HomeMy WebLinkAboutFPA MOR2024-00006 Walsh Moratorium Waiver - SEP Determinations - 1/2/2025 MASON COUNTY
MASON COUNTY Planning Division of Community Development
615 W. Alder St. Bldg. 8, Shelton, WA 98584
COMMUNITY DEVELOPMENT 360-427-9670 ext 352
Permit Ass stance Center,Buildne,Planning
SEPA DETERMINATION OF NON-SIGNIFANCE (DNS)
Permit#: SEP2024-00033
Project Name: SEPA Review for MOR2024-00006 (Walsh Moratorium Waiver)
The project will include waiving a 6-year development moratorium,which was incurred as a
normal condition of a Class III Forest Practices Application (#2423733) issued by the WA DNR.
Project Description The moratorium became effective on the harvested portions of the lot on December 4, 2023.
The moratorium would otherwise expire on December 4, 2029. The waived area is 2 acres.The
applicant intends to develop the lot with a single-family residence and septic systems in the
future. No future development will occur within 50 feet of the top of slope exceeding 40%.
Location: Tract 8 of Survey Vol 13, Pg 240, off NE Capstan Rock Rd, Lat/Long: 47.4768/-123.0392.
Parcel Number: 32315-75-00080
Proponent: Norman &Trista Walsh
Lead Agency: Mason County
Lead Agency Contact: Luke Viscusi 360-427-9670 ext. 282
Comment Deadline 01/16/2025
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 43.21C.030(2)(c).This decision was
made after review of a completed Environmental Checklist and other information on file with the Lead Agency. This
information is available to the public upon request.
This DNS is issued under WAG 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 the Dept of Community Development, 615
W Alder St, Shelton, WA 98584 by the comment deadline. Appeal of this determination must be filed with a 14-day period
following this final determination date, per Mason County Code Chapter 15.11 Appeals
Digitally signed by Luke Viscusi
Reason: I am the author of this document
Contact Info: 360-427-9670 ext. 282,
LViscusi@MasonCountyWA.gov 01 /02/2025
Authorized Local Government Official Date
Page: 1
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7889 ti0
STATE OF WASHINGTON
DEPARTMENT OF ECOLOGY
Southwest Region Office
PO Box 47775, Olympia,WA 98504-7775 • 360-407-6300
January 17, 2025
Luke Viscusi, SEPA Contact
Mason County
Department of Community Services
Planning Division
PO Box 279
Shelton, WA 98584
Dear Luke Viscusi:
Thank you for the opportunity to comment on the determination of non-significance for the
SEPA Review for MOR2024-00006 (Walsh Moratorium Waiver) Project (SEP2024-00033) as
proposed by Norman &Trista Walsh. The Department of Ecology (Ecology) reviewed the
environmental checklist and has the following comment(s):
TOXICS CLEANUP: Dean Malte (360) 999-9584
No confirmed or suspected contaminated sites are located on or within 750 feet of the
project area. If any contamination is unexpectedly encountered, please report it to Ecology
(per WAC 173-340-300)via the online ERTS at https://ecology.wa.gov/Footer/Report-an-
environmental-issue/statewide-issue-reporting-form.
WATER QUALITY/WATERSHED RESOURCES UNIT:
Jacob Neuharth (360)706-4599
Erosion control measures must be in place prior to any clearing, grading, or construction.
These control measures must be effective to prevent stormwater runoff from carrying soil
and other pollutants into surface water or storm drains that lead to waters of the state.
Discharges must not cause or contribute to a violation of surface water quality standards,
groundwater quality standards, sediment management standards, and human health-based
criteria. Sand, silt, clay particles, and soil will damage aquatic habitat and are considered to
be pollutants.
If there are known soil/ground water contaminants present on site, additional information
will be required to be submitted. For contaminated construction sites, contact Evan Wood
at evan.wood@ecy.wa.gov, or by phone at (360) 706-4599.
Construction Stormwater General Permit:
The following construction activities require coverage under the Construction Stormwater
General Permit:
Luke Viscusi
January 17, 2025
Page 2
1. Clearing,grading and/or excavation that results in the disturbance of one or more acres
and discharges stormwater to surface waters of the State; and
2. Clearing,grading and/or excavation on sites smaller than one acre that are part of a
larger common plan of development or sale, if the common plan of development or sale will
ultimately disturb one acre or more and discharge stormwater to surface waters of the
State.
a)This includes forest practices (including, but not limited to, class IV conversions)that are
part of a construction activity that will result in the disturbance of one or more acres, and
discharge to surface waters of the State; and
3. Any size construction activity discharging stormwater to waters of the State that
a) Determines to be a significant contributor of pollutants to waters of the State of
Washington.
b) Reasonably expects to cause a violation of any water quality standard.
Applicants may apply online or obtain an application from Ecology's website at:
https://ecoIogy.wa.gov/Regulations-Permits/Permits-certifications/Stormwater-general-
permits/Construction-Stormwater-permit. Some projects may be eligible for coverage under
an Erosivity Waiver. Construction site operators must apply for a permit at least 60 days
prior to discharging stormwater from construction activities and must submit it on or before
the date of the first public notice.
Ecology's comments are based upon information provided by the lead agency. As such, they
may not constitute an exhaustive list of the various authorizations that must be obtained or
legal requirements that must be fulfilled in order to carry out the proposed action.
If you have any questions or would like to respond to these comments, please contact the
appropriate reviewing staff listed above.
Department of Ecology
Southwest Regional Office
(J KT:202500011)
cc: Dean Malte, TCP
Jacob Neuharth, WQ
Luke Viscusi
From: Luke Viscusi
Sent: Thursday,January 2, 2025 12:33 PM
To: apapiez@skokomish.org'; 'bweiskotten@skokomish.org'; 'Kris Miller';
'southpuget.region@dnr.wa.gov; 'sepacenter@dnr.wa.gov';
'lauren.whybrew@orcaa.org'; 'sepa@masonpud3.org'; 'R6SSplanning@dfw.wa.gov';
'SEPA@dahp.wa.gov'; 'bbakken@northmasonrfa.com'; 'Trista Diel-Walsh'; 'Ron Walsh'
Subject: SEPA DNS and Comment Period for 202500011
Hello All,
I am issuing a SEPA Determination of Non-Significance(DNS)for the following project.
SEPA record number 202500011, "SEPA Review for MOR2024-00006(Walsh Moratorium Waiver)". Mason County File
Number:SEP2024-00033.
The project will include waiving a 6-year development moratorium,which was incurred as a normal condition of a Class
III Forest Practices Application (#2423733) issued by the WA DNR.The moratorium became effective on the harvested
portions of the lot on December 4, 2023.The moratorium would otherwise expire on December 4, 2029.The waived
area is 2 acres.The applicant intends to develop the lot with a single-family residence and septic systems in the future.
The applicants are Norman &Trista Walsh.
The SEPA 14-day comment period starts today(01/02/2025) and ends Thursday,01/16/2025.The project is currently in
the review process for a 2-Acre Forest Practices Moratorium Waiver through Mason County.
Please let me know if you have any questions about the project and, of course, any comments for the SEPA comment
period.
Sincerely,
Luke Viscusi (he/him) I Planner
Mason County Department of Community Development
Office#360-427-9670 ext. 282
Cell#360-490-3103
LViscusi@MasonCountyWA.gov
1
Digitally signed by Luke Viscusi Mason County Permit Information:
Reason: I have reviewed this document Permit #: SEP2024-00033
Contact Info: 360-427-9670 ext. 282, Associated with: MOR2024-00006 and GE02024-00096
LViscusi@MasonCountyWA.gov Tax Parcel #: 32315-75-00080
Date: 2024.12.31 17:01:22-08'00' Date Received: 09/19/2024
SEPA ENVIRONMENTAL CHECKLIST
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 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.
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 Supplemental 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) January 2023 Page 1 of 15
A. Background Find help answering background questions
1. Name of proposed project, if applicable:
SEPA Review for MOR2024-00006 (Walsh Moratorium Waiver). - LV, 12/31/2024
2. Name of applicant: /V ORI)MA.-I . -r2 /S M
3. Address and phone number of applicant and contact person:
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4. Date checklist prepared:
5. Agency requesting checklist: �—
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6. Proposed timing or schedule (including phasing, if applicable):
Awaiting Mason County approvals, Winter/Spring 2025. - LV, 12/31/2024
7. Do you have any plans for future additions, expansion, or further activity related to or
connected with this proposal? If yes, explain.
8. List any environmental information you know about that has been prepared, or will be
prepared, directly related to this proposal.
A Geotechnical Report, dated August 8, 2024, has been prepared for this project by Envirotech
Engineering, PLCC. - LV, 12/31/2024
9. Do you know whether applications are pending for governmental approvals of other
proposals directly affecting the property covered by your proposal? If yes, explain.
10. List any government approvals or permits that will be needed for your proposal, if known.
SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 2 of 15
11. Give a 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.)
, 1
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.
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Tract 8 of Survey Vol 13, Pg 240, records of Mason County, WA.
The SE '/, of Sec 15, Twp 23N; Rng 3W, W.M.
Near NE Manke Rd and NE Capstan Rock Rd.
Lat/Long: 47.4768/-123.0392.
- LV, 12/31/2024
SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 3 of 15
B. Environmental Elements
1. Earth Find help answering earth questions
a. General description of the site:
lo1ged.
Circle or highlight one: Flat, rolling, hilly, steep slopes,mountainous, other:
b. What is the steepest slope on the site (approximate percent slope)?
56%, per Geotechnical Report prepared by Envirotech Engineering, dated August 8, 2024.
- LV, 12/31/2024
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. ,,//��v/� C/< / 5q otwl, Ux14'n .0 seepages 5 and 6 of Geotechnical
Report prepared by Envirotech Engineering, dated August 8, 2024. - LV, 12/31/2024
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so,
describe.
No, per Geotechnical Report prepared by Envirotech Engineering, dated August 8, 2024.
- LV, 12/31/2024
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.
f. Could erosion occur because of clearing, construction, or use? If so,generally describe.
Yes, minor erosion control recommendations are included in the Geotechnical Report prepared by
Envirotech Engineering, dated August 8, 2024. - LV, 12/31/2024
g. About what percent of the site will be covered with impervious surfaces after project
construction (for example, asphalt or buildings)?
2.48%. - LV, 12/31/2024
h. Proposed measures to reduce or control erosion,or other impacts to the earth, if any.
tau I /
See Geotechnical Report prepared by Envirotech
GZ' zo 01 Engineering, dated August 8, 2024. - LV, 12/31/2024
SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 4 of 15
,. Air Find help answering air questions
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.
Emissions typical of single-family residential construction and use. - LV, 12/31/2024
b. Are there any off-site sources of emissions or odor that may affect your proposal? If so,
generally describe.
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c. Proposed measures to reduce or control emissions or other impacts to air, if any.
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3. Water Find help answering water questions
a.Surface Water: Find help answering surface water questions
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.
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.
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.
4. Will the proposal require surface water withdrawals or diversions? Give a general description,
purpose, and approximate quantities if known.
5. Does the proposal lie within a 100-year floodplain? If so, note location on the site plan.
SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 5 of 15
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: Find help answering ground water ug estions
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 a general description, purpose, and
approximate quantities if mown. u -11 c
ge
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2. Describe waste material that will be discharged into the ground from septic tanKS r other sourcess, Y'`''Art.
if any(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.
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c. Water Runoff(including stormwater):
a) 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. A
b) Could waste materials enter ground or surface waters? If so,generally describe.!
c) Does the proposal alter or otherwise affect drainage patterns in the vicinity of the site? If so,
describe.
d) Proposed measures to reduce or control surface, ground, and runoff water, and drainage
pattern impacts, if any.
See Geotechnical Report prepared by Envirotech Engineering, dated August 8, 2024,
and SWPPP. - LV, 12/31/2024
SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 6 of 15
4. Plants Find help answering plants questions
a. Check the types of vegetation found on the site:
❑ deciduous tree: alder, maple, aspen, other
❑ evergreen tree: fir, cedar, pine, other
.shrubs, AR4f0 ''Oj ✓e� �Gifrv��
0 grass
pasture
El crop or grain
❑ orchards, vineyards, or other permanent crops.
❑ wet soil plants: cattail, buttercup, bullrush, skunk7cabbage, other❑ water plants: water lily, eelgrass, milfoil, other
❑ other types of vegetationb. What kind and amount of vegetation will be removed or
ell G tz C As part of FPA# 2423132, under 5 acres was clear-cut on the
mil. j site. - LV, 12/31/2024
c. List threatened and endangered species known to be on or near the site.
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d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation
on the site, if any.
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e. List all noxious weeds and invasive species known to be on or near the site.
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S. Animals Find help answering animal questions
a. List any birds and other animals that have been observed on or near the site or are known to be
on or near the site. Oe e 1r, 5 onc} b jrd S
Examples include:
• Birds: hawk, heron, eagle,songbirds, other:
o Mammals: deer, bear, elk,beaver, other:
® Fish: bass, salmon, trout, herring, shellfish, other:
b. List any threatened and endangered species known to be on or near the site.
Per IPaC: marbled murrelet, yellow-billed cuckoo, northwestern pond turtle, bull trout, dolly varden,
monarch butterfly. - LV, 12/31/2024
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.
SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 7 of 15
6. Energy and Natural Resources Find help answering energy and natural resource questions
1. 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.
2. Would your project affect tfie poAnAa/ use of solar enemy by accent properties? If so,generally
describe.
3. 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.
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7. Environmental Health Find help with answering environmental health questions
a.Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and
explosion, spill, or hazardous waste,that could occur because of this proposal? If so, describe.
1. Describe any known or possible contamination at the site from present or past 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.
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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.
4. Describe special emergency services that might be required.
5. Proposed measures to reduce or control environmental health hazards, if any.
t.
SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 8 of 15
b. Noise
1. What types of noise exist in the area which may affect your project (for example:
traffic, equipment,operation,other)?
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)? Indicate what hours
noise would come from the site)?
Noise typical of single-family residential construction and use. - LV, 12/31/2024
3. Proposed measures to reduce or control noise impacts, if any.
$. Land and Shoreline Use Find help answering land and shoreline use questions
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.
Existing site is undeveloped, adjacent properties are residential and forestry uses, proposal will not
affect land uses on nearby or adjacent properties. - LV, 12/31/2024
b. Has the project site been used as working farmlands or working forest lands? If so, describe. How
much agricultural or forest land of long-term commercial significance will be converted to other
uses because of the proposal, if any? 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?
fit~..�
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?
c. Describe any structures on the site.
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d. Will any structures be demolished? If so, what?
e. What is the current zoning classification of the site?
Rural Residential 5 Acres (RR5). - LV, 12/31/2024
f. What is the current comprehensive plan designation of the site?
Rural. - LV, 12/31/2024
SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 9 of 15
g. If applicable,what is the current shoreline master program designation of the site?
h. Has any part of the site been classified as a critical area by the city or county? If so,
specify.
Yes, all slopes greater than 40% on the site. - LV, 12/31/2024
i. Approximately how many people would reside or work in the completed project?
t
j. Approximately how many people would the completed project displace?
1(. Proposed measures to avoid or reduce displacement impacts, if any.
I. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any.
m. Proposed measures to reduce or control impacts to agricultural and forest lands of long-term
commercial significance, if any.
9. Housing Find help answering housing questions
a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-
income housing.
b. Approximately how many units,if any, would be eliminated? Indicate whether high,
middle, or low-income housing.
c. Proposed measures to reduce or control housing impacts, if any.
SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 10 Of 15
10. Aesthetics Find help answering aesthetics questions
a. What is the tallest height of any proposed structure(s), not including antennas; what is
the principal exterior building material(s) proposed?
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b. What views in the immediate vicinity would bered or obstructed?
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c. Proposed measures to reduce or control aesthetic impacts, if any.
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11. Light and Glare Find help answering light and glare questions
a. What type of light or glare will the proposal produce?What time of day would it mainly occur?
b. Could light or glare from the finished project be a safety hazard or interfere with views?
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c. What existing off-site sources of light or glare may affect your proposal?
d. Proposed measures to reduce or control light and glare impacts, if any.
11.C1 A-4
12. Recreation Find help answering recreation questions
a. What designated and informal recreational opportunities are in the immediate vicinity?
b. Would the proposed project displace any existing recreational uses? If so, describe.
c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities
to be provided by the project or applicant, if any.
SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 11 of 15
13. Historic and Cultural Preservation Find help answering historic and cultural preservation
questions
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? If so, specifically
describe.
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. ,
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.
WISAARD checked by Mason County. - LV, 12/31/2024
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.
14.Transportation Find help with answering transportation questions
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.
Access is from existing private road (NE Capstan Rock Rd), which is accessed from NE
Manke Rd, from NE Dewatto Holly Rd. - LV, 12/31/2024
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?
No, the nearest transit stop is Beck Rd @ NE North Shore Rd, which is approximately 14.9
miles from the site. - LV, 12/31/2024
c. 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).
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d. Will the project or proposal use(or occur in the immediate vicinity of)water, rail,or air
transportation? If so, generally describe.
e. 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?
SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 12 of 15
f. 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.
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g. Proposed measures to reduce or control transportation impacts, if any.
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15. Public Services Find help answering public service questions
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.
b. Proposed measures to reduce or control direct impacts on public services, if any.
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16. Utilities Find help answering utilities questions
a. Circle utilities currently available at the site: lectricity, natural gas, ater 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.
C. Signature Find help about who should sign
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.
X Gti
Type name of signee: X-O r m,4A) P— 4pl5-44 TK
Position and agency/organization: �} f? � oWt1)15-(4
Date submitted: 09/19/2024. - LV, 12/31/2024
SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 13 of 15