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Home My WebLink AboutSEP2001-00010 - SEP Determinations - 1/29/2001 P�pN'STAV. MASON COUNTY M DEPARTMENT OF COMMUNITY DEVELOPMENT SO N Planning Division " Y " P O Box 279 Shelton WA 98584 OJ �0 > > 1864 (360)427-9670 MITIGATED DETERMINATION OF NONSIGNIFICANCE (WAC 197-11-350) SEP2001-00010 Description of Proposal: Construct 150 ft. tall monopole tower with three locations of antennas sets; four equipment cabinets; generator on slab; and fence on lease area perimeter. Proponent: SPRINT PCS Site Address (If Assigned): 1367 NE HAHOBAS WY TAHUYA Directions to Site: West on North Shore Rd. to Belfair Tahuya Rd, right on Dewatto Rd, left at Camp Hahobas; continue 0.6 mi., right at "Y" and 0.7 mi to second "Y", left to the camp. Parcel Number: 322050062000 Legal Description: LOT 1 38.25 A: LOT 2 22.00 A. LOTS 1-2, E1/2 SW, NW Lead Agency: Mason County The Lead Agency for this proposal has determined that it does not have a probable significant adverser 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. MITIGATED MEASURES ARE ATTACHED. Please contact at ext. with any questions. This DNS is issued under 197-11-340(2), the Lead Agency will not act on this proposal for 14 days from the date below. Comments must he sumitted by 01-02-12. _ llZ�le� Au sized Local Government Official Date wwr c S( tZCWt �fbe C2) CJNI�� 1 1 MITIGATED DETERMINATION OF NONSIGNIFICANCE (WAC 197-11-350) SEP2001-00010 CONDITIONS OF THIS DETERMINATION 1) 1) Towers shall maintain a galvanized steel finish or, subject to any applicable standards of the FAA, be painted a neutral color, so as to reduce visible obtrusiveness. 2) At a tower site, the design of the buildings and related structures shall, to the extent possible, use materials, colors, textures, screening, and landscaping that will blend the tower facilities to the natural setting and built environment. 3) Those sections of the proposed development that adjoin the existing commercial use parcel are subject to buffer requirement "E" as described in the Mason County Development Regulations Ordinance. Those sections adjoining undeveloped land are subject to buffer requirement "C" per the same ordinance. 4) Towers shall not be artificially lighted, unless required by the FAA or other applicable authority. If lighting is required, the governing authority may review the available lighting alternatives and approve the design that would cause the least disturbance to the surrounding views. 5) Towers shall be enclosed by security fencing not less than six feet in height and shall also be equipped with an appropriate anti-climbing device. 6) All towers must meet or exceed current standards and regulations of FAA, the FCC, or any other agency of the federal government with authority to regulate towers and antennas. If such standards or regulations change, the owners of towers and antennas have six months to bring them into compliance unless a more stringent compliance schedule is required by the federal agency. 7) The tower shall be setback a distance equal to the height of the tower from adjoining property lines, unless an easement has been granted by the adjoining property owners. In this case, an easement will be necessary from the parcel owners to the west. 8) All construction must meet or exceed all local codes and UBC requirements. Occupancy is limited to the permitted and approved classification. zrrvAF cc a _ 1 + •� _ •XAM CO Lab • 41 In°1 I a + • 1 Lake I ) 1 I ---� plaoinnttA�--- I LabeAl I La e -- I ,. to _----}' '-- ---i'---- � — --,'-__ � 1 I �' �.� /�'�'. ^'I` r i'.•'5.� - n � I� ~ - waupIf shoo Lake mAMA r a• 1 Ad," 1 ;' I a a t Lab I Lake I I (� ---- I ` 1 f f I Len.�i•at I 1 -- � 3 . x�n 4 �y�� I �_/ ../ t•�•y A s ` ,/'�I "°° ---- --- - � 1 �&,�.:,i' F i • � y��.,��-Otv Lake n � �-++:. I a I a•„„ 1 -� � Il �� I p Ifagp4 I � s ( • • I !• ` ` ,�r ."�. i-� ---- -----} ----�f' -I- {— 'ice, M., Hoodsport I j I I I I fi teea — — J n I @ ,•a' — E—— � — —� LAk• a t� �MOD=u � ",. µ j 'a n 4 M CLNks I 1 COD - — --- -----'�---�- —t� —Am u 1 I e I ✓� 1 I I' Potlatch Tabu ———— —'�-__-- ——— .k rLab Latt eje IYOOD a jLake a - I � . i rrrr•vr Y }.. h VIl10Il I 1 _ ` r. �� t f � a � x � a � 'y� {°' x, I 1 a, •.a n..1 C fit" Lab•" c Lab ;, B 0 int. ryp 1$'_9 PCs, F 4683 CHABOT DRNF- SUITE Too —NEW SPFhNT EOIJIPUENT 10-) PLEASANTON, CA 94588 f-- OW CONCRETE SLAB.SEE I�V '71 f POWER/TELCO SUPPORT PROJECT INFORMATION: DRIF_ SUITE '00 0 N A 34 C M T PROJECT INFIR FA HOODSPORT/CAW HAHOBAS S M Mq'j NEW 10'ACCESS GAT SEE SE33XCO21 N.E. 1365 HOHOBAS WAY TAHUYA. wA 98588 L MASON COUNTY INSURER CURRENT ISSUE DATE- - NEW E�l GENE -1� _ 0.CON $ L A8 01/28/00 NEW SPRINT LEASE AREA WE*CHAIN UNK FENCE CD PERMIT LEASE AREA PLANwMl soft& V.:=:DATE: DESCRIPTION: By:= ALPHA SECTOR CNIMICT PROPOSED SPRINT 4'f MINA VE CROWA 01/28/00 CD REVISIONS ANTEN — (AZIMUTH LBO) F D IIR SSUEl FOR GAMMA SECTORpS[D STEEL 6/18/99 CD PERMIT — _ MONOPOLE ISSUED FOR 902 1111k, 6/9/99 CD REVIEW ISSUED FOR 90% 6/4/99 ZONING REVIEW -ALPKC SECTOR AP22-185C-0330 15C'-C*AG .0, ISSUED FOR 811A SECTOR ----—--— - 4/5/99 FEASIBILITY STUDY OR AP22-1850-033D SC.--O- AC -pp-- PLANS PREPARED BY: "C-%W SECTOR Deq63.65r_M 15o'-D, AG 2W MONOPOLE 15 PROVIDED MAL FRAI" / SMCKFR By OTHERS ?2�'FNLrtUREI' CONTRACTOR TO VERIFY PER SECTOR ANTENNA MODEL a SEC70R(S),ANTrNN,SpECnCATOOM. PRIOR TO WS7 "LU ER'S,' AND HARDWARE INS-4--ATION REOUIREMENTS ALLAT)OW c A R C H I T E C T S '45 ANTENNA PLAN se"Le 8 12D LAUSIDE AM&T. SME 100 SEATrLF, WAMNGTON 99M nl MVM-M FAX WM-2M —CONSULTANT:-- WIL R E C )�. :J322.-2 OFI w iRAWN BY--CHK.=APV.:=L1 [ERI/-RF/LM DOY BC .Fur. p KP LICENSURE: Rc cp G'R 7 P SHEET TITLE: LEASE AREA PLAN, EQUIP. PLAN & ELEV., POWER/ I PRZ)POSEED Er_.�.'!=VEN- CD TELCO E L EV., ANTENNA 1 AN EQUP. POWER/ �: 'A PLAN, ANTENNA LEASE AREA PLAN & ELEV., 0 TELCO E L EV T N Cl,e NETS VrP.,- PEINFORCED PLAN L & To L EL-vi-MENT 'CN!'RETE PLAN & TOWER ELEV. io.jIPMENT SLAC E_ SHEET NUMBER:=--- REVISION: INSTALLATION R�_:Luk' SEE DETAIL A/Si —Q. PRIOR TO INSTA R,'MENTS A7 EQLlPMENT SLAB PLAN 2 IWAS Sit. Sprint PCS 4683 CHABOT DRIVE, SUITE 100 PLF_ASANTON, CA 94588 PROJECT INFORMATION: HOODSPORT/ HAHOBAS LOWER DIRT ROAD SE33XCO21 A N.E. 1365 HAHOBAS WAY TAHUYA, WA, 98588 MASON COUNTY M,8 / p7�c d Hue a TACK URRENT ISSUE DATE: e // //// /////j ��```�� \�6♦ .5.0'OFFSET(TYP) 5/21/99 / / ///////j/////// // /• �\ \�\66 TOP OF BANK /� i////// / // // / // /° s EO�•2+• _`� \\ SSUED FOR: 50.00 MONOPO E POSITION �„19 SITE SURVEY z PER-ASBVTY 8 \ �� I I III 1 ``1'/ \ ( , /( \ • SET NUB a T K EV.:�ATE:�ESCRIPTION: B` eo�1'6�0'00- f SMi E�LEY-4485.05' — FS616 KID LOWER DIRT ROAD\;15 — — \�+•J+ ISSUED FOR +36� _�_-- ♦♦♦J� 5/21/99 SITE SURVEY + \ +♦'+6 LANS PREPARED BY: `♦J'26 T/� GRAPHIC SCALE + ncrnTcwoi�Er .E c. C1.O .0. 'W Ar1� �f (TK rar) 7(ncy� DRAWN BY: DUD DC1 PROJ. f 98160.OS ONSULTANT: Z ENLARGED SITE PLAN •CALK LINETPE DESCRIPTION LINETYPE DESCRIPTION 'NNIOdS SITE HAVE: NooDSPORT/CAMP HAHDBAS -- SAMTARY SEWER CHAIN LINK FENCE a WK SITE NUMBER: SE33%ar21A -- SipM SEWER O W000 FENCE RAWN BY: CHK.:=APV. -- WATER MAN OVERHEAD POWER 'K •„rIrI.MM srrE ADDRESS: N.E. 130.5 NA/OBAS WAY DRAWN BY r,yp yI TAHUYA WA 99568 — — — OAS IM111 SVBCRADE POWER •Ar AMB MASON COUNTY -- PaOPEiTtt ITNE --- P.O.W.UNE F-UCENSURE: r� ti�-0 1. OWNERS NAME: MT.RAINIER COUNCIL`NC EXISTING DESCRIPTION PROPOSED ��)-W OWNER'S ADDRESS: 1722 S.LOON AVE. "a OWAM w TACOMA WA.•98A05 0 SAWARY MV04OLL • �.A0. ♦d�" ASSESSOR'S PARCEL NUMBER(S) 32205-00-60000 Q MAIMROIf >r DrF.N/1 ❑ CATCH BASN ■ NNnM I.K a-,..♦f NET AREA OF UNDERLYING PARCEL(S). 6.096.356 SC r 14❑A.D2 fb WATER VALVE N NET AREA OF PROJECT AREA 1250 s0 FT 81 WATER METER E GROUND ELEVATION 466 FT(NCVC 29) FIRE Km#v LT 1NGITUDE o Lmm POLE (- GUY WIRE ANCHOR (- BENCHMARK 3'BRA ARK R 'JOE' II Uw STANDARD 3'mws DlV W.M DOT HEED TITLE: '1993 P 29005 MARKED .pQ SPOT ELFVATKN 199}OP 29005-J1'AT o THE SOU`nf*M SIDE OF F OVERPASS AT EY7 231 OFT O DECIDUOUS TREE AL-ALDER or 1-5 SITE SURVEY ELEV.- 15.6T' TYPE TRUNK DIAMETER (IN) <`` J CH OAK Y GENERAL INFORMATION �I BAVS OF ELEVATIONS CPS OBSERVATIONS ON SITE } EVERGREEN TREE CH CHERRY REFERENCED TO NGVD 29 CE-CEDAR BASIS OF BEARRNCS. GPS OBSERVATIONS ON SITE DF16 DF-DOUGLAS FIR REFERENCED TO WSPCS NORTH 1952. -HEMLOCK �S_ ZONE(HAD 63) --TOP EL IF MEASURED PI-PNE HEFT NUMBER---;;flEVISION:— EVG-EVERGREEN ICE WO UTRUOf,LONGITUDE AND GROUND ELEVATION TAKEN AT NOTE. TREE DRIP LINES ARE NOT TO SCALE. TREE SYMBOLS ANTE"POSITION AS STAKED IN THE FIELD. REFERENCE/BUNK LOCATION ONLY. TRUNK DIAMETERS 2. CONTOURS ARE AT TWO(2)FDOT INTERVALS APPR07OMATED AT 3.5'TO 4'ABOVE GROUND LEVEL— TREES LESS THAN!'FIOT LOCATED EXCEPT AS SHOWN. Lsl SITE DATA LEGEND a/I-Ilo= SCP2W 0 I PROJECT DESCRIPTION INTRODUCTION Sprint PCS is a wireless telephone company operating throughout Washington. Sprint's Personal Communication Service PCS i public (PCS) s a pub utility licensed to operate in Washington b S Y the Federal Communications Commission (FCC). Sprint is currently designing its network in the Mason County area to establish telephone service and provide wireless capacity to its subscribers. This proposal describes the scope of the proposed project by providing specific information regarding the project location, zoning, specifications, and required services. It is Sprint's desire to work with Mason County to ensure that our project is consistent with local ordinances and zoning regulations while providing the PCS coverage that is critical for emergency, business and personal use. Project Goals The goal of the Sprint PCS Hoodsport/Camp Hahobas (SE33XCO21-A) facility is to provide PCS coverage for personal and emergency purposes in the immediate area of the project, especially along the Hood Canal. Sprint intends to achieve these network goals consistent with all policies and ordinances of Mason County. Application Request Plan The applicant is requesting the following: • A SEPA DNS, an administrative approval tinder the Mason County Standards for Telecommunications Antennas and Towers (Ordinance #5-98), and a building permit. Sprint PCS is aware of the Determination of Invalidity/Moratoritcm on new commercial developments within Mason County that began January 14, 1999. Sprint is submitting its application to be processed after the moratorium on commercial developments in Mason County lifts. 1 GENERAL PR OJECT DESCRIPTION , Project Overview The applicant proposes to construct a new one hundred and fifty foot (150') monopole on a portion of the Boy Scouts Camp Hahobas property located at 1365 Hahobas Way NE Tahuya, WA 98588 (Section 5, Township 22N, Range 3 W). The applicant, Sprint PCS, proposes to lease approximately 1,250 square feet on the property. The lease area will be developed with a diesel generator, as well as equipment cabinets, which house radio equipment and batteries. In addition, the applicant proposes to mount three (3) arrays of four (4) antennas at the top of the proposed pole. Sprint PCS has secured a lease with the owners that will allow for construction and maintenance of these facilities, necessary utility connections, and provisions for access to the site. Facility Specifications • Facility Maintenance - The facility is generally serviced once a month by one to two employees to the site for an average four(4) hour maintenance check. This check is typically for preventative maintenance purposes. In the event of a problem, a crew is dispatched to the site immediately. • Generator/Fuel Tank—A diesel generator will be placed on a separate concrete pad, southeast of the monopole. The generator will be providing emergency back-up power in the event of power outages and/or emergencies. • Landscaping/Screening g— A landscaping plan has not been proposed. The immediate area around the lease area has been cleared of vegetation. The parcel is covered by vegetation. • Radio Equipment Cabinets — Four (4) BTS radio cabinets are proposed for this project. Each cabinet contains radio equipment and batteries and measures approximately five feet (5') tall. The cabinets will be mounted on a concrete slab within the lease area. Additional power cabinets are proposed as shown on sheet A-2 of the plans. • Tower/Antennas - A one hundred and fifty foot (150') monopole will be constructed at this site to support three (3) arrays of four (4) antennas for a total of twelve (12) antennas. Each antenna is roughly six feet (6') long and six to eight inches (6" - 8") wide. Please see the plan elevations for further information. 2 r GENERAL SITE ANALYSIS Zoning General Plan Designation The site is currently zoned Rural by Mason County. Sprint PCS's proposed site is considered a "specific permitted use" according to Section 4.b.1 of the Mason County Standards for Telecommunications Antennas and Towers (Ordinance # 5-98): Locating a tower or antenna, including the placement of additional buildings or other supporting equipment used in connection with said tower or antenna, in the Rural Area...provided however, that such tower shall be set back a distance equal to the height o the tower from an adjoining property line...Also provided q o tded g f f l g P P tY .P that the tower or antenna is no higher than...150 feet for three users. Also provided that the Department of Community Development may waive this height limit by up to 10%for the placement of whip antennas where there is little visual impact. Sprint PCS's proposed site does meet the setback requirements and height restrictions. (Please see site plan drawings for further information.) Existing Use The subject area is vacant, and covered with trees and brush. Access/Circulation The site will be accessed by the existing access road. See Sheet LS-1 for additional information. There are no traffic impacts associated with these types of facilities as they are unmanned and require infrequent maintenance. Grading and Site Disturbance There will be minimal grading for scarification and recompaction of the proposed lease area. It is expected to be less than ten cubic yards (10y). Any excess fill will be dispersed on site. FCC/FAA No special lighting will be required by the FCC/FAA, and none is proposed by Sprint PCS. Sprint PCS's site will conform to all FAA/FCC regulations, and because the Maximum ERP is less than two thousand (2,000) watts and/or the height of the facility is greater than ten meters (10m), an environmental evaluation of radio frequency emissions is exempted per CFR Title 47 Part 24, Subpart E. Environmental Issues Sprint PCS's proposed monopole will be painted dark green to blend into the surrounding vegetation. This facility is designed to accommodate three (3) carriers. Through the use of this tower, it will preclude the need of additional structures by future carriers desiring to develop other structures adjacent to this site. 3 LIGHTNING ROD STOP OF ANTENNAS t 153'- 10 1/2" TOP OF MONOPOLE 150'-0„ AO Y AI AI ^I i a ' I PROPOSED PANEL ANTENNAS 2 INITIAL PER SECTOR 2 FUTURE PER SECTOR 3 SECTORS TOTAL SEE DETAIL $%A2 'IT•, Imo- n1 \ r1 r• r • ui n, I. i i 1 i i. j •• I I 1 P C J 1 LJ �l �t r1 f 1 Y •1 n r'� � 1 1 u � PROPOSED SPRINT 4'0- DISH ANTENNA. AZIMUTH & ' ELEVATION T.B.D. BY SPRINT PCS. PROPOSED ;. . 150'-0" MONOPOLE SPRINT PCS EQUIPMENT 6'-0" HIGH' CABINETS. '.: SEE DETAILS CHAIN LINK -FENCE WITH R 4-7/A2) (3) STRANDS f BARB WIR£ x FINISHED'."GRAD , +( # L.1• � /_.r � i {/y,�`1 ! 1�t 1 1 1�'o r,�yb 1. 1 ,' /� /�•. , ✓l1. f +,.f l 'V .'. �IY�/t�/,, ,//..�(\� tf♦�f r�' �!}�t. r.. CONC 1 y ( {1 .TU�,.�`+ 1 �P a.'�Y wti,-, •ifd 1t4•it�. .�,• ;{, -;yY.? d l./ 'rf,..:.,; / r�'A R, +•u t ..; t � :' I K �/• 1� r It 4 `F.:''• ,' ti.: 1J7)bt I C) Lt �-� MASON COUNTY ENVIRONMENTAL CHECK LIST A. BACKGROUND 1. Name of proposed project, if applicable: Sprint PCS—Koodsporr Canrp Hahobas—SE33XCO2I-A 2. Name of Applicant: Sprint PCS 3. Address and telephone number of applicant and contact person: Applicant Contact Person Ballv Mal Sarah Telschow Sprint PCS JM Consulting Group, Inc. 4683 Chabot Drive, Suite 100 12828 Northup Way, Suite 301 Pleasanton, CA 94588 Bellevue, WA 98005 (925) 468-3087 (425) 882-7475 4. Date checklist prepared: February 08, 2000 5. Agency requesting checklist: Mason County 6. Proposed timing or schedule(including phasing, if applicable): Innnediately following Building Permit approval. 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal?If yes, explain. No. 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. No. 10. List any governmental approvals or permits that will be needed for your proposal, if known. An Administrative Approval, SEPA DNS, and Building Permit. EVALUATION FOR TO BE CONIPLETED BY APPLICANT AGENCY USE ONLY 11. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. Several questions later in this checklist 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.) Sprint proposes to construct a Personal Communication Service (PCS) facility located on the proposed monopole located at 1365 Hahobas 6Vav NE Tahuya, WA 98588 (Section 5, Township 2 2N, and Range 3W) and identified as A.P.N. #32205- 00-60000. The applicant, Sprint PCS,proposes to lease approximately 1,250 square feet on the property. The lease area will be developed with a diesel, as well as equipment cabinets, which house radio equipment and batteries. The proposed facility will include three(3) arrays of four(4) antennas for twelve (12) antennas to be mounted on the proposed new one hundred and fifty feet(150) monopole. Each antenna measures approximately sic feet(6) long and eight inches (8') wide. Site development will also include four (4) BTS radio equipment cabinets and several power related cabinets. Each cabinet is approximately five feet (5) tall. The equipment cabinets are proposed to be located near the proposed monopole. Please refer to sheet A-2 and the elevations on the site plans. The site will not be accessible to the public, as access it-ill be restricted by a construction of a chain link fence with three-strand barbed wire. There will generally be one maintenance visit per month. The facility kill operate twenty-four (24) hours a day, seven (7)days a week. 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. The proposal will be located at 1365 Hahobas Way NE Tahuva, WA 98588 (Section 5, Township 22N, and Range 3W) with A.P.N. #32205-00-60000. A vicinity map is included on Sheet T-1. The legal description is included on Sheet LS-1 of the plans. 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)? In the lease area, the steepest slope is approximately five percent(5%). 5Q 04yv. W 1 W c. What general types of soils are found on the site (for example, clay, sand, gravel, b peat, and muck)? If you know the classification of agr icultural Y g tcultural soils, specify them and note any prime farmland. Unknown. Sprint PCS—HoodspordCamp Hahobas—PCS Site SE33XCO21 Page 2 EVALUATION FOR TO BE COMPLETED BY APPLICANT AGENCY USE ONLY d. Are there surface indications or history of unstable soils in the immediate vicinity? If so,describe. Unknown. e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. very minor cut&fill. Any excess fill will be disperser)on site. f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. yen•unlikely, however all standard erosion control precautions will be taken during construction. g. About what percent of the site will be covered with impervious surfaces after project construction(for example,asphalt, or buildings)? Approximately 600 square feet. h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: None proposed. 2. Air a. What types of emissions to the air would result from the proposal (i.e., dust, automobile, odors, and industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities if known. There will be very minor emissions associated with vehicles delivering equipment and construction materials to the site. There are no emissions associated with project operation. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No. c. Proposed measures to reduce or control emissions or impacts to air, if any: Nate are necessary. 3. Water a. Surface: 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, and wetlands)? If yes, describe type and provide names. If appropriate, state what river or stream it flows into. Robbins Lake, U Lake and the Hood Canal are in the area. No bodies of water are located in the immediate vicinity of the proposed site. Sprint PCS—Hoodsport/Camp Hahobas—PCS Site SE33XCO21 Page 3 EVALUATION FOR TO BE COMPLETED BY APPLICANT AGENCY USE ONLY 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. 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 site that would be affected. Indicate the source of fill material. None. 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. There will be no surface water withdrawals or diversions. 5) Does the proposal lie within a 100-year flood plain? If so, note location on the site plan. Unknown 6) Does the proposal involve any discharge of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. No. b. Ground: 1) Will groundwater be withdrawn, or will water be discharged to ground water? Give general description,purpose,and approximate quantities if known. 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. There will be no waste materials. c. Water Runoff(including storm water): 1) Describe the source of runoff(including storm water) and method of collection and disposal, if any, (include quantities, if known). Where will the water flow'? Will this water flow into other waters? If so, describe. Project will not alter or impact the existing storm drainage system. 2) Could waste materials enter ground surface waters? If so,generally describe. No. Sprint PCS—H,'ods ort/Cam P p p Hahobas—PCS Site SE33XCO21 Page 4 EVALUATION FOR TO BE COMPLETED BY APPLICANT AGENCY USE ONLY d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: None proposed. 4. Plants a. Check or circle types of vegetation found on the site: The immediate vicinity around the proposed site has been clear-cut. The following tvpes of vegetation can be found on the parcel. X deciduous tree: alder, maple,aspen, other X evergreen tree: fir, cedar,pine,other X shrubs grass pasture crop or grain wet soil plants: cattail,buttercup,bullrush, skunk cabbage,other water plants: water lily, eel grass,milfoil, other other types of vegetation b. What kind and amount of vegetation will be removed or altered? No. c. List threatened or endangered species known to be on or near the site. None observed. d. Proposed landscaping, use of native plants, or other measures s to preserve or enhance vegetation on the site, if any: None proposed. 5. Animals a. Circle any birds and animals, which have been observed on or near the site or are known to be on or near the site: birds: hawk, heron,eagle, son birds,other: mammals: deer,bear, elk,beaver,other: fish: bass,salmon, trout, herring,shellfish, other: b. List any threatened or endangered species known to be on or near the site. None observed. c. Is the site part of a migration route? If so,explain. Not known. Sprint PCS—Hoodsport/Camp Hahobas—PCS Site SE33XCO21 Page 5 EVALUATION FOR TO BE COMPLETED BY APPLICANT AGENCY USE ONLY d. Proposed measures to preserve or enhance wildlife, if any: None are needed. 6. Energy and Natural Resources a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used to complete the projects energy needs? Describe whether it will be used for heating, manufacturing, etc. A new electrical meter will be installed to measure power to the radio equipment. There will be self-contained batteries for emergency electrical backup. In addition, a backup diesel generator are included in the event of extended electrical blackouts. (Please see sheet A-2 for location information). 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? None. 7. Environmental Health �. 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. No such hazards have been identified with other similar installations. 1) Describe special emergency services that might be required. None. 2) Proposed measures to reduce or control environmental health hazards if any: None. b. Noise 1) What types of noise exist in the area which may affect your project(for example traffic, equipment, operation, other)? None. 2) What types and levels of noise would be created by or associated with the project on a short-term or a long-tern basis (for example: traffic, construction, operation,other)? Indicate what hours noise would come from the site. There will be minor short-term noise associated with the construction phase of the project. There will be no new significant noise associated with operation of the project. Sprint PCS—Hoodsport/Camp Hahobas—PCS Site SE33XCO21 Page 6 EVALUATION FOR TO BE COMPLETED BY APPLICANT AGENCY USE ONLY 3) Proposed measures to reduce or control noise impacts, if any: Comply with all State and local ordinances regarding noise. There are no homes or business in the near vicinity. S. Land and Shoreline Use a. What is the current use of the site and adjacent properties? The subject area is vacant. Adjacent uses primarily vacant forest lands. b. Has the site been used for agriculture? If so,describe. No. c. Describe any structures on the site. None. d. Will any structures be demolished? If so,what? No. e. What is the current zoning classification of the site? sdn-ff,-- No ' f. What is the current comprehensive plan designation of the site? g. If applicable, what is the current shoreline master program designation of the site? Not applicable. h. Has any part of the site been classified as an"environmentally sensitive"area? If so, specify. Unknown. / PjLL i. Approximately how many people would reside or work on the completed project? None. j. Approximately how many people would the completed project displace? None. k. Proposed measures to avoid or reduce displacement impacts, if any: None needed. Sprint PCS—Hoodsport/Camp Hahobas—PCS Site SE33XCO21 Page 7 EVALUATION FOR TO BE COMPLETED BY APPLICANT AGENCY USE ONLY 1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: The new proposed monopole will be screened by exiting surrounding vegetation and will not impact any existing or projected land uses. The rural nature of this proposed site will also ensure the proposal is compatible with existing and projected land uses and plans. 9. Housing a. Approximately how many units would be provided, if any'? Indicate whether high, middle,or low-income housing. None. b. Approximately how many units, if any, would be eliminated. Indicate whether high, middle, or low-income housing. None. c. Proposed measures to reduce or control housing impacts, if any: None. 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? Otte hundred and fifty foot(1 SO)steel monopole is proposed. b. What views in the immediate vicinity would be altered or obstructed? No views in the immediate vicinity will be obstructed or substantially altered. The neighboring properties are primarily vacant rural properties. c. Proposed measures to reduce or control aesthetic impacts, if any: The existing foliage on the parcel will control any aesthetic impacts. 11. Light and Glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? None. b. Could light or glare from the finished project be a safety hazard or interfere with views? No. c. What existing off-site sources of light or glare may affect your proposal? None. Sprint PCS—Hoodsport/Camp Hahobas—PCS Site SE33XCO21 Page 8 EVALUATION FOR TO BE COMPLETED BY APPLICANT AGENCY USE ONLY d. Proposed measures to reduce or control light and glare impacts, if any: None. 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? None noted. b. Would the proposed project displace any existing recreational uses? If so,describe. No. c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: None. 13. Historic and Cultural Preservation a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers known to be on or next to the site? If so,generally describe. No. b. Generally describe any landmarks or evidence of historic, archeological, scientific, or cultural importance known to be on or next to the site. None. c. Proposed measures to reduce or control impacts, if any: None. 14. Transportation a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Show on site plans, if any. The project is located on NE Hahobas Way(Please see Sheet T-1). b. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? Not applicable to this project. c. How many parking spaces would the completed project have'? How many would the project eliminate? None. Sprint PCS—Hoodsport/Camp Hahobas—PCS Site SE33XCO21 Page 9 EVALUATION FOR TO BE COMPLETED BY APPLICANT AGENCY USE ONLY d. Will the proposal require any new roads or streets,or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). The proposed site will not require any other new or any improvements to existing roads or streets. The proposed site will be accessible from a gravel access road. e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so,generally describe. This is an unmanned facility and will not require the use of water, rail or air transportation. f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. The facility will be unmanned. One maintenance visit per month is expected. g. Proposed measures to reduce or control transportation impacts,if any: None. 15. Public Services a. Would the project result in an increased need for public services (for example, fire protection,police protection,health care, schools, other)? If so, generally describe. No. b. Proposed measures to reduce or control direct impacts on public services, if any. The equipment will be monitored twenty-four (24) hours a day, seven (7) days a week. 16. Utilities a. Circle utilities currently available to the site: 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. Telephone service will be provided by US West or GTE. Electrical power will be provided by Puget Sound Energy. Water, sewer and natural gas are not required for this project. Sprint PCS—Hoodsport/Camp Hahobas—PCS Site SE33XCO21 Page 10 EVALUATION FOR TO BE COMPLETED BY APPLICANT AGENCY USE ONLY C. SIGNATtiRE The above answers are true and complete best of my knowledge. I understand that the lead agenc�iZrel ' n them to make its decisto . Signature: J Date Submittedt' Received, Department of Construction and Land Use: Date Submitted: Receipt# Filing Fee$ Sprint PCS—Hoodsport/Camp Hahobas— PCS Site SE33XCO21 Page 11