SEPA checklist with plans.pdfPurpose of Checklist.
#P71
CIT OF EDMO�N S i
ENVIRONMENTAL CHECKLIST ��IL , � 12,
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:
For nonproject proposals complete this checklist and the supplemental sheet for nonproject actions (Part D). the leasd agency may
exclude any question for the environmental elements (Part 13) which they determine do not contribute meaningfully to the analysis of
the proposalFor 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.
A. BACKGROUND
1. Name of proposed project, if applicable: 2015 Dock
2. Name of applicant: Canxin Lei
3. Address and phone number of applicant and contact person:
7532 243rd of sw Edmonds WA 98026 206-427-8127
4. Date checklist prepared:9/2015
......................................... _
5. Agency requesting checklist: CityofEdmonds
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6. Proposed timing or schedule (including phasing, if applica
small prosect and will be done within 2 weeks.
(,STAFF CO
7. Do you have any plans for future additions, expansion, or further activity related to or connected with this
proposal? If yes, explain.
existing platform portion of the dock is 12'x 12 which will be expand to 16'x 12'
(STAFF" COMM
8. List any environmental information you know about that has been prepared, or will be prepared, directly related
to this proposal.
None
(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.
None
�.
(""i"F"I+ t'IMf4"1`N)
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10. List any government approvals or permits that will be needed for your proposal, if known.
City of Edmonds Building permit
(STAFF COMMENT5),
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. You
do not need to repeat those answers on this page.
Existing dock needs to repair. the platform portion ( 12'x 12' ) will replace the floats, decking, and rud joists.
the hall portion ( 4'x 24') will replace the decking.
(STAFF DCII °MENTS)
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 plan's required by the
agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related
to this checklist.
7532 243rd pl sw. on the back of house, water front.
(STAFFCOMM
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TO BE COMPLETED BY APPLICANT
B. ENVIRONMENTAL ELEMENTS
Earth
a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous, other:
Flat
(STAFF COMMENTS)__
b. What is the steepest slope on the site (approximate percent slope)?
5%
(ST'AFF CO
C. 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 agricultural land of longterm
commercial significance and whether the proposal results in removing any of these soils.
Clay, gravel
(STAFF CO M M EN`l"S)........._..� .�... �.,..�__ L'�. e'.� 1�1 I � I
d. Are there surface indications or history of unstable,.soils in the immediate vicinity? If so, describe.
NONE
(STAFF COMMENT
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e. Describe the purpose, type, total area and approximate quantities and total affected area of any filling,
excavation, and grading proposed. Indicate source of fill.
Do not apply
(STAFF COMME
f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe.
Do not apply
(STAFF CtT 'l.ME
g. About what percent of the site will be covered with impervious surfaces after project construction (for
example, asphalt or buildings)?
Do not apply
(STAFF COMMENTS)..—.
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any:
Do not apply
(STAFF C+CiMI'4IENT )-
2. AIR
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.
Wood ash generate while cutting lumber
(STAFF COMMENTS)
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b. Are there any off-site sources of emissions or odor that may effect your proposal? If so, generally describe.
No
(STAFF COMMENTS)_
C. Proposed measures to reduce or control emissions or other impacts to the, if any:
Do not apply
(STAFF COMMENT
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.
Yes, Lake ballinger
(S"T"AFF 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, work over the water body, it's float dock.
(STAFF COMMENTS )?i.�� � � c, -r -,c_ .. "1.. C ... 1 J ,
(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.
dock sized 240 sq ft. repaired dock after expansion will be 288 sq ft.
(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
(STAFF COMM
(5) Does the proposal lie within a 100 -year floodplain? If so, note location on the site plan.
Do not apply
(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.
None
(STAFF COMMENTS) _,_ .......... _.
b. Ground:
(1) Will ground water be withdrawn from a well for drinking water or other purposes? If so, give a
general description of the well, proposed uses and approximate quantities withdrawn from the well
Will water be discharged to ground water? Give general description, purpose, and approximate
quantities if known.
None
(STAFF C M C'i'I
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(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
( TAI+FCO'M VlENT )
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 known). Where will this water flow? Will this water flow into other waters?
If so, describe.
do not apply
(2) Could waste materials enter ground or surface waters? If so, generally describe.
None
(STAFF COMMENTS)
(3) Does the proposal alter or otherwise affect drainage patterns in the vicinityof the site? If so,
describe.
None
( TAF C M
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d. Proposed measures to reduce or control surface, ground, runoff water, and drainage pattern impacts, if
any:
do not apply
(STAFF COMMENTS)
4. Plants
a. Check or circle types of vegetation found on the site:
deciduous tree: alder, maple, aspen, other:_
evergreen tree: fir, cedar, pine, other:
shrubs
X
grass®
pasture
crop or grain
Orchards, vineyards or other permanent crops
wet soil plants: cattail, buttercup, bulrush, skunk cabbage, other:
water plants: water lily, eelgrass, milfoil, other:
other types of vegetation-
(STAFF
egetation:
+( TAF'F COMM
b. What kind and amount of vegetation will be removed or altered?
None
(S 'A►F°FCO °l'N'1
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C. List threatened or endangered species known to be on or near the site.
I do not know
(STAFF COMM EI' T )
d. Proposed landscaping, use of native plants, or other materials to preserve or enhance vegetation on the site,
if any:
None
(STAFF COMM EFC"l"' ),. _ _ .-�_�._.
e. List all noxious weeds and invasive species known to be on or near the site.
I do not know
................
(STAFF COMMENTS)
5. Animals
a. List any birds and other animals that have been observed on or near the site or are known to be on or near
the site. Examples include:
birds: hawk, heron, eagle, songbirds, other: none
mammals: deer, bear, elk, beaver, other: none
fish: bass, salmon, trout, herring, shellfish, other: none
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(STAFF COMMENTS)
b. List any threatened or endangered species known to be on or near the site.
I do not know
(STAFF COMMENTS)
C. Is the site part of a migration route? If so, explain.
NO
..............................
(STAFF COMMENTS)_
d. Proposed measures to preserve or enhance wildlife, if any:
None
(STAFF COMM'.
e. List any invasive animal species known to be on or near the site.
I don't see any.
(STAFF COM M ENTS
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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.
Electricity for power tools only.
(STAFFCOMM
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:
do not apply
(STAFF COMMENT
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.
None
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(STAFF COMMENTS)
(1) Describe any known or possible contamination at the site from present or past uses.
do not apply
(STAFF COMM
(2) Describe existing hazardous chemicals/conditions that might affect project development and design.
This includes undergrand hazardous liquid and gas transmission pipelines located within the project
area and in the vicinity.
None
(3) Describe any toxic or hazardous chemicals that might be stored, used, or produced during the
project's development or constructions, or at any time during the operating life of the project.
None
( TAFF'+Ci7MMMaNT )
(4) Describe special emergency services that might be required.
None
( TA 'Ma C11Mh^ ENT
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(5) Proposed measures to reduce or control environmental health hazards, if any:
None
(STAFF COMMENTS)
b. Noise
(1) What types of noise exist in the area which may affect your project (for example: traffic, equipment,
operation, other)?
Traffic noise exist but not affect my
(STAFF COMMENTS)
(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.
Short term: power tools operation noise, Noon - 6pm
Long term: None
(STAFF COMMENTS)
(3) Proposed measures to reduce or control noise impacts, if any:
Finish iob asap.
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8. Land and Shoreline Use
a. What is the current use of the site and adjacent properties? Will the proposal affect current land uses on
nearby or adjacent properties? If so, describe.
existing dock repair, no change of land use.
(STAFF COMMENTS)_.--- . . . ..........
b. Has the project site been used as working farmlands or working forest lands? If so, describe. How much
agricultural or forest land of long-term commercial significance will be converted to other uses as a result
of the proposal, if any? If resource lands have not been designated, how many acres in farmland or forest
land tax status will be converted to nonfrom or nonforest use?
NO
(STAFF COMM
(1) Will the proposal affect or be affected by surrounding working farm or forest land normal business
operations, such as oversize equipment access, the application of pesticides, tilling, and harvesting? If
so, how:
None
(STAFF COMME
C. Describe any structures on the site.
existing dock
(STAFF COMMENTS)
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d. Will any structures be demolished? If so, what?
None
(STAFF COMMENTS)— ... . .... . .. ....
e. What is the current zoning classification of the site?
R4
(STAFF COMMENTS)
L What is the current comprehensive plan designation of the site?
No
. . . . ......
(STAFFCOMMENTS)
g. If applicable, what is the current shoreline master plan designation of the site?
I don't know
(STAFF COMMENTS), :�Lc A - -1 —1—
h. Has any part of the site been classified critical area by the city? If so, specify.
None . .....
t 4, k �e-
(STAFF COM MEN,Ts)$---�-1,—L4
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Approximately how many people would reside or work in the completed project?
2 people will complete the project.
(STAFF COMMENT
j. Approximately how many people would the completed project displace?
None
(STAFF COMME
IL Proposed measures to avoid or reduce displacement impacts, if any:
None
(STAFF COMMENTS)
Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if
any:
None
(STAIR F COMM ENTS)
in. Proposed measures to ensure the proposal is compatible with nearby agricultural and forest lands of long-
term commercial significance, if any:
do not apply
(STAFF CO'MME
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9. Housing
a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income
housing.
Do not apply
(STAFF COMMT )
b. Approximately how many units, if any would be eliminated? Indicate whether high, middle, or low-income
housing.
Do not apply
(STAFFCOMMENT
C. Proposed measures to reduce or control housing impacts, if any:
Do not apply
(STAFF F CO&4IMENT )
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?
Do not apply
( TAF Cf MMENT )
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b. What views in the immediate vicinity would be altered or obstructed?
Do not apply
(STAFF COMMENTS) _.....
C. Proposed measures to reduce or control aesthetic impacts, if any:
Do not apply
(STAF CGMIM
11. Light and Glare
a. What type of light or glare will the proposal produce? What time of day would it mainly occur?
None
( "T"AFF COIw'IOV' ENT )
b. Could light or glare from the finished project be a safety hazard or interfere with views?
None
(STAFF COMMENTS
C. What existing off-site sources of light or glare may affect your proposal?
None
(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. What designated and informal recreational opportunities are in the immediate vicinity?
do not apply
(STAFFCOMMENTS)
o
LCJte-
4k k At,—
b.
t,—
b. Would the proposed project displace any existing recreation uses? If so, describe.
do not apply
(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:
do not apply
(STA INF C,O�MM
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13. Historic and Cultural Preservation
a. Are there any buildings, structures, or sites located on or near the site that are over 45 years old listed in,
or eligible for listing in national, state, or local preservation registers located on or near the site? If so,
specifically describe.
Do not apply
(STAFF COM M ENTS). _...... . ..... _....
b. Are there any landmarks, features, or other evidence of Indian or historic use or occupation? This may
include human burials or old cemeteries. Are there any material evidence, artifacts, or areas of cultural
importance on or near the site? Please list any professional studies conducted at the site to identify such
resources.
Do not apply
(STAFF" COMMENTS)
C. Describe the methods used to assess the potential impacts to cultural and historic resources on or near the
project site. Examples include consultation with tribes and the Department of Archeology and Historic
Preservation, archaeological surveys, historic maps, GIS date, etc.
Do not apply
(STAFF COMMEN
d. Proposed measures to avoid, minimize, or compensate for loss, changes to, and disturbance to resources.
Please include plans for the above and any permits that may be required.
Do not apply
(STAFF COMMENTS)
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14. Transportation
a. Identify public streets and highways serving the site or affected geographic area, and describe proposed
access to the existing street system. Show on site plans, if any.
Do not apply
(STAFF COMM ENTS)_-_
b. Is the site or affected geographic area currently served by public transit? If so, generally describe. If not,
what is the approximate distance to the nearest transit stop?
Do not apply
(STAFF COMM
C. How many additional parking spaces would the completed project or nonproject proposal have? How
many would the project or proposal eliminate?
Do not apply
(STAFF COMM ENTS)
d. Will the proposal require any new or improvements to existing roads, streets, pedestrian, bicycle or state
transportation facilityes not including driveways? if so, generally describe (indicate whether public or
private).
Do not apply
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(STAFF COMMENTS)
e. Will the project or proposal use (or occur in the immediate vicinity of) water, rail, or air transportation? If
so, generally describe.
Do not apply
(STAFF COMMEN
How many vehicular trips per day would be generated by the completed project? If known, indicate when
peak volumes would occur and what percentage of the volume would be trucks (such as commercial and
anpassenger vehicles). What data or transporation models were used to make these estimates?
Do not apply
(STAFF COMM ENT'S)
g. Will the proposal interfere with, affect or be affected by the movement of agricultural and forest products
on roads or streets in the area? If so, generally describe.
Do not apply
(:'STAFF COMMENTS)
h. Proposed measures to reduce or control transportation impacts, if any:
Do not apply
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(STAFF COMMENTS)
15. Public Services
a. Would the project result in an increased need for public services (for example: fire protection, police
protection, public transit, health care, schools, other)? If so, generally describe.
None
(STAFF COMMENTS) _ ......, .... . ....... ._
b. Proposed measures to reduce or control direct impacts on public services, if any:
None
(STAFF COMME
16. Utilities
a. Circle utilities currently available at the site: electricity, natural gas, water, refuse service, telephone,
sanitary sewer, septic system, other:
None
(STAFF COMMENTS) -_—.._..
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b. Describe the utilities that are proposed for the project, the utility providing the service, and the general
construction activities on the site or in the immediate vicinity which might be needed.
None
(STAFF CDMME
C. SIGNATURE
I declare under penalty of perjury laws that the above answers are true and correct to the best of my knowledge. I understand
that the lead agency is relying on them to make its decision.
Signature of Proponent
Date Submitted
Revised on 4115114 P71 -'EPA Cheddist doc Page 25 of 27
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