SEPA Checklist Gold South.pdfOF EDS
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Purpose of* Checklist.
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The State Environmental Policy Act (SEPA), chapter 43.21 C 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
mpact.
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 NONPROJECT ACTIONS (part D).
For nonproject actions, the references in the checklist to the words "project," "applicant," and "property or site" should be read as
"proposer," and "affected geographic area," respectively.
1. Name of proposed project, if applicable: Michael & Nancy Gold, SutJT l Single Family
Residence
2. Name of applicant: Mike Gold
3. Address and phone number of applicant and contact person:
15225 14th Court SE
Mill Creek, WA 98012
4. Date checklist prepared: April 5, 2010
5. Agency requesting checklist: City of Edmonds RECEIVED
APR 2 6 2010
DEVELOPMENT SE CES
rage) of 24 COUNTER
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6. Proposed timing or schedule (including phasing, if applicable)- Spring and summer 2010
or spring and summer 2011
(STAFF COMMENTS)
7. Do you have any plans for future additions, expansion, or further activity related to or connected with this
proposal? If yes, explain.
Na
(STAFF COMM] C�NTS)_
8. List any environmental information you Icnow about that has been prepared, or will be prepared, directly related
to this proposal.
Geotechnical 12e®rt
��p'Prep
ared by Nelson Geotechnical
(STAFF COMMENTS)
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.
Possible Shoreline Use Permit issued by Washington State Department
of Ecology
SEPI. Checklist
(STAFF COMMENTS)L2",L�L�=,,—
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10. List any government approvals or permits that will be needed for your proposal, if known.
SEPA, Shoreline Use Permit
(STAFF COMMENTS)
11. Give brief, complete description of your proposal, including the proposed uses and size of the project and site.
There are several questions later in- this checklist that ask you to describe certain aspects of your proposal. )(on
do not need to repeat those answers on this page.
Demolition of an existing house and construction of a new single
family house'.
Site area is 20,626 sf.
(STAFF COMMENTS)
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 range or boundaries of the site(s). Provide 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.
zyi '75th PL. W, Edmonds, WA 98026
SW Quarter, Section 5, Township 27, Range 04
Tax Parcel Numbers 00513106000200 & 005131-06000400
(STAFF COMMENTS)ll "Al
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B. ENVIRONMENTAL ELEMENTS
1. Earth
a. General description of the site (circle one): Flat, rolling, (IZID steep slopes, mountainous, other:
Very mild slope in the center and sloping at the west edge of
the site and at the east edge of the site.
a
19
111
(STAFF COMME NTS) --
What is the steepest slope on the site (approximate percent slope)?3 6,o Per the _Ge0t-eCh1'1iCal
Report.
(STAFF COMMENTS) 3 t"
A, o
0,
What general types of soils are found on the site (for example, clay, sand, gravel, peat, and muck)? If you
know the classification of agricultural soils, specify them and note any prime farmland.
Alderwood Gravelly Loam
(STAFF COMMENTS)
Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe.__
No, refer to Nelson Geotechnical Report
(STAFF, COMMENTS)
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e. Describe the purpose, type and approximate quantities of any filling or grading proposed. Indicate source
of rdl.
Cut: 1,095 CY, Cut for Site,qradinq.
Fill: 851 CY, to be obtained from cut on site.
(STAFF COMME NTS) --
L Could erosion occur as a result of clearing, construction, or use? If so, generally describe.
Low risk if erosion control methods are properly installed and
maintained.
(STAFF COMMENTS)—J tv, - -
g. About what percent of the site will be covered with impervious surfaces after project construction (for
example, asphalt or buildings)?
8,568 sf of rooftop, pavement, & deck covering 41.5% of the site.
--5-,81.1 sf of rooftop covering 2 8
- ----------- - -------- - ----------- ----
b. Proposed measures to reduce or control erosion, or other impacts to the earth, if any:
TESC Erosion Plan prepared by Civil Engineer.
Proper installation and maintenance by contractor.
(STAViT COMMENTS)
01I's
a. What types of emissions to the air would result from the proposal (i.e., dust, automobile, odors, and
industrial wood smoke) during construction and when the project is completed? if any, generally describe
and give approximate quantities if known.
Emissions from small site construction ec[Liipment, backhoe,
compactor, generator, etc.
(STAFF C
Page 5 of 24
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b. Are there any off-site sources of emissions or odor that may effect your proposal? If so, generally describe.
None anticipated
(STAFF COMMENTS)
C. Proposed measures to reduce or control emissions or other impacts to the, if any:
None
(STAFF COMMENTS)
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, and wetlands)? If yes, describe type and provide names.
If appropriate, state what stream or river it flows into.
Puget Sound is within 2001 of the site.
(STAFF COMMENTS)
(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.
Yes, Grading and house construction will occur within 2001.
(STAFF COMMENTS)
(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 rill
material.
None
(STAFF COMMENTS)
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(4) Will the proposal require surface water withdrawals or diversions? Give general description,
purpose, and approximate quantities if known.
None, anticipated, Per the Nelson Geotechnical Investigation
ground water was encountered in only one of the four test
holes. Slight ground water was observed 5-6 feet deep in B2.
Cut in the area of the encountered groundwater is less than
5 feet.
(STAFF COMIVIENTS)
(5) Does the proposal lie within a 100 -year floodplain? If so, note location on the site plan.
No
(STAFF COMMENTS)
(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
(STAFF COMMENTS)
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
(STAFF COMMENTS)
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(2) Describe waste material that will be discharged into the ground from septic tanks or otber sources, if
any (for example: Domestic sewage; industrial, containing the following chemicals...; agricultural;
etc.). Describe the general size of the system, the number of such systems, the number of houses to
be served (if applicable), or the number of animals or humans the system(s) are expected to serve.
N/A
(STAFF Cdr MME, NTS)
C. Water Runoff (including storm water):
(1) Describe the source of runoff (including storm water) and method of collection and disposal, if any
(include quantities, if Imown). Where will this water flow? Will this water flow into other waters?
If so, describe.
Runoff from the driveway and rooftop will be collected and
routed to a pipe conveyance system in the city street,
162nd, and routed to Puget Sound. No on site detention
is proposed. R.W. Beck Meadowdale Basin Study concludes
(STcity storm system has capacity to convey flows.
AFFCOMMENTS)L'�-' 0p V 1�
(2) Could waste materials enter ground or surface waters? If so, generally describe.
Possibly residential yard chemicals or vehicle oils.
(STAFF COMMENTS)
---
d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any:
Catch basin with sump areas for sediment control. -
(STAFF COMME NTS
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Pr
4. Plants
a.
Check or circle types of vegetation found on the site:
deciduous tree:
uaple� aspen, other: Apple
evergreen tree: (P—IT) cedar, pine, other: Madrona
shrubs
x grass__
pasture
-- crop or grain
wet soil plants: cattail, buttercup, bulrush, skunk cabbage, other:
water plants: water lily, eelgrass, ndlfoil, other:
other types of vegetation: Salmon Berry, Black Berry
(s,rAFF COMMENTS)—
b. What kind and amount of vegetation will be removed or altered?
All trees on site will be removed in order to complete
the required grading, cut & fill.
Salmon berry and Blackberries will also be removed.
-
M
List threatened or endangered species known to be on or near the site.
None
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d. Proposed landscaping, use of native plants, or other materials to preserve or enhance vegetation of) tile site,
if any:
The site will be planted with typical residential plants and
grass.
(STAFF COMMENT
5. Animals
a. Check or circle any birds and animals that have been observed on or near the site or are known to be on or
near the site:
birds: hawk, heron, eagle,(S-0-u—p-bi—ids-ther:
mammals: deer, bear, elk, beaver, other:
fish: bass, ogmi�-�n trout, berring, shellfish, other:_
(STAFF COMMENTS)
b. List any threatened or endangered species known to be on or near the site.
None
(STAFF COMME, NTS)
C. Is the site part of a migration route? If so, explain.
No
A
(STAFF COMME NTS)
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d. Proposed measures to preserve or enhance wildlife, if any:
(STAFF COMMENTS)
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 swill be used for heating, manufacturing, etc.
The single family house will use electricity and gas
if available.
(STAFF COMMENTS)
b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally
describe.
No
(STAFF COMMENTS)
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 house is designed to meet all current energy codes
including insulation and windows.
(STAFF COMMENTS)
Page I I of 24
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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.
Possible household chemicals in small quantities.
(STAFF COMMENTS)
(1) Describe special emergency services that might be required.
Standard fire and safety as provided by the Fire Department.
(STAFF COMMENTS)
(2) Proposed measures to reduce or control environmental health hazards, if any:
Information distributed from government agencies concerning
disposal of household products, paint, cleaners, etc.
(STAFF COMMENTS)
b. Noise
(1) What types of noise exist in the area which may affect your project (for example: traffic, equipment,
operation, other)?
Road Traffic noise from surrounding public roads.
(STAFF COMMENTS)
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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)? Indicate what hour's noise
would come from the site.
Noise from diesel engines of construction equipment.
(STAFF COMMENTS)
(3) Proposed measures to reduce or control noise impacts, if any:
Limit hours of construction per Edmonds requirements.
(STAFF COMMENTS)
8. Land and Shoreline Use
a. What is the current use of the site and adjacent properties?
The site has one unoccupied house on it that will be demolished.
An existing house exist to the south and a new house is
proposed for construction to the north.
(STAFF COMMENTS)
b. Has the site been used for agriculture? If so, describe.
No
(STAFF COMMENTS)
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C. Describe any structures on the site.
A single family house over 50 years old that is to be demolised.
(STAFF C+<OMME NTS)_
d. Will any structures be demolished? If so, what?
Yes, the existing single family structure.
(STAFF COMMENTS)_
C. What is the cut -rent zoning classification of the site?
RS -20, 20,000 sf lots
(STAFF COMMENTS) ---
f. What is the current comprehensive plan designation of the site?
Single Family -Resource
(STAFF COMMENTS)
g. If applicable, what is the current shoreline inaster plan designation of the site?
unknown
(STAFF COMMENTS)
Page 14 of 24
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h. fins any part of the site been classified as an "environmentally sensitive" area? If so, specify.
III
La
Approximately how many people would reside or work in the completed project?
Two to four
(STAFF C
Approximately how many people would the completed project displace?
None, the existing house is unoccupied.
(STAFF COMMENrs)--.---
Proposed measures to avoid or reduce displacement impacts, if any:
N/A
(STAFF COMMENTS)
Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if
any:
Adhere to and acquire applicable permits from the city of
Edmonds
(STAFF COMMENTS)
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9. Housing
a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income
housing.
One single family high income home.
(STAFF COMMENTS)
b. Approximately how many units, if any would be eliminated? Indicate whether high, middle, or low-income
housing.
One low income house that is in dis-repair.
(STAFF COMMENTS)
C. Proposed measures to reduce or control housing impacts, if any:
Payment of applicable mitigation fees.
(STAFF COMMENTS)
10. Aesthetics
a. What is the tallest height of any proposed structure(s), not including antennas; what is the principle
exterior building material(s) proposed?
25 -feet maximum building height per code.
(STAFF COMMENTS)
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b. What views in the immediate vicinity would be altered or obstructed?
None,anticipated. The rooftop is below the road above,
75th Pl. W. as well as well below the house up slope.
(STAFF COMMENTS)
C. Proposed measures to reduce or control aesthetic impacts, if any:
Use of high end siding and roofing materials.
(STAFF COMMENTS)
11. Light and Glare
a. What type of light or glare will the proposal produce? What time of day would it mainly occur?
None anticiapted.
(STAFF COMMENTS)
b. Could light or glare from the finished project be a safety hazard or interfere sAth views?
Not anticipated
(STAFF COMMENTS)
C. What existing off-site sources of light or glare may affect your proposal?
None known
(STAFF COMMENTS)
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d. Proposed measures to reduce or control light and glare impacts, if any:
None
(STAFF COMMENTS)
12. Recreation
a. '6'4'hat designated and informal recreational opportunities are in the immediate vicinity?
Haines Wharf Park adjacent to the north and currently
under construction.
(STAFF COMMENTS)
b. Would the proposed project displace any existing recreation uses? If so, describe.
No
(STAFF COMMENTS)
C. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be
provided by the project or applicant, if any:
N/A
(STAFF COMMENTS)
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13. Historic and Cultural Preservation
14.
Are there any places or objects listed on, or proposed for, national, state, or local preservation registers
known to be on or next to the site? If so, generally describe.
None known
(STAFF COMMENTS)
b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance
lmown to be on or next to the site.
None known
(STAFFCOMMENTS)�,',
LL �Icll� 0-'(
C' f') 0�;
. .... .. . .. .........
C. Proposed measures to reduce or control impacts, if any:
None
(STAFF COMMENTS)_
Transportation
11. Identify public streets and highways serving the site, and describe proposed access to the existing street
system. Show on site plans, if any.
Access to site is from 75th P1 W uphill to the east.
(STAFF COMMENTS
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b. Is site currently served by public transit? If no, what is the approximate distance to the nearest transit
stop?
No, Distance to nearest transit site is over 2 miles
(STAFF COMMENTS)
C. How many parldng spaces would the completed project have? How many would the project eliminate?
Three garage stalls. One parking pad stall for the existing
house will be eliminated.
(STAFF COMMENTS)
d. Will the proposal require any new roads, streets, or improvements to existing roads or streets, not
including driveways? If so, generally describe (indicate whether public or private).
No
(STAFF COMMENTS)
e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so,
generally describe.
BNRR tracks are located adjacent to the property downhill to
the west. Puget Sound is within 200 feet of the site and to
the west.
(STAFF COMMENTS)
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r. How many vehicular trips per day would be generated by the completed project? If known, indicate when
peak volumes would occur.
5-7 for single family residential.
(STAFF COMMENTS)
g. Proposed measures to reduce or control transportation impacts, if any:
Pay applicable transportation mitigation fees.
(STAFF COMMENTS}
15. Public Services
a. Would the project result in an increased need for public services (for example: fire protection, police
protection, health care, schools, other)? If so, generally describe.
Minimal impact, addition of one single family residence.
(STAFF
b. Proposed measures to reduce or control direct impacts on public services, if any:
Payment of applicable mitigation fees.
(STAFF COMMENTS)
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16. Utilities
a. Circle utilities currently available at the site: natural gas, Vi, ter, refuse ser vice, telepboii'�.)
(�'S;Ilmitary sew septic system, otber:
(STAFF COMMENTS
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 wbicb might be needed.
Electricty: Snohomish County PUD
Sewer & Water: city of Edmonds
(STAFF COMMENTS)__
N115 ff 082YIN11"M
The above answers are true and complete to the best of my knowledge. T understand that the lead agency is relying on them to
ma its decision.
Signature of Proponent
V%
xal'J'
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Date Submitted