HomeMy WebLinkAboutSEP2017-00018 Cancelled New Cell Tower - SEP Determinations - 6/14/2017 yoN.srgTFo MASON COUNTY
�P 0 Department of Community Services
o s° �= Planning Division
o T �? 6'15 W Alder St, Shelton, WA 98584
Y �,o~ (360)427-9670
1864
DETERMINATION OF NONSIGNIFICANCE
(WAC 197-11-340)
SEP2017-00018
Description of Proposal: NEW CELL TOWER PROPOSAL: "OL0719 NORTH BAY'
Proponent: AT & T
Location of Proposal: 480 E VICTOR RD BELFAIR
Parcel Number: 122214200000
Legal Description: NW SE *
Directions to Site:
Lead Agency: Mason County
The Lead Agency for this proposal has determined that it does not have a probable significant
adverse impact on the environment. An Environmental Impact Statement (EIS) is not required
under RCW 43.21 C.030(2)(c). This decision was made after review of a completed
Environmental Checklist and other information on file with the Lead Agency. This information is
available to the public upon request.
Please contact Ron Buckholt at ext. 287 with any questions. This DNS is issued under WAC
197-11-340(2). The Lead Agency will not act on this proposal for 14 days from the date shown
below, when the determination is final. Comments must be submitted to Dept. of Community
Development, 615 W Alder St, Shelton .WA 98584 by 6/28/2017. 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
SEPA Environmental Checklist Mason County Permit center Use:
❑ Single Family DNS: $385 SEP S�FZOIY- Q618
Other DNS: 0 to 9.99 acres: $630 Parcel#: I Z 2 ZI- IL_ 0000
10 to 20 acres: $755 6 f t`V'tSFb�
Date Rcvd:
Over 20 acres: $945
❑ DS/F,IS: $2,525+70 Per hr
REVISED 6/5/17
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: hI 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 hf ip-1
1. Name of proposed project, if applicable: jheip]
OL0719 North Bay
2. Name of applicant: h[ m
New Cingular Wireless PCS, LLC ("AT&7)
3. Address and phone number of applicant and contact person: hLelpl
Joe Riddle, Project Manager--Centerline Solutions LLC
6623 NE 78th Ct. Ste. B1, Portland, OR 97218
360-904-5858
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 1 of 11
4. Date checklist prepared: LLem
3/13/17 Revised 6/9/17
5. Agency requesting checklist: n� eM
Mason County-
6. Proposed timing or schedule(including phasing, if applicable): h[ elp]
Expect building permit filed <3/31, Construction start<7/1
7. Do you have any plans for future additions, expansion, or further activity related to or connected with
this proposal? If yes, explain. jLem
No
8. List any environmental information you know about that has been prepared, or will be prepared,
directly related to this proposal. hI eipl
Phase 1 study complete, NEPA/SHPO/TCNS in process, Wetland Delineation report submitted
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. hI em
No
10. List any government approvals or permits that will be needed for your proposal, if known. Jkm
FAA/FCC Registration; Mason County Building Permit, NEPA/SHPO
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.)1hem
Construction of a 50'x50'fenced compound with approximately 115' long 12'wide access road from E Victor Rd
to contain 90' monopole cell tower and associated ground equipment contained in an 11.5'x 20' prefabricated building.
30 KW emergency backup generator in sound enclosure and mounted on 5'x 10' concrete pad. Facilty will be unstaffed.
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. Lk!pj
Parcel#(s): 12221-42-00000
Address: 480 E Victor Rd Belfair
Legal Description: NW 1/4 SE 1/4 Sec 21, T22N, R1W, exc. S 330'thereof and exc. ROW for Victor Rd
Twp/Range/Section and/or GPS location: 47 deg 22 min 53.0 sec N 122 deg 48 min 25.7 sec W
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 2 of 11
B. ENVIRONMENTAL ELEMENTS nI e�pl
1. Earth
a. General description of the site 1tejpj
(circle one): Flat, rolling, hilly, steep slopes, mountainous, other:
b. What is the steepest slope on the site (approximate percent slope)?LhO No 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. hel I Geotech report describes hard sandy silt with gravel, dense silty sand with gravel, sandy gravel, loose
silty fine sand, very dense sandy gravel, and dense sand with gravel,to max. depth of exploration, 30'
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so,
describe. LtgM No history of unstable soils
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. n[ eiPJ
Grading of approximately 115'access road for firm graveled surface; grading and leveling of 50'x 50'site
compound. Fill will be from site vicinity, little should be required
f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. Lheip
Site will be constructed so as to drain away from foundation; no erosion of road or site should occur
g. About what percent of the site will be covered with impervious surfaces after project
construction (for example, asphalt or buildings)? hL eip]
Approximately 25% of the 50'x 50'compound will be covered by building or tower foundation
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: Lelp]
Grading and drainage plan to be provided with construction drawings for building permit
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. hf elpl
Diesel exhaust from licensed and regulated generator for testing approximately 20 min per week and during
emergencies, otherwise no emissions will be generated
b. Are there any off-site sources of emissions or odor that may affect your proposal? If so,
generally describe. Lhelpj
No
c. Proposed measures to reduce or control emissions or other impacts to air, if any: Lkm
Generator design is registered for WA state emissions compliance; no other emissions from site
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 3 of 11
3. Water
a. Surface Water: k
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. h[ eIPJ
A very small wetland area was noted on the Wetland Deliniation report, adjacent to the access road
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. nei
Yes, site access road adjacent to but not intruding on wetland buffer zone.
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. 1hei
None
4) Will the proposal require surface water withdrawals or diversions? Give general description,
purpose, and approximate quantities if known. h[ el
No
5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. hei ]
No
6) Does the proposal involve any discharges of waste materials to surface waters? If so,
describe the type of waste and anticipated volume of discharge. Lheip]
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. hL el
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. [Leipj
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. hf elpl
No runoff exceeding current levels will be produced, natural drainage in area, no other waters impacted
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 4 of 11
i
2) Could waste materials enter ground or surface waters? If so, generally describe. h[ e[p]
No waste materials will be produced by site
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:
None, no significant drainage impacts will be produced by site
4. Plants Lnei
a. Check the types of vegetation found on the site: of eipl
T deciduous tree: alder, maple, aspen, other
VT evergreen tree: fir, cedar, pine, other
V shrubs
J 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? n[ elp]
50'x 50'compound and 12'x 115' road will be cleared, road will be routed around trees 12'inch or larger in diameter
c. List threatened and endangered species known to be on or near the site. nC eip]
None known
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance
vegetation on the site, if any: n[ M
Site will be landscaped per code if required due to extensive screening provided by natural forest
e. List all noxious weeds and invasive species known to be on or near the site.
None known
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: n[ elpl
birds: hawk, heron, eagle, songbirds, other: songbirds, occasional water birds and shore birds
mammals: deer, bear, elk, beaver, other: none observed, but expect deer, rodents
fish: bass, salmon, trout, herring, shellfish, other: None
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. n[ elpl
None
c. Is the site part of a migration route? If so, explain. r,[ eipj
Not known
d. Proposed measures to preserve or enhance wildlife, if any: hf M
None
e. List an invasive animal species known to be on or near the site.
Y
None known
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. hf e Electricity will be brought to site to power radio equipment
b. Would your project affect the potential use of solar energy by adjacent properties?
If so, generally describe. n[ elp] 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: h[ e
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. h[ M None
1) Describe any known or possible contamination at the site from present or past uses.
None determined to exist by Phase 1 study
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.
None exist
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.
Petroleum fuels during construction and for backup generator(diesel); backup batteries at site in
hazmat protective enclosure
4) Describe special emergency services that might be required.
None anticipated
5) Proposed measures to reduce or control environmental health hazards, if any:
None required, no environmental hazards
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:
traffic, equipment, operation, other)? n[ elpj
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. r,( pi
Some traffic impact possible for 3-4 weeks during construction; HVAC expected to be at ambient noise outside
1 00'from site;testing of emergency backup generator 20 min per week
3) Proposed measures to reduce or control noise impacts, if any: of M
Generator is inside sound enclosure with muffled exhaust; baffled exhaust from HVAC
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. h[ elM
Currently site if forested land zoned R-5
b. Has the project site been used as working farmlands or working forest lands? If so, describe.
Parcel surrounding site id dedicated forest land; site parcel has been removed from forest designation.
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?
Approximately 3,880 sf including site and access road will be removed from forest use
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? hf M
Approximately 3,880 sf including site and access road will be removed from forest use
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. LnLeM
90' monopole cell tower and 11.5'x 20 shelter building with 5'x 10' generator pad with backup generator
d. Will any structures be demolished? If so, what? n[ elpj
No
e. What is the current zoning classification of the site? hI em
R-5
f. What is the current comprehensive plan designation of the site?Lhei j
Unknown
g. If applicable, what is the current shoreline master program designation of the site? h0
Unknown
h. Has any part of the site been classified as a critical area by the city or county? If so, specify.
[f1elp] No
i
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 7 of 11
f
i. Approximately how many people would reside or work in the completed project?LwpJ
None. Site is unstaffed.
j. Approximately how many people would the completed project displace?Lhel
None
k. Proposed measures to avoid or reduce displacement impacts, if any: Lhelg]
None required
L. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any: Lhem
None required
m. Proposed measures to ensure the proposal is compatible with nearby agricultural and forest
lands of long-term commercial significance, if any:
None required
9. Housing
a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-
income housing. h[ elp]
None. Site is unmanned
b. Approximately how many units, if any, would be eliminated? Indicate whether high,
middle, or low-income housing. h[ el
None. No structures will be removed
c. Proposed measures to reduce or control housing impacts, if any: hL eM
None required
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?1qeiPJ
90'. Galvanized steel
b. What views in the immediate vicinity would be altered or obstructed? hj elpl
Expect existing tree screening to largely obsure view of all but top 30'or so of tower, ground location will
not be visible fr m surroun In parcgIs or road
c. Proposed measures to reduce or corlgtro� aesthetic Impacts, if any: hf etM
Siting chosen to provide very good screening of site by existing trees and brush
11. Light and glare
a. What type of light or glare will the proposal produce? What time of day would it mainly
occur?[he[p] None
b. Could light or glare from the finished project be a safety hazard or interfere with views? h[ eM
No
c. What existing off-site sources of light or glare may affect your proposal?[hel
No
d. Proposed measures to reduce or control light and glare impacts, if any: [help]
None needed
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?Lp]
None noted
b. Would the proposed project displace any existing recreational uses? If so, describe. n� e�
No
c. Proposed measures to reduce or control impacts on recreation, including recreation
opportunities to be provided by the project or applicant, if any: LUgjpj
None needed
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. n[ elp]
No
b. Are there any landmarks, features, or other evidence of Indian or historic use or occupation?
This may include human burials or old cemeteries. Are there any material evidence, artifacts, or
areas of cultural importance on or near the site? Please list any professional studies conducted
at the site to identify such resources. of m
No
c. Describe the methods used to assess the potential impacts to cultural and historic resources on
or near the project site. Examples include consultation with tribes and the department of
archeology and historic preservation, archaeological surveys, historic maps, GIS data, etc.ltpipj
Archeology report as required, NEPA/SHPO/TCNS
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 needed
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. nL M
Graveled road to site from E Victor Road
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? hI elpl
No
c. How many additional parking spaces would the completed project or non-project proposal have?
How many would the project or proposal eliminate?LnLeM
1 parking space at site, no parking lost due to site
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). n[ elp�
Only access road from E Victor Road
e. Will the project or proposal use(or occur in the immediate vicinity of)water, rail, or air
transportation? If so, generally describe. Lela
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? of el
Less than one trip per week to site, no peak volumes. After construction, access will be by
passenger vehicle (1)
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: nLe
None needed
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 M
No
b. Proposed measures to reduce or control direct impacts on public services, if any. hf m
None needed
16. Utilities
a. Circle utilities currently available at the site: hI M
electricity, natural gas, water, refuse service, telephone,
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. of eipj
Electricty and fiber will be brought to site from E Victor Road by local providers. Minor trenching will be required.
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 10 of 11
C. SIGNATURE hel
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:
Print Name of Signee: Joe Riddle, Centerline Solutions
If applicable, Position and Agency/Organization: -Project Manager, Agent for New Cingular Wireless PCS, LLC
Date Submitted:
i
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 11 of 11
NOTES: _
_______ AT&T PROJECT AREA ,, SITE PLAN DERIVED FROM:SURVEY,AERIAL -�ye.�, a}&}
— NE VICTOR ROAD
IMAGES.AS-GUILTS AND SITE PHOTOS. ` `
2. GENERAL CONTRACTOR TO MAINTAIN POSITIVE
MEASU
DRAINAGE SITE EROSION CONTROL MEASURES
PER JURISDICTIONAL REQUIREMENTS AT ALL
(E)BUILDING(TYP) ; � 1 ' O TIMES OF CONSTRUCTION.
1 o O
AC SS TO TELECOM FACILrrY AND ACCESSIBLE ONLY TO AU IS RESTRICTEDCENTERLINE
OPERSONNEL SOLUTIONS
jQ¢
> L(E)FORESTED 7
APN:1272,-42-00000 ARE / (E)SUBJECT PROPERTY LINE
AREA:S2826 ACRES
ADJACENT ZONING (E)ADJACENT PROPERTY LINE
1,-SINGLE FAMILY
RESIDENTIAL
I
p C3o
scALE:t••4avau,x,� v 28a aoo eoo SO4O$W 1 OVERALL PARCEL PLAN
SCALE:t'•20a-0'F12)(34) A.; Q.
Qa7 yP � 2 0O1
(N)INGRESS/EGRESS POTENTIAL POWER SOURCE is 1SKVA POTENTIAL POV4FR SOURCE 2:
FROM NE VICTOR PAD.MCUNTED TRANSFORMER OH 1 SKVA TRANSFORMER q
Q/
P P P P 'f'Q R�yy�EO
1 ME ACTOR ROAD
— ---- 0 /09/2
/ --' ——————_ I CP PROJECT NO.: ATT-I5-WA2-20
)TREES TO BE I E F F F F PRELIMINARY
F F
EMOVD(TYP) f F 0. DATE D/C DESCRIPTION
R \ I I \
/ 0 W WIG—
UE CDREMIEW
1 03-0]-1]JGICI CLIENT COMMENT
LINE OF 1,a
\ § \ \ I I (E)WAVE BROADBAND \�J 2 03-1]-1]ICI CLIENT COMMENT
WETLAND BUFFER FIBER CONDUIT PATH
I (FIBER SOURCE)
UC TA
0 DATE SOBM L
SCRIPTION
BMIIJAL
05-017 JGGWTLAND B—
R
(E)FORESTED
AREA
SIIE NAME
1 NORTH BAY
APN:17J2,�2-00000 (I
AREA:t7➢2BACRES \ J 1 1 i SUBJECT
(tt 2T4 58B S F) �� ; / I PROPERTY LINE (E)BUILDING(TYP) SITE ADDRESS
r 1 IBO EAST VICTOR ROAD
(N)9a MONOPOLE BELFAIR,WA 98528
r I SHEET TITLE
\ C � AT&T PROJECT AREA 1
NOTE:
I 9/ OVERALL�NEW POWERRELCO/FIBER ROUTES,SOURCE, SITE PLAN
�Irc
EASEMENTS.RUN LENGTHS.CONDUIT SIZES, TN MN
ETC.ARE PRELIMINARY PENDING RECEIPTOF I
UTILITY COORDINATION REPORT(TYP)
( I I W E
S A-1 .0
L'111%,7) a 80Y 8a t2a
2 OVERALL SITE/TREE REMOVAL PLAN
SCALE:,'-BOSCALE:,••JO-0'QD(34)
ORAWNGABBREVATIOMI
STRUCTURAL CONCRETE NOTES SPECIAL INSPECTION NOTES AFF ABOVE FINISH FLOOR U(S) -NOS)1. ALL CONCRETE WDRKSHALLBEINACCORDANCE WITHTHE ACI318-11 AND THE SPECIRCAT10NMR 1. CONTRACTOR SHALL PROVIDE REQUIRED SPECIAL INSPECTIONS PERFORMED BY AN INDEPENDENT AGL ABD✓EDRADELEVEL I LINEAR FEET �/� at&t
CAST4WPLACE CONCRETE. INSPECTOR,APPROVED BY AT&T AND THE LOCAL JURMDICTION,AS REQUIRED BY IBC SECTION IMI
AND 1705 FOR THE FOLLOWING: AM AMERICAN WIRE GAUGE MAX MAX,.-
2. ALL CONCRETE FOR SUBS ON GRADE,SHELTER FOUNDATION,AND PIER FOUNDATIONS FOR FENCES,
ICE BRIDGE,AND H47tAME SHALL HAVE A MINIMUM COMPRESSIVE STR ENGTH k'=J,000 PSI AT 26 DAYS A. STRUCTURALSTEEL AC WROONDTDNNG MECH MECHANICAL
UNLESS NOTED OTHERWISE.SPECIAL INSPECTION REQUIRED AS NOTED. L ALL HIGH STRENGTH SOLT INSTALLATIONS;BOLTING INSPECTION TASKS SHALL BE IN Ap,) ADJL6TAME MFR MANUFACTURER
ACCORDANCE WITH TABLES NS.B•1,N5.6..AND N5.6-3 PER AISC3 10.
3. REINFORCING STEEL SHALL CONFORM TO ASTM A 615,GRADE W,DEFOR MED UNLESS NOTED IL FIELOWELOINO(IFUTILIZED). APpROX APPROXIATELY MGR MANAGER
OTHERWISE.WELDED WIRE FABRIC SHALL CONFORM TO ASTM A 185 WELDED STEEL WIRE FABRIC *CENTERLINE
UNLESS NOTED OTHERWISE.SPLICES CLASS'W AND ALL HOOKS SHALL BE STANDARD UNLESS NOTED B. BOLTS AND ANCHORS IN CONCRETE: AZ AZIMUTH MN MINMUM SOLUTIONS
OTHERWISE. L RETROFIT ANCHORS IN CONCRETE(ASHESIVE/EPDXY,EXPANSION,WEDGE,OR SCREW TYPE
ANCHORS):INSPECT SIZE.LENGTH,CLEANLINESS,AND INSTALLATION PER MANUFACTURER'S BLDG SULDB1G MSC MISCELLANEOUS
4. THEFOLLOINGWNIMUMCONCRETE COVER SWILL BE PROVIDED FOR REINFORCING STEEL UNLESS RECOMMENDATIONS.
SHOWN OTHERWISE ON DRAWINGS: CM CDNS7RUCTONIAMA MR METAL
C. CONCRETE CONSTRUCTION:
CONICRETECAST AGAINST EARTH...........3 IN. I. VERIFICATIONAND INSPECTION OFCONCRETE CONSTRUCTION SHALL BE IN ACCORDANCENTTH GAB GANNET M1Z1 METALIZE(D)
MSC SECTION iT05,TABLE ln"
CONCRETE EXPOSED TO EARTH OR WEATHER: CL CENTERUNE MW MCROMWVE
N8AND LARGER.............2 IN. 2. PROVIDE SPECIAL INSPECTIONS FOR OTHER?EMS NOTED ON DRAWINGS TO CONFIRM COMPLIANCE
A5ANDSMALLER&VAVF-......_--112IN. WITH CONTRACT DOCUMENTS. CLG CENNG NEC NATIONAL FLEL'INpAL CODE
CONCRETE NOT EXPOSED TO EARTH OR WEATHER OR NOT CAST AGAINST THE GROUND: 3. "ESPECIAL INSPECTOR SHALL PROVIDER COFYOFTHEREPORTTOTHEOLMJER,ARCHITECT, CLR CLEAR lN6 NEW
SUB AND WALL.............V4 IN. STRUCTURAL ENGINEER,CONTRACTOR,AND BUILDING OFFICIAL Cp COPPER NC NOTNCONIMCT
BEAMS AND COIUMNS._.._..._...1 12 IN.
4. CONTINUOUS THIRD PARTY SPECIAL INSPECTION REQUIRED FOR ALL BELZONA Ill 1MOUNTED CONC CONCRETE HIS NOTTGSCALE
5. ANe CHAMFERSHALLBEPROVIDEDATALL EXPOSED EDGES OFCONCRETE U.N.O.IN ACCORDANCE PLATES AND HARDWARE.
WITH ACI 301,LATEST EDITION,SECTION 4. CON) CONDUIT WA NDTAPPl1CABLE
6, HOLES TO RECEIVE EXPANSIONWVEDGE ANCHORS SHALL BE I/B"LARGER IN DIAMETER THAN THE CONST CONSTRUCTION OU ONCENTER
ANCHOR BOLT,DOWEL OR ROD AND SWILL CON FORM TO MANUFACTURERS RECOMMENDATION FOR
EMBEDMENT DEPTH OR AS SHOWN ON THE DRAWINGS.LOCATE AND AVOID CUTTING EXISTING REBAR CONT CONTINUOUS OD OUTSIDE DW.ETER
WHEN DRILLING HOLES IN ELEVATED CONCRETE SLABS.
OM CAICWA Lit OP OVERHEAD POWER
]. USE AND INSTALLATION W ITTEN RTE ADHESIVE AND EXPANSIONMIEDGE ANCHORS SHALL BE PER wAS/YV CPS
IOCB MANUFACTURERS WRITTEN RECOMMENDED PROCEDURES. G'C DRAFIER2TECIQR OT WERNNFADFIBER
8. FOUNDATIONDESIGN LS BASED ON PRESUMPTIVE SOIL PARAMETERS.R IS STRONGLY RECOMMENDED mm DEMOLISH OPp OPPOSITE RyyY H Z 0W
THATINDEPENDENT SOILS TESTING BE PERFORMED BYAUCENSEDGEOTECHNKC LENGINEER TO OIA OIUETER M. PROPERLY LINE VERIFY SOIL BEARING CAPACITY,SLOPE STABILITY,AND ALL OTHER RELATED SOIL PARAMETERS.
DM DIMENSION PLYW) PLYWOOD q /
STRUCTURAL STEEL NOTES ON DOWN ISM PRo,EDTMAW,GER Fp k Eo
1. ALLSTEELWOR SHALL BE IN ACCORDANCE WITH THE LATEST EDITION OF THE AISC MANUAL OF STEEL DR DETAIL — —p0Rx
CONSTRUCTION.STEEL SECTIONS SHALL BE IN ACCORDANCE,RTH"W AS INDICATED BELOW: DWO pAWNG PT PRESSURE TREATED 0 09/2
WJ3HAPE5:ASTM A992,50 KSI
ANGLES,BARS CHANNELS:ASTM A36,36 KSI EA HSS SECTIONS:ASTM 500,a KSI EACH RO CP PROJECT NO.: A'15-0 2-20
PIPE SECTIONS:ASTM A53.E,35 MI ELECT ELECII I ROW RIONTOF WAY PRELIINARY
2. ALL EXTERIOR EXPOSEDSTEELAND HARDWARE SHALL BE HOT DIPPED GALVANIZED. ELEV ELEVATION RRIYRRH RBIOIE RAgO UNIT 0. DATE D/C DESCRIPTION
3. ALL WELDING SHALL BE PERFORMED USING E70XX ELECTRODES AND WELDING SHALL CONFORM TO EO EOIYLL REO REQUIRED 0 02-f 0.17 JGICL 50%CD REVIEW
AISC.WHERE FILLETWELD SIZES ARE NOT SHOWN,PROVIDE THE MINIMUM SIZE PER TABLE n.4 IN THE _ I 1 0 7-17 JG/JG CLIENTCOMMENT
AISG'MANUAL OF STEEL CONSTRUCTION'.PAINTED SURFACES SHALL BE TOUCHED UP.ALL MELDING EQUR' EQUIPMENT SBTC SOUDSARETINN:DCOPPER 2 03-17-17 CVCL CLIENTCOMMENT
SHALL BE PERFORMED IN AN APPROVED SHOP.
(O EXISTING SF SQUARE FEET SUBMITTAL
THAN SO
d. BOLTS FOR STEELTO STEEL CONNECTIONS TO BE PER ASTM A325.HOLES TO BE I/18'DA URGER O. DATE D/C DESCRIPTION
THAN BOLT,U.N.D. FM EXTERIOR SM SHEET
0 00.2417 Cl/CL BP SUBMITTAL
5. NON-STRICTURALCONNECTIONS FOR STEEL GRATING MAY USE 54MASTM A 337 BOLTS UNLESS FIN FINISH SPEC SPEDFIGITION 06-0617—G WETLANDBUFFER
NOTED OTHERWASE.
FLR FLOOR SO SDLMRE
6. FIELD MODIFICATIONS ARE TO BE COATED WITH 73NC ENRICHED PAINT. I FOOT,FEET SS STMNESS STEL SITE NAME
7. HOLESTORECEMEEXPANSOWWEDGEANCHORSSHALLCONFORMTOMANUFACTURER'S GA GMIOF SR STEEL
RECOMMENDATION FOR EMBEDMENT DEPTH AND DIAMETER.LOCATE AND AVOID CUTTING EXISTING O L0719
REBAR OR TENDONS WHEN DRIVINGS WAL NNQ
HOLES IN ELEVATED CONCRETE ASS OR CONCRETE MILLS. GAL, GALVAED 81RUCT Sl1IlCR1RE BTRUCTUUAL
8. USE AND INSTALIATIONOF CONCRETE EXPANSIOWNEDGE ANCHOR,SHALLBE PER ICC& 0C GENERAL WRtAC1OR TOO TOPOFQDNDRETE NORTH BAY
MANUFACTURER'S WRITTEN RECOMMENDED PROCEDURES.THIRD PARTY SPECAL INSPECTION IS
REQUIRED FOR CONCRETE EXPANSION ANCHORS(I.E.SIMPSON STRONGBOLT 2 WEDGE ANCHORS PER WA9 GYP&LMVALLBCNRD TOM TOPOFMASONRY
ESR3WTL INSTALLATION OF WEDGE ANCHORS IN MASONRY IS NOT PERMITTED. w GRADE THRU TnnoUGH SITE ADDRESS
480 EAST VICTOR ROAD
GRID GROUND TN/D T►YED BELFAIR,WA 8W528
NIG
WAG HEATING.VEN &WR U3 IJ!! D
CONOlMX4l
HORR HORIZONTAL UND UN,ESSNOTEDOTIIERWSE SHEETTITLE
HT HEIGHT UP UNDERGROUND MMER GENERAL
IBC INTERNATIONAL BNUMID CODE UP LADEROROUND MS. NOTES
D INSIDE DMMETER WF VERIFY INFIELD
IN INCH VERT VERTICAL
INSUL INSULATION WW T W TERPRODF SHEET NO.
w INTERIOR W WITH GN-2
DNBar wo JBOX JUNCT WITHOUT
00'N T4TOP OF MONOPOLE TOP OF MONOPOLE
s WT&T PANEL ANTENNA TIP HEIGHT (N)AT&T PANEL ANTENNA TIP HEIGHTI.
n(BNOIdAT&T PANEL ANTENNA CENTERLINE / V��AT&T PANEL ANTENNA CENTERLINE
lrrCENTERLINE
soLurloNa
(M SQUID(Ow) (N)SOLID(OVP)
(TVP OF 3,1 NEW&2 FUTURE) (TYP OF 3,1 NEW&2 FUTURE)
S.RRH(TYP OF 6).MOUNTED &RRH(TYP OF 6).MOUNTED
(N)RRH(TYP OF 12.S NEW&6 FUTURE) BEHIND ANTENNAS (N)RRH(TYP OF 12,B NEW&B FUTURE) BEHIND ANTENNAS
(N)AT&T PANEL ANTENNAS,TYP.OF 3 (N)AT&T PANEL ANTENNAS,TYP.OF 3
PER SECTOR,9 TOTAL IS NEW&3 PER SECTOR,9 TOTAL IS NEW&3
FUTURE),MOUNTED TO LOW PROFILE FUTURE),MOUNTED TO LOW PROFILE
PLATFORM(VALMONT PARTN RMOP-496 PLATFORM(VALMONT PARTP RMOP496
W HANDRAIL KIT OR APPROVED W HANDRAIL KIT OR APPROVED
EOUIV.);SUITABILITY OF PLATFORM EOl11VJ;SUITABILITY OF PLATFORM
FOR FINAL LOADING CONFIGURATION FOR FINAL LOADING CONFIGURATION i
TO BE ANALYZED BY OTHERS TO BE ANALYZED BY OTHERS
(N)W-0-MONOPOLE:CAPACITY OF (N)9a4-MONOPOLE;CAPACITY OF
MONOPOLE AND FOUNDATIN TO SUPPORT MON
OOPOLE AND FOUNDATION TO SUPPORT g$R JqA_1
THE PROPOSED LOADING CONFIGURATION THE PROPOSED LOADING CONFIGURATION O4 WA$
TO BE ANALYZED BY OTHERS TO BE ANALYZED BY OTHERS y't �Oti H,�,O fI
N
(N)11'S x 27 AT&T (N)AT&T 210 GAL SWW DIESEL a
EQUIP.SHELTER GENERATOR W WEATHER/SOUND
ENCLOSURE ON(N)5'%9'CONC.PAD Q - 51
(H)SHELTER ACCESS 'Y �l'A1s+:/.,_7Jt1•`�
DOOR W SIGNAGE �QNAT'
0 /09/2
CP PROJECT NO.: ATT-15-W42-20
(N)AT&T GPS ANTENNA
MOUNTED TO(N)ICE BRIDGE PRELIMNARY
(N)B HIGH CHAIN-LINK FENCEW O. DATE D/C DESCRIPTION
(3)STRANDS OF BARBED WRE 0 02-10.1] JGIGL 9p%CD REVIEW
(MATCH EXISTING FENCE) I 1 W 7-17 JGIJG CLIENTCOMMENT
(N)AT&T ICE BRIDGE:ROUTE 2 03-17-17 1 CUCL CLIENT COMMENT
CABLE FROM(N)SHELTER TO
(N)MONOPOLE ENTRY PORT SUBMITTAL
O. DATE 0/C DESCRIPTION
0 03-2&17 CVCL SP SUBMITTAL
(N)124T ACCESS %6 8-17 JG/JG WETLANDBUFFER
GATE W/SIGNAGE
SITE NAME
(N)V HIGH CHAIN LINK FENCE W
(3)STRANDS OF BARBED WRE
(MATCH EXISTING FENCE) OL0719
NORTH BAY
SITE ADDRESS
\ 480 EASTVICTOR ROAD
BELFAIR,WA 98a20
✓; ii c \f SHEET TITLE
ELEVATIONS
a-0'AGL ITT
�(E)ORADE ad'AGL
.. (212.1'AMSL) \
\ A
SCALE:Y37-1.4T(11X17) a 1a Zd sCAlE:3/37•f'4T(11x17) O 1a '-'0' `'3•0
1 NORTH ELEVATION-FINAL ----- ---'-----3q 2 WEST ELEVATION-FINAL SCALE:3N&'•1'-0'(22X34)
rSCALEI
6 OF 3/4 MINUS CRUSHED ROCK
+aa at&t
TOP(AVER,OVER WEED BARRIER, MAX.BETWEEN POSTS
COMPACTED TO 95%IN 24'WIDE X 10
LONG
ACCORDANCE W ASTd 0898 GRIP-STRUT
S MIL WEED BARRIER NC E N T E R L I N E
SOLUTIONS
2'OF 1 AW MINUS VALMONT'ICE
UNDER LAYER BRIDGE'KIT ANGLE
(E)GRADE OR APPROVED BRACKET
EQUAL;PART TRAPEZE KIT W/
NIB24D-218A2 ALL HARDWARE S
. . �// (TOTAL PER
10'SECTION) ID�
EDGE OF CRUSHED n• \\ 8-12'00(TYP) IrexB•a
URFACE U
ROCK S UNDISTURBED
CONC.PIER FTG.
SOIL
NATIVE SUBSOIL "/�/k/� HALL BE Y-T
COMPACT TO 95%IN �• FINISHED OR 6'BELOW
ACCORDANCE W/ GRADE FROST DEPTH,
ASTM O155]
NMICHEVER IS
NOES: GREATER
CONTRACTOR SHALL STRIP SUPERFICIAL SOFT,WET,ORGANIC
OR DELETERIOUS SOILS TO EXPOSE FIRM AND UNYIELDING SOIL y .'
IF STRIPPING IS REQUIRED DEEPER THAN 6,CONTRACTOR SHALL'
CONTACT THE SITE CONSTRUCTION MANAGER TO DETERMINE
THE APPROPRIATE
TIME
STRIPPING DEPTH AT THE ME OF A
CONSTRUCTION. �$x,
LO of WAS N�j
ICE BRIDGE ELEVATION y�TO
O
y
SCALE:NTS(11X17) SCALE:NTS(11X17) SCALE.W (11X17) �t�� 5-y'f1
1 COMPOUND FINISH SCALE.NTS(=34) 2 NOT IN USE SCALE NTS(22X34) 3 ICE BRIDGE SCALE NTS 2D34) roNAL
o /09/2
CPPRWECTNO.'. ATT-15-0042-20
PRELIMINARY
O. DATE DIC DESCRIPTION
2.125-0.00 OD KATHREIN GPS/E911 0 02-10.1]JG/CL 90%CD REVIEW
MOUNTING COMBINED ANTENNAMODEL i 03-07-1] JG/JG ICLIENT COMMENT
PIPE MAST pG.8BryI92NGPS-A OR 2 03-17-1]CULL—L.—TCMMENT
CABLE MOUNTED TO REQUIRED TO APPROVED EOUN.
ICE BRIDGE WN ACCOMMODATE SUBMITTAL
VA MONITOR MOUNTING
APPROVED EQUAL HARDWARE C. DATE 0/C OESCR IPTION
BLOCKS:PART 03-241] CUCL BP SUBMITTAL
J9 I ICXB78C OR#CXBISS .-0 17 JG/JG WETLANOBUFFER
VALMONT-ICE 3-1/2"0 SCH 40
BRIDGE'KIT OR MTZL.PIPE W/
APPROVED EQUAL; CAP SITE NAME
i PART#1824b216A2 VALMONT PIPE TO PIPE CLAMP SET
$ OR APPROVED EQUIV.OYP OF 2);
m 31?OD MP) PART 6 SCP10K OL0719
CONCRETE PIER NORTH BAY
FOOTING PER ICE
BRIDGE ELEVATION
DETAIL,THIS SHEET CABLE FOR ANTENNA(TYP OF 2) SITE ADDRESS
480 EAST VICTOR ROAD
BELFAIR,WA 98528
NOES: SHEET TILE
I. LOCATION OF EXCEEDING
MUST HAVE CLEAR VIEW OF SOUTHERN SKY:NO BLOCKAGES DIN
OF SURFACE AREA OF HEMISPHERE
AROUND ANTENNA ALLOWED.
CONSTRUCTION
2 ALL DIPS A LEAR
SIGNALS FR MNAMN OF(4)SAELLI SATELLITES ANA LOCATIONS MUST BE ABLE TO RE TO BE VECEIVE ERIFIED WT DETAILS
SECTION A HANDHELD GPS UNIT BEFORE FINAL LOCATION IS SELECTED.
SHEET NO.
SCALE:NTS(11X17) SCALE:NTS(1/X17) SCALE:NTS(11%17) "A'-4.O
4 ICE BRIDGE SCALE;rns t2zx'4) 5 GPS ANTENNA SCALE:W.(22%34) 6 NOT IN USE SCALE:NTS(2934)
MASON COUNTY DCD SEPA Contact List .�,,- /�
Sent SEPA 20 I'"'I — (oc�1 � to (check all that apply) on '4 I 1 :E � -�` 'GV
0 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
rlumper@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
shlanay1 @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
SEPAdesk@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(360)602-0364
emarbet@squaxin.us (Habitat Biologist-Hood Canal Watershed)
szaniewski@squaxin.us 450 Port Orchard Blvd, Suite 290
sneil@squaxin.us Port Orchard,WA 98366
Joshua.Benton@dfw.wa.gov
The Confederated Tribe of the Chehalis
ATTN: SEPA Reviewer-Glen Connelly
420 Howanut Rd., Oakville, 98568 WA Dept.of Fish and Wildlife
gconnelly@chehalistribe.org ATTN: Margie Bigelow
(Habitat Biologist-S Puget Sound Watershed)
WA DNR,South Puget Sound Region 2391 W Deegan Rd., Shelton, 98574
950 Farman Avenue N, Enumclaw, 98022-9282 margaret.bigelow@dfw.wa.gov
southpuget.region@dnr.wa.gov
WA Dept. of Transportation
WA DNR,Aquatic Resources ATTN: Dale Severson
PO BOX 47027, Olympia, 98504-7027 P.O. Box 47440, Olympia 98504-7440
and@dnr.wa.gov OR-SEPA-REVIEW@wsdot.wa.gov
WA DNR,SEPA Center City of Shelton
ATTN: External Coordinator ATTN:Jason Dose
PO BOX 47015, Olympia, 98504-7015 525 West Cota St., Shelton 98584
sepacenter@dnr.wa.gov jasond@ci.shelton.wa.us
Olympic Region Clean Air Agency Port of Shelton
ATTN:Aaron Manley ATTN: Brandon Palmer
2940-B Limited Ln. NW, Olympia. 98502 21 West Sanderson Way, Shelton 98584
aaron.manley@orcaa.org BrandonP@portofsheiton.com
Mason County Transit Office of Archaeology&Historic Preservation
ATTN: Mike Oliver ATTN: Lance Wollwage
PO Box 1880, Shelton, 98584 P.O. Box 48343, Olympia, 98504-8343
moliver@masontransit.org Lance.Wollwage@dahp.wa.gov
Mason County PUD#1 Tacoma Public Utilities-Real Property Services
ATTN: Steve Taylor ATTN: Dave Letterman
N 21971 Hwy 101, Shelton, 98584 3628 S 35th St,Tacoma, 98409-3192
sntaylor@mason-pud1.org dletterm@cityoftacoma.org
Mason Cty P.W.ATTN:
4 e'r
Mason Cry E.H.ATTN: Other:
School District: 1 r/�C/� ��?n�er/inCSo�N/IOnS.C�m
Mason Cty Bldg ATTN: /. Agent: U
MC DCD last updated on 11/8/2016 Applicant:
SEPA Environmental Checklist Mason County Permit
��Cllenter Use:
❑ Single Family DNS: $385 SEP d�I - fJ
oil Other DNS: 0 to 9.99 acre : 630 Parcel#: 1222' #a?—&kV0
10 to 20 acres: Date Rcvd:
Over 20 acres: $945 IVED
❑ DS/EIS: $2,525+70 Per hr RECE
MAR 17 2017 j
615 W. Alder Stre#,t
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: hel
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 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 itgi2i
1. Name of proposed project, if applicable: mom;
OL0719 North Bay
2. Name of applicant: In�
New Cingular Wireless PCS, LLC("AT&T")
3. Address and phone number of applicant and contact person: �
Joe Riddle, Project Manager--Centerline Solutions LLC
6623 NE 78th Ct. Ste. B1, Portland, OR 97218
360-904-5858
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 1 of 11
1
4. Date checklist prepared:Lhpipli
3/13/17
5. Agency requesting checklist: met
Mason County
6. Proposed timing or schedule (including phasing, if applicable): ttt.l,
Expect building permit filed<3/31, Construction start<6/1
7. Do you have any plans for future additions, expansion, or further activity related to or connected with
this proposal? If yes, explain. fteap
No
8. List any environmental information you know about that has been prepared, or will be prepared,
directly related to this proposal. ILLeM
Phase 1 study complete, NEPA/SHPO/TCNS in process
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. Leal?
No
10. List any government approvals or permits that will be needed for your proposal, if known. "e�
FAA/FCC Registration; Mason County Building Permit
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.)Itg1pi
Construction of a 50'x50'fenced compound with approximately 115'long 12'wide access road from E Victor Rd
to contain 90'monopole cell tower and associated ground equipment contained in an 11.5'x 20'prefabricated building.
30 KW emergency backup generator in sound enclosure and mounted on 5'x 10'concrete pad. Facilty will be unstaffed.
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): 12221-42-00000
Address: 480 E Victor Rd Belfair
Legal Description: NW 1/4 SE 1/4 Sec 21, T22N, R1W, exc. S 330'thereof and exc. ROW for Victor Rd
Twp/Range/Section and/or GPS location: 47 deg 22 min 53.0 sec N 122 deg 48 min 25.7 sec W
SEPA Environmental checklist(WAC 197.11.960)(MC version-non project portion omitted): 2016 Page 2 of 11
B. ENVIRONMENTAL ELEMENTS ;hei;)'
1. Earth
a. General description of the site `,ei)
(circle one): Flat, rolling, hilly, steep slopes, mountainous, other:
b. What is the steepest slope on the site(approximate percent slope)? hero No 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. heel Geotech report describes hard sandy silt with gravel, dense silty sand with gravel, sandy gravel, loose
silty fine sand,very dense sandy gravel,and dense sand with gravel,to max. depth of exploration,30'
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so,
describe.Jhei No history of unstable soils
e. Describe the purpose, a total area and approximate quantities and total affected area of an
P P type, PP
filling, excavation, and grading proposed. Indicate source of fill.JtPjPJ
Grading of approximately 115'access road for firm graveled surface; grading and leveling of 50'x 50'site
compound. Fill will be from site vicinity, little should be required
f. Could erosion occur as a result of clearing, construction, or use. If so,generally describe. the
. ,
Site will be constructed so as to drain away from foundation; no erosion of road or site should occur
g. About what percent of the site will be covered with impervious surfaces after project
construction(for example, asphalt or buildings)?It2ipj
Approximately 25% of the 50'x 50'compound will be covered by building or tower foundation
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: ;fe
Grading and drainage plan to be provided with construction drawings for building permit
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. Ltej2j,
Diesel exhaust from licensed and regulated generator for testing approximately 20 min per week and during
emergencies, otherwise no emissions will be generated
b. Are there any off-site sources of emissions or odor that may affect your proposal? If so,
generally describe. ne
No
c. Proposed measures to reduce or control emissions or other impacts to air, if any: )"ems
Generator design is registered for WA state emissions compliance; no other emissions from site
SEPA Environmental checklist(WAC 197.11-960)(MC version-non prgect portion omitted): 2016 Page 3 of 11
3. Water
a. Surface Water:
1) Is there any surface water body on or in the immediate vicinity of the site (including year-
round and seasonal streams, saltwater, lakes, ponds,wetlands)? If yes, describe type and
provide names. If appropriate, state what stream or river it flows into. heb,
No
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.1Halo
No
3) Estimate the amount of fill and dredge material that would be placed in or removed from
surface water or wetlands and indicate the area of the site that would be affected.
Indicate the source of fill material. nei
None
4) Will the proposal require surface water withdrawals or diversions? Give general description,
purpose, and approximate quantities if known. j, elot
No
5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. IttlJ21
No
6) Does the proposal involve any discharges of waste materials to surface waters? If so,
describe the type of waste and anticipated volume of discharge.JtLei
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. ne�
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. ih,ey
None
c. Water runoff(including stormwater :
( 9 )
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. lneiti
No runoff exceeding current levels will be produced, natural drainage in area, no other waters impacted
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. Ljeju
No waste materials will be produced by site
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:
None, no significant drainage impacts will be produced by site
4. Plants he!
a. Check the types of vegetation found on the site: Lhei j
T deciduous tree: alder, maple, aspen, other
V 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? nL e
50'x 50'compound and 12'x 115'road will be cleared, road will be routed around trees 12'inch or larger in diameter
c. List threatened and endangered species known to be on or near the site. Lel?1
None known
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance
vegetation on the site, if any: t! i i
Site will be landscaped per code if required due to extensive screening provided by natural forest
and invasive e. List all noxious weeds a species known to be on or near the site.
None known
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: «.�j�
birds: hawk, heron, eagle, songbirds, other: songbirds,occasional water birds and shore birds
mammals: deer, bear, elk, beaver, other: none observed, but expect deer, rodents
fish: bass, salmon, trout, herring, shellfish, other: None
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.. ei>
None
c. Is the site part of a migration route? If so, explain. tein"
Not known
d. Proposed measures to preserve or enhance wildlife, if any:1pipi
None
e. List any invasive animal species known to be on or near the site.
None known
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.lt2MElectricity will be brought to site to power radio equipment
b. Would your project affect the potential use of solar energy by adjacent properties?
If so,generally describe.; No
c. What kinds of energy conservation features are included in the plans of this proposal?
List other proposed measures to reduce or control energy impacts, if any: 1nei
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.it2!pj None
1) Describe any known or possible contamination at the site from present or past uses.
None determined to exist by Phase 1 study
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.
None exist
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.
Petroleum fuels during construction and for backup generator(diesel); backup batteries at site in
hazmat protective enclosure
4) Describe special emergency services that might be required.
None anticipated
5) Proposed measures to reduce or control environmental health hazards, if any:
None required, no environmental hazards
SEPA Environmental checklist(WAC 197-11-960)(MC version-non prgect 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:
traffic, equipment, operation, other)?bfU
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. Lem
Some traffic impact possible for 3-4 weeks during construction; HVAC expected to be at ambient noise outside
1 00'from site;testing of emergency backup generator 20 min per week
3) Proposed measures to reduce or control noise impacts, if any: ne!
Generator is inside sound enclosure with muffled exhaust; baffled exhaust from HVAC
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. nt elhl
Currently site if forested land zoned R-5
b. Has the project site been used as working farmlands or working forest lands? If so, describe.
Parcel surrounding site id dedicated forest land; site parcel has been removed from forest designation.
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?
Approximately 3,880 sf including site and access road will be removed from forest use
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?ltei
Approximately 3,880 sf including site and access road will be removed from forest use
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. nF!M
90'monopole cell tower and 11.5'x 20 shelter building with 5'x 10' generator pad with backup generator
d. Will any structures be demolished? If so, what? r�
No
e. What is the current zoning classification of the site? meial
R-5
f. What is the current comprehensive plan designation of the site?[rs :!
Unknown
g. If applicable, what is the current shoreline master program designation of the site?t.:t
Unknown
h. Has any part of the site been classified as a critical area by the city or county? If so, specify.
help
No
SEPA Environmental checklist(WAC 19741-960)(MC version-non prgec(portion omitted): 2016 Page 7 of 11
i. Approximately how many people would reside or work in the completed project? inel,,
None. Site is unstaffed.
j. Approximately how many people would the completed project displace? eiO
None
k. Proposed measures to avoid or reduce displacement impacts, if any: t
None required
L. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any:Enelp,
None required
m. Proposed measures to ensure the proposal is compatible with nearby agricultural and forest
lands of long-term commercial significance, if any:
None required
9. Housing
a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-
income housing. net^
None. Site is unmanned
b. Approximately how many units, if any,would be eliminated? Indicate whether high,
middle, or low-income housing.Lnei
None. No structures will be removed
c. Proposed measures to reduce or control housing impacts, if any:Lheio1
None required
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?1nei
90'. Galvanized steel
b. What views in the immediate vicinity would be altered or obstructed? n1 2i
Expect existing tree screening to largely obsure view of all but top 30'or so of tower, ground location will
not be visible fr m surroun in arc Is pr road
c. Proposed measures to reduce or corl rnA ges es is Impacts, if any: Lheipo
Siting chosen to provide very good screening of site by existing trees and brush
11. Light and glare
a. What type of light or glare will the proposal produce? What time of day would it mainly
occur? 12 None
b. Could light or glare from the finished project be a safety hazard or interfere with views? t
No
c. What existing off-site sources of light or glare may affect your proposal? tojol
No
d. Proposed measures to reduce or control light and glare impacts, if any: ;help;
None needed
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? =help;
None noted
b. Would the proposed project displace any existing recreational uses? If so, describe. Lr ,�
No
c. Proposed measures to reduce or control impacts on recreation, including recreation
opportunities to be provided by the project or applicant, if any: helo
None needed
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. c-_i±L!pj
No
b. Are there any landmarks,features, or other evidence of Indian or historic use or occupation?
This may include human burials or old cemeteries. Are there any material evidence, artifacts, or
areas of cultural importance on or near the site? Please list any professional studies conducted
at the site to identify such resources. ihe=
No
c. Describe the methods used to assess the potential impacts to cultural and historic resources on
or near the project site. Examples include consultation with tribes and the department of
archeology and historic preservation, archaeological surveys, historic maps, GIS data, etc.Itpipi
Archeology report as required, NEPA/SHPO/TCNS
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 needed
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.JtLei
Graveled road to site from E Victor Road
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? theio
No
c. How many additional parking spaces would the completed project or non-project proposal have?
How many would the project or proposal eliminate? :helm
1 parking space at site, no parking lost due to site
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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).Lneia
Only access road from E Victor Road
e. Will the project or proposal use(or occur in the immediate vicinity of)water, rail, or air
transportation? If so, generally describe. Jheb
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? 'r ei
Less than one trip per week to site, no peak volumes. After construction, access will be by
passenger vehicle(1)
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:Jn ip.1
None needed
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. irei >I
No
b. Proposed measures to reduce or control direct impacts on public services, if any,JL21pj
None needed
16. Utilities
a. Circle utilities currently available at the site: Leipl,
electricity, natural gas, water, refuse service, telephone,
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. ne!21
Electricty and fiber will be brought to site from E Victor Road by local providers. Minor trenching will be required.
SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 10 of 11
C. SIGNATURE Lelj
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: 3
Print Name of Signee:
Joe Riddle, Centerline Solutions
If applicable, Position and Agency/Organization: -Project Manager,Agent for New Cingular Wireless PCS, LLC
Date Submitted:
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SEPA Environmental checklist(WAC 197.11.990)(MC version-non project portion omdteo: 2016 Page 11 of 11