HomeMy WebLinkAboutAOS NOA 06-124template - affidavit of service by mailing
CITY OF RENTON
CURRENT PLANNING DIVISION
AFFIDAVIT OF SERVICE BY MAILING
On the 2nd day of October, 2006, I deposited in the mails of the United States, a sealed envelope
containing Acceptance document, NOA, Environmental Checklist, & PMT's documents. This
information was sent to:
Name Representing
Agencies See Attached
Surrounding Property Owners See Attached
(Signature of Sender):
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that Stacy Tucker
signed this instrument and acknowledged it to be his/her/their free and voluntary act for the uses and
purposes mentioned in the instrument.
Dated:
Notary Public in and for the Sate of Washington
Notary (Print):
My appointment expires:
Project Name: Land Use & Community Design Elements
Project Number: LUA06-124, ECF
template - affidavit of service by mailing
AGENCY (DOE) LETTER MAILING
(ERC DETERMINATIONS)
Dept. of Ecology *
Environmental Review Section
PO Box 47703
Olympia, WA 98504-7703
WDFW - Stewart Reinbold *
c/o Department of Ecology
3190 160th Ave SE
Bellevue, WA 98008
Muckleshoot Indian Tribe Fisheries Dept. *
Attn: Karen Walter or SEPA Reviewer
39015 – 172nd Avenue SE
Auburn, WA 98092
WSDOT Northwest Region *
Attn: Ramin Pazooki
King Area Dev. Serv., MS-240
PO Box 330310
Seattle, WA 98133-9710
Duwamish Tribal Office *
4717 W Marginal Way SW
Seattle, WA 98106-1514
Muckleshoot Cultural Resources Program *
Attn: Ms Melissa Calvert
39015 172nd Avenue SE
Auburn, WA 98092-9763
US Army Corp. of Engineers *
Seattle District Office
Attn: SEPA Reviewer
PO Box C-3755
Seattle, WA 98124
KC Wastewater Treatment Division *
Environmental Planning Supervisor
Ms. Shirley Marroquin
201 S. Jackson ST, MS KSC-NR-050
Seattle, WA 98104-3855
Office of Archaeology & Historic
Preservation*
Attn: Stephanie Kramer
PO Box 48343
Olympia, WA 98504-8343
Jamey Taylor *
Depart. of Natural Resources
PO Box 47015
Olympia, WA 98504-7015
KC Dev. & Environmental Serv.
Attn: SEPA Section
900 Oakesdale Ave. SW
Renton, WA 98055-1219
City of Newcastle
Attn: Mr. Micheal E. Nicholson
Director of Community Development
13020 SE 72nd Place
Newcastle, WA 98059
City of Kent
Attn: Mr. Fred Satterstrom, AICP
Acting Community Dev. Director
220 Fourth Avenue South
Kent, WA 98032-5895
Metro Transit
Senior Environmental Planner
Gary Kriedt
201 South Jackson Street KSC-TR-0431
Seattle, WA 98104-3856
Puget Sound Energy
Municipal Liason Manager
Joe Jainga
PO Box 90868, MS: XRD-01W
Bellevue, WA 98009-0868
City of Tukwila
Steve Lancaster, Responsible Official
6300 Southcenter Blvd.
Tukwila, WA 98188
Seattle Public Utilities
Real Estate Services
Title Examiner
700 Fifth Avenue, Suite 4900
PO Box 34018
Seattle, WA 98124-4018
Note: If the Notice of Application states that it is an “Optional DNS”, the marked agencies and
cities will need to be sent a copy of the checklist, PMT’s, and the notice of application. *
Also note, do not mail Jamey Taylor any of the notices she gets hers from the web. Only send
her the ERC Determination paperwork.