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HomeMy WebLinkAboutEX_11_SC_SEPA_Environmental_Checklist_220407_v2 SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 1 of 15 SEPA ENVIRONMENTAL CHECKLIST Purpose of checklist: Governmental agencies use this checklist to help determine whether the environmental impacts of your proposal are significant. This information is also helpful to determine if available avoidance, minimization or compensatory mitigation measures will address the probable significant impacts or if an environmental impact statement will be prepared to further analyze the proposal. Instructions for applicants: This environmental checklist asks you to describe some basic information about your proposal. Please answer each question accurately and carefully, to the best of your knowledge. You may need to consult with an agency specialist or private consultant for some questions. You may use “not applicable” or "does not apply" only when you can explain why it does not apply and not when the answer is unknown. You may also attach or incorporate by reference additional studies reports. Complete and accurate answers to these questions often avoid delays with the SEPA process as well as later in the decision- making process. The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will help describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional information reasonably related to determining if there may be significant adverse impact. Instructions for Lead Agencies: Please adjust the format of this template as needed. Additional information may be necessary to evaluate the existing environment, all interrelated aspects of the proposal and an analysis of adverse impacts. The checklist is considered the first but not necessarily the only source of information needed to make an adequate threshold determination. Once a threshold determination is made, the lead agency is responsible for the completeness and accuracy of the checklist and other supporting documents. Use of checklist for nonproject proposals: For nonproject proposals (such as ordinances, regulations, plans and programs), complete the applicable parts of sections A and B plus the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D). Please completely answer all questions that apply and note that the words "project," "applicant," and "property or site" should be read as "proposal," "proponent," and "affected geographic area," 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 [HELP] 1. Name of proposed project, if applicable: The Home Depot U.S.A. INC. 2. Name of applicant: Lars Andersen & Associates, INC RECEIVED 04/08/2022 JDing PLANNING DIVISIONDocuSign Envelope ID: 6314EAD5-0BEB-42DD-88C0-371F2EBC8E65 SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 2 of 15 3. Address and phone number of applicant and contact person: 4694 W Jacquelyn Fresno, CA 93722 559-9787059 attn Dan Zoldak 4. Date checklist prepared: 1/27/2022 5. Agency requesting checklist: City of Renton 6. Proposed timing or schedule (including phasing, if applicable): Demo (interior demo of demise walls) March 2022 Interior Slab and Interior Foundation Work April 2022 – May 2022 • The foundation work consists of a drilled pier foundation, and the process will not interfere with the water table nor create any spoils. Building and site work May 2022 – February 2023 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. There are two outlots that are already on the property. These will be for sale, however not part of this project. 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. • Geotechnical Memorandum (GeoEngineers – January 19, 2018) • Geotechnical Report Addendum Letter No. 1 (Terracon – December 27, 2021) • Wetland and Stream Delineation Report (The Watershed Company – January 3, 2021) • Preliminary Traffic Study (Scott A. Mommer Consulting – January 24, 2022) 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. Land Use Permit; we are currently awaiting City approval of the Land Use application for this project. 10. List any government approvals or permits that will be needed for your proposal, if known. • Land Use Permit • Building Permit 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.) See Appendix A. DocuSign Envelope ID: 6314EAD5-0BEB-42DD-88C0-371F2EBC8E65 SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 3 of 15 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. The project is located at 901 S Grady Way Renton, WA 98057, aka the intersection of S Grady Way & Talbot Road South. More formally, the property is located accordingly: A PORTION OF THE SOUTHWEST QUARTER OF SECTION 17, THE NORTHEAST QUARTER OF SECTION 19, AND THE NORTHWEST QUARTER OF SECTION 20, ALL IN TOWNSHIP 23 NORTH, RANGE 5 EAST, W.M., IN KING COUNTY, WASHINGTON. B. Environmental Elements [HELP] 1. Earth [help] a. General description of the site: (circle one): (Flat), rolling, hilly, steep slopes, mountainous, other _____________ b. What is the steepest slope on the site (approximate percent slope)? The project site is a developed site. The steepest slope is 5 percent 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. The upper soils are a Silty Sand, Dark brown, moist, generally medium dense with denser and looser zones, frequent anthropogenic debris, some zones that are more gravelly, variable organics, some coal tailings. See Appendix C and D for further details. d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. There is prior history however this is a developed site, and the project will not get into the unstable soils. 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. This is an existing site and no filling or excavation of the subgrade soils are proposed. A lumber canopy, a lumber staging pad and garden center slab will be constructed excavations for this will not be in the subgrade and will be within the existing improved area and within existing base rock or concrete section. A foundation system under the existing slab will be installed. This system is a drilled pier system. The installation will not require any excavation nor produce any spoils, therefore, no anticipated interference with the water table will occur. f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. No, this is an existing paved site, and any disturbed areas will have the appropriate erosion control measures. DocuSign Envelope ID: 6314EAD5-0BEB-42DD-88C0-371F2EBC8E65 SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 4 of 15 g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? The site is a currently developed site with 71.4% impervious surface (between concrete, asphalt, and building area). The project would make the site 71.2% impervious area. h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: The project will maintain the current impervious cover, reducing possible erosion immensely. In addition, the project already includes flow control devices that will be maintained. In addition, the project will implement erosion control features that include: • Drain inlet protection • Proper Concrete handling • Concrete wash outs • Specified material delivery, storage, and containment • Dust control • Project management • Sawcutting and surfacing pollution prevention. 2. Air [help] 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. The project has a limited scope of improvements and would therefore not expect high levels of emissions. Some of the types of emission to the air (or causes of emissions) as result of construction include: • Dust (minimal) • Asphalt preparation (minimal) • Painting/surface coating (minimal) • Product transportation (minimal) b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. There are no expected off-site sources of emission nor odor to the project site. c. Proposed measures to reduce or control emissions or other impacts to air, if any: As there are no expected significant adverse emissions impacts, no measures are proposed. 3. Water [help] a. Surface Water: [help] 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. There exists partially on and adjacent to the site, a stream, and a wetland area. Neither of which will be impacted by the project. The stream is identified as part of Rolling Hills Creek, which looks to eventually flows to Springbrook Creek (after ~8,000 LF). DocuSign Envelope ID: 6314EAD5-0BEB-42DD-88C0-371F2EBC8E65 SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 5 of 15 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. Yes, there will be some pavement work within 200 ft of the stream and wetland area. See Appendix B for plans. 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. No fill nor dredge material will be placed in or removed from surface water or wetlands. 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. No, the proposal will not require surface withdrawals nor diversions. 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. No, the proposal does not lie within a 100-year floodplain. 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. No discharged of waste materials to surface water will occur. b. Ground Water: [help] 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, and approximate quantities if known. No groundwater will be withdrawn from a well for drinking water or other purposes. 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. No waste material will be discharged into the ground from septic tanks or other sources. The existing system is connected to the City’s sewer system and the project will continue said use. 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. DocuSign Envelope ID: 6314EAD5-0BEB-42DD-88C0-371F2EBC8E65 SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 6 of 15 Existing impervious surfaces on site are and would continue to be the source of runoff from the proposed project. The site currently utilizes a system of drain inlets and stormwater pipes to collect said water and distribute to the existing biofiltration basins and oil separators before being introduced into the city stormwater system. The proposed project will continue to maintain and utilize this system. 2) Could waste materials enter ground or surface waters? If so, generally describe. No, the existing stormwater collection system prevents this. 3) Does the proposal alter or otherwise affect drainage patterns in the vicinity of the site? If so, describe. The proposal will not alter or affect the existing drainage patterns of the site. d. Proposed measures to reduce or control surface, ground, and runoff water, and drainage pattern impacts, if any: The project does not intend to affect the existing drainage patterns of the site, therefore there would be no need to introduce additional measures to reduce or control surface, ground, and runoff water. The existing stormwater system currently utilizes flow control structures in its system, and the project would continue to do so. 4. Plants [help] a. Check the types of vegetation found on the site: _x_ deciduous tree: alder, maple, aspen, other ___ evergreen tree: fir, cedar, pine, other _x_ shrubs _x_ 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? The project will be removing 25 Trees (Prunus and Liquidambar) and some miscellaneous shrubs (Berberis, Taxus, Nandina). c. List threatened and endangered species known to be on or near the site. There are no known threatened and endangered species on or near the project site. d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: DocuSign Envelope ID: 6314EAD5-0BEB-42DD-88C0-371F2EBC8E65 SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 7 of 15 The project calls for limited additions of new plantings but will be maintaining all landscape elements on site that are outside the construction area. e. List all noxious weeds and invasive species known to be on or near the site. There are no known noxious weeds and invasive species on or near the project site. 5. Animals [help] 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. Examples include: birds: hawk, heron, eagle, songbirds, other: mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other ________ There are no observed animals on or near the site as it is developed. b. List any threatened and endangered species known to be on or near the site. There are no threatened nor endangered species known to be on or ear the site. c. Is the site part of a migration route? If so, explain. Yes, the entire Puget Sound area is within the Pacific Flyway, a major north0south flyway for migratory birds in America, extending from Alaska to Patagonia. d. Proposed measures to preserve or enhance wildlife, if any: The project will have no adverse impacts to wildlife as the site is developed already, therefore no measures will be taken to preserve or enhance wildlife. e. List any invasive animal species known to be on or near the site. There are no invasive animal species known to be on or near the site 6. Energy and Natural Resources [help] 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. Electricity and natural gas will continue to be the main sources of energy for the project. Said sources will be used for heating, cooling, lighting, hot water, and general commercial operations. b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. No, the project would not affect the potential use of solar energy by adjacent properties. c. 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: Energy conservation features intended for the project include: DocuSign Envelope ID: 6314EAD5-0BEB-42DD-88C0-371F2EBC8E65 SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 8 of 15 • Locally harvested building materials • Exterior lighting meeting allowable levels • Minimum LED lighting in the parking field • LED lighting for all signage • Interior LED lighting • Automatic infra-red flow valves • Master Energy Management system which monitors lighting and HVAC power consumption 7. Environmental Health [help] 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 so, describe. 1) Describe any known or possible contamination at the site from present or past uses. The existing building was built in 2004 and therefore no hazardous building materials (lead based, paint, asbestos, etc.). The proposed project is located on two sites listed on the Model Toxics Control Act (MTCA) Confirmed and Suspected Contaminated Sites List – PSE Grady Way Renton Complex Parcel 2 (Facility ID 21349929) and Parcel 3 (Facility ID 86541135). Groundwater samples were collected at these two sites on and prior to 2002. A groundwater sample collected from well GMW-14 contained concentration of diesel and heavy oil-range petroleum hydrocarbons (TPHd and TPHo) above the MTCA Method A cleanup level. This well was located in the proposed “Outlot 1” area. Historic groundwater samples from well GMW-4 contained polychlorinated biphenyls (PCBs) concentrations above the MTCA Method A cleanup level. This well was located in the proposed “Outlot 2” area. No drilling will occur on Outlots 1 & 2. 2) Describe existing hazardous chemicals/conditions that might affect project development and design. This includes underground hazardous liquid and gas transmission pipelines located within the project area and in the vicinity. There are no known underground hazardous liquid or gas transmission pipelines located within the project area and in the vicinity. 3) Describe any toxic or hazardous chemicals that might be stored, used, or produced during the project's development or construction, or at any time during the operating life of the project. There will be no hazardous material stored on site during construction. During operation of the facility, there are several materials that are for sale such as chlorine and fertilizers. 4) Describe special emergency services that might be required. No special emergency services will be required at this time. 5) Proposed measures to reduce or control environmental health hazards, if any: DocuSign Envelope ID: 6314EAD5-0BEB-42DD-88C0-371F2EBC8E65 SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 9 of 15 No adverse environmental health hazards are expected with the project and so no measures are proposed. Home Depot does prepare a hazardous materials plan as part of the construction set and implements proper storage of hazardous materials in accordance with fire department and local jurisdiction requirements. The drilled piers will physically enter the groundwater, which is anticipated at 7’. The piers will range from 25’-50’ deep. The drilling system the project is using will mitigate any risks associated with the groundwater as no spoils from the operation will be produced. b. Noise 1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? The prevalent noise would be traffic noises due to the 405 Freeway, S Grady Way, and Talbot Rd. 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)? Indi- cate what hours noise would come from the site. The project would create a standard amount of construction noise; however, the majority of improvements are to occur within the existing building. The complete project would create some operational noises due to product transportation (forklifts) and product delivery (trucks). These noises would only occur during the standard hours of operation. 3) Proposed measures to reduce or control noise impacts, if any: The project would not create an adverse impact on noise, therefore, no measures to reduce nor control will be acted upon. 8. Land and Shoreline Use [help] a. What is the current use of the site and adjacent properties? Will the proposal affect current land uses on nearby or adjacent properties? If so, describe. The site is currently a closed retail building, with the project planning to continue its commercial use. The proposal would not affect current land uses on, nearby, nor adjacent properties. The adjacent properties include: • North – City Hall • East/South – 405 freeway • West – Multiple commercial properties 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 nonforest use? No, the project has not been used as working farmlands or working forest lands within the immediate past. 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: DocuSign Envelope ID: 6314EAD5-0BEB-42DD-88C0-371F2EBC8E65 SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 10 of 15 No, the proposal will not affect or be affected by surrounding working farm or forest land normal business operations with. c. Describe any structures on the site. The site contains a 137,983 SF building that was previously used as a big-box retail store. d. Will any structures be demolished? If so, what? No structures will be demolished. e. What is the current zoning classification of the site? The site is currently zoned as Commercial Arterial. f. What is the current comprehensive plan designation of the site? The site is designated Commercial Mixed Use (CMU) g. If applicable, what is the current shoreline master program designation of the site? The project is not within a shoreline master program area. h. Has any part of the site been classified as a critical area by the city or county? If so, specify. The project has not been classified as a critical area. i. Approximately how many people would reside or work in the completed project? Approximately 145-175 full and part time employees would work in the completed project. j. Approximately how many people would the completed project displace? The project would displace virtually nobody as there is no housing located on the project site. k. Proposed measures to avoid or reduce displacement impacts, if any: No measures are required as the project would displace virtually nobody. L. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: There are no additional measures intended for this project. The site is zoned and designated for commercial use, and the project will adhere to said designations as a retail store. m. Proposed measures to reduce or control impacts to agricultural and forest lands of long-term commercial significance, if any: There are no impacts to agricultural and forest lands, and therefore would not require mitigation measures. 9. Housing [help] a. Approximately how many units would be provided, if any? Indicate whether high, mid- dle, or low-income housing. No housing is being provided as part of this project. DocuSign Envelope ID: 6314EAD5-0BEB-42DD-88C0-371F2EBC8E65 SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 11 of 15 b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. No housing is being eliminated as part of this project. c. Proposed measures to reduce or control housing impacts, if any: There are no impacts to housing as part of this project. 10. Aesthetics [help] a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? The project intends to reduce the existing building parapet height from 39’ – 6” to 34’ – 8”. The existing building is comprised of reinforced CMU walls. The proposed project will paint said walls to be more aesthetically pleasing and follow Home Depot standards. b. What views in the immediate vicinity would be altered or obstructed? There will be no obstructions of view in the immediate vicinity due to the project. b. Proposed measures to reduce or control aesthetic impacts, if any: No significant aesthetic impacts will occur. 11. Light and Glare [help] a. What type of light or glare will the proposal produce? What time of day would it mainly occur? The project would not be producing any additional light outside of temporary construction lighting (only if necessary) and standard parking lot lighting for pedestrian safety. Any and all lighting would only occur during nighttime operations. b. Could light or glare from the finished project be a safety hazard or interfere with views? No light or glare from the finished project would create a safety hazard nor interfere with views. c. What existing off-site sources of light or glare may affect your proposal? No off-site sources of light or glare will affect the proposal. d. Proposed measures to reduce or control light and glare impacts, if any: No light and glare impacts are expected from the project. 12. Recreation [help] a. What designated and informal recreational opportunities are in the immediate vicinity? There are no informal recreational opportunities in the immediate vicinity. b. Would the proposed project displace any existing recreational uses? If so, describe. No, the proposed project would not displace any existing recreational uses. c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: DocuSign Envelope ID: 6314EAD5-0BEB-42DD-88C0-371F2EBC8E65 SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 12 of 15 There are no impacts to recreation as part of the project. 13. Historic and cultural preservation [help] 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. There are no 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. b. Are there any landmarks, features, or other evidence of Indigenous 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 There are no landmarks, features, nor other evidence of Indigenous or historic use or occupation. 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. There are no potential impacts to cultural and historic resources on or near the project site as the current site is developed. 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. There are no potential impacts to cultural and historic resources on or near the project site as the current site is developed. 14. Transportation [help] 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. The project site is adjacent to (2) streets: S Grady Way and Talbot Rd S. The project currently has direct access to each street via (2) separate driveways each and will continue to do so. 108th Ave and 405 Freeway also run East/South of the site, however, there is no direct access. 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? The project site is served by public transit, with a bus stop located on the S Grady Way frontage. c. How many additional parking spaces would the completed project or non-project proposal have? How many would the project or proposal eliminate? The project would be eliminating approximately 50 parking spaces for a final count of 402. 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). DocuSign Envelope ID: 6314EAD5-0BEB-42DD-88C0-371F2EBC8E65 SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 13 of 15 The project requires future improvements to the existing pedestrian sidewalks along the Grady Way and Talbot Rd frontages. e. Will the project or proposal use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. The project will not us water, rail, nor air transportation. f. How many vehicular trips per day would be generated by the completed project or 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? The project would not be creating additional trips from the previous Sam’s club. See Appendix F. 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. The project will not interfere with, affect, nor be affected by the movement of agricultural and forest products on roads or streets in the area. h. Proposed measures to reduce or control transportation impacts, if any: There are no intended measures to reduce or control transportation impacts. The proposed project would be reducing trips generated per ITE Trip Generation. 15. Public Services [help] 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. The project would not increase the need for public services. b. Proposed measures to reduce or control direct impacts on public services, if any. There are no planned measures to reduce or control direct impacts on public services. 16. Utilities [help] a. Circle utilities currently available at the site: (electricity), (natural gas), (water), (refuse service), (telephone), (sanitary sewer), septic system, (stormwater) 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. The project is proposing the rerouting of existing water lines and fire hydrants. No other utility improvements are planned. DocuSign Envelope ID: 6314EAD5-0BEB-42DD-88C0-371F2EBC8E65 SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 14 of 15 C. Signature [HELP] 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. Signature: ___________________________________________________ Name of signee __________________________________________________ Position and Agency/Organization ____________________________________ Date Submitted: _____________ D. Supplemental sheet for nonproject actions [HELP] (IT IS NOT NECESSARY to use this sheet for project actions) Because these questions are very general, it may be helpful to read them in conjunction with the list of the elements of the environment. When answering these questions, be aware of the extent the proposal, or the types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1. How would the proposal be likely to increase discharge to water; emissions to air; pro- duction, storage, or release of toxic or hazardous substances; or production of noise? Proposed measures to avoid or reduce such increases are: 2. How would the proposal be likely to affect plants, animals, fish, or marine life? Proposed measures to protect or conserve plants, animals, fish, or marine life are: 3. How would the proposal be likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources are: 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection; such as parks, DocuSign Envelope ID: 6314EAD5-0BEB-42DD-88C0-371F2EBC8E65 SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 15 of 15 wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are: 5. How would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? Proposed measures to avoid or reduce shoreline and land use impacts are: 6. How would the proposal be likely to increase demands on transportation or public services and utilities? Proposed measures to reduce or respond to such demand(s) are: 7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. DocuSign Envelope ID: 6314EAD5-0BEB-42DD-88C0-371F2EBC8E65