HomeMy WebLinkAboutSEP2008-00163 Environmental Checklist - SEP Application - 9/20/2008 1
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MASON CO. ENVIROMENTAL CHECKLIST
A. BACKGROUND
1. Name of proposed project, if applicable:
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2. Name of applicant:
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3. Address and phone number of applicant and contact person:
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4. Date checklist prepared: 6)
5. Agency requesting checklist:
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6. Proposed timing or schedule (including phasing, if applicable):
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7. Do you have any plans for future 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.
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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.
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10. List any government approvals or permits that will be needed for your proposal, if known.
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► 60 Sechu.n yoy
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.) 1W L1►1Iwuup Lrzek_ affempf- r-D resft�e-
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VS'°ec e r irk ilne
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12. What is the 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. WkgpSS�:
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S.ee cRtkvcvt6k svie plan, v� 6k nZ-t1 W)Cy av,d +Dgo�r phLl map.
B. ENVIRONMENTAL ELEMENTS:
1. EARTH:
a. General description of the site (circle one): Clat olling, hilly, steep slopes, mountainous, other
( uud IDi�n
b. What is the steepest slope on the site (approximate percent slope)?
1l)c cps-�fTAwl 6Lrea '�s Co,mpus-ect aF-esserYtia Afi b lly v& cal asal-�-ic.
��ui�ru�Q ings . ►hert ane slopes O-C 3D -(obno .
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 prime farmland.
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COMA DVA 4 IiVOCISpb�i- ar1 C-7wve_ SUieS Sol 1 5 .
d. Are there surface indications or history of unstable soils in the immediate vicinity: If so,
describe. ,S �U �2 r1-� Sv�Lh GX
ILL .�� W()✓� Posed, P2
Mason County Environmental Checklist Page 2
e. Describe the purpose, type, and approximate quantities of any filling or grading proposed.
Indicate source of fill. R,t ftr -to Akk S rA-c et"
► std�i m evl\ wit\ be"dam` av)A wily -V- *M-ko site .fie creep V;edd av,d WA\C
-Me '.poL na ekmW aYca,wv�erc a o�c C-taw �1u�d
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ank� �� �rDn-� �'S►�une¢ wi►t �IaC red ed w►�H;�► Surpl�u,S �edemer�{ t��i
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f. Could erosion occur as a result of clearing, construction, or use: If so, generally describe.
ND. `fh\5 vvU A- "c, +0 i vi h I OIT 'eY S1 On - M'h0,r incrwes in i'-k"O"d4
WNUI oCCAV(' du rlinr� "%k vvDA- ,5tC (V\) I tliw C,r ews,on Ca III
VY)2acsur2�S .
g. About what percent of the site will be covered with impervious surfaces after project
constructions (for example, asphalt or buildings)?
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h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any:
e I S h►\o► �- e Yv S\o n .
wy-)no' ..tm Pro\t--L4- wor�-) ►_t st- 'ManaOf me n t �C6(Jj c�S v i1I 1 Ize 1n'1PU -Q KC�
and z�n i p CO�col rnQ-tinvGl s shall >x ubed � ���cvr{ s t li—l aol�e y� 1�a�
�wm enk�n `tv� St�eavr In�l�d�no� but n04 1 1tcl 'iv y Stew IDO-US
1, ►kr dab n c� Q-UC-- c0i,'IS oj^ ra 9 rari l-,il l.P( bWAAp I)a9S 61 O-KO- mu�e�>=C 1.
2. AIR:
a. What types of emissions to the air would result from the proposal (i.e. dust, automobile, odors,
industrial wood smoke) during construction and when the project is completed? If any,
generally describe and give approximate quantities, if known.
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ayn Used -lv Y-P—m o Y-e— Ot Cc torn u I q-to dW9 StDO f e-r4 .
Thei-e Voll be no las-hnq ern-ISsiur,s Pon the �JrvJ{cfis �p,r�ple't►on .
b. Are there any off-site sources of emissions or odor that may affect your proposal? If so,
generally describe. N
Mason County Environmental Checklist Page 3
c. Proposed measures to reduce or control emissions or other impacts to air, if any:
No+ '54Pp it ca bye to -i'hi s p►v ct
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, wetlands)? If yes, describe
type and provide names. If appropriate, state what stream or river it flows into.
Ll l I i vv a L of en_'ts a tvr 19 _N 0f Obo Canal and 6 ,Y10( S �hcam.
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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.
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_- reed w(A-4es , RC�erenC:t `lam `LA
(fie slv,rafie� p%�cf (A)o✓k plan " a►Ao( S/+C map.
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 general
description, purpose, and approximate quantities if known.
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VLp
US�hO� � 1a ln��e
Mason County Environmental Checklist Page 4
5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan.
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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.
b. Ground:
1) Will ground water be withdrawn, or will water be discharged to ground water? Give
general description, purpose, and approximate quantities, if known.
1 ,
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.
N0T appti (AULe. 10 -rvti�S pruscc-E .
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 this water flow? Will this flow
into other waters? If so, describe.
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2) Could waste materials enter ground or surface waters: If so, generally describe.
Mason County Environmental Checklist Page 5
d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any:
the P(b =f c t A i m S +D �'-e
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4. PLANTS:
a. Check or circle types of vegetation found on the site:
_V deciduous tree: Ides arp, aspen, other
_,L_evergreen tree: i edar pine, her 1�660CDuS
shrubs
_ grass
pasture
crop or grain
wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other
✓water plants: ater lil eelgrass, milfoil, other
_other types of vegetation SU I v►ion max-"
b. What kind and amount of vegetation will be removed or altered?
�►b ctz�-fi-i�N w i i l Ve re m ovtd� d a l fe�� 1 v e e# b h
1N i kIACA 'hie.. SiA-e— WOs des A b j -1� -D-eceimVx(- )MI Stern .
C. List threatened or endangered species known to be on or near the site.
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance
vegetation on the site, if any: NoYAC QK PrvPosect.
Na-1i v-C- s(J-eb e3 )S u e l) C s sa l karma-Xff y, Q re Ixg
j,� �501a l l U-tc kvs , I >erez u a- � So y l a rt� v nd
e✓ ,
�� +e P
YbI n mc��hul whi� 1
-f'p'p s+- A bW COfIS r st3 o'f' �r�{v el�y, robb�y
will
'Is no bpftrn�I �� raw p�an�iNgS , no � lavi n9s
t !�e
Co�'1pte-1cd �' � -Y'i✓ie . 19-n� invasrv-e sp-eae.s which
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thvaA(- `the sif-turn eWF-fey w 1 �e rt►�nc�Vr� h�
� �is�}ent ��thn�� So o�rc� �nn� i�q-h� p►an� � a�
Mason County Environmental Checklist Page 6
5. ANIMALS
a. Circle an birds y and animals which have been observed on or near the site or are known to be
on or near the site:
Birds: aw , Ie��d, s gbird e Avbl�d ri/(U 1'►'L�'�'�lib.59(*61 &w)
Mammals: ee ea Ilk, beaver,
Fish: bass, G " rou erring, shellfish, other
b. List any threatened or endangered species known to be on or near the site.
1-t o 6amal Sumnyet Chum i3ui i "lYtSu+ IJtx�h��tn S(�+ d
Q�Ac Sou ro w vn-tt/ S- -C e-k vLea d 1 d 9>� UJ t t h,r, -n.a
-
QUt C`,bGQi�novlL lid I�IUr 1e-1 obbcr�d it-tt�tS)
C. Is the site ? MAfb wulusl�d� /
e part of a migration route. If so, explain.
�5e Y-t S as s oo-kmk v�,% vv\ds '(b,( Y�bo Ca vial sovnwv/
avid DCCastovtail �� c-t d wt►�it{ S}�e1ln�ao� avid GnlnocVc-
d. Proposed measures to preserve or enhance wildlife, if any:
-PU pf'J(ds e-M pV>AsiS 'l S 1v eveVAAVICe V I1d IA, 0� rc�tWll
sP A w►n t r, mw�ds a v> \A aca tR r SAC(Ae �"S.
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.
Fine 1 C)pe rA+C m a C h.l"1-11 w 111 tA V .
b. Would your project affect the potential use of solar energy by adjacent properties: If so,
generally describe.
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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:
NO 4--(C,-t1ArzS ay-.( �►nCi did .
Mason County Environmental Checklist Page 7
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. �O
1) Describe special emergency services that might be required.
2) Proposed measures to reduce or control environmental health hazards, if any:
b. Noise.
1) What types of noise exist in the area which may affect your project (for example: traffic,
equipment, operation, other)?
N0�5,C �wnn M u l pty" of -tv rernor( s,(drm« y .
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 hour's noise would come from the site.
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m� Gk S w I11 C)CC 1.1 r Me re�h /fvh Qn C( 2', �M .
3) Proposed measures to reduce or control noise impacts, if any:
8. LAND AND SHORELINE USE:
a. What is the current use of the site and adjacent properties?
PYe�; serves csa residevic-e , 6eC6Mw sskb"d
N,4 d 1.e c P w� P l n vvi ml A M p r V a�e h�t�ln�►�
v\s-ted so I YVA d It�C�S -
Mason County Environmental Checklist Page 8
b. Has the site been used for agriculture? If so, describe.
No .
C. Describe any structures on the site. S YY1Gl�� Slr�d
1 resiacwe , 1 Nz,+t eve -(iActl
y InyA►m etccfv�c per, P lam - -Z garayS '2 ���� (aSS
d. Will any structures be demolished? If so, what? A" ve Ssx �S
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e. What is the current zoning classification of the site?
VyS�c.e-nt OL t and �AnAeNClo, -ed P5X►2e15 .
f. What is the current comprehensive plan designation of the site?
�u.ra 1 12t s t, c4.e,�G t
g. If applicable, what is the current Shoreline Master Program designation of the site?
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h. Has any part of the site been classified as an "environmentally sensitive" area? If so, specify.
S , S � � s w,- i+n s~k-eav�n a►nd 1�ha�s � ►d� h024(d
GZ► t:'a- to U Fe rs .
i. Approximately how many people would reside or work in the completed project?
2 -LA rn e In(A+CM e rLJ SA 7A .
j. Approximately how many people would the completed project displace?
PO VvQLe- Wl1► \x A I Selo c-zd .
k. Proposed measures to avoid or reduce displacement impacts, if any:
N�� G1pP I' COL bLe � 4-�, S ��;Jt C ,
Mason County Environmental Checklist Page 9
I
I. Proposed measures to ensure the proposal is compatible with existing and projected land uses
and plans, if any: R(( P IGIVIS �(-c Cy-rcAttr� ust�j P�N1 Q's 1b o,10Vfe 0Li
a>nA M6A soon Cam^nl_`�J St7W A CU f d S .
9. HOUSING:
a. Approximately how many units would be provided, if any? Indicate whether high, middle, or
low-income housing.
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b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or
low-income housing.
N o 1 6l P P \
C. Proposed measures to reduce or control housing impacts, if any:
W A Q e 1� ea 10 Le -�v 'Ni, ,Q ry Je- c-{
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?
b. What views in the immediate vicinity would be altered or obstructed?
NOt npP1 C-0t, eLe -ti- -t"\s p"ytCA .
C. Proposed measures to reduce or control aesthetic impacts, if any:
Mason County Environmental Checklist Page 10
11. LIGHT AND GLARE
a. What type of light or glare will the proposal produce? What time of day would it mainly occur?
- Z�2 vv i 11 Y1t 0 u Yl CVT DISC a' d�C 42QC�C >,,CPA of ('CLY'L Gu S G.
Y e S u 1-1—CrF -fi-w s Q�r C+ - J J
b. Could light or glare from the finished project be a safety hazard or interfere with views?
N t1 .
C. What existing off-site sources of light or glare may affect your proposal:
NoYNe ,
d. Proposed measures to reduce or control light and glare impacts, if any:
N(7+ ,ipp i i Ca bu to --t h i s prvi-P C+
12. RECREATION:
a. What designated and informal recreational opportunities are in the immediate vicinity?
�eCr-eGt-h�r� �SV►inc %S YArr- 66 (,lil i wCtC,e CC(,e .
b. Would the proposed project displace any existing recreational uses? If so, describe.
[30 .
C. Proposed measures to reduce or control impacts on recreation, including recreation
opportunities to be provided by the project or applicant, if any:
rN b(I e ,
Mason County Environmental Checklist Page 11
13. HISTORIC AND CULTURAL PRESERVATION:
a. Are there any places or objects listed on, or proposed for national state or local r 1 p p preservation
registers known to be on or next to the site? If so, generally describe.
1130 ,
b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural
importance known to be on or next to the site.
C. Proposed measures to reduce or control impacts, if any:
b nQ ,
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.
b. Is site currently served by public transit? If not, what is the approximate distance to the
existing street system? Show on site plans, if any.
NU .
C. How many parking spaces would the completed project have? How many would the project
eliminate?
N ut c PP 11 Cab 1..e - %- hn P ruJ c c-E .
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).
No .
Mason County Environmental Checklist Page 12
e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If
so, generally describe. N p
f. How many vehicular trips per day would be generated by the completed project: If known,
indicate when peak volumes would occur.
g. Proposed measures to reduce or control transportation impacts, if any:
P')u-t pp 1'� caber -h::> -ice 5 '�'.J-c
15. PUBLIC SERVICES:
a. Would the project result in an increased need for public service (for example: fire protection,
police protection, health care, schools, other)?
If so, generally describe:
No
b. p :on Proposed measures to reduce or control direct impacts public services if an
p p Y
W One.
Mason County Environmental Checklist Page 13
16. UTILITI S:
a. Circle u lities currently available at the site: ect iatural gas, ater fuse service,
epho sanitary sewer, ptic syste er Camc-
b. Describe the utilities that are proposed for the project, the utility providing the service, and the
general onstruction activities on the site or in the immediate vicinity which might be needed.
O aA 6�r-p- c-Lq U L ccck .
Signatu e:
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.
Signatu e: 44
Date su mitted: - - 03
Mason County Environmental Checklist Page 14
EZ/8Z 39dd Ai-1-1 9606LL8096 9V :TZ 800Z/06/60
1
ESA LISTED SALMONIDS CHECKLIST
Applicant Information Project Information
Named +,e IL%Dq s a r ra Cairn, Name LAiaaW& ' sto✓a-tan YD
rat
Phone 3SZ qs-SS- ext -2-3 Location N Sbl s bbu Milli ea pn Sf 0)vm4,fwA 17MY
Description Aoslvre- and or tccfi a
"for- Zkwnina lom-hun And huJehery
& ESA iAfed �alrnon,ds. kyr►'rF
�rtlno� d�ustui►on lu � hab�ta-t uudPrupP/�
This worksheet was designed to help project proponents, and government agencies, identify
when a project needs further analysis regarding adverse effects on ESA (Endangered Species
Act) listed salmonids. Salmonids are salmon, trout and chars, e.g. bull trout. For our purposes,
"ESA Listed Salmonids" is defined as fish species listed as endangered, threatened or being
considered for listing.
If ESA listed species are present or ever were present in the water shed where your project will
be located, your project has the potential for affecting them, and you need to comply with the
ESA. The questions in this section will help determine if the ESA listings will impact your
project.
The Fish Program Manager at the appropriate Department of Fish and Wildlife (DFW) regional office can provide
information for the following two questions.
1. Are ESA listed salmonids currently present in the watershed in which your project will be
located? YES NO X, Please describe.
2. Has there ever been an ESA listed salmonid stock present in this watershed?
YES _J NO Uncertain Please describe.
Mood Cahai Suyv men Cirlvm 50"A CV IY1obk
° PU Vt Sbund WMAC-f s ee l head , p"' 1 -ham,,.-� W Pihtn ran�jc,►nkrcr oba`Yvcd In 415
s\
If you answered "yes" to either of the above questions,you should complete the remainder
of this checklist.
April 2003
- 1 -
PROJECT SPECIFICES: The questions in this section are specific to the project and
vicinity.
1. Name of watershed: LA I G w Q u(> C r ep �
2. Name of nearest waterbody: f{yoc-( Ca n a 1
3. What is the distance from this project to the nearest body of water:
IV 0�(DX'Er+ IS bvrthnn 1t 4 Sh- am bLt✓ nr►ea"A flO`6Wn a"lYuffer between the project and a
stream'can\ieduce the chance of a negative impa t to fish.
4. What is the current land use between the project and the potentially affected water body
(parking lots,farmland,etc.)?
Tl)e -is creek b0&nv- /-6m)AV\a'In
5. Is the project above a:
* natural permanent barrier(waterfall) YES NO X
* natural temporary barrier(beaver pond) YES NO �C
* man-made barrier(culvert, dam) YES NO _yam
* other(explain):
6. If yes, are there any resident salmonid populations above the blockage?
YES NO Don't know
7. What perrcen}�tt of the project will be impervious surface (including pavement& roof area)?
V { ;
-,
FISH MIGRATION: The following questions will help determine if this project could interfere with
migration of adult and juvenile fish.
Both increases and decreases in water flows can affect fish migration.
1. Does the project require the withdrawal of:
a. Surface water? YES NO 1.
Amount
Name of surface water body
b. Ground water? YES NO
Amount
From where
Depth of well
2. Will any water be rerouted: YES NO f{ol wa Fe/
If yes,will this require a channel change? Nd Ovnn e1 ChArjv- 11, rM vi rid
BCA.S1-ee Creek Wilt be -}fnvispDAM v't4 ia'Vto�sc 46Ulli av►dl dnAhr o vrsb ovI ac�urs ,
Lovo
3. Will there be retention or detention ponds? YES NO X
If yes,will this be an infiltration pond or a surface discharge to either a municipal storm water system or
a surface water body?
If to a surface water discharge, please give the name of the waterbody.
4. Will this project require the building of new roads? YES NO
Increased road mileage may affect the timing of water reaching a stream and may impact fish habitat.
5. Are culverts proposed as part of this project? YES L_ NO
6. Will topography changes affect the duration/direction of runoff flows?
YES NO )(_ If yes, describe the changes.
7. Will the project involve any reduction of the floodway or floodplain by filling or other partial blockage
of flows? YES NO ( If yes, how will the loss of flood storage be mitigated by your
project?
Mason County Environmental Checklist Page 17
WATER QUALITY: The following questions will help determine if this project could
Adversely impact water quality. Such impacts can cause problems for listed species.
Water quality can be made worse by runoff from impervious surfaces,altering water temperature,discharging
contaminants,etc.
1. Do you know of any problems with water quality, in any of the streams, within this watershed? YES
NO --�, If yes, describe.
2. Will your project either reduce or increase shade along or over a waterbody?
YES NO "Me p"Ject- will likely save shade lrces 0
Removal of shading vegetation or the building of structures such as docks or floats often results in a change in shade.
3. Will the project increase nutrient loading or have the potential to increase nutrient loading or
contaminants(fertilizers, other waste discharges,or runoff)to the waterbody? YES NO
4. Will turbidity be increased because of construction of the project or during operation of the project?
YES NO p►thtst.,c��n alb sed ImaM� Wvic3 tcmbyed wa% ►x dry�� Best laav\a`vfvYev\i
`Rrach`te s "%I \x f m 4e yln GiYFt ck -i o etnsuxre— M%VA t vrncal Auy b►di�h.1
tntrtascs aS a S rsPu-t4 of -Mti gvu�-zc4
In-water or near water work will often increase turbidity.
5. Will your project require long term maintenance, i.e. bridge cleaning, highway salting, and chemical
sprays for vegetation management,clearing of parking lots?
YES NO If yes,please describe.
Mason County Environmental Checklist Page 18
VEGETATION: The following questions are designed to determine if the project will affect riparian
vegetation,thereby,adversely impacting salmon.
1. Will the project involve the removal of any vegetation from the stream banks:
YES NO �_ f1-I I veyt6ftri I.i ift l rN W l i waLy Crce l- O W(k,' Z6v-2 wV&
des lroyt Cdu�'vLc1 iV o- -ec em Ix/ 2 boq stagy m.
If yes,please describe the existing conditions,and the amount and type of vegetation to be removed.
2. If any vegetation is removed,do you plan to re-plant?
YES NO If yes,what types of plants will you use?
Mason County Environmental Checklist Page 19