HomeMy WebLinkAbout12A_SEPA Checklist_2024-0320SEPA Environmental checklist September 2023 Page 1
(WAC 197-11-960)
SEPA1 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 contr ibute meaningfully to the analysis of
the proposal.
1 https://ecology.wa.gov/Regulations-Permits/SEPA/Environmental-review/SEPA-guidance/Checklist-guidance
Exhibit 12A
SEPA Environmental checklist September 2023 Page 2
(WAC 197-11-960)
A.Background
Find help answering background questions2
1. Name of proposed project, if applicable:
Pleasant Harbor Master Planned Resort Preliminary Plan of Subdivision
2. Name of applicant:
Pleasant Harbor Marina and Golf Resort, LLP
Attn: Garth Mann 208913
US Highway 101
Brinnon, WA 98320
(403)256-4151
3. Address and phone number of applicant and contact person:
Applicant
Contact Person:
John Holbert
235 Salmon Street
Brinnon, WA 98320
Phone: (541) 740-0053
Email: johnholbert@startmail.com
4. Date checklist prepared:
November 17, 2023 as amended on March 20, 2024 to address correspondence from
County dated December 21, 2023 (County Notice of Incompleteness), Item No. 8.
5. Agency requesting checklist:
Jefferson County
6. Proposed timing of schedule (including phasing, if applicable):
Construction to commence in 2024 and continue through 2030, possible longer.
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 no plans for additions, expansions, or further activity related to or connected with
this proposal except as outlined in the Development Agreement By and Between Jefferson
County and Pleasant Harbor Marina and Golf Resort, LLP dated June 4, 2018 as amended by
County Ordinance 08-0722-19 on July 22, 2019.
8. List any environmental information you know about that has been prepared, or will be
prepared, directly related to this proposal.
2 https://ecology.wa.gov/Regulations-Permits/SEPA/Environmental-review/SEPA-guidance/SEPA-checklist-
guidance/SEPA-Checklist-Section-A-Background
Exhibit 12A
SEPA Environmental checklist September 2023 Page 3
(WAC 197-11-960)
Draft and Final Environmental Impact Statement (FEIS) published on September 5 and
November 27, 2007 respectively and their appendices.
Draft and Final Supplemental Environmental Impact Statement (FSEIS) published on
November 19, 2014 and December 9, 2015 respectively and their appendices.
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.
Yes. A Water System Plan is under review by the Washington Department of Health.
10. List any government approvals or permits that will be needed for your proposal, if known.
Please see list of local and state permits listed in page iv of the FSEIS as revised in the
comments to the County Notice of Incompleteness.
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 th ose answers on
this page. (Lead agencies may modify this form to include additional specific information
on project description.)
Please see FSEIS at 1-2 to 1-3. As noted in the cover letter submitted the application for
preliminary plat approval, the applicant proposes two changes from the proposal reviewed
in the FSEIS. The applicant initially property to use Kettle B to hold stormwater and
reclaimed water and now proposed to use Kettle C. The initial proposal would have
resulted in a loss of the naturally occurring wetland in Kettle B. The revision preserves the
wetland complex in Kettle C. Additionally, the project no longer requires construction of a
Large On-Site Septic System (LOSS). The LOSS was initially proposed to serve as bridge for
sewer service for the resort while the wastewater treatment plant (WWTP) was under
construction. Finally, the applicant proposes to use the planned maintenance facility as a
temporary prefabrication site. Using the planned maintenance facility for prefabrication
work will not have any additional impacts beyond what was assessed in the EIS and FEIS fo r
construction of the MPR. The only difference is that building elements will be prefabricated
indoors rather than assembled on-site outdoors. By locating construction activity indoors it
will further minimize exposure of construction materials and equipment to the elements
thereby reducing the potential for impacts to stormwater.
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 requi red by
the agency, you are not required to duplicate maps or detailed plans submitted with any
permit applications related to this checklist.
Please see FSEIS at 1-1.
Exhibit 12A
SEPA Environmental checklist September 2023 Page 4
(WAC 197-11-960)
B.Environmental Elements
1. Earth
Find help answering earth questions3
a. General description of the site:
Please see FSEIS and specifically the 2008 Pleasant Harbor Marina and Golf Resort Geotechnical
Investigation and 2012 Soils and Earth Impacts and Mitigation.
Circle or highlight one: Flat, rolling, hilly, steep slopes, mountainous, other:
The applicant incorporates its response to question 1.a. The property is characterized by
relatively flat terraces interspersed with steep slopes. Topography ranges from 320 above
mean sea level. Slopes range from 2 percent to 100 percent.
b. What is the steepest slope on the site (approximate percent slope)?
The applicant incorporates its response to question 1.a. The steepest slope is more than 100
percent along the coastal bluff. That area is protected by a non-disturbance covenant on the
face of the preliminary plat.
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 applicant incorporates its response to question 1.a. The site is comprised of predominantly
Vashon Age glacial soils that consist of dense to very dense sand or sand and gravel with
varying amounts of silt and some cobbles and occasional boulders. Older Pre-Vashon non-
glacial deposits consisting primarily of dense to very dense silty sand with minor layers of hard
lacustrine silts and clays were observed at depth in one test boring and exposed in the bluffs
along Hood Canal.
d. Are there surface indications or history of unstable soils in the immediate vicinity? If
so, describe.
The applicant incorporates its response to question 1.a.
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.
Please see FSEIS at 3.1-4.
f. Could erosion occur because of clearing, construction, or use? If so, generally describe.
3 https://ecology.wa.gov/regulations-permits/sepa/environmental-review/sepa-guidance/sepa-checklist-
guidance/sepa-checklist-section-b-environmental-elements/environmental-elements-earth
Exhibit 12A
SEPA Environmental checklist September 2023 Page 5
(WAC 197-11-960)
Yes. Clearing of land could result in erosion customary of surfaces disturbed by construction
activity. Applicant will secure a Construction Stormwater General NPDES Permit
g. About what percent of the site will be covered with impervious surfaces after project
construction (for example, asphalt or buildings)?
Approximately 38 acres will be impervious.
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any.
Please see FSEIS at pages 3.1-8 to 3.1-9. During the SEIS process the applicant proposed to
preserve Kettle C to meet Ordinance Condition 63 (h). The applicant now proposes to preserve
Kettle B. Kettle B is the larger of the kettle complexes on the prop erty and has a rated
(Category III) wetland at the bottom. There are no wetlands in Kettle C. The applicant initially
proposed to line Kettle B and use it to store stormwater and Class A effluent from the
wastewater treatment plant for irrigation and fire suppression which would have resulted in
the loss of the wetland. Through further design and surveying work the applicant has been
design the proposal to preserve Kettle B and the naturally occurring wetland.
2. Air
Find help answering air questions4
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.
Please see FSEIS Section 3.10 and Greenhouse Gas Emission Report attached as Appendix M to
the FSEIS. Construction and operations will generate greenhouse gases. Construction could
cause minor fugitive dust emissions attributable to construction equipment working on
unpaved surfaces.
b. Are there any off-site sources of emissions or odor that may affect your proposal? If
so, generally describe.
There are no off-site sources of emissions or odors.
c. Proposed measures to reduce or control emissions or other impacts to air, if any :
Please see FSEIS at 3.10-8—3.10-9. In addition, applicant will secure a Construction Stormwater
General NPDES Permit prior clearing and grading activity. The Construction Stormwater NPDES
General Permit requires implementation of best management practices that, among other
things, are designed to address fugitive dust from construction activity.
4 https://ecology.wa.gov/Regulations-Permits/SEPA/Environmental-review/SEPA-guidance/SEPA-checklist-
guidance/SEPA-Checklist-Section-B-Environmental-elements/Environmental-elements-Air
Exhibit 12A
SEPA Environmental checklist September 2023 Page 6
(WAC 197-11-960)
3. Water
Find help answering water questions5
a. Surface:
Find help answering surface water questions6
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.
Please section 3.2 of the FSEIS.
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. Some work may occur within 200 feet of the designated streams and wetlands but will not
occur within buffers imposed by applicable law. No work will be performed within 200 feet of
Hood Canal.
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 or dredge material is proposed to be placed in or removed from surface water or
wetlands. The applicant initially proposed to fill wetland B in Kettle B. The current proposal
avoids that impact.
4. Will the proposal require surface water withdrawals or diversions? Give a general
description, purpose, and approximate quantities if known.
The proposal does not require withdrawals or diversions from the existing surface waters on
the site. The project will withdraw surface water from the reclaimed water pond in Kettle C.
The Applicant received a Superseding Water Right Permit No. G2-27878 from Ecology
authorizing withdrawal of up to 133 af/yr for irrigation.
5. Does the proposal lie within a 100-year floodplain? If so, note location on the site
plan.
No.
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.
The proposal does not involve any discharge of waste material to existing, natural surface
waters.
5 https://ecology.wa.gov/Regulations-Permits/SEPA/Environmental-review/SEPA-guidance/SEPA-checklist-
guidance/SEPA-Checklist-Section-B-Environmental-elements/Environmental-elements-3-Water
6 https://ecology.wa.gov/Regulations-Permits/SEPA/Environmental-review/SEPA-guidance/SEPA-checklist-
guidance/SEPA-Checklist-Section-B-Environmental-elements/Environmental-elements-3-Water/Environmental-
elements-Surface-water
Exhibit 12A
SEPA Environmental checklist September 2023 Page 7
(WAC 197-11-960)
b. Ground:
Find help answering ground water questions7
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 a general description, purpose, and approximate quantities if known.
Groundwater will be withdrawn for potable water. Please see Section 3.2 of the FSEIS. The
applicant received superseding water right permit G2-30436 from WDOE in November 2022
authorizing the withdrawal of 254 af/yr.
2. Describe waste material that will be discharged into the ground from septic tanks
or other sources, if any (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 septic tanks are proposed. The applicant initially proposed to construct a Large On-Site
Septic System to accommodate the proposed first phase of development. The applicant now
intends to construct the wastewater treatment plant from the outset and will service all MPR
development with the Wasterwater Treatment Plant as outlined in the Pleasant Harbor Sewer
System General Sewer Plan approved by Ecology on October 6, 2022.
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.
Water runoff, including stormwater, will be collected and conveyed to Kettle C.
2. Could waste materials enter ground or surface waters? If so, generally describe.
Waste materials are not anticipated to enter ground or surface waters. All water is
collected and conveyed to Kettle C which will be lined.
3. Does the proposal alter or otherwise affect drainage patterns in the vicinity of the
site? If so, describe.
The proposal will require clearing and grading that will affect drainage patterns within the site.
The proposal will not affect drainage patterns outside of the site.
d. Proposed measures to reduce or control surface, ground, and runoff water, and
drainage pattern impacts, if any:
Please see FSEIS at pages 3.2-16 through 3.2-20.
7 https://ecology.wa.gov/Regulations-Permits/SEPA/Environmental-review/SEPA-guidance/SEPA-checklist-
guidance/SEPA-Checklist-Section-B-Environmental-elements/Environmental-elements-3-Water/Environmental-
elements-Groundwater
Exhibit 12A
SEPA Environmental checklist September 2023 Page 8
(WAC 197-11-960)
4. Plants
Find help answering plants questions
a. Check the types of vegetation found on the site:
☒ 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
Please see Section 3.3 of the SEIS and the 2009 Pleasant Harbor Marina and Golf Resort
Forest Report, 2012 Prescriptive Vegetation Management Plant, and 2012 Habitat
Management Plan at included as Appendices G and H to the SEIS.
b. What kind and amount of vegetation will be removed or altered?
Please see SEIS at 3.3-4.
c. List threatened and endangered species known to be on or near the site.
Please see SEIS at 3.3-1. .
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance
vegetation on the site, if any.
Please see SEIS at pages 3.3-5 through 3.3-7
e. List all noxious weeds and invasive species known to be on or near the site.
Himalayan blackberry, Scotch Broom
5. Animals
Find help answering animal questions8
a. List any birds and other animals that have been observed on or near the site or are
known to be on or near the site.
Examples include:
8 https://ecology.wa.gov/Regulations-Permits/SEPA/Environmental-review/SEPA-guidance/SEPA-checklist-
guidance/SEPA-Checklist-Section-B-Environmental-elements/Environmental-elements-5-Animals
Exhibit 12A
SEPA Environmental checklist September 2023 Page 9
(WAC 197-11-960)
• Birds: hawk, heron, eagle, songbirds, other:
• Mammals: deer, bear, elk, beaver, other:
• Fish: bass, salmon, trout, herring, shellfish, other:
Please see sections 3.4 and 3.5 of the SEIS.
b. List any threatened and endangered species known to be on or near the site.
Please see SEIS at 3.4-1 through 3.4-4.
c. Is the site part of a migration route? If so, explain.
Yes, please see SEIS at page 3.4-3 for further information.
d. Proposed measures to preserve or enhance wildlife, if any.
Please see SEIS at 3.4-8 through 3.4-10 and 3.5-5 and 3.5-8.
e. List any invasive animal species known to be on or near the site.
None known. Tunicate colonies have spread to portions of Hood Canal. No tunicates have
been detected around the pier as part of the applicant’s monitoring.
6. Energy and natural resources
Find help answering energy and natural resource questions9
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.
Please see Section 3.8 of the SEIS.
b. Would your project affect the potential use of solar energy by adjacent properties? If
so, generally describe.
Yes. Removal of vegetation for buildings and recreational spaces may decrease existing shading
and create more opportunity for solar facilities.
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.
Please see SEIS pages 3.8-4 and 3.8-5
7. Environmental health
Health Find help with answering environmental health questions10
a. Are there any environmental health hazards, including exposure to toxic chemicals,
risk of fire and explosion, spill, or hazardous waste, that could occur because of this
proposal? If so, describe.
9 https://ecology.wa.gov/Regulations-Permits/SEPA/Environmental-review/SEPA-guidance/SEPA-checklist-
guidance/SEPA-Checklist-Section-B-Environmental-elements/Environmental-elements-6-Energy-natural-resou
10 https://ecology.wa.gov/Regulations-Permits/SEPA/Environmental-review/SEPA-guidance/SEPA-checklist-
guidance/SEPA-Checklist-Section-B-Environmental-elements/Environmental-elements-7-Environmental-health
Exhibit 12A
SEPA Environmental checklist September 2023 Page 10
(WAC 197-11-960)
1. Describe any known or possible contamination at the site from present or past
uses.
None known. The site was a former RV recreational area and campground.
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.
None known.
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.
During construction petroleum products, lubricants and paints typical of a construction site may
be stored on site. During operations
4. Describe special emergency services that might be required.
No special emergency services are anticipated being needed to address emergencies during
construction and operation.
5. Proposed measures to reduce or control environmental health hazards, if any.
The applicant will secure a Construction Stormwater General Permit which requires
implementation of best management practices for the storage of hazardous materials and to
address any possible releases to the environment.
b. Noise
1. What types of noise exist in the area which may affect your project (for example:
traffic, equipment, operation, other)?
US Highway 101 is east of the project.
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)?
Customary construction noise is anticipated during build out. During operations the project
would generate noise similar to similarly sized community.
3. Proposed measures to reduce or control noise impacts, if any :
The applicant is required to maintain a 200 foot buffer along Hood Canal and a vegetative
buffer along 101.
Exhibit 12A
SEPA Environmental checklist September 2023 Page 11
(WAC 197-11-960)
8. Land and shoreline use
Find help answering land and shoreline use questions 11
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 former campground. Adjacent properties are rural in nature. See FSEIS at
3.12-1 to 3.12-2 for further information.
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 because 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.
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?
Impacts of that nature are not expected.
c. Describe any structures on the site.
Structures on the site consist of
d. Will any structures be demolished? If so, what?
Yes. The former campground structures and septic systems will be demolished.
e. What is the current zoning classification of the site?
Pleasant Harbor Master Planned Resort.
f. What is the current comprehensive plan designation of the site?
Pleasant Harbor Master Planned Resort.
g. If applicable, what is the current shoreline master program designation of the site?
Natural. The area around the marina is high intensity.
h. Has any part of the site been classified as a critical area by the city or county? If so,
specify.
Yes. Portions of the site contained wetlands, steep slopes,
i. Approximately how many people would reside or work in the completed project?
Approximately 40 permanent employees and 50 seasonal employees.
j. Approximately how many people would the completed project displace?
11 https://ecology.wa.gov/Regulations-Permits/SEPA/Environmental-review/SEPA-guidance/SEPA-checklist-
guidance/SEPA-Checklist-Section-B-Environmental-elements/Environmental-elements-8-Land-shoreline-use
Exhibit 12A
SEPA Environmental checklist September 2023 Page 12
(WAC 197-11-960)
None.
k. Proposed measures to avoid or reduce displacement impacts, if any.
Not applicable.
l. Proposed measures to ensure the proposal is compatible with existing and projected
land uses and plans, if any.
Applicant must meet the conditions the Development Agreement,
m. Proposed measures to reduce or control impacts to agricultural and forest lands of
long-term commercial significance, if any:
The MPR boundaries do not extend to agricultural land or forest land of long-term
commercial significance.
9. Housing
Find help answering housing questions12
a. Approximately how many units would be provided, if any? Indicate whether high,
middle, or low-income housing.
Up to 890 residential units 52 of those units would be reserved for staff housing.
b. Approximately how many units, if any, would be eliminated? Indicate whether high,
middle, or low-income housing.
None.
c. Proposed measures to reduce or control housing impacts, if any :
Applicant is reserving 52 of the 890 allowed units for staff housing.
10. Aesthetics
Find help answering aesthetics questions13
a. What is the tallest height of any proposed structure(s), not including antennas; what is
the principal exterior building material(s) proposed?
Please see FSEIS at 2-31.
b. What views in the immediate vicinity would be altered or obstructed?
Please see discussion in FSEIS at 3.15-1.
c. Proposed measures to reduce or control aesthetic impacts, if any :
Please see FSEIS at 3.15-5 to 3.15-6.
12 https://ecology.wa.gov/Regulations-Permits/SEPA/Environmental-review/SEPA-guidance/SEPA-checklist-
guidance/SEPA-Checklist-Section-B-Environmental-elements/Environmental-elements-9-Housing
13 https://ecology.wa.gov/Regulations-Permits/SEPA/Environmental-review/SEPA-guidance/SEPA-checklist-
guidance/SEPA-Checklist-Section-B-Environmental-elements/Environmental-elements-10-Aesthetics
Exhibit 12A
SEPA Environmental checklist September 2023 Page 13
(WAC 197-11-960)
11. Light and glare
Find help answering light and glare questions14
a. What type of light or glare will the proposal produce? What time of day would it
mainly occur?
Please see FSEIS section 3.14.
b. Could light or glare from the finished project be a safety hazard or interfere with
views?
Light from the project is not expected to create a safety hazard. Light from the project
may be visible from adjacent properties at night.
c. What existing off-site sources of light or glare may affect your proposal?
None known.
d. Proposed measures to reduce or control light and glare impacts, if any :
Please see measure outlines in FSEIS on pages 3.14-4 through 3.14-5.
12. Recreation
Find help answering recreation questions
a. What designated and informal recreational opportunities are in the immediate
vicinity?
Primarily outdoor activities like hiking, boating, sight-seeing, fishing, etc.
b. Would the proposed project displace any existing recreational uses? If so, describe.
No.
c. Proposed measures to reduce or control impacts on recreation, including recreation
opportunities to be provided by the project or applicant, if any :
The project involves construction of a nine-hole golf course, pools, ball courts and other
amenities typical of a resort style development.
13. Historic and cultural preservation
Find help answering historic and cultural preservation questions 15
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.
Please see chapter 3.13 of the FSEIS.
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
14 https://ecology.wa.gov/Regulations-Permits/SEPA/Environmental-review/SEPA-guidance/SEPA-checklist-
guidance/SEPA-Checklist-Section-B-Environmental-elements/Environmental-elements-11-Light-glare
15 https://ecology.wa.gov/Regulations-Permits/SEPA/Environmental-review/SEPA-guidance/SEPA-checklist-
guidance/SEPA-Checklist-Section-B-Environmental-elements/Environmental-elements-13-Historic-cultural-p
Exhibit 12A
SEPA Environmental checklist September 2023 Page 14
(WAC 197-11-960)
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.
Please see chapter 3.13 of the FSEIS.
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.
Please see chapter 3.13 of the FSEIS.
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.
Please see FSEIS at pages 3.13-2 through 3.13-4.
14. Transportation
Find help with answering transportation questions 16
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.
Please see chapter 3.9 of the FSEIS.
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?
Please see chapter 3.9 of the FSEIS. Jefferson County Transit Route #1 still services the
areas and stops at Black Point Road but hours of service are different than those in the
FSEIS.
c. 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).
Yes. Please see chapter 3.9 of the FSEIS.
d. 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 “use” water, rail or air transportation. There is an existing
recreational marina that may be used as transport to and from the project from other
locals.
e. 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
16 https://ecology.wa.gov/Regulations-Permits/SEPA/Environmental-review/SEPA-guidance/SEPA-checklist-
guidance/SEPA-Checklist-Section-B-Environmental-elements/Environmental-elements-14-Transportation
Exhibit 12A
SEPA Environmental checklist September 2023 Page 15
(WAC 197-11-960)
the volume would be trucks (such as commercial and nonpassenger vehicles). What
data or transportation models were used to make these estimates?
Please see Appendix 6 of the FEIS and Appendix L to the FSEIS. An estimated total of
approximately 4,100 daily and 363 p.m. peak hour vehicular trips (186 entering and 177
exiting) would be generated at full build-out and occupancy of the project.
f. 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.
No.
g. Proposed measures to reduce or control transportation impacts, if any :
Please see pages 3.9-12 through 3.9-14 of the FSEIS.
15. Public services
Find help answering public service questions17
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.
Yes. The Project would construct up to 890 residential units as well as resort -related
commercial spaces and recreational amenities.
b. Proposed measures to reduce or control direct impacts on public services, if any.
The applicant has entered into MOUs with the impacted service providers. Please see
Appendix J to the Development Agreement.
16. Utilities
Find help answering utilities questions18
a. Circle utilities currently available at the site: electricity, natural gas, water, refuse
service, telephone, sanitary sewer, septic system, other:
Please see chapter 3.16 of the FS EIS; provided, however, that Kettle C not Kettle B will
be lined to receive stormwater and Class A effluent from the WWTP. Additionally, the
applicant does not intend to service initial development with a Large On Site Septic
System and will instead service all developed with the Wasterwater Treatment Plant
proposed in the Pleasant Harbor Sewer System General Sewer Plan approved by Ecology
on October 6, 2022.
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.
Please see chapter 3.16 of the FSEIS.
17 https://ecology.wa.gov/regulations-permits/sepa/environmental-review/sepa-guidance/sepa-checklist-
guidance/sepa-checklist-section-b-environmental-elements/environmental-elements-15-public-services
18 https://ecology.wa.gov/regulations-permits/sepa/environmental-review/sepa-guidance/sepa-checklist-
guidance/sepa-checklist-section-b-environmental-elements/environmental-elements-16-utilities
Exhibit 12A
SEPA Environmental checklist September 2023 Page 16
(WAC 197-11-960)
C.Signature
Find help about who should sign19
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.
X
Type name of signee:
Position and agency/organization:
Date submitted:
D.Supplemental sheet for nonproject actions
Find help for the nonproject actions worksheet20
Do not use this section 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;
production, 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:
19 https://ecology.wa.gov/Regulations-Permits/SEPA/Environmental-review/SEPA-guidance/SEPA-checklist-
guidance/SEPA-Checklist-Section-C-Signature
20 https://ecology.wa.gov/regulations-permits/sepa/environmental-review/sepa-guidance/sepa-checklist-
guidance/sepa-checklist-section-d-non-project-actions
Exhibit 12A
SEPA Environmental checklist September 2023 Page 17
(WAC 197-11-960)
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, 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.
Exhibit 12A