HomeMy WebLinkAboutECF_Environmental_Checklist_220407_v1DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Page 1 of 16 | Published: 5/13/2021
Planning Division | 1055 South Grady Way, 6th Floor | Renton, WA 98057 | 425-430-7200 | www.rentonwa.gov
ENVIRONMENTAL CHECKLIST
Published: 5/13/2021
PURPOSE OF CHECKLIST
The State Environmental Policy Act (SEPA), Chapter 43.21C RCW, requires all governmental agencies to consider
the environmental impacts of a proposal before making decisions. An Environmental Impact Statement (EIS)
must be prepared for all proposals with probable significant adverse impacts on the quality of the environment.
The purpose of this checklist is to provide information to help you and the agency ide ntify impacts from your
proposal (and to reduce or avoid impacts from the proposal, if it can be done) and to help the agency decide
whether an EIS is required.
INSTRUCTIONS FOR APPLICANTS
This environmental checklist asks you to describe some basic information about your proposal. Governmental
agencies use this checklist to determine whether the environmental impacts of your proposal are significant,
requiring preparation of an EIS. Answer the questions briefly, with the most precise information know n, or give
the best description you can.
You must answer each question accurately and carefully, to the best of your knowledge. In most cases, you
should be able to answer the questions from your own observations or project plans without the need to hire
experts. If you really do not know the answer, or if a question does not apply to your proposal, write “do not
know“ or “does not apply“. Complete answers to the questions now may avoid unnecessary delays later.
Some questions ask about governmental regulations, such as zoning, shoreline, and landmark designations.
Answer these questions if you can. If you have problems, the governmental agencies can assist you.
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.
USE OF CHECKLIST FOR NONPROJECT PROPOSALS
Complete this checklist for non-project proposals, even though questions may be answered "does not apply."
IN ADDITION, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D).
For non-project actions (actions involving decisions on policies, plans and programs), the references in the
checklist to the words “project," "applicant,“ and "property or site“ sh ould be read as "proposal," "proposer,“
and "affected geographic area," respectively.
ENVIRONMENTAL CHECKLIST (CONT ’D )
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A.BACKGROUND
1.Name of proposed project, if applicable:
2.Name of applicant:
3.Address and phone number of applicant and contact person:
4.Date checklist prepared:
5.Agency requesting checklist:
6.Proposed timing or schedule (including phasing, if applicable):
7.Do you have any plans for future additions, expansion, or further activity related to or connected with this
proposal? If yes, explain.
8.List any environmental information you know about that has been prepared, or will be prepared,
directly related to this proposal.
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.
10.List any government approvals or permits that will be needed for your proposal, if known.
11.Give brief, complete description of your proposal, including the proposed uses and the size of the project
and site.
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,
Lew Residence
Madison Johnson
1080 W Ewing St Bldg B Seattle WA 98119
206-236-1700
3/8/2022
City of Renton
Upon open work window and receipt of all permits
No
Lake Study
No
federal Section 10 permit from US Army Corps of Engineers, Hydraulic Project Approval from WDFW,
SSDP from City of Renton, Building permit from City of Renton
We propose to drive (18) new 8" steel piles, and construct a 613 sq ft dock covered by grated decking
material.
ENVIRONMENTAL CHECKLIST (CONT ’D )
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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.
B.ENVIRONMENTAL ELEMENTS
1.EARTH
a.General description of the site (check one):
Flat
Rolling
Hilly
Steep slopes
Mountainous
Other _____________.
b.What is the steepest slope on the site (approximate percent slope)?
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.
d.Are there surface indications or history of unstable soils in the immediate vicinity? If so,
describe.
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.
f.Could erosion occur as a result of clearing, construction, or use? If so, generally describe.
g.About what percent of the site will be covered with impervious surfaces after project
construction (for example, asphalt or buildings)?
h.Proposed measures to reduce or control erosion, or other impacts to the earth, if any:
3101 Mountain View Ave N Renton, WA 98056
SE Quarter Of Section 31, Township 24, Range 05
Less than 5%
Sand and gravel
No
N/A
No
None
N/A
ENVIRONMENTAL CHECKLIST (CONT ’D )
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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.
b.Are there any off-site sources of emissions or odor that may affect your proposal? If so,
generally describe.
c.Proposed measures to reduce or control emissions or other impacts to air, if any:
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.
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.
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.
4)Will the proposal require surface water withdrawals or diversions? Give general
description, purpose, and approximate quantities if known.
5)Does the proposal lie within a 100-year floodplain? If so, note location on the site plan:
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.
Exhaust from construction equipment
No
Run equipment only as necessary
Lake Washington
We propose to drive (18) new 8" steel piles, and construct a 613 sq ft dock covered by grated
decking material.
None
No
No
No
ENVIRONMENTAL CHECKLIST (CONT ’D )
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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.
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.
c.Water runoff (including storm water):
1)Describe the source of runoff (including storm water) and method of collection
and disposal, if any (include quantities, if known). Where will this water flow?
Will this water flow into other waters? If so, describe.
2)Could waste materials enter ground or surface waters? If so, generally describe.
3) Proposed measures to reduce or control surface, ground, and runoff water,
and drainage pattern impacts, if any:
4.PLANTS [help]
a.Check the types of vegetation found on the site: [help]
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
No
None
N/A
N/A
N/A
ENVIRONMENTAL CHECKLIST (CONT ’D )
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water plants: water lily, eelgrass, milfoil, other
other types of vegetation
b.What kind and amount of vegetation will be removed or altered? [help]
c.List threatened and endangered species known to be on or near the site. [help]
d.Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation
on the site, if any: [help]
e.List all noxious weeds and invasive species known to be on or near the site. [help]
5.ANIMALS [help]
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. [help]
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. [help]
c.Is the site part of a migration route? If so, explain. [help]
d.Proposed measures to preserve or enhance wildlife, if any: [help]
None
No known threatened or endangered species on or near the site.
Please see associated native planting and vegetation plan.
None present along shoreline adjacent to work site.
Potential for Steelhead salmon, Chinook salmon, and bull trout to be in the adjacent waters of Lake
Washington.
Unknown
Mitigation including fully grated decking material, native shoreline vegetation plan, and construction
activity during
ENVIRONMENTAL CHECKLIST (CONT ’D )
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e.List any invasive animal species known to be on or near the site. [help]
6.ENERGY AND NATURAL RESOURCES [help]
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. [help]
b.Would your project affect the potential use of solar energy by adjacent properties?
If so, generally describe. [help]
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: [help]
7.ENVIRONMENTAL HEALTH [help]
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. [help]
1)Describe any known or possible contamination at the site from present or past uses. [help]
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. [help]
Unknown
None
No
N/A
No
Unknown
None
ENVIRONMENTAL CHECKLIST (CONT ’D )
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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. [help]
4)Describe special emergency services that might be required. [help]
5)Proposed measures to reduce or control environmental health hazards, if any: [help]
b.Noise [help]
1)What types of noise exist in the area which may affect your project (for example:
traffic, equipment, operation, other)? [help]
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. [help]
3)Proposed measures to reduce or control noise impacts, if any: [help]
8.LAND AND SHORELINE USE [help]
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. [help]
None
None
N/A
None
Noise from construction equipment
Run equipment only as necessary
ENVIRONMENTAL CHECKLIST (CONT ’D )
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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 non-forest use? [help]
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: [help]
c.Describe any structures on the site. [help]
d.Will any structures be demolished? If so, what? [help]
e.What is the current zoning classification of the site? [help]
f.What is the current comprehensive plan designation of the site? [help]
g.If applicable, what is the current shoreline master program designation of the site? [help]
h.Has any part of the site been classified as a critical area by the city or county? If so, specify. [help]
Single family residential
No
Multi-story single family home
No
R-8
Urban residential
Urban residential
No
ENVIRONMENTAL CHECKLIST (CONT ’D )
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i.Approximately how many people would reside or work in the completed project? [help]
j.Approximately how many people would the completed project displace? [help]
k.Proposed measures to avoid or reduce displacement impacts, if any: [help]
l.Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any: [help]
m.Proposed measures to reduce or control impacts to agricultural and forest lands of long-term commercial
significance, if any: [help]
9.HOUSING [help]
a.Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income
housing. [help]
b.Approximately how many units, if any, would be eliminated? Indicate whether high,
middle, or low-income housing. [help]
c.Proposed measures to reduce or control housing impacts, if any: [help]
None
None
N/A
To ensure local, state, and federal compliance, the project will include an SSDP from the city of Renton,
a Building permit from the city of Renton, a Hydraulic Project Approval permit from WDFW, and a
federal Section 10 permit from the US Army Corps of Engineers.
N/A
None
None
N/A
ENVIRONMENTAL CHECKLIST (CONT ’D )
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10.AESTHETICS [help]
a.What is the tallest height of any proposed structure(s), not including antennas; what is
the principal exterior building material(s) proposed? [help]
b.What views in the immediate vicinity would be altered or obstructed? [help]
c.Proposed measures to reduce or control aesthetic impacts, if any: [help]
11.LIGHT AND GLARE [help]
a.What type of light or glare will the proposal produce? What time of day would it mainly
occur? [help]
b.Could light or glare from the finished project be a safety hazard or interfere with views? [help]
c.What existing off-site sources of light or glare may affect your proposal? [help]
d.Proposed measures to reduce or control light and glare impacts, if any: [help]
12.RECREATION [help]
a.What designated and informal recreational opportunities are in the immediate vicinity? [help]
b.Would the proposed project displace any existing recreational uses? If so, describe. [help]
Less than 60" above OHWM
None
N/A
None
No
None
N/A
Residential swimming & boating
No
ENVIRONMENTAL CHECKLIST (CONT ’D )
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c.Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be
provided by the project or applicant, if any: [help]
13.HISTORIC AND CULTURAL PRESERVATION [help]
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. [help]
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. [help]
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. [help]
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. [help]
e.disturbance to resources. Please include plans for the above and any permits that may be required.
[help]
14.TRANSPORTATION [help]
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. [help]
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? [help]
N/A
Unknown
Unknown
Review by the US Army Corps of Engineers
N/A
Closest transit stop at I-405 & N 30th St (approx. 0.7mi from residence)
ENVIRONMENTAL CHECKLIST (CONT ’D )
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c.How many additional parking spaces would the completed project or non-project proposal have? How
many would the project or proposal eliminate? [help]
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). [help]
e.Will the project or proposal use (or occur in the immediate vicinity of) water, rail, or air transportation?
If so, generally describe. [help]
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? [help]
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. [help]
h.Proposed measures to reduce or control transportation impacts, if any: [help]
15.PUBLIC SERVICES [help]
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. [help]
None
No
No
None
No
N/A
No
ENVIRONMENTAL CHECKLIST (CONT ’D )
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b.Proposed measures to reduce or control direct impacts on public services, if any. [help]
16.UTILITIES [help]
a.Circle utilities currently available at the site: [help]
electricity,
natural gas,
water,
refuse service,
telephone,
sanitary sewer,
septic system,
other
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. [help]
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.
Proponent Signature:
Name of Signee (printed):
Position and Agency/Organization:
Date Submitted:
N/A
None
ENVIRONMENTAL CHECKLIST (CONT ’D )
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D. SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS [help]
(IT IS NOT NECESSARY to use these sheets 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; production, 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,
ENVIRONMENTAL CHECKLIST (CONT ’D )
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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:
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.