HomeMy WebLinkAboutSEPA PART ELEVEN-FORMS
WAC 197-11-96D Environmental checklist.
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.
Use of checklist for nonproject proposals:
Complete this checklist for nonproject proposals, even though questions may be answered "does not
apply." IN ADDITION,complete the SUPPLEMENTAL SHEET FOR NONPRO.ECT ACTIONS(part D).
For nonproject actions, the references in the checklist to the words "project," "applicant," and
"property or site"should be read as"proposal," "proposer,"and"affected geographic area,"respectively.
A. BACKGROUND
1. Name of proposed project,if applicable: N/A
2. Name of applicant: David Jolly
3. Address and phone number of applicant and contact person:
Applicant: Property Owner: Engineer:
David Jolly David Jolly Schemmer Engineering
9800 Harbour Place 9800 Harbour Place 317 Commercial Avenue
Mukilteo,WA. Mukilteo,WA. Suite 101
98275 98275 Anacotres,WA.
98221
4. Date checklist prepared: 1/16/06
5. Agency requesting checklist: City of Anacortes
6. Proposed timing or schedule(including phasing,if applicable):
The project will consist of splitting the single parcel at 3107 Oakes Avenue into
two separate lots and the construction of a single family residence on each of new
lot. Due to the nature of the existing topography the grade of the new lots will be
raised to an approximate height 3' below the existing grade of Oakes Avenue. The
change in topography will take place by the addition of approximately 3700 yd3 of
fill material. The fill material will be required as part of a proposed variance for
building height. At this point in time the height of any structure constructed on
the current topography would for all intensive purposes render the property
undesirable at best.
The project will also include the installation of frontage improvements inclusive of
curb gutter and sidewalk and sanitary,water and storm drain services.
7. Do you have any plans for future additions, expansion, or further activity related to or connected with this
proposal? If yes,explain.
No. This project will not be a phased development.
8. List any environmental information you know about that has been prepared, or will be prepared, directly
related to this proposal.
The site is not delineated as a Critical Area in the City of Anacortes'
Comprehensive Plan. However, a critical area reconnaissance was requested
within a response to the initial variance application. A cursory site assessment
was completed by ATSI Aqua-Terr Systems, Inc and a response was returned to
the City. The response expresses the observation that wetlands were not observed
on site.
The response has been attached for review.
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.
1. Variance: City of Anacortes Zoning Ordinance: 17.06.390 Building Height.
2. Site Plan Review.
3. Fill and Grade Permit.
4. Building Permit.
5. WSDOT general construction permit.
6. City of Anacortes Short Plat Application.
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.)
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The proposal consists of splitting the existing parcel (P119375, 15000sq.ft.) into
two separate lots, filling the existing topography, constructing associate frontage
improvements,infrastructure and construction of two single family residences.
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.
Parcel Number: P119375
Legal Description:
Lots 6 through 10, Block 602, Northern Pacific Addition to Anacortes, according
to the plat thereof, recorded in Volume 2 of Plats, pages 9 through 11, records of
Skagit County,Washington.
Tax Account No: P119375 3809-602-101-0100
B. ENVIRONMENTAL ELEMENTS
1. Earth
a. General description of the site(circle one): Flat,rolling,hilly, steep slopes,
mountainous,
other
b. What is the steepest slope on the site(approximate percent slope)? 30%
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.
As per the Geotechnical Report provided by Western Geotechnical Consultants Inc.
"the site soils consist of a silty GRAVEL that is underlain by a very compact silty
clay to clayey silt(ML/CL by Unified Soils Classification Systems (USCS))."
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so,
describe.
No.
e. Describe the purpose,type,and approximate quantities of any filling or grading proposed.
Indicate source of fill.
Grading on site will be inclusive of raising finished grade to an approximate depth 3'
below that of the existing grade of Oakes Avenue. Approximately 3700cy of fill
material will be required to acquire the requested grade.
f. Could erosion occur as a result of clearing,construction,or use? If so,generally describe.
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Yes, some small amount of erosion is possible. A Temporary Erosion and Sediment
Control Plan will be provided before construction.
g.About what percent of the site will be covered with impervious surfaces after project
construction(for example,asphalt or buildings)?
The site will 65% covered with impervious area. The surfaces contributing to the
creation of the impervious area would be the rooftops of the proposed single family
residences and the corresponding accesses.
h. Proposed measures to reduce or control erosion,or other impacts to the earth,if any:
A Temporary Sediment and Erosion Control Plan will be provided. Temporary silt
fencing will be used on site during construction along with the installation of a
temporary construction entrance and geo-fabric catch basin inserts. A hay bale
barrier system will be implemented to protect the existing outfall, proposed riser and
proposed beehive manhole grate.
2. 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.
Dust, equipment exhaust, equipment noise.
b. Are there any off-site sources of emissions or odor that may affect your proposal? If so,
generally describe.
None.
c. Proposed measures to reduce or control emissions or other impacts to air,if any:
Watering will be used to minimize the amount of dust in the air if required during
construction.
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.
The Guemes Channel lies to the north of the property on the north side of
Oakes Avenue.
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.
No.
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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.
Not Applicable.
4) Will the proposal require surface water withdrawals or diversions? Give general
description,purpose,and approximate quantities if known.
Not applicable.
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:
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.
None_
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.
Storm water volumes generated on site will be collected in a proposed swale
and catch basin conveyance system for discharge into the existing drainage
pattern via the existing 18" DIP under Oakes Avenue. All gutters and
catch basins proposed on this site plan will drain into the proposed swale
for discharge via the existing cross culvert.
2)Could waste materials enter ground or surface waters? If so,generally describe.
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Waste materials generated during construction will not generate any point source
discharges that could.pose a threat to ground or surface waters.
This site would not generate any more waste material than any other private
development of the same approximate area.
d. Proposed measures to reduce or control surface,ground,and runoff water impacts,if any:
The proposed swale will connect to the existing cross culvert. This swale will
collect all storm-water volumes generated on site. The proposed improvements
along 2nd and Georgia will control the volume of stormwater that can enter from
off site. The proposed curb and gutter system along 2' and Georgia will also
include a catch basin that would connect into the existing City drainage
conveyance system via catch basin#882.
Due to the existing topography all generated storm-water volumes will be
contained and controlled on site for infiltration or for treatment and release
into the pre-existing outfall.
4. Plants
a. Check or circle 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
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?
All existing vegetation on site will be removed prior to the placement of any fill
material. All native organic material will need to be removed to a depth of 1'
from existing grade to allow for acceptable compaction of the material to be
placed later.
c. List threatened or endangered species known to be on or near the site.
None
d. Proposed landscaping,use of native plants,or other measures to preserve or enhance
vegetation on the site,if any:
The existing yards of the proposed single family residences will be
completed with the Hydro-seeding of exposed disturbed areas and the
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installation of native vegetation as part of a proposed landscaping will
within the site plan set.
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:local small birds.
mammals: deer,bear,elk,beaver,other: small mammals
fish: bass,salmon,trout,herring,shellfish,other: None
b. List any threatened or endangered species known to be on or near the site.
None.
c. Is the site part of a migration route? If so,explain.
No. The cursory environmental site assessment does not label the property as a
migratory route in any capacity.
d. Proposed measures to preserve or enhance wildlife,if any:
None.
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.
Gasoline: Construction Machinery.
Natrual gas: Residence Heating.
Electrical: Residential Use.
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:
None proposed.
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.
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1)Describe special emergency services that might be required.
From an environmental aspect the potential for special emergency services is very
low. However the contractor will have an emergency spill prevention kit on site in
case of any petroleum based spill.
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?
Noise generated by traffic generated by Oakes Avenue and construction
machinery is expected.
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
Some heavy machinery noise generation will take place on site during
general construction between the hours of 8:00 am to 6:00 pm., or possibly
the use of emergency service vehicles during a health or property threat.
3)Proposed measures to reduce or control noise impacts,if any:
None
8. Land and shoreline use
a. What is the current use of the site and adjacent properties?
The current use of the site is that of a vacant lot. All adjacent properties
south of Oakes Avenue are residential. The parcel to the direct south is
zoned residential but remains vacant. The parcel of the immediate north
of Oaks Avenue is a small marina.
b. Has the site been used for agriculture? If so,describe.
No
c. Describe any structures on the site.
None.
d. Will any structures be demolished? If so,what?
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No.
e. What is the current zoning classification of the site?
R2 Residential Low Density.
f. What is the current comprehensive plan designation of the site?
R2 Residential Low Density.
g. If applicable,what is the current shoreline master program designation of the site?
Not applicable
h. Has any part of the site been classified as an"environmentally sensitive"area? If so,specify.
No. The Cursory site assessment completed by ATSI does not categorize the parcel as
an "environmentally sensitive" area.
i. Approximately how many people would reside or work in the completed project?
Approximately eight (8) people total could reside in the completed project with the
assumption that each home would allow for the residence of a single family of four(4)
members.
j. Approximately how many people would the completed project displace?
None.
k. Proposed measures to avoid or reduce displacement impacts,if any:
None.
j. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans,if any:
Proposal is compatible.
9. Housing
a. Approximately how many units would be provided,if any? Indicate whether high,middle,or
low-income housing.
Each lot will provide property for the construction of one (1) single family residence.
The value of the proposed homes will be comparable of those homes now being
construction within the city.
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b. Approximately how many units,if any,would be eliminated?Indicate whether high,
middle,or low-income housing.
None.
c_ Proposed measures to reduce or control housing impacts,if any:
None.
10. Aesthetics
a. What is the tallest height of any proposed structure(s),not including antennas;what is
the principal exterior building material(s)proposed?
All proposed structures will comply with City of Anacortes' zoning requirement
not to exceed 35' tall. The project proposes within a variance to raise the existing
grade from an elevation of 59' to 70'. Please see the attached cross sections for a
display of the proposed finished grade elevation versus the existing grade. Please
see the attached grading plan for illustration.
b. What views in the immediate vicinity would be altered or obstructed?
None.
c. Proposed measures to reduce or control aesthetic impacts,if any:
None.
11. Light and glare
a. What type of light or glare will the proposal produce? What time of day would it mainly
occur?
The amount of glare generated by the finished site will be minimal. The potential
exists for light glare generated from vehicle headlights in use during dark hours.
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.
d. Proposed measures to reduce or control light and glare impacts,if any:
None. Due to the proposed orientation of the access glare generated on site by
vehicle headlights will be minimal.
12. Recreation
a. What designated and informal recreational opportunities are in the immediate vicinity?
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None.
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 op-
portunities to be provided by the project or applicant,if any:
None.
13. Historic and cultural preservation
a. Are there any places or objects listed on,or proposed for,national,state,or local preser-
vation 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 known.
c. Proposed measures to reduce or control impacts,if any:
None.
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.
SR 20 Spur (Oakes Avenue) parallels the northern property line of the project.
Georgia Avenue, a City of Anacortes public road, parallels the western edge of the
property. The access for the project will be via the alleyway from Georgia Avenue.
b. Is site currently served by public transit? If not,what is the approximate distance to the
nearest transit stop?
Yes. The SKAT transit system runs the SR 20 Spur along the northern property line
to the WSDOT ferry landing.
c. How many parking spaces would the completed project have? How many would the
project eliminate?
There will not be any parking spaces generated or eliminated.
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).
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Yes the project will include the installation of curb, gutter and sidewalk along
Oakes Avenue(150 If)and Georgia Avenue(120 If). A catch basin is
proposed in the northeast corner of the intersection of West 2°d and Georgia
Avenue for a storm-water conveyance tie-in to existing catch basin#884. A
catch basin will also be proposed at the east side of the intersection between
Oakes Avenue and Georgia Avenue for a tie-in to existing catch basin #882.
e. Will the project use(or occur in the immediate vicinity of)water,rail,or air transporta-
tion? 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.
Under the assumption that each Single Family Residence generates 10 daily trips
the project would generate 20 daily trips on average.
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 pro-
tection,police protection,health care, schools,other)? If so,generally describe.
The site would require the normal level of police, fire and emergency protection
services.
b. Proposed measures to reduce or control direct impacts on public services,if any.
None.
16. Utilities
a. Circle utilities currently available at the site: electricity,natural gas,water,refuse serv-
ice,telephone.
All are available.
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.
A common utility easement will be granted to allow for service access for City
water, Cascade natural gas, Verizon cable TV, PSE electricity, Verizon
telephone. Ttrenching and conduit will be completed as required for utility
installation.
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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: F 9 . KJ Foe,
Date Submitted: ... .s.AN\....
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