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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