HomeMy WebLinkAboutECF_Fairyland_v1SEPA Environmental Checklist 1
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SEPA Environmental checklist September 2023 Page 1
(WAC 197-11-960)
Purpose of checklist
Governmental agencies use this checklist to help determine whether the environmental impacts of your
proposal are significant. This informaLon is also helpful to determine if available avoidance, minimizaLon, or
compensatory miLgaLon 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 informaLon about your proposal. Please answer
each quesLon accurately and carefully, to the best of your knowledge. You may need to consult with an agency
specialist or private consultant for some quesLons. 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 aQach or
incorporate by reference addiLonal studies reports. Complete and accurate answers to these quesLons oRen
avoid delays with the SEPA process as well as later in the decision-making process.
The checklist quesLons apply to all parts of your proposal, even if you plan to do them over a period of Lme
or on different parcels of land. AQach any addiLonal informaLon 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 addiLonal informaLon reasonably related to determining if there may be significant adverse impact.
Instructions for lead agencies
Please adjust the format of this template as needed. AddiLonal informaLon may be necessary to evaluate the
exisLng 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 informaLon needed to make an adequate
threshold determinaLon. Once a threshold determinaLon is made, the lead agency is responsible for the
completeness and accuracy of the checklist and other supporLng documents.
Use of checklist for nonproject proposals
For nonproject proposals (such as ordinances, regulaLons, plans and programs), complete the applicable parts
of secLons A and B, plus the Supplemental Sheet for Nonproject AcLons (Part D). Please completely answer all
quesLons that apply and note that the words "project," "applicant," and "property or site" should be read as
"proposal," "proponent," and "affected geographic area," respecLvely. The lead agency may exclude (for non-
projects) quesLons in “Part B: Environmental Elements” that do not contribute meaningfully to the analysis of
the proposal.
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(WAC 197-11-960)
A.Background
Find help answering background quesLons 2
1.Name of proposed project, if applicable:
Change of Use from fast food to Daycare
2.Name of applicant:
Fairyland Learning Center
3.Address and phone number of applicant and contact person:
Milan Heger, (206) 898-6609
4.Date checklist prepared:
May 2024
5.Agency requesHng checklist:
City of Renton - Permit Services
6.Proposed Hming of schedule (including phasing, if applicable):
ConstrucLon of Tenant Improvements June 2024 - August 2024
7.Do you have any plans for future addiHons, expansion, or further acHvity related to or
connected with this proposal? If yes, explain.
No
8.List any environmental informaHon you know about that has been prepared, or will be
prepared, directly related to this proposal.
None
9.Do you know whether applicaHons are pending for governmental approvals of other
proposals directly affecHng the property covered by your proposal? If yes, explain.
No
10.List any government approvals or permits that will be needed for your proposal, if known.
T.I. Building Permit,
11.Give brief, complete descripHon of your proposal, including the proposed uses and the
size of the project and site. There are several quesHons 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 addiHonal specific informaHon
on project descripHon.)
Improve and remodel the empty shell of the part of building, to serve as a Daycare Center,
Interior renovaLon only.
12.LocaHon of the proposal. Give sufficient informaHon for a person to understand the
precise locaHon of your proposed project, including a street address, if any, and secHon,
township, and range, if known. If a proposal would occur over a range of area, provide the
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range or boundaries of the site(s). Provide a legal descripHon, 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 submi\ed with any
permit applicaHons related to this checklist.
LocaLon: 17630 108th Ave SE, Renton, WA 98055 Property ID: 3223059119
B.Environmental Elements
1.Earth
Find help answering earth quesLons 3
a.General descripHon of the site:
The site is a completely developed finished building, along with established parking and
driveway
Circle or highlight one: Flat, rolling, hilly, steep slopes, mountainous, other:
Flat lot
b.What is the steepest slope on the site (approximate percent slope)?
1%
c.What general types of soils are found on the site (for example, clay, sand, gravel, peat,
muck)? If you know the classificaHon 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.
No grading or removal of soil is proposed.
d.Are there surface indicaHons or history of unstable soils in the immediate vicinity? If
so, describe.
No
e.Describe the purpose, type, total area, and approximate quanHHes and total affected
area of any filling, excavaHon, and grading proposed. Indicate source of fill.
N/A None proposed
f.Could erosion occur because of clearing, construcHon, or use? If so, generally describe.
No
g.About what percent of the site will be covered with impervious surfaces a‘er project
construcHon (for example, asphalt or buildings)?
This project does not involve exterior work
h.Proposed measures to reduce or control erosion, or other impacts to the earth, if any.
No exterior work proposed
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2.Air
Find help answering air quesLons 4
a.What types of emissions to the air would result from the proposal during construcHon,
operaHon, and maintenance when the project is completed? If any, generally describe
and give approximate quanHHes if known.
Minimal emissions Limited to negligible dust from loading construcLon debris to container
b.Are there any off-site sources of emissions or odor that may affect your proposal? If so,
generally describe.
None
c.Proposed measures to reduce or control emissions or other impacts to air, if any:
Using construcLon bags
3. Water
Find help answering water quesLons 5
a.Surface:
Find help answering surface water quesLons 6
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.
No
2. Will the project require any work over, in, or adjacent to (within 200 feet) the
described waters? If yes, please describe and a\ach available plans.
No
3. Es Hmate 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.
N/A
4. Will the proposal require surface water withdrawals or diversions? Give a general
descripHon, purpose, and approximate quanHHes if known.
N/A None
5. Does the proposal lie within a 100-year floodplain? If so, note locaHon on the site
plan.
No
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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 anHcipated volume of discharge.
None
b.Ground:
Find help answering ground water quesLons 7
1.Will groundwater be withdrawn from a well for drinking water or other purposes?
If so, give a general descripHon of the well, proposed uses and approximate
quanHHes withdrawn from the well. Will water be discharged to groundwater?
Give a general descripHon, purpose, and approximate quanHHes if known.
No . N/A
2. Describe waste material that will be discharged into the ground from sepHc tanks
or other sources, if any (domesHc 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.
No such chemical waste materials are going to be discharged. The building has an
exisLng connecLon to sanitary sewer. There will be 50 children in the Daycare
Facility and seven teachers.
c.Water Runoff (including stormwater):
1. Describe the source of runoff (including storm water) and method of collecHon and
disposal, if any (include quanHHes, if known). Where will this water flow? Will this
water flow into other waters? If so, describe.
N/A ExisLng building. No proposed changes to the roof or exterior
2.Could waste materials enter ground or surface waters? If so, generally describe.
No. None of the materials or debris will enter surface or ground water.
3. Does the proposal alter or otherwise affect drainage pa\erns in the vicinity of the
site? If so, describe.
No. The proposal does not alter or affect drainage in ant way. This is T.I. interior only
d. Proposed measures to reduce or control surface, ground, and runoff water, and
drainage pa\ern impacts, if any:
N/A
4. Plants
Find help answering plants quesLons
a.Check the types of vegetaHon found on the site:
X☐ deciduous tree: alder, maple, aspen, other
X☐ evergreen tree: fir, cedar, pine, other
X☐ shrubs
X☐ grass
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☐ pasture
☐ crop or grain
☐ orchards, vineyards, or other permanent crops.
☐ wet soil plants: ca\ail, bu\ercup, bullrush, skunk cabbage, other
☐ water plants: water lily, eelgrass, milfoil, other
X☐ other types of vegetaHon
b.What kind and amount of vegetaHon will be removed or altered?
None
c. List threatened and endangered species known to be on or near the site.
None
d.Proposed landscaping, use of naHve plants, or other measures to preserve or enhance
vegetaHon on the site, if any.
No changes to the exisLng landscaping
e. List all noxious weeds and invasive species known to be on or near the site.
None
5. Animals
Find help answering animal quesLons 8
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.
Examples include:
•Birds: hawk, heron, eagle, songbirds, other:
•Mammals: deer, bear, elk, beaver, other:
•Fish: bass, salmon, trout, herring, shellfish, other:
No animals were spoQed on the site
b.List any threatened and endangered species known to be on or near the site.
No knowledge of endangered species on or near site
c. Is the site part of a migraHon route? If so, explain.
No
d. Proposed measures to preserve or enhance wildlife, if any.
No suggested or proposed measures to preserve or enhance wildlife
e. List any invasive animal species known to be on or near the site.
None are known
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6. Energy and natural resources
Find help answering energy and natural resource quesLons 9
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 heaHng,
manufacturing, etc.
Will use electric energy for heaLng.
b.Would your project affect the potenHal use of solar energy by adjacent properHes? If
so, generally describe.
No changes to the exisLng building exterior
c.What kinds of energy conservaHon features are included in the plans of this proposal?
List other proposed measures to reduce or control energy impacts, if any.
Smart thermostat
7. Environmental health
Health Find help with answering environmental health quesLons 10
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 dangerous or toxic chemicals, no hazardous substances.
1.Describe any known or possible contaminaHon at the site from present or past
uses.
None known. Site used to be a restaurant
2.Describe exisHng hazardous chemicals/condiHons 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 construcHon, or at any Hme during the
operaHng life of the project.
None
4.Describe special emergency services that might be required.
Ambulance in case of health emergencies.
5.Proposed measures to reduce or control environmental health hazards, if any.
None expected
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b.Noise
1.What types of noise exist in the area which may affect your project (for example:
traffic, equipment, operaHon, other)?
Just noise from regular traffic. Fire staLon trucks occasionally
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, construcHon, operaHon,
other)? Indicate what hours noise would come from the site)?
CONSTRUCTION 8 am - 5 pm
3.Proposed measures to reduce or control noise impacts, if any:
No music allowed, keeping doors closed
8. Land and shoreline use
Find help answering land and shoreline use quesLons 11
a.What is the current use of the site and adjacent properHes? Will the proposal affect
current land uses on nearby or adjacent properHes? If so, describe.
Currently, the other tenant is a Veterinarian Clinic
Adjacent properLes are typical shopping centers
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 farmland use
1.Will the proposal affect or be affected by surrounding working farm or forest
land normal business operaHons, such as oversize equipment access, the
applicaHon of pesHcides, Hlling, and harvesHng? If so, how?
NO
c.Describe any structures on the site.
Main building is 7,475 sq.R.
Garbage enclosure with roof is 124 sq.R.
d.Will any structures be demolished? If so, what?
No structures to be demolished
e.What is the current zoning classificaHon of the site?
Commercial Arterial (CA) Urban District D
f.What is the current comprehensive plan designaHon of the site?
Commercial
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g. If applicable, what is the current shoreline master program designaHon
of the site?
N/A
h. Has any part of the site been classified as a criHcal area by the city or
county? If so, specify.
No CriLcal Areas
i.Approximately how many people would reside or work in the completed project?
7
j.Approximately how many people would the completed project displace?
None
k. Proposed measures to avoid or reduce displacement impacts, if any.
N/A
l. Proposed measures to ensure the proposal is compaHble with exisHng
and projected land uses and plans, if any.
Totally CompaLble
m. Proposed measures to reduce or control impacts to agricultural and
forest lands of long-term commercial significance, if any:
N/A
9. Housing
Find help answering housing quesLons 12
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:
N/A
10. Aesthetics
Find help answering aestheLcs quesLons 13
a.What is the tallest height of any proposed structure(s), not including antennas; what is
the principal exterior building material(s) proposed?
N/A All exisLng single story
b.What views in the immediate vicinity would be altered or obstructed? N/A
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c. Proposed measures to reduce or control aestheHc impacts, if any:
N/A all exisLng
11. Light and glare
Find help answering light and glare quesLons 14
a.What type of light or glare will the proposal produce? What Hme of day would it
mainly occur?
None
b.Could light or glare from the finished project be a safety hazard or interfere with
views?
N/A no light glare
c.What exisHng off-site sources of light or glare may affect your proposal?
Unknown
d.Proposed measures to reduce or control light and glare impacts, if any:
N/A
12. Recreation
Find help answering recreaLon quesLons
What designated and informal recreaHonal opportuniHes are in the immediate vicinity?
Shopping Center
a.Would the proposed project displace any exisHng recreaHonal uses? If so, describe.
No
b.Proposed measures to reduce or control impacts on recreaHon, including recreaHon
opportuniHes to be provided by the project or applicant, if any:
N/A
13. Historic and cultural preservation
Find help answering historic and cultural preservaLon quesLons 15
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 lisHng in naHonal, state, or local preservaHon
registers? If so, specifically describe.
None
b.Are there any landmarks, features, or other evidence of Indian or historic use or
occupaHon? This may include human burials or old cemeteries. Are there any material
evidence, arHfacts, or areas of cultural importance on or near the site? Please list any
professional studies conducted at the site to idenHfy such resources.
None
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c.Describe the methods used to assess the potenHal impacts to cultural and historic
resources on or near the project site. Examples include consultaHon with tribes and
the department of archeology and historic preservaHon, archaeological surveys,
historic maps, GIS data, etc.
N/A
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.
N/A
14. Transportation
Find help with answering transportaLon quesLons 16
a.IdenHfy public streets and highways serving the site or affected geographic area and
describe proposed access to the exisHng street system. Show on site plans, if any.
ExisLng access to 108th Ave SE No changes
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?
Bus line, nearest bus stop 250 feet
c.Will the proposal require any new or improvements to exisHng roads, streets,
pedestrian, bicycle, or state transportaHon faciliHes, 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
transportaHon? 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 transportaHon models were used to make these esHmates?
Completed project will have Daycare “drop-o ff ” and “pick-up”.
Typically this will happen 8-9 am and 3-4pm.
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 transportaHon impacts, if any:
N/A
15. Public services
Find help answering public service quesLons 17
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a.Would the project result in an increased need for public services (for example: fire
protecHon, police protecHon, public transit, health care, schools, other)? If so,
generally describe.
No increased need for public services.
b.Proposed measures to reduce or control direct impacts on public services, if any.
N/A
16. Utilities
Find help answering uLliLes quesLons 18
a.Circle uHliHes currently available at the site: electricity, natural gas, water, refuse
service, telephone, sanitary sewer, sepHc system, other:
All uLliLes are exisLng: electricity, water, gas.
b.Describe the uHliHes that are proposed for the project, the uHlity providing the
service, and the general construcHon acHviHes on the site or in the immediate vicinity
which might be needed.
No changes to uLliLes
C.Signature
Find help about who should sign 19
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.
Milan Heger
Type name of signee: Milan Heger
PosiHon and agency/organizaHon: Architect
Date submi\ed: 05/22/2024
D.Supplemental sheet for nonproject actions
Find help for the nonproject acLons worksheet 20
Do not use this secLon for project acLons.
X
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Because these quesLons are very general, it may be helpful to read them in conjuncLon with
the list of the elements of the environment.
When answering these quesLons, be aware of the extent the proposal, or the types of acLviLes
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;
producHon, storage, or release of toxic or hazardous substances; or producHon of
noise?
No discharges to air, water, no use of toxic substances, no hazardous materials.
Low to none exterior noise levels
•Proposed measures to avoid or reduce such increases are:
Negligible impact
2.How would the proposal be likely to affect plants, animals, fish, or marine life?
N/A No affect to plants, animals or fish
•Proposed measures to protect or conserve plants, animals, fish, or marine life are:
N/A
3.How would the proposal be likely to deplete energy or natural resources?
No impact
•Proposed measures to protect or conserve energy and natural resources are:
N/A
4.How would the proposal be likely to use or affect environmentally sensiHve areas or areas
designated (or eligible or under study) for governmental protecHon, such as parks,
wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or
cultural sites, wetlands, floodplains, or prime farmlands?
No impact on CriLcal Areas
•Proposed measures to protect such resources or to avoid or reduce impacts are:
N/A
5. How would the proposal be likely to affect land and shoreline use, including whether it
would allow or encourage land or shoreline uses incompaHble with exisHng plans?
N/A
•Proposed measures to avoid or reduce shoreline and land use impacts are:
N/A
6. How would the proposal be likely to increase demands on transportaHon or public
services and uHliHes?
Slight increase use of bus line possible
•Proposed measures to reduce or respond to such demand(s) are:
Negligible impact
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7. IdenHfy, if possible, whether the proposal may conflict with local, state, or federal laws or
requirements for the protecHon of the environment.
N/A
EXHIBIT: EXISTING TREES and PLANTS LIST:
TREES AND SHRUBS
(EXISTING)
LIST OF TREES:
1/ THUNDERCLOUD FLOWERING PLUM
2/ SPIRE CHERRY
3/ WHITE ALDER
4/ RED DRAGON JAPANESE MAPLE
5/ BLACK LACE JAPANESE MAPLE
6/ BROAD LEAF MAPLE
SHRUBS AND BUSHES:
7/ THICK GREEN BUSHES
8/ WESTERN RED CEDAR SHRUB
9/ GREEN CAMELLIA SHRUB
10/ FALSA ACACIA
11/ RHODODENDRON WHINE AND ROSES
12/ PACIFIC NINEBARK
13/ AMERICAN HAZELNUT
13/ EVERGREEN JUNIPER SHRUB
14/ LINEBACKER DISTYLIUM
GRASSES AND GROUND COVER:
15/ DECORATIVE ORNAMENTAL GRASSES
16/ GROUND COVER VINKA MINOR
17/ SPLENDOR HOSTA
18/ NW NATIVE FIRN
19/ NW HOPBUSH
20/ ASIATIC JASMINE SHRUB
21/ BARRENWORT GROUND COVER
SEPA Environmental checklist September 2023 Page 15
(WAC 197-11-960)
(EXISTING) PLANTING PLAN: TREES, SHRUBS AND GROUND COVERS
SEPA Environmental checklist September 2023 Page 16
(WAC 197-11-960)