HomeMy WebLinkAboutEnvironmental Checklist - SEP Application - 5/30/1987 I
- -- • AGENCY REQUIRING CHECKLIST DAT[CHECKLIST?i-- 1
FOR4
M - STATE OF WASHINGTON
S.F. 145 ENVIRONMENTAL
IIt„t CHECKLIST —__ -
A. BACKGROUND PH STATE ZIP CODt
ONE NUMBER ,.
1. NAME OF PROPONENT
S� 2.7 s
arr �• r
De 21
a.ADDRESS OF PROPONENT
' /. "'//. •`� ''�' �t :r'�jl .l•'' JL t" ._t_ 4 .di�__._._1 A��-
a o I'AI Yt,Ittil�QbII vwi
3.NAME OF PROPOSAL(IF APPLICAOLEI ,.
4, ESTI1# TIp Pt.rPTW
�..�,"� � �.., er 'In:(.�i�'',•r.}f .�e. '�/1,.;. YI'!'�.�C�.Q41/ '/1.�{'µtRi — `. fao
lze —
ere
S.NATURE AND ■RIEF DtSCRIPTION OF 7He ►/tOroSA r1C U 1`p n Qt.^IIt1 t ito, n c ,pen sclp ..eme tsa �Y I
r.
+g .. an accurate undentandin of Its :ope'and nature
P�
P .i•+."�. .RfPG J L y ty� � %J�,Sfe 'L.�..0 :,r.. =r
f���'��/ •''C �S .J � !i'".r4+h-q°.f�'�ti '; .a. -� 'M �v�. re. •• -$ C r
Ap
�s�'iCaf setttnd' i+`gl opola, i �, ;+o r r t, I[e{ Impact
a.LOCATION OF PROPOSAL(IiIQaCrlf]a. ... I ����• t�art'�rof�$ ,j '
inc(udrg'an-y other mTorm�ti0F1 ad tb ve tlrKbEcttlmEUl pntaindf r�b "?° virii} an Ro l 14, AV
P
`" • 4Jh: , . Into �rw.�k„e: ; t .,' " .0
,
7. LIS"T,ALL PERMITS.LIC[ ISLS OR GOV MINT APPROV4 �,S•R[OUIR[O F R-THE PROPOsAC fOdQral�SteiO 61iCtJIOCdI L;li'rC�c�r!ing!3?UneS{'
N'7 114
ALCM �{.4^!iv'Wb1 . :+/,. ,�Ti'l Si.iKl1 � Xa��a``.!.,�� �. ,:a.^Tc�,. i� �•..
I. . �.vt.,:ir s r,�:' i /'t:";rji''Wr�3�•�1^v � :�i':�s�ii�r �1'�>�1 +':'+ r•�r�`!!�O►]?l�'`� �•'�'i���1�,.. �!�� •
t I
'tGi-:`.�..,Jil •�,: �bAO�jt3S', r ,�' ff1.Yu� t�5►�rlovrs.t It / i!'� sI 41
U',
IONT-[xPANs19N;dW FURT1�[R ACTIVITYr1TEL9►R[D`TO QR:CnANN[CT[D WITH'TH16
_ HAVE ANYTLAN6 F _
-'— YOU OR FUTURE ADDIT _ >O. � r '.,/. `g5!!••:+.1+IPreCd,'.••.
_ a PROPOSAL :'y r (}3 1t3$ '�5,� . #i'l tf 2. .147i!F+�Fr
nves'(li rtes.+explain)' vc'•f� IL!w fintcttr
�No ,cr`".fU� aff:! r.. ..�.-...:r;SGf' �. ,. ,,,.: �t,t:..;i7 ;.f OiT t�.IF!<!tI 170 f.}:,X 3Qtgh '•t1t1.'f)!'�1YT'.4'1Ia ~`f' ,�:
d +
oa f-ON,jo r t 5d II1w rf ,•'iw A!Di (3i#, ;.I ti 11 �4''
�uorfJ1w ..'77.1 rJ ' :'79'; boo
ZE2R9fnC: �'i 1 .'19 S�@�.�. !i:��►.1Q�
a,
a. DO YOU KNOW OF ANY PLANS 6Y OTHURS WHICH MAY AFFECT TH6 PROPERTY COV[RUd 8Y:VOUR PROPO$ALT
® NO • Ycs (If YES,explain)
10. ATTACH ANY OTHER APPLICATION FORM THAT HAS OUCH COMPLET[D R[GARDING THE PROPOSALI IF NON[ HAS S[[N COMPLET
- OUT IS EXPECTED TO O[ FILED AT 30Mt FU��U, CR/`Z�Cr�NATURU OF OU�CJ/H APIPLICATION PORM1
1 fe �L.
F�77M S.F. 144 11/77I 2
13. ENVIRONMENTAL IMPACTS (All YES and MAYBE answers require an explanation)
YES MAYBE NO
!. E TH: WILL THE PROPOSAL RESULT IN: '
bl 1 I!,
a Unstable earth Conditions or in changes in,geologic substructures?
b.Disruptions,displacements,compaction or overcovering of the soil?
c change t,>fx�gthy or ground surface relief features?
in cif{ !V[' L K/tslu,a I?Y tIt'+1 Y
d, The destruction,covering or modification of any unique geologic or physical features) , ,�Rxetp F",' nillhnn Mkisial+
•? ¢"
t e.Any increase m wind or water erotwn of toils,either on or off the site? n . et•,�f1�Nnu 'c,�a 44f4c:eatf8 eA{ tOr 1cl��7w •ts
I.Changes in deposition or erosion of beach sands,or changes n fon,deposition or ertxioµ Io
Iiltati
n � fp�
•» rstsich may rrwdify, of the ocean or
the channel of a river or stream or the bed
any`bay;" tf ' � ► d�sJ1a �I y
. inlet or Ia ..��•�--_
,(/, tA.-V A.4-I'► Af
Wr "" t':r r•--' �A t ¢> ry .rrt.7.»C)� to r
�. •Exp ion •, !" /r"' y4
_sir 'r• �,. � � �
2.AIR: WILL THE.PROPOSAL RESULT IN: i,.i� j "t",rcldAi ++its/ i�� fi. M t(•�d•, .�' (�y
f+ .�
•�.a Air emissions Or deterioraYon of ambient air quality?
_ , � �,. -s .. \i; �`! r��\--��:�..",�,?'. -r••f_.�L.} R�.. .'G`J�:�n�.� •"w�.•:t�7'� •�•� J"'�.i•
b,The creation of,objectionable odors?
he in climate Qlther 1 aUX, f
c 1
lure o- Y .•:--
ra -
am �r
_ . c. Alteration of sir movement,moisture or t PB ..,�, . }
�t77
or regionally? r
Explanation 1'Y
—/- v 1 G
3.WAT R: WILL THE PROPOSAL R LT IN: "
a,Changes in currents,or the course or direction of water movements,in either marine
ow3p
fresh waters?
b.Changes in absorption rates,drainage patterns,or the rate and amount of surface water }} f 1
- runoff? • r ' i J`,� ;;,4l. ', �' ^ lrr_-`Jt��� '
r 0 4J
c. Alterations to the course or Tlow of-Tlood waters?
d,Change in the amount of surface water in any water body?
9
quality,
including but
e.Discharge into surface waters,or in any alteration of surface water
not limited to temperature, dissolved oxygen or turbidity) air e ` -, a,i L.', ,r nI rasRe +r, s
f, Alteration of the direction or rate of flow of ground waters) _ _ — k,n�.•
g.Change in the quantity of ground waters,either through direct additions or withdrawals,
or through interception of an squifer,by cuts or excavations?
h, Deterioration in ground water quality,either through direct injection, or through the ; 'Cl \ ;•� �i�
seepage of leachate,phosphates,detergents,waterborne virus or bacteria,or other .
substances into the ground waters) kl
r
`_ `�-lT�.
pedu ion in the amount/of star Otherwise. av liable f blk water supplies?C]�:C f/ e
4• FLORA: V4ILL THE PROPOSAL RESULT IN: c
a.Change in the dive isit off species, or numbers of any species of flwa'(including trees, , ,�,fOftY� tSC'])4 �•
shrubs, grass,crops,microCora and aquatic Plants)? � ) , •O d
b. Reduction of the numbers of any unique,rare of endangered species of flora?
c. Introduction of new species of flora into an area. or in a barrier to the normal replenish-
ment of existing species?
Z) J�
YES MAY8E Po- —TQO
d. Reduction In acreage of any agricultural crop? ,� (•7S O r�
ExDlanation—_
104
,'"�`"(`C a ••r n=v I. , �� .•v�. .. , 'r7:`yl: .,.,•..i�C'•�k�r•;. i n)(�Y •
5.FAUNA: WILL _fKOPOSAL,fIESUL"N:.
a. Chartplx In the diversity of species'or nurrDe�s of any CpOcles o( aurta•(birds,lanq animals �:+ r `.'�'
#!Kludin 94aPthes;Iflth,and,.fhelltlsh,'benthlc organitms,Inwtt 6r microtaunajl"'e u ` lly p +W116�11`14144 kilt a�l� �►, ALA �,
~O.RWtactloR�Ors�" • InWt�of any Nnlque van of enda �'9ra}r�,S= W�•F yrsn.:ttl'rlro�.l01' •�,��.�. y' r '" * t
• _ ram, r t tr, t ',- �+9eraO eesas of.faunal ! .,., a „ 'l.J ;�, ��"� �'
r r "fl, �":`;: )9Y,.IIMMII�MM'/iMtt�ltl�FtiJ 6!taAi!Ali •�"�1 rf.+a , '._ , �� -3��• ar '�v
r C.lntroductlon Of tw "
c Rr $ Itf of fa lta Q n:a� to L�I& i:i�ha0l theIor+�f j t4 .
a7 �� •���Y 7 .-.i4• n i t' 10
�t a.O+t o+,clitlnp1 n t tivlldliteItat
^s ExD�ail�it�p11 �r �•
,, pr rt� •:iM , -.A. h r is i. t^�' `', ar
6.NOISE: WILL HYf E PROP AL INCREASE X
ISTING NOISE LEVELS?
v, ..l, e• �=MD t N ^Ci::9 , ,,�,�, _ � ., ) �• •A 4,
' ♦k :ftEstOuttatlon"r .:.r✓ T,`� ;,R•• +�• + pll "w* r?
Y:p. ..`•i '�slK=YY. .rxjKn+' �; .X �.. _,,1n. ..MR, � s�Ifitlti `�IL!�Ifl+�fay rwil d:
;.
-
,
` Y ,
C,.lt sue. t..t 94 9h w%r YIP s rat• Y 't: i1s � j�r
JGHT AND GLARE:.`WILL THE PROPOSAL PRODUCE NEW.LIGHT GLAREt
a �• _ rAQ� �,,• :a � 2'ls ���*`'.+0� `,��y' -'�` �
.. �� �. �. � a.,, Vic, ly(•,y�� ,. ��,� .y `..�. , ,t'�'
.,'+- �w�,1l1�'Esrpjanatlon ~ .�. r .j .♦ y:` �
:V �)..� k-.,C,' ,�`.� i�f }Py�• J'r�r� il• '��Yt �ls� . �� �`- ; tr...
8.LAND USE: WIL E PROPOSAL RESULT IN THE ALTERAT16N OF THE'PRESENT ° °1iuog•►+q Pa'`w'[y tt+a, e+w•U
OR PLANNED LAND USE OF AN AREA? �Owe
(qI
Explanation
1 W-11
}c.nM �+T n .fir--?r.-----
i� ift;
- 9.NATURAL RESOURCES' VVILL THE PROPOSAL RESULT IN:.,ti � h.,; to trl�s)r- ,u.,s,rrsv.ex,f,ire old ►Q•wrlKt,O ,e
'r-t,":,kS9:•r rr ,r:oaei3i�a,vrl+•+�f.i• Y�r,ti! t�rt.+•>�
a.locreasa In the rl a of use of any natural resources? l..J
' - j2-mlaw txrun ?I:r r<rr;f Y?oFnZ 7d•htNt "• O'
-D b. epletlon of any nonrenewable naturaLresou►ce? - - LJ
Explanation.7
it
10.RISK OF UPSET:' DOES,THE PROPOSAL INVOLVE A RISK OF AN EXPLOSION OR ,, _ { loyfnuo,•. r,i.pgrt
THE RELEASE OF HAZARDOUS SUBSTANCES (INCLUDING, BUT�VOT.LIMITEO TO= �;i,
ti1:�OIL.PESTICIDES, CHEMI ALS OR RAD ATION) IN THE EVENT OF AN ACCIDENT .,� r•
OFiUPSET CONDITION?.. � � _:,.. . ., ) (.,,;��. . , 'ti .1ti.. .,ti• ;+:.t -•tr~a �f�'f ..
Explanation 0t
cn
. , .
OPUATION: WILL THE PROPOSAL ALTER THE LOCATIOTI, D TRIBU�ON, % O J��^-'`�"'1•
DENSITY, OR GROWTH RATE OF THE HUMAN POPULATION OF AN AREA? ❑�S'.•,_.,`: 0
Explanation _-
FORM AF- 14e 11/7 I 4 -
(FORMERLY ECY 0 0.4•taa)
YES MAYBE n�
12, HOUSING: WILL THE PROPOSAL AFFECT EXISTING HOUSING,OR CREATE A ❑ /� �{
DEMAND FOR ADDITIONAL HOUSING?
01
A—J
13.TRAN TAT OW IR LATION WILL.THE P OPOSAL RESULT, Na yl futIR A.ji G y Yak ,J qa Ajsly 7cv3 k�
71 3:i �14 e+i!1!a)aY;t�� (7N 'fli0?.Y, iEO
a. Generation of additional vehicular movement? 1`
'.��.: ..=�.+r .�Al�,k ,�.. .� N, I7 ti\ Ft '. - f�4 "xiy. � ., � Y(•❑,' _i`��?r-�r
Is.Effects o existing Irf{I fac lltles.or,demand for new parking? , •- y ,.. 5 ❑ ,?"
.e.Ifnpaef upon.-` ttMa'trantporti'I n systamst > rr qtj
• r� 'N�•'1 Yz.1�- '��'�� - (�� ti� ? � �\,;:_°4 .' +)w �'' '.. .•,Ni} A '•� i :r 1
d.Alteratlosts to. t patter �o r reulatlon movenro�lt ot:peopte andi/o
' �"�t�f'k� T3.1tA1,(`r•1,(\ �►'R�".:.\� ,/,� "'. w1N �4j, `,Sti '' .1'' z,�Q�
e.Altaratkrsto Wat�orne rail or alr traffkt la 3+� .r;.,Ki li O I 4x y� i �+•„y Y_�,y
f Inc►epe'Ifs;lralflC hazards to motoshlclef bicyclists W pedestrlant w a•l<r' r. >�'
�.ti: �� 'r 1. ' ,'�:+..,_ \ •-•:'`��' •' fit:. "+�„ -� �1� �`.fC `�+, ;>,�
+'{• r4 -�, a1+ 1}.+y-� � ,.) ,.1, ..}., `� r�.y -3-�,fi,..:M1.., ,. ',�i " J' >..�l► � .r�,��n 1�•�,1 ,-Y�„�.
f 1 .P UC SERVICES; WILL THE PROPOSAL HAVE AN EFFECT UPON,OR RESULT IN'"> .7=li4tq' 4I:fA'71E?C'_t'1J
A NEED FOR NEW'OR ALTERED GOVERNMENTAL SERVICES'1N ANY OF-THEi'a +r'%l -J{33}s„�flj•�TiAAJ1Xlt�'�1,3;A '? >
FOLLOWING AREAS:.. ; #r r 'itl'sR '
.._._.___Fire prptectionT .._ .}.
b. Police protection? ❑
d.Parks or other recreational facilities?
"e" �a''�"e`,Maintenance of,'publie facilities,Including roads?; silt 1vj Yat Icy lead WIT&r YirtQs:: ,hs+r raw❑. �
>ti• a7.r4trvta6vgr+: . ;�I,Ifvr yrvr r• cianl. t!iv. : )�„ a;:, . . . ..>: �, i ."Jlil'frinnlp tArt' eon.�1 aMM 1+ �tsvl:Nb y �.+•� tt,r,
I.Odta ooverfrrtental tarvlcesT yc n!+❑+•'t
j��� —
- — Exptanetia+ - - -
K s -
c
15. ENE G WILL!THE PROPOSA RESULT IN:
a.Use of substantial amounts of fuel or energy ❑ ❑
b.Demand upon existing sources of energy,or require the development of new sources of energy? ❑ ❑ 49
'K
Explanatlon_lz/t�
p—a-ty- _
16.UTILITIES: WILL THE PROPOSAL RESULT.IN A NEED FOR NEW SYSTEMS,OR,
ALTERATIONS TO THE FOLLOWING UTILITIES:
a.Power or natural pail ❑ K'"�.• ��
b.Communkstlons systems? ❑ �)
c.Water? - ❑ ❑ ({��
d.Sewer or septic tanks? ❑ 1�❑ 1�:
e.Storm water drainage? ❑ ❑
f,Solid waste and disposal? ❑ lJ
Explanations
frowra`a.•."iee ./
YES M04yur-
HUMAN HEALTH: WILL THE PROPOSAL RESULT IN THE CREATION OF ANY ❑ ❑
HEALTH HAZARD OR POTENTIAL HEALTH HAZARD (EXCLUDING MENTAL
HEALTH)? .. ,
Explanation
. .... : ♦ _ Cn Nibs... R_
18.AESTHETICS: 1 'l THE PROPOSAL RESULT'1Nj )9S- Ci�ON:DF1 '�-r � RJ' ��� ` "` 4
SCENIC VISTA OR VIEW OPEN TO THE PUBLIC,OR WILL'' E PAOPOSAVRESUL'T' 'VO1+YAi 0
"• 1N THE CREATION-OF AN AESTHETICALLY OFFENSIVE SITE OPEN TO PUBLIC
VIEWI t.rf ei; . :1 *"n Vrrtn txtlatrVlNl�r pt! t +
y A >sr a-k r
tion
,.. a.
19.FIECREATION: WIL E PROPOSAL RESULT 1N A 1MPACTtt1PON THE QUAL4Tt' nl°Q}
�'t 004UANTITY OF XISTING RECREATIONAL OPPORTUNITIES?, i a,. , ,�; , '.�.,•t , [ ,;
... .. +,/ ��y/�� Y _' t � `,�' 't. c �?tj gust fi. -� o �:.`i v♦ Pn� A >f ���u.r/ pk'ta x ',tt I dr`.:y •,}
�..� Im , ♦
,
AA A
r7 r .w
TO- EOLOGICAUHISTORICAI WIL 1r_HF1,+PAOP,OS�kL RES4L RAT Q 1 ✓r ! t
�Jqasp x
OF A SIGNIFICANT ARCHEOLOGICAL ORp(i1STQR}CAL�SI F,`*T iBJ {3s7ft JA.}1Q, ,� `<
OR BUILDING? )) }
r. T'r 1 .. it ?. htl-Y'1 q � ,(. f(� 4'P' r•`c
�x Explanation //1 D y`� l(iti►a a. `.cr 13notf'tiq rr i p h�j
l � �I•: � . - p, f, _ ,��7J :.r (p• 1Jt.N r 1 }•ty Y.��t.��.. 1 4., ,, P ;'�
C. SIGNATURE }t
� a4t.' 1rrtla taisa4 tgnOMfi �O ,.b.
1,the tindersigned,state that to the best of my knowledge the above Information is true<andKomplete:ttUAt;�td oodothat;ih agency may
t+dier�t �1R�S
withdraw any dedwatioq pf non-significance that it might issue in reliance upon this checklist should there be any willful mbrapresentatioh.or
willful Jack of fulldisdimre on my part. t Saes
C �
Ilk
1"Wris to tout 1Q VriA)mx lat1h41legtrt feL1 a •,i..'.
�"^ t+.� tftQW+! t0 tt111!J.M N�:�•.. ,•'a•'�;nt..,pyG 4R2 CMLC07 td,rttllLlia i�• t7UTi"At'anrhlr-�'noqu tnbfho] .d 1
.1 _ _ ;, 1.1 :•)t_:'i.`.+_ 1.- ..-r�.,1 ,lq ,.+lgll�w� +A-+-�+tRt1t'L �;, AnilanalQ):,�f.
fl:;• •Y;,�t ,:.. 3y+. f,. iAI TSsV., _ tr'?S?�i' 31•tT ,14V' .En+"'IJ1,*t.: bt
13IT1JkTQ 1�vlIVv0.l.iO3 3HT OV 8.kt0tTAr{)T 7p.
7Kv itrttN4h 7G bfvrifF 4. l?..
�t ` 4it1'FQ►� '+tV?i1N Y:fl: .'r(.+.. .q ,
ef
l 1 IrriAfs Oltetr<t +0 rpww r,.
FORM S.F. 146 I1177i
(1FORM[R1_Y ECY 010-4-iaal
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