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HomeMy WebLinkAboutECF_Environmental_Checklist_190710_v1.pdfarea," respectively. The lead agency may exclude (for non -projects) questions in Part B - Environmental Elements —that do not contribute meaningfully to the analysis of the proposal. A. BACKGROUND hel 1. Name of proposed project, if applicable: JbLel 2. Name of applicant: hel SOUMD fid,PI'Gh Ckl�d,&K 3. Address and phone number of applicant and contact person: Jhel �rt/;t d I K 1q, J , PC/V)JT nj WJ- q,�50g_�- q 2-5 . ?--�) �.- l o o v 4. Date checklist prepared:Itg_[pl 5. Agency requesting checklist: Jhel bt of Pelv)-Mlj PIa_/nV1 I V\1 piv�'s, v� 6. Proposed timing or schedule (including phasing, if applicable): JbLel 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. Jhel Ip 2 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\envchecklist.doc Rev: 08/2016 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. Jhel 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. JLel �0 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. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description.) hel AAAJ-�Ovv) i Vt 0 0 P' -'U 1, I Ca,v W AS �1 ( b9 kms) 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, 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. Jhel 0 q La L' i I � d N -C— � VV H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\envchecklist.doc Rev: 08/2016 B. ENVIRONMENTAL ELEMENTS JbLel 1. EARTH a. General description of the site Jhel (check or circle one): lat, oiling, hilly, steep slopes, mountainous, other b. What is the steepest slope on the site (approximate percent slope)?h[ g 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. ihgjpl d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. hel 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.hI elpl I "e/� M -e- �wv� i �� LG+j �� cwv�t�► o -fw -rV)v V-aArV) 1v 1 f/�(C "^A_1'0 Vl -V Y o 1 I W a1+6YS-2'PeNAA-0I�' l vavc l -fuy P" l6 -r' vVi [ o t f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. hel ou 4 H:\CED\Data\Forms-Templates\self-Help Handouts\Planning\envchecklist.doc Rev: 08/2016 g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)?hf elpl C) Vl-bw s fiv 0 c +".e S, (1 o V�</Vv P 0, V" O'V'C a C, h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: JhLel 2. AIRhf elp1 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. 1hel Xt- "D I'Vl o --h Ve. 4x V l G --1l S+, So � Vt V1-f— b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. 1hel I d 0 c. Proposed measures to reduce or control emissions or other impacts to air, if any:h[ elpl 3. WATER Jbgel a. Surface Water: 5 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\envchecklist.doc Rev: 08/2016 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. hel Nd 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.hf elpl NI 7t� 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. 1hel 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known.h[ elpl �JI7D� 5) Does the proposal lie within a 100 -year floodplain? If so, note location on the site plan. 1hel N 0 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. hf elpl �Jl7 C H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\envchecklist.doc Rev: 08/2016 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, ann�`` dapproximate quantities if known. IA h[ elpl o 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. hel "a�� SOA - P b-� 0 1 I WtgV a ( +v VV pt/v c. Water runoff (including stormwater): 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. JLLel --�> ouyM d vas' lel 2) Could waste materials enter ground or surface waters? If so, generally l describe. hel 4�`' hA_1�AIV.dC?Ks w,,,;LS�� w pw� GI ftVAI Cq V, ova s l 1 irl-� w OVA a lo I V1 to 3) Does the proposal alter or otherwise affect drainage patterns in the vicinity of the site? If so, describe. Jhel H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\envchecklist.doc Rev: 08/2016 d. Proposed measures to reduce or control surface, ground, and runoff water, and drainage pattern impacts, if any: hel W �f`CiV' 4. PLANTS 1hel a. Check the types of vegetation found on the site: 1hel 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 water plants: water lily, eelgrass, milfoil, other other types of vegetation b. What kind and amount of vegetation will be removed or altered? hel I'lld V\& C. List threatened and endangered species known to be on or near the site. Jhel d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the � slIite, if any: hf elpl �v�A- 8 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\envchecklist.doc Rev: 08/2016 e. List all noxious weeds and invasive species known to be on or near the site.hf elpl N JA- 5. ANIMALS h[ elpl 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. LbLel 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. hf pl � I I� c. Is the site part of a migration route? If so, explain. hel �A0 d. Proposed measures to preserve or enhance wildlife, if any: hel N1Itn� e. List any invasive animal species known to be on or near the site. hf elpl �3L/� 6. ENERGY AND NATURAL RESOURCEShf elpl 9 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\envchecklist.doc Rev: 08/2016 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. Jhel H eel -e vs wVe �A'S b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. JLel 00 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: h[ elpl i 0 n-& 7. ENVIRONMENTAL HEALTH Jhel 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 If so, describe. hel f I��l rn�I-& I I' L \vu ds �VWC4� s WG�S M "I`e o� 9( '0" (� a,w-i-u vv� 0-h� V�-h�a,vt. s vv� i sS l� e V-) f-[ (,,Ui 01 A -,w l fivw , lova,* e cd-" 1) Describe any known or possible contamination at the site from present or past uses. hel Pet S+ WS UVlKn6wlel IJut d(-CPOsI n1 o+ vvp" vv 4V `"I C s� COl��"G��VV1 i 1�, D V1 , hootv' W .e h(,vt �-. � yuP" V1 aid v w� s�-e spit 1 l 2) Describe existing hazsrdods �d'Vi aIs onPtYonsV m htff affect project development and design. This includes underground hazardous liquid and gas transmission pipelines located within the project area and in the vicinity. h1 3) Describe any toxic or hazardous chemicals that might be stored, used, or produced 10 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\envchecklist.doc Rev: 08/2016 during the project's development or construction, or at any time during the operating life of the project. ibgjpl 4) Describe special emergency services that might be required.hf elpl W) w-eC4Aq s'Iely vl C -e s re a M Ye_d 5) Proposed measures to reduce or control environmental health hazards, if any: !2el �iwr�wd 0 t4 S w C4 b. Noise 1hel 1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? hel _�_Wff I'C Dat Af��C C+ P Y�J 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. 1hel o P�IVAfi 0 U V/ , (off ti In's J,m --) T P m M, n41 - Sa4 3) Proposed measures to reduce or control noise impacts, if any:hf elpl �I n 0 I- See s VV j I� bZ j VA s f d c, -rV1-e fowl I IVNJ B. LAND AND SHORELINE USE JgjpJ What is the current use of the site and adjacent properties? Will the proposal affect current land uses on nearby or ad' cent properties? If so, describe. hel NAot f ie Cl -f ct, -I-- H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\envchecklist.doc Rev: 08/2016 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? hel 11 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: hel r�0 C. Describe any structures on the site.h( elpl - w ( 1 cw) z,\c(6- 1' n VVa11--&k1 OLt, 'ems o P-) S d. Will any structures be demolished? If so, what?hf glpl �Au e. What is the current zoning classification of the site? Ittlo C1)MYyYeNC I q f. What is the current comprehensive plan designation of the site? 1hel g. If applicable, what is the current shoreline master program designation of the site?hf elpl h. Has any part of the site been classified as a critical area by the city or county? If so, specify. JhgjpJ 12 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\envchecklist.doc Rev: 08/2016 i. Approximately how many people would reside or work in the completed project?[Lel �_0 j. Approximately how many people would the completed project displace? LtLel XJ k. Proposed measures to avoid or reduce displacement impacts, if any: hj elpl �I� I. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: Jhel N I �- m. Proposed measures to reduce or control impacts to agricultural and forest lands of long- term commercial significance, if any: Jhel 9. HOUSING Lhel a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing. Jhel b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. Jhel c. Proposed measures to reduce or control housing impacts, if any: 1hel 13 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\envchecklist.doc Rev: 08/2016 10. AESTHETICS Lhel a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? hel N 0 n&vv ';�"c —wV'-eS b. What views in the immediate vicinity would be altered or obstructed? hf jp hh I\A o c. Proposed measures to reduce or control aesthetic impacts, if any: h[ elpl I1 l 11. LIGHT AND GLARE[help] a. What type of light or glare will the proposal produce? What time of day would it mainly occur? hel �I b. Could light or glare from the finished project be a safety hazard or interfere with views? hel c. What existing off-site sources of light or glare may affect your proposal? Itg1121 N17� d. Proposed measures to reduce or control light and glare impacts, if any: hf elpl 0 1 A- 14 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\envchecklist.doc Rev: 08/2016 12. RECREATION JbLel a. What designated and informal recreational opportunities are in the immediate vicinity? hel 0 un D . b. Would the proposed project elpl oject displace any existing recreational uses? If so, describe. hf 0 C. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any:hf elpl N IA 13. HISTORIC AND CULTURAL PRESERVATION.[helpl 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. 1hel �J0 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. nlhel I b 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.hf elpl 0o 15 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\envchecklist.doc Rev: 08/2016 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. JtgjpJ 14. TRANSPORTATION hel 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. hel YVA Aw- A�Y u/is n�, �Ao 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? hel of c. How many additional parking spaces would the completed project or non -project proposal have? How many would the project or proposal eliminate?hf jP N1() P t vio 1 I' G P GLV �_ 1 V�_q I J of �, w 1 I<; P(/� 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). hel Neu e. Will the projector proposal use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. hel �Au f. How many vehicular trips per day would be generated by the completed projector 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? hf elpl � u low oil I-Vve o IwV1-i- o-vt h l dt S w& f " (, ►viol Avg k (A,v- CoLAyr -. vv0 v {dt V'lo-U H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\envchecklist.doc � I' f A� O �n�+ Rev: 08/2016 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. hel �J0 h. Proposed measures to reduce or control transportation impacts, if any:hf elpl Th -6w Sly pt7y+A-;h` o V] 1S. PUBLIC SERVICES hel 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. 1hel �J U b. Proposed measures to reduce or control direct impacts on public services, if any. h� elpl I \ 1/� 16. UTILITIES hel a. Circle utilities currently available at the site: Jbel (el le -v-) natural gas, water, refuse s�ervi \eleZf n r septic system, other 17 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\envchecklist.doc Rev: 08/2016 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. Jhel (2 i C. SIGNATURE JbLel 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): _ (�iJt 5 Sn�/cam Position and Agency/Organization: /so-,"i9y Date Submitted: 5 1 I'l 111 18 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\envchecklist.doc Rev: 08/2016