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Permit File 8205 South Texas Road
06/11/2007 MON 8:27 FAX 3369416 Planning and Development 1001/004 PLANNING & DEVELOPMENT SERVICES •� 1800 Continental Place Mount Vernon,WA 98273 Phone: (360)336-9410 Fax: (360)336-9416 �t S• Pw4 0 Inspection Request Line(360)336-9306 listeior June 11, 2007 Attn: a!i'OVV lit . Re: Building permit#: BP07-0131 2(�} e 1 1 U� Project Description: New building construction,demo of existing, new operator shelters, construct temp laydown and parking areas. Shell Puget Sound Refinery 8505 S Texas Road Anacortes Wa 98221 Site address:t8505 SOUTH TEXAS ROAD ANACIF•ftiai; � Parcel numbers: P33502 We have received the referenced permit application. Please review, comment and verify fees and returithin 14 days. We will presume compliance if we don't receive a response.Return to: U'e 1 • 2. La t j ( ( Gh S • impact fees for: ".• - mil •ulli-fa '1 Commercia Burlington .1_0447 (Jt-(.c o 2,390. 1,986./ it - c .� School .•min 35. - Mount Ver on Scho• s 5,tco 2,9t ./unit - 9 Sch.ol admin 35. 35, - ��K Per Mount 'ernonUGA /'� Pa s-SFR&Duplex/unit 855. 789. Q) i (Y2,(Gt.iDa-' Admin. . - 70- Traffic-S'R&Duple:tunic 3,346. 2,242. 170./0 • - -7 li Admin. 35. 70. Scdro-Wool y Scho• s 2,010. 1,59'./unit - Sao oladman 3 _ 3•, Swinom .h G. munity School(LaConner) 278. 217. •.•' School admin 35. 35. - This tile contains q pages including this one. FAX NUMBERS: / Anacortes: 293-1938 / Burlington: 755-9309 Mount Vernon: 336-6283 Swinomish Tribe: 466-1615 Sodro-Woolley: 855-0733 Concrete: 853-8002 06/11/2007 MON 8:28 FAX 3369416 Planning and Development ?002/004 � ) : 1 Skagit County Planning & Development Services SK/SIT Ca../NM( 1800 Continental Place Mount Vernon WA 98273 r;P;vq',r,,r, Inspections (360)-336-9306 Office (360)336-9410 Fax(360)336-9416 Commercial Building Permit Application 8P0-7 — a ► 31 RE,CE \/_.cj Owner: Eguilon Enterorises LLC New construction • Mailing Address: P.0- Box 4369 Project description Operation Excellence Building City: Houston State: Tx - Zip: 77210 Square feet 12,453 Construction type Type 113 Phone: 1360) 293-0800 Fax: (36o) 293-0808 Height 22 Ft Number of stories 1 Building use or occupancy Office & Control Building Applieant/Contaet: Shell Puget sound Refinery Project value$ $6,642,000-00 Mailing Address: asos South Texas Road Heated? Y/N x Sprinklers?Y/N N Email: evie.wehrhahn®shell.corn i City: Anacorcee State:WA Zip:99221 Change of use: Phone: (360) 293-0800 Fax:(360) 293-0808 Previous use: N/A Proposed use: Contractor: N/A Building square feet Heated?Y/N Registration#: Expires: Currently sprinklered?Y/N Site Address: asos south Texas Road Project value$ City: Anacortes State: WA Zip: 98221 Other buildings within 30 feet?Y/N_ Parcel: 33502 SEC 33 iwp 34N RNG 2E Tenant Improvement: Project description N/A Are there any other structures on this property?YIN YI, Square footage Project value$ Do you own adjoining pieces of land 7 Y/N Y Currently sprinklered 7 YIN!Heated 7 Y/N Is property within 200 feet of a shoreline?YIN N Uses adjacent to this space If yes see shoreline handout for building permits. Non-building Structures: (signs,containers, Grading: see fIBP07-0369 retaining walls,etc.) Fill cubic yds Excavation cubic yds Description: N/A Square feet of new impervious area Area/sq.ft. Value$ I certify that all of the property subject to this application is either in exclusive ownership of the application or that the applicant has submitted the appl with the consent of all owners of the property,I grant permission to the field staff to enter the site. Owner/Agent:anvil w corporation for Shell Puget Sound Refinery Date: June 7, 2007 06/11/2007 MON 8:28 FAX 3369416 Planning and Development Z003/004 l 9 P.-4 \ ir_Ze P r 0 / \ \ I i { i 1 ri \ q I t' I iiir v l_ m �l 111 1 i / i . — It iall 1 i ii / 1 li 1 ! t 1 VI—pm-_ 1 el of if � .I m 9 _r 1f: i Ilia 0 0 ; of . == ,Q�Ill Ait 00 rrr0 a C0 �'I` s�lYr:4Lr:lt:��atll I E IIIh ' 1 iill Il ®! CTi#'r �oloN , ogedagitt -- / itgli - I I1 y liglil "- l --r a —' _.-----------"-- FIDALGO 0A ♦ THIS DRAWING HAS NOT BEEN PUBLISHED. 11 IS THE SOLE PROPERTY OF SHELL OIL PRODUCTS. IT IS LENT TO THE RECIPIENT FOR THEIR CONFIDENTIAL SHELL OIL PRODUCTS USC ONLY, AND UPON THE CONDITION AND AGREEMENTS FOLLOWING, IN CONSIDERATION PUG6M' SOUND REFINERY OF THE LOAN of THIS DRAWING TI IC RECIPIENT PROMISES AND ACRES TO RETURN IT UPON REQUEST. AND THAT IT SHALL NOT BE REPRODUCED. COPIED, LENT OR OTHER- ANACORTES, WASHINGTON WISE DISPOSED or DIRECTLY OR INDIRECTLY WITHOUT WRITTEN CONSENT. UNIT 41 — BUILDINGS FACILITY SITING PROJECT BY DATE ESTIMATE B OF M LOCATION PLAN APPROVED .Oa INITIALS- DATE SCALE: NTS DRAWN BY RSL 02-08-07 CAD FILE NO. VICMAP .. �. CHKD BY - - DRAWINC NO. REV NO ISSUED PEW CONSTRUCTION ,D. APRVD BY - - BY DATE DESCRIPTION SYM _ O REVISIONS SUPERVISOR - - ASIZE 11/21/2001 07'31 06/11/2007 NON 8:28 FAX 3369416 Planning and Development 41004/004 P II% Itos ".". - - 22 r 2 �31,aallin i `l r` n _ - RI ; a W :w li,14 FCC++sipi p t ; d Aj � � p(liel({1F E�'- c rt 'y �� In _• __ _ n F r " e�. i(A01OIP"ibli 5 tlP Al nr. Ill S 9 {A` = 4a k��EL �� iCjA s;is > '� e( A i— I I I 1 I 0 I i SIPpt Ti — IJ '_ !� I 0 L 06/11/2007 M0N 8:45 FAX 3369416 Planning and Development Z001/004 �cc co G PLANNING & DEVELOPMENT SERVICES 1800 Continental Place Mount Vernon,WA 98273 N OW,P4'< Phone: (360)336-9410 Fax: (360)336-9416 Inspection Request Line(360)336-9306 ASHINGIO June 11, 2007 M Attn: —1)0 O I t t OiLe.d U Re: Building permit#: BP07-0671 Project Description: Concrete Foundation for Prefab Steel Building Shell Puget Sound Refinery 8505 South Texas Road Anacortes WA 98221 Site address: 8505 SOUTH TEXAS ROAD ANAC Parcel numbers: P33502 We have received the referenced permit application. Please review,comment and verity fees and return within 14 days. We will presume compliance if we don't receive a response.Return to: aere L. 2522-4 24-r> ' 7 cJ,S. Impact fees for. Single family Multi-family Commerciale. Burlington School Idmin 35. 35. - Mount Ver•on Scho/is 5,001 2,90 a./unit Sc •of admin .5. - Mount crnon UGA 'arks-SFR 8 Duplex/unit 855. 7:9. A, in. 5. 71, - Traffic 'FR&Duplex/unit 3,346. 2,242. 170./t 'p Admin. 35. 70. - Sedro-Woolley Schools 2,010. 1,595. nit School dmin 3.. 3 . Swinotnish ommunity School :Conner) 278, 217./unit - School admin 35, 35. - This file contains 1-1 pages including this one. . FAX NUMBERS: / Anacortes: 293-1933 Burlington: 755-9309 Mount Vernon: 336-6283 Swinomish Tribe: 466-1615 Sedro-Woolley: 855-0733 Concrete: 853-8002 II 06/11/2007 MON 8:45 FAX 3369416 Planning and Development it002/004 r-) } Skagit County Planning & Development Services SKAGIT COUNT/ 1800 Continental Place Mount Vernon WA 98273 r^t r r\14iniq Inspections(360)-336-9306 Office(360)336-9410 Fax(360)336-9416 UN 0 8 2007 Commercial Building Permit Application 8 PO1 O107 I Owner: Ecuilon Enterprises LLC New construction Mailing Address: p.o. Box 4369 Project description Alky/Poly Shelter Pre-Fab Steel City: Houston State: Tx Zip: 77210 Square feet 1,oso Construction types,ag/Conc Pdn Phone: (360) 293-0800 Fax; (360) 293-0808 Height 11'-0" Number of stories 1 Building use or occupancy Office Applieant/Contaet shell Puget Sound Refinery Project value$ $s0,000 Mailing Address: egos south Texas Road Heated? Y/N Y Sprinklers?Y/N N Email: evie_wehrhahn®shell.com City; Anacortes State:WA Zip:98221 Change of use: Phone: (360) 293-0800 Fax:(360) 293-0808 Previous use: --- Proposed use; --- l Contractor: N/A Building square feet --- Heated 7 Y/N --- Registration#: --- Expires: --- Currently sprinklered?Y/N --- Site Address: 8505 South Texas Road • Project value$ --- City: Anacorces State: WA Zip:98221 Other buildings within 30 feet?YIN --- Parcel: 33502 SEC 33 TWP 34N RNG 2E Tenant Improvement: Project description --- Are there any other structures on this property?YIN y Square footage --- Project value$ -- Do you own adjoining pieces of land?Y/N Y Currently sprinklered?YIN --- Heated ?Y/N -__ Is property within 200 feet of a shoreline?YIN N Uses adjacent to this space --- "If yes see shoreline handout for building permits. Non-building Structures:(signs, containers, Grading: N/A retaining walls, etc.) Fill cubic yds Excavation cubic yds Description: --- Square feet of new impervious area Area/sq. ft. --- Value$ I certify that all of the propeny subject to this application is either in exclusive ownership of the application or that the applicant has submitted theeawith the consent of all owners of the properly. I grant permission to the field staff to enter the site. Sr Owner/Agentl corporation for Shell Puget Sound Refinery ,- Date: May 31, 2007 a°oarz eu+ a^ LE • �T{ `aaaH B..,..e.w ,o �, ,, r DIIIId� "`\ 0 �I '• \ -- 411170, 9. rrpcj • VVV � I 'ic rt. l ' 2 - 11Ili, .I n�o I •\ z AO \ Iarl I I aca Mt .e-w any uae u�qe• \� rl, I 1 ez -- , \ \ \ ._ 1 Imo'^ & —u m E "t\\ \ \ %\\ \ Com Q.i 11J }� I . \`4 \ \ \ \\� as 1 wa • , GENERAL LOCATION OF I a.� OPERATOR SHELTER BUILDING #114 \\ cm li \\ \ w \\ c7 CD / b cl- ' 11.1J3 `a - / wen it RFAO) / 0.0 f ILai Lp➢E ROWE IXXSLfFNYR.OFOJF NO TAFT ET9PLL OUT NHIIEM CCXYJ .M C O W C C P _--tact". 6 ,—__. ----_6 9 j �+ � G d i. a ": u s <<v j d l T �d �*,, - dn.SI —i- dd F I 0 I I I I cw La t.nCb { zs jg3 !lr�il�� b‘i a a PI _ . , }da 1411111 m m .. .. ,, I rt • • 00 f00 ' 1Uamdo BABU uB 2uTuUE d 9 f69EE VVd 9t fi / � T P T i 8 NON L00Z/TT/90 05/21/2007 MON 8:18 FAX 3369416 Planning and Development Z001/004 CCOIAlG .y PLANNING & DEVELOPMENT SERVICES 1800 Continental Place Mount Vernon,W A 98273 ` "C Phone: (360)336-9410 Fax: (360)336-9416 y Pi t Inspection Request Line(360)336-9306 MIN�� May 21, 2007 Attn: rnQr Re: Building permit : BP07-0579 • —2_,G ' J I S Project Description: Foundation for existing mobile office EQUILON ENTERPRISES LLC 11 • U OBA: SHELL OIL PRODUCTS USTAX DEPT PO BOX 4369 HOUSTON TX 77210 Site address; 8505 SOUTH TEXAS ROAD ANAC I Parcel numbers: P33502 We have received the referenced permit application. Please revicw,'cdrifmdnt 4'nd verily fees and return within 14 days. We will presume compliance if we don't receive a response.Return to: eu-e I. riteoat J (eat, S Impact fees for: Sin_le famil Multi-famil Commercial S Burlington �•torn— 2,390. 1,986./unit - /- Schooladn 35. 35. - Mount Vernon SchO°$ 5,000 2,900,/. it - SchLnJ.adaain 5. 35 - Mount Vernon UGA Parks -srR&n ptcx/east 78`. - Admin. 35. 70. - Traffic-5 s Duplex/unit 3253. 2,180_ 165./trp -�,_ Admin. 35. 70. - �� Sedro-Wo ley Scl ols 2,010. 1,595./.nit - Soot admin 3 . 3:. - Swinot fish Community' SehSo/Conner) 278. 21 . •nit ' ' School admin 35. 35. - This file contains LI pages including this one. FAX NUMBERS; / Anacortes: 293-1938 ✓ Burlington! 755-9309 Mount Vernon: 336-6283 Swinomish Tribe: 466-1615 Sedro-Woolley: 855-0733 Concrete: 853-8002 05/21/2007 MON 8:18 FAX 3369416 Planning and Development 002/004 SKAGIT) PERMIT CIO . l Skagit County Planning & Development Services MAY 17 2007 1800 Continental Place Mount Vernon WA 98273 Inspections(360)-336-9306 Office(360)336-9410 Fax(360)336-9416 RECEIVED Commercial Building Permit Application Owner: QIMLOI4 gNTt (ZPR15E5 L LG New construction BP07 -0579 uaW FotAWATlOt l FOR Mailing Address: ?•0. (3oX 43C09 Project description I✓Y(e'T146 MoPIt.E TSAIL$R emu 6LPCL City: I}OU9r0/4 _ State: T$ Zip:77210 Square feet 3990 SF Construction type ) *&QAllc .1 nr Phone: (3yaO) 2Gq-OPT Fax:{3(�) 2g3-O8O8 Heights 2t-0 Number of stories I Building use or occupancy OFF ICf �G5CI4TIhIU USe') ApplicantlContact: SHj3LL PUC- E7 5OU14D REFWEKY Project value $ 20 00C r. 00 Mailing Address: (3505 50VTH 76)CAS SOAP Heated ? YIN Y Sprinklers?Y/N IJ Email: -eV;e - v.;ej' rh&llrt SIne((• covn City: AIJAcog:E5 State:WA Zip: 1%221 Change of use: N /A Phone: (36o) 293-0000 Fax:(3Go)293-ceps Previous use: Proposed use: Contractor: Building square feet Heated ?Y/N Registration# Expires: Currently sprinklered?Y/N Site Address: S So 5 500114 TE/AS goAP Project value$ City: ANACOgZT Es State:WA zip: 902.2 C Other buildings within 30 feet?YIN Parcel: 335,2 SEC 33 TWP 3 tRNG to Tenant Improvement: IVA Project description Are there any other structures on this property?Y/N y Square footage Project value$ Do you own adjoining pieces of land? YIN Y ' 1 Currently sprinklered?Y/N Heated ?Y/N Is property within 200 feet of a shoreline?Y^/N IJ Uses adjacent to this space *If yes see shoreline handout for building permits- Non-building Structures: (signs, containers, Grading: ).S,b retaining walls, etc.) Fill cubic yds Excavation cubic yds Description: Square feet of new impervious area Area/sq.ft. Value $ I certify that all of the property subject to this application is either in exclusive ownership of the application or that the applicant has submitted the application with the consent of all owners of the property, I grant permission to the field staff to enter the site Owner/Agent p td'/ 1 L- co9—Pc)OAT 10%.1 FO L Sl CLL PU(re-Mate: S1l7/07 sou 1D >'tF/1\It5t`( "49 . o 01 Ili IN H. ? N CI \IS.‘ ',',+ok . , 1 1 Ithillill'67=frat IQ ° ° I it �:., C1 1y 55, i. a _.-_ CSC `'1 - 0_ 0 �Q©AOo /1 O ,Q '_- � li `�,�\..` rr nY I;AP py ii,: k 1 S 11 � � O0O � O �_ �• v '1 1 v1 w_ ��,� 4 Ls I iCfl i11'yt r r{ �>•.I= h0 O Ema .Q I:net o�Q. l I fl'i,,:��{5 T • • cto \ I le Dr...=-. (;) tal °el-,ar&-.71 task - _,m,_ ...t., .., OD 1 iu\ e , • CI:-- 0O -'` — y j ' � =s \�'• ', vcal:it°cii 91Po ,=a. IW,taaI �M , 10�, , , �� MAY 17 ? 1 �' CD I Fr Q • U I---L i I / o ItI —' ,... GENERAL LOCATION ,z i !ETk OF RELOCATED PEI _R iRAILf __�jtaCesAC'C+'\\ , t�16 - SHELL O]L PRODUCTS ...u,m U\❑ 41 - BUILD NCS .1'.11;1;:mn:i"na RELOCATED PEI TRAILER C_NERAL LOCATION PLAN a"'- .co.co8t r=,u,Y- ": . o.. .oE.,t:.arnm,,. - - ., SY-8E9026-SD UD2 0 .amrt:s >-, aria, = ' 0 W 0 0 rf> O U"e 1-4 //AIr,/T \ .. =st II 14 L.�L/L// / 9� o 1.5.3 L I“" I 11 I F 1{11'1 I''`1 1 • s s 3 2 I OD H ) I 9 10 11 12 1 f t �� 'I'1111 36 11 16 IS 14 Ii CO1111 II I 39 22 0 22 23 A a I `Ijvn H 1 ]P 22 20 2l 26 £5 P.7177f ]lfw 1.472 32 3] 36 35 36 ( 0_„31ai i 35 11 R Ile 0 I b F G 09 4 t. D I I=Li. 0/..._.•as _:.:a• 34 Si CD 1— . �\: v. 0 13/7 SIIRYEY stsa ��\\ A� { H E OK IO Pa Ra ,I`1 I p \ vb. gF.T.N � �)\\ 1 \ , 1 I _ ` wx.\\� I \4'1`1 , .ne wrarn... ,�...�. 11'1 \ 11,11 I, 5 IDAIS MI. �\ DRAWL BY Vans en 11\= )\ a])�.�6 III ti ...1. 2E IIR......ea..�,,.,vs* ly �1)4 1 CIA SED • \ `,\ \ � 11 .1 t 1 — _ — — — _ — J Section 34 • T35N R 02E o a 1 a 05/03/2007 THU 15:42 FAX 3369416 Planning and Development - Z001/007 I let) icTn �'2 PLANNING & DEVELOPME ,� -4 1800 Continental Place Mount Vernon,WA 98273 tf ' la"< Phone: (360)336-9410 Fax; (360)336.941 6 A S •204f pila it Inspection Request Line(360)336-9306 May 03, 2007 Attn: br1 G-S 76 C>OIJ A - u b Re: $to l$:..g min#: BP07-0369 Project Description: Raise elevation of parking area&temp laydown EQUILON ENTERPRISES LLC ` 1 DBA: SHELL OIL PRODUCTS USTAX DEPT \ \ 3/PO BOX 4369 —C - 3/ U1 HOUSTON TX 77210 T.—"c..-9,. J U.-.\ Site address: 8505 SOUTH TEXAS ROAD ANAL —4-9 SP OS • Parcel numbers; P33502 1 We have received the referenced permit application. Please review, comn ent and verify fees and return within 14 days. We will presume compliance if we don't receive a response. Return to: 1• !`PU( i —teal C Impact fees for: Single family Multi-family Commercial 6t S I. 13ur1in• • • • i�W- 'chool 2,390. 1,986./u'it - School :dmin 35 35. - Mount V- non S• iools 5,010 2,91o./unit - School admin 35. 35. - Miunt Vernon UGA •ar S-SFR& t uplex/unit . . 789. - Admin. 35. 70. Traffic-SF &Duplex/unit 3253. 2, :i, 165./trt.• Admin. 35 70. - Sedro-Wool y Scho s 2,110. 1,595./u it - Sch of admin 35. 35. Swinomi h Community Scho (LaConner) 278. 211./unit - School admin � 35. 35. - 7 This file contains I pages including this one. FAX NUMBERS: Anacortes: 293-1938 / Burlington: 755-9309 Mount Vernon: 336-6283 Swinomish Tribe: 466-1615 Sedro-Woolley: 855-0733 Concrete: 853-8002 05/03/2007 THU 15:42 FAX 3369416 Planning and Development Z002/007 ) Planning & Permit Center BPr) — 0 3(Qq a 1 f , 7P v l v�'ylrit lq'i T v f �'. R r r P r' 'd' 1 '"' < qr S 1w "+i a 1, Y'+ } fi 1 Yt 11 4$ . 1 rn \ 1 R fi u c 4 1 i vy,r, 60, Yr„ ��E;y� ek ,� err i �. 9.�' 41041 AT hu' a/ 4,LL k� �. a v'v1 4..^4}}0,r I, ��ifaY�!�1 t; ptiti:,11 GbssiSa n�� ngpciA. Parcel ID #: P33502 Section 33,Tow-nal:up 34North,Rioge 2 East Assessor Tax#: 350234-0-010-0005 SKAGIT COUNTY Site Address: 8505 South Texas Road, Anacortes,WA98221 PERMIT CNTR APR 0 5 2007 Applicant Name Shell Puget Sound Refinery RECEIVED Address 8505 South Texas Road,Anacortes,WA 98221 Phone 560-293-0800 Fax 360-293.0808 e-mail address evie.wehrhahn@shelicom Owner Name Equilon'Enterprises TLC Address PO Box 4369, Houston,TX 77210 Phone 360.293 0000 Fax 360.293-0808 Contact e-mail address evie.wehrhahneshell.com This is the person we will contact with any Name Evie Wehrhahn,Shell Project Engineer questions regarding -� the application. _ Address 8505 South Texas Road,Anacortes,WA 98221 Phone 360-299.0136 Contractor Fax 360.293-0808 If applicable. If owner, e-mail address evle.wehrhahneshell.com write owner-builder, • Name Not applicable Address ��__..._..-_.. Lien Holder Phone Fax Contractors License If If intormaton is not available at lime of Section 1.Information regarding lender administering interim construction financing. application or permit issuance,the applicant Lender's Name: NA(Owner Financed)„__ shall provide the Phone: information as soon as possible. Mailing Address' Required by ROW City: Stale: Zip: 19.27 095 Section 2. Information regarding the firm that has issued a payment bond (If bond is for an amount not less than 50%of the total amount of the construction project). Firm's name:_.. SASHELLPSR\BEvozs\Pu(Derail Fnginoering)\6 croupg'Fq Enviionmentarlerading Permit\C3rading Permit Application.doc- Updated:NW/2007 Page.1 ofd 05/03/2007 THU 15:42 FAX 3369416 Planning and Development 1 003/007 Skagit County Planning and Permit Center—Grading Application Paget of Project Description: See attached Project Description Reason for Grading: Raise the elevation of the proposed temporary laydown and parking area. Will project involve the removal of trees: O Yes X No Is the project in a flood hazard area? ❑Yes X No If the project involves excavation,where will the material be placed? In a pre-approved location on site Grading Quantities; Cubic Yards of Fill 7,096 cubic yards Cubic Yards of Excavation 3,851 cubic yards of excavation of which 2,000 cubic yards is topsoil that will be stockpiled for rehabilitating the temporary construction parking and laydown site Total area of new impervious surfaces: _During construction 94,525_ square feet. When project is completed some of the impervious surfaces used for temporary parking and construction laydown will be returned to a pervious state and revegetated. Applications are valid for 180 days. A one-time, 180 day extension may be granted upon written request to the Building Official. Applications for which no permit is issued shall re-apply and pay new plan review fees. (International Building Code Section 105-5 Expiration of Plan Review) I grant permission to field staff to enter the building'site to verify the presence or absence of critical areas- ' Permittee Signature: r22- L. Date: 6)Cr(Q 2'I 4 C.\Dawments and Setlings\Evie.Wehrhahn\Local Settings Temporary Internet Files\OLK294\Grading Permit Applicetion.doc- Updated 4/2,2007 Page 2 of 2 05/03/2007 THU 15:43 FAX 3369416 Planning and Development 2 004/007 ) PROJECT DESCRIPTION ANACORTES SHELL OIL REFINERY FACILITY SITING PROJECT The project involves the design and construction of four new buildings along with necessary site preparation and utility infrastructure installation. Eight existing buildings will be demolished and 12 buildings will be modified to be made uninhabitable. In addition, 6 new Operator modules will be installed at locations outside the Battery Limits (OTBL) of the operating units where existing Unit control buildings will be decommissioned. A temporary Laydown and Parking area will be constructed for use for the duration of the project After completion of the project construction, the Laydown area and Parking Area will be removed. • Construction of a new Operations Excellence Building Area: 13,680 sq ft • Construction of a new ); &E Shop & Canopy Area: 16,045 sq tt • Construction of a new Fort Building Area: 4,200 sq ft • Construction of new FCCU Shop Area: 400 sq ft • Installation of 6 new Operator Shelters Total Area: 7,824 sq ft BOHO Shelter - 1,080 sq ft Alky2/SRU - 1,008 sq ft FCCU Shelter - 1,080 sq ft HTU2.3/CRU2- 1,392 sq ft Alky/Poly Shelter- 1,080 sq ft VPS/DCU/CHD- 2,400 sq ft • Relocation of Sand Blast Area • Construction of temporary Laydown and Equipment Storage area • Construction of temporary parking lot(50 spaces) • New facility parking lot(15 new spaces) • New septic work • Relocation of 2 existing Picnic Shelters S:\SH ELLPSR\BE902e\Pd(Detail Engineering)15 Groups\SD Eovironnterltel\Grading Porn111\Grading Permit Application.dpe- Updated:Vac/2007 Pirgo 3 of a 05/03/2007 THU 15:43 FAX 3369416 Planning and Development ?j005/007 -SHELL DOCK a 1 TESORO III I DOCK C. c n 1 l 1 a I Q • [\�i 1:4 . libil , 1 L wl Jl 2 YKf VI U 1 I i y 7 I 1IN C _ 9 I I I ci TESORO Q T1 m NORTH TEXAS ROAD 1 ii _— I E I g \ SHELL PSR f \ \\ I PROJECT SITE— \ I SOWN TEXAS ROAD Ls MARCH POINT ..-------. --.-- ..--,. .. .. ... . 'S'KAGIT GOLD-WY— '- THIs DRAWING HAS NOT BEEN PUBLISHED. IT IS THE SOLE PROPERTY OF SHELL PERN'T CNI CR, OIL TN IT IS LENT To THE RECIPIENT FOR THEIR CON WING. AL uSE ONLY. AND UPON THE CONDITION AND AGREEMENTS FOLI OWING, IN ONEIDERATION OF THE LOAN or THIS DRAWING THE RECIPIENT PROMISES AND AGREES TO RETURN IT APR U ) 2007 UPON REQUEST, AND TIIAT IT SHALL NOT BE REPRODUCED, COPIED, LENT OR OTHER- WISE DISPOSED OF DIRECTLY OR INDIRECTLY WITHOUT WRITTEN CONSENT gPv-if.s3 SKAC IT ASSESORS # -.- -' � SHELI, 1'UGET SOUND REFINERY 350^34-O-CIO-COOS 0 3/ 7/0 27 ISSUED FORFERMI f PCSSFr: — OPS EXCELLENCE BUILDING PROPERTY ID fr P.63502 HEV DATE DESCRIPTION ~ DR ENO ARP St I E PLAN 5PSH-717 ACRES TOTAL. SCALE JOCH NO. DRAWING NUMBER REV I NONE 131S)026 SK-BE9026-CA 0001 0 I - A C17C I I 701 /9nlfi (17. 7.1 1 05/03/2007 THU 15:43 FAX 3369416 Planning and Development 1L006/007 r NAB -. � r P. P A /- / II // ' ! ' `f' !I t LI hi 7 cal,i F !— I, �� ���1l, '! as jt Ia I s v - ICI L31II I� Ir I1. . III O I®II,� 1 v=° 'i' 1. gII III End� PPe 11 '�I 0 0 0 0 0 , CC Ir.. ._ 0 _. ... 1L i._ I PROJECT! sI-r - 7r.��110 0 0 0 01,� 1 irot f ��1 0 0 0 0 Oil , lt0 ^r=4.-• p - • _ / p om j �� I b1Y 4- M1itl11����.! II�� f r� 's' �j1'li�1l`J/y4�.n.CI 0 'r" nn 1 _ —� \ FIDALGO HAY — THIS DRAWING HAS NOI BCEN PUBLISHED. IT IS THE SOLE PROPERTY OF SHELI OIL PRODUCTS. IT Ls LENT To THE RECIPIENT FOR THEIR CONFIDENTIAL USE ONLY, AND UPON THE CONDITION AND ACREEMCNTS FOLLOWING, IN CONSIDERATION OF THE LOAN OF IRIS DRAWING THE RECIPIENT PROMISES AND AGREES TO RE1URN IT UPON REOUESI, AND THAT IT SHALL NOT BE REPRODUCED, COPIED, LENT OR OTHER— WISE DISPOSED OF DIRLCTLY OP INDIRECTLY WITHOUT WRITTEN CONSENT. SKAGIT ASSESCRS _ — SHELL PUGET SOUND REFINERY B 35023'4 0-010 • 0005 0 3/29/07 ISSUE FOR PERMIT FE.S SFH OPS EXCELLLN CE [''LIIL DING PROPERTY ID N I'33502 REV DATE DESCRIPTION DR CHKD LOCATION PLAN SPSR=717 ACRES TOTAL ,----_SCALE NO JOB 11N1 I J .jF T�(1 jfl I ` DRAWING NUMDEh -- - REV. N I<—RE(4117R—CA— (-In(--)7 0 o 0 - o a N S1 - — _ •▪�:vw•• avloa '11 n Wu/ (MN31 I .\Sh, ' I111 %AV k8!WNW,I All IV 95vu '‘ ,, 'all ilrae 'Il d I. ..._ 9 `,, a.Y, I � % t ,c;, `i. &'�•; en w 3C CD N 1 1 I Q 09 o w • 1: � 1 CO 9E I St I if ft 2i if Lf11 u[b.., I SF.92 i B= 62 0! - ^ I1 �� r2 f Ei 23 12 @ 61 IR 1111��'� E [et' . 111 �9 [I -•;I IEI 91 (I BI I 11111 �. I111'1 e,fie�_ ! ?I IC iN b B 1 I H,I• �H 11 2 , a I 9 I ill _j 1111'' - . h ifnn7 � ; ::,.. . �, a Isla U air 0... I u o ' iinvvc7 c= 05/03/2007 THU 16:37 FAX 3369416 Planning and Development Z001/018 coG 2 PLANNING & DEVELOPMENT SERVICES GARY IL CHRISTENSEN,AICP,DIRECTOR Snu OSCAR GRAHAM,DEPUTY DIRECTOR PATTI CHAMBERS BILL DOWE,CBO ISNINIat° Administrative Coordinator Building Official Fax Transmius To: Don Measamer From: Robin Fax: 293.1938 Pages: 18 Phone: Date: May 3, 2007 Re: BP07-0369 CC: 0 Urgent X For Review 0 Please Comment 0 Please Reply O Please Recycle SEPA checklist, per your request. Any questions can be directed to Brandon @ extension 5741. He will return from vacation on May 8th. 1800 Continental Place • Mount Vernon, WA 98273 • Phone: (360)336-9410 • Fax: (360)336-9416 "Helping You Plan and Build Better Communities" 05/03/2007 THU 16:37 FAX 3369416 Planning and Development 1002/018 )Sb _) Planning & Development Services PL#: Community Development Division Date Received ENVIRONMENTAL CHECKLIST A. BACKGROUND INFORMATION 1. Name of proposed project, if applicable: RP752 Facility Siting Program - OSBL 2. Name of applicant: Shell Puget Sound Refinery • 3. Address and phone number of applicant and contact person: Address: Shell Puget Sound Refinery 8505 South Texas Road Anacortes, WA 98221 Telephone: 360-293-0800 Contact: Evie Wehrhalrn, Shell Project Engineer, 1-360-299-0138, evie.wehrhahn@shell.com 4. Date checklist prepared: March 9, 2007 5. Agency requesting checklist: Skagit County Planning and Development Service 6. Proposed project timing or schedule(including phasing, if applicable): Start Construction: May 2007 Complete Construction: July 2009 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. No 05/03/2007 THU 16:37 FAX 3369416 Planning and Development Z003/018 • 8. List any environmental inibrmation you know about that'has been prepared, or will be prepared, directly related to this proposal Site Wetlands Delineation—Project does not propose to disturb any defined wetlands 9. Do you know of pending applications for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. None 10. List any government approvals or permits that will be needed for your proposals,if known: 1. Skagit County Planning and Development Services - Commercial Building Permit 2. Skagit County Planning and Development Services - Grading Permit 3, Stormwater NPDES Waiver Determination 11. Give a 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 which ask you to describe certain aspects of your proposal You do not need to repeat those answers on this page. The project involves the design and construction of four new buildings along with necessary site preparation and utility infrastructure installation. Eight existing buildings will be demolished and 12 buildings will be modified to be made uninhabitable. In addition, 6 new Operator modules will be installed at locations outside the Battery Limits (OTBL) of the operating units where existing Unit control buildings will be decommissioned. A temporary Laydown and Parking area will be constructed for use for the duration of the project. After completion of the project construction, the Laydown area and Parking Area will be removed. • Construction of a new Operations Excellence Building Area: 13,680 sq ft • Construction of a new Fort Building Area: 4,200 sq ft • Construction of new FCCU Shop Area: 400 sq ft • Installation of 6 new Operator Shelters Total Area: 7,824 sq ft BO13O Shelter - 1,080 sq ft Alky2/SRU - 1,008 sq ft FCCU Shelter - 1,080 sq ft IIT02.,3/CRU2 - 1,392 sq ft Alky/Poly Shelter- 1,080 sq ft VPS/DCU/CIID - 2,400 sq ft • Relocation of Sand Blast Area 05/03/2007 THU 16:38 FAX 3369416 Planning and Development it 004/018 • • • Construction of temporary Laydown and Equipment Storage area • Construction of temporary parking lot(50 spaces) • New facility parking lot(15 new spaces) • New septic work • Relocation of 2 existing Picnic Shelters Future Potential Project Construction • Construction of a new I&E Shop/Warehouse Area: 16,450 sq ft • Control Building south of new Operations Excellence Building 12, Location of the proposaL Please give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any. If a proposal should occur over a range of area, please provide the range or boundaries of the site(s). Please provide a legal description, site plan, vicinity map, and topographic map if possible. 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. (Indicate if maps or plans have been submitted as part of a permit application.) The Project Location is: 8505 South Texas Road, Anacortes, Washington, Section 33, Township 34 North, Range 2 East Skagit County, Washington Sec attached site map B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site (circle one): flat,rolling, hilly, steep, slopes, mountainous, other describe): b. What is the steepest slope on the site (approximate %slope)? The site is generally fiat with a gradual slope to the west e. What general types of soils are hound on the site (i.e. clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, please specify and note any prime farmland. Silty Loam, Clay, Silt 05/03/2007 TA[ 16:38 FAX 3369416 Planning and Development ?005/018 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: Purpose: Raise the elevation of the proposed temporary laydown and parking area. Type and Amount: 7,096 cubic yards of gravel Source of Fill: Off site commercial quarry t: Could erosion occur as a result of clearing, construction, or use? if so, generally describe Yes, as site slopes to the west, construction erosion controls will be needed to reduce construction impacts. Those controls are described in section 3c g. About what percent of the site will be covered with impervious surfaces after project construction(for example, asphalt or buildings)? After construction is completed the total new impervious surface area will be less than 94,525 sq. ft. During construction the maximum net addition of new impervious surface area is 94,525 sq ft or 2.17 acres---this amount includes temporary areas for parking construction workers and construction laydowu pad. After construction is completed some of the temporary impervious surface area will be rehabilitated and returned to a vegetated state. The Shell Refinery Site as a whole consists of 717.84 acres (Skagit County Appraisal Record). h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: See Section 3c - The final developed area will drain to the existing stormwater collection system and be delivered to the Effluent Treatment Plant stormwater settling basin and discharged through the facility NPDES permitted discharge. 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. Diesel exhaust from trucks and heavy equipment along with possibly dust could be emitted during construction. No additional emissions are anticipated when construction is completed and operations commence as these are operations and maintenance support buildings. b. Are there any off-site sources of emissions or odor which may affect your proposal? If so, generally describe. 05/03/2007 THU 16:38 FAX 3369416 Planning and Development 1it006/018 r. No c. What are the proposed measures to reduce or control emissions or other impacts, if any: None 3. Water a. Surface: 1) Is there any surface water on or in the immediate vicinity of the site(including year-round and seasonal stream, saltwater, lakes, ponds, associated wetlands)? If yes, describe type, provide names, and, if known, state what stream or river it flows into. Fidalgo Bay - located in the Strait of Georgia, is approximately 1300 feet west of the proposed construction area. A Category III wetland (designated CNG on the Drawing 50-EA-21 Designated Wetland Areas) is located near the site but the project is outside the wetland and 50- foot buffers. 2) Will the project require any work over or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. Yes, work will be within 200 feet but a 50-foot buffer will be maintained. There will be no work over the wetland. 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the are of the site that would be affected. Indicate the source of fill material. Not Applicable. No work in wetlands is proposed and a 50-foot buffer is being maintained. 4) Will surface water withdrawals or diversions be required by the proposal? Give general description, purpose, and approximate quantities if known. No 5) Does the proposal lie with a 100-year flood plain? Note location on the site plan, if any. No 05/03/2007 THU 16:39 FAX 3369416 Planning and Development Z007/018 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. All runoff will be collected, channeled and treated in the existing stormwater system under the current NPDES permit. b. Ground: 1) Will ground water be withdrawn or recharged? Give general description, purpose, and approximate quantities if known. Construction site dewatering may be needed; volumes are dependent on conditions at the time of the construction. Water will be sent to existing storm water collection system. 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. • Not Applicable for this project. Existing septic tanks will be decommissioned and replaced with septic tanks in the new building. The new septic tanks have no fluid discharge into the ground. They are used as holding tanks for solids removal. These new septic tanks will be permitted as required in SCC 12.05 Septic. c. Water runoff(including storm water): 1) Describe the source of runoff and storm water and method of collection and disposal, if any(including quantities, if known). Where will this water flow? Will this water flow into other waters? If so, please describe. Creating new impervious surfaces will generate additional stormwater runoff. The additional water runoff will be directed to new catch basins and stormwater sewer line that will tic into the existing stormwater system and routed to the existing treatment plant. Under an existing refinery NPDES permit, surface water runoff is collected by storm sewers and routed to onsite wastewater treatment prior to discharge into the Fidalgo Bay. Best Management Practices will be identified and used in the construction area during construction. A SWPP will be developed and monitored. 05/03/2007 Tilt 16:39 FAX 3369416 Planning and Development [ 008/018 2) Could waste materials enter ground or surface waters? If so, generally describe. No — drainage will be to existing stormwater collection sewers. d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: Areas disturbed during construction will use erosion control SMP's as noted in Section 3C. Construction design includes area drainage that utilizes the existing stormwater sewer system. 4. Plants a. Check "X" or circle "0" types of vegetation found on the site: X_deciduous tree: alder, maple, aspen, other X_evergreen tee: fir, cedar, pine, other _shrubs X_grass pasture _crop or grain _ wet soil plants: cattail, buttercup, bulrush, 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? Evergreen trees and grass e. List threatened or endangered species known to be on or near the site. Golden Paintbrush (Castilleja levisecta Greenm) a species listed as Threatened by the USFWS is found in the Puget Sound trough region but is not known to be on or near the site. d. List proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if ally: 05/03/2007 THU 16:39 FAX 3369416 Planning and Development 2 009/018 • ' ) } The temporary laydown and parking area will be removed and area will be replanted with grass after project completion. 5. Animals a. Circle "O" any birds and animals which have been observed on or known to be on or near the site: birds: hawk, heron, eagle, songbirds, other: seagulls mammals= deer bear, elk,beaver, other: rabbits fish: bass salmon, trout, shellfish, other: b. List any threatened or endangered species known to be on or near the site: Species found near the site listed as Threatened are: • Puget Sound Chinook Salmon(Oncorhynchus tshawvtscha) • Bald Eagle (Haliaeetus leucocephalus) Species found near the site listed as Endangered are: • Orca (Orcinus orca) c. Is the site-part of a migration route? Jf so, explain. Studies done by the Army Corps of Engineers have identified areas surrounding the refinery as being part of the Pacific Flyway. The Pacific Flyway stretches nearly the entire width of land from the Cascade Range to the Pacific Ocean. 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 needs? Describe whether it will he used for heating, manufacturing, etc. The project energy requirements include electricity and natural gas for building maintenance and running the operations control equipment. b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. 05/03/2007 THU 16:39 FAX 3369416 Planning and Development 2 010/018 3 No c. What kinds of energy conservation features are included in the plans of this proposal? New equipment such as, lighting and daylight sensors, which in general are more energy efficient will replace older equipment d. What are the proposed measures to reduce or control energy impacts, if any? None. Newer equipment and lighting is generally more energy efficient. 7. Environmental Health a Are there any environmental health hazards, exposure to toxic chemicals,including risk of fire and explosion, spill, or hazardous waste, that occur as a result of this proposal? If so, describe. No health hazards will be created. During operations the Project will not be creating any additional health hazards and is reducing risk to explosion for employees. The demolition of existing operator shelters and decommissioning of buildings may include some asbestos removal, however, only certified asbestos removal contractors will be used as needed_ b. Describe special emergency services that might be required. The refinery has emergency response systems in place. No additional emergency response requirements are needed as a result of this project. c. What are the proposed measures to reduce or control environmental health hazards, if any? This project's purpose is to reduce exposure and risk to personnel from explosions and fire by relocating the Main Control Building and installing new operator shelters outside of potential blast zones. licensed and well trained contractors will be used for specific activities such as asbestos removal. 8. Land and Shoreline Use a. What is the current use of the site and adjacent properties? Heavy Industrial b. Has the site been used for agricultural purposes? If so, describe. 05/03/2007 THU 16:40 FAX 3369416 Planning and Development ?011/0l8 f 1 No. Adjacent sites do indude pastures. c. Describe any structures on the site. The site is a refinery with multiple buildings, storage tanks and process vessels, equipment, and pipelines. d. Will any structures be demolished? If so, what. Yes - 6 buildings will be demolished • I3OHO Operator Shelter • FCCU Operator Shelter • Ally/Poly Operator Shelter • Aiky2/SRU Operator Shelter • CRU2/HTU2/3 Operator Shelter • DPU/VPS/CIID Operator Shelter e. What is the current zoning classification of the site? Industrial(Urban Growth Area A-UD Anacortes UGA Development District) f. What is the current comprehensive plan designation of the site? Industrial g. If applicable, what is the current shoreline master program environment designation of the site? Not Applicable It Has any part of the site been classified as an "environmentally sensitive" area? If so, specify. No i. What are proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: Not Applicable 05/03/2007 THU 16:40 FAX 3369416 Planning and Development Ii012/018 • • j. Approximately how many people would reside or work in the completed project? Operators and maintenance personnel currently employed at the site are being relocated within the site as a result of this project. No new employment will result from this project k. Approximately how many people would the completed project displace? None L What are proposed measures to avoid or reduce displacement or other impacts, if any? Not Applicable 9. Housing a. Approximately how many units would be provided,if any? Indicate whether high, middle, or low-income housing. None b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. None c. What are proposed measures to reduce or control housing impacts, if any? Not Applicable 10. Noise a. What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? Not Applicable b. 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)? 05/03/2007 TUU 16:40 FAX 3369416 Planning and Development 1 013/018 Noise levels associated with typical construction activity would be present on a short term basis. c. What are the proposed measures to reduce or control noise impacts, if any? None required 11. Aesthetics a_ What is the tallest height of any proposed structure(s),not including antennas; what is the principal exterior building material(s)proposed? Tallest building-34 ft Exterior- steel frame b. What views in the immediate vicinity would be altered or obstructed? None c. What are the proposed measures to reduce or control aesthetic impacts, if any? None 12. Light and Glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? Lighting for building and area lighting during the evening and night 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. What are the proposed measures to reduce or control light and glare impacts, if any: 05/03/2007 TRU 16:40 FAX 3369416 Planning and Development ?014/018 • None required 13. Recreation a, What designated and informal recreational opportunities are in the immediate vicinity? None b_ Would the proposed project displace any existing recreational uses? If so, describe. No • c. What are the proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any? None 14. Historic and Cultural Preservation a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers known to he 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 the site. None c. What are the proposed measures to reduce or control impacts, if any? None 15. Transportation a. Identify public streets and highways servingthe site, and describe proposed access to the existing street system. Show on site plans, if any. March Point Road, South Texas Road,Highway 20 05/03/2007 THU 16:41 FAX 3369416 Planning and Development ?015/018 • b. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? No. A Skagit Area Transit stop is located off Highway 20 at the March Point Park and Ride. c. How many parking spaces would the completed project have? How many would the project eliminate? No public parking changes. Parking Spaces inside fence line available after completion- 15 spaces - 6 spaces would be eliminated. d. Will the proposal require any new roads or streets, or improvements to any 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 II f. How many vehicular trips per day would be generated by the completed project? If lmown, indicate when peak volumes would occur. The Project will not change the amount of vehicular trips per day g. What are proposed measures to reduce or control transportation impacts, if any? None III, 05/03/2007 THU 16:41 FAX 3369416 Planning and Development Z016/018 • 16. 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. What are proposed measures to reduce or control direct impacts on public services, if any? None 17. Utilities a. Circle "0" utilities currently available at the site: electricity, natural gas, water, refuse service', telephone', sanitary sewer', septic system, other(describe). b. Describe the utilities which are proposed for the project, the utility providing the service, and the general construction activities of the site or in the immediate vicinity which might he needed. No new utilities will be added as a result of this project C. SIGNATURE The above answers arc true to the best of my knowledge. 1 understand that the lead agency is relying on them to make its decision. Signature: C „, fir 6 ����— Date Submitted: A p M I 7— tap-7— 05/03/2007 THi 16:41 FAX 3369416 Planning and Development Z017/018 } ID C• SKAGIT COUNTY PERMIT CNTR. �� Skagit County Planning & Development Services `' 1800 Continental Place-.Mount Vernon,WA 98273 APR 05 NOV W� Inspections(360)336-9306•Office(360)336-9410• Fax (360) 336-9416 RECEIVED 10 1fY fµµ J 41 ° / 9 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 informations to help you and the agency identify impacts on the quality of the environment. The purpose of this checklist is to also provide information to help you and the agency identify impacts from your proposal (and to reduce or avoid impacts from the proposals, if it can be done) and to help the agency decide whether an EIS is required. CailCt Required Submittedati I\I Vuf�Ot (`Y PC ❑ X Fees. Payment of$216.00 re ' All costs associated an I� S ny required Environmental Impact Staten pliaant. O X Pre-addressed Stamped Envelopes. Applicant shall provide pre-addressed stamped envelopes for Owners of Record within 300 feet of all subject property lines. • One set for independent SEPA applications. • Two sets for Hearing Examiner Special Use and Variance applications. Instructions to the applicant • Please describe some basic information about your proposal. Answer the questions briefly, with the most precise information known, or give the best description you can. • 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 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 landward 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.This checklist may ask you to explain your answers or provide additional information reasonably related to determining if there may be significant adverse impacts, Attach any additional information that will help your submittal 05/03/2007 THU 16:41 FAX 3369416 Planning and Development f 018/018 —0 • Please disregard D.Supplement Sheet for Non-Project Actions if you are proposing a project. For Non-Prolect SEPA proposals • Complete this checklist for non-project proposals, even though the questions may be answered "does not apply". In addition,complete the Supplemental Sheet for non-project actions (Part I)). • For non-project 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.