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HomeMy WebLinkAboutMLA21-00019 Miles MRLO ApplicationDEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend, WA 98368 Tel: 360,379.4450 1 Fax: 360.379.4451 Web: ��nvw u F t tnu r G-mail: do l o.' •r a wa.us PERMIT APPLICATION Steps in the Permit Process: -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application; it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Related Application #s: Site Information Building Permit # coa AlNnOD NOSa3Ad31' MLA# Assessor Tax Parcel Number: 701011001, 701021002, 701121001, 701111001 Site Address and/or Directions to Property: In the vicinity of 1500 Wahl Lake Rd Port Ludlow Access (name of street(s)) from which access will be gained: State Route 104 to Wahl Lake Rd, Port Ludlow Present use of property: CF-80 Description of Work (include proposed uses): J Revision to Jefferson County's Comprehensive Plan and Zoning Map to reflect MRL oveda _Wastewater -Sewage Disposal This property is served by Port Townsend or Port Ludlow sewer system? YES NO If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: area. Septic Septic Permit #: N/A Community Septic Name of System: Case M Are other residences connected to the septic system? Additions or repairs to sewage system: Is it a complete or partial system installation: Complete Partial Has a reserve drainfield been designated? Yes No Date of Last Operations & Maintenance check: Attach last report to application Describe or attach any drainfield easements, covenants or notices on title, which may impact the property: The authorized agent/representative is the primary contact for all project -related questions and correspondence. The County will mail / e-mail requests and information about the application to the authorized agent/representative and w' below. The authorized agent/representative Is responsible for communicating the information to all p Iv t application. It is the responsibility of the authorized agent/representative and owner to ensure their it I .e., rni ­+w em 11 le not kinrkarl nr cant to "ii ink mail"l Kk A.-.r n $ _nAIn) I Applicant/Property Owner Information Property Owner: JEFFERSON COUNTY DCD Name: Pope Resources LP C/O Ryan Connors Address: 1 Rayonier Way, Wildlight FL 32097 Phone #: 904-557-4108 E-mail Address: ryan.connors@rayonier.com Please contact Authorized Agent/Representative with project info. (select only one). Property Owner Signature: 184_eCDate: 2/26/2021 Note: For projects with multiple own s, attach a separate sheet with each owner(s) information and si natures. Applicant: Authorized Agent/Representative (If other than owner) Name: Patricia Larson for Miles Sand & Gravel Company Address: 400 Valley Ave NE, Puyallup Washington 98372 I Phone #: 253-833-3705 X461 E-mail Address: patricia.larson@miles.rocks Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor _ Contractor Consultant Name: Geo Engineers Inc License # Address: Bridget August Phone #: 425-861-6101 E-mail Address: baugust@geoengineers.com Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License # Address: Phone #: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License # Address: Phone #: E-mail Address: By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is true and correct to the best of his or her knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Applicant may request notice of the County's intent to enter upon the property for visits related to this application and subsequent permit issuance. Signature: / � Print Name: PQ; , t'Jlfk A (,SD—f } Date: c.Vrq) 10 YOT � � � DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend, 98368 j Tel: 360.379.4450 1 Fax: 360.379.4451 Web: www.co.iefferson.wa.us/communitvdevelooment Mar 01 2021 E-mail: dcd@co.iefferson.wa.us SUPPLEMENTAL APPLICATION JEFFERSON COUNTY DCD FORMAL SITE -SPECIFIC COMPREHENSIVE PLAN AMENDMENT MLA # __ _ PROJECT/APPLICANT NAME: Miles Sand & Gravel Company For Comprehensive Plan amendments, applications must be completed and submitted to the Department of Community Development by March 9 of the current calendar year in order to be considered during the annual amendment process. Completed applications that are received after March I will be placed on the docket for the following calendar year. Applications for UDC amendments may be considered on a rolling basis. Applications that are incomplete i.e., that do not include all of the information required render the Jefferson County Code) will be returned to the applicant. Submittal Requirements 1. A completed Permit Application, completed and signed State Environmental Policy Act (SEPA) checklist, and comprehensive Plan Amendment fee, as set forth in the Jefferson County Fee Ordinance. Representative authorization is required if application is not signed by owner. 2. Any additional information deemed necessary by the Administrator to evaluate the proposed amendment. 3. Please prepare and label as "Exhibit A," a vicinity map showing the following: a. The location of the area proposed to be redesignated; b. The land use designation of all property within five hundred (500) feet of the site; and C. The uses of all properties located within five hundred (500) feet of the site. 4. Please prepare and label as "Exhibit B," a description of the proposed Plan and any associated development proposal(s), if applicable. Applications must include plans and information or studies accurately depicting existing and proposed uses and improvements. Applications for such redesignations that do not specify proposed uses and potential impacts are assumed to have maximum impact to the environment and public facilities and services. 5. Please prepare and label as "Exhibit "C," a map that depicts existing conditions on the site and within the general vicinity [i.e., within a three hundred (300)-foot radius]. The exhibit must depict topography, wetlands and buffers, easements and their purpose, and means of access to the site. The intent of the exhibit is to clearly illustrate the physical opportunities and constraints of the site. 6. The current land use designation/zoning of the site is: CF-80 7. The proposed land use designation/zoning of the site is: CF-80 with Mineral Resource Land MRL overly 8. The current use of the site is: Forestry 9. The proposed use of the site is: Forestry and mineral extraction 10. If changes to Comprehensive Plan or UDC text are required, please prepare and label as "Exhibit D," proposed amendatory language (i.e., to affected text of both the Comprehensive Plan and UDC) shown in "bill" format, with text to be added indicated with underlining (e.g., underlining), and text to be deleted indicated with strikeouts (e.g., stfikeeets). SITE SPECIFIC APP.00C REV. 9/23/2020 Page 1 11. Please prepare and label as "Exhibit E," a thorough explanation of how the proposed redesignation/rezone and associated development proposals, if any, meet, conflict with, or relate to the following inquiries: a. Is growth and development as envisioned in the Comprehensive Plan is occurring faster or slower than anticipated, or is failing to materialize? b. Has the capacity of the county to provide adequate services diminished or increased? C. Is sufficient urban land designated and zoned to meet projected demand and need? d. Are any of the assumptions upon which the Jefferson County Comprehensive Plan is based no longer valid, or is new information available which was not considered during the adoption process or any annual amendments of the Jefferson County Comprehensive Plan? e. Does the proposed amendment reflect the current widely held values of the residents of Jefferson County? f. Do changes in county -wide attitudes necessitate amendments to the goals of the plan and the basic values embodied within the Comprehensive Plan Vision Statement? g. Do changes in circumstances dictated a need for amendment? h. Do inconsistencies exist between the Comprehensive Plan and the GMA or the Comprehensive Plan and the County- wide Planning Policy for Jefferson County? i. Does the proposal meet concurrency requirements for transportation? j. Does the proposal adversely affect adopted level of service standards for public facilities and services other than transportation (e.g., sheriff, fire and emergency medical services, parks, fire flow, and general governmental services)? k. Is the proposal consistent with the goals, policies and implementation strategies of the various elements of the Jefferson County Comprehensive Plan? 1. Will the proposal result in probable significant adverse impacts to the county's transportation network, capital facilities, utilities, parks, and environmental features that cannot be mitigated? M. Will the proposal place uncompensated burdens upon existing or planned service capabilities? n. How is the subject parcel(s) physically suitable for the requested land use designation and the anticipated land use development including, but not limited to the following: (i) Access; (ii) Provision of utilities; and (iii) Compatibility with existing and planned surrounding land uses? o. Will the proposal, if adopted, create a pressure to change the land use designation of other properties? If the answer is yes, how would such change of land use designation on other properties be in the long-term best interests of the county as a whole? P. Does the proposed site -specific amendment materially affect the land use and population growth projections that are the bases of the Comprehensive Plan? q. If the proposed redesignation/rezone is located within an unincorporated urban growth area (UGA), would the proposal materially affect the adequacy or availability of urban facilities and services to the immediate areas and the overall UGA? r. Is the proposed amendment consistent with the Growth Management Act (Chapter 36.70A RCW), the Countyyyide Plannin_q Policy for Jefferson County, and other applicable inter jurisdictional policies or agreements, and any other local, state or federal laws? ,k Mar 01 2021 JEFFERSON COUNTY DCD SITE SPECIFIC APP DOC REV 9123/2020 Page 2 12. Please provide an explanation of why the amendment is being proposed. (Attach additional sheets, if necessary.) See "Exhibit B" D�Mar 01 2021 JEFFERSON COUNTY OCC JEFFERSONI 13. The applicant hereby certifies that the statements contained in this application are true and provide an accurate representation of the proposed amendment, and the applicant(s) hereby acknowledges that any approval issued on this application may be revoked if any such statement is found to be false. (,,, APPLXANT'S SIGNATURE DATE 2/26/2021 PROP09TY OWNER'S SIGNATURE DATE PROPERTY OWNER'S SIGNATURE DATE PROPERTY OWNER'S SIGNATURE_6�� r,&N~2a' DATE 2/26/2021 [NOTE: For all required signatures, repregntative authorization is required if application is not signed by the owner.] SITE SPECIFIC APP.DOC REV.9/23/2020 Page 3 ill Mar!li Exhibit A - Vacinity Map & Land Use JEFFERSON COUNTY DCD Exhibit B E�Mar 01 2021 JEFFERSON COUNTY DCD The Applicant requests an amendment to the Jefferson County Comprehensive Plan and Zoning Map to include land for Mineral Resources Land (MRL) overlay. MRL is used to "overlay" or designate the property as a mineral resource extraction area as an interim use. The underlying land use designation of Commercial Forestry (CF80) would still exist, and forestry would remain the subsequent use after mineral resource extraction and reclamation are complete. The amendment to the Jefferson County Comprehensive Plan and Zoning Map would allow the Applicant to seek the project -specific approvals for mineral resource extraction. The MRL overlay designation in this proposal will add approximately 200 acres to MRL overlay designated property at the locations shown on the map exhibits. The geographic area proposed for addition to the MRL overlay is located in the vicinity of existing MRL overlay areas, where there is an existing mineral extraction facility. Properties surrounding the proposed MRL overlay area are in forestry use. Future uses of the proposed MRL overlay, on an interim basis, are expected to include sand and gravel extraction and processing, which will coincide with existing forestry uses on areas not being actively mined. The proposed MRL overlay area is owned by Rayonier. Mineral resource extraction and associated activities within this area will be conducted by Miles Sand & Gravel Company. k3c3m Mar 01 2021 - r Exhibit C 2 - Vicinity Map JEFFERSON COUNTY ®CD Exhibit E ED5CIA Mar 01 2021 JEFFERSON COUNTY ®CD a) Is growth and development as envisioned in the Comprehensive Plan occurring faster or slower than anticipated, or is failing to materialize? There has been larger than anticipated market for construction aggregates in the local markets due to generalized growth in the area. In order to meet the future demand it is necessary to increase areas of MRL overlay within Jefferson County. b) Has the capacity of the county to provide adequate services diminished or increased? a. The capacity has not changed. c) Is sufficient urban land designated and zoned to meet projected demand and need? a. Not applicable. d) Are any of the assumptions upon which the Jefferson County Comprehensive Plan is based no longer valid, or is new information available which was not considered during the adoption process or any annual amendments of the Jefferson County Comprehensive Plan? a. The assumptions in the Jefferson County Comprehensive Plan are still valid. For example on page 2-7 of the Jefferson County Comprehensive Plan it states that "At present, the Mineral Resource Lands overlay covers a relatively small area compared to the extent of the potential mineral resources available in the county." Designating the proposed MRL overlay will begin to help close the gap between designated property and available mineral resources. e) Does the proposed amendment reflect the current widely held values of the residents of Jefferson County? a. The need for Sand and Gravel is recognized by the Jefferson County Comprehensive Plan, and also by the Growth Management Act that shapes it. Past amendments in Jefferson County for expansion of the MRL overlay have been met with both positive and negative responses. It is possible the expansion of the MRL overlay could be met with mixed support by the residents. The expansion areas are adjacent to or very near existing mining operations and are isolated from potentially sensitive uses. This presents an opportunity for the County's mineral resource needs to be met with greater sensitivity the values of residents. f) Do changes in county -wide attitudes necessitate amendments to the goals of the plan and the basic values embodied within the Comprehensive Plan Vision Statement? a. No, MRL overlay designation and mineral resource use is supported in the Comprehensive Plan and Vision Statement. g) Do changes in circumstances dictate a need for amendment? a. Not applicable. h) Do inconsistencies exist between the Comprehensive Plan and the GMA or the Comprehensive Plan and the County -wide Planning Policy for Jefferson County? a. The proposed amendment is consistent with the Comprehensive Plan and County -wide Planning policy for Jefferson County. i) Does the proposal meet concurrency requirements for transportation? a. Not applicable directly but the sites are near transportation arteries that currently serve mineral extraction uses. j) Does the proposal adversely affect adopted level of service standards for public facilities and services other than transportation (e.g., sheriff, fire and emergency medical services, parks, fire flow, and general governmental services)? a. No. k) Is the proposal consistent with the goals, policies and implementation strategies of the various elements of the Jefferson County Comprehensive Plan? a. Yes. The Jefferson County Comprehensive Plan states that mineral resources should be protected for future use (pg 2-7). This proposed MRL overlay designation will reserve this area for future mineral resources extraction. 1) Will the proposal result in probable significant adverse impacts to the county's transportation network, capital facilities, utilities, parks, and environmental features that cannot be mitigated? a. For this proposal there are no impacts to the county's transportation network, capital facilities, utilities, parks, and environmental features. Any future potential Impacts will be evaluated specifically during project specific permit review and the SEPA process. m) Will the proposal place uncompensated burdens upon existing or planned service capabilities? a. No. Evaluation of service capabilities will be evaluated during project specific permitting and SEPA for future uses. n) How is the subject parcel(s) physically suitable for the requested land use designation and the anticipated land use development including, but not limited to the following: a. Access: See Map Exhibit C1. Access is from SR-104. This is the access for existing mineral resource extraction facilities on Wahl Lake Rd. b. Provision of utilities: necessary utilities will be evaluated further at the project specific level. c. Compatibility with existing and planned surrounding land uses? The existing zoning is CF-80; the proposed MRL overlay designation will be on CF-80 zoned land, and the use will remain forestry until mineral extraction activities occur. At reclamation the property will revert back to forestry which will remain the underlying use. All property abutting the proposed MRL overlay is forestry use. o) Will the proposal, if adopted, create a pressure to change the land use designation of other properties? No. If the answer is yes, how would such change of land use designation on other properties be in the long-term best interests of the county as a whole? p) Does the proposed site -specific amendment materially affect the land use and population growth projections that are the bases of the Comprehensive Plan? No, an MRL overlay is a temporary use, the property will revert back to CF-80 once reclaimed. The property is commercial forestry and is not intended to be inhabited. q) If the proposed redesignation/rezone is located within an unincorporated urban growth area (UGA), would the proposal materially affect the adequacy or availability of urban facilities and services to the immediate areas and the overall UGA? The proposal areas are not in the UGA. r) Is the proposed amendment consistent with the Growth Management Act (Chapter 36.70A RCW), the Countywide Planning Policy for Jefferson County, and other applicable inter - jurisdictional policies or agreements, and any other local, state or federal laws? Yes. The GMA governs the Jefferson County Comprehensive Plan. Both plans supports designation of mineral resource land for future commercial use. fJ Mar D1 2021 SEPA ENVIRONMENTAL CHECKLIST JEFFERSON COUNTY DCD 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 appl 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 ali 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 neededto 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: hf e For nonproject proposals (such as ordinances, regulations, plans and programs), complete the applicable parts of sections A and B plus the SUPPLEMENTAL SHEET FOR NONPROJECTACTIONs (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 hf M 1. Name of proposed project, if applicable: hel Shine 2021 MRL Overlay 2. Name of applicant: hel Jefferson County Department of Community Development 3. Address and phone number of applicant and contact person: hf e 400 Valley Ave NE Puyallup WA, Patricia Larson, 253-833-3705 x461 4. Date checklist prepared: hf elpl March 1, 2021 SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 1 of 12 �I } 5. Agency requesting checklist: hf elpl Mar 01 2021 Jefferson County 6. Proposed timing or schedule (including phasing, if applicable): heI JEFFERSON COUNTY DCD P 9 (� 9 P 9�f pl 2021 Jefferson Comprehensive Plan Amendment Cycle 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. hf elpl Yes. Once the proposed MRL (Mineral Resources Lands) overlay is in process and/or approved, application of site specific plans for mineral extraction will be submitted. 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. h Environmental information will be prepared for mineral extraction during site specific permitting process. 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. hf e 10. List any government approvals or permits that will be needed for your proposal, if known. h Ordinance review, public hearing by the Jefferson County Planning Commission and transmission from Planning Commission to the Jefferson County Board of Commissioners. Ordinance review, public hearing and adoption by the Jefferson County Board of Commissioners. Review by the Washington State Department of Commerce and other agencies, per the Growth Management Act. This is proposed is a MRL overlay designation which requires an amendment to the Comprehensive Plan and Zoning Map for Jefferson County. Approval from Jefferson County is required for this amendment. 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.) hf e The Applicant requests an amendment to the Jefferson County Comprehensive Plan and Zoning Map to designate approximately 200 acres to include in MRL overlay. 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. hj_e The project is located 3.5 miles south-southwest of the State Route 19 and State Route 104 intersection. The nearest address is 1500 Wahl Lake Rd, Port Ludlow WA. B. ENVIRONMENTAL ELEMENTS h[ eM 1. Earth hf e SEPA Environmental checklist (WAC 197.11-960) July 2016 Page 2 of 12 a. General description of the site: hf e R (circle one): Flat Roliing, Hilly, steep slopes, mountainous, other Mar 01 2021UD b. What is the steepest slope on the site (approximate percent slope)? hf elpl JEFFERSON COUNTY OCO 40% 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. hf jpj Silty sand and sandy loam are found on the site. There are no agricultural land of long-term commercial significance within the proposed area. d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe, hf eV None known. 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. hf elpl The proposal is to designate approximately 200 acres of area with the MRL overlay designation for future mineral extraction. Quantities of any filling, excavation, and grading proposed will be addressed in a project specific permit. f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. [he No, N/A. This is a Comprehensive Plan and Zoning Amendment. g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? hf e None, N/A. This is a Comprehensive Plan and Zoning Amendment. h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: hf elpl None, N/A. 2. Air fq@Vj 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. hf e None, N/A. This is a Comprehensive Plan and Zoning Amendment. b. Are there any off -site sources of emissions or odor that may affect your proposal? If so, generally describe. [hel No, N/A. c. Proposed measures to reduce or control emissions or other impacts to air, if any: h[ elo None, N/A. This is a Comprehensive Plan and Zoning Amendment. 3. Water h[ elpl a. Surface Water: 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. hf e SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 3 of 12 Mar 01 2021 Wetlands, Thorndyke Creek and associated tributaries are in the vicinity of the project. Thorndyke Creek flows into Hood Canal via Thorndyke Bay. JEFFERSON COUNTY ®CQD 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. hf gM No, N/A. This is a Comprehensive Plan and Zoning Amendment. 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. hf e None, N/A. This is a Comprehensive Plan and Zoning Amendment. Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. hf elpl No, N/A. This is a Comprehensive Plan and Zoning Amendment. 3) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. [he No. 4) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. [help] No. This is a Comprehensive Plan and Zoning Amendment. b. Ground Water: 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. Help] No, N/A. This is a Comprehensive Plan and Zoning Amendment. Water use will be addressed at the project specific level. 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. hf elpl None, N/A. This is a Comprehensive Plan and Zoning Amendment. Discharges, if any, will be addressed on the project specific level. 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. hf e None, N /A. This is a Comprehensive Plan and Zoning Amendment. Impacts storm water and other runoff will be addressed at the project specific level through Jefferson County and Washington State Department of Ecology. 2) Could waste materials enter ground or surface waters? If so, generally describe. hf e No, N/A. This is a Comprehensive Plan and Zoning Amendment. Any impacts to groundwater and surface water will be addressed at the project specific level. 3) Does the proposal alter or otherwise affect drainage patterns in the vicinity of the site? If so, describe. 1hel No, N/A. This is a Comprehensive Plan and Zoning Amendment. Any impacts to SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 4 of 12 drainage patterns and surface water will be addressed at the project specific level. d. Proposed measures to reduce or control surface, ground, and runoff water, and drainage pattern impacts, if any: h[ elpl None, N/A. 4. Plants [hel M�Mar a. Check the types of vegetation found on the site: hLelpj 01 2021 D� x deciduous tree: alder, maple, aspen, other x evergreen tree: fir, cedar, pine, other JEFFERSON COUNTY ®C® x 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 b. What kind and amount of vegetation will be removed or altered? [hel None, N/A. This is a Comprehensive Plan and Zoning Amendment. c. List threatened and endangered species known to be on or near the site. h) e Whitebark Pine, Golden Paintbrush d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: hf e None, N/A. e. List all noxious weeds and invasive species known to be on or near the site. hf e None, N/A. This is a Comprehensive Plan and Zoning Amendment. 5. Animals [hel 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. hel Hawks, songbirds, deer, bear, elk, coyote and other small mammals. Examples include: birds: hawk, heron, eagle, songbirds, other: mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 5 of 12 b. List any threatened and endangered species known to be on or near the site. hf elpl None known. c. Is the site part of a migration route? If so, explain. hf e �j UD None known. Mar 01 2021 JEFFERSON COUNTY ®CO d. Proposed measures to preserve or enhance wildlife, if any: hf e None, N/A. e. List any invasive animal species known to be on or near the site. hf e None known. 6. Energy and Natural Resources h[ elo 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. [help] None. N/A b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. [help] No, N/A. 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: hf e None. 7. Environmental Health hI W 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. hf eM No. 1) Describe any known or possible contamination at the site from present or past uses.lhe 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. 1hel 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 theoperating life of the project. [hey)] SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 6 of 12 None, N/A. Mar 01 2021 4) Describe special emergency services that might be required. hf elpl JEFFERSONCOUNTY ®CED None, N/A. 5) Proposed measures to reduce or control environmental health hazards, if any: hj glp] None. b. Noise hf e What types of noise exist in the area which may affect your project (forexample: traffic, equipment, operation, other)? hf elpl None, N/A. 2) What types and levels of noise would be created by or associated with the project ona short- term or a long-term basis (for example: traffic, construction, operation, other)? Indicate what hours noise would come from the site. hi elpl None for this proposal. Mineral extraction site specific permits and SEPA would evaluate and adhere to Jefferson County Code requirements for any future long term noise. 3) Proposed measures to reduce or control noise impacts, if any: hf e None. 8. Land and Shoreline Use hf @M 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. hf e The current use of the proposed MRL overlay is CF-80 (Commercial Forestry). All property adjacent to the proposed overlay is commercial forest zoning. 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? hf e The site is zoned and used as commercial forest land (CF-80). The MRL overlay is an interim use, after reclamation the property will revert to its underlying zoning. After project specific permits for mineral extraction are approved, Miles Sand & Gravel will work with the property owner on conversion of forest properties to mineral extraction area, then upon reclamation, the property will be restored to underlying zoning, currently commercial forestry. 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: hf elpl No. c. Describe any structures on the site. hf elpl SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 7 of 12 D-� Mar 01 2021 None. JEFFERSON COUNTY OCGD d. Will any structures be demolished? If so, what? hf e No. e. What is the current zoning classification of the site? hf elpl CF-80 (Commercial Forestry) f. What is the current comprehensive plan designation of the site? hf elp] CF-80 (Commercial Forestry) g. If applicable, what is the current shoreline master program designation of the site? hf elpl None. h. Has any part of the site been classified as a critical area by the city or county? If so, specify._[he he Some wetlands are shown in the County's mapping system near the proposed MRL overlay area. These wetlands and any other critical areas will be taken into consideration, along with any required buffers during the project specific application process. i. Approximately how many people would reside or work in the completed project? hf elpl None for this proposal. j. Approximately how many people would the completed project displace? hf e None. k. Proposed measures to avoid or reduce displacement impacts, if any: hf elpl None, N/A. I. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: hf e The proposed MRL overlay is adjacent to previously approved MRL overlay designation properties, as well as adjacent to existing mineral extraction facilities. The property is within and surrounded by commercial forestry property. After reclamation the property will revert to its underlying use, as mineral extraction is a temporary use. m. Proposed measures to reduce or control impacts to agricultural and forest lands of long-term commercial significance, if any: hf elp� None. The property will revert to commercial forest zoning upon reclamation. 9. Housing hf e a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low- SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 8 of 12 income housing. hL e None. iC3W3 Mar 01 2021D� JEFFERSON COUNTY DCD b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low- income housing. hf elpl None. c. Proposed measures to reduce or control housing impacts, if any: hf e None, there are no impacts. 10. Aesthetics hf e a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? hf e None for this proposal. b. What views in the immediate vicinity would be altered or obstructed? hel None for this proposal. c. Proposed measures to reduce or control aesthetic impacts, if any: hf elpl None. 11. Light and Glare hf e a. What type of light or glare will the proposal produce? What time of day would it mainly occur? hf elpl None, N/A. b. Could light or glare from the finished project be a safety hazard or interfere with views? hf elpl No. c. What existing off -site sources of light or glare may affect your proposal? hel None. d. Proposed measures to reduce or control light and glare impacts, if any: hf elpl None. 12. Recreation hj e a. What designated and informal recreational opportunities are in the immediate vicinity? hf elpl None. b. Would the proposed project displace any existing recreational uses? If so, describe. hf elp] M SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 9 of 12 Proposed measures to reduce or control impacts on recreation, includi GC �i ies to be provided by the project or applicant, if any: hf elpl �I�: Mar 01 2021 None. 13. Historic and cultural preservation hf a JEFFERSON COUNTY OCD 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. hLeV 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. hf e None known. Historic and cultural preservation will be evaluated at the project specific level. 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. [he This proposal only addresses Jefferson County Comprehensive Plan amendment and Zoning Amendment. Historic and cultural preservation will be evaluated further at the project specific level. 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. 1hel None, N/A. 14. Transportation hLe 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. hLe SR 104 will be the access to the MRL overlay area. Wahl Lake Road though Miles Sand & Gravel's existing facility will be the primary access to the site, along with existing logging roads. 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? hLe No. Public transit is not available within or near the site. c. How many additional parking spaces would the completed project or non -project proposal have? How many would the project or proposal eliminate? hL None. 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). hLel�i Not at this time. SEPA Environmental checklist (NAC 197-11-960) July 2016 Page 10 of 12 e. Will the project or proposal use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. hf e No, water, rail or air transportation are not proposed. 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 nonpassenger vehicles). What data or transportation models were used to make these estimates? hf elpl None for this proposal. 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. hl e No. nn h. Proposed measures to reduce or control transportation impacts, if any: hel U j Mar 01 2021 None. JEFFERSON COUNTY ®CAD 15. Public Services hf eM 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. hf e ►1 b. Proposed measures to reduce or control direct impacts on public services, if any. [hel None. 16. Utilities hf elpl a. Circle utilities currently available at the site: (help] electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system, other No utilities are currently available at the site. 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. hel None proposed as part of this application- C. Signature hLpeM 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: '(Va&meal —V� Name of signee Patricia Larson Position and Agency/Organization Corporate Programs Manager/Miles Sand & Gravel Company Date Submitted: 3/1/2021 SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 11 of 12 EMar 01 2021 DO D. supplemental sheet for nonproject actions hf M JEFFERSON COUNTY DCD (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; production, storage, or release of toxic or hazardous substances; or production of noise? The proposal is a request for an amendment to the Jefferson County Comprehensive Plan and Zoning Map. Project specific evaluation will evaluate discharge to water; emissions to air; production, storage, or release of toxic or hazardous substances; or production of noise. Mineral extraction under a project specific permit would be the future use. Proposed measures to avoid or reduce such increases are: General mitigation measures for site specific mineral extraction are described below. Project specific impacts will be evaluated under the future site specific permits and future SEPA: • A site specific stormwater plan will be prepared for mineral extraction facilities under DOE NPDES Permit and Jefferson County Public Works. • A clean air permit will be obtained from the appropriate authority. • A Spill Control Plan is included in the Site Management Plan as required by the DOE NPDES Permit. • Noise levels for specific mineral extraction activity will be evaluated for the site, and will comply with Jefferson County Code. 2. How would the proposal be likely to affect plants, animals, fish, or marine life? The proposal is a request for an amendment to the Jefferson County Comprehensive Plan and Zoning Map. Future mineral extraction will require the removal of trees as an interim use, some animals may become displaced into the surrounding commercial forest lands. Proposed measures to protect or conserve plants, animals, fish, or marine life are: Mineral extraction is an interim use, after mineral extraction is complete, the property will revert to the underlying use which is currently commercial forestry (CF-80). 3. How would the proposal be likely to deplete energy or natural resources? The proposal is a request for an amendment to the Jefferson County Comprehensive Plan and Zoning Map which will not have any impact on energy and natural resources. Future use of mineral extraction SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 12 of 12 will use fossil fuels to power equipment used in excavation and reclamation of th J�i�in&bI202 1 DO extraction in itself will process and deplete the mineral resource. JEFFERSON COUNTY ®CO Proposed measures to protect or conserve energy and natural resources are: Electrical equipment is used when practical and all equipment using fossil fuels will be properly maintained to make them as efficient as possible. Mineral extraction is an interim use, after mineral extraction is complete, the property will revert to the underlying use which is currently commercial forestry (CF-80). 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? The proposal is a request for an amendment to the Jefferson County Comprehensive Plan and Zoning Map. For the subsequent use, site specific permits and SEPA will be necessary. Proposed measures to protect such resources or to avoid or reduce impacts are: Evaluation of the impacts will be addressed under the site specific permits. Site specific SEPA will identify and determine any necessary protection levels for parks, wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains or prime farmlands. 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? The proposal is a request for an amendment to the Jefferson County Comprehensive Plan and Zoning Map. Subsequent use could consider any shoreline impact in the SEPA process through buffering. Proposed measures to avoid or reduce shoreline and land use impacts are: For the subsequent use, site specific permits will be necessary and required buffer of shorelines will be determined per Jefferson County Code during the SEPA process. 6. How would the proposal be likely to increase demands on transportation or public services and utilities? The proposal is a request for an amendment to the Jefferson County Comprehensive Plan and Zoning Map. For the subsequent use, site specific plans will be necessary to determine impacts to transportation or public services and utilities. Proposed measures to reduce or respond to such demand(s) are: Evaluation of the impacts will be addressed the site specific permits and SEPA in regards to transportation or public services and utilities. 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 13 of 12 None known. k D� Mir 01 2021 JEFFERSON COUNTY OCD SEPA Environmental checklist (WAC 197-11-960) July 2016 Page 14 of 12