Mobile(206) 930-5624 FAX (206) 524 4406. RECEIVED IVED June 6, 1998 J U N 0 8 1998 MASON CO. PLANNING DEPT. Mr. Art Tozier: 110 NO Street Shelton, Wa. 98584 Subject: Land fill Permit for Skokomish Valley home presently on blocks. Reference: 1. Initial Engineering Report dated 2-23-98. 2. Second Engineering Report(revised)4-24-98. 3. Letter from MCDCD dated 5-21-98. 4. Third Engineering Report dated 5-24-98. 5. Letter from MCDCD dated 6-1-98. Dear Mr. Tozier: I am in reciept of the reference 5 letter and you also recieved a copy. On 6-4-98, I saw you at your place of business and we discussed this letter. At that time I recommended that you engage the services of a licenced Land Surveyer and that he run a level course from Even Toziers bench mark which is considered to be valid by the USGS and establish a fill level which will be around 4 feet above the present grade,which should be one foot above BFE (Base Flood Elevation) and 30 feet NGVD. You said that you would do this. I am providing a complete set of engineering drawings. 1. Sheet 4 shows the Site Plan. . 2. Sheet 5 shows a Plot Plan of the property and location of the fill area . 3. Sheet 6 shows a Plan View of the fill with relation to the house. 4. Sheet 7 shows Sections 1-1, 2-2 and 3-3 taken from the Plan View. 5. Sheet 8 shows the Foundation Plan for the house to set upon. 6. Sheet 9 shows Section 4-4 taken from the Foundation Plan. 7. Sheet 10 shows Section 5-5 taken from the Foundation Plan. Sheet 1 of 10 Thomas E. RichL P.E. 2119 North 92nd Street Seattle,Wa. 98103 (206) 524-4819 P.O.Box 21 Lilliwaup,WA, 98555 (360) 877-5545 Mobile(206) 930-5624 FAX (206) 524 4406. 8. I certify that this small fill will not increase the flood level in the Skokomish valley next to the proposed Tozier fill project. 9. The contractor for this land fill is Tozier Brothers Incorporated of 110 Mill Street Shelton, Wa. 98584 , Contractor Registration Number is TOZIBI1820. 10. The fill material shall be pit run gravelly/sandy/rocky type with rocks up to 6 inches in diameter and no more than 5 % of clay and silt. 11. The fill material will come from Miles Sand and Gravel, Sheldon pit at Potlatch and Tozier Brothers own pit on Rickert Road. 12. The fill material shall be clean and free of organic material and debris. In order to insure 95 % compaction of the fill, the fill material should be laid down in layers of not more than 12 to 15 inches in depth and compacted with any suitable heavy equipment available. 13. The original soil at the site must be removed approximately 12 inches deep below grade. Stockpile this soil for placement upon the final gravelly fill for grass seeding and or flower beds and etc. 14. The Engineer of Record shall make periodic inspections so that the specifications for this land fill are followed. 15. Some concrete specifications are shown on sheet 3. r Thomas E. Richl, P.E. Hof pS ,r + ........... File: Tozier.LF3 C 37 ;Gc S .Aa Sheet 2 of 10 GENERAL SPECIFICATIONS CONCRETE 5-1/2 Sack mix. 2500 PSI Adequate. Slump 3" to 4" Max Aggregate 3/4" to 7/8" Fly ash may be used Use vibrators on wall pours On cold joints use a slurry of portland cement and water, ratio 1 cement to 3 water. 5 sack mix may be used on floor slabs. Fibermesh is recommended on all interior slabs 6 mil visaqueen is recommended under all interior slabs Recommend that concrete not be poured below 40 degrees F. unless protection is provided against colder temperatures. For concrete block filler mix can be 70/30 or 60/40 with a 6 sack mix. Reinforcing Steel Reinforcing Steel per ASTM A706 Grade 60 or ASTM A615M GR 300 (40) #6 Bars - 3/4" 0 Deformed #5 Bars - 5/8" 0 Deformed #4 Bars - 1/2" 0 Deformed #2 Bars - 1/4" 0 Plain Lap all splices a minimum of 12" Place all rebars 2" from edge of walls except where indicated Place bottom footing rebars 3" from ground Rebars to be run continuous through larger footings to smaller footings and from lower footings to higher footings and tied All footings must be placed upon undisturbed soil - ground - bed rock - compacted crushed rock. etc. Gas cutting of rebar can only be used to cut off bars which terminate. No bends and hooks can be made with heating torch. Job No: 298-4C Date:6-6-98 By: T. Richl File: Tozier.LF3 File:Spec.Gen Sht 3 of 10 t I I 1 • 1 � ' � 7 , I • � � i i I i { I i i j ► i � , £qv� ' QOufZ74 LT ART TolatLR.'AF0\I W sr ; C uRGP.UI.T RQLQ- $0E-%-T01J WA.`18584- i`�'R 10' of f.1�151�1 AEG 15 "j Z�N Q4VJ � , I �ATG�IER`t ' $':IGD`k0II`Mi S It L1.G I i l i l i �4C I i I j � i �Do ± �koKOMISN JAu-E� prplp 1 X� OT %0 O /f t5Z + Sc.D.t.EC UC / Lop- lo. A.RC1L. -rizk<k.uO OF N VJ SUD SEc ►S / i i aOUSE 2 x.&4, -x 092- : 't5,zL4- i �4vyt,308 3 L, 9{►o —� — I / 1,67 3�Z ± xi �01" FILL, M-S6 , N9, S4-LuwIJ ho ck o x 4o A t� x 40 64fl A �w x ❑i XX 3.Z 1�7 x 4-3 5 t•9-I.;510 Q 3� e F l 41510 = 4z 41 Cl' 210 PLA..tsJ WEST Bo►x RU ALT cm)QT`( 2ONb L„oT to - �Vtp`cbc. %o) (5a FP-cm AssessoR5 M(aj'J ScA�.E V=100� — ,ba'` Z98-4C TRICVAL -S -ga 110 �oor Y\oLS 40 00 ol FL �,Q- I S\N a A-C- I t (o " 1 To Co cW TY R�cNAl. �� T of Io Tni eta.. Lr--3 No10 vSE FNA mac— t-louse �Nfl 4 5�� GRA D E � N � ol 44 l.t, / � S f �p 1 Ct ol '40 rj,�,598-4C R. F� flo . b !o EST; 10, 10 � I 1.ocr�Z'G �N'i�CZ�c�R PAps � 1 4C To�I G9-, L�3 s�.rc S of 10 2X (o P.T 5\t_L ('LATE P L A.7-C - U S C 15, M + p4ic(+ov- D,G . � 18u�RaM 4. Dov.JCL5, @ �1ook, X L."j, T'n (-tea. 5?L, f � 9 ' i t I !O cc07, I Z 4- 4<.. -t- C.N S�� oG \ O S� ►� E. � \�q� 4 1 r r w a"X. z x PONY W a,LL S'T'V Q� A'T5�,v�PS o� 4-A 4 P POST-' '�'•�E. ��L:t.. �'j..ATE .�.Q U5� �1MPSc�J �. Gpt�l�.� P� BC4o 02 tqutiJ. AT SG - w � .._ ALTIFfL�j ATL' T 4>^ TO '1&¢ 0,9p.s EAC 1 *41Y-rho. T'o 2iE 8 o.L� -- %m7fAloe rLooR 5t3FR'-IFCr •Su��" 1 t7 o F i 0 'C"o�e��': 1`0 BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY A. BACKGROUND: 1. Name of proposed roje t�f a plicable L�- �o � 2. Name of applicant: 1J�7 • // y /E-rz-- 3. Address & phone number of applicant & contact person: \'N C C) r a tect &T4 L-:-7 � 4. Date checklist prepared: 5. Agency requesting checklist: G. Proposed timing or schedule (in6luding phasing, if applicable) : 7. Do you have any plans for future expansion, or further activity related to or connected with this proposal? If yes, explain. � Y 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. 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. 10. List any government approvals or permits that will be needed for your proposal, if known. f complete description of our proposal, including 11. Give a brief, p p y p p ► 9 /- 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 1 description. ) F-J ��QA � '` h JIKV✓ --- 1 1 TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY 12. What is the 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. 6oI.-✓6 WE5--f o, T r. "4ttIC7� lv�slfll� z. / nla�� ,�ir�y L y� �✓ �. /Yf . B. ENVIRONMENTAL ELEMENTS: 1. EARTH: a. al description of the site (circle one) : Flat, rolling, hilly, steep slopes, mountainous, r b. What is the steepest slope on the site (approximate percent slope)? f +O -z— 4-0 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 not any prime farmland. d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. /Kli/n/V 2 'IO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. rr h.O �J f-?� fi ! S. 1V)'6144 WARt S W l( A �! �r,Q d (9 AJ 0 I{ (AS4,V,a� , �6uve� will e; (ova. 01i� (,0��t.;�� kti�c s 6r 7�vo ,fin_ f. t uld erosion occur as a result of clearing, I construction, or use? If so, generally describe. ( 1 ) Lf-O x" q0 Wk g. About what percent of the site will be covered with Q, fo Y1 6 � impervious surfaces after project constructions (for example, asphalt or buildings)? S at(A�L CA.S C U L11/1u,�1`l / Ll 5� c! I „ h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any. : f / t �v d t t) ( (,( d �f tNe/t✓! .c t y q �'�/ 2. AIR: a. What types of emissions to the air would result from the proposal (i.e. dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities, if known. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. C. Proposed measures to reduce or control emissions or other impacts to air, if any: 3 a. "X_L-n l c,. DI errLIUAR i EVALUATION FO8 AGENCY USE ONLY 3. WATER: a• Surface: 1) Is there any surface rater 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. I I I 2) Will the project require any work over, in, or adjacent to (within 200 feet) of the described waters? If yes, please describe and attach available plans. / U 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. Indicated the source of fill material. A �a . 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. 1� ,,. S) Does the proposal lie within a 100-year floodplain? If so, ��L��j U ) note location on the site plan. � ►1 L 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. 4 I I TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY b. Ground: 1) Will ground rater be withdrawn, or will rater be discharged to ground water? Give general description, purpose, and approximate quantities, if known. 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 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. i 17(Joud�, C�4 (('a h It C. Water Runoff (including storm water) : 1) Describe the source of runoff (including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water flow into other waters? If so, describe. 2) Could waste materials enter ground or surface waters? If so generally describe. /�U d. Proposed measures to reduce or control surface, ground, and runoff water impacts if any: r` �{! I 9 lV � � @� V 'l!�2l✓S W( VI � WiQ (/(/Lt, (�1� 4. PLANTS: a. Check or circle types of vegetation found on the site: deciduous tree: alder, maple, aspen, other evergreen tree: fir, cedar, pine, other shrubs / grass / pasture crop or grain wet soil plants: cattail, buttercup, bullrush, skunk cabbage, others water plants: water lily, eelgrass, milfoil, other 5 TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY b. What kind and amount of vegetation will be removed or altered? C. List threatened or endangered species known to be on or near the site. c4d,�- d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: Jt/JA- 5. ANIMALS: a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: birds: hawk, heron, eagle,�songb_ird, other mammals: deer, bear, elk, beaver, other ' fish: bass, salmon, trout, herring, shellfish, other ti e b. List any threatened or endangered species known to be on or near the site. /Itr'/_ C. Is the site part of a migration route? If so, explain. ,,ff N� d. Proposed measures to preserve or enhance wildlife, if any: l 61 c 6. ENERGY AND NATURAL RESOURCES: a. What kinds of energy (electri natural gas, oil, wood stove, solar) will be used to meet the completed project's ever needs? Describe whether it will be used for ea ng, manufacturing, etc. 6 TO BE COMPLETED BY APPLICANT AGENCY EVALUATION OFOR USE b. Would you project affect the potential use of solar energy by adjacent properties? If so, generally describe. nI p 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:`` YJ 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. Ajb . , _ 1) describe special emergency services that might be required. 2) Proposed measures to reduce or control environmental health hazards, if any: b. Noise. 1) What types of noise exists in the area which may affect your project (for example: traffic, '/ •1 equipment operation, other)? sib �(�c� z�� e� f►�P �K� �s k0A ► ��— A� 2) What types of levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indicate what hours noise would come from the site. 1 1 f 7 TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY 3) Proposed measures to reduce or con trol noise impacts, if any: Awe 8. LAND AND SHORELINE USE: a. What is the current use of the site and adjacent properties? b. Has the site been used for agriculture? If so, describe. C. Describe any structures on the site. HDu�t ' I V , -:�, -6�tvd -PAW,P Orb e ! (1i d. Will any structures be demolished? If so, what? / 1 e. What is the current zoning classification of the site? 0,1 f. What is the current comprehensive plan designation of the site? Ztvq qil g. If applicable, what is the current shoreline master program designation of the site? 5awo ao� h. Has any part of the site been classified as an 'environmentally sensitive" area? If so, specify. /,(b i. Approximately how many people would reside or work in the completed project? GD 4 v J. Approximately how may people would the completed project displace? 8 TO BE COBPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY k. Proposed measures to avoid or reduce displacement impacts, if any: NA 1. Proposed measures to ensure the proposal is compatible with existing and projected land es nd plans, if any: /s is I � I� �' WJ11 �?' V� 9. HOUSING: a. Approximately how may units, if any, would be provided? Indicate whether high, middle, or low- income housing. b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low- income housing. X4 C. Proposed measures to reduce or control housing impacts, if any: d /4, 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? Po FG< E c c( b. What views in the immediate vicinity would be altered or obstructed? A�fL C. Proposed measures to reduce or control aesthetic impacts, if any: 11. LIGHT AND GLARE: a. What type of light or glare will the proposal produce? What time of day would it mainly occur? 9 TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY b. Could light or glare from the finished project be a safety hazard or interfere with views? 414 C. What existing off-site sources of light or glare may affect your proposal: d. Proposed measures to reduce or control light and glare impacts, if any: 1 4 12. RECREATION: a. What designated and informal recreational opportunities are in the imme iate vicinity? s4L 4 TI- avla. I -(�ro(k S b. Would the proposed project displace any existing recreational uses? If so, describe. /1D C. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: d1W 13. HISTORIC AND CULTURAL PRESERVATION: a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers known to be on or next to the site? If so generally describe. N6 b. Generally describe any landmark or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. 1161le c. Proposed measures to reduce or control impacts, if any: , 14 10 L TO BE COMPLETED BY APPLICANT nrai.ua i iun run AGENCY USE ONLY 14. TRANSPORTATION: a. Identify public streets and highways serving the site and describe proposed access to the existing street system. Show on site plans, if any. ? g b. Is site currently served by public transit? If not, what is the approximate distance to the existing street system. Show on site plans, if any. C. How many parking spaces would the completed project have? How many would the project eliminate? d�� d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). N/ (A e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so generally describe. A//4 f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur g. Proposed measures to reduce or control transportation impacts, if any: 11 r 70 HE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY 15. PUBLIC SERVICES: a. Would the project result in an increased need for public service (for example: fire protection, police protection, health care, schools, other)? If so generally describe. A b. Proposed measures to reduce or control direc t impacts on public services if any: P P • Y /�k 16. UTILITIES: a. Circl ities currently available at the site: electricity natural gas, water refuse service, ele hone sanitary serer, septic syste 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. 17. SIGNATURE: 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 Submitted: J 3� (P7 12