HomeMy WebLinkAboutExhibit 04_OlyCAP Caswell Brown Village_SEPA Checklist - Final
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SEPA ENVIRONMENTAL CHECKLIST
Purpose of checklist: Governmental agencies use this checklist to help determine whether the environmental impacts of your proposal are significant. This information is also helpful to determine if available avoidance, minimization or compensatory mitigation measures will address the probable significant impacts or if an environmental impact statement will be prepared to further analyze the proposal.
Instructions for applicants: This environmental checklist asks you to describe some basic information about your proposal. Please
answer each question accurately and carefully, to the best of your knowledge. You may need to consult with an agency specialist or private consultant for some questions. You may use “not applicable” or "does not apply" only when you can explain why it does not apply and not when the
answer is unknown. You may also attach or incorporate by reference additional studies reports. Complete and accurate answers to these questions often avoid delays with the SEPA process as well as later in the decision-making process.
The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will help describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional information reasonably related to determining if there may be significant adverse impact.
Instructions for Lead Agencies: Please adjust the format of this template as needed. Additional information may be necessary to evaluate the existing environment, all interrelated aspects of the proposal and an analysis of adverse
impacts. The checklist is considered the first but not necessarily the only source of information needed to make an adequate threshold determination. Once a threshold determination is made, the lead agency is responsible for the completeness and accuracy of the checklist and other supporting documents. Use of checklist for nonproject proposals: For nonproject proposals (such as ordinances, regulations, plans and programs), complete the
applicable parts of sections A and B plus the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D). Please completely answer all questions that apply and note that the words "project," "applicant," and "property or site" should be read as "proposal," "proponent," and "affected geographic area,"
respectively. The lead agency may exclude (for non-projects) questions in Part B - Environmental Elements –that do not contribute meaningfully to the analysis of the proposal. A. Background [HELP] 1. Name of proposed project, if applicable: Caswell-Brown Village.
2. Name of applicant: Olympic Community Action Programs (OlyCAP)
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3. Address and phone number of applicant and contact person: 2120 W Sims Way, Port
Townsend, WA 98368; 360.385.2571 x6308 (Cherish Cronmiller, Executive Director).
4. Date checklist prepared: September 23, 2022 5. Agency requesting checklist: Jefferson County, Department of Community Development (DCD) 6. Proposed timing or schedule (including phasing, if applicable): Construction will begin 3rd
Quarter of 2023.
7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. No.
8. List any environmental information you know about that has been prepared, or will be
prepared, directly related to this proposal. Ref. Phase I Environmental Site Assessment
Report (ESA), prepared by BMEC, dated August 17, 2022.
9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. No.
10. List any government approvals or permits that will be needed for your proposal, if known. Jefferson County DCD Conditional Use Permit (land use).
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.) The proposed development consists of an emergency shelter and permanent supportive housing, related support services, and adjacent site improvements to
be constructed on a previously developed gravel parking area. The project will house shelter beds for people of all ages, including sleeping rooms for families. The project is planned to
support fifty (50) individuals, with flexible space accommodating up to 75 individuals during
peak weather emergencies. The proposed building is 11,000 SF. Site grading activity is
limited to an area immediately surrounding the building totaling 43,958 SF (1 acre), inclusive of the building footprint., and the area required to install the septic drain field. 27 parking
spaces will be provided for staff and visitors.
12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. The site is located at 142 Mill Road, Port Townsend,
WA 98368; Tax Parcel 001162001, and consists of one parcel covering 21.81 acres (950,000 SF) of mostly undeveloped reforested land. Reference the attached site plan drawing, which
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shows the location of the proposal on the subject site. Section 16. Township: 30N Range 1 WWM. Neighborhood Description: 5345 – S15 & 16 T30 R1W, Glen Cove, GISE
B. Environmental Elements [HELP]
1. Earth [help] a. General description of the site:
(circle one): Flat, rolling, hilly, steep slopes, mountainous, other _____________ The site slopes at approximately 6% downhill from the NW to the SE. b. What is the steepest slope on the site (approximate percent slope)? The steepest portion
of the site slopes at approximately 25% in the area of an existing drainage but is not representative of the majority of the site (reference site plan drawing on sheet G001). The
proposal does not include ground disturbance in the vicinity of steep slopes.
c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any agricultural land of long-term commercial significance and whether the proposal results in removing any of these soils. The site soils consist of Clallam gravelly sandy loam, Dick
loamy sand, and Hoypus gravelly sandy loam. Site soil evaluations undertaken as part of a previous septic system design reveal areas of unsaturated loose medium sands, areas of
perched groundwater resulting from historic grading associated with abandoned railroad
embankment, and areas of dense, very fine soil.
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. No surface indications or history of unstable soils. County GIS does show a Slight Landslide Hazard area around the ravine and westward.
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. The proposed scope of work will occur on areas of the site previously graded under separate permit (Phase I),
and area required install the proposed septic system serving Phase III. Building specific
grading and excavation will be limited to that required for conventional pad foundations. Any required fill will come from materials already stockpiled on the project site.
f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. No. The site was cleared by previous site development activity reviewed under separate permit. The work of this application will occur on areas of the site previously cleared and
stabilized and currently serving as tent and RV encampment sites.
g. About what percent of the site will be covered with impervious surfaces after project
construction (for example, asphalt or buildings)? 17.5%. The proposed building area is
11,000 SF, or approximately 1.2.% of the total site area. The pre-existing area of impervious surfaces is equal to approximately 164,350 SF, or 17.3% of the total site area.
This proposal adds 2219 SF of impervious area to the site to provide for 10 parking spaces.
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h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: During construction, temporary erosion control best practice measures will be in effect.
Previous site development includes septic drainfields and stormwater retention basins to
collect run-off from the two (2) compacted gravel encampment areas (upper, or Phase 1; lower, or Phase II). A vegetated swale is located to the southeast of the upper encampment
site (Phase 1) which directs stormwater to the 1,000 SF stormwater retention basin. A
preserved stormwater dispersion area is located immediately to the southeast of the lower RV and tent encampment site (Phase II), measuring approximately 150’ x 350’.
2. Air [help] 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. General production of dust, exhaust associated with
typical foundation grading and building construction activities. Site excavation for limited to
that required for conventional strip and pad footings required to support the proposed 11,000 SF structure, plus grading activity associated with one 2219 SF gravel parking area.
The project does not include demolition of existing structures on site, or removal of existing
trees.
b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. Existing Port Townsend Paper Corporation paper mill located to the
southeast of the project site generates environmental odor. The odor is considered generally
compatible/tolerable with the proposed use.
c. Proposed measures to reduce or control emissions or other impacts to air, if any: Proposed
measures to reduce or control emissions will include watering and stabilizing disturbed
soils during construction. No measures are proposed to limit emissions, impacts to air will be minimal.
3. Water [help] a. Surface Water: [help] 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. No.
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. N/A The proposed work will
not occur within 200 feet of waters. Reference the project site plan, sheet G001.
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.
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Indicate the source of fill material. N/A. The proposal does not involve any amount of fill or dredge removed from surface water or wetlands.
4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. No.
5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan.
No.
6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. No.
b. Ground Water: [help] 1) Will groundwater be withdrawn from a well for drinking water or other purposes? If so, give a general description of the well, proposed uses and approximate quantities withdrawn from the well. Will water be discharged to groundwater? Give general description, purpose, and approximate quantities if known. No.
2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals. . . ; agricultural; etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. Domestic sewage. A Septic system is proposed to supplement the existing 2,160 gallons per day (gpd)
peak capacity septic system that currently serves the lower village tent, RV and tiny house encampment (Phase I). The proposed supplemental system will be sized to
serve approximately 50 individuals sharing communal bathing, toilet and kitchen
facilities. The system will be a pressurized distribution into gravel trenches. The proposed “reserve” drainfield is located in the northwestern quadrant of the site, where
existing soils are ideal for drainfields. The reserve drainfield measures 160’ x 65’,
approximately 10,000 SF and is located on stable portions of the stie that slope 2-3% toward the southeast.
c. Water runoff (including stormwater):
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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. Stormwater runoff from the
proposed building and existing-plus-proposed compacted gravel parking and encampment areas will be collected in drainage basins and an existing stormwater
dispersion area located below the lower encampment area (Phase II). An existing
vegetated swale directs stormwater runoff from the upper encampment (Phase 1) to the existing 1000 SF stormwater retention basin located to the southeast of the proposed
building site.
2) Could waste materials enter ground or surface waters? If so, generally describe. No. Domestic waste/ gray water material will be treated and retained on site. Solid waste
will be collected and shipped off site.
3) Does the proposal alter or otherwise affect drainage patterns in the vicinity of the site? If so, describe. No. existing drainage patterns will be maintained as part of the proposed
development.
d. Proposed measures to reduce or control surface, ground, and runoff water, and drainage
pattern impacts, if any: Described above. In addition, to the extent feasible, existing
vegetation will be maintained. Drought tolerant and native plant species will are proposed for
areas surrounding the new building.
4. Plants [help] a. Check the types of vegetation found on the site: _X deciduous tree: alder, maple, aspen, other _X__evergreen tree: fir, cedar, pine, other
_X___shrubs _X___grass ____pasture
____crop or grain ____ Orchards, vineyards or other permanent crops. ____ 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? Possible removal of
shrubs in the parking area (2219 SF). Otherwise, none.
c. List threatened and endangered species known to be on or near the site. None.
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d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: The areas immediately surrounding the proposed building
will feature native vegetation. Planting will be limited to the area currently used as the
upper (Phase I) tent/RV encampment site. Existing vegetation will be maintained on the site. This proposal does not extend beyond the limits of previous site development.
e. List all noxious weeds and invasive species known to be on or near the site. Blackberry
and scotch broom.
5. Animals [help] 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. The following animal species are known to be on or
near the site: Occasional deer, songbirds, and crows. Examples include: birds: hawk, heron, eagle, songbirds, other:
mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other ________ b. List any threatened and endangered species known to be on or near the site. None known. c. Is the site part of a migration route? If so, explain. No.
d. Proposed measures to preserve or enhance wildlife, if any: The project scope is limited to
those areas of the site already cleared by previous grading activity. Existing habitat will be maintained and repaired by eliminating invasive plant species and planting
native plant species. e. List any invasive animal species known to be on or near the site. None known.
6. Energy and Natural Resources [help] 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. Electricity, including on-site renewable energy. Electricity will be used
for space heating, water heating, cooking, and domestic plug loads.
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b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. No.
c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: The following energy conservation measures are proposed: High-efficiency water heating, dedicated
outside air with ERV in each sleeping unit and dormitory space, HRV heating and cooling systems in common areas, passive heating and cooling design strategies, design for
natural daylight and ventilation, optimized building envelope to minimize heat loss (>15%
increase from baseline code); reduced air infiltration beyond baseline code; on site-
renewable energy; electric vehicle charging stations.
7. Environmental Health [help] 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.
1) Describe any known or possible contamination at the site from present or past uses.
None. Reference the Phase I ESA submitted with the Conditional Use Permit
Application.
2) Describe existing hazardous chemicals/conditions that might affect project development and design. This includes underground hazardous liquid and gas transmission pipelines located within the project area and in the vicinity. None.
3) Describe any toxic or hazardous chemicals that might be stored, used, or produced during the project's development or construction, or at any time during the operating life of the project. None.
4) Describe special emergency services that might be required. None.
5) Proposed measures to reduce or control environmental health hazards, if any: Not applicable.
b. Noise 1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? Traffic noise emanating from Highway 20 which borders the west and north of the subject site.
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2) What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indi-
cate what hours noise would come from the site. Short-term noise will be generated by
foundation excavation and framing activity to the extent typically associate with small to medium scale single story construction projects. The size of the site and existing foliage
will likely buffer much of the short-term construction noise generated on site. No long-term
noise impacts are anticipated. Construction noise will occur during regular, permitted working hours, typically 7AM-6PM, Monday through Friday. It is possible that work could
occur on occasional Saturdays with permission granted by the County.
3) Proposed measures to reduce or control noise impacts, if any: Construction activities will occur during normal work hours permitted by the Jefferson County DCD. No other
noise mitigation measures are anticipated.
8. Land and Shoreline Use [help] a. What is the current use of the site and adjacent properties? Will the proposal affect current land uses on nearby or adjacent properties? If so, describe. The site is currently used as a
homeless encampment with space for tents, RVs and future tiny-homes. The proposed project will provide permanent emergency shelter and permanent supportive housing use
to the site. The proposal will not change or adversely impact adjacent parcels.
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? The 21.81 acre site was used as working forest land in the distant past. The site does not appear to have been used as agricultural land, nor does it
have long-term commercial significance as a working parcel. Aerial photographs reviewed
as a part of the ESA Phase 1 have indicated no prior agriculture usage. The site is currently used as a temporary homeless encampment. 1) Will the proposal affect or be affected by surrounding working farm or forest land normal business operations, such as oversize equipment access, the application of pesticides, tilling, and harvesting? If so, how: No.
c. Describe any structures on the site. Temporary bathing facilities and tents currently
occupy the site.
d. Will any structures be demolished? If so, what? No.
e. What is the current zoning classification of the site? Rural-residential 1:20 (RR-20)
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f. What is the current comprehensive plan designation of the site? (Quimper 2) Unincorporated rural residential area.
g. If applicable, what is the current shoreline master program designation of the site? None.
h. Has any part of the site been classified as a critical area by the city or county? If so,
specify. The site is designated as a Critical Aquifer Recharge Area.
i. Approximately how many people would reside or work in the completed project? Fifty (55).
j. Approximately how many people would the completed project displace? None.
k. Proposed measures to avoid or reduce displacement impacts, if any: Not applicable.
L. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: The project will respect setbacks from adjacent parcels and the existing Larry Scott Trail bicycle path that borders the north and west site boundaries.
m. Proposed measures to reduce or control impacts to agricultural and forest lands of long-term commercial significance, if any: Not applicable.
9. Housing [help] a. Approximately how many units would be provided, if any? Indicate whether high, mid-
dle, or low-income housing. 18 units of supportive housing, plus two dormitory shelter
rooms with space for 11 beds each. The total number of proposed shelter beds is 40. The proposed shelter serves very low-income individuals suffering chronic housing instability.
b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. None. The project site is currently used as a temporary tent and RV encampment with space allocated for a future tiny-house village. The project
is phased to eliminate the displacement of individuals currently residing on the site.
c. Proposed measures to reduce or control housing impacts, if any: Phased site
development. The proposed work submitted under the Conditional Use Permit application
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will occur as Phase III. Each phase relocates individuals to another part of the site (residents of Phase-1 relocated to Phase II while Phase III is underway).
10. Aesthetics [help] a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? 23’-7 ½”
b. What views in the immediate vicinity would be altered or obstructed? None. Views into the
site from Highway 20, Mill Road, or adjacent parcels are screened by the existing densely forested buffer. Altered views will be limited to the site proper.
b. Proposed measures to reduce or control aesthetic impacts, if any: The proposed project location is set well away from the perimeter of the subject site. Light pollution will be
limited. Existing trees will be protected and preserved to maintain visual privacy from
offsite.
11. Light and Glare [help] a. What type of light or glare will the proposal produce? What time of day would it mainly
occur? Light and glare will be limited to site pathway, parking, and building mounted exterior lighting. Light and glare will occur continuously between dusk and dawn.
Downcasting will limit glare to the surrounding areas.
b. Could light or glare from the finished project be a safety hazard or interfere with views? No.
c. What existing off-site sources of light or glare may affect your proposal? None anticipated.
d. Proposed measures to reduce or control light and glare impacts, if any: Exterior light
sources/fixtures will be shielded to limit excessive light pollution. Lights will be on during nighttime hours to provide for safety and way finding.
12. Recreation [help] a. What designated and informal recreational opportunities are in the immediate vicinity? Larry Scott Trail, bicycle path.
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b. Would the proposed project displace any existing recreational uses? If so, describe. No. The project will be sited to respect required buffer setbacks from the Larry Scott Trail.
Trees will be preserved and protected during construction to maintain privacy between
the proposed use and those adjacent. c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: See item b. above. The
project will be sited to respect required buffer setbacks from the Larry Scott Trail. Trees will
be preserved and protected during construction to maintain privacy between the proposed use and those adjacent.
13. Historic and cultural preservation [help] a. Are there any buildings, structures, or sites, located on or near the site that are over 45 years old listed in or eligible for listing in national, state, or local preservation registers ? If so, specifically describe. No.
b. Are there any landmarks, features, or other evidence of Indian or historic use or occupation? This may include human burials or old cemeteries. Are there any material
evidence, artifacts, or areas of cultural importance on or near the site? Please list any professional studies conducted at the site to identify such resources. Department of Archaeology and Historic Preservation provided a letter of non-significance on November,
28 2022 in response to a 21-02 EZ. No material evidence, artifacts, or areas of cultural
importance were identified.
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. Not applicable.
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. Not applicable.
14. Transportation [help] 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. Highway 20 borders the west and northwest lot lines. Mill Road borders the east lot line.
The site is located due south of the intersection of Highway 20 and Mill Road. Site access
will be maintained in its current location located long Mill Road approximately 655’ southeast of the intersection, where an abandoned railroad crossed Mill Road. Reference
the Site Plan on sheet G001
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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? The project
site is not currently served by public transit. The nearest bus stop is located along Highway
20, at Jacob Miller Road.
c. How many additional parking spaces would the completed project or non-project proposal have? How many would the project or proposal eliminate? The proposed project will add 27 parking spaces. None will be eliminated.
d. Will the proposal require any new or improvements to existing roads, streets, pedestrian, bicycle or state transportation facilities, not including driveways? If so, generally describe (indicate whether public or private). No.
e. Will the project or proposal use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. No.
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? We estimate this facility will add an average of 102 trips per day. Estimates were used on the basis of employees, volunteers, and residents entering and exiting the site. Average usage for the existing phase 2 was calculated at 75 trips per day based on two days of internal observation. Added development yypical estimated traffic: Monitors - 2 per day
Other staff - 2 per day
Volunteers - 3 per day
Residents - 15 per day Guests - 4 per day
Large vehicles - 2 per week
Total typical traffic - 27 trips per day
Peak traffic: Peak daily traffic - 60 trips per day Peak volume - 30 trips from 1-3pm, weekdays
% large vehicles - 5%
g. Will the proposal interfere with, affect or be affected by the movement of agricultural and forest products on roads or streets in the area? If so, generally describe. No.
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h. Proposed measures to reduce or control transportation impacts, if any: None proposed. The
project endeavors to minimize the number of vehicle trips to and from the project site each day. It is generally understood that residents of the emergency shelter and
supportive housing facility are not reliant on personal vehicles for transportation, the
cost of ownership prohibitive once housing has been obtained.
15. Public Services [help]
a. Would the project result in an increased need for public services (for example: fire protection, police protection, public transit, health care, schools, other)? If so, generally describe. No, this project is replacing an existing shelter and providing concentrated
services for unhoused individuals. This project will expand direct services to individuals who are currently relying on emergency public services. The facility is intended to serve
existing Jefferson County residents and public services will not need to be extended.
b. Proposed measures to reduce or control direct impacts on public services, if any. On-site
service managers will provide supervision, care for basic health needs, and provide
consultations and health assessments with referrals made to local healthcare professionals. The project seeks to mitigate impacts to existing emergency service
providers, supporting residents will limit the need.
16. Utilities [help] a. Circle utilities currently available at the site: electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system, other ___________ Electricity and water are currently available at the site. A septic
system has been permitted and constructed to serve the Phase II encampment.
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. Electricity, water, septic system, data/CATV/telephone, and refuse collection
are planned for the proposal. All-electric mechanical systems are proposed at this time.
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C. Signature [HELP] The above answers are true and complete to the best of my knowledge. I understand that the
lead agency is relying on them to make its decision.
Signature: ___________________________________________________
Name of signee __________________________________________________
Position and Agency/Organization ____________________________________
Date Submitted: _____________
D. Supplemental sheet for nonproject actions [HELP]
(IT IS NOT NECESSARY to use this sheet for project actions) Because these questions are very general, it may be helpful to read them in
conjunction
with the list of the elements of the environment. When answering these questions, be aware of the extent the proposal, or the types of
activities likely to result from the proposal, would affect the item at a greater intensity
or
at a faster rate than if the proposal were not implemented. Respond briefly and in
general terms.
1. How would the proposal be likely to increase discharge to water; emissions to air; pro-
duction, storage, or release of toxic or hazardous substances; or production of noise?
Proposed measures to avoid or reduce such increases are:
2. How would the proposal be likely to affect plants, animals, fish, or marine life?
Proposed measures to protect or conserve plants, animals, fish, or marine life are:
3. How would the proposal be likely to deplete energy or natural resources?
Proposed measures to protect or conserve energy and natural resources are:
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4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection; such as parks,
wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands?
Proposed measures to protect such resources or to avoid or reduce impacts are: 5. How would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans?
Proposed measures to avoid or reduce shoreline and land use impacts are:
6. How would the proposal be likely to increase demands on transportation or public
services and utilities?
Proposed measures to reduce or respond to such demand(s) are:
7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment.