HomeMy WebLinkAboutSEP2022-00028 Dock Replacement, Ramp, Boatlift - SEP Application - 5/16/2022 PLANNING
SEPA ENVIRONMENTAL CHECKLIST Mason County Permit Center Use:
SEP orb o't oZ. C 4A,
01)
Single Family DNS: $600.00
Parcel
❑ Other DNS: 0 to 9.99 acres: $730 ��
Date RtJ��—v`'—' o
10 to 20 acres: $880 MAY 16 2022
Over 20 acres: $1100
❑ DS/EIS: $5000 + $90 per hour 615W. AWer Street
I
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:
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 a I " only when ving can ex lain ylky 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.
Use of checklist for nonproject proposals:
For nonproject proposals(such as ordinances, regulations, plans and programs), complete the applicable
parts of sections A and B plus the SUPPLEivIENT%L SHEET FOR NONPROJECT ACTIONS (part D). Please
completely answer all questions that apply and note that the words"project," "applicant," and "property or
site" should be read as "proposal," "proponent," and "affected geographic area," respectively. The lead
agency may exclude (for non-projects) questions in Part B - Environmental Elements—that do not
contribute meaningfully to the analysis of the proposal.
SEPA Environmental checklist(WAC 197.11.960)(MC version) July 2016
Page 1 of 14
A. Background
1. Name of proposed project, if applicable:
5hydcv dOck replacewle'1o'
2. Name of applicant: J0G 4- M( hGy
3. Address and phone number of applicant and contact person:
V6Lhvt E�x G A&C-Dr(vLIa0) IndlIyvc i0f(.L4i(/n5 L_LG 2Olp 306)Zv71J
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4. ate checkli�prepared�l : W
Apri 126, 2Q as
5. Agency requesting checklist:
A(4)01 (%'61n'rO.1 )
6. Proposed timing or schedule (including phasing, if applicable):
614MMe1" 2023
7. Do you have any plans for future additions, expansion, or further activity related to or
connected with this proposal? If yes, explain.
I)0
8. List any environmental information you know about that has been prepared, or will be
prepared, directly related to this proposal.
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.
Q
10. List any government approvals or permits that will be needed for your proposal, if known.
Vp F k) N PA
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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.)
Remove existing solid surfaced 54'6" floating dock. Replace with new fully grated romp and
partially grated 57' floating dock in a L formation, supported by five gals. steel piling.
Install new solar powered boat lift. 9
SEPA Environmental checklist(WAC 197.11-960)(MC version) Jul 2016
y Page 2 of 14
B. ENVIRONMENTAL ELEMENTS
1• Earth
a. General description of the site
(circle one): Flat, rolling, hilly, steep slopes, mountainous, other:
b. What is the steepest slope on the site(approximate percent slope)?
c. What general types of soils are found on the site(for example, clay sand, gravel, peat,
If you know the classification of agricultural soils, specify them and note any agricultural
long-term commercial significance and whether the proposal results in removingan of muck)?
soils. :; ;,: land of
V,n k n rC- �r, �j o r l 5 w t d l n o k- Y these
b� re my v'-ecl .
d. Are there surface indications or history of unstable soils in the immediate vicinity? If
describe.
IJ b Y• so,
e. Describe the purpose, type,total area, and approximate quantities and total affected area
filling, excavation, and grading proposed. Indicate source of fill. :;;:;.
I,Jo ,6I of any
0'`� �Y�.I;✓toy .
f• Could erosion occur as a result of clearing, construction or use? If
�d , so, generally describe.
g• About what percent of the site will be covered with impervious surfaces after project
construction (for example, asphalt or buildings)?[he
-lilt C(aGK w i b,�nQtrV I Lt s .
h. Proposed measures to reduce or control erosion, or other impacts to the earth if an
2. Air
a. What types of emissions to the air would result from the proposal during construction,
and maintenance when the project is completed? If any, generally describe and iv
approximate quantities if known. operation,
give
b. Are there any off-site sources of emissions or odor that may affect your Proposal?
generally describe. pro p If so,
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c. Proposed measures to reduce or control emissions or other impacts to air, if any: _.
I PA Environmental checklist(WAC 197-11-960)(MC version-non project portion Omitted): 2016
Page 3 of 11
3. Water
a. Surface Water: ..
l) 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 hat stream or river it flows into.
YC42. Pla, wi l I � IrO 57wha r,+ IvI+G � encer�
2) Will the project require any work over, in, or adjacent to (within 200
waters? If yes, please describe and attach available plans. r,,elp feet)the described
Yam. � Prppor� pIeV iNr(I �� crr>n��-r>�,��� 57��-��-I-ave� wa-Ee�.
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_
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4) Will the proposal require surface water withdrawals or diversions? Give Purpose, and approximate quantities if known. ,,,,-:, a general description,
5) Does the proposal lie within a 100-year floodplain? If so, note location on the site Ian. ri;e=r'
VO - FPMA fir^m� ; � p -
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.
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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. .
IJ0.
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 systems)are expected to serve.
KJO h fli
c• Water runoff(including stormwater):
1) Describe the source of runoff(including storm water) and method of collection a
if any(include quantities, if known). Where will this water flow? and disposal,
waters? If so, describe. Will this water flow into other
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SEPA Environmental checklist I 197A 1-960 Vi%� G Y n_ `.
(Mc version-non project portion omitted); 2016 J
Page 4 of 11
2) Could waste materials enter ground or surface waters? If so, generally describe.
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 a
impacts, if any- drainage pattern
ttern
N°V-,, pyowd
4. Plants
a. Check the types of vegetation found on the site:
K deciduous tree: alder, maple, aspen, other
X 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?
N0 "'Jt� n rery\WWV4 +VL,-
c. List threatened and endangered species known to be on r the sitG�(Oyt
Of aI-iGrak�'/v�,
NJene Kmw or near the site. ;- _
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance
vegetation on the site, if any:
bane PYPP("W
e. List all noxious weeds and invasive species known to be on or near the site.
(n oh&
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:
birds: hawk, heron, eagle' songbirds, other:
mammals: deer, bear, elk, beaver, other:
fish: bass, salmon, trout, herring, shellfish, other:
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. he)
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c. Is the site part of a migration route? If so, explain.
d. Proposed measures to preserve or enhance wildlife, if any:
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e. List any invasive animal species known to be on or near the site.
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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 �jO�A.✓ Pow���� b®ei.+ � ,-�.��
b. Would your project arrect the potential use of solar energy by adjacent propert ies?
If so, generally describe.
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:
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.jhel_.
1) Describe any known or possible contamination at the site from present or Past u
N4 hQ� p uses.
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.
Non -el
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.
Na►V-,
4) Describe special emergency services that might be required.
N a-rv_l
sEPA Environmental checklist(WAC 197-11-960)(MC version-non project portion omitted): 2016
Pages of i i
5) Proposed measures
b. Noise _pl
to reduce or control environmental health hazards, if any:
Np yip �i p�
1) What types of noise exist in the area which may affect your project(for example:
traffic, equipment, operation, other)?
NO 1OI'V_ �j111�Ce� rh �OvLeGr-
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.
�0' ��rh� ��m , : ;� WII( be Ak 'b -5. Nor41-WI( be 3) Proposed measures to r uce or control noise impacts, if any:
Nose spa
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.
I ) rkrni
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?
N 0(1/
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?
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:
N0.
c. Describe any structures on the site.
d. Will any structures be demolished? If so, what?
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e. What is the current zoning classification of the site?
2 U.rA 1 Rt?S ld z h+-w 5- 2-
f• What is the current comprehensive/plan designation of the site?
IAIreA,l
SEPA Environmental checklist(Wqc tg7. )(MC version-non project portion omitted): 2016
Page 7 of 11
g. If applicable, what is the current shoreline master program
Fretihwa�r ;designation of the site?
h. Has any p� y people would reside or work in the completed project?
rt of the site been classified as a critical area by the city or county?
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i• Approximately how man p If so, specify.
Ject?
No ne,
j• Approximately how many people would the completed project displace?
NOr�
k. Proposed measures to avoid or reduce displacement impacts, if any:
Nib pra po yuJ
L. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if a hel
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M. Proposed measures to ensure the proposal is compatible with nearby agricultural and forest
lands of long-term commercial significance, if any:
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9. Housing �`' ian"5 wi 1 be a I-1,=P-e A .
a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-
income housing. het I
N /A„
b. Approximately how many units, if any, would be eliminated? Indicate whether high,
middle, or low-income housing. ;hem
N/161
c. Proposed measures to reduce or control housing impacts, if any:
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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?
RGtrn P I� Gppro x 5 above rov<n� .
b. What views in the immediate vicinity would be altered or obstructed? rl W
fJ0 rle,
c. Proposed measures to reduce or control aesthetic impacts, if any: hel
IVa n,e P1tVPOV_)
11. Light and glare
a. What type of light or glare will the proposal produce? What time of day would it main)
occur?;_-.;,,.
y
W or)
b. Could light or glare from the finished project be a safety hazard or interfere with views? h�l
W
SEPA Environmental checklist(WAC 197-11-950)(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?No rvl-,
d. Proposed measures to reduce or control light and glare impacts, if any: :''
QOM
12. Recreation
a. What designated and informal recreational opportunities are in the immediate vicinity?[help
wa-Ie,r
►'J DOt,�r1G� S�I YY1 f�l n 01 b. Would the proposed project displace any existing recreational uses? If so, describe. hel
No �JJ
�r�i��°GJ- Pil'Iha�G,oS oOGt hn ttnp( �a'h�v re c. Proposed measures to reduce or control impacts on recreation, including recreation Gtr�'�z�"lGt'�t
Opportunities to be provided by the project or applicant, if any:
f\JOVv.
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.
�J®
b. Are there any landmarks, features, or other evidence of Indian or historic use or occupation?
areas of cultural importance on or near the site? Please list any professional studies conducted
This may include human burials or old cemeteries. Are there any material evidence, artifacts, or
at the site to identify such resources.
Na
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. �e�J
No Im.paz+r?
d. Proposed measures to avoid, minimize, or compensate for loss, changes to, and disturbance t0
resources. Please include plans for the above and any permits that may be required.
-hre W/1I nod-►�� I�S�S ov �i(�vt,h
�5 ¢-d rGSO�t.r�c s.
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.
. t)p-eii c-eK koL K-e, (�1
SEPA Environmental checklist(WAC 187-11.960)(MC version-non pmjeCt portion omitted): 2016
Page 9 of 11
b. Is the site or affected geographic area currently served b
y Public transit? Ifdescribe. If not, what is the approximate distance to then nearest transit stop? ° generally
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c. How many additional parking spaces would the completed project or non-project proposal have?
How many would the Projector proposal eliminate?
NP1 &
d. Will the proposal require any new or improvements to existing roads, streets, pedestrian, bic cle
or state transportation facilities, not including driveways?
ys? If so, generally describe (indicate y
whether public or private). �
ND
e. Will the project or proposal use (or occur in the immediate vicinity of) water, rail, or air
transportation? If so, generally describe. hei l
�Jo p[A 61 i C. V`614-W O lr
�� p��5 toy. a''r' V11�any po�/�- hGv.. . PnvA4C be'A*3
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?
N6 O'k(w�
9• 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.
V\!O
h. Proposed measures to reduce or control transportation impacts, if any:
INPnec�5�w
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.
Du�
b. Proposed measures to reduce or control direct impacts on public services, if any.
NOvw
16. Utilities
a. Circle utilities currently available at the site.-
electricity`11 natural gas, water, refuse service, telephone,'
sanitary sewer, septic system,'other
SEPA Environmental checklist(WAC 197-�ty8p�(MC vEB10/1-I)0/1 project portion 01111tted): 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. :
C. SIGNATURE
The above answers are true and complete to the best of my knowledge. I understand that the lead
agency is relying on them to make its decision.
Signature: ���✓ljy� �� /�iZ�,�G,�,��� � _p
Date Signed:
Print Name of Signee:
If applicable, Position and Agency/Organization: CMe-1 G7[Aoy;p L_LC
Date Submitted:
SEPA Environmental checklist(WAC 197.11-960)(MC version-non project portion omitted): 2016
Page 11 of 11
AFFIDAVIT OF POSTING NOTICE
STATE OF WASHINGTON )
) ss:
COUNTY OF MASON )
RE: (Parcel#or Address of Site): 9�24 0 E S Oe,n cir Lab, J�c+� ►t l � I, b U-DGd 1
I, Julie Lewis , Planner for Mason County, do hereby certify that I have posted 1 copies
of the attached:
Notice of Application
t 1�
On this_'�6 day of Dc%4 t r , 20 A2 in conspicuous
places as follows:
o One at The Site
o One at
o One at
In witness whereof,the party has signed this Affidavit of Posting Notice this day of
20
Xb Julie Lewis
Mason County Community Services Department
615 W. Alder St—Shelton, WA 98584
Subscribed and sworn before meccthiins.. y%A day of ► 0NIUM bPR.
20 ZZ. , I certify that Ite- LQ i$ signed this document.
Notary Public
sbing NOTARY PUBLIC in and for the State of Washington,
State of Washington
ARIANE M PAYSSE Printed Name of Notary: A�+A� 1�&yice,
MY COMMISSION EXPIRES residing at:
12/29/2025
My Commission Expires: 12 LV(7?,016
(Notary Seal)