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HomeMy WebLinkAboutMLA18-00043 SEPA ChecklistSEPA ENVIRONMENTAL CHEC Purpose of checklist: Governmental agencies use this checklist to help determine whether the environmental impacts ofWr 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 "notapplicable" 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 art p 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: Partial release of property from Forest Practices Moratorium for development of parcel for single family residential use. 2. Name of applicant: Catherine Carmella SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 1 of 14 3. Address and phone number of applicant and contact person: 112 S. 296 Place Federal Way, WA. 98003; Phone: 206-730-7432 4. Date checklist prepared: May 8, 2018 5. Agency requesting checklist: Jefferson County, Washington 6. Proposed timing or schedule (including phasing, if applicable): Completion of site work 60 days after permit approval. 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. No 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. A wetland delineation report has been prepared and is included with this submittal. 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. No 10. List any government approvals or permits that will be needed for your proposal, if known. Release of Forest Practices Act Moratorium for a Single -Family Home (Jefferson County) Building Permit (Jefferson County) Septic Permit (Jefferson County) 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.) This proposal is for partial release of the parcel for installation of a single family residence and associated site improvements. The proposed project includes the installation of a single family residence (1,500 s.f.±), installation of gravel driveway (3,170 s.f.±), preparation of garden area (1,250 s.f.±), installation septic system, and installation of stonmwater dispersion measures/structures. Minor site grading will be required for installation of the driveway and residence. The remainder of the site will be replanted with native trees consistent with the Forestry Use. SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 2 of 14 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 30 Sunshine Drive, Sequim WA. 98382 on Parcel No. 002283032. Access to the site is from Sunshine Drive off Gardiner Beach Road off Diamond Point Road north of Highway 101. B. Environmental Elements HELP 1. Earth fLeSIJ a. General description of the site: The site is generally flat. The high point of the site is located in the northwest corner. The property slopes gently to the south and east. b. What is the steepest slope on the site (approximate percent slope)? The steepest slope onsite is approximately 5%. 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 majority of soils on site are classified by the NRCS Soil Survey as Type CmC, or Clallam gravelly sandy loam. A typical profile consists of 0 - 3 inches of gravelly sandy loam, 3 - 23 inches of very gravelly sandy loam, 23 - 60 inches of gravelly sand loam with restrictive layer at 20 to 40 inches. The hydrologic soil group is classified as C. d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. No. 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. Excavation and fill onsite will be limited to that necessary for installation of a single family residence and associated appurtenances. Approximately 100 cubic yards of cut and fill will be required. Fill brought onsite will be limited to crushed gravel for the driveway, drain rock for stormwater dispersion structure and materials as needed for installation of the onsite septic. Exact source of these materials is unknown at this time, but will be from local gravel pits. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. Erosion could occur due to soils being disturbed as needed for installation of residence and associated appurtenances. SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 3 of 14 g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? 3% h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: Access to the site will be stabilized by early installation of the gravel driveway to help reduce trackout from the site. Silt fence will be placed along the east edge of the proposed septic system to prevent sediment laden runoff from entering the wetland in the northeast corner of the site. Other runoff will be dispersed throughout the site. Site work will be scheduled to minimize the amount of disturbed soils 2. Air lel 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. Dust may be generated from construction activities. There will be no emissions associated with this project after completion. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. There are no emissions or odors offsite that will affect the proposal. None. c. Proposed measures to reduce or control emissions or other impacts to air, if any: None. 3. Water JbLeM a. Surface Water: hel 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. A wetland is located in the northeast corner of the property. Eagle Creek is located approximately 200 feet south and east of the site. A portion of the lot drains to the wetland in the northeast corner of the site. The rest of the site is assumed to drain to Eagle Creek. 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. The project will require work adjacent to the wetland. The work within 200 feet of the wetland will include installation of an onsite septic system and a portion of the work needed for installation of the SFR and driveway. 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. None SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 4 of 14 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. No. 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. No. b. Ground Water:h[ elpl 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 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. Domestic sewage (240 GPD design flow) from the single family residence will be discharged to ground through the use of an onsite septic system. The system will consist of a 1,000 gallon septic tank, 1,000 gallon pump chamber and 134 lineal feet of septic laterals. a. 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. Roof runoff will be collected in a 4"0 tightline pipe and discharged into a reforested area through a dispersion trench. Runoff from the driveway stormwater will sheet flow into a reforested area. 2) Could waste materials enter ground or surface waters? If so, generally describe. No 3) Does the proposal alter or otherwise affect drainage patterns in the vicinity of the site? If so, describe. No. b. Proposed measures to reduce or control surface, ground, and runoff water, and drainage pattern impacts, if any: Runoff will be controlled by Full Dispersion onsite which will consist of revegetating portions of the site and installing dispersion facilities for roof runoff. SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 5 of 14 4. Plants ILeIgI a. Check the types of vegetation found on the site: X deciduous tree: alder, maple, aspen, other X evergreen tree: fir, cedar, pine, other X shrubs X grass _pasture crop or grain Orchards, vineyards or other permanent crops. X wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other water plants: water lily, eelgrass, milfoil, other X other types of vegetation b. What kind and amount of vegetation will be removed or altered? A small amount of grass, small trees and shrubs will be removed to install a new driveway, SFR and garden. c. List threatened and endangered species known to be on or near the site. None known or observed d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: All cleared areas of the parcel will be replanted with native trees with the exception of a small lawntgarden area, the septic system area and the driveway. fi_ +I 5;,kc� ff e �b4th; (�1 e. List all noxious weeds and invasive species known to be on or near the site. None known 5. Animalshj_elW 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. birds: hawk, eagle, songbirds mammals: deer fish: salmon, trout b. List any threatened and endangered species known to be on or near the site. None. c. Is the site part of a migration route? If so, explain. No d. Proposed measures to preserve or enhance wildlife, if any: Reforest majority of property to restore forest habitat. SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 6 of 14 e. List any invasive animal species known to be on or near the site. None. 6. Energy and Natural Resourceshj. elp] 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. Electrical energy will be required for single family residential needs (heating, cooking, cleaning, etc.) b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. No. 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: The single family residence will be required to meet the conditions of the current edition of the energy code which requires energy conserving features. 7. Environmental Health JLelp 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. No. 1) Describe any known or possible contamination at the site from present or past uses. None known. 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. None. 4) Describe special emergency services that might be required. None. 5) Proposed measures to reduce or control environmental health hazards, if any: None. SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 7 of 14 b. Noise 1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? The current site is vacant with no high levels of noise existing on the property. The property is near a rural road that has minimal amounts of traffic noise. 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. Noises generated would be typical of those associated with single family residential construction (equipment, hand tools, power saws, etc.) Increased noise levels would be limited to standard working hours. 3) Proposed measures to reduce or control noise impacts, if any: None & Land and Shoreline Useh[ elpl 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. Surrounding properties are primarily rural residential areas. The property to the south is owned by the Jefferson County PUD and houses a portion of the water distribution system. The proposal will not affect the current land uses on surrounding 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 non -forest use? The site has not been used for working farmland or working forest lands. 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: No c. Describe any structures on the site. None d. Will any structures be demolished? If so, what? Not Applicable e. What is the current zoning classification of the site? RR -5 Rural Residential. f. What is the current comprehensive plan designation of the site? Current comprehensive plan for the site is rural residential. g. If applicable, what is the current shoreline master program designation of the site? Not Applicable SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 8 of 14 h. Has any part of the site been classified as a critical area by the city or county? If so, specify. The northeast corner of the site contains a category 3 wetland. i. Approximately how many people would reside or work in the completed project? 3 j. Approximately how many people would the completed project displace? None. k. Proposed measures to avoid or reduce displacement impacts, if any: None. I. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: None planned. The proposed project is consistent with existing and projected land uses. m. Proposed measures to reduce or control impacts to agricultural and forest lands of long-term commercial significance, if any: None. 9. Housinghf elpl a. Approximately how many units would be provided, if any? Indicate whether high, mid- dle, or low-income housing. One middle income SFR will be constructed. 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: None. 10. Aestheticshej el a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? The tallest strucure will be approximately 16.5'. The principal exterior materials will be windows, shingles and plastic siding. b. What views in the immediate vicinity would be altered or obstructed? None a. Proposed measures to reduce or control aesthetic impacts, if any: None SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 9 of 14 11. Light and Glarehf elpl a. What type of light or glare will the proposal produce? What time of day would it mainly occur? Typical lighting from a single family residence (indoor lighting, porch lights, etc.). Light will primarily be produced at night. b. Could light or glare from the finished project be a safety hazard or interfere with views? No. 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: None known. 12. Recreationh[ elpl a. What designated and informal recreational opportunities are in the immediate vicinity? None known. 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: None. SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 10 of 14 13. Historic and cultural preservation[Lelpl 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. No. b. Are there any landmarks, features, or other evidence of Indian or historic use or occupation? This may include human burials or old cemeteries. Are there any material evidence, artifacts, or areas of cultural importance on or near the site? Please list any professional studies conducted at the site to identify such resources. None known. 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. The Washington Information System for Architectural and Archaeological Records Data was utilized to search for historic resources on or near the project site. 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. None. 14. Transportationhf elpl 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. Sunshine Drive run alongside the West property line. Access to the site will be off of Sunshine Drive from Gardner Beach Road from Diamond Point Road from Highway 101. 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? No. Approximately 4 miles to a bus stop at Highway 101. c. How many additional parking spaces would the completed project or non -project proposal have? How many would the project or proposal eliminate? Two onsite parking spaces will be created. 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). No. e. Will the project or proposal use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. No. SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 11 of 14 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? Approximately 10 trips per day will be generated after development of the lot. A peak volume of 1 trip per hour is expected between the hours of 4 and 6 p.m. on weekdays. This data is based on the Trip Generation Manual (Institute of Transportation Engineers, 7th Edition). 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. No. h. Proposed measures to reduce or control transportation impacts, if any: None 15. Public Servicesh[ elp] 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. No. b. Proposed measures to reduce or control direct impacts on public services, if any. None. 16. UtilitieshLelp1 a. Utilities currently available at the site: electricity, water, communications 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 will be served by water and power from Jefferson County PUD #1. Communication utilities will be provided by Century Link and Wave Broadband. Utility services will need to be extended to the property from the existing infrastructure in Gardner Beach Road. 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: L� Name of signee:t,.= Position and Agency/Organization Date Submitted: 5 / � SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 12 of 14 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, 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: SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 13 of 14 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. SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 14 of 14