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HomeMy WebLinkAboutAOS NOA 06-124template - affidavit of service by mailing CITY OF RENTON CURRENT PLANNING DIVISION AFFIDAVIT OF SERVICE BY MAILING On the 2nd day of October, 2006, I deposited in the mails of the United States, a sealed envelope containing Acceptance document, NOA, Environmental Checklist, & PMT's documents. This information was sent to: Name Representing Agencies See Attached Surrounding Property Owners See Attached (Signature of Sender): STATE OF WASHINGTON ) ) SS COUNTY OF KING ) I certify that I know or have satisfactory evidence that Stacy Tucker signed this instrument and acknowledged it to be his/her/their free and voluntary act for the uses and purposes mentioned in the instrument. Dated: Notary Public in and for the Sate of Washington Notary (Print): My appointment expires: Project Name: Land Use & Community Design Elements Project Number: LUA06-124, ECF template - affidavit of service by mailing AGENCY (DOE) LETTER MAILING (ERC DETERMINATIONS) Dept. of Ecology * Environmental Review Section PO Box 47703 Olympia, WA 98504-7703 WDFW - Stewart Reinbold * c/o Department of Ecology 3190 160th Ave SE Bellevue, WA 98008 Muckleshoot Indian Tribe Fisheries Dept. * Attn: Karen Walter or SEPA Reviewer 39015 – 172nd Avenue SE Auburn, WA 98092 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: Ms Melissa Calvert 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 Office of Archaeology & Historic Preservation* Attn: Stephanie Kramer PO Box 48343 Olympia, WA 98504-8343 Jamey Taylor * Depart. of Natural Resources PO Box 47015 Olympia, WA 98504-7015 KC Dev. & Environmental Serv. Attn: SEPA Section 900 Oakesdale Ave. SW Renton, WA 98055-1219 City of Newcastle Attn: Mr. Micheal E. Nicholson Director of Community Development 13020 SE 72nd Place Newcastle, WA 98059 City of Kent Attn: Mr. Fred Satterstrom, AICP Acting Community Dev. Director 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 Municipal Liason Manager Joe Jainga PO Box 90868, MS: XRD-01W Bellevue, WA 98009-0868 City of Tukwila Steve Lancaster, Responsible Official 6300 Southcenter Blvd. Tukwila, WA 98188 Seattle Public Utilities Real Estate Services Title Examiner 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 checklist, PMT’s, and the notice of application. * Also note, do not mail Jamey Taylor any of the notices she gets hers from the web. Only send her the ERC Determination paperwork.