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SEPA_Checklist-01-27-2012.pdfOF ED4O #P71 NOVRECENVED CITY OF EDMONDS .1 2011 STI C E LIST DEVELOPMENT EVELO�� I St. 189 e° COUNTER Purpose of Checklist: The State Environmental Policy Act (SEPA), chapter 43.21C RCW, requires all governmental agencies to consider the environmental impacts of a proposal before making decisions. An environmental impact statement (EIS) must be prepared for all proposals with probable significant adverse impacts on the quality of the environment. The purpose of this checklist is to provide information to help you and the agency identify impacts from your proposal (and to reduce or avoid impacts from the proposal, if it can be done) and to help the agency decide whether an EIS is required. Instructions for Applicants: This environmental checklist asks you to describe some basic information about your proposal. Governmental agencies use this checklist to determine whether the environmental impacts of your proposal are significant, requiring preparation of an EIS. Answer the questions briefly, with the most precise information known, or give the best description you can. You must answer each question accurately and carefully, to the best of your knowledge. In most cases, you should be able to answer the questions from your own observations or project plans without the need to hire experts. If you really do not know the answer, or if a question does not apply to your proposal, write "do not know" or does not apply". Complete answers to the questions now may avoid unnecessary delays later. Some questions ask about governmental regulations, such as zoning, shoreline, and landmark designations. Answer these questions if you can. If you have problems, the governmental agencies can assist you. The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will help describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional information reasonably related to determining if there may be significant adverse impact. Use of checklist for nonproject proposals: Complete this checklist for nonproject proposals, even though questions may be answered "does not apply." IN ADDITION, complete the SUPPLEMENTAL SHEET FOR 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. A. BACKGROUND 1. Name of proposed project, if applicable: Westgate Shell 2. Name of applicant: Bob Hanford - Aspect Consulting on behalf of Harry Yourist 3. Address and phone number of applicant and contact person: Aspect Consulting 350 Madison Ave N., Bainbridge Island, WA 98110 Direct (206)-780-7729, Cell (206)-276-9256 4. Date checklist prepared: 11 / 15 / 11 5. Agency requesting checklist: City ofEdmonds Revised on 8119111 P71 - SEPA Checklist Page 1 of 24 6. Proposed timing or schedule (including phasing, if applicable): Demolition and contaminated soil excavation in January and February of 2012. (STAFF COMMENTS) 11 1A H A -Ictn, v I V 0V'1VV I t" -'l I"""' vV io'! 'k r� 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. Yes, Key Bank has plans to construct a branch bank building. A separate SEPA is being perpared for this work by Key Bank. (STAFF COMMENTS) 6! b C C) V11 V m (4 7 .... ... . ... ... 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. Phase I, II, and III Environmental Site Assessments (prepared by Professional Service Industries, Inc.), Voluntary Cleanup Program (VCP Project No.NW2485)which was accepted by Ecology. (STAFF COMMENTS) CVVfr 1- (I Yl d 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. Yes, SEPA checklist for Key Bank proposed building and associated permits. YY (STAFF COMMENTS I A, LA Remised on 8119111 P71 - SEPA Cliecklisl Page 2 of 24 r J Mj A 1 A Remised on 8119111 P71 - SEPA Cliecklisl Page 2 of 24 10. List any government approvals or permits that will be needed for your proposal, if known. Demolition permit, grading permit, UST Closure Notice and Fire Department UST permit. 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. gasoline and waste oil tanks and ancillary equipment from the lot which is approximately 15,000 square feet. Excavate contaminated soil around the USTs and remove it from the site for disposal at an approved facility. Amount of soil to be removed is yet unknown, but likely will not exceed 1,000 cubic yards of petroleum or solvent contaminated soil. Excavation will be backfilled with compacted structura Mi. J (STAFF COMMENTS) V 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. Former Wingate Shell / 9930 Edmonds Way, Edmonds, WA 98020 Latitude/Longitude: 47.790298 / 122.366389 The lot is on the corner of the intersection of State Route 104 and 100th Ave. W. and is approximately 15,000 square feet. The lot extends east from 100th Ave. W. about 120 feet to Ivar's Seafood parking lot and south from State Route 104 about 120 feet to the parking lot of Chopsticks restaurant. Tax Par.ID #:2703360011 0 (STAFF COMMENTS) lA] C �;`' 0, 0 4-C .wf A'--1 10 IF 0 ! z.�o Revised on 8119111 P71 - SEPA Checklist Page 3 of 29 Eel C"DKK9XyJ I U 0 Do V N B. ENVIRONMENTAL ELEMENTS 1. 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)? Less than 3% (STAFF COMMENTS) .> 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 prime farmland. Soil Generally consists of silty Sand with Gravel down to at least 25 feet bgs (data from exploratory borings). (STAFF COMMENTS) d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. No (STAFF COMMENTS) V/ ReWsed on 8119111 P71 - SEPA Checklist Page 4 of 24 e. Describe the purpose, type and approximate quantities of any filling or grading proposed. Indicate source of fill. Following the excavation of contaminated soil the excavation will be compacted and backfilled with structural fill from .an approved WDOT source. (STAFF COMMENTS) L Could erosion occur as a result of clearing, construction, or use? If so, generally describe. No (STAFF COMMENTS) 9tfi g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? Do not know; likely -90%, but currently it is also -90%. There will likely be some grass or shrub beds around the bank that will allow percolation. (STAFF COMMENTS) s . - of r; 4' l 1'P h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: Excavation contractor will provide and follow a remeadiation plan that will include the use of silt fencing, storm drain socks, straw bales and the covering of all temporary stockpiles. (STAFF COMMENTS) €'t ' cki. v � rt r ir.. .k t 1 01 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. Some dust from demolition of the current structures. Also, possible gasoline odors during the removal of the UST and surrounding contaminated soils. (STAFF COMMENTS) Remised on 8/19/11 P71 - SEPA Checklist Page 5 of 24 b. Are there any off-site sources of emissions or odor that may effect your proposal? If so, generally describe. No (STAFF C. Proposed measures to reduce or control emissions or other impacts to the, if any: Air monitoring will be conducted during demolition and excavation. Engineering controls (i.e. fans and the covering of stockpiled soils) will be used as appropriate. (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. No (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. No (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 fill material. Does not apply. (STAFF COMMENTS) V Remised on 8119111 P71 - SEPA Checklist Page 6 of 24 (4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. No (STAFF COMMENTS) (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: soils are moist to wet, but no Groundwater was encountered in any of the exploratory borings. However, any perched or other contaminated groundwater encountered during excavation will be pumped into a storage tank for treatment or off site disposal at an approved facility. (STAFF COMMENTS) Remised on 8119111 P71 - SEPA Checklist Page 7 of24 (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. Does not apply (STAFF COMMENTS) 1, 1 ;f l ? - ° 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. The runoff from the site - including storm water - will be contained using BMPs and stored in a tank. (STAFF COMMENTS) (2) Could waste materials enter ground or surface waters? If so, generally describe. No (STAFF COMMENTS) d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: Silt dykes or fencing and berms as necessary. (STAFF COMMEN UIYIl)1 Remised on 8/19111 P71 - SEPA Checklist Page 8 of 24 4. Plants a. Check or circle types of vegetation found on the site: X deciduous tree: alder, maple, aspen, other: only a few along eastern edge ® evergreen tree: fir, cedar, pine, other: X shrubs in a few small beds 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: (STAFF COMMENTS) b. What kind and amount of vegetation will be removed or altered? Ornamental shrubs in small beds may be removed during excavation. (STAFF COMMENTS) C. List threatened or endangered species known to be on or near the site. None (STAFF COMMENTS) Revised on 8/19/11 P71 - SEPA Checklist Page 9 of 24 d. Proposed landscaping, use of native plants, or other materials to preserve or enhance vegetation on the site, if any: The demolition and excavation portion of the project has no propsed landscaping. The Key Bank branch will likely have an equal amount of or more vegetation on the site as the current Shell gas station does. (STAFF COMMENTS) 14tri A 7 A �. VO ` "� "" l 1 5 �. :� 1 � 1 I Io 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: X birds: hawk, heron, eagle, songbirds, other: pigeons or other common birds mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other: (STAFF COMMENTS) n b. List any threatened or endangered species known to be on or near the site. None (STAFF COMMENTS) N C. Is the site part of a migration route? If so, explain. Do not know (STAFF COMMENTS)—ii, V Revised on 8/19/11 P71 - SEPA Checklist Page 10 of 24 d. Proposed measures to preserve or enhance wildlife, if any: None 7, 2e, (STAFF COMMENTS) P�J` v 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. Does not apply (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: None (STAFF COMMENTS) Revised oa 8119111 P71 - SEP,4 Checklist Page I I of 24 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. The potential exists for exposures to Gasoline vatDors. (STAFF COMMENTS) (1) Describe special emergency services that might be required. Fire Department personnel will be notified and will be on site for the UST removal. (STAFF COMMENTS) `f (2) Proposed measures to reduce or control environmental health hazards, if any: Air monitoring will be conducted during tank removal and soil excavation. Engineering controls such as fans and covering of stockpiled soils will be used as appropriate. (STAFF COMMENTS) mom tili1e C -('a ) Z',. r w N A— b. Noise (1) What types of noise exist in the area which may affect ,your project (for example: traffic, equipment, operation, other)? None (STAFF COMMENTS) �� ✓ ': o -?" ('o V � V' (V Remised on 8119111 P71 - SEPA Checklist Page 12 of 24 (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 - Noise from the operation of earth moving and demolition equipment (excavator loader) and dump trucks. Long term - None. (STAFF COMMENTS) (3) Proposed measures to reduce or control noise impacts, if any: Noise will be controlled by hours of operation. Hours of operation will follow City of Edmonds municipal code. Sound protection will be required for all ancillary equipment. (STAFF COMMENTS) Noise is regulated by Edmonds Community Development Code (ECDC) Chapter 5.30 "Noise Abatement and Control." 8. Land and Shoreline Use a. What is the current use of the site and adjacent properties? Retail (convienent store), Gasoline and diesel sales, and Automotive repair and service shop. Adjacent plots are occupied by restaurants, grocery stores, and one dry cleaners(West Way Cleaners). (STAFF COMMENTS) b. Has the site been used for agriculture? If so, describe. No (STAFF COMMENTS Remised on 8/19/11 P71 - SEPA Checklist Page 13 of 24 C. d. e. Describe any structures on the site. Single story wood service station and convenient store with restrooms and a canopy over pump island. (STAFF COMMENTS)—V Will any structures be demolished? If so, what? Yes, all structures will be demolished to provide access to contaminated soil and make room from new structures. (STAFF COMMENTS) I (A A, Al C,'` What is the current zoning classification of the site? Commercial vy-ap", (STAFF COMMENTS)) V, L What is the current comprehensive plan designation of the site? Commercial (STAFF COMMENTS) r -r-1 fui 9. If applicable, what is the current shoreline master plan designation of the site? Does not apply (STAFF COMMENTS) Revised on 8119111 P71 - SEPA Checklist Page 14 of 24 h. i. k. 1. Has any part of the site been classified as an "environmentally sensitive" area? If so, specify. No v W - (STAFF COMMENTS) rcA Approximately how many people would reside or work in the completed project? Does not apply (STAFF COMMENTS) Approximately how many people would the completed project displace? Does not apply (STAFF COMMENTS) i z g Proposed measures to avoid or reduce displacement impacts, if any: None. (STAFF COMMENTS)) -111 IrVY- Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: Excavation will be backfill and compacted with structural fill. (STAFF COMMENTS Rei,ised ott 8119111 P71 - SEPA Checklist Page 15 of 24 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing. Does not apply (STAFF COMMENTS) b. Approximately how many units, if any would be eliminated? Indicate whether high, middle, or low-income housing. No (STAFF COMMENTS) ' C. Proposed measures to reduce or control housing impacts, if any: None (STAFF COMMENTS) V 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? Does not apply ti (STAFF COMMENTS) << Remised on 8119111 P71 - SEPd Checklist Page 16 of 24 b. What views in the immediate vicinity would be altered or obstructed? None (STAFF COMMENTS)' , C. Proposed measures to reduce or control aesthetic impacts, if any: None (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? Does not apply (STAFF COMMENTS) _. b. Could light or glare from the finished project be a safety hazard or interfere with views? Does not apply (STAFF COMMENTS) C. What existing off-site sources of light or glare may affect your proposal? None (STAFF COMMENTS) Remised on 8119111 P71 - SEPA Checklist Page 17 of 24 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? None (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: None (STAFF COMMENTS) Revised o» 8119111 P71 - SEPA Checklist Page 18 of 24 13. Historic and Cultural Preservation a. 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. No (STAFF COMMENTS) b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. There are none. (STAFF COMMENTS) C. Proposed measures to reduce or control impacts, if any: None (STAFF COMMENTS) - 14. Transportation Should archaeological materials or human remains be observed during project activities, all work in immediate vicinity should stop. The State Department of Archaeology & Historic Preservation (360.586.3065), the Planning Division (425.771.0220), and the County Coroner (if applicable) should be contacted immediately. compliance with all applicable laws (RCW 27.53, 27.44, & WAC 25-48) is required - failure to do so could constitute a Class C Felony. a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Show on site plans, if any. State Route 104 and 100th Ave. W. both have access to the site. Trucks will enter site from 100th Ave. W. and exit Eastbound on State Route 104. (STAFF COMMENTS) -V Remised on 8/19/11 P71 - SEPA Checklist Page 19 of 24 b. Is site currently served by public transit? If no, what is the approximate distance to the nearest transit stop? Yes (STAFF COMMENTS)",, OW, r LA T 5 v r, 71 C. How many parking spaces would the completed project have? How many would the project eliminate? Does not apply (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) 'M UA -To e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. No (STAFF COMMENTS) Revised on 8119111 P71 - SEPA Checklist . Page 20 of 24 L How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. Does not apply (STAFF COMMENTS)r' ' Y sv' g. Proposed measures to reduce or control transportation impacts, if any: None (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. No (STAFF COMMENTS) b. Proposed measures to reduce or control direct impacts on public services, if any: None (STAFF COMMENTS) .; Revised on 8119111 P71 - SEPA Checklist Page 21 of 24 16. Utilities a. Circle utilities currently available at the site: electricity, natural gas, water, refuse service, telephone, sanitary sewer, septic system, other: Electric, gas, water, telephone and sanitary sewer. (STAFF COMMENTS) 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. Electric, gas, water, telephone and sanitary sewer. The utilities will need to be hooked up and activated for the new systems once in place. (STAFF COMMENTS) C. SIGNATURE I declare under penalty of perjury laws that the above answers are true and correct to the best of my knowledge. "con them to make its decision. Signature of Proponent �`Date Submitted Environmental Checklist Reviewed By: Gina Coccia, Associate Planner 425.771.0220, x 1778 Sign Date I understand Revised on 8119111 P71 - SEPA Checklist Page 22 of 24