SEPA Checklist.pdfOV FDAo
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CITY OF EDMONDS
Propose 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 malting 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 fi-om 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.
Instructionsfor ApIWcanfs:
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 carefi►lly, 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 B) 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.
1. Name of proposed project, if applicable: SEAHiclnrnan Park (Verizon)
2. Dame of applicant: Verizon JVireless
3. Address and phone number of applicant and contact person:
Luton Development obo Verizon Wireless Attn Becic7� Todd
617 8"' Ave S. Seattle WA 98104
4. Date checklist prepared: 1116114.
. Agency requesting ehecklist: City offdnronds
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SEA Hickman Park SEPA Checklist
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0
6. Proposed timing or schedule (including phasing, if applicable): Construction schedule is dependent on the date of
permit approval. Overall site installation is anticipated to take 4-6 weeks and does not require phasing.
(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.
There are no expansions planned at this time However, as technology evolves the equkpinent will be upgraded in
response to what is needed This activith could include changes to antenna models, appurtenances and additional
equkpment.
(STAFF COMMENTS)
8. List any environmental information you know about that has been prepared, or will be prepared, directly related
to this proposal.
SEPA checklist Phase I Geotech
(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 known
(STAFF COMMENTS)
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10. List any government approvals or permits that will be needed for your proposal, if known.
Type II Conditional Use SEPA determination building permit Right of Way 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. You
do not need to repeat those answers on this page.
Install a new wireless facility by locating antennas on a replacement utility pole in the right of way, and installing
ground equipment on adjacent private property within a fenced and landscaped lease area The replacement utility pole
will be 62 feet above -ground and will hold three (3) panel antennas and associated appurtenances (6 radio heads, 3
amplifiers 1 surge box) The ground equipment will be completely shielded from view behind a 10 -foot solid wood
fence with extra sound -proofing Cabling will run between the antennas and the ground equipment.
(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.
The nroposed location is at 10307 238`x' St. SW, Edmonds WA 98020, parcel# 27033600301900. The property is
owned by the Klahaya Swim & Tennis Club. The property is located to the east of Hickman Park and south of former
Woodway High School
(STAFF COMMENTS)
IM1110102 I DICIN..
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Earth
a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous, other:
(STAFF COMMENTS)
b. What is the steepest slope on the site (approximate percent slope)?
0-2%
(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 agricultural land of longterm
commercial significance and whether the proposal results in removing any of these soils.
Everett gravelly sandy loam Ther is no agricultural lands of commercial significance.
(STAFF COMMENTS)
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe.
None known or observed on the subject property
(STAFF COMMENTS)
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.
The ground disturbance associated with this project will include digging to set the replacement utility pole to be
performed by Snohomish PUD) and a trench for the utility run between the replacement utility pole and proposed
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ground equipment The utility trench will be approximately 100 feet long Source of fill is TBD but will be native
(STAFF COMMENTS)
L Could erosion occur as a result of clearing, construction, or use? If so, generally describe.
(STAFF COMMENTS)
g. About what percent of the site will be covered with impervious surfaces after project construction (for
example, asphalt or buildings)?
The project will have about 324 square feet of impervious surface which is less than 1% coverage on the parcel.
The portion of the project that is "impervious" will be the slab upon which the cabinets will be installed which
will be largely located over an existing basketball court so any increase in impervious surface will be negligible.
(STAFF COMMENTS)
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any:
Best management practices during construction including implementation of erosion and sediment control plans
(STAFF COMMENTS)
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.
Dust and vehicle emissions during construction
(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,• facility is an unstaffed passive use and is not affected by off-site activities
In
(STAFF COMMENTS)
C. Proposed measures to reduce or control emissions or other impacts to the, if any:
Construction during approved hours
(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.
(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.
(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.
(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 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.
No• facility is unplumbed
(STAFF COMMENTS)
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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.
(STAFF COMMENTS)
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.
Water will be dispersed via natural sheeting action on the subject property. Water will also flow off the
propervia existingdrainage
(STAFF COMMENTS)
(2) Could waste materials enter ground or surface waters? If so, generally describe.
No
(STAFF COMMENTS)
(3) Does the proposal alter or otherwise affect drainage patterns in the vicinityof the site? If so,
describe.
No.
(STAFF COMMENTS)
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d. Proposed measures to reduce or control surface, ground, runoff water, and drainage pattern impacts, if
any:
Best management practices during construction including implementation of erosion and sediment control plans
4. Plants
a.
(STAFF COMMENTS)
Check or circle types of vegetation found on the site:
X deciduous tree: alder, maple, aspen, other:
X evergreen tree: fir, cedar, pine, other:
X shrubs
X grass
pasture
crop or train
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 COMMENTS)
b. What kind and amount of vegetation will be removed or altered?
The lawn will be disturbed as part of the utility trench installation, and will be restored after construction. No tree
removal is anticipated• any plants that are disturbed will be replaced
(STAFF COMMENTS)
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C. List threatened or endangered species known to be on or near the site.
(STAFF COMMENTS)
d. Proposed landscaping, use of native plants, or other materials to preserve or enhance vegetation on the site,
if any:
A landscape buffer will be added to the exterior of the fenced lease area and will consist of native shrubs.
(STAFF COMMENTS)
e. List all noxious weeds and invasive species known to be on or near the site.
None known
(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: songbirds
mammals: deer, bear, elk, beaver, other: raccoons, coyote, rodents
fish: bass, salmon, trout, herring, shellfish, other:
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b.
C.
d.
e.
(STAFF COMMENTS)
List any threatened or endangered species known to be on or near the site.
None known
(STAFF COMMENTS)
Is the site part of a migration route? If so, explain.
All of Westem Washington is part of a migration route for birds The property is not known to be of any special
significance for migrating animals
(STAFF COMMENTS)
Proposed measures to preserve or enhance wildlife, if any:
None proposed
(STAFF COMMENTS)
List any invasive animal species known to be on or near the site.
None known
(STAFF COMMENTS)
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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.
Electric energy, for site power. An emergency backup generator is also proposed but will not be a regular power
(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 proposed
(STAFF COMMENTS)
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 site will have sealed batteries for power, and a diesel backup generator for ermergency outages. Both batteries
and the generator are fuel sources
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(STAFF COMMENT
1Z
(1) Describe any known or possible contamination at the site from present or past uses.
(STAFF COMMENTS)
(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.
There are no known existing hazardous conditions that will impact the project
(STAFF COMMENTS)
(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.
Electrolyte in batteries for power; fuel for emergent backup generator
(STAFF COMMENTS)
(4) Describe special emergency services that might be required.
No special services are required• the area already has police/fire service
(STAFF COMMENTS)
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(5) Proposed measures to reduce or control environmental health hazards, if any:
The fuel sources for the facility will be sealed
(STAFF COMMENTS)
b. Noise
(1) What types of noise exist in the area which may affect your project (for example: traffic, equipment,
operation, other)?
None; project is an unstaffed passive use and external noise will not have any impact
(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 construction noise during approved construction hours. The generator will be started
occasionally as part of site maintenance
(STAFF COMMENTS)
(3) Proposed measures to reduce or control noise impacts, if any:
The fence around the ground equipment will be designed with noise buffering to keep noise levels below
statutory limits
(STAFF COMMENTS)
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h. 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.
The current site use is a tennis and swimming club. The immediately adjacent uses are residential, and there are IV
residences and a church across the street The proposal will not interfere with the existing uses.
(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 COMMENTS)
(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:
(STAFF CO
C. Describe any structures on the site.
The subject property contains a clubhouse building, pool tennis courts and a few small accessory structures.
(STAFF
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d. Will any structures be demolished? If so, what?
(STAFF COMMENTS)
e. What is the current zoning classification of the site?
Residential RS -8
(STAFF COMMENTS)
L What is the current comprehensive plan designation of the site?
Residential
(STAFF COMMENTS)
g. If applicable, what is the current shoreline master plan designation of the site?
Not applicable
(STAFF COMMENTS)
h. Has any part of the site been classified critical area by the city? If so, specify.
No
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(STAFF COMMENTS)
i. Approximately how many people would reside or work in the completed project?
None-, the facility is an unstaffed passive use Tech visits average once per month
(STAFF COMMENTS)
j. Approximately how many people would the completed project displace?
None
(STAFF COMMENTS)
k. Proposed measures to avoid or reduce displacement impacts, if any:
None
(STAFF COMMENTS)
1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if
any:
The site will be designed in compliance with the Edmonds wireless code to reduce visibility: antennas and
appurtenances will be painted to match the replacement utility pole all ground equipment will be fully screened
behind a solid wood fence and there will be landscaping installed around the exterior of the fenced lease area.
(STAFF COMMENTS)
In. Proposed measures to ensure the proposal is compatible with nearby agricultural and forest lands of long-
term commercial significance, if any:
Does not apply; there are no nearby agricultural or forest lands
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(STAFF
9. Housing
a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income
housing.
None• facility is unstaffed and does not contain housing
(STAFF COMMENTS)
b. Approximately how many units, if any would be eliminated? Indicate whether high, middle, or low-income
housing.
None
(STAFF COMMENTS)
C. Proposed measures to reduce or control housing impacts, if any:
none
(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?
The proposed replacement utility pole is a round wood pole 62 feet AGL in height
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(STAFF COMMENT
b. What views in the immediate vicinity would be altered or obstructed?
The utility pole will be visible fiom the right-of-way where it is located and from the subject and adjacent
properties when viewed at certain ales.
(STAFF COMMENTS)
C. Proposed measures to reduce or control aesthetic impacts, if any:
The antennas and appurtenances will be flush -mounted to the utility pole and painted to match in a non -Aare non -
reflective brown Cables will be contained within conduit also painted to match the utility pole
(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-, no lighting is proposed
(STAFF COMMENTS)
b. Could light or glare from the finished project be a safety hazard or interfere with views?
no
(STAFF COMMENTS)
C. What existing off-site sources of light or glare may affect your proposal?
No= facility is unstaffed and unaffected by off-site light
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(STAFF COMMENTS)
d. Proposed measures to reduce or control light and glare impacts, if any:
Paint fmish on the equipment will be non -reflective and non -Aare
(STAFF COMMENTS)
12. Recreation
a. What designated and informal recreational opportunities are in the immediate vicinity?
Swimming tennis walking, playfield with sports counts is located nearby
(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:
The construction of the facility will be coordinated with the Klahaya Swim & Tennis Club so as to not interfere
with schedules for sport activities
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(STAFF COMMENTS)
in
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.
There are buildings on site and on adjacent properties that are over 45 years old but none are eligible for historical
listings.
(STAFF COMMENTS)
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 on the subject property
(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.
GIS data DAHP search tool
(STAFF COMMENTS)
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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.
(STAFF COMMENTS)
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.
The site has access via an existing driveway from the public right-of-way on 238"1 St. SW
(STAFF COMMENTS)
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?
There is regional transit in the area The site is unstaffed and is not intended to be publicly accessible, and does not
require transit service
(STAFF COMMENTS)
C. How many additional parking spaces would the completed project or nonproject proposal have? How
many would the project or proposal eliminate?
The project will not create or eliminate parking spaces and will make use of the existing parking spaces on site.
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(STAFF
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).
No improvements are required
(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.
No
(STAFF COMMENTS)
f. 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?
After the construction phase the site will generate 1-2 vehicle trips per month for tech visits. This is an industry
standard.
(STAFF COMMENTS)
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
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(STAFF
h. Proposed measures to reduce or control transportation impacts, if any:
none proposed
(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.
No-, existing applicable services (police fire) are adequate
(STAFF COMMENTS)
b. Proposed measures to reduce or control direct impacts on public services, if any:
none proposed
(STAFF COMMENTS)
16. Utilities
a. Circle utilities currently available at the site: ectricity, tural water fuse servi le hon
unitary sew septic system, other:
The facility only requires electricity, fiber and telco
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Iz
IM
(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 which might be needed.
Power to be provided by Snohomish PUD• telco provider is Frontier. Fiber provider TBD.
(STAFF COMMENTS)
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 thein to make its decision.
Signature of Proponent
IV?"-IzvI,�..
Date Submitted
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D. SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS
(do not 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.
M1
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.
How would the proposal be likely to increase discharge to water; emissions to air; production, storage, or release of
toxic or hazardous substances; or production of noise?
Proposal measures to avoid or reduce such increases are:
2. How 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:
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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?
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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