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SDP2013-00051 - SEPA
Donna Frostholm From: Donna Frostholm Sent: Wednesday, February 04, 2015 11:22 AM To: 'sepaunit @ecy.wa.gov' Subject: FW: douglas sepa Attachments: douglas mdns.pdf Hello, Attached is the Final SEPA Threshold Determination for re-directing an intertidal channel in Quilcene Bay(Jefferson County MLA13-00165). Jefferson County is issuing a MDNS. Let me know if you have any questions. Regards, Donna Frostholm Associate Planner/Wetland Specialist Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, Washington 98368 360-379-4466 dfrostholm @co.jefferson.wa.us DCD is open from 9:00am—12:00pm and 1:00pm—4:30pm Monday through Thursday; DCD is closed on Friday. All emails sent to and from this address will automatically be archived by Jefferson County and emails may be subject to Public Disclosure under Chapter 42.56 RCW. 1 Douglas Stream Restoration Project Planting Plan .:an 28.2015 • 1. / ' j / r // / ,‘- // y j / 5.0 / !Ceti a an do i 6.0 I 7.0 f t / 'DOUGLAS , f 8.0 t� • PROPERTY ' CURRENT STREAM i r i rat CHANNEL AREA EXISTING STREAM ALIGNMENT " ri, 1 ii I I ■ tt . °I I RESTORED STREAM ALIGNMENT 1 t t+I � (11 •r - /� / GUOSKEY •• .•••" -'/ ! 1 PROPERTY RESTORED STREAM • •"'\•;:; •••...:'-•. S E i CHANNEL AREA ..,:„..\• •.7• ASMHW 1 DRIFT LOGS APPROXIMATE LOCA v"; •`.\ ' MHW 53 , FOR PLANTINGS A • ` ON t TO 3'CENTERS 1 t M136 1t 36 I 1 JEFFERSON COUNTY Oh. t PROPERTY i e i } ROME OWNERS � e i 1 I` ASSOCIATION PROPERTY "► t 1 1 k , Existing native plant species from the The toilowing native plants will be moved Current Stream Channel Area will be and/or purchased to be granted on moved and replanted in the Restored Stream 1-3 centers Channel Area New native plant species will be added to the area to bring the Dunegrass(Elymus moll's)) total number of plants in the area up o Serer burweed(Ambrosia enamissorxs) The Monitoring Plan as specified by the Seashore saltgrass(Distchhs spotlit) Jefferson County OCO will be totsowed American gtaaswon(Salioomw virpimca) Piantarn species Douglas Stream Restoration Project Planting Plan Jan 28.2015 • / -. ••.,........ +r I 0 20 40' "`.. .;• 1 - 5.0 - i r • j 6.0 ' t 00;0011' 7.0 f 1 S / DOUGLAS 8.0 g.0 , PROPER T CURRENT STREAM ' +I ' o CHANNEL AREA ' EXISTING STREAM ALIGNMENT /r, , 1' ' ili . . # ..., i . , .. , ,,. „., .,. 3RED STREAM ALIGNMENT r 1 .. • 1 , 4 f GUOSKEY ••+` • •••• , PROPERTY a......1. .••;_"-- ••••• / RESTORED STREAM • `�•• • .•; • CHANNEL AREA •• •• ..�.\ + t �� AS MHW i • DRIFT LOGS APPROXIMATE LOCA' .,, • \•• MHW FOR PLANTINGS • • • 10.53' ON t'TO 3'CENTERS A •:• • % oilitik ' I• • MHHW I ` II ti 36 JEFFERSON COUNTY l PROPERTY t t r , 1 v. t • HOME OWNERS • 1 i ASSOCIATION PROPERTY • r Existing native plant species from the The following native plants well be moved Current Stream Cr+anne,Area will be andtor purchased to be planted on moved and replanted in the Restored Stream 1-3'centers Channel Area.New native plant species wit be added to the area to bring the Dunegrass(Etym„s moths) total number of plants in the area up to TO Silver bunveed(Ambrosia chatnason,$) The Monitoring Plan as specified by the Seashore saltgrass(Distrchis sprcate) Jefferson County OCO will be followed American mss, (Saticornra vrrginrca) Plantain species Douglas Stream Restoration Project Planting Plan Jan 28.2015 • // J• / / /1 l _ r j illirEil s A[•ICI► t •. Aolpe 8.a �� �' DOUGLAS j' 9.t� / PROPERTY f�=.r CURRENT STREAM t+r I ' •CHANNEL AREA EXISTING STREAM ALIGNMENT i RI ;RED STREAM ALIGNMENT I i r t ► •• " I I GUOS€cEY ..`"...• • ;�', •`:'•• °'. I PROPERTY RESTORED STREAM •• •:.!•;. �• ;•. • ys,SAME t CHANNEL AREA • •• "�s•;\ . MHW i FOR PLANTINGS • . 10 53 ON 1 TO 3 CENTERS •. /1 MHHW \\ / 1 11 36 t ;% ` JEFFERSON COUNTY PROPERTY % c ( t HOME OWNERS 1 1• ASSOCIATION PROPERTY Existing native plant Species from the The following native punts MI be moved Current Stream Channel Area will be and/or purchased to be planted on moved and replanted In the Restored Stream 1-3 centers Channel Area.New native plant species will be added to the area to bring the Dunegrass(Elymus moNisl total number of 41 pl plants the area up to S4ver bwweied(Ambrosia chamissonis) The Monitoring Plan as specified by the Seashore sattgrass(Distich9s sprcata) Jefferson County OCO will be followed Arnartcan glaaawett(Se catNa fie) Piantam amass Donna Frostholm From: Justin Wilson <justin @nti4u.com> Sent: Wednesday, September 24, 2014 10:50 AM To: Donna Frostholm Cc: Kathleen @kmdouglas.com; 'Zach Slota'; Carl Smith Subject: RE: shoreline application MLA13-00165 Attachments: DOUGLAS - SEPA& SITEPLAN - updates.pdf Good Morning Donna, Attached is a pdf document that contains an updated SEPA and SITEPLAN for the project referenced above. This document also contains the submitted BE and JARPA for the project referenced above.The Site Plan is on three separate 8.5" x 11" sheets, as requested by the Corps. These drawings are stamped and to scale. We will put wet stamped copies of the Siteplan and SEPA, as requested, in the mail to you today. Please let me know if you have any questions or require additional information. Regards, Justin Justin Wilson, P.E. Principal Engineer NTl Engineering & Land Surveying 360.452.8491 office 360.460.0683 cell www.nti4u.com NOTICE: This email and any attachments contains confidential,proprietary or privileged information intended for the addressees only. This information is copyrighted and protected by law. If you are not the intended addressee,you are not authorized to use,transfer,or rely upon the information in any way. If you have erroneously received this transmission, delete any electronic or hard copies and contact the sender immediately From: Donna Frostholm [mailto:DFrostholm @co.jefferson.wa.us] Sent: Monday, September 15, 2014 11:33 AM To: Justin Wilson Cc: 'MSA'; Kathleen @kmdouglas.com; Carl Smith Subject: RE: shoreline application MLA13-00165 Hi Justin: The resubmitted BE and JARPA are part of a total package that needs to be revised—all required documents need to be updated and reflect the current proposal,as discussed onsite with the Corps. The Environmental Checklist, not the BE or the JARPA, is the document state agencies use for their SEPA review so it must be updated prior the County noticing the application. Possibly, MSA can assist you with the revisions since the description of the project in the Environmental Checklist needs to be consistent with the BE and the JARPA. DCD needs to review the proposal against drawings that are to scale and have the engineers stamp and signature. Please submit three copies of the site plan and the detail drawings(that also identify how much materials will be scalped, how much will be placed in the intertidal area, and how much (if any)will be removed from the site). If any materials will be removed, please indicate the disposal site in the Environmental Checklist. 1 P`i °6, JEFFERSON COUNTY C17 `,' DEPARTMENT OF COMMUNITY DEVELOPMET E C IE Q V 1 621 Sheridan Street • Port Townsend •Washington 985 16,, N } 360/379-4450 • 800/831-2678 • 360/379-4451 Fax SEP 2 4 2014 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT ENVIRONMENTAL CHECKLIST Purpose of checklist: The State Environmental Policy Act (SEPA), chapter 43.21C RCW, requires all governmental agencies to consider the environmental impacts of a proposal before making decisions. An environmental impact statement (EIS) must be prepared for all proposals with probable 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 known, 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. A. BACKGROUND 1. Name of proposed project, if applicable: Spit Restoration-East Quilcene Bay 2. Name of applicant: Kathleen and Reimer Douglas 3. Address and phone number of applicant and contact person: 2021 North 78th Street Seattle, WA 98103 206.524.6640 4. Date checklist prepared: 6/26/12-(UPDATED on 9/23/14) 5. Agency requesting checklist: Jefferson County& Washington Deparment of Fish& Wildlife 6. Proposed timing or schedule (including phasing, if applicable) Before February 15, 2015, upon permit approval SEPA Environmental Checklist Page 1 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. No additional work is anticipated at this time. 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. No original envronmental studies. Existing data on fish windows, habitat, existing currents and tidal data has been reviewed. A site survey was performed 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. A JARPA permit application by J. Palmer; Type I Land Use Permit MLA 11-00105, Jefferson County. 10. List any government approvals or permits that will be needed for your proposal, if known. Corps of Engineers, Washington Department of Ecology, Washington Department of Fish & Wildlife, Jefferson County are expected to review this project. 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.) Proposed project will restore a trench created in 2008 to original contours, and dredge stream mouth E-W to provide ready access to community tidelands for property owners for shellfish harvesting,picnicking and general beach access and restore/improve shellfish habitat. 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. Project site is located on east side of Quilcene Bay, approximately 1/4 mile North of East Drift cell terminus at mouth of Unnamed Stream, Sec 19, T27N, R1W, W.M., Jefferson County. Work to be done on Jefferson County Tidelands Tax "B"and Community Tidelands associated with TPN 701194030, 701194029, 701194028, 701194027, 701191000. B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous, other. The Site is flat, with a manmade berm to be leveled to original contours. SEPA Environmental Checklist Page 2 b. What is the steepest slope on the site(approximate percent slope)? The manmade berm has slopes of up to 50%, but rest of theproject site has gradual slopes of up to 1%. 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 prime farmland. This shorline beach environment consists mostly of sandy material and areas of silty sands where upstream sediments have been deposited. d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. No,just a recent history of sediment deposition in the upland stream. e. Describe the purpose,type, and approximate quantities of any filling or grading proposed. Indicate source of fill. There will be limited amounts of embankment or excavation on this project to return the stream to it's 2008 location,prior to dredging and stockpiling of material. Quantity of proposed earthwork will be less than 25 Cubic Yards. All material will be native to this site. No material will be imported or exported. f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. Erosion and Sediment Control measures will be implemented to contol turbidity and to helt to keep tubidity localized and not allow for sediment migration. g.About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? No impervious surfaces h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: Straw wattles can be utilized during brief construction required at low tide. a.Air a. 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. Misc. equipment may emit automobile eqivilent gas fumes into the air during the few hours of time it takes to complete the restoration project. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No c. Proposed measures to reduce or control emissions or other impacts to air, if any: N/A 3. Water a. Surface: 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. Yes, East Quilcene Bay, Unnamed Stream. SEPA Environmental Checklist Page 3 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. Project will include re-contour N-S trench with existing sand/sediment. Project is described in detail on pictures and plan included with attached JARPA Application. 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. Approximately 11 CY of material will be moved from proposed trench to proposed berm. 9.5 CY of material will be scalped from the area north of the proposed berm in addition to the 11 CY. 4)Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. This project will require outfall of unnamed stream to be restored to it's position prior to the 2008 dredging activity. Approximately 20.5 CY of material will be moved as part of the restoration. 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. Yes,shown on Plan that is included in attached JARPA document. 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: 1)Will ground water be withdrawn, or will water be discharged to ground water? 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. N/A 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. N/A 2)Could waste materials enter ground or surface waters? If so, generally describe. No d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: Erosion and Sediment Control measures will be utilized SEPA Environ mental Checklist Page 4 4. Plants a. Check or circle types of vegetation found on the site: deciduous tree: alder, maple, aspen, other evergreen tree: fir, cedar, pine, other shrubs grass pasture crop or grain wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other water plants: water lily,eelgrass, milfoil, other X other types of vegetation Native and imported grasses, wildflowers, and foliage. b. What kind and amount of vegetation will be removed or altered? None. c. List threatened or endangered species known to be on or near the site. N/A d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: No vegetation will be added for this restoration project. 5. Animals a. 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: mammals: deer, bear, elk, beaver, other: fish: bass salmon rout herring, other: b. List any threatened or endangered species known to be on or near the site. Coastal cutthroat trout(Oncorhynchus clarki clarki)and River lamprey(alampetra ayresi) are Species of Concern that may be in the project area. c. Is the site part of a migration route? If so, explain. d. Proposed measures to preserve or enhance wildlife, if any: Scope of this project is minimal. Care will be used to reduce any impacts that it may have on wildlife in the area. 6. Energy and natural resources 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. Fuel will be used in the engine of the misc equipment utilized to complete this task. SEPA Environmental Checklist Page 5 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: Proposed non-evasive construction methods will save substantial amounts of energy used on this project. 7. Environmental health 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 special emergency services that might be required. Fire and Ambulance 2) Proposed measures to reduce or control environmental health hazards, if any: None b. Noise 1)What types of noise exist in the area which may affect your project(for example:traffic, equipment, operation, other)? None 2)What types and levels of noise would be created by or associated with the project on a short- term or a long-term basis(for example:traffic, construction, operation, other)? Indicate what hours noise would come from the site. Short-term noise from misc. equipmen for the few hours that it is running. There will be no long-term noise. 3) Proposed measures to reduce or control noise impacts, if any: Work activity will be restricted between 10:00 p.m. and 6:00 a.m. 8. Land and shoreline use a. What is the current use of the site and adjacent properties? Shorline uses. Adjacent properties are residential. b. Has the site been used for agriculture? If so, describe. No SEPA Environmental Checklist Page 6 c. Describe any structures on the site. No structures at location of rehabilitation project. d. Will any structures be demolished? If so,what? No e. What is the current zoning classification of the site? Rural Residential 1:5 f. What is the current comprehensive plan designation of the site? 1100-HOUSES(single units, non-farm) g. If applicable,what is the current shoreline master program designation of the site? WRIA 17-Quilcene-Snow(Bolton Peninsula watershed). h. Has any part of the site been classified as an "environmentally sensitive"or critical area? If so, specify. No. Project area is located within "Conservancy"area, and is near"Natural"area as indicated on the Jefferson County Environmetally Sensitive Areas map. i. Approximately how many people would reside or work in the completed project? Approximately twelve people live near project area j. Approximately how many people would the completed project displace? None k. Proposed measures to avoid or reduce displacement impacts, if any: N/A I. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: N/A. Restoration project. 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low- income housing. N/A b. Approximately how many units, if any,would be eliminated? Indicate whether high, middle, or low-income housing. N/A c. Proposed measures to reduce or control housing impacts, if any: N/A SEPA Environmental Checklist Page 7 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas;what is the principal exterior building material(s) proposed? N/A b. What views in the immediate vicinity would be altered or obstructed? None. Views will not be affected. c. Proposed measures to reduce or control aesthetic impacts, if any: None. Aesthetics will not be affected. 11. Light and glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? None b. Could light or glare from the finished project be a safety hazard or interfere with views? None c. What existing off-site sources of light or glare may affect your proposal? None d. Proposed measures to reduce or control light and glare impacts, if any: None. There will not be any light or glare affects. 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? Shoreline activies. 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. Recreational activities will not be affected. 13. Historic and cultural preservation a. 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. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. None c. Proposed measures to reduce or control impacts, if any: None. There will not be any impacts. SEPA Environmental Checklist Page 8 14. Transportation a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Show on site plans, if any. N/A b. Is site currently served by public transit? If not,what is the approximate distance to the nearest transit stop? No. Approximately 7 miles to Quilcene. c. How many parking spaces would the completed project have? How many would the project eliminate? None d. 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 e. Will the project use(or occur in the immediate vicinity of)water, rail, or air transportation? If so, generally describe. No f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. None g. Proposed measures to reduce or control transportation impacts, if any: None 15. Public services a. Would the project result in an increased need for public services(for example: fire protection, police protection, health care, schools, other)? If so, generally describe. No b. Proposed measures to reduce or control direct impacts on public services, if any. None SEPA Environmental Checklist Page 9 16. Utilities a. Circle utilities currently available at the site: electricity, natural gas,water, refuse service, telephone, sanitary sewer, septic system,other. All of the above utilities available at nearby residence. 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. 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 to make its decision. Signature: Justin C. Wilson, P.E. NTI Engineering&Surveying, Inc. 360.452.8491 Date Submitted: July 6, 2012-(UPDATED on 9/23/14) SEPA Environmental Checklist Page 10 COVER SHEET I STREAM RESTORATION SEP 2 4 2014 FOR KATHLEEN & REIMER DOUGL JEFFERSON COUNTY DEPT OF COMMUNITY OFUFLOPMFPT B R I T I S H C O L U M B I A i �a P U® 9EWNGHAM O 0 2 .4. ; Q f ,r 1 DKAN: a ll: WASH N ' GTON .7M.. ` V O ELLENSBURG I CHEHAUS YAKIMA ` O WALLA WALLA 0 VANCOUVER -r OEVT U PORTLAND aoulEn71l OREGON LOCATION MAP NOT TO SCALE erj � ;rip to z z 7/10.14 ■ „ ����O�4'FG Sg EW)\*C' FSS/ONAL OC' VICINITY MAP C NORTHWESTERN TERRITORIES, INC. 2014 DATE: 7/18/2014 SCALE: AS SHOWN NWS-2014-46 STREAM RESTORATION / _ NTI ENGINEERING DRAWN ay: ZNS/cR 101 WAMPUM PT. ROAD, QUILICENE ■,` &SURVEYING L� 717 SOUTH PEABODV STREET FOR: PORT ANGELES,WA 98362 W WW.NTI4U.COM REVIEW: icw DOUGLAS, KATHLEEN & REIMER NTI P:(360)452-8498 SHEET 1 OF ,3 x \ 1 v I j v 1 ■ b 1 1 1 \\ I c \\\ I\ .I \ cc 1 Z It ; / \ / y p ;1W , ,, , v \ i y c cc mw c z �I c I c z - • \O hi z d � *it (/) / /9'' V ---, / A' m bp / �\ mx 'r,) , / ,�f LL m c /7 �' 1 \I ro ro °2.xcb�z �5c �.. 11 cc KCB fmro / I 1 <N mL, ;�N Z j/ I \\ om FS1c" ism \ .04 z Nr� ''ray 0 / \ s��� MFr,�-4,2 CSC n fmmmm I N' N G) �f k- �'� 7 r'''';11,7 Vic, • I a ro 0 (�I ro J / o/ i -. r / r 7�$ 1N31/1d013A30 AjIN(11NW00 3O 1d30 ° AINI(100 NOS213333f w F',�" I, 1y�,`moo , ,e,p /i"......W a A[1 a Da 1 ti ©"NORTHWESTERN TERRITORIES, INC. 2014 DATE: 7/1€3/2014 SCALE: AS SHOWN NWS-2014-46 STREAM RESTORATION i `," N II ENGINEERING DRAWN BY. ZNS/CR _ FOR: 101 WAMPUM PT. ROAD QUILICENE , I' 717 SOUTH WA98362 WWW.NTI4U.COM REVEW: JCW DOUGLAS, KATHLEEN & REIMER NTI F(360)452-8498 SHEET? 2 OF 3 A N J co!". 8 8 I _ I ' I I o N O IJ O +°c J 4 + I 8 I Q 8 m n I 53 i 0 I rfA r 73 1- rfx N tg m r T - oN wg ro 7 Op -0 I rn? Fm 0 § - 0 I mg ho m -Pe m I oN pg• 0 '� 0 . 1, D r I o +. . 1 O vo 0 m I I —I t m » I g o,1 rn 7) I I n I m i 0 \ - = 0 x)E 5 () T D o X O R Y -n 0 z m I I 0 r I z I o m - ; I I + I + I a0(..1.1:41 1 � I 0 c + a ° C iI I <74110111 C-)CD--1 y Cr) m -r] n, TF s N + `w mr" o vS C O Ci F ' m y � o t cO PA {2F ° . °�� " + N 0 CI O O N O C 0 NORTHWtsrtNN 7ERRFTOR1ES INC.2014 DATE: 7/18/2014 SCALE: AS SHOWN NWS-2014-46 STREAM RESTORATION 1 NTI ENGINEERING DRAWN BY: ZNS/CR r ,�i &SURVEYING FOR: 101 WAMPUM PT. ROAD, QUILICENE .• "PORTAN�LE WA 98362T Y WWW.NTI4U.COM REVIEW: JCW DOUGLAS, KATHLEEN & REIMER NT! P'( 360)4528499 SHEET 3 OF 3 I Ix:°14 e ,% JEFFERSON COUNTY I 0, rq -; ;,{ DEPARTMENT OF COMMUNITY DEVELOPMENT - �- 1 621 Sheridan Street • Port Townsend •Washington 98368 I + N-0 3, 360/379-4450 • 800/831-2678 • 360/379-4451 Fax ENVIRONMENTAL CHECKLIST IPurpose of checklist: The State Environmental Policy Act (SEPA), chapter 43.21C RCW, requires all governmental agencies to consider the environmental impacts of a proposal before making decisions. An environmental I impact statement (EIS) must be prepared for all proposals with probable 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 I 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 known, 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 I 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 I answers or provide additional information reasonably related to determining if there may be significant adverse impact. IA. BACKGROUND 1. Name of proposed project, if applicable: (� C E V E ISpit Restoration -East Quilcene Bay lr----- 2. Name of applicant: Kathleen and Reimer Douglas 3. Address and hone number of applicant and contact person: 2 9 2014 P pp p ,���{ S�P I 2021 North 78th Street i �� V _� Seattle, WA 98103 JEFFERSON COUNTY 206.524.6640 rc I o" T DEPT. _COMMUNITY DE\,�_0� _ r I 4. Date checklist prepared: 6/26/12-(UPDATED on 9/23/14) 5. Agency requesting checklist: Jefferson County& Washington Deparment of Fish & Wildlife 6. Proposed timing or schedule(including phasing, if applicable) IBefore February 15, 2015, upon permit approval SEPA Environmental Checklist Page 1 I 7. Do you have any plans for future additions, expansion, or further activity related to or connected ' with this proposal? If yes, explain. No additional work is anticipated at this time. ' 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. ' No original envronmental studies. Existing data on fish windows, habitat, existing currents and tidal data has been reviewed. A site survey was performed " 1'0 ,0')ct.C,ut 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. ' A JARPA permit application by J. Palmer; Type I Land Use Permit MLA 11-00105, Jefferson County. ' 10. List any government approvals or permits that will be needed for your proposal, if known. Corps of Engineers, Washington Department of Ecology, Washington Department of Fish & Wildlife, Jefferson County are expected to review this project. 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.) ' Proposed project will restore a trench created in 2008 to original contours, and dredge stream mouth E-W to provide ready access to community tidelands for property owners for shellfish harvesting,picnicking and general beach access and restore/improve shellfish ' habitat. 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. Project site is located on east side of Quilcene Bay, approximately 1/4 mile North of East ' Drift cell terminus at mouth of Unnamed Stream, Sec 19, T27N, R1W, W.M., Jefferson County. Work to be done on Jefferson County Tidelands Tax "B"and Community Tidelands associated with TPN 701194030, 701194029, 701194028, 701194027, 701191000. B. ENVIRONMENTAL ELEMENTS ' 1. Earth a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous, other. ' The Site is flat, with a manmade berm to be leveled to original contours. SEPA Environmental Checklist Page 2 1 1 b. What is the steepest slope on the site(approximate percent slope)? The manmade berm has slopes of up to 50%, but rest of theproject site has gradual slopes ' of up to 1%. 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 prime farmland. This shorline beach environment consists mostly of sandy material and areas of silty sands where upstream sediments have been deposited. d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. No,just a recent history of sediment deposition in the upland stream. e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. There will be limited amounts of embankment or excavation on this project to return the stream to it's 2008 location, prior to dredging and stockpiling of material. Quantity of proposed earthwork will be less than 25 Cubic Yards. All material will be native to this site. No material will be imported or exported. ' f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. Erosion and Sediment Control measures will be implemented to contol turbidity and to helt to keep tubidity localized and not allow for sediment migration. ' g.About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? ' No impervious surfaces h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: Straw wattles can be utilized during brief construction required at low tide. ' a.Air a. 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. Misc. equipment may emit automobile eqivilent gas fumes into the air during the few hours of time it takes to complete the restoration project. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No ' c. Proposed measures to reduce or control emissions or other impacts to air, if any: N/A 3. Water ' a. Surface: 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. Yes, East Quilcene Bay, Unnamed Stream. SEPA Environmental Checklist Page 3 I I 2)Will the project require any work over, in, or adjacent to(within 200 feet)the described I waters? If yes, please describe and attach available plans. Project will include re-contour N-S trench with existing sand/sediment. Project is described in detail on pictures and plan included with attached JARPA Application. I 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. Approximately 11 CY of material will be moved from proposed trench to proposed berm. 9.5 CY Iof material will be scalped from the area north of the proposed berm in addition to the 11 CY. 4)Will the proposal require surface water withdrawals or diversions? Give general description, I purpose, and approximate quantities if known. This project will require outfall of unnamed stream to be restored to it's position prior to the 2008 dredging activity. Approximately 20.5 CY of material will be moved as part of the restoration. I5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. Yes, shown on Plan that is included in attached JARPA document. 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. I No I b. Ground: 1)Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. 1 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 I humans the system(s)are expected to serve. N/A Ic. 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 I other waters? If so, describe. N/A I2)Could waste materials enter ground or surface waters? If so, generally describe. No I d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: IErosion and Sediment Control measures will be utilized I Pael SEPA Environmental Checklist g 1 4. Plants a. Check or circle types of vegetation found on the site: deciduous tree: alder, maple, aspen, other evergreen tree: fir, cedar, pine, other shrubs grass ' pasture crop or grain wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other ' water plants: water lily, eelgrass, milfoil, other X other types of vegetation Native and imported grasses, wildflowers, and foliage. ' b. What kind and amount of vegetation will be removed or altered? None. ' c. List threatened or endangered species known to be on or near the site. N/A ' d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: No vegetation will be added for this restoration project. 5. Animals ' a. 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: ' mammals: deer, bear, elk, beaver, other: fish: bass, salmon,trout, herring, shellfish, other: b. List any threatened or endangered species known to be on or near the site. Coastal cutthroat trout(Oncorhynchus clarki clarki) and River lamprey(alampetra ayresi) are Species of Concern that may be in the project area. c. Is the site part of a migration route? If so, explain. d. Proposed measures to preserve or enhance wildlife, if any: Scope of this project is minimal. Care will be used to reduce any impacts that it may have on wildlife in the area. 6. Energy and natural resources ' 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. Fuel will be used in the engine of the misc equipment utilized to complete this task. SEPA Environmental Checklist Page 5 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: Proposed non-evasive construction methods will save substantial amounts of energy used on this project. 7. Environmental health ' 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 special emergency services that might be required. Fire and Ambulance ' 2) Proposed measures to reduce or control environmental health hazards, if any: None ' b. Noise 1)What types of noise exist in the area which may affect your project(for example: traffic, equipment, operation, other)? ' None ' 2)What types and levels of noise would be created by or associated with the project on a short- term or a long-term basis(for example: traffic, construction, operation, other)? Indicate what hours noise would come from the site. ' Short-term noise from misc. equipmen for the few hours that it is running. There will be no long-term noise. 3) Proposed measures to reduce or control noise impacts, if any: ' Work activity will be restricted between 10:00 p.m. and 6:00 a.m. 8. Land and shoreline use a. What is the current use of the site and adjacent properties? ' Shorline uses. Adjacent properties are residential. b. Has the site been used for agriculture? If so, describe. No 1 SEPA Environmental Checklist Page 6 1 c. Describe any structures on the site. No structures at location of rehabilitation project. ' d. Will any structures be demolished? If so,what? No t e. What is the current zoning classification of the site? Rural Residential 1:5 f. What is the current comprehensive plan designation of the site? ;� 1100-HOUSES(single units, non-farm) 70.0-gjj 2 th-it g. If applicable, what is the current shoreline master program designation of the site? ' WRIA 17- Quilcene-Snow(Bolton Peninsula watershed). h. Has any part of the site been classified as an"environmentally sensitive"or critical area? If so, specify. �" pp ' No. Project area is located within "Conservancy"area, and is near"Natural"area �lSGI„fbi 7'z as indicated on the Jefferson County Environmetally Sensitive Areas map. y,eA ✓A �4 ate it- i. Approximately how many people would reside or work in the completed project? �� ' Approximately twelve people live near project area (Pe-o sect- Gc ct &t j. Approximately how many people would the completed project displace? \n�-�i// r Q✓�� None ' k. Proposed measures to avoid or reduce displacement impacts, if any: N/A I. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: N/A. Restoration project. ' 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low- income housing. ' N/A b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. ' N/A c. Proposed measures to reduce or control housing impacts, if any: ' N/A SEPA Environmental Checklist Page 7 i 1 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? N/A 1 b. What views in the immediate vicinity would be altered or obstructed? 1 None. Views will not be affected. c. Proposed measures to reduce or control aesthetic impacts, if any: None. Aesthetics will not be affected. 11. Light and glare 1 a. What type of light or glare will the proposal produce? What time of day would it mainly occur? None b. Could light or glare from the finished project be a safety hazard or interfere with views? None c. What existing off-site sources of light or glare may affect your proposal? 1 None d. Proposed measures to reduce or control light and glare impacts, if any: 1 None. There will not be any light or glare affects. 12. Recreation 1 a. What designated and informal recreational opportunities are in the immediate vicinity? -a-irctL.ext+c -'rt 9 , Shoreline activies. Li 1 b. Would the proposed project displace any existing recreational uses? If so, describe. No 1 c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: None. Recreational activities will not be affected. 13. Historic and cultural preservation 1 a. 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 1 b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. None 111 c. Proposed measures to reduce or control impacts, if any: None. There will not be any impacts. 1 SEPA Environmental Checklist Page 8 1 14. Transportation ' a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Show on site plans, if any. N/A b. Is site currently served by public transit? If not, what is the approximate distance to the nearest ' transit stop? No. Approximately 7 miles to Quilcene. c. How many parking spaces would the completed project have? How many would the project ' eliminate? None d. 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 e. Will the project use(or occur in the immediate vicinity of)water, rail, or air transportation? If so, generally describe. No ' f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. None g. Proposed measures to reduce or control transportation impacts, if any: None 15. Public services ' a. Would the project result in an increased need for public services (for example: fire protection, police protection, health care, schools, other)? If so, generally describe. No b. Proposed measures to reduce or control direct impacts on public services, if any. None I 1 I SEPA Environmental Checklist Page 9 t 16. Utilities a. Circle utilities currently available at the site: electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system, other. All of the above utilities available at nearby residence. ' 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. 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 to make its decision. ,. 1 ,tI Signature: Justin C. Wilson, P.E. '{ I NTl Engineering& Surveying, Inc. ' 360.452.8491 — — I Date Submitted: July 6, 2012-(UPDATED on 9/23/14) 'l I tic, In 14 F Q, r ,9F A5910`"p 1 SEPA Environmental Checklist Page 10 I I COVER SHEET STREAM RESTORATION I FOR KATHLEEN & REIMER DOUGLAS I IBRITISH COLUMBIA i N.BEWNGHAM l O I . Ark,4 = Q • , , �.y � / ••DKAN Ia V, WASH IN /GTON .... i V J O ELLENSBURG IIIIEHAUS YAKIMA \ WI ' -1t o WALLA WALLA 0 VANCOUVER NA DEPOT 0 I PORTLAND PEN OIPOI OREGON LOCATION MAP INOT TO SCALE I I I , ,rnit, ir,7, 61141.0),,, I � • 7/18,4 t. p • 45910 p V '0,,c FG/STESk` �(<, IC SS/ON AL ENS\ VICINITY MAP I ©NORTHWW.SILRN TERRITORIES, INC. 2014 DATE: 7/18/2014 SCALE: AS SHOWN NWS-2014-46 STREAM RESTORATION atiA NTI ENGINEERING I DRAWN BY: ZNS/CR & SURVEYING 101 WAMPUM PT. 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P:(360)452-8491 DOUGLAS, KATHLEEN & REIMER F(360)452-8498 1 SHEET 2 OF 3 I I A N J C ++ 4 °Y 0 0 0 0 I I _ . 0 +_ O V ++-, 8 + N ° 00 1 m 00 m 0 x m S' A Z Z T I _ z m \ - r- F -0 N g -0 1 O> II p_ A m mo Ro- 0 E� J O I V,W _ - in Z ->, W �o ,o Fm Q io O m- A' r1-1 ITI -0 00 _ N AN D v E o I p o o Om m I 0 Om Y N 0- m ;; o Cr)p 0 \I\ = o I m 0 m /m I T O m X \J 0 - 1 g o m - o Z o - m I W 1 + II + u I A 0 '00 0 0 0 I ...Q. .1 r Co I G. �[ N 0� 00 o • 0 I ©NORTHWESTERN TERRITORIES, INC. 2014 DATE: 7/18/2014 }._ SCALE: AS SHOWN NWS-2014-46 STREAM RESTORATION 1� _ NTI ENGINEERING I DRAWN BY: ZNS/CR & SURVEYING / 101 WAMPUM PT. ROAD, QUILICENE SOUTH ,WYA STREET FOR: 9 WWW.NTI4U.COM REVIEW: JCW P:(360)452-8491 DOUGLAS, KATHLEEN & REIMER NTI F•(360)452-8498 ISHEET 3 OF 3 '7' JEFFERSON COUNTY ,�� DEPARTMENT OF COMMUNITY DEVELOPMENT "t 621 Sheridan Street • Port Townsend • Washington 98368 y ` :S 360/379-4450 • 800/831-2678 • 360/379-4451 Fax ENVIRONMENTAL CHECKLIST Purpose of checklist: The State Environmental Policy Act (SEPA), chapter 43.21C RCW, requires all governmental agencies to consider the environmental impacts of a proposal before making decisions. An environmental impact statement(EIS) must be prepared for all proposals with probable 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 known, 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. A. BACKGROUND 1. Name of proposed project, if applicable: Spit Restoration-East Quilcene Bay 2. Name of applicant: Kathleen and Reimer Douglas 3. Address and phone number of applicant and contact person: 2021 North 78th Street Seattle, WA 98103 206.524.6640 4. Date checklist prepared: 6/26/12 5. Agency requesting checklist: Jefferson County& Washington Deparment of Fish & Wildlife 6. Proposed timing or schedule (including phasing, if applicable) After July 15, 2012 and before February 15, 2013, upon permit approval SEPA Environmental Checklist Page 1 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. No additional work is anticipated at this time. 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. No original envronmental studies. Existing data on fish windows, habitat, existing currents and tidal data has been reviewed. A site survey was performed 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. A JARPA permit application by J. Palmer; Type I Land Use Permit MLA 11-00105, Jefferson County. 10. List any government approvals or permits that will be needed for your proposal, if known. Corps of Engineers, Washington Department of Eco logy, Washington Department of Fish & Wildlife, Jefferson County are expected to review this project. 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.) Proposed project will restore a trench created in 2008 to original contours, and dredge stream mouth E-W to provide ready access to community tidelands for property owners for shellfish harvesting,picnicking and general beach access and restore/improve shellfish habitat. 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. Project site is located on east side of Quilcene Bay, approximately 1/4 mile North of East Drift cell terminus at mouth of Unnamed Stream, Sec 19, T27N, R1W, W.M., Jefferson County. Work to be done on Jefferson County Tidelands Tax "B"and Community Tidelands associated with TPN 701194030, 701194029, 701194028, 701194027, 701191000. B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site(circle one): Flat, rolling, hilly, steep slopes, mountainous, other. The Site is flat, with a manmade berm to be leveled to original contours. SEPA Environmental Checklist Page 2 b. What is the steepest slope on the site (approximate percent slope)? The manmade berm has slopes of up to 50%, but rest of theproject site has gradual slopes of up to 1%. 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 prime farmland. This shorline beach environment consists mostly of sandy material and areas of silty sands where upstream sediments have been deposited. d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. No,just a recent history of sediment deposition in the upland stream. e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. There will be limited amounts of embankment or excavation on this project to return the stream to it's 2008 location,prior to dredging and stockpiling of material. Quantity of proposed earthwork will be less than 25 Cubic Yards. All material will be native to this site. No material will be imported or exported. f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. Erosion and Sidiment Control measures will be implemented to contol turbidity and to helt to keep tubidity localized and not allow for sediment migration. g.About what percent of the site will be covered with impervious surfaces after project construction (for example,asphalt or buildings)? No impervious surfaces h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: Straw wattles can be utilized during brief construction required at low tide. a.Air a. 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. A pumper truck may emit automobile eqivilent gas fumes into the air during the few hour of time it takes to complete the restoration project. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No c. Proposed measures to reduce or control emissions or other impacts to air, if any: N/A 3. Water a. Surface: 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. Yes, East Quilcene Bay, Unnamed Stream. SEPA Environmental Checklist Page 3 4 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. Project will include re-contour N-S trench with existing sand/sediment. Project is described in detail on pictures and plan included with attached JARPA Application. 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. Approximately 15 CY of material will be moved from spoil piles to existing trench. 4)Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. This project will require outfall of unnamed stream to be restored to it's position prior to the 2008 dredging activity. Approximately 15 CY of material will be moved as part of the restoration. 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. Yes, shown on Plan that is included in attached JARPA document. 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: 1)Will ground water be withdrawn, or will water be discharged to ground water'? 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. N/A 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. N/A 2)Could waste materials enter ground or surface waters? If so, generally describe. No d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: Erosion and Sediment Control measures will be utilized SEPA Environmental Checklist Page 4 4. Plants a. Check or circle types of vegetation found on the site: deciduous tree: alder, maple, aspen, other evergreen tree: fir, cedar, pine, other shrubs grass pasture crop or grain wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other water plants: water lily, eelgrass, milfoil, other X other types of vegetation Native and imported grasses, wildflowers, and foliage. b. What kind and amount of vegetation will be removed or altered? None. c. List threatened or endangered species known to be on or near the site. N/A d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: No vegetation will be added for this restoration project. 5. Animals a. Circle any birds and animals which have been observed on or near the site or on or near the site: are known to be birds: hawk, heron, eagle, songbirds, other: mammals: deer, bear, elk, beaver, other: fish: bass salmon rout herring, other: b. List any threatened or endangered species known to be on or near the site. Coastal cutthroat trout(Oncorhynchus clarki clarki)and River lam re are Species of Concern that may be in the project area. p y(alampetra ayresi) c. Is the site part of a migration route? If so, explain. d. Proposed measures to preserve or enhance wildlife, if any: Scope of this project is very minimal. Care will be used to reduce any impacts that it may have on wildlife in the area. 6. Energy and natural resources 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. Gas will be used in the engine of the pump truck that will be parked upland of the project. SEPA Environmental Checklist Page 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: Proposed non-evasive construction construction methods will save substantial amounts of energy used on this project. 7. Environmental health 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 special emergency services that might be required. Fire and Ambulance 2) Proposed measures to reduce or control environmental health hazards, if any: None b. Noise 1)What types of noise exist in the area which may affect your project(for example:traffic, equipment, operation, other)? None 2)What types and levels of noise would be created by or associated with the project on a short- term or a long-term basis(for example: traffic, construction, operation, other)? Indicate what hours noise would come from the site. Short-term noise from the pump truck for the few hours that it is running. There will be no long-term noise. 3) Proposed measures to reduce or control noise impacts, if any: Work activity will be restricted between 10:00 p.m. and 6:00 a.m. 8. Land and shoreline use a. What is the current use of the site and adjacent properties? Shor line uses. Adjacent properties are residential. b. Has the site been used for agriculture? If so, describe. No SEPA Environmental Checklist Page 6 c. Describe any structures on the site. No structures at location of rehabilitation project. d. Will any structures be demolished? If so, what? No e. What is the current zoning classification of the site? Rural Residential 1:5 f. What is the current comprehensive plan designation of the site? 1100-HOUSES(single units, non-farm) g. If applicable,what is the current shoreline master program designation of the site? WRIA 17- Quilcene-Snow(Bolton Peninsula watershed). h. Has any part of the site been classified as an "environmentally sensitive"or critical area? If so, specify. No. Project area is located within "Conservancy"area, and is near"Natural"area as indicated on the Jefferson County Environmetally Sensitive Areas map. i. Approximately how many people would reside or work in the completed project? Approximately twelve people live near project area j. Approximately how many people would the completed project displace? None k. Proposed measures to avoid or reduce displacement impacts, if any: N/A I. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: N/A. Restoration project. 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low- income housing. N/A b. Approximately how many units, if any,would be eliminated? Indicate whether high, middle, or low-income housing. N/A c. Proposed measures to reduce or control housing impacts, if any: N/A SEPA Environmental Checklist Page 7 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas;what is the principal exterior building material(s) proposed? N/A b. What views in the immediate vicinity would be altered or obstructed? None. Views will not be affected. c. Proposed measures to reduce or control aesthetic impacts, if any: None. Aesthetics will not be affected. 11. Light and glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? None b. Could light or glare from the finished project be a safety hazard or interfere with views? None c. What existing off-site sources of light or glare may affect your proposal? None d. Proposed measures to reduce or control light and glare impacts, if any: None. There will not be any light or glare affects. 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? Shoreline activies. 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. Recreational activities will not be affected. 13. Historic and cultural preservation a. 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. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. None c. Proposed measures to reduce or control impacts, if any: None. There will not be any impacts. SEPA Environmental Checklist Page 8 _i 14. Transportation a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Show on site plans, if any. N/A b. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? No. Approximately 7 miles to Quilcene. c. How many parking spaces would the completed project have? How many would the project eliminate? None d. 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 e. Will the project use(or occur in the immediate vicinity of)water, rail, or air transportation? If so, generally describe. No f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. None g. Proposed measures to reduce or control transportation impacts, if any: None 15. Public services a. Would the project result in an increased need for public services(for example: fire protection, police protection, health care, schools, other)? If so, generally describe. No b. Proposed measures to reduce or control direct impacts on public services, if any. None SEPA Environmental Checklist Page 9 16. Utilities a. Circle utilities currently available at the site: electricity, natural gas,water, refuse service, telephone, sanitary sewer, septic system, other. All of the above utilities available at nearby residence. 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. 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 to make its decision. Signature: Justin C. Wilson, P.E. NTI Engineering& Surveying, Inc. 360.452.8491 Date Submitted: July 6, 2012 SEPA Environmental Checklist Page 10 ry 44 C", JEFFERSON COUNTY _ DEPARTMENT OF COMMUNITY DEVELOPMENT SG ' 621 Sheridan Street • Port Townsend •Washington 98368 1' 411NO 360/379-4450 • 800/831-2678 • 360/379-4451 Fax ENVIRONMENTAL CHECKLIST Purpose of checklist: The State Environmental Policy Act (SEPA), chapter 43.21C RCW, requires all governmental agencies to consider the environmental impacts of a proposal before making decisions. An environmental impact statement(EIS) must be prepared for all proposals with probable 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 known, 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. A. BACKGROUND 1. Name of proposed project, if applicable: Spit Restoration-East Quilcene Bay 2. Name of applicant: Kathleen and Reimer Douglas 3. Address and phone number of applicant and contact person: 2021 North 78th Street Seattle, WA 98103 206.524.6640 4. Date checklist prepared: 6/26/12 5. Agency requesting checklist: Jefferson County& Washington Deparment of Fish & Wildlife 6. Proposed timing or schedule(including phasing, if applicable) After July 15, 2012 and before February 15, 2013, upon permit approval SEPA Environmental Checklist Page 1 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. No additional work is anticipated at this time. 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. No original envronmental studies. Existing data on fish windows, habitat, existing currents and tidal data has been reviewed. A site survey was performed 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. A JARPA permit application by J. Palmer; Type I Land Use Permit MLA 11-00105, Jefferson County. 10. List any government approvals or permits that will be needed for your proposal, if known. Corps of Engineers, Washington Department of Ecology, Washington Department of Fish & Wildlife,Jefferson County are expected to review this project. 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.) Proposed project will restore a trench created in 2008 to original contours, and dredge stream mouth E-W to provide ready access to community tidelands for property owners for shellfish harvesting,picnicking and general beach access and restore/improve shellfish habitat. 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. Project site is located on east side of Quilcene Bay, approximately 1/4 mile North of East Drift cell terminus at mouth of Unnamed Stream, Sec 19, T27N, R1W, W.M.,Jefferson County. Work to be done on Jefferson County Tidelands Tax "B"and Community Tidelands associated with TPN 701194030, 701194029, 701194028, 701194027, 701191000. B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site(circle one): Flat, rolling, hilly, steep slopes, mountainous, other. The Site is flat, with a manmade berm to be leveled to original contours. SEPA Environmental Checklist Page 2 b. What is the steepest slope on the site (approximate percent slope)? The manmade berm has slopes of up to 50%, but rest of theproject site has gradual slopes of up to 1%. 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 prime farmland. This shorline beach environment consists mostly of sandy material and areas of silty sands where upstream sediments have been deposited. d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. No,just a recent history of sediment deposition in the upland stream. e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. There will be limited amounts of embankment or excavation on this project to return the stream to it's 2008 location,prior to dredging and stockpiling of material. Quantity of proposed earthwork will be less than 25 Cubic Yards. All material will be native to this site. No material will be imported or exported. f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. Erosion and Sidiment Control measures will be implemented to contol turbidity and to helt to keep tubidity localized and not allow for sediment migration. g.About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? No impervious surfaces h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: Straw wattles can be utilized during brief construction required at low tide. a.Air a. 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. A pumper truck may emit automobile eqivilent gas fumes into the air during the few hour of time it takes to complete the restoration project. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No c. Proposed measures to reduce or control emissions or other impacts to air, if any: N/A 3. Water a. Surface: 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. Yes, East Quilcene Bay, Unnamed Stream. SEPA Environmental Checklist Page 3 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. Project will include re-contour N-S trench with existing sand/sediment. Project is described in detail on pictures and plan included with attached JARPA Application. 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. Approximately 15 CY of material will be moved from spoil piles to existing trench. 4)Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. This project will require outfall of unnamed stream to be restored to its position prior to the 2008 dredging activity. Approximately 15 CY of material will be moved as part of the restoration. 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. Yes, shown on Plan that is included in attached JARPA document. 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: 1)Will ground water be withdrawn, or will water be discharged to ground water? 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. N/A 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. N/A 2)Could waste materials enter ground or surface waters? If so, generally describe. No d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: Erosion and Sediment Control measures will be utilized SEPA Environmental Checklist Page 4 4. Plants a. Check or circle types of vegetation found on the site: deciduous tree: alder, maple, aspen, other evergreen tree: fir, cedar, pine, other shrubs grass pasture crop or grain wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other water plants: water lily, eelgrass, milfoil, other X other types of vegetation Native and imported grasses, wildflowers, and foliage. b. What kind and amount of vegetation will be removed or altered? None. c. List threatened or endangered species known to be on or near the site. N/A d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: No vegetation will be added for this restoration project. 5. Animals a. 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: mammals: deer, bear,elk, beaver,other: fish: bass salmon rout herring, other: b. List any threatened or endangered species known to be on or near the site. Coastal cutthroat trout(Oncorhynchus clarki clarki)and River lamprey(alampetra ayresi) are Species of Concern that may be in the project area. c. Is the site part of a migration route? If so, explain. d. Proposed measures to preserve or enhance wildlife, if any: Scope of this project is very minimal. Care will be used to reduce any impacts that it may have on wildlife in the area. 6. Energy and natural resources 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. Gas will be used in the engine of the pump truck that will be parked upland of the project. SEPA Environmental Checklist Page 5 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: Proposed non-evasive construction construction methods will save substantial amounts of energy used on this project. 7. Environmental health 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 special emergency services that might be required. Fire and Ambulance 2) Proposed measures to reduce or control environmental health hazards, if any: None b. Noise 1)What types of noise exist in the area which may affect your project(for example:traffic, equipment, operation, other)? None 2)What types and levels of noise would be created by or associated with the project on a short- term or a long-term basis(for example: traffic, construction, operation, other)? Indicate what hours noise would come from the site. Short-term noise from the pump truck for the few hours that it is running. There will be no long-term noise. 3) Proposed measures to reduce or control noise impacts, if any: Work activity will be restricted between 10:00 p.m. and 6:00 a.m. 8. Land and shoreline use a. What is the current use of the site and adjacent properties? Shorline uses. Adjacent properties are residential. b. Has the site been used for agriculture? If so, describe. No SEPA Environmental Checklist Page 6 c. Describe any structures on the site. No structures at location of rehabilitation project. d. Will any structures be demolished? If so,what? No e. What is the current zoning classification of the site? Rural Residential 1:5 f. What is the current comprehensive plan designation of the site? 1100-HOUSES(single units, non-farm) g. If applicable,what is the current shoreline master program designation of the site? WRIA 17- Quilcene-Snow(Bolton Peninsula watershed). h. Has any part of the site been classified as an"environmentally sensitive"or critical area? If so, specify. No. Project area is located within "Conservancy"area, and is near"Natural"area as indicated on the Jefferson County Environmetally Sensitive Areas map. i. Approximately how many people would reside or work in the completed project? Approximately twelve people live near project area j. Approximately how many people would the completed project displace? None k. Proposed measures to avoid or reduce displacement impacts, if any: N/A I. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: N/A. Restoration project. 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low- income housing. N/A b. Approximately how many units, if any,would be eliminated? Indicate whether high, middle, or low-income housing. N/A c. Proposed measures to reduce or control housing impacts, if any: N/A SEPA Environmental Checklist Page 7 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas;what is the principal exterior building material(s) proposed? N/A b. What views in the immediate vicinity would be altered or obstructed? None. Views will not be affected. c. Proposed measures to reduce or control aesthetic impacts, if any: None. Aesthetics will not be affected. 11. Light and glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? None b. Could light or glare from the finished project be a safety hazard or interfere with views? None c. What existing off-site sources of light or glare may affect your proposal? None d. Proposed measures to reduce or control light and glare impacts, if any: None. There will not be any light or glare affects. 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? Shoreline activies. 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. Recreational activities will not be affected. 13. Historic and cultural preservation a. 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. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. None c. Proposed measures to reduce or control impacts, if any: None. There will not be any impacts. SEPA Environmental Checklist Page 8 14. Transportation a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Show on site plans, if any. N/A b. Is site currently served by public transit? If not,what is the approximate distance to the nearest transit stop? No. Approximately 7 miles to Quilcene. c. How many parking spaces would the completed project have? How many would the project eliminate? None d. 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 e. Will the project use(or occur in the immediate vicinity of)water, rail, or air transportation? If so, generally describe. No f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. None g. Proposed measures to reduce or control transportation impacts, if any: None 15. Public services a. Would the project result in an increased need for public services(for example: fire protection, police protection, health care, schools, other)? If so, generally describe. No b. Proposed measures to reduce or control direct impacts on public services, if any. None SEPA Environmental Checklist Page 9 16. Utilities a. Circle utilities currently available at the site: electricity, natural gas,water, refuse service, telephone, sanitary sewer, septic system,other. All of the above utilities available at nearby residence. 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. 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 to make its decision. Signature: Justin C. Wilson, P.E. 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