HomeMy WebLinkAboutL_Affidavit of Mailing NOA_Boeing Lift Station (3)template - affidavit of service by mailing Revised 05/25/2017
CITY OF RENTON
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - PLANNING DIVISION
AFFIDAVIT OF SERVICE BY MAILING
On the 14th day of June, 2017, I deposited in the mails of the United States, a sealed envelope containing Notice
of Application documents. This information was sent to:
Name Representing
Agencies See Attached
(Signature of Sender):
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that Jennifer Cisneros
signed this instrument and acknowledged it to be her free and voluntary act for the uses and purposes mentioned
in the instrument.
Dated:
Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
Project Name: Boeing Lift Station, Gate Entrance, and Fuel Spill
Project Number: LUA17-000175, ECF, SM
template - affidavit of service by mailing Revised 05/25/2017
AGENCY (DOE) LETTER MAILING
(ERC DETERMINATIONS)
Dept. of Ecology **
Environmental Review Section
PO Box 47703
Olympia, WA 98504-7703
Dept. of Ecology **
Attn: Misty Blair
PO Box 47703
Olympia, WA 98504-7703
Muckleshoot Indian Tribe Fisheries Dept. **
Attn: Karen Walter or SEPA Reviewer
39015 – 172nd Avenue SE
Auburn, WA 98092 (EMAIL ONLY)
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: Laura Murphy
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
Muckleshoot Cultural Resources Program **
Attn: Erin Slaten
39015 172nd Avenue SE
Auburn, WA 98092-9763
Boyd Powers ***
Depart. of Natural Resources
PO Box 47015
Olympia, WA 98504-7015
WDFW - Larry Fisher*
1775 12th Ave. NW Suite 201
Issaquah, WA 98027
Office of Archaeology & Historic Preservation*
Attn: Gretchen Kaehler
PO Box 48343
Olympia, WA 98504-8343
KC Dev. & Environmental Serv.
Attn: SEPA Section
35030 SE Douglas St. #210
Snoqualmie, WA 98065
City of Newcastle
Attn: Tim McHarg
Director of Community Development
12835 Newcastle Way, Ste 200
Newcastle, WA 98056
City of Kent
Attn: Charlene Anderson, AICP, ECD
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
Wendy Weiker, Community Svcs. Mgr.
355 110th Ave NE
Mailstop EST 11W
Bellevue, WA 98004
City of Tukwila
Jack Pace, Responsible Official
6200 Southcenter Blvd.
Tukwila, WA 98188
Seattle Public Utilities
Jalaine Madura,
Attn: SEPA Responsible Official
700 Fifth Avenue, Suite 4900
PO Box 34018
Seattle, WA 98124-4018
Puget Sound Energy
Doug Corbin, Municipal Liaison Mgr.
6905 South 228th St
Kent, WA 98032
Washington State Dept. of Natural Resources
Attn: SEPA Center
P.O. Box 47000
1111 Washington St SE
Olympia, WA 98504
*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 Environmental Checklist, Site Plan PMT, and the Notice of
Application.
**Department of Ecology is emailed a copy of the Environmental Checklist, Site Plan PMT, & Notice to
the following email address: sepaunit@ecy.wa.gov
** Karen Walter, Laura Murphy and Erin Slaten with the Muckleshoot Indian Tribe Fisheries Dept. are
emailed a copy of the Environmental Checklist, Site Plan PMT, & Notice to the following email
addresses: KWalter@muckleshoot.nsn.us / Laura.murphy@muckleshoot.nsn.us /
erin.slaten@muckleshoot.nsn.us
***Department of Natural Resources is emailed a copy of the Environmental Checklist, Site Plan PMT,
& Notice the following email address: sepacenter@dnr.wa.gov