HomeMy WebLinkAboutLifshaz SEPA Checklist 12 8 2022S04 Web date: 07/15/2015
S04 Web date: 07/15/2015 Page 1 of 12 SEPAChecklistFORM.doc lc-ckl-SEPA.pdf
Department of Permitting
and Environmental Review
35030 SE Douglas Street, Suite 210
Snoqualmie, WA 98065-9266
206-296-6600 TTY Relay: 711
www.kingcounty.gov
For alternate formats, call 206-296-6600
SEPA ENVIRONMENTAL CHECKLIST
Purpose of checklist:
Governmental agencies use this checklist to help determine whether the environmental impacts of your
proposal are significant. This information is also helpful to determine if available avoidance, minimization
or compensatory mitigation measures will address the probable significant impacts or if an environmental
impact statement will be prepared to further analyze the proposal.
Instructions for applicants:
This environmental checklist asks you to describe some basic information about your proposal. Please
answer each question accurately and carefully, to the best of your knowledge. You may need to consult
with an agency specialist or private consultant for some questions. You may use “not applicable” or
"does not apply" only when you can explain why it does not apply and not when the answer is unknown.
You may also attach or incorporate by reference additional studies reports. Complete and accurate
answers to these questions often avoid delays with the SEPA process as well as later in the decision-
making process.
The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of
time or on different parcels of land. Attach any additional information that will help describe your proposal
or its environmental effects. The agency to which you submit this checklist may ask you to explain your
answers or provide additional information reasonably related to determining if there may be significant
adverse impact.
Instructions for Lead Agencies:
Please adjust the format of this template as needed. Additional information may be necessary to
evaluate the existing environment, all interrelated aspects of the proposal and an analysis of adverse
impacts. The checklist is considered the first but not necessarily the only source of information needed to
make an adequate threshold determination. Once a threshold determination is made, the lead agency is
responsible for the completeness and accuracy of the checklist and other supporting documents.
Use of checklist for nonproject proposals:
For nonproject proposals (such as ordinances, regulations, plans and programs), complete the applicable
parts of sections A and B plus the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D). Please
completely answer all questions that apply and note that the words "project," "applicant," and "property or
site" should be read as "proposal," "proponent," and "affected geographic area," respectively. The lead
agency may exclude (for non-projects) questions in Part B - Environmental Elements –that do not
contribute meaningfully to the analysis of the proposal.
A. Background
Name of proposed project, if applicable: Overman Single-family Residence
SEPA CHECKLIST
S04 Web date: 07/15/2015
S04 Web date: 07/15/2015 Page 2 of 12 SEPAChecklistFORM.doc lc-ckl-SEPA.pdf
Name of applicant: Yan Lifshaz
1. Address and phone number of applicant and contact person:
Yan Lifshaz
PO Box 53046
Bellevue, WA 98015
425-443-6129
ylifshaz@comcast.net
Contact Person: Jeffery S. Jones
P.O. Box 1908
Issaquah WA 98027
(253) 905-5736
jeff.jsjones@comcast.net
2. Date checklist prepared:
12/8/2022
3. Agency requesting checklist:
King County, Department of Permitting and Environmental Review (DPER)
4. Proposed timing or schedule (including phasing, if applicable):
Spring 2023 through Fall of 2023
5. Do you have any plans for future additions, expansion, or further activity related to or
connected with this proposal?
No
6. List any environmental information you know about that has been prepared, or will be
prepared, directly related to this proposal.
J. S. Jones and Associates, Inc., Critical Area Study, 11/15/2022
J. S. Jones and Associates, Inc., Mitigation Plan, 11/30/2022
7. Do you know whether applications are pending for governmental approvals of other
proposals directly affecting the property covered by your proposal? If yes, explain.
None
8. List any government approvals or permits that will be needed for your proposal, if known.
None
9. Give 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.)
The applicants propose to construct a single-family residence on the subject property. The parcel
is entirely encumbered by wetland and wetland buffer. The residence will be located in the
wetland buffer the minimum front and side setback from property lines and as far from the wetland
boundary as possible. There will be a 15-foot bsbl around the structure. The building envelope is
4, 962 square feet, which is below the maximum, 5,000 sf, allowed by King County. Water and
sewer are available in the street. Mitigation will be equal to or greater than the area of the
impacted buffer and onsite in the form of vegetative enhancement.
S04 Web date: 07/15/2015
S04 Web date: 07/15/2015 Page 3 of 12 SEPAChecklistFORM.doc lc-ckl-SEPA.pdf
10. 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 tax parcel number is 102305-9360. The subject study area is in Section 10, Township 23
North, Range 5 East, of the Willamette Meridian.
The address is 551XX NE 10th St., Renton, WA
See attached Vicinity Map and Site Map
B. ENVIRONMENTAL ELEMENTS
1. Earth
a. General description of the site:
(circle one): hilly, steep slopes, mountainous, other
Terrace and Slope
b. What is the steepest slope on the site (approximate percent slope)? 20%
c. What general types of soils are found on the site (for example, clay, sand, gravel, peat,
muck)?
Gravelly sandy loam and silt loam
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so,
describe.
No
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.
Grading for the foundation, landscaping, and driveway, approx. 500 cubic yards
f. Could erosion occur as a result of clearing, construction, or use? If so, generally
describe.
Yes, if erosion control measures are not used.
g. About what percent of the site will be covered with impervious surfaces after project
construction (for example, asphalt or buildings)?
18%
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any:
Maintain silt fence and reestablish grass after construction, other erosion control
measures implemented as necessary
2. Air
a. What types of emissions to the air would result from the proposal during construction,
operation, and maintenance when the project is completed? If any, generally describe
and give approximate quantities if known.
Emissions from excavation equipment and trucks during construction.
S04 Web date: 07/15/2015
S04 Web date: 07/15/2015 Page 4 of 12 SEPAChecklistFORM.doc lc-ckl-SEPA.pdf
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
a. Surface Water:
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.
Onsite Wetlands and an Unnamed Tributary of Honey Creek
Honey Creek is approx.. 50 feet west of the parcel.
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.
Yes, the single-family residence and mitigation will be within 200 feet of
wetlands and creeks
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 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.
No, no work will occur within a 100-year floodplain
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:
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 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.
None
c. Water runoff (including stormwater):
1) Describe the source of runoff (including storm water) and method of collection
S04 Web date: 07/15/2015
S04 Web date: 07/15/2015 Page 5 of 12 SEPAChecklistFORM.doc lc-ckl-SEPA.pdf
and disposal, if any (include quantities, if known). Where will this water flow?
Will this water flow into other waters? If so, describe.
Runoff will discharge to the wetlands
2) Could waste materials enter ground or surface waters? If so, generally describe.
Yes, if by sheetflow to the wetlands and creeks
3) 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:
Project will comply with the Stormwater Manual.
4. Plants
a. Check the types of vegetation found on the site:
X deciduous tree: alder, maple, aspen, other
evergreen tree: fir, cedar, pine, other
X shrubs
X grass
pasture
crop or grain
Orchards, vineyards or other permanent crops.
X wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other
water plants: water lily, eelgrass, milfoil, other
other types of vegetation
b. What kind and amount of vegetation will be removed or altered?
5,200 square feet of Himalayan blackberry
c. List threatened and endangered species known to be on or near the site.
None
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance
vegetation on the site, if any: Mitigation for buffer impacts is vegetative
enhancement of an equal area with native plant species
e. List all noxious weeds and invasive species known to be on or near the site.
Himalayan Blackberry and reed canarygrass
5. Animals
a. List any birds and other animals which 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
S04 Web date: 07/15/2015
S04 Web date: 07/15/2015 Page 6 of 12 SEPAChecklistFORM.doc lc-ckl-SEPA.pdf
b. List any threatened and endangered species known to be on or near the site.
None
c. Is the site part of a migration route? If so, explain.
The Pacific Flyway
Proposed measures to preserve or enhance wildlife, if any:
Vegetative enhancement of wetland buffer
d. List any invasive animal species known to be on or near the site.
None known
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.
Electric & Natural Gas
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:
Use of energy efficient appliances, Double pain windows, Energy efficient building
practices
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.
No
1) Describe any known or possible contamination at the site from present or past uses.
None known
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:
None
b. Noise
1) What types of noise exist in the area which may affect your project (for example:
S04 Web date: 07/15/2015
S04 Web date: 07/15/2015 Page 7 of 12 SEPAChecklistFORM.doc lc-ckl-SEPA.pdf
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-term basis (for example: traffic, construction, operation, other)?
Indicate what hours noise would come from the site.
Short Term: Construction equipment, and vehicles
Long Term: none
Construction noise may occur from 7 am to 7 pm
3) Proposed measures to reduce or control noise impacts, if any:
Limiting operational hours during construction
8. Land and Shoreline Use
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.
The site is a vacant residential lot. The nearby land uses are residential.
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 as a result 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 non-farm or non-forest 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.
None
d. Will any structures be demolished? If so, what?
No
e. What is the current zoning classification of the site?
R4
f. What is the current comprehensive plan designation of the site?
Not current available
g. If applicable, what is the current shoreline master program designation of the site?
Does not apply
h. Has any part of the site been classified as a critical area by the city or county? If so,
specify.
Yes, a forested wetland has been identified
i. Approximately how many people would reside or work in the completed project?
2-6 people
j. Approximately how many people would the completed project displace?
None
S04 Web date: 07/15/2015
S04 Web date: 07/15/2015 Page 8 of 12 SEPAChecklistFORM.doc lc-ckl-SEPA.pdf
k. Proposed measures to avoid or reduce displacement impacts, if any:
None
L. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any:
None
m. Proposed measures to ensure the proposal is compatible with nearby agricultural and
forest lands of long-term commercial significance, if any:
None
9. Housing
a. Approximately how many units would be provided, if any? Indicate whether high,
middle, or low-income housing.
One middle income housing unit
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?
35 feet
b. What views in the immediate vicinity would be altered or obstructed?
No
c. Proposed measures to reduce or control aesthetic impacts, if any:
None
11. Light and Glare
a. What type of light or glare will the proposal produce? What time of day would it mainly
occur?
Possible window glare throughout the day.
b. Could light or glare from the finished project be a safety hazard or interfere with views?
No
S04 Web date: 07/15/2015
S04 Web date: 07/15/2015 Page 9 of 12 SEPAChecklistFORM.doc lc-ckl-SEPA.pdf
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
12. Recreation
a. What designated and informal recreational opportunities are in the immediate vicinity?
May Valley Park
Sno King Hockey Arena
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 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
located on or near the site? If so, specifically describe.
There are no structures on or near the site listed or eligible for preservation.
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.
None known
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.
None
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.
None
14. Transportation
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.
The site is accessible to SE Renton-Issaquah Rd (Hwy 900) & NE 4th
St.
S04 Web date: 07/15/2015
S04 Web date: 07/15/2015 Page 10 of 12 SEPAChecklistFORM.doc lc-ckl-SEPA.pdf
b. Is the site or affected geographic area currently served by public transit? If so, generally
describe. If not, what is the approximate distance to the nearest transit stop?
No, the nearest stops are approximately 1.32 miles, north on 148th Ave SE; west on SR 900
to the intersection with Duvall Ave
c. How many additional parking spaces would the completed project or non-project
proposal have? How many would the project or proposal eliminate?
Two additional parking spaces
No parking spaces will be eliminated.
d. 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
e. Will the project or proposal use (or occur in the immediate vicinity of) water, rail, or air
transportation? If so, generally describe.
No
f. 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 non-passenger vehicles). What
data or transportation models were used to make these estimates?
The completed project may result in 1-6 vehicular trips per day. The peak volume times
and percentage of trucks are not known. Transportation models were not used.
g. 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
h. 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, 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
a. Circle utilities currently available at the site:
electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system,
other Co
S04 Web date: 07/15/2015
S04 Web date: 07/15/2015 Page 11 of 12 SEPAChecklistFORM.doc lc-ckl-SEPA.pdf
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.
PSE – Gas and Electricity
Republic Services – Garbage and Recycling
King County Water District 90 – Water
City of Renton - Sewer
C. Signature
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.
Signature:
Name of signee: Jeffery S. Jones
Position & Agency/Organization: Wetland Scientist/J. S. Jones and Assoc., Inc.
Date Submitted: 12/8/2022
D. Supplemental sheet for nonproject actions
(IT IS NOT NECESSARY to use this sheet 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?
No
Proposed measures to avoid or reduce such increases are:
None
2. How would the proposal be likely to affect plants, animals, fish, or marine life?
Yes, vegetative enhancement along the shoreline will improve wildlife habitat.
Proposed measures to protect or conserve plants, animals, fish, or marine life are:
The remaining wetland and wetland buffer will be protected in a native growth protection
easement and the buffer will be restored to a native plant community.
3. How would the proposal be likely to deplete energy or natural resources?
S04 Web date: 07/15/2015
S04 Web date: 07/15/2015 Page 12 of 12 SEPAChecklistFORM.doc lc-ckl-SEPA.pdf
No
Proposed measures to protect or conserve energy and natural resources are:
None
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?
Yes, the project will improve the functions of the wetland buffer
Proposed measures to protect such resources or to avoid or reduce impacts are:
Erosion control measures will be used to protect water quality
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?
No
Proposed measures to avoid or reduce shoreline and land use impacts are:
The land use is less than 5,000 sf of wetland buffer impact
6. How would the proposal be likely to increase demands on transportation or public
services and utilities?
No
Proposed measures to reduce or respond to such demand(s) are:
None
7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or
requirements for the protection of the environment.
This application does not conflict with any local state or federal requirements for protection
of the environment.