HomeMy WebLinkAboutAffidavit of SEPA mailing and posting 14-000568.:l
Merlino Short Plat
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On the 18th day of September, 2014, 1 deposited in the mails of the United States, a sealed envelope containing
SEPA Determination and Notice documents. This information was sent to:
1a". :05
wE:ra mer
Agencies
See Attached
Jim Blais, Merlino Land Development
Contact
Lafe Hermansen
Owner
Parties of Record
See Attached
(Signature of Sender):
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that Sabrina Mirante
signed this instrument and acknowledged it to be his/her/their free and voluntary
mentioned in the instrument.
Notary (Print):
My appointment expires:
in and for the State of Washington
�' 19 �
Merlino Short Plat
?1
LUA140-000568, ECF, SHPL-A
template - affdavit of service by mailing
AGENCY (DOE) LETTER MAILING
(ERC DETERMINATIONS)
Dept. of Ecology **
WDFW - Larry Fisher*
Muckleshoot Indian Tribe Fisheries Dept.
Environmental Review Section
1775 12th Ave. NW Suite 201
Attn: Karen Walter or SEPA Reviewer
PO Box 47703
Issaquah, WA 98027
39015 -172nd Avenue SE
Olympia, WA 98504-7703
Auburn, WA 98092
WSDOT Northwest Region *
Duwamish Tribal Office *
Muckleshoot Cultural Resources Program
Attn: Ramin Pazooki
4717 W Marginal Way SW
Attn: Ms Melissa Calvert
King Area Dev. Serv., MS -240
Seattle, WA 98106-1514
39015 172nd Avenue SE
PO Box 330310
Auburn, WA 98092-9763
Seattle, WA 98133-9710
US Army Corp. of Engineers *
KC Wastewater Treatment Division *
Office of Archaeology & Historic Preservation*
Seattle District Office
Environmental Planning Supervisor
Attn: Gretchen Kaehler
Attn: SEPA Reviewer
Ms. Shirley Marroquin
PO Box 48343
PO Box C-3755
201 S. Jackson ST, MS KSC-NR-050
Olympia, WA 98504-8343
Seattle, WA 98124
Seattle, WA 98104-3855
Boyd Powers ***
Depart. of Natural Resources
PO Box 47015
Olympia, WA 98504-7015.
KC Dev. & Environmental Serv. -
City of Newcastle
City of Kent
Attn: SEPA Section
Attn: Tim McHarg
Attn: Jack Pace
35030 SE Douglas St. #210
Director of Community Development
Acting Community Dev. Director
Snoqualmie, WA 98065
12835 Newcastle Way, Ste 200
220 Fourth Avenue South
Newcastle, WA 98056
Kent, WA 98032-5895
Metro Transit
Puget Sound Energy
City of Tukwila
Senior Environmental Planner
Kathy Johnson,
Steve Lancaster, Responsible Official
Gary Kriedt
355 110`h Ave NE
6200 Southcenter Blvd,
201 South Jackson Street KSC-TR-0431
Mailstop EST 11W
Tukwila, WA 98188
Seattle, WA 98104-3856
Bellevue, WA 98004
Seattle Public Utilities
Jailaine Madura
Attn: SEPA Coordinator
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 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: seoaunitC@ecv.wa.eov
***Department of Natural Resources is emailed a copy of the Environmental Checklist, Site Plan PMT,
& Notice the following email address: sepacenterPdnr.wa.sov
template -affidavit of service by mailing
Jim Blais
Merlino Land Development Co
5050 1st Ave, 102
Seattle, WA 98134
Lafe Hermansen
Core Design
14711 NE 29th PI, 101
Bellevue, WA 98007
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Gina Custer
Nancv Osborn
1209 S 7th St
4635 Morris Ave S. #F
Renton, WA 98057
Renton, WA 98055
City of,
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NqAgamo'� TICE
OF ENVIRONMENTAL DETERMINATION
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x� no MP�Ia to She ermine. z regev men by Ory of 0.M[a UD and intnnn»Inn
rasa n6 PP Pm•a.. may En GRENnea nom rhe Re,yn ey ani, aha, Fx51 a"Soy.
CERTIFICATION
I, G:%.f�a� �. C'tc�� ,hereby certify that � copies of the above document
were posted in conspicuous places or nearby the described property on
Date: trf't Signed: CiJL�
STATE OF WASHINGTON )
SS
COUNTY OF KING )
I certify that I know or
0 lb ell
have satisfactory evidence
that CIaE
tc
i 1, C/»e
signed this instrument
and acknowledged it to be
his/her/their
free
and voluntary act for the
uses4�n,�{,ptyf{�pses mentioned in the instrument.
own �
ARpV `Fm Notary
0
lic in and for the State of Washington
d0 Notary (Print): pp 7
a� !'ff0j lc�
84
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S'T "dpWiPm*"' �r My appointment expires: Jiq C)
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