SEPA_Checklist (7).pdfSEPA ENVIRONMENTAL CHECKLIST
UPDATED 2014
Governmental agencies use this checklist to help determine whether the environmental impacts of your
proposal are significant. This information is also helpful to determine if available avoidance, minimization
or compensatory mitigation measures will address the probable significant impacts or if an environmental
impact statement will be prepared to further analyze the proposal.
Instructions for applicants: fl!pl
This environmental checklist asks you to describe some basic information about your proposal. Please
answer each question accurately and carefully, to the best of your knowledge. You may need to consult
with an agency specialist or private consultant for some questions. You may use "not applicable" or
"does not apply" only when you can explain why it does not apply and not when the answer is unknown.
You may also attach or incorporate by reference additional studies reports. Complete and accurate
answers to these questions often avoid delays with the SEPA process as well as later in the decision-
making process.
The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of
time or on different parcels of land. Attach any additional information that will help describe your proposal
or its environmental effects. The agency to which you submit this checklist may ask you to explain your
answers or provide additional information reasonably related to determining if there may be significant
adverse impact.
Instructions for Lead Agencies:
Please adjust the format of this template as needed. Additional information may be necessary to
evaluate the existing environment, all interrelated aspects of the proposal and an analysis of adverse
impacts. The checklist is considered the first but not necessarily the only source of information needed to
make an adequate threshold determination. Once a threshold determination is made, the lead agency is
responsible for the completeness and accuracy of the checklist and other supporting documents.
For nonproject proposals (such as ordinances, regulations, plans and programs), complete the applicable
parts of sections A and B plus the S1Jr1[-,LEMEN'1`A[. SHHE r FOR NONFRQJF�QTACT . IONS
(pgft Q.. Please
completely answer all questions that apply and note that the words "project," "applicant," and "property or
site" should be read as "proposal," "proponent," and "affected geographic area," respectively. The lead
agency may exclude (for non -projects) questions in Part B - Environmental Elements --that do not
contribute meaningfully to the analysis of the proposal.
1. Name of proposed project, if applicable: A 5 -year coverage for Maintenance of Public Works
Facilities within watercourses.
2. Name of applicant: Tod Holes, Sti-eel/Storiiiii,atei-,Section Allanager, Public Works Department; City
of Edmonds
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3. Address and phone number of applicant and contact person: 7110 210th St SW, Edmonds, WA
98026 425-771-0235
4. Date checklist prepared: July 1, 2014
5. Agency requesting checklist: City of Edmonds and Washington Dept. of Fish and Wildlife
6. Proposed timing or schedule (including phasing, if applicable): Work to begin in the Summer of
2014 and expire 2019.
7. Do you have any plans for future additions, expansion, or further activity related to or
connected with this proposal? If yes, explain. No
8. List any environmental information you know about that has been prepared, or will be
prepared, directly related to this proposal. None
9. Do you know whether applications are pending for governmental approvals of other
proposals directly affecting the property covered by your proposal? If yes, explain.
No
10. List any government approvals or permits that will be needed for your proposal, if known.
Washington Department of Fish and Wildlife, Hydraulic Project Approval (HPA).
11. Give brief, complete description of your proposal, including the proposed uses and the size
of the project and site. There are several questions later in this checklist that ask you to
describe certain aspects of your proposal. You do not need to repeat those answers on this
page. (Lead agencies may modify this form to include additional specific information on project
description.) This checklist covers maintenance of structures within various streams throughout the
City of Edmonds over the next five years (see Figure I and Table 1). Typical actions include trimming
of vegetation in and around water control devices, cleaning of trash racks, and removal of accumulated
sediments and debris.
12. Location of the proposal. Give sufficient information for a person to understand the precise
location of your proposed project, including a street address, if any, and section, township, and
range, if known. If a proposal would occur over a range of area, provide the range or
boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic
map, if reasonably available. While you should submit any plans required by the agency, you
are not required to duplicate maps or detailed plans submitted with any permit applications
related to this checklist. See Figure I for locations. All are in Edmonds, WA.
1. Earth
a. General description of the site (circle one): Flat, rolling, hiller, steels slopes, mountainous,
other
b. What is the steepest slope on the site (approximate percent slope)? 30% to 40% at site MDC -
I and SHC-6 (see Table 1).
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What general types of soils are found on the site (for example, clay, sand, gravel, peat,
muck)? If you know the classification of agricultural soils, specify them and note any
agricultural land of long-term commercial significance and whether the proposal results in
removing any of these soils. Predominant soils found across City are: Alderwood gravelly sandy
loam and Everett gt,avelly sandy loam. Other soils with much smaller areal extent are: Kitsap silt
loam, McKenna gravelly sandy loam and Mukilteo muck.
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so,
describe. [hel j MDC -1 is within the North EdinondsEarth Subsidence and Landslide Mazard Area
(ESHLA?
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. None.
f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe.
Erosion can occur f -om rainfall in exposed soils. Best Management Practices (BMPs) will be
employed to minimize erosion.
g. About what percent of the site will be covered with impervious surfaces after project
construction (for example, asphalt or buildings)? Not applicable.
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any:
To minimize erosion from occurring within the project area, the lvork will occur during the dry
season. If there is the potential of rain falling on exposed soil that could erode and transport
sediment to a watercourse, these soils will be covered with straw or other BMPs will be employed.
IN 1 J
a. What types of emissions to the air would result from the proposal during construction
operation, and maintenance when the project is completed? If any, generally describe and
give approximate quantities if known. Normal emission from small, hand heldpower equipment.
b. Are there any off-site sources of emissions or odor that may affect your proposal? If so,
generally describe. No
c. Proposed measures to reduce or control emissions or other impacts to air, if any:
All fossil fueled power tools will have the required emission controls.
f
a. Surface Water:
1) Is there any surface water body on or in the immediate vicinity of the site (including
year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe
type and provide names. If appropriate, state what stream or river it flows into.
Yes, see Table 1 and Figure 1.
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, see Table I and Figure 1.
The work will consist of a variety of actions to maintain flow by removing obstuctions, cleaning -
trash racks, and removing sediment. Except for removing sediment at the Perrinville Creels
diversion structure (site PRC -2), all work will be done using hand tools only. Site PRC -2
EPA Environmental checklist (WAC 197-11-960) May 2014 Page 3 of 11
requires a stream bypass, fish exclusion, excavation using a backhoe of approximately 10 cubic
yards of rocks and sediment per event.
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. No fill is proposed. Dredge material will be less than 10
cubic yards per year for all the sites.
4) Will the proposal require surface water withdrawals or diversions? Give general
description, purpose, and approximate quantities if known. None.
5) Does the proposal lie within a 100 -year floodplain? If so, note location on the site plan.
Yes, site WLC-1 (Figure I and Table 1), as defined by FEMA maps.
6) Does the proposal involve any discharges of waste materials to surface waters? If so,
describe the type of waste and anticipated volume of discharge. No.
b. Ground Water:
1) Will groundwater be withdrawn from a well for drinking water or other purposes? If so,
give a general description of the well, proposed uses and approximate quantities
withdrawn from the well. Will water be discharged to groundwater? Give general
description, purpose, and approximate quantities if known. No.
2) Describe waste material that will be discharged into the ground from septic tanks or
other sources, if any (for example: Domestic sewage; industrial, containing the
following chemicals... ; agricultural; etc.). Describe the general size of the system, the
number of such systems, the number of houses to be served (if applicable), or the
number of animals or humans the system(s) are expected to serve. Not applicable.
c. Water runoff (including stormwater):
1) Describe the source of runoff (including storm water) and method of collection
and disposal, if any (include quantities, if known). Where will this water flow?
Will this water flow into other waters? If so, describe. This project action is to maintain
facilities in watercourses that convey storinwater runoff.
2) Could waste materials enter ground or surface waters? If so, generally describe. Yes, but
BMPs will be employed to significantly reduce the likelihood of a release.
3) Does the proposal alter or otherwise affect drainage patterns in the vicinity of the site? If
so, describe. No.
d. Proposed measures to reduce or control surface, ground, and runoff water, and drainage
pattern impacts, if any: Applicable BMPs from the "Regional Road Maintenance Endangered Species
Act (ESA) Program Guidelines " will be used for all maintenance activities.
a. Check the types of vegetation found on the site:
—x—deciduous tree: alder, maple, aspen, other
—x—evergreen tree: fir, cedar, pine, other
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_x—shrubs
_x_grass
pasture
crop or grain
Orchards, vineyards or other permanent crops.
_x wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other
®x water plants: water lily, eelgrass, milfoil, other
other types of vegetation
b. What kind and amount of vegetation will be removed or altered? Vegetation obstructing the
flow of suface waters through the channel, as required.
c. List threatened and endangered species known to be on or near the site. None.
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance
vegetation on the site, if any: Not applicable.
e. List all noxious weeds and invasive species known to be on or near the site.
None known
a. List any birds and other animals which have been observed on or near the site or are known
to be on or near the site. Examples include:
birds: hawk, heron, eagle, songbirds, other:
mammals: deer, bear, elk, beaver, other:
fish: bass, salmon, trout, herring, shellfish, other
b. List any threatened and endangered species known to be on or near the site. None
c. Is the site part of a migration route? If so, explain. Not applicable.
d. Proposed measures to preserve or enhance wildlife, if any: Site TPC -2 is within 800 feet of
Bald Eagle nests in Hutt Park (9309 187"' St SW). If possible, work at this location will not be
conducted between February P & April I5`" and July P & July 2P in any given year.
e. List any invasive animal species known to be on or near the site. None.
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. Small, fossil fuel powered hand tools.
b. Would your project affect the potential use of solar energy by adjacent properties?
If so, generally describe. No.
c. What kinds of energy conservation features are included in the plans of this proposal?
List other proposed measures to reduce or control energy impacts, if any: None.
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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.
1) Describe any known or possible contamination at the site from present or past uses.
None.
2) Describe existing hazardous chemicals/conditions that might affect project development
and design. This includes underground hazardous liquid and gas transmission pipelines
located within the project area and in the vicinity. None.
3) Describe any toxic or hazardous chemicals that might be stored, used, or produced
during the project's development or construction, or at any time during the operating
life of the project. Small, fossil fitel powered hand tools ncay be used ora site.
4) Describe special emergency services that might be required. None.
5) Proposed measures to reduce or control environmental health hazards, if any:
None.
1) What types of noise exist in the area which may affect your project (for example:
traffic, equipment, operation, other)? None.
2) What types and levels of noise would be created by or associated with the project on a
short-term or a long-term basis (for example: traffic, construction, operation, other)? Indi-
cate what hours noise would come from the site. Routine noise frown small, fossil Eitel powered
hand tools.
3) Proposed measures to reduce or control noise impacts, if any: None.
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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. Predominantly single fancily
residences and parks.
b. Has the project site been used as working farmlands or working forest lands? If so, describe.
How much agricultural or forest land of long-term commercial significance will be converted to
other uses as a result of the proposal, if any? If resource lands have not been designated,
how many acres in farmland or forest land tax status will be converted to nonfarm or
nonforest use? No.
1) Will the proposal affect or be affected by surrounding working farm or forest land normal
business operations, such as oversize equipment access, the application of pesticides,
tilling, and harvesting? If so, how: No.
c. Describe any structures on the site. Site PRC -1 has a diversion structure.
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d. Will any structures be demolished? If so, what? No.
e. What is the current zoning classification of the site? Predominantly single family residences.
f. What is the current comprehensive plan designation of the site? Same as (e) above.
9. If applicable, what is the current shoreline master program designation of the site? Not
V
applicable. / C ... ....
. ......
h. Has any part of the site been classified as a critical area by the city or county? If so, specify.
Some locations are designated as wetland and all are located in creeks.
Approximately how many people would reside or work in the completed project? Not
applicable.
j. Approximately how many people would the completed project displace? Not applicable.
k. Proposed measures to avoid or reduce displacement impacts, if any: Not applicable.
L. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any: This project will maintain structures in City creeks to reduce the likelihood
of flooding, which would provide a benefit to nearby properties.
m. Proposed measures to ensure the proposal is compatible with nearby agricultural and forest
lands of long-term commercial significance, if any: Not applicable.
ME=
a. Approximately how many units would be provided, if any? Indicate whether high, mid-
dle, 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. Proposed measures to reduce or control housing impacts, if any: Not applicable.
10. Aesthetics
a. What is the tallest height of any proposed structure(s), not including antennas; what is the
principal exterior building material(s) proposed? Not applicable.
b. What views in the immediate vicinity would be altered or obstructed? None.
c. Proposed measures to reduce or control aesthetic impacts, if any: Not applicable.
11. Light and glare
a. What type of light or glare will the proposal produce'? What time of day would it mainly
occur? Mone.
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b. Could light or glare from the finished project be a safety hazard or interfere with views? Not
applicable.
c. What existing off-site sources of light or glare may affect your proposal? None.
d. Proposed measures to reduce or control light and glare impacts, if any: Not applicable.
12. Recreation
a. What designated and informal recreational opportunities are in the immediate vicinity?
Some project locations are near City and County parks.
c. Proposed measures to reduce or control impacts on recreation, including recreation
opportunities to be provided by the project or applicant, if any: None.
y
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 5
near the site? If so, specifically describe. None known.
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. None known.
Describe the methods used to assess the potential impacts to cultural and historic resources
on or near the project site. Examples include consultation with tribes and the department of
archeology and historic preservation, archaeological surveys, historic maps, GIS data, etc.
Allost sites have been inspected and cleaned for over 15 years ivith no eviclence of cultural of historic
resources. Most sites do not involve excavating. The City will be prepared if a cultural or historic
resource is discovered (see answer to next question).
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.
. If historic or cultural resources are uncovered at any point during the project, the discovery
location will be secured and the appropriate agencies and tribes will be contacted.
14. Transportation
a. Identify public streets and highways serving the site or affected geographic area arid
describe proposed access to the existing street system. Show on site plans, if any. See
Figure 1.
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? Varies by
location.
c. How many additional parking spaces would the completed project or non -project proposal
have? How many would the project or proposal eliminate? Not applicable.
SEPA Environmental checklist (WAC 197-11-960) May 2014 Page 8 of 11
d. Will the proposal require any new or improvements to existing roads, streets, pedestrian,
bicycle or state transportation facilities, not including driveways? If so, generally describe
(indicate whether public or private). No.
e. Will the project or proposal use (or occur in the immediate vicinity of) water, rail, or air
transportation? If so, generally describe. No.
f. How many vehicular trips per day would be generated by the completed project or proposal?
If known, indicate when peak volumes would occur and what percentage of the volume would
be trucks (such as commercial and nonpassenger vehicles). What data or transportation
models were used to make these estimates? None.
g. Will the proposal interfere with, affect or be affected by the movement of agricultural and
forest products on roads or streets in the area? If so, generally describe. No.
h. Proposed measures to reduce or control transportation impacts, if any: Not applicable.
HROUT-1n
a. Would the project result in an increased need for public services (for example: fire protection,
police protection, public transit, health care, schools, other)? If so, generally describe. No.
b. Proposed measures to reduce or control direct impacts on public services, if any. Not
applicable.
16. Utilities
a. Circle utilities currently available at the site:
electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system,
other . None.
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. Not applicable.
ME= ��
The above answers
e true and complete to the best of my knowledge. I understand that the
lead agencl. em to make its decision.
Signature:
Name of signbe
Positiori�-a'nd Agency/Organization
Date Submitted:
SEPA Environmental checklist (WAC 197-11-960) May 2014 Page 9 of 11
0=IN 11 INIIII'l III Ill 111;11! 1111 1 111 1 1 1 1 1
0) W, � ' 11111 111191-11,02 !!
(IT IS NOT NECESSARY to use this sheet for project actions)
Because these questions are very general, it may be helpful to read them in conjunction
with the list of the elements of the environment.
When answering these questions, be aware of the extent the proposal, or the types of
activities likely to result from the proposal, would affect the item at a greater intensity or
at a faster rate than if the proposal were not implemented. Respond briefly and in
general terms.
1. Flow would the proposal be likely to increase discharge to water; emissions to air; pro-
duction, storage, or release of toxic or hazardous substances; or production of noise?
Proposed measures to avoid or reduce such increases are:
2. I -low would the proposal be likely to affect plants, animals, fish, or marine life?
Proposed measures to protect or conserve plants, animals, fish, or marine life are:
3. How would the proposal be likely to deplete energy or natural resources?
Proposed measures to protect or conserve energy and natural resources are:
4. How would the proposal be likely to use or affect environmentally sensitive areas or
areas designated (or eligible or under study) for governmental protection; such as parks,
wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or
cultural sites, wetlands, floodplains, or prime farmlands?
Proposed measures to protect such resources or to avoid or reduce impacts are:
5. How would the proposal be likely to affect land and shoreline use, including whether it
would allow or encourage land or shoreline uses incompatible with existing plans?
Proposed measures to avoid or reduce shoreline and land use impacts are:
6. How would the proposal be likely to increase demands on transportation or public
services and utilities?
SEPA Environmental checklist (WAC 197-11-960) May 2014 Page 10 of 11
Proposed measures to reduce or respond to such demand(s) are:
7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or
requirements for the protection of the environment.
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