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Home My WebLink AboutSEPA ChecklistJEFFERSON COUNTY �Tl ENVIRONMENTAL CHEC PLEASE READ THE FOLLOWING CAREFULLY PURPOSE OF THE CHECKLIST: `4� Coutv The State Environmental Policy Act (SEPA), chapter 43.21 RCW, requires all gov wfttal agencies to consider the environmental impacts of a proposal before making decisions. An environmental impact statement (EIS) must be prepared for all proposals with probably significant adverse impacts on the quality of the environment. The purpose of this checklist is to provide information to help you and the agency identify impacts from your proposal (and to reduce or avoid impacts from the proposal, if it can be done) and to help the agency decide whether an EIS is required. INSTRUCTIONS FOR APPLICANTS: This environmental checklist asks you to describe some basic information about your proposal. Governmental agencies use this checklist to determine whether the environmental impacts of your proposal are significant, requiring preparation of an EIS. Answer the questions briefly, with the most precise information know, or give the best description you can. You must answer each question accurately and carefully, to the best of your knowledge. In most cases, you should be able to answer the questions from your own observations or project plans without the need to hire experts. If you really do not know the answer or if a question does not apply to your proposal, write "do not know" or "does not apply." Complete answers to the questions now may avoid unnecessary delays later. Some questions ask about governmental regulations, such as zoning, shoreline, and landmark designations. Answer these questions if you can. If you have problems, the governmental agencies can assist you. 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. USE OF CHECKLIST FOR NONPROJECT PROPOSAL: Complete this checklist for nonproject proposals, even though questions may be answered "does not apply." In addition, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (Part D). For nonproject actions, the references in the checklist to the words "project," "applicant," and "property or site" should be read as "proposal," "proposer" and "affected geographic area," respectively. DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT 280 MADISON AVENUE NORTH • BAINBRIDGE ISLAND, WA • 98110-1812 PHONE: (206) 842-2552 • FAX: (206) 780-0955 • EMAIL: dcd@ci.bainbridge-isl.wa.us www.ci.bainbridge-isIma.us SEPA RULES TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY AGREE/DISAGREE/MMGATE JEFFERSON COUNTY ENVIRONMENTAL CHECKLIST Code citation: RCW 197-11-960 SEPA RULES A. BACKGROUND Al. Name of proposed project, if applicable: Edwards Soft Bank A2. Name of applicant: Michael and Sariya Edwards Family Trust Michael and Sariya Edwards, TTE's 2353 South Point Road Port Ludlow, WA 98365 (408) 718-7121 A3. Address and phone number of applicant and contact person: Contact: Applicant: Coastal Solutions, Robert F. Cousins Michael Edwards 11027Manitou Beach Drive NE 2353 South Point Road. Bainbridge Island, WA 98110 Port Ludlow, WA 98365 206-459-7264 (408) 718-7121) rob@coastalsolns.com A4. Date checklist prepared: April 17, 2017 A5. Agency requesting checklist: Jefferson County A6. Proposed timing or schedule (including phasing, if applicable): The project is to begin Summer 2017 and completed all at once; no phases by end of February 2015. '090SC)c AT Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. None A8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. , Geotechnical Evaluation by Coastal Solutions, LLC. A9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. SEPA RULES TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY AGREE/DISAGREE/MMGATE HPA through WSDFW A10. List any governmental approvals or permits that will be needed for your proposal, if known. Shoreline Substantial Development Exemption Permit through Jefferson County. 'Fl ooA A e".�cprl ct*-A'tryr k� All. 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). Construct a bio -engineered, soft bank erosion control system at or above the Ordinary High Water Line (OHW) to protect the existing residence and building pad from erosion. Al2. 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 aver 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. Address: 2353 South Point Road Tax Parcel #: 721093003 (Township: 27N Section: 9 Range: 1E B. ENVIRONMENTAL ELEMENTS B 1. Earth Bla. General description of the site (circle one): Flat, rolling, hilly, steep, slopes, mountainous, other... Steeply sloping upland to the west, low bank beach to east. B lb. What is the steepest slope on the site (approximate percent slope)? vertical at the top of the upper bluff, 2HAV for upper slope Blc. 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 prime farmland. silt sand and gravel and fill Bld. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. SEPA RULES TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY AGREE/DISAGREFIMITIGATE No but mass grading of upper hillside and lot has resulted in steep slopes and retainage above the house and erosion potential of fill soils near the beach. Ble. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. Fish mix from Shine Gravel Pit. Blf. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. No. Blg. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? No new impervious. B lh. Proposed measures to reduce or control erosion, or other impacts to — _ the earth, if any: None necessary. Best Management Practices to be implemented during construction as necessary. B2. Air — — B2a. What types of emissions to the air would result from the proposal (i.e. dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities if known. During construction, the equipment on site will produce exhaust while running between allowed working hours. There will be no emissions once the project is completed. 132b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No 132c. Proposed measures to reduce or control emissions or other impacts _ ^ to air, if any: None B3. Water B3a. Surface: Baal) 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. Yes, Hood Canal SEPA RULES TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY AGREE/DISAGREE/MMGATE 133a2) 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, soft shore stabilization will be constructed at or above the OHW line. VCO P:seA a� NWIA tm' l-, B30) Estimate the amount of fill and dredge material that would be placed be nus? - 1) 1 a lCf i' L� C�.V3a- r -Ou6 in or removed from surface water or wetlands and indicate the area J of the site that would be affected. Indicate the source of fill material. Less than 20 yards of fish mix sand and gravel for log bedding B3a4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. No. B3a5) Does the proposal lie within a 100 -year floodplain? If so, note location on the site plan. Flood Plain Designation AE near shoreline. _s8 133a6) 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 133b. Ground: 133b1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. No. B3b2) 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. None. 133c. Water runoff (including storm water): 133c1) Describe the source of runoff (including storm water) and method of _ J collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water flow into other waters? If so, describe. SEPA RULES TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY AGREEMISAGREE/MITIGATE Existing, functioning stormwater system to remain. 133c2) Could waste materials enter ground or surface waters? If so, generally describe. No. B3d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: None necessary. B4. Plants B4a. Check or circle types of vegetation found on the site: X deciduous tree: alder, maple — — — X evergreen tree: fir, cedar, other X shrubs X grass pasture crop or grain wet soil plants: cattail, buttercup, bulrush, skunk cabbage, other water plants: water lily, eelgrass, milfoil, other other types of vegetation:. B4b. What kind and amount of vegetation will be removed or altered? None. Existing vegetation will be trimmed to allow log placement. Any plants relocated will be replaced. Q D� , ��e.�c�,,..�r.� Lxz.�. •�,qry. c�� r rr,�1 c�G�.�f-� N.a'G�.�,'��;,. e-r�6.IH'=f.�.n.0 K,}'�dr B4c. List threatened or endangered species known to be nor ne .. the c+a.t�c,1'��.[ site. Chinook Salmon, Bull trout, Killer Whale, Humpback Whale, Steller Sea Lias. 134d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: Vegetation disturbance will be minimal and will be supplemented with native vegetation as necessary. B5. Animals 135a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: Birds: hawk, heron, eagle, songbirds, other: Crows, Seagulls Mammals: deer, bear, elk, beaver, other: river otter, sea lion, beaver, mink, muskrat, weasel, raccoon Fish: bass, salmon, trout, herring, shellfish, other: longnose skate, big skate, Forage Fish SEPA RULES TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY AGREE/DISAGREE/MITIGATE B5b. List threatened or endangered species known to be on or near the _ , site. Salmon, Orca, Bull Trout, Steller Sea lion, Humpback Whale. B5c. Is the site part of a migration route? If so, explain. Unknown 135d. Proposed measures to preserve or enhance wildlife, if any. Minimize construction time and sequencing. B6. Energy and Natural Resources 136a. 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. N/A B6b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. No 136c. 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: None B7. Environmental Health 137a. 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. No 137a1. Describe special emergency services that might be required. None I J(r,L_ — CL - `Sly,..} 137a2. Proposed measures to reduce or control environmental health _ — _. hazards, if any: None B7b. Noise 137b1. What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? None SEPA RULES TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY AGREE/DISAGREE/MMGATE B7b2. 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. During normal approved working hours, the machine on site will create noise. Typical hours are 7 AM- 5 PM. B7b3. Proposed measures to reduce or control noise impacts, if any: None B8. Land and Shoreline Use B8a. What is the current use of the site and adjacent properties? Single Family Residential B8b. Has the site been used for agriculture? If so, describe. No. B8c. Describe any structures on the site. Single family residences and outbuildings. B8d. Will any structures be demolished? If so, what? No B8e. What is the current zoning classification of the site? Rural Residential B8f. What is the current comprehensive plan designation of the site? Residential B8g. If applicable, what is the current shoreline master program designation of the site? Priority Aquatic/Shoreline Residential a t� C)"w 0 B8h. Has any part of the site been classified as an "environmentally sensitive" area? If so, specify. Yes, geologically hazardous area for steep slope above and west of house. However no impacts to critical areas from shoreline project. SEPA RULES TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY AGREE/DISAGRERIMMGATE BE Approximately how many people would reside or work in the completed project? _ _ — None B8j. Approximately how many people would the completed project displace? None 138k. Proposed measures to avoid or reduce displacement impacts, if any: None 1381. Proposed measures to ensure the proposal is compatible with _ — existing and projected land uses and plans, if any: None at this time. B9. Housing B9a. Approximately how many units would be provided, if any? Indicate - — whether high, middle, or low-income housing. N/A N B9b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. N/A N Ct1� 139c. Proposed measures to reduce or control housing impacts, if any: _ N/A B10. Aesthetics B 10a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) — -- proposed? 24-36 inch diameter logs to be placed flat along fill pad at OHW line. B 10b. What views in the immediate vicinity would be altered or obstructed? None B 10c. Proposed measures to reduce or control aesthetic impacts, if any: None SEPA RULES TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY AGREE/DISAGREEIMMGATE B11. Light and glare Blla. What type of light or glare will the proposal produce? What time of day would it mainly occur? — — — None B l lb. Could light or glare from the finished project be a safety hazard or — interfere with views? No 1311c. What existing off-site sources of light or glare may affect your — — — proposal? None 1311d. Proposed measures to reduce or control light and glare impacts, if any: None B12. Recreation B 12a. What designated and informal recreational opportunities are in the immediate vicinity? Saltwater related activities. B12b. Would the proposed project displace any existing recreational uses? If so, describe. No B 12c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: None B13. Historic and Cultural Preservation B13a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers known to be on or next to the site? If so, generally describe. No. B 13b. Generally describe any landmarks or evidence of historic, _ :F; SEPA RULES TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY AGREE/DISAGREE/MmGATE archaeological, scientific, or cultural importance known to be on or next to the site. None B 13c. Proposed measures to reduce or control impacts, if any: In the event any archaeological, scientific, or cultural resources are found during construction, work will stop immediately and the proper authorities will be contacted. B14. Transportation B 14a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Show on site plans, if any. South Point Road 1314b. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? No. B14c. How many parking spaces would the completed project have? How _ many would the project eliminate? _ Ck,W\-L) N/A B 14d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). No. 1314e. Will the project use (or occur in the immediate vicinity of) water, rail or air transportation? If so, generally describe. No. B 14f. How many vehicular trips per day would be generated by the completed project? If know, indicate when peak volumes would occur. None. B 14g. Proposed measures to reduce or control transportation impacts, if any: None. B15. Public Services 1315a. Would the project result in an increased need for public services (for example: fire protection, police protection, health care, schools, other)? Is so, generally describe. SEPA RULES TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY AGREE/DISAGREF/MITIGATE No. B 15b. Proposed measures to reduce or control direct impacts on public services, if any. None. B16. Utilities B 16a. Circle utilities currently available at the site: electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system Brill ehaven COMMLLClit , other. B16b. 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. None. C. SIGNATURE The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them it make its decision. Signature: Date Submitted 4/17/2017 SEPA RULES TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY AGREF%DISAGRELNITIGATE B16b. 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. None. C. SIGNATURE The above answers are agency is relying on th5 Siguature: Date Submitted 4/17/2017 and complete to the best of my knowledge. I understand that the lead make its decision. I/ LJ) I APR 17 2017f a r'r'ERSON COUNTY DCD L