HomeMy WebLinkAboutSEP2024-00044 BLD2024-01295 - SEP Application - 10/29/2024 2o2-1 - 600"" -4
RECEIVED
SEPA ENVIRONMENTAL CHECKLIST O C T 2 9 2024
615 W. Alder Street
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 Nonproiect 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 Envlronmental 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:
Perlman-Oman Shoreline Bulkhead Replacement
2. Name of applicant:
Alex Perlman & Karla Oman (owners).
3. Address and phone number of applicant and contact person:
13753 NE North Shore Road, Belfair, WA 98528
(206) 200-1563 (Alex); (206) 295-2483 (Karla)
4. Date checklist prepared:
8/14/24
5. Agency requesting checklist:
Mason County, WA (Department of Community Development); Washington DOE, Fish & Wildlife;
U.S. Army Corps of Engineers; other agencies or indigenous tribes with interests in the project site.
6. Proposed timing or schedule (including phasing, if applicable):
Begin construction (landward of existing, failing bulkhead) in late fall 2024, or early
2025.
7. Do you have any plans for future additions, expansion, or further activity related to or
connected with this proposal? If yes, explain.
Plans note potential future location for davit,or retractable stairs,or ladder to the beach, near the NW corner of the rebuilt
bulkhead.This would provide a form of beach access for small watercraft(kayak/canoe)and pedestrian access for owners and
guests.
8. List any environmental information you know about that has been prepared, or will be
prepared, directly related to this proposal.
Biological Site Assessment(DCG Watershed, Seattle);Geotechnical site assessment and engineering design
documents(Aspect Consulting, Bainbridge); ESA Listed Salmonid Checklist;WA SEPA Checklist, WA state JARPA
Application (for all agency approvals).Owner is conducting permit submittals pro se.
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 other approvals pending.
10. List any government approvals or permits that will be needed for your proposal, if known.
Mason County Community Development (SEPA Checklist, Shoreline Exemption, Building
Permit, and JARPA); WA DOE 401 Water Quality Cert.; WA F&W HPA approval; USACE
review under: Section 10 (Rivers and Harbors Act) & Section 404 (Clean Water Act).
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.)
Owner will replace approx.70'linear ft.of failing 48 yr old,vertical concrete bulkhead,with collapsed stairs for a single
family, primary residence. Linear ft measure includes returns to upland wing-wall and south property Iine.Existing
bulkhead serves a total of 4 lots, but permit review is for work that will only take place on owner's parcel. Existing
bulkhead is over-topped by storm waves and King tides;owner requests a 24"wave cap(within footprint of existing
bulkhead)for protection from future sea-level rise.All work to be landward of existing bulkhead, except demolition of
collapsed concrete stairs and old bulkhead once replacement is in place.
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.
Mason County Assessor's Parcel No. 322275100001 ;
Site Address: 13753 NE North Shore Road, Belfair, WA 98528
STR: Section 27, Township 22N, Range 3W, W.M.
Brief Legal: Lot 1 of Plat of Tahuya Waterfront Tracts, except the south 6' thereof,
together with the south 12' of Lot 1 a of Plat of Tahuya Waterfron Tracts
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:
The site is located on a west-facing shoreline of a small inlet within Hood Canal at a location where the inlet of the Tahuya River is
approximately.2 miles wide in the northwest to southeast direction.The project is near the mouth of the Tahuya River,and within the
Tahuya Waterfront Tracts platted tidelands.The site receives heavy storm surge(driven across the 5 mile fetch from Potlatch),with
large woody debris during winter storms and at King tides.Significant overtopping and scouring of the existing bulkhead during winter
storm events has greatly accelerated the bulkhead failure.
Circle or highlight one: Flat, rolling, hilly, steep slopes, mountainous, other:
b. What is the steepest slope on the site (approximate percent slope)?
The slope west of the residence is estimated at 60%per the Aspect Consulting geotechnical assessment and report of
conditions, at page 4;such geotechnical assessment and report of conditions,dated February 7, 2024 is attached hereto and
incorporated by reference.
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.
Site specific soils are listed at pp 7&8 of the Aspect Consulting geotechnical assessment and report of conditions.
Soils are described as generally loose and unstratified, cobbles, pebbles, sand, silt, clay, boulders and diamicton.
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so,
describe.
The underlying geomorphology of the site is consistent with reported studies of rotational landslides attributed to the
advancement and retreat of the Cordilleran Glacier icesheet at the end of the Vashon Stade of the Fraser Glaciation,
approximately 13,000 years ago.See discussion at pp 7&8 of the referenced geotechnical assessment and report of conditions.
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.
Total area of project will be upland of existing 5'tall bulkhead;comprised of 56'linear feet of soldier pile wall,with an approximate 10'return landward,where the piles will interface with the existing
upland wing-wall,which protects the residence at the top of the slope.The wave cap portion of the design will add 2'height.Total volume of fill behind the soldier pile wall will be(10'x 56'x T)
approximately 3,920 cubic feet(145.185 cubic yards).Source of fill will be finalized by contractor and meet the following specifications:Clean gravel back-fill landward and behind the proposed soldier
pileflag-block walls,geotextile fabric to control silt transport,and hydraulically applied erosion control products(HECPs)per Soldier Pile Wall Notes 1.4,1.5,and 1.6 on plan sheet C-01 through C-03.
f. Could erosion occur because of clearing, construction, or use? If so,generally describe.
No additional upland slope movement towards the beach is expected with the rebuilt bulkhead.Beach material is seasonally eroded and accreted to the beach at this location
due to the tidal action,winter storm events and ordinary river flows within the Tahuya River estuary.Naturally occurring littoral drift of beach sediments at this location is
compromised/interrupted by a boat ramp,(owned by an upland HOA,that lies south of the 4-lot bulkhead),which was raised without finalized permits per Mason County records.
g. About what percent of the site will be covered with impervious surfaces after project
construction (for example,asphalt or buildings)?
The project will not add any additional impervious surface to the site.Owner's entire site is 56'x 1,200',or 67,200 sq.ft.minus the 60'ROW for North Shore Road;or 63,840 sq.ft.(inclusive
of the 25,545 sq.'of tidelands).The total developed area of the site(West of North Shore Road)is approximately 38,295 sq.ft.as there are no improvements east of North Shore Road.
The existing on-site impervious surfaces are:house(37SK40'=1,480 sq.ft.);garage(26'x28.5'=741 sq.ft.);picnic shelter(8'x12'=96 sq.ft.),asphalt paved drive from North Shore Road
(151x250'=3,750 sq.ft.);total of impervious surfaces on site is approximately 6,067 sq.ft.,approximately 9.5%of the total lot area.(6067 sq.ft./63"0 sq.ft.).
h. Proposed measures to reduce or control erosion,or other impacts to the earth, if any.
Geotextile fabric and HECPs will be used on the upland side of the replacement soldier
pile wall to prevent silt transport into the open waters of the Tahuya River channel and
Hood Canal.
SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 4 of 15
2. 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.
Pile driving equipment uses diesel fuels,exhaust from which will be emitted during the construction phase of the project.These
emissions are transient in nature and will not be present after the project.A tug-driven barge, gas or diesel,will be utilized to
transport all construction materials and remove all concrete spoils following demolition of the failing bulkhead wall and stairs.
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 other impacts to air, if any.
None.
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.
The site is located on Hood Canal,off of NE North Shore Road.This is on the east side of the lower Tahuya River embayment,approximately
.25 miles south of Hogan's Spit/Caldervin Creek,where the river enters Hood Canal.Ordinary low water(OLW)at the project site is the
eastern meander line of the river channel.Mean high water(MHW)fills the embayment from site to the Hogan's Spit/Caldervin Creek complex.
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.
The project will not involve work over or in the described waters; however, the project
footprint is immediately adjacent to such waters. All work is expected to take place
landward of the existing vertical bulkhead.
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.
None.
4. Will the proposal require surface water withdrawals or diversions?Give a general description,
purpose, and approximate quantities if known.
No.
5. Does the proposal lie within a 100-year floodplain? If so, note location on the site plan.
The project area is located in a FEMA"AE" designated area along the shoreline. FEMA map
downloaded from Mason GIS, attached hereto and incorporated by reference.
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.
No.
b. Ground Water: Find help answering ground water questions
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 known.
No additional volume of well water will be drawn down or is expected to be caused by this proposal. Existing shared well is used
for potable residential use and irrigation of under-story plantings.
2. Describe waste material that will be discharged into the ground from septic tanks or other sources,
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.
There will be no changes to the Mason County approved on-site septic system, which
undergoes periodic inspections for regulatory compliance.
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.
Rain gutter downspouts on the residence, garage and picnic shelter discharge to open gravel adjacent to the structures. This
water percolates rapidly. Seasonally heavy rainfall percolates directly into the septic field which is covered by pavers-on-
sand.
b) Could waste materials enter ground or surface waters? If so,generally describe.
No.
c) 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 drainage
pattern impacts, if any.
None.
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:
8 deciduous tree:alder, maple, aspen, other
8 evergreen tree:fir, cedar, pine, other
8 shrubs
El grass
El 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
B other types of vegetation
b. What kind and amount of vegetation will be removed or altered?
Only vegetation immediately next to the construction project will be disturbed.Additional upland plantings will be from PNW native plants listed below.
c. List threatened and endangered species known to be on or near the site.
Hood Canal summer chum, steelhead, and Chinook are ESA listed species found in the South Hood Canal and the
Tahuya River Watershed. ESA aquatic mammals, specifically Southern Resident Orcas, are not present in Hood Canal.
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation
on the site, if any.
Wild huckleberry will be moved upland from the immediate construction area and reused for bank stability.
Owner's will supplement with other native species found on site, such as salaal, Oregon grape and thimbleberry.
e. List all noxious weeds and invasive species known to be on or near the site.
Scotch broom, English ivy, and seepweed (on beach).
5. 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.
All birds and other animals highlighted below have been observed cn�stte.Other mammallan species Include red squirrel,raccoon,possum,river otter,harbor seal,and sea Ions.Other avian species Include,water fowl(Canada geese,Suri
Scoters,Merganser,etc)and upland birds Bunco,varied thrush,robins,nuthatches,flycatchers,chickadees,Stealer's lays,common-,raven and turkey buzzards).Other fleh and shellfish are listed In the biological see assessment.only Hood
Canal summer run chum,Chinook,and steeihead are found In the near shore environment.Batt-fish species such as herring,and curl watt are referenced as present per the BSA W have not been observed.
Examples include:
• Birds: hawk, heron,eagle,songbirds, other:
• 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.
The biological site assessment(BSA by DCG Watershed,Seattle)calls out the Southern Resident Circa populations as being within the Puget Sound,generally.However,
such species are not observed in the waters of Hood Canal,where the Bigg's orcas(T-pods)often visit.The BSA also notes other ESA listed animals,none of which have
been observed along the subject property.
c. Is the site part of a migration route? If so, explain.
Owner's participate in the Hood Canal Dark Sky project to eliminate night time lights that interfere with migratory
birds.
d. Proposed measures to preserve or enhance wildlife, if any.
Use of local well to keep on-site understory well watered and fruit bearing, as forage for all species found on-site or nearby.
e. List any invasive animal species known to be on or near the site.
None.
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.
None.
2. Would your project affect the potential use of solar energy by adjacent properties? If so, generally
describe.
No.
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.
None.
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.
No.
1. Describe any known or possible contamination at the site from present or past uses.
Failing concrete bulkhead and collapsed stairs are on-site. All old concrete from the bulkhead, its footings,
and the stairs will be removed from the site. Failing bulkhead was originally built in the mid-1970's of
concrete and rebar.
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.
None.
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.
None.
4. Describe special emergency services that might be required.
None.
5. Proposed measures to reduce or control environmental health hazards, if any.
Contractor will use OSHA/WISHA approved hearing and dust protection for worker safety on
this project.
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)?
Rural traffic along North Shore Road; boats and other small watercraft during the summer months.
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)?
Construction noise from the project will follow Mason County rules for construction noise; no noise before 7:00 am and
none after 7:00 pm. During construction, piles will be drilled/driven into the beach behind the existing old bulkhead. After
piles are driven and lag blocks installed, the old bulkhead and stairs within the project area will be demolished.
3. Proposed measures to reduce or control noise impacts, if any.
Stay within the allowed Mason County rural construction noise limits.
8. 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.
Residences, some full-time, other part-time. The proposal will not affect current land uses on nearby or
adjacent parcels.
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?
No.
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?
No.
c. Describe any structures on the site.
Residence (approx. 1 ,910 sq.ft.), garage (approx. 741 sq.ft.) and picnic shelter (approx. 96
sq.ft.)
d. Will any structures be demolished? If so,what?
No.
e. What is the current zoning classification of the site?
RR-5
f. What is the current comprehensive plan designation of the site?
SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 9 of 15
Rural Residential 5 Acres
g. If applicable,what is the current shoreline master program designation of the site?
Residential
h. Has any part of the site been classified as a critical area by the city or county? If so,
specify.
The project site has county mapped geologic hazards related to slope stability; unstable; old slide,
DOE Coastal Zone Atlas; and landslides (DNR 2010), Hazard Zone, very high (DNR 2007), and
landforms, moderate (DNR 2009).
i. Approximately how many people would reside or work in the completed project?
Household members and guests; (2-4)
j. Approximately how many people would the completed project displace?
Zero.
k. Proposed measures to avoid or reduce displacement impacts, if any.
None.
I. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any.
Multi-agency review of all submittals for conformance to development regulations; Net local ecological benefit expected
from removal of old bulkhead, collapsed stars and failed armoring, is removal of 300-350 cuft of old concrete and rebar.
m. Proposed measures to reduce or control impacts to agricultural and forest lands of long-term
commercial significance, if any.
N/A.
. Housing Find help answering housing questions
a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-
income housing.
No net change in housing units; one residence will remain.
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.
SEPA Envlronmental 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?
Proposed rebuilt bulkhead, with 24" wave cap installed, would be approx. 7' above grade
at beach level.
b. What views in the immediate vicinity would be altered or obstructed?
None.
c. Proposed measures to reduce or control aesthetic impacts, if any.
None.
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?
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.
d. Proposed measures to reduce or control light and glare impacts, if any.
None.
2. Recreation Find help answering recreation questions
a. What designated and informal recreational opportunities are in the immediate vicinity?
Public access to walk along the shoreline is not present from the subject parcel, however, other beach entry
points are within .25 to .5 miles. The adjacent tidelands are platted from U.S. Gov. lots and are considered
private, as to shellfish on the beach.
b. Would the proposed project displace any existing recreational uses? If so, describe.
No, except during construction window.
c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities
to be provided by the project or applicant, if any.
Fall construction means no disturbance to most of the summer seasonal recreational
opportunities in the area.
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.
No.
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.
No; and no artifacts or items of cultural importance have been found on, or near, the site.
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.
Owner has completed a literature review for historic or cultural resources in the general vicinity of the project.The Hood Canal Salmon Enhancement Group's study of the Tahuya River habitat only studied
the area above the Tahuya River bridge(east of NE North Shore Road). Owner does not have the appropriate credentials to receive access to the Washington State Department of Archaeology 8 Historic
Preservation(DAHP)WISAARD data base to conduct further analysis at this time.Owner's JARPA application may generate agency reports that may or may not be proximate to the project location.
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.
During construction contractor shall be on alert if cultural or historic resources are uncovered. In such a
case work shall stop and a WA state licensed archaeologist consulted for evaluation and preservation.
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 to the site by land vehicle is on NE North Shore Road, onto a paved driveway.
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?
Yes. Mason Transit does serve this area of North Shore Road.
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).
No.
d. Will the project or proposal use(or occur in the immediate vicinity of)water, rail, or air
transportation? If so, generally describe.
No.
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?
No change in ordinary rural traffic patterns would occur. Owners use private car to visit
Belfair 1-2 x per week and Silverdale once per month.
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.
No.
g. Proposed measures to reduce or control transportation impacts, if any.
None.
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.
No.
b. Proposed measures to reduce or control direct impacts on public services, if any.
None.
16. Utilities Find help answering utilities questions
a. Circle utilities currently available at the site: electricity, natural gas, water, refuse service,
telephone, sanitary sewer, septic system, other:
Cell towers provide mobile telephone service in this area. Also present is high-speed internet via cable.
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.
Construction for this project will be from a barge, brought to the beach area at high tide. All necessary
powertools and heavy equipment will be on the barge. No shoreward utilities are required for this project.
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.
Type name of signee: Alex G. Perlman
Position and agency/organization: Co-owner of project site
Date submitted: loloZ-1012ec;z�
SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 13 of 15
D. Supplemental sheet for nonproject actions Find help for the nonproiect actions
worksheet
IT IS NOT REQUIRED to use this section for project actions.
Because these questions are very general, it may be helpful to read them in conjunction
with the list of the elements of the environment.
When answering these questions, be aware of the extent the proposal, or the types of
activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate
than if the proposal were not implemented. Respond briefly and in general terms.
1. How would the proposal be likely to increase discharge to water; emissions to air; pro-
duction, storage, or release of toxic or hazardous substances; or production of noise?
• Proposed measures to avoid or reduce such increases are:
2. How would the proposal be likely to affect plants, animals, fish, or marine life?
• Proposed measures to protect or conserve plants, animals, fish, or marine life are:
3. How would the proposal be likely to deplete energy or natural resources?
• Proposed measures to protect or conserve energy and natural resources are:
4. How would the proposal be likely to use or affect environmentally sensitive areas or
areas designated (or eligible or under study)for governmental protection, such as parks,
wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or
cultural sites, wetlands,floodplains, or prime farmlands?
• Proposed measures to protect such resources or to avoid or reduce impacts are:
5. How would the proposal be likely to affect land and shoreline use, including whether it
would allow or encourage land or shoreline uses incompatible with existing plans?
Proposed measures to avoid or reduce shoreline and land use impacts are:
SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 14 of 15
6. How would the proposal be likely to increase demands on transportation or public
services and utilities?
• Proposed measures to reduce or respond to such demand(s) are:
7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or
requirements for the protection of the environment.
SEPA Environmental checklist(WAC 197-11-960) January 2023 Page 15 of 15
ESA LISTED SALMONIDS CHECKLIST
Applica
nt Information Project Information Q
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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 watershed 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
(DEW) 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? STE��
Yes No
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2 . Has there ever been an ESA listed salmonid 7�ck present in
this watershed? Yes No Uncertain
Please describe. JEe A"VlE Aires h-1-Sd
If you answered "yes" to either of the above questions, you
should complete the remainder of this checklist.
1
PROJECT SPECIFICS: The questions in this section are specific to
the project and vicinity.
1 . Name of watershed: ,4,0VV / � //llv��r�} owl
2 . Name of nearest waterbody:
3 . What is the distance from this project to the nearest body of
wa t e r? OC8 Lt�FST J X4T rjrS 7-� IS- T�
often a buffer between the project and a stream reduGe the chance 1&W
negative impact to fish. L`fji�f/(��/�L /*� �,�;(� q% �CJ�
4 . What is the current land use between the project and the
potentially affected water body (parking lots, farmland, etc) ?
5 . Is the project above a:
• natural permanent barrier (waterfall) Yes No
• natural temporary barrier (beaver pond) Yes No-)(
• man-made barrier (culvert, dam) Yes No-,,—Y
• other (explain) :
6. If yes, are there any resident salmonid populations above the
blockage? Yes No Don' t know
7 . What percent of the project will be impervious surface
(including pavement & roof area) ?
2
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:
i . Surface water? Yes Now
Amount
Name of surface water body
ii . Ground water? Yes Nox-
Amount
From where
Depth of well
2 . Will any water be rerouted? Yes No)(
If yes, will this require a channel change?
3 . Will there be retention or detention ponds? Yes No
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 Nox- 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 No Y.
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 X
If yes, how will the loss of flood storage be mitigated by
your project?
3
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 x
If yes, describe .
2 . Will your project either reduce or increase shade along or
over a waterbody? Yes No_x_
Removal of shading vegetation or the building of structures such as docks or
floats often result 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
In-water or near water work will often increase turbidity.
S . Will your project require long term maintenance, i .e. bridge
cleaning, highway salting, chemical sprays for vegetation
management, clearing of parking lots?
Yes No If yes, please describe .
4
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-,X A4,9 � X)4$
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?
5
RESOURCES
Washington Department of Fish and Wildlife Website
www.wdfw.wa.gov
This site has useful information on fish habitat .
Washington Department of Ecology Website
www.ecy.wa.gov
Click on the Water Quality button on the left side of this page.
National Marine Fisheries Services Website
Evolutionarily Significant Unit (ESU) maps can be found at
www.nwr.noaa.gov
Click on the Endangered Species Act (ESA) links to view the ESU
maps and other information.
NOTE: Most applicants should have the information necessary to
answer most of the questions in this checklist. Additional
information will need to be obtained by local and state agencies
if it appears that the project is likely to affect ESA listed
species.
6