The URL can be used to link to this page

Home My WebLink AboutSEP2022-00052 ATF Bulkhead, Pier, Dock, - SEP Application - 8/21/2022 , PLANNING SEPA Environmental Checklist Mason County Permit Center Use: ❑✓ Single Family DNS: $600.00 SEP 2-0 22 - 000 52 ❑ Other DNS: ❑0 to 9.99 acres: $730 Parcel#: ❑10 to 20 acres: $880 ❑Over 20 acres: $1100 Date Rcvd: ❑ DS/EIS: $5000 + $90 per hour RECEIVED AUG 31 2022 ctTeet . , Purpose of checklist: 615 �!d `7 Governmental agencies use this checklist to help determine whether the environmental impacts of your proposal are significant. This information is also helpful to determine if available avoidance, minimization or compensatory mitigation measures will address the probable significant impacts or if an environmental impact statement will be prepared to further analyze the proposal. Instructions for applicants: hf 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 n( e 1. Name of proposed project, if applicable: nl elpl Johnson Pier 2. Name of applicant: nei Wayne & Robin Johnson 3. Address and phone number of applicant and contact person: nr e AXIl Int:27916 NE Union Rill Road,R—d,WA%9 3 426-0.6{ Conrad.Leann M,D n.W 206-301—B SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 1 of 11 4. Date checklist prepared: Jnei August 15, 2022 5. Agency requesting checklist: h( eM Mason County 6. Proposed timing or schedule (including phasing, if applicable): h( eM December 2022 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. [Lei No 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. h( eM None 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. of eM None 10. List any government approvals or permits that will be needed for your proposal, if known. of eM •Mason CwMy Shoreline Exemption P—d •Mason CwMy SEPA detemii W, •WA Dept Fish&Willits HPA a USACE 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.) Jnei Replace solid surface float with new float with 50% functional grating (60% open area) and float feet or stub piles to prevent grounding. 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. of eM Parcel #(s): 22108-56-00001 p Address: 1480 NE Tahuya Blacksmith Rd, Tahuya, WA 98588 p Legal Description: HAVEN LAKE TR. 153 S 51/16 p Twp/Range/Section and/or GPS location: 23N/30/2W p SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 2 of 11 B. ENVIRONMENTAL ELEMENTS h[ eM 1. Earth a. General description of the site 1heM (select one):❑flat, Z rolling,[]hilly,❑steep slopes,[]mountainous,❑other: b. What is the steepest slope on the site (approximate percent slope)?JLeM 20% 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 Haven Lake - silt & mud d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. nei No 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. hf eipl No fill other than piling. f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. hf elpl No g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? JtLel None h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: hf eM None proposed 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. 1heM During construction, minor emissions from equipment. No emissions resulting from final project. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. h( eM No c. Proposed measures to reduce or control emissions or other impacts to air, if any: JheM Equipment used during construction will pass state emission standards. SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 3 of 11 3. Water a. Surface Water: of eM 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. of eM Yes. Haven Lake 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. n( el Yes. New dock and after-the fact permit for bulkhead and stairway replacement 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. nI eM No fill other than needed piles 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. n[ eM No 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. of eM 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. JLLeM 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. of eM 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. nr m No waste water 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. n1 M No runoff 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. n No 3) Does the proposal alter or otherwise affect drainage patterns in the vicinity of the site? If so, describe. No d. Proposed measures to reduce or control surface, ground, and runoff water, and drainage pattern impacts, if any: None proposed 4. Plants n[ el a. Check the types of vegetation found on the site: Lnei FTIdeciduous tree:❑alder,❑maple, ❑aspen,❑other ❑✓ evergreen tree:❑fir,❑cedar,❑pine,❑other ✓❑shrubs ✓❑grass ❑pasture ❑crop or grain ❑orchards, vineyards or other permanent crops ❑wet soil plants:❑cattail,❑buttercup,❑bullrush,❑skunk cabbage,❑other ❑water plants:❑water lily,❑eelgrass,❑milfoil,❑other ❑other types of vegetation b. What kind and amount of vegetation will be removed or altered? n[ el None c. List threatened and endangered species known to be on or near the site. nei None known d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: [!Lei None proposed 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: of ei birds: hawk, heron, eagle, songbirds, other: mammals: deer, bear, elk, beaver, other:Deer fish: bass, salmon, trout, herring, shellfish, other:trout 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. Ji ei Northern Spotted Owl c. Is the site part of a migration route? If so, explain. n[ eM No d. Proposed measures to preserve or enhance wildlife, if any: of elpl None proposed 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. hf e No energy required b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. of eM None 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: n( eM None proposed 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. of el 1) Describe any known or possible contamination at the site from present or past uses. No 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 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. None 4) Describe special emergency services that might be required. SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 6 of 11 Johnson Site Plan - Proposed 1480 NE Tahuya Blacksmith Rd Tahuya, WA 98588 22330-50-00153 mmwm%� 1" = 30 feet 77 CABIN 91 1046 sq ft Shea Iris N retaining block bulkhead concre pad 36' HAVEN LAKE 61 REFERENCE: APPLICANT Wayne&Robin Johnson PROPOSED:Construct new 6'x 36'pier supported by six in-water piling and a landward concrete abatement.After-the-fact application to legally permit the retaining block bulkhead and lake access(stairway). AT.Haven Lake,Tahuya COUNTY: Mason STATE:WA SHEET. 1 of 3 DATE:June 14,2022 None proposed 5) Proposed measures to reduce or control environmental health hazards, if any: None proposed b. Noise 1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? hf el No noise sources in the area. 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. hf eM Noise from construction will be limited to weekday(lam to 6pm) hour.Any impact will be short term and limited to general construction noise 3) Proposed measures to reduce or control noise impacts, if any: hf gjp None proposed 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. hI eM Residential b. Has the project site been used as working farmlands or working forest lands? If so, describe. No How much agricultural or forest land of long-term commercial significance will be converted to other uses as a result of the proposal, if any? None 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? h( el None 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. h[ el House, shed, bulkhead, stairway to lake d. Will any structures be demolished? If so, what? 1heM No e. What is the current zoning classification of the site? h�gip Rural Residential 5 acre f. What is the current comprehensive plan designation of the site? JheM Rural Land Use SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 7 of 11 g. If applicable, what is the current shoreline master program designation of the site? JLei Residential h. Has any part of the site been classified as a critical area by the city or county? If so, specify. hI eM Yes- shoreline i. Approximately how many people would reside or work in the completed project? hf e None j. Approximately how many people would the completed project displace? hf eM None k. Proposed measures to avoid or reduce displacement impacts, if any: hf M None proposed L. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: h[ M There are a number of docks on Haven Lake m. Proposed measures to ensure the proposal is compatible with nearby agricultural and forest lands of long-term commercial significance, if any: None proposed 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low- income housing. hf M None b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. hf e None c. Proposed measures to reduce or control housing impacts, if any: JkM None proposed 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? h( elpl The height of the pier will be 3-4' above ground level where it attaches to the shoreline. b. What views in the immediate vicinity would be altered or obstructed? hf M None c. Proposed measures to reduce or control aesthetic impacts, if any: hei None proposed 11. Light and glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? ht M None b. Could light or glare from the finished project be a safety hazard or interfere with views? ILLeM No SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 8 of 11 c. What existing off-site sources of light or glare may affect your proposal?Jhel None d. Proposed measures to reduce or control light and glare impacts, if any: [help] None proposed 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? Jhel Waterfront recreation includes boating and swimming. b. Would the proposed project displace any existing recreational uses? If so, describe. JLei No. Kayaks and small boats can travel around the pier. Proposed project enhances boat use and other water related activities c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: hf eM Recreation will not be impacted by the project. It will allow guests to visit by boat. 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. of elPl 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. hf eM 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. hr eid Not applicable. No soil will be disturbed 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 proposed 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. hf eM NE Blacksmith Rd. SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 9 of 11 b. Is the site or affected geographic area currently served by public transit? If so, generally describe. If not, what is the approximate distance to the nearest transit stop? nj eV No c. How many additional parking spaces would the completed project or non-project proposal have? How many would the project or proposal eliminate? of eM None d. Will the proposal require any new or improvements to existing roads, streets, pedestrian, bicycle or state transportation facilities, not including driveways? If so, generally describe (indicate whether public or private). n( em No e. Will the project or proposal use (or occur in the immediate vicinity of)water, rail, or air transportation? If so, generally describe. of eM 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 e�Pl None 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: of eM None proposed 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. lbeM No b. Proposed measures to reduce or control direct impacts on public services, if any. JkM None proposed 16. Utilities a. Circle utilities currently available at the site: n[ elpl ❑✓ electricity,❑natural gas,❑✓ water,❑refuse service,❑telephone, ❑sanitary sewer,❑✓ septic system,❑other SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 10 Of 11 b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. n( e� The dock does not require any new utilities. C. SIGNATURE of elpl 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: August 15, 2022 Print Name of Signee: Leann Ebe McDonald If applicable, Position and Agency/Organization: Shoreline Solutions LLC Date Submitted: August 2022 SEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016 Page 11 of 11