HomeMy WebLinkAboutECF_SEPA_Environmental_Checklist_Sam's_Club_UST_Removal_Project_180713_v1.pdfSEPA 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 notapply" onl when you can ex Iain whV 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 rHELPI
1. Name of proposed project, if applicable: Former Sam's Club Store #4835 Site Demolition &
UST Removal
2. Name of applicant: Sam's West, Inc.
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3. Address and phone number of applicant and contact person: 2101 Simple Saving Drive,
Bentonville, AR 72716 Russell Morgan 503.849.0753
4. Date checklist prepared: July 2, 2018
5. Agency requesting checklist: City of Renton
6. Proposed timing or schedule (including phasing, if applicable): Start as soon as all permits
approved — duration ~12 days
7. Do you
have any plans for
future additions,
expansion, or further activity related to or
connected
with this proposal?
If yes, explain.
None at this time
8. List any environmental information you
know
about that
has
been prepared, or will be
prepared, directly related to this proposal.
None
known at
this
time
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. None
known
10. List any government approvals or permits that will be needed for your proposal, if known.
City of Renton Demolition Permit & Renton Regional Fire Authority Underground
Commercial Tank Removal permit
11. 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 demolition of a former Sam's Club fueling station, demolition of canopy,
islands & attendant kiosk, rinse, inert, remove, size & dispose of 3- 20,000 reinforced
fiberglass gasoline fuel tanks
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. Sam's Club Renton is located at 901 South Gray Way, Renton, WA
98055, Parcel 2023059007, Lot 901, Lot area 398,719; Bounded on the South & East by
Hwy 405 on the west by Talbot Road S (515) and on the north by S Grady Way, Township
23N, Range 5E, Section 20
B. Environmental Elements HELP
Earth hi elpl
a. General description of the site:
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(circle one): Flat, rolling, hilly, steep slopes, mountainous, other
b. What is the steepest slope on the site (approximate percent slope)? ^29/6
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. Glacial till
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so,
describe. None Known
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. Saw cut & remove
concrete to access & remove 3 USTs, 2,200 sf removal, soil removal only pea gravel
around tanks, stockpile pea gravel for analytical testing, remove USTs, site
assessment by engineer (Terracon), backfill with pea gravel if clean & supplement with
type 17 general fill from local quarry (Lloyds, CalPortland, Iron Mtn. etc), total backfill
amount —700 tons, compact subbase & asphalt to match existing grade
f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. No
g. About what percent of the site will be covered with impervious surfaces after project
construction (for example, asphalt or buildings)? 100%
h. Proposed measures
to reduce or
control
erosion,
or other impacts to the earth, if any:
None anticipated but will
install catch
basin
inserts
2. Air hel
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. During rinsing & vacuuming the tanks minimal
gasoline vapors will escape from the tanks, during purging minimal gasoline vapors
may escape the tanks, for both activities work zone air monitoring will be performed
b. Are there any off-site sources of emissions or odor that may affect your proposal? If so,
generally describe. None known
c. Proposed measures to reduce or control emissions or other impacts to air, if any: None
proposed
3. Water hf elpl
a. Surface Water: hl elpl
1) Is there any surf
ace water body on or in the immediate vicinity of the site (including
year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe
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SEPA
Page 3 of 12
type and provide names. If appropriate, state what stream or river it flows into. Rolling
Hills Creek, unknown end of creek around S Benson Road & S 26 Street
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 creek is —100' south of
the site
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. NA
5) Does the. proposal lie within a 100 -year floodplain? If so, note location on site plan. NA
ti) 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 waste discharge
b. Ground Water: hf elpl
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. NA
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. NA
c. Water runoff (including stormwater):
1) Describe the source of runoff (including storm water) and method of collection
and disposal, if any (include quanes, if known). Where will this water flow?
Will this water flow into other waters? If so, describe. Stormwater runoff flows to
existing catch basins which will have inserts installed, catch basin discharge tied
into the municipal storm/sewer system
2) Could waste materials enter ground or surf
ace waters? If so, generally describe. NO
3) Does the proposal alter or otherwise affect drainage patterns in the vicinity of the site?
so, describe. NO
d. Proposed measures to reduce or control surface, ground, and runoff water, and drainage
pattern impacts, if any: Existing catch basin (1) install insert, 80' of oil asborbant boom
would be placed on the down gradient side of the site held in place with sand bags
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4. Plants LUel
a. Check the types of vegetation found on the site: NA parking lot
_deciduous tree: alder, maple; aspen, other
_evergreen tree: fir, cedar, pine, other
_shrubs
_grass
_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
_other types of vegetation
b. What kind and amount of vegetation will be removed or altered? Minimal to no landscaping
removed
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 presence or enhance
vegetation on the site, if any: May landscape small kiosk area if requested by owner
e. List all noxious weeds and invasive species known to be on or near the site. None known
parking lottgrass
5. Animals hf elpl
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. Songbirds
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. None
c. Is the site part of a migration route? If so, explain. No
d. Proposed measures to preserve or enhance wildlife, if any: NA
e. List any invasive animal species known to be on or near the site. NA
6. Energy and Natural Resources hI elpl
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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. NA
b. Would your project affect the potential use of solar energy by adjacent properties?
If so, generally describe. NA
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: NA
7. Environmental Health hel
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. Yes, removing gasoline UST potential for spill, fire or explosion if
protocols not followed, will clean tanks, have marine chemist inert & remove tanks
1) Describe any known or possible contamination at the site from present or past uses.
None known, site assessment per Ecology guidelines will be performed when
tanks are removed
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 in the immediate vicinity of
the USTs, utility locates (Public & private) will be performed prior to any work
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. UST contain minimal (1r' or less) residual gasoline
4) Describe special emergency services that might be required. Fire Department to
oversee UST Permit inspections during inerting &removal
5) Proposed measures to reduce or control environmental health hazards, if any: Utilize
establish protocols & certified/trained/experienced personnel
b. Noise
1) What types of noise exist in the area which may affect your project (for example:
trafficI equipment, operation, other)? None that will affect the project
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)? Indi-
cate what hours noise would come from the site. Heavy equipment, excavators & truck &
trailers breaking concrete & hauling for ~ 3days & vacuum truck removing rinsate
from USTs, anticpated daily work times start 7:00 AM to —4:00 PM
SEPA Environmental checMlisf (WAC 197-11.960) July 2016 Page 6 Of 12
3) Proposed measures to reduce or control noise impacts, if any: Minimize the amount &
size of concrete to be removed to extent possible, attempt to not "drop" concrete
into trucks during loading
8. Land and Shoreline Use heI
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. Currently Sam's Club parking
lot out of service fueling station; adjacent properties Talbot & 405 road & opposite
side of large parking lot City of Renton City Hall, no affect
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 nonfarm or
nonforest use? No
1) Will the proposal affect or be affected by surrounding working farm orforest 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. Fuel canopy —40'x80' &kiosk bldg —72'x30'
d. Will any structures be demolished? If so, what? Fuel canopy &kiosk bldg
e. What is the current zoning classification of the site? Commercial Arterial
f. What is the current comprehensive plan designation of the site? Commercial Mixed Use
g. If applicable, what is the current shoreline master program designation of the site? NA
h. Has any part of the site been classified as a critical area by the city or county? If so, specify.
NA
i. Approximately how many people would reside or work in the completed project? NA
j. Approximately how many people would the completed project displace? NA
k. Proposed measures to avoid or reduce displacement impacts, if any: NA
L. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any: NA
m. Proposed measures to reduce or control impacts to agricultural and forest lands of long-term
commercial significance, if any: NA
9. Housing hel
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a. Approximately how many units would be provided, if any? Indicate whether high, mid-
dle, or low-income housing. NA
b. Approximately how many units, if any, would be eliminated? Indicate whether high,
middle, or low-income housing. NA
cI Proposed measures to reduce or control housing impacts, if any: NA
10. Aesthetics hf elpl
a. What is the tallest height of any proposed structure(s), not including antennas; what is
the principal exterior building material(s) proposed? NA
bI What views in the immediate vicinity would be altered or obstructed? NA
b. Proposed measures to reduce or control aesthetic impacts, if any: NA
11. Light and Glare hf elol
a. What type of light or glare will the proposal produce? What time of day would it mainly
occur? NA
b. Could light or glare from the finished project be a safety hazard or interfere with views? NA
c. What existing off-site sources of light or glare may affect your proposal? NA
d. Proposed measures to reduce or control light and glare impacts, if any: NA
12. Recreation hf sial
a. What designated and informal recreational opportunities are in the immediate vicinity? NA
b. Would the proposed project displace any existing recreational uses? If so, describe. NA
c. Proposed measures to reduce or control impacts on recreation, including recreation
oVV ortunities to be provided by the project or applicant, if any: NA
13. Historic and culfural preservation hf elpl
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. NA
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. NA
SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 8 0112
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.
NA
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.
Current contract to remove only USTs & previous installed fill material
74. Transportation hi elpl
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. Talbot
Road S, S Grady Way & 1=405, enter and exit highway & streets via existing entry & exit
points/ramps/signal lights
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 public
bus service to the immediate area on S Grady Way numerous stops
c. How many additional parking spaces would the completed project ornon-project proposal
have? How many would the project or proposal eliminate? None anticipated to be added at
this time, none 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). NA
e. Will the project
or
proposal use
(or occur
in the immediate vicinity of) water, rail, or air
transportation?
If
so, generally
describe.
NA
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 nonpassenger vehicles). What data or transportation
models were used to make these estimates? Anticipate 13 vehicles trips for two (2) days
of the project. Of the 13 vehicles nine (9) would be truck & trailer untis over an 8 hour
period with maximum density of 3 trucks per hour at 7:00-8:00 AM. With remaining six
(6) truck trips spread over the remainder of the day. The remaining days of the project
would have a maximum of five (5) vehicles onsite most entering at —7:00 AM to start
work & leaving at —4:00 PM at the end of work. Potential that one (1) of 5 vehicle trips
per day may be a truck and trailer. Maximum 40% truck & trailer (26 out of 66 vehicle
over ~10 work days)
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. NA
SEPA Environmental checklist (WAC 197-11-960) July 2016 Page y of 1 L
h. Proposed measures to reduce or control transportation impacts, if any: NA
15, Public Serviceshf elpl
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. NA
16. Utilities hf elpl
a. Circle utilities currently available at the site: Electricity, water, sewer
electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system,
other
c. 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. NA
C. Signature HELP
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 signet
Position and Agency/Organization NRC Project Manager
Date Submitted: July 9 2018
D. Supplemental sheet for nonproject actions HELP
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
SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 10 of 12
at a faster rate
than if the proposal
were not implemented.
Respond
briefly and in
general terms.
duction, storage, or release
of toxic
or hazardous substances; or
production
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:
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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 demands) are:
7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or
requirements for the protection of the environment.
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