12-101545ciry OF
Federal Way
June 14, 2012
Sunny Ausink
Pacific Telecom Services, PTS
111 South Jackson Street, Suite 200
Seattle, WA 98104
Y L f"
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www. cityoffederalway.. com
RE: File #12-101545-00-UP; PROCESS III —'PROJECT APPROVAL'
AT&T Mobility SS63 — Adelaide,1216 SW Dash Point Road, Federal Way
Dear Ms. Ausink:
The Community and Economic Development Department bas completed administrative land use review
of the proposed Personal Wireless Service Facility (PWSF) improvements located at 1216 SW Dash Point
Road, Federal Way. The applicant proposes to add two new LTE antennas to an existing 50-foot Puget
Sound Energy (PSE) utility pole, within City owned right-of-way. The height of the utility pole will
increase from 50'-0" to 59' 10". The proposal also includes ground equipment upgrades within the
existing fenced -in concrete equipment pad. The proposed modification is part of AT&T's network
implementation plan to provide 4G LTE coverage in the Federal Way area to better serve customers.
The Process III Master Land Use (MLU) application submitted April 8, 2012, is hereby approved based
on the enclosed findings of fact, incorporated into this decision in full, and the following conclusions
based on those facts:
1. The proposal is consistent with the comprehensive plan;
2. The proposal is consistent with all applicable provisions of Federal Way Revised Code (FWRC);
3. The proposal is consistent with the public health, safety, and welfare;
4. The streets and utilities in the area of the subject property are adequate to serve the anticipated
demand from the proposal;
5. The proposed access to the subject property is at the optimal location and configuration; and
6. Traffic safety impacts for all modes of transportation, both on and off site, are adequately
mitigated.
The remainder of this letter outlines the land use review process required for this particular site
improvement; summarizes the State Environmental Policy Act (SEPA) process; and provides other
procedural information. This land use decision does not authorize initiation of construction activities.
REVIEW PROCESSES REQUIRED
Pursuant to FWRC 19.15.030(3), improvements and/or additions to an existing developed site that are not
exempt from SEPA shall be processed under Use Process III. The Director of Community and Economic
Development will make the initial land use decision based on written comments and information gathered
during site plan review. Any appeals of the decision will be decided by the Hearing Examiner after a
public hearing.
Ms. Ausink
June 14, 2012
Page 2
SEPA PROCESS
The City of Federal Way issued a Determination of Nonsignificance (DNS) on May 30, 2012, pursuant to
Washington Administrative Code 197-11-350. Following review of the environmental checklist, the city
determined the proposal would not have a probable significant adverse impact on the environment, and an
Environmental Impact Statement would not be required, and no SEPA based mitigation was necessary.
RIGHT-OF-WAY PERMIT ISSUANCE REQUIRED
The City's Public Works Department is currently reviewing the right-of-way permit (File #12-102577-
TR) associated with the modification of the existing PWSF. No work may begin until the right-of-way
permit is issued. Please contact Kathy Messinger, Engineering Technician, at 253-835-2725 if you have
any questions regarding the right-of-way permit.
CONDITIONS OF APPROVAL
The following conditions of approval are a component of this land use decision:
1. Prior to any site work, the applicant shall obtain approval for a right-of-way permit from the city's
Public Works Department as mentioned above.
2. Prior to any site work, the applicant shall obtain an electrical permit from the city's Department of
Community and Economic Development. For further information regarding electrical permits, please
contact the department's permit center at 253-835-2607.
REQUESTS FOR CHANGE OF VALUATION
Any affected property owners may request a change in valuation for property tax purposes, not
withstanding any program of revaluation.
APPROVAL DURATION
Unless modified or appealed, the Process III decision is valid for five years from the date of issuance of
the decision. Time extensions to the decision may be requested prior to the lapse of approval following
the provisions listed in FWRC 19.15.110.
APPEALS
The effective date of issuance is three calendar days following the date of this letter, or June 18, 2012.
Pursuant to FWRC 19.65.120, this land use decision may be appealed by any person who submitted
written comments or any person who has specifically requested a copy of the decision. Any appeal must
be in the form of a letter delivered to the Community and Economic Development Department with the
established fee and within 14 days after the effective date of issuance of this decision, or July 2, 2012.
The appeal letter must contain a clear reference to the matter being appealed and a statement of the factual
findings and conclusion of the Director disputed by the person filing the appeal. The Federal Way
Hearing Examiner will hear any appeals of the Process III decision.
CLOSING
This land use decision does not waive compliance with future City of Federal Way codes, policies, and
standards relating to this development.
If you have any questions regarding this decision, please contact Becky Chapin, Assistant Planner, at 253-835-
2641 or rebecca.chapin@cityoffederalway.com.
12-101545
Doc, LD, 61373
Ms. Ausink
June 14, 2012
Page 3
Sincerely,
Isaac Conlen
Planning Manager
for Patrick Doherty, Director
enc: Exhibit `A' Findings for Project Approval
Approved Plan Set
email to: sausink@ptswa.com
Kathy Messinger, Engineering Technician
Becky Chapin, Assistant Planner
12-101545
Doc. LD. 61373
CITY OF
Federal Way
Exhibit A
FlLr--t�:4
Findings for Project Approval
Federal Way Revised Code (FWRC) Chapter 19.65 `Process III Project Approval'
AT&T Mobility SS63 — Adelaide, File 12-101545-00-UP
The Planning Division hereby presents the following analysis to the Director of Community and Economic
Development pursuant to content requirements of the Process III written decision as set forth in Federal Way
Revised Code (FWRC) 19.65.100(4).
1. Proposal — The applicant proposes to modify an existing Personal Wireless Service Facility (PWSF) by
adding two new LTE antennas to a 50-foot Puget Sound Energy (PSE) utility pole within city owned
right-of-way. The height of the utility pole will increase from 50 feet to 59 feet 10 inches. The proposal
also includes ground equipment upgrades within the existing fenced -in concrete equipment pad. The
proposed modification is part of AT&T's network implementation plan to provide 4G LTE coverage in
the Federal Way area to better serve customers.
2. Site Conditions — The existing PWSF is located on a 50-foot PSE wood utility pole, the new antennas
will be mounted to a pipe extension on the utility pole. The PWSF is located in a public right-of-way
near 1232 SW Dash Point Road. The ground equipment is to be located within an existing fenced
concrete pad area, next to a single family residence at 1216 SW Dash Point Road, Federal Way.
3. Comprehensive Plan and Zoning — The City's Comprehensive Plan designation is Single Family,
Medium Density and the zoning is Single Family Residential (RS 15.0). PWSFs are permitted in the RS
zone pursuant to FWRC 19.200.190.
4. Review Process — The replacement and addition of antennas to the existing PWSF is not exempt from
State Environmental Policy Act (SEPA) review and is subject to Process III `Project Approval' review.
5. State Environmental Policy Act (SEPA) — The proposal is not exempt from environmental review
pursuant to Washington Administrative Code 197-11-800(25)(a)(iii). The city utilized the Optional DNS
process as allowed by SEPA Rules. A combined Notice of Application and Optional Determination of
Nonsignificance was issued May 4, 2012. No comments were received during the integrated comment
period. The city's Responsible Official issued a Determination of Nonsignificance May 30, 2012. The
threshold determination appeal period ended June 13, 2012, with no appeals submitted to the Federal
Way City Clerk.
6. Public Notice — Pursuant to Process III and SEPA regulations, a Notice of Land Use Application and
Optional DNS were published in the Federal Way Mirror, posted at two locations at the subject site,
and displayed on the designated city notice boards on May 4, 2012. Notices were also mailed to
property owners within 300 feet of the subject property. No comments were received on the land use
application or SEPA DNS notice.
7. Prioritized Locations — The applicant proposes to locate the PWSF on "Appropriate public rights -of -
way," which is the fifth priority location of the five prescribed in FWRC 19.255.010(4). Higher
prioritized locations are not feasible as this proposal is an upgrade to an existing facility. There are no
alternative structures in the proposed vicinity. Staff finds the applicant has met the burden to utilize the
fifth prioritized location. The addition of two LTE antennas should provide the full benefit of service to
the area.
8. PWSF Development Standards — PWSFs located on existing structures within a public right-of-way
shall meet development standards prescribed in FWRC 19.255.020(l). The following are staff
responses to each criterion:
a. (ii) The PWSF exceeds the minor facility thresholds for number of antennas and size, but creates
no more adverse impacts than a minor facility. Based on site photos and detailed drawings, the
proposed addition will be installed in the same manner as the previously approved antennas and
the visual impact will be unchanged.
b. The combined antennas will not exceed 15 feet above the existing structure. The existing utility
pole is 50 feet tall. The proposed antennas will increase the height to 59 feet 10 inches.
c. The PWSF in located in the right-of-way. It will not exceed 15 feet above the existing structure, is
similar in terms of size, material, and shape, and will be painted to match existing PWSF.
d. The proposed antennas will be painted to match existing tower. The aesthetic impacts to
surrounding uses will be no greater than the existing facility.
e. The proposed size and number of the PWSF is necessary to meet coverage objectives as depicted
in the project narrative provided by the applicant.
f. The proposed ground equipment will be added to an existing fenced concrete pad. The footprint of
the facility will not be enlarged and will meet the setback requirements originally approved.
9. Screening Standards — PWSFs are required to be screened using best available technology and design.
The proposed antennas will be screened and painted to match the existing antennas. These measures
appropriately mitigate visual impacts of the facility, cause no adverse cumulative effects, and meet
aesthetic standards set forth in FWRC 19.255.020(l)(d).
10. Electronics Equipment Standards — Applicant proposes to upgrade the existing equipment enclosure
with ancillary equipment. Proposed upgrades will occur within enclosure and no material expansions or
changes to the architectural design of the enclosure are proposed. Therefore, these changes are exempt
from PWSF standards set forth in FWRC Chapter 19.255 and are permitted outright with no further
regulatory action required pursuant to FWRC 19.255.010(3)(g).
11. Security Screening — The PWSF includes existing structure and fencing; no new fencing or
expansion of existing fencing is proposed.
12. Cumulative Effects — The city must consider the cumulative visual effects of the PWSF mounted on
an existing structure in determining whether additional permits may be granted so as to not adversely
affect the visual character of the city. Based on the plans and photo -simulations of the proposed
modifications, the PWSF will not adversely affect the visual character of the city. The additional
antennas will be camouflaged through best available technology and design and will have less of an
impact than creating a new PWSF site.
13. Conditions of Approval — The following conditions of approval shall be a component of the
Process III land use decision:
• Prior to any site work, the applicant shall obtain approval for a right-of-way permit from the
city's Public Works Department.
• Prior to any site work, the applicant shall obtain an electrical permit from the city's Department
of Community and Economic Development.
Findings for Project Approval Page 2
AT&T Mobility SS63 — Adelaide File 12-101545-00-UP/ooc. i n 61372
14. Process III Decision Criteria —Based on the above findings, staff has determined the proposal is
consistent with applicable site plan approval criteria required for Process III `Project Approval'
pursuant to the following FWRC 19.65.100(2) items. Staff responses (italicized) follow each
criterion:
a. It is consistent with the comprehensive plan;
The proposal is consistent with the following FWCP goals and policies:
PUGI — Work with private utility companies to allow them to provide full and
timely service that meets the needs of the city's residents and businesses, both
present and future.
PUG2 — Work with private utility companies to allow them to provide service in
a way that balances cost-effectiveness with environmental protection, aesthetic
impact, public safety, and public health.
PUP17 — The city should require that site specific utilityfacilities such as
antennas and substations be reasonably and appropriately sited and screened to
mitigate adverse aesthetic impacts.
b. It is consistent with all applicable provisions of this title;
The site plan has been reviewed under FWRC Title 19, "Zoning and Development
Code, " with specific attention to the following divisions and/or chapters: Division I,
Administration; Chapter 19.65, Process III Project Approval; Chapter 19.200, Single
Family Residential (RS); and Chapter 19.255, Personal Wireless Service Facilities.
C. It is consistent with the public health, safety, and welfare;
No adverse impacts are anticipated as a result of the proposal. The PWSF has received
approval from Puget Sound Energy. The Process III ML U application has been
reviewed under SEPA, FWCP, and applicable provisions of the FWRC.
d. The streets and utilities in the area of the subject property are adequate to serve the
anticipated demand from the proposal;
The city's Traffic Division has determined the PWSF will not require concurrency
review and will not adversely affect the current level ofservice. The Lakehaven Utility
District has determined no sewer or water improvements are required for the PWSF.
e. The proposed access to the subject property is at the optimal location and configuration;
The facility is an existing site and no changes are proposed to the access points to the
facility.
f. Traffic safety impacts for all modes of transportation, both on or offsite, are adequately
mitigated.
As the facility is unmanned, this criterion is not applicable.
These findings shall not waive compliance with future City of Federal Way codes, policies, and standards
relating to this development.
Prepared by: Becky Chapin, Assistant Planner
Findings for Project Approval
AT&T Mobility SS63 — Adelaide
Date: June 12, 2012
Page 3
File 12-101545-00-UP/nm I.D. 61372
NOTICE OF LAND USE APPLICATION AND
NOTICE OF OPTIONAL DETERMINATION OF
NON5IGNIFICANCE (DNS)
Projecl Name: AT&T Mobility SS19 - Adelaide
Project Description: Applicant proposes to up-
grade a Personal Wireless Service Facility (PWSF)
located on an existing 50400t Pugel Sound Energy
(PSE) utility We. Within City awned right-of-way,
by adding two new LTE antennas, increasing the
height to 59 feet, 10 inches. Associated upgrades
to the existing equipmenl cabinet within a fenced
area are also included.
Applicant: Sunny Ausink, Pacific Telecom Servic-
es, on behalf of AT&T, 1 i f South Jackson Street
f2OO, Seattle, WA 98104
Project Location: 31617 1st Avenue South, Feder-
al Way
Date Application Received: April 6, 2012
Date Determined Complete: April 27, 2012
Date of Notice of Application: May 4, 2012
Comment Due Date: May21, 2012
Environmental Review: Based upon review of a
completed envirflnmental checklist and otherinfer-
mation on file with the City, it is likely that the City
of Federal Way will determine that the project will
not have a probable significant adverse impact on
the environment and expects to issue a Dolermina-
tion of Nonsignificance (DNS) for this project. The
optional DNS process in WAC 197-11-355 is being
used. This may be your only opportunity to com-
ment on the environmental impacts of the pro-
posed project. The proposal may include mitiga-
tion measures under applicable codes, and the re-
view process may incorporate or require mitigation
measures regardless of whether an environmental
impact statement {EIS} is prepared. A copy of the
subsequent threshold determination for the specif-
ic proposal may be obtained upon request.
Agencies, tribes, and the public are encouraged to
review and Comment on the proposed project and
its probable environmental impacts. Comments
must be Submitted by the date noted above.
Permits Required by This Application: Master
Land Use Process lit (File #12-101545-UP) and
State Environmentai Policy Act Threshold Determi-
nation {File #12-101546-SE}
Other Permits Known at this Time and Not In-
cluded in This Application: Electrical Permit
Existing Environmental Documents: Environmen-
tal Checklist
Relevant Environmental Documents Are Avail-
able at the Address Below: Yes
Development Regulations to Be Used for Project
Review Known at this Time: Federal Way Revised
Cade Title 14, 'Environmental Policy' and Title 19
'Zoning and Development Code.'
Public Comment & Appeals: Any person may sub•
mil written comments on the land use application
or the environmental impacts of the proposal to
the Director of Community and Economic Develop-
ment by 5:00 p.m. on May 21, 2012. Only persons
who submit written comments to the Director (ad-
dress below) or specifically request a copy of the
decision, may appeal the decision. However, any
interested party may appeal the environmental
threshold determination. Details of appeal proce-
dures for the requested land use decision will be
included with the written decision.
Issuance of Final Environmental Determination:
The final Determination of Nonsignificance may be
issued without a second comment period, unless
timely comments identify probable significant ad-
verse Impacts that were not considered by the No-
tice of Optional Determination of Nonsignificance.
A copy of the Determination of Nonsignihcance
may be obtained upon request.
Availability of File: The official project file is avaii-
able for public review at the Department of Com-
munity and Economic Development, 33325 8th Av-
enue South, Federal Way, WA 98003-6325
Staff Contact: Becky Chapin, Assistant Planner,
253-835-2641
Published in the Federal Way Mirror: May 4, 2012
FWM 1888
31919- 1 s' Ave S, Suite 10 1 1 Federal, Way, WA 98003 1253.925.5565 1253.925.5750 (f)
Affidavit of Publication
Rudi Alcott, being first duly sworn on oath, deposes and says that he is the
Publisher of The Federal Way Mirror, a weekly newspaper. That said
newspaper is published in the English language continually as a weekly
newspaper in Federal Way, King County, Washington, and is now and
during all of said time has been printed in an office maintained by the
aforementioned place of publication of said newspaper.
That the annexed is a true copy of a legal advertisement placed by
City of Federal Way - Community Development Department
as it was published in regular issues (and not in supplemental form) of said
newspaper once each week for a period of one consecutive weeks(s),
commencing on the 4th day of May 2012, and ending on the 4th day of May
2012, both dates inclusive, and that such newspaper was regularly
distributed to its readers during all of said period.
That the full amount of the fee charged for the foregoing publication is the
SUM of $155.74, which amount has been paid in full, or billed at the legal
rate according to RCW 65.16.090.
Subscribed to and sworn before me this 1 st day of ,tune 2012.
Notary Public in and for the State of Washington,
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NOTARY
�; PUBLIC
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Residing at Federal Way
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CITY OF
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Federal Way
May 30, 2012
Sunny Ausink
Pacific Telecom Services, PTS
I I I South Jackson Street, #200
Seattle, WA 98104
'L E
CITY HALL
FI
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www.cityoffederalway.com
RE: File #12-101546-00-SE; ENVIRONMENTAL THRESHOLD DETERMINATION
AT&T Mobility SS63 — Adelaide, 1216 SW Dash Point Road, Federal Way
Dear Ms. Ausink:
The city and jurisdictional agencies have reviewed the environmental checklist submitted with the AT&T
Mobility — SS63 Adelaide Process III Master Land Use (MLU) application. It has been determined that the
proposal will not have a probable significant adverse impact on the environment. As a result, an Environmental
Impact Statement (EIS) is not required to comply with the State Environmental Policy Act (SEPA). A copy of
the Determination of Nonsignificance (DNS) is enclosed.
The Optional DNS Process was used to review this proposal. The 14-day comment period required by SEPA
rules ran concurrently with the public comment period associated with the notice of land use application,
which began on May 4, 2012, and ended May 21, 2012. The city did not receive written comments regarding
the MLU application or environmental checklist. Pursuant to Washington Administrative Code (WAC) 197-11-
355, a second comment period is not required upon issuance of the DNS.
The enclosed DNS was issued on May 30, 2012. The city will provide a copy of the DNS to the Department of
Ecology, agencies with jurisdiction, Puyallup and Muckleshoot tribes, and anyone requesting a copy. All final
determinations may be appealed within 14 days following the issuance of the DNS. No licenses, permits, or
approvals will be issued until completion of the appeal period, which ends June 13, 2012.
The decision not to require an EIS does not grant the license, permit, or approval you are seeking from the city.
The environmental record is considered by the decision maker(s) and conditions will be imposed to reduce
identified environmental impacts, as long as the conditions are based on adopted and designated city policy.
After a final decision has been made on your proposal you may, but are not required to, publish a Notice of
Action as permitted in RCW 43.21C.075. The Notice of Action sets forth a time period after which no legal
challenges regarding the proposal's compliance with SEPA can be made. The city is not responsible for
publishing the Notice of Action.
Questions regarding the PWSF's environmental review component should be directed to me at 253-835-2641
or rebecca.chapin@cityoffederalway.com.
Sincerely,
Becky Chapin
Assistant Planner
enc: DNS
Doc LD. 61258
OF
Federal Way
41k
DEPARTMENT OF COMMUPIITY DEVELOPMENT SERVICES
33325 8th Avenue South
Federal Way WA 98003
253-835-7000; Fax 253-835-2609
www.ciiyoffederalway.com
DECLARATION OF DISTRIBUTION
I, hereby declare, under penalty of perjury of the laws of the State of
Washington, that a:
❑ Notice of Land Use Application/Action
❑ Notice of Determination of Significance
(DS) and Scoping Notice
Environmental Determination
of Nonsignificance (SEPA, DNS)
❑ Notice of Mitigated Environmental
Determination of Nonsignificance (SEPA,
MDNS)
❑ Notice of Land Use Application &
Optional DNS/MDNS
❑ FWRC Interpretation
❑ Other
❑ Land Use Decision Letter
❑ Notice of Public Hearing before the
Hearing Examiner
❑ Notice of Planning Commission Public
Hearing
❑ Notice of LUTC/CC Public Hearing
❑ Notice of Application for Shoreline
Management Permit
❑ Shoreline Management Permit
❑ Adoption of Existing Environmental
Document
was ,Kmailed ❑ faxed Xe-mailed and/or ❑ posted to or at each of the attached addresses on
2012.
Project Name -T 4-7-1 o �
File Number(s)
Signature
j�L-1b/ 5
-a
Date i;7"�,U--/
K:\CD Administration Files\Declaration of Distribution.doc/Last printed 1 /12/2012 2:20:00 PM
CITY OF 4A
Federal Way
ENVIRONMENTAL
DETERMINATION OF NONSIGNIFICANCE (DNS)
AT&T Mobility SS63 — Adelaide
File No. 12-101546-00-SE
Proposal: Applicant proposes to upgrade a Personal Wireless Service Facility (PWSF) located on
an existing 50-foot Puget Sound Energy (PSE) utility pole, within City owned right-of-
way, by adding two new LTE antennas and increasing the height to 59 feet, 10 inches.
Associated upgrades to the existing equipment cabinet within a fenced area are also
included.
Proponent: Sunny Ausink, Pacific Telecom Services, I I I S. Jackson Street, #200, Seattle, WA
98104
Location: 1216 SW Dash Point Road, Federal Way
Lead Agency: City of Federal Way Community and Economic Development
Staff Contact: Becky Chapin, Assistant Planner, 253-835-2641
The Responsible Official of the City of Federal Way hereby makes the following decision based upon
impacts identified in the environmental checklist, Federal Way Comprehensive Plan, Federal Way
Revised Code, 2009 King County Surface Water Design Manual, and other municipal policies, plans,
rules, and regulations designated as a basis for exercise of substantive authority under the State
Environmental Policy Act Rules pursuant to Revised Code of Washington (RCW) 43.31C.060.
The lead agency for this proposal has determined that it does not have probable significant adverse impact
on the environment and an Environmental Impact Statement (EIS) is not required under RCW
43.21C.032(2)(c). This decision was made after review of a completed environmental checklist and other
information on file with the lead agency. This information is available to the public on request.
This DNS is issued after usingtiptional DNS process in WAC 197-11-355. No written comments
were received in res onse to the 14 day comment period that ended May 21 2012. There is no further
comment period on the DNS.
You may appeal this determination to the Federal Way City Clerk, no later than 5:00 p.m. on June 13,
2012, by a written letter stating the reason for the appeal of the determination. You should be prepared to
make specific factual objections.
Responsible Official: Isaac Conlen, Planning Manager
for Patrick Doherty, Director of Community and Economic Development
Address: 33325 8'h Avenue South, Federal Way, WA 98003
Date Issued: May 30, 2012 Signature-
Doe. LD 61257
SEPA Optional DNS Notice and Checklist to the following agencies and tribes
MUCKLESHOOT INDIAN TRIBE BRANDON REYNON DEPT OF ECOLOGY
ATN: ENVIRONMENTAL REVIEWER PUYALLUP TRIBE OF INDIANS ENVIRONMENTAL REVIEW SEC
39015 172ND AVE SE HIST30090E PIOR PRESERVATIONAND AVEDEPT PO� A WA398504-7703
AUBURN WA 98092 TACOMA WA 98404 sepaunit@ecy.wa.gov
SOUTH KING FIRE & RESCUE
31617 1 ST AVE S
FEDERAL WAY WA 98003
LAKEHAVEN UTILITY DIST
PO BOX 4249
FEDERAL WAY WA 98063
111 S Jackson St, 2ro Floor
Seattle, WA 98104
(206) 342 9000
04 April 2012
City of Federal Way
Department of Community Development Services
33325 8th Avenue South
Federal Way, WA 98003-6325
RE: Process III Application Narrative — AT&T site modification —SS63 Adelaide
Site address: 1216 SW Dash Point Road, Federal Way, WA 98023
Dear Sir or Madam,
Enclosed please find an the Master Land Use Application and eight (8) sets of drawings for a proposed
AT&T modification to an existing wireless site located within the right of way of 1216 SW Dash Point
Road, APN#5153200621.
The proposed modification consists of adding (2) new LTE antennas and ancillary equipment to the
existing PSE utility pole. AT&T proposes to increase the height of the utility pole from 50'-0" to 59'-10".
Proposed modifications do not change the use of the existing utility pole. There is no reduction, material
change or adverse impact to landscaping, parking, utilities, approved architectural design, or
environmentally critical areas as defined by FWRC 19.145.
►a1 � > t_1 > �'�9 �' �f] �� i � 1 > � [ : 6Yy :i �� J I ► [mil :# �isl li) �y � �l y [y l � [ �'� � � :i 1'►9 .[�i I �'X. �►. �' �►TiI C l�
The modification will not result in a change in visual impact, and is part of a technology upgrade being
performed on AT&T/New Cingular Wireless's network, in order to improve service to its customers and
strengthen reliability and capacity in its network.
Pursuant to FWRC 19.255.020(20, PWSFs shall be screened or camouflaged through employing the best
available technology and design. As proposed, the antennas are not overtly obtrusive. The proposed
antennas will be painted to match the existing utility pole.
The proposed equipment additions are exempt and no review is required as there are no material area
expansion of the equipment area. Per the pre -application conference summary (#12-100713-00-PC), the
submitted site plans do not need to depict existing landscaping around the existing enclosures.
This is an existing wireless telecommunications facility located at the address referenced above. AT&T
proposes to amend the facility to keep up with the demand while continuing to offer customers in the area
quality service and access to greater and more advanced wireless services. The proposed change would
add 4G technology to the site and would expand AT&T's 4G network footprint into and the immediate
surrounding area. This proposed change would improve the on -street and in -car availability of 4G
services (voice and data support for iPhone 4G phones for example) and would add in -building 4G
services in the immediate vicinity of the site. Our current volume and payload data on this site shows a
high amount of 3G data traffic. The new 4G technology will improve the overall internet/data experience
of the customers in the area. This will mean faster data rate and higher efficiency. The proposed
modification is part of an integrated network and if it is located too far or too close to an adjacent facility
the network will not work.
The location of the site was picked because it is an existing facility. The proposed modification is part of
FU
0
El
AT&T's network implementation plan to provide 4G LTE coverage in the Federal Way area. The �g V F D,
proposed installation of the antennas/ancillary equipment is intended to operate using the existing
equipment and infrastructure at the established site. Installing LTE in another location would re uire
APR 0 6 202
CITY OF FEDERAL_ WAY
CDS
r - rc
111 S Jackson St, 2^d Floor
Seattle, WA 98104
(206) 342 9000
building a completely new site, thus doubling the presence of wireless facilities within the same quarter
mile area. There are no alternative sites that would provide the needed height to allow for the proper
functioning of the equipment. There are no multifamily, commercial, or industrial structures tall enough to
meet the required height coverage for this site. Alternative sites that would provide the needed height
coverage would mean that AT&T would need to propose a new wireless tower or utilization of a city light
pole and locate its antennas on it or locate on a new multifamily structure and increase its height — these
proposals would aesthetically be more detrimental to the neighborhood.
A new facility would not be less intrusive than what is being proposed. The proposed location not only will
provide the needed coverage for AT&T it will also lead to fewer adverse impacts on adjacent land uses.
Here, collocating the replacing the antennas contains the impacts of the additional antennas to a single
location, thus impacting fewer properties. In addition, utilizing the existing equipment lease area and
ground equipment further reduces impacts to other properties in the area by avoiding duplicate ground
installations at multiple locations, eliminating the need for extensive trenching between the existing
ground equipment and alternative locations.
In addition, the proposed facility is a passive use; there are no activities that will produce airborne
emissions, odor, vibration, heat, glare, or noxious/toxic materials.
The site will operate continually, 24 hours a day for seven days a week. The site will be unmanned,
requiring only frequent visits by maintenance personnel, typically once a month. Due to the limited
amount of traffic generated by the proposal, no off -site street improvements are required for this
application. The facility will not require water or wastewater facilities or contribute to erosion due to storm
water run-off.
The construction valuation is $15,000.
The above statements are true and complete to the best of my knowledge. I understand City of Federal
Way is relying on them to make its decision.
Enclosed with this narrative you will find:
• Master Land Use Application
• Applicable Fees
• SEPA Checklist
• (8) copies of the site plan folded
• (8) copies of existing/proposed elevations folded
• Color & Materials Indicators (photos)
Please let me know if you require further information to process this application. Please feel free contact
me with any questions you may have or if you need additional items from me at (206)446-0448 or via
email at sausink a@ptswa.corn.
Sincerely, �
Sunny Ausink
Land Use Planner
3
Pacific Telecom Services
sausink@ptswa.com
(206)446-0448
4ik
CITY
Federalo.
Way
1, � Lt \r' C\ ot,
Washington, that a:
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 81h Avenue South
Federal Way WA 98003
253-835-7000; Fax 253-835-2609
www,cifyoffederalway.com
DECLARATION OF DISTRIBUTION
�"f C' �iereby declare, under penalty of perjury of the laws of the State of
❑ Notice of Land Use Application/Action
❑ Notice of Determination of Significance
(DS) and Scoping Notice
❑ Notice of Environmental Determination
of Nonsignificance (SEPA, DNS)
❑ Notice of Mitigated Environmental
Determination of Nonsignificance (SEPA,
MDNS)
l rNotice of Land Use Application &
Optional DNS/MDNS
❑ FWRC Interpretation
❑ Other
was ❑ mailed ❑ faxed
Qq (1 , 2012.
❑ Land Use Decision Letter
❑ Notice of Public Hearing before the
Hearing Examiner
❑ Notice of Planning Commission Public
Hearing
❑ Notice of LUTC/CC Public Hearing
❑ Notice of Application for Shoreline
Management Permit
❑ Shoreline Management Permit
❑ Adoption of Existing Environmental
Document
❑ e-mailed and/or liposted to or at each of the attached addresses on
Project Name 1�
File Number(s) Zr (O
Signature 1 11/1 //—
L111-
Date �— 1
K:\CD Administration Files\Declaration of Distribution.doc/Last printed 5/4/2012 11:45:00 AM
Posted Sites:
Federal Way City Hall: 33325 8th Ave South
Federal Way Library: 34200 1 It Way South
Federal Way 320th Library: 848 S. 320th St
1
K:\CD Administration Files\Declaration of Distribution.doc/Last printed 5/4/2012 11:45:00 AM
CITY OF ANN'..,
Federal Way
NOTICE OF LAND USE APPLICATION AND
NOTICE OF OPTIONAL DETERMINATION OF NONSIGNIFICANCE (DNS)
Project Name: AT&T Mobility SS 19 —Adelaide
Project Description: Applicant proposes to upgrade a Personal Wireless Service Facility (PWSF) located on an existing
50-foot Puget Sound Energy (PSE) utility pole, within City owned right-of-way, by adding two new LTE antennas,
increasing the height to 59 feet, 10 inches Associated upgrades to the existing equipment cabinet within a fenced area are
also included.
Applicant: Sunny Ausink, Pacific Telecom Services, on behalf of AT&T, 111 South Jackson Street 4200, Seattle, WA
98104
Project Location: 31617 Is'Avenue South, Federal Way
Date Application Received: April 6, 2012 Date Determined Complete: April 27, 2012
Date of Notice of Application: May 4, 2012
Comment Due Date: May 21, 2012
Environmental Review: Based upon review of a completed environmental checklist and other information on file with the
City, it' is likely that the City of Federal Way will detrmine that the project will not have a probable significant adverse
impact on the environment and expects to issue a Determination ofNonsignificance (DNS) for this project. The optional
DNS process in WAC 197-11-355 is being used. This may be your only opportunity to comment on the environmental
impacts of the proposed project. The proposal may include mitigation measures under applicable codes, and the review
process may incorporate or require mitigation measures regardless of whether an environmental impact statement (EIS) is
prepared_ A copy of the subsequent threshold determination for the specific proposal may be obtained upon request.
Agencies, tribes, and the public are encouraged to review and comment on the proposed project and its probable
environmental impacts. Comments must be submitted by the date Noted above,
Permits Required by This Application: Master Land Use Process III (File #12-101545-UP) and State Environmental
Policy Act Threshold Determination (File #12-101546-SE)
Other Permits Known at this Time and Not Included in This Application: Electrical Permit
Existing Environmental Documents: Environmental Checklist
Relevant Environmental Documents Are Available at the Address Below: Yes
Development Regulations to Be Used for Project Review Known at this Time: Federal Way Revised Code Title 14,
`Environmental Policy' and Title 19 `Zoning and Development Code.'
Public Comment & Appeals: Any person may submit written comments on the land use application or the environmental
impacts of the proposal to the Director of Community and Economic Development by 5:00 p.m. onMay 21, 2012. only
persons who submit written comments to the Director (address below) or specifically request a copy of the decision, may
appeal the decision. However, any interested party may appeal the environmental threshold determination. Details of appeal
Procedures for the requested land use decision will be included with the written decision.
Issuance of Final Environmental Determination: The final Determination of Nonsigni#icance may be issued without a
second comment period, unless timely comments identify probable significant adverse impacts that were not considered by
the Notice of Optional Determination of Nonsignificance. A copy of the Determination ofNonsignificmce may be obtained
upon request.
Availability of File: The official project file is available for public review at the Department of Community and Economic
Development, 33325 8 h Avenue South, Federal Way, WA 98003-6325.
Staff Contact: Becky Chapin, Assistant Planner, 253-835-2641
Published in the Federal Way Mirror on May 4, 2012.
Doc I.D 60965
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CITY Federal o.
Way
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 8th Avenue South
Federal Way WA 98003
253-835-7000; Fax 253-835-2609
www.cityoffederalway.com
DECLARATION OF DISTRIBUTION
I, hereby declare, under penalty of perjury of the laws of the State of
Washington, that a:
❑ Notice of Land Use Application/Action
❑ Notice of Determination of Significance
(DS) and Scoping Notice
❑ Notice of Environmental Determination
of Nonsignificance (SEPA, DNS)
❑ Notice of Mitigated Environmental
Determination of Nonsignificance (SEPA,
MDNS)
l Notice of Land Use Application &
Optional DNS/MDNS
❑ FWRC Interpretation
❑ Other
❑ Land Use Decision Letter
❑ Notice of Public Hearing before the
Hearing Examiner
❑ Notice of Planning Commission Public
Hearing
❑ Notice of LUTC/CC Public Hearing
❑ Notice of Application for Shoreline
Management Permit
❑ Shoreline Management Permit
❑ Adoption of Existing Environmental
Document
was ,'mailed ❑ faxed ge-mailed and/or ❑ posted to or at each of the attached addresses on
2012.
Project Name 1T i ar i W
File Number(s)
Signature Gam_ Date 5"
K:\CD Administration Hes\Declaration of Distribution.doc/Last printed 1 /12/2012 2:20:00 PM
CITY OF
Federal Way
NOTICE OF LAND USE APPLICATION AND
NOTICE OF OPTIONAL DETERMINATION OF NONSIGNIFICANCE (DNS)
Project Name: AT&T Mobility SS 19 — Adelaide
Project Description: Applicant proposes to upgrade a Personal Wireless Service Facility (PWSF) located on an existing
50-foot Puget Sound Energy (PSE) utility pole, within City owned right-of-way, by adding two new LTE antennas,
increasing the height to 59 feet, 10 inches. Associated upgrades to the existing equipment cabinet within a fenced area are
also included.
Applicant: Sunny Ausink, Pacific Telecom Services, on behalf of AT&T, 111 South Jackson Street #200, Seattle, WA
98104
Project Location: 31617 Is'Avenue South, Federal Way
Date Application Received: April 6, 2012 Date Determined Complete: April 27, 2012
Date of Notice of Application: May 4, 2012 Comment Due Date: May 21, 2012
Environmental Review: Based upon review of a completed environmental checklist and other information on file with the
City, it is likely that the City of Federal Way will determine that the project will not have a probable significant adverse
impact on the environment and expects to issue a Determination of Nonsignificance (DNS) for this project. The optional
DNS process in WAC 197-11-355 is being used. This may be your only opportunity to comment on the environmental
impacts of the proposed project. The proposal may include mitigation measures under applicable codes, and the review
process may incorporate or require mitigation measures regardless of whether an environmental impact statement (EIS) is
prepared. A copy of the subsequent threshold determination for the specific proposal may be obtained upon request.
Agencies, tribes, and the public are encouraged to review and comment on the proposed project and its probable
environmental impacts. Comments must be submitted by the date noted above.
Permits Required by This Application: Master Land Use Process III (File #12-101545-UP) and State Environmental
Policy Act Threshold Determination (File # 12-101546-SE)
Other Permits Known at this Time and Not Included in This Application: Electrical Permit
Existing Environmental Documents: Environmental Checklist
Relevant Environmental Documents Are Available at the Address Below: Yes
Development Regulations to Be Used for Project Review Known at this Time: Federal Way Revised Code Title 14,
`Environmental Policy' and Title 19 `Zoning and Development Code.'
Public Comment & Appeals: Any person may submit written comments on the land use application or the environmental
impacts of the proposal to the Director of Community and Economic Development by 5:00 p.m. on May 21, 2012. Only
persons who submit written comments to the Director (address below) or specifically request a copy of the decision, may
appeal the decision. However, any interested party may appeal the environmental threshold determination. Details of appeal
procedures for the requested land use decision will be included with the written decision.
Issuance of Final Environmental Determination: The final Determination of Nonsignificance may be issued without a
second comment period, unless timely comments identify probable significant adverse impacts that were not considered by
the Notice of Optional Determination of Nonsignificance. A copy of the Determination of Nonsignificance may be obtained
upon request.
Availability of File: The official project file is available for public review at the Department of Community and Economic
Development, 33325 8'h Avenue South, Federal Way, WA 98003-6325.
Staff Contact: Becky Chapin, Assistant Planner, 253-835-2641
Published in the Federal Way Mirror on May 4, 2012.
Doc [ D. 60965
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Parcel Number 5153200621
Site Address 1216 SW DASH POINT RD
Zip code 98023
Taxpayer FEDERAL WAY NORTH
e information included on this map has been compiled by King County staff from a
nety of sources and is subject to change without notice. King County makes no
7resentations or warranties, express or implied, as to accuracy, completeness,
ieliness, or rights to the use of such information. King County shall not be liable for any
neral, special, indirect, incidental, or consequential damages including, but not limited
lost revenues or lost profits resulting from the use or misuse of the information
ntained on this map. Any sale of this map or information on this map is prohibited
cept by written permission of King County.'
Parcel Number
1788300005
Site Address
30604 12TH PL SW
Zip code
98023
Taxpayer
SCHMIDT LISA DIANE
Parcel Number
1788300015
Site Address
30620 12TH PL SW
Zip code
98023
Taxpayer
LARSON G D
Parcel Number
1788300070
Site Address
30712 12TH PL SW
Zip code
98023
Parcel Number
Site Address
Zip code
Taxpayer
Parcel Number
Site Address
Zip code
Taxpayer
1788300010
30612 12TH PL SW
98023
GREEN ANNA K
1788300065
30704 12TH PL SW
98023
BRUNDAGE JAMES D
Parcel Number 1788300135
Site Address 30605 12TH PL 5vy1" V `
Zip code 98023 �••
APR ® 6
http://www5.kingeounty.gov/pareelviewer/Print—Process. asp
CITY OF FEDERAL WAY
4/20'12
Print Map Page
Page 2 of 3
Taxpayer
HANKINS LORI J II
Taxpayer
HOWELL DEVIN
Parcel Number
1788300140
Parcel Number
1788300145
Site Address
30613 12TH PL SW
Site Address
30621 12TH PL SW
Zip code
98023
Zip code
98023
Taxpayer
MORALES MARIA A
Taxpayer
GRANDON FAMILY
REVOCABLE LI
Parcel Number
1788300150
Parcel Number
1788300155
Site Address
30627 12TH PL SW
Site Address
30705 12TH PL SW
Zip code
98023
Zip code
98023
Taxpayer
KACSO OTTO+TRACT
Taxpayer
BURRUS ANDREA
T+PALIN CLINT
Parcel Number
1788300160
Parcel Number
1788300165
Site Address
30713 12TH PL SW
Site Address
30719 12TH PL SW
Zip code
98023
Zip code
98023
Taxpayer
ULMER WILBERT
Taxpayer
KROMM RICHARD
L+BRENDA G
Parcel Number
1788300170
Parcel Number
1788500035
Site Address
30727 12TH PL SW
Site Address
30517 12TH PL SW
Zip code
98023
Zip code
98023
Taxpayer
KUROUSO
Taxpayer
KC HOUSING
ANTHONY+WEIDA TARA
AUTHORITY
Parcel Number
1788500040
Parcel Number
5153200441
Site Address
30525 12TH PL SW
Site Address
1030 SW DASH POINT
Zip code
98023
RD
JENSEN ERNST O & LINDA
Zip code
98023
Taxpayer
D
Taxpayer
KACSO OTTO+TRACT
Parcel Number
5153200445
Parcel Number
5153200446
Site Address
30430 12TH AVE SW
Site Address
30420 12TH AVE SW
Zip code
98023
Zip code
98023
Taxpayer
LEAHY JAMES
Taxpayer
BURNS DENISE
G+ROBERT L
Parcel Number
5153200595
Parcel Number
5153200601
Site Address
1245 SW 304TH ST
Site Address
1225 SW 304TH ST
Zip code
98023
Zip code
98023
Taxpayer
ROBINSON ANTHONY
Taxpayer
FURRENES IVAR A
J+ELIZABET
Parcel Number
5153200605
Parcel Number
5153200610
Site Address
Site Address
30425 12TH AVE SW
Zip code
Zip code
98023
Taxpayer
ERWIN RALPH L JR
Taxpayer
ERWIN RALPH L JR
Parcel Number
5153200620
Parcel Number
5153200625
Site Address
30447 12TH AVE SW
Site Address
1232 SW DASH POINT
RD
Zip code
98023
Zip code
98023
Taxpayer
REEVES FRANKLIN L
Taxpayer
FEDERAL WAY �fO
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to],
http://www5.kingeounty.gov/parcelviewer/Print—Process. asp
.APR 0 6 2012
CITY 04AMKAL. WAY
CDS
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Parcel Number 5153200631
Site Address 1304 SW DASH POINT RD
Zip code 98023
Taxpayer FEDERAL WAY NORTH
King County I GIS Center I News I Services I Comments I Search
By visiting this and other King County web pages,
you expressly agree to be bound by terms and conditions of the site.
The details.
RECEIVED
APR 0 6 2012
CITY OF FEDERAL WAY
CDS
http://www5.kingcounty.gov/parcelviewer/Print—Process. asp 4/3/2012
1788300005
1788300010
1788300015
SCHMIDT LISA DIANE
GREEN ANNA K
LARSON G D
30604 12TH PL SW
30612 12TH PL SW
30620 12TH PL SW
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
97QQQnnnnc
1788300065
1788300070
1788300135
BRUNDAGE JAMES D
HANKINS LORI J
HOWELL DEVIN
30704 12TH PL SW
30712 12TH PL SW
30605 12TH PL SW
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
1788300140
1788300145
1788300150
MORALES MARIA A
GRANDON FAMILY REVOCABLE LI
KACSO OTTO+TRACT
30613 12TH PL SW
30621 12TH PL SW
30627 12TH PL SW
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
1788300155
1788300160
1788300165
BURRUS ANDREAT+PALIN CLINT
ULMER WILBERT
KROMM RICHARD L+BRENDA G
30705 12TH PL SW
30713 12TH PL SW
30719 12TH PL SW
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
1788300170
1788500035
1788500040
KUROUSO ANTHONY+WEIDA TARA
KC HOUSING AUTHORITY
JENSEN ERNST 0 & LINDA D
30727 12TH PL SW
30517 12TH PL SW
30525 12TH PL SW
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
5153200441
5153200445
5153200446
KACSO OTTO+TRACI
LEAHY JAMES
BURNS DENISE G+ROBERT L
1030 SW DASH POINT RD
30430 12TH AVE SW
30420 12TH AVE SW
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
5153200595
5153200601
5153200605
ROBINSON ANTHONYJ+ELIZABET
FURRENES IVAR A
ERWIN RALPH LJR
1245 SW 304TH ST
1225 SW 304TH ST
30425 12TH AVE SW
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
5153200610
5153200620
5153200621
ERWIN RALPH LJR
REEVES FRANKLIN L
FEDERAL WAY NORTH
30425 12TH AVE SW
30447 12TH AVE SW
1216 SW DASH POINT RD
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
FEDERAL WAY, WA 98023
5153200625 5153200631
FEDERAL WAY NORTH FEDERAL WAY NORTH
1232 SW DASH POINT RD 1304 SW DASH POINT RD
FEDERAL WAY, WA 98023 FEDERAL WAY, WA 98023
RECEIVED
APR 0 6 2012
O??Y OF FEDERAL, WAY
CDS
SEPA Optional DNS Notice and Checklist to the following agencies and tribes
ry��
MUCKLESHOOT INDIAN TRIBE BRANDON REYNON
ATN: ENVIRONMENTAL REVIEWER PUYALLUP TRIBE OF INDIANS
39015 172" AVE SE HISTORIC PRESERVATION DEPT
AUBURN WA 98092 3009 E PORTLAND AVE
TACOMA WA 98404
SOUTH KING FIRE & RESCUE
31617 1 ST AVE S
FEDERAL WAY WA 98003
f- " ,,j
DEPT OF ECOLOGY
ENVIRONMENTAL REVIEW SEC
PO BOX 47703
OLYMPIA WA 98504-7703
sepaunit@ecy.wa.gov
LAKEHAVEN UTILITY DIST
PO BOX 4249
FEDERAL WAY WA 98063
OF
Fed40":t��
eral Way
41k
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 8th Avenue South
Federal Way WA 98003
253-835-7000; Fax 253-835-2609
www. ci f yo f €_e d eralway. corn
DECLARATION OF DISTRIBUTION
I, _ 1_1mv x hereby declare, under penalty of perjury of the laws of the State of
Washington, that a:
❑ Notice of Land Use Application/Action
❑ Notice of Determination of Significance
(DS) and Scoping Notice
❑ Notice of Environmental Determination
of Nonsignificance (SEPA, DNS)
❑ Notice of Mitigated Environmental
Determination of Nonsignificance (SEPA,
MDNS)
,K Notice of Land Use Application &
Optional DNS/MDNS
❑ FWRC Interpretation
❑ Other
❑ Land Use Decision Letter
❑ Notice of Public Hearing before the
Hearing Examiner
❑ Notice of Planning Commission Public
Hearing
❑ Notice of LUTC/CC Public Hearing
❑ Notice of Application for Shoreline
Management Permit
❑ Shoreline Management Permit
❑ Adoption of Existing Environmental
Document
was ❑ mailed ❑ faxed ;Me -mailed and/or ❑ posted to or at each of the attached addresses on
I` \ 2012.
Project Name 1 a -1O l S Y ,Sn .I .1-) V
File Number(s) R-` 4--I_ if d�lyF�J �
SignatureDate 5
K:\CD Administration Hes\Dedaratlon of Distribution.doc/Last printed 1/12/2012 2:20:00 PM
L4 4 1 S.
CITY OF
Federal Way
NOTICE OF LAND USE APPLICATION AND
NOTICE OF OPTIONAL DETERMINATION OF NONSIGNIFICANCE (DNS)
Project Name: AT&T Mobility SS19 — Adelaide
Project Description: Applicant proposes to upgrade a Personal Wireless Service Facility (PWSF) located on an existing
50-foot Puget Sound Energy (PSE) utility pole, within City owned right-of-way, by adding two new LTE antennas,
increasing the height to 59 feet, 10 inches. Associated upgrades to the existing equipment cabinet within a fenced area are
also included.
Applicant: Sunny Ausink, Pacific Telecom Services, on behalf of AT&T, I I I South Jackson Street #200, Seattle, WA
98104
Project Location: 31617 1'` Avenue South, Federal Way
Date Application Received: April 6, 2012 Date Determined Complete: April 27, 2012
Date of Notice of Application: May 4, 2012 Comment Due Date: May 21, 2012
Environmental Review: Based upon review of a completed environmental checklist and other information on file with the
City, it is likely that the City of Federal Way will determine that the project will not have a probable significant adverse
impact on the environment and expects to issue a Determination of Nonsignificance (DNS) for this project. The optional
DNS process in WAC 197-11-355 is being used. This may be your only opportunity to comment on the environmental
impacts of the proposed project. The proposal may include mitigation measures under applicable codes, and the review
process may incorporate or require mitigation measures regardless of whether an environmental impact statement (EIS) is
prepared. A copy of the subsequent threshold determination for the specific proposal may be obtained upon request.
Agencies, tribes, and the public are encouraged to review and comment on the proposed project and its probable
environmental impacts. Comments must be submitted by the date noted above.
Permits Required by This Application: Master Land Use Process III (File #12-101545-UP) and State Environmental
Policy Act Threshold Determination (File #12-101546-SE)
Other Permits Known at this Time and Not Included in This Application: Electrical Permit
Existing Environmental Documents: Environmental Checklist
Relevant Environmental Documents Are Available at the Address Below: Yes
Development Regulations to Be Used for Project Review Known at this Time: Federal Way Revised Code Title 14,
`Environmental Policy' and Title 19 `Zoning and Development Code.'
Public Comment & Appeals: Any person may submit written comments on the land use application or the environmental
impacts of the proposal to the Director of Community and Economic Development by 5:00 p.m. on May 21, 2012. Only
persons who submit written comments to the Director (address below) or specifically request a copy of the decision, may
appeal the decision. However, any interested party may appeal the environmental threshold determination. Details of appeal
procedures for the requested land use decision will be included with the written decision.
Issuance of Final Environmental Determination: The final Determination of Nonsignificance may be issued without a
second comment period, unless timely comments identify probable significant adverse impacts that were not considered by
the Notice of Optional Determination of Nonsignificance. A copy of the Determination of Nonsignificance may be obtained
upon request.
Availability of File: The official project file is available for public review at the Department of Community and Economic
Development, 33325 8'h Avenue South, Federal Way, WA 98003-6325.
Staff Contact: Becky Chapin, Assistant Planner, 253-835-2641
Published in the Federal Way Mirror on May 4, 2012. Doc. I D. 60965
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DEPARTMENT OF CD LFNrrY DEVELOPMENT SERVICES
33325 8`h Avenue South
Federal Way, WA 98003-6325
253-835-2607; Fax 253-835-2609
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ENVIRONMENTAL CHECKLIST
PURPOSE OF CHECKLIST
The State Environmental Policy Act (SEPA), Revised Code of Washington (RCW) Chapter 43.21C,
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 our 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 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 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 NON -PROJECT PROPOSALS
Complete this checklist for non -project proposals, even though questions may be answered "does not
apply." In addition, complete the Supplemental Sheet for Non -Project Actions.
For non -project actions, the references in the checklist to the words "project," "applicant," "qq�
or site" should be read as "proposal," "proposer," and "affected geographic area," respective — M_ /ED
APR 0 6 Z012
CITY OF FEDERAL WAY
"DS
Bulletin #050 — January 1, 2011 Page 1 of 18 k:\Handouts\Environmental Checklist
A. BACKGROUND
1. Name of proposed project, if applicable:
AT&T MOBILITY SS63 ADELAIDE
2. Name of applicant:
AT&T MOBILITY
16221 NE 72ND WAY, RTC 3
REDMOND, WA 98052
3. Address and phone number of applicant and contact person:
SUNNY AUSINK/PACIFIC TELECOM SERVICES
111 S. JACKSON STREET, 2ND FLOOR
SEATTLE, WA 98104
SAUSINK@PTSWA.COM
206-446-0448
4. Date checklist prepared:
APRIL 4, 2012
5. Agency requesting checklist
CITY OF FEDERAL WAY
6. Proposed timing or schedule (including phasing, if applicable):
CONSTRUCTION WILL BEGIN UPON RECEIPT OF APPLICABLE PERMITS.
7. Do you have any plans for future additions, expansion, or further activity related to or connected with this
proposal? If yes, explain.
YES, POSSIBLE UPGRADE OR ANTENNAS REPLACEMENT IF NEED BE.
8. List any environmental information you know about that has been prepared, or will be prepared, directly
related to this proposal.
NONE KNOWN
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
Bulletin #050 — January 1, 2011 Page 2 of 18 kAHandouts\Environmental Checklist
10. List any government approvals or permits that will be needed for your proposal, if known.
CITY OF FEDERAL WAY— SEPA DNS, PROCESS III LAND USE APPROVAL AND ELECTRICAL PERMIT.
�i�h�-0E-1►�a-� perm�� Y��u.jr�c� -F�orv� Crh� ��"'�� VVay '
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.
AT&T proposes to modify an existing wireless facility located on an existing PSE utility pole by adding
(2) new LTE antennas and ancillary equipment. Extend the height from 50'-0" to 59'-10". Proposed
antennas will be painted to match existing.
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.
1216 SW Dash Point Road, Federal Way, WA 98023; APN#5153200621 located within right of way of
subject parcel.
B. ENVIRONMENTAL ELEMENTS
1. EARTH
a. General description of the site (circle one)(f rolling, hilly, steep slopes, mountainous, other.
GENERALLY FLAT
b. What is the steepest slope on the site (approximate percent slope)?
NOT SURE
c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, mulch)? If you
know the classification of agricultural soils, specify them and note any prime farmland.
MAINLY CLAY
Bulletin #050 — January 1, 2011
Page 3 of 18 k:\Handouts\Environmental Checklist
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe.
NONE KNOWN
e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate
source of fill.
THERE WILL BE NO FILLING OR GRADING TO THIS SITE. THIS IS AN EXISTING FACILITY, NO GROUND
DISTURBANCE PROPOSED.
f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe.
EROSION COULD ONLY OCCUE FROM HEAVY MACHINERY MOVING ABOUTTHE SITE DURING THE
CONSTRUCTION.
g. About what percent of the site will be covered with impervious surfaces after project construction (for
example, asphalt or buildings)?
NOTAPPLICABLE. NO GROUND DISTURBANCE PROPOSED.
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any.
BEST MANAGEMENT PRACTICES WILL BE USED DURING CONSTRUCTION.
2. AIR
a. What types of emissions to the air would result from the proposal (i.e., dust, automobile, odors,
industrial wood smoke) during construction and when the project is completed? If any, generally
describe and give approximate quantities if known.
MINIMAL EMISSIONS WOULD RESULT FROM THE PROPOSAL. ANY POSSIBLE EMISSIONS WILL BE FROM
VEHICLES ENTERING AND LEAVING SITE DURING CONSTRUCTION.
b. Are there any off -site sources of emissions or odor that may affect your proposal? If so, generally
describe.
NONE.
Bulletin #050 — January 1, 2011 Page 4 of 18 k:\Handouts\Environmental Checklist
c. Proposed measures to reduce or control emissions or other impacts to air, if any.
NOT APPLICABLE
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, wetlands)? If yes, describe type and provide names. If
appropriate, state what stream or river it flows into.
NONE
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
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.
NONE PROPOSED
4) Will the proposal require surface water withdrawals or diversions? Give general description,
purpose, and approximate quantities if known.
NONE PROPOSED
5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan.
I►01C�.'
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.
Bulletin #050 — January 1, 2011 Page 5 of 18 k:\Handouts\Environmental Checklist
NOT APPLICABLE
b. Ground.
1) Will ground water be withdrawn, or will water be discharged to groundwater? Give general
description, purpose, and approximate quantities if known.
70ce
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 stormwater) 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.
NOT APPLICABLE
2) Could waste materials enter ground or surface waters? If so, generally describe.
NOT APPLICABLE
d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any.
NONE PROPOSED
Bulletin #050 — January 1, 2011 Page 6 of 18 k:\Handouts\Environmental Checklist
4. PLANTS
a. Check or circle types of vegetation found on the site.
x_ deciduous tree: alder, maple, aspen, other
Xevergreen tree: fir, cedar, pine, other
�x— shrubs
grass
pasture
crop or grain
wetsoil plants: cattail, buttercup, bulrush, skunk cabbage, other
water plant: water lily, eelgrass, milfoil, other
_ other types of vegetation
b. What kind and amount of vegetation will be removed or altered?
THIS IS EXISTING, NO VEGETATION WILL BE REMOVED OR ALTERED.
c. List threatened or endangered species known to be on or near the site.
NONE KNOWN
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the
site, if any.
NONE PROPOSED, THIS IS AN EXISTING WIRELESS FACILITY,
5. ANIMALS
a. Circle any birds and animals which have been observed on or near the site or are known to be on or near
the site.
birds: hawk, heron, eagle San bir , other
mammals: deer, bear, elk, beaver, other
fish: bass, salmon, trout, herring, shellfish, other
Bulletin #050 — January 1, 2011 Page 7 of 18 k:\Handouts\Environmental Checklist
b. List any threatened or endangered species known to be on or near the site.
NONE KNOWN
c. Is the site part of a migration route? If so, explain.
NO
d. Proposed measures to preserve or enhance wildlife, if any.
NONE PROPOSED
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.
THE PROJECT WILL REQUIRE ACCESS TO EXISTING ELECTRICAL POWER AND TELEPHONE
b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally
describe.
PROJECT WILL NOT AFFECT THE POTENTIAL USE OF SOLAR ENERGY BY ADJACENT PROPERTIES.
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
7, ENVIRONMENTAL HEALTH
a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and
Bulletin #050 — January 1, 2011 Page 8 of 18 k:\Handouts\Environmental Checklist
explosion, spill, or hazardous waste that could occur as a result of this proposal? If so, describe.
NONE
1) Describe special emergency services that might be required.
THIS IS UNSTAFFED WIRELESS FACILITY, NO EMERGENCY SERVICES REQUIRED,
2) Proposed measures to reduce or control environmental health hazards, if any.
NONE PROPOSED.
b. Noise.
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 long-term basis (for example: traffic, construction operation, other)? Indicate what hours
noise would come from the site.
THE ONLY NOISE WILL BE FROM THE EXISTING RADIO EQUIPMENT WHICH IS COMPARABLE TO
THE SOUND OF AN AIR CONDITIONER.
3) Proposed measures to reduce or control noise impacts, if any.
NONE NEEDED
8. LAND AND SHORELINE USE
a. What is the current use of the site and adjacent properties?
Existing AT&T facility in an RS15.0 Residential Zone
Bulletin #050 — January 1, 2011 Page 9 of 18 k:\Handouts\Environmental Checklist
cAA"ch r e s `rd-oni of l pm e rt"S a60'a4,n - -
b. Has the site been used for agriculture? If so, describe.
RSA
c. Describe any structures on the site.
Existing AT&T facility on existing PSE utility pole.
d. Will any structures be demolished? If so, what?
NO
e. What is the current zoning classification of the site?
RS 15.0 )
f. What is the current comprehensive plan designation of the site?
Residential � �
darn t I
g. If applicable, what is the current shoreline master program designation of the site?
NOT KNOWN
h. Has any part of the site been classified as an environmentally critical area? If so, specify.
NONE
i. Approximately how many people would reside or work in the completed project?
Bulletin #050 — January 1, 2011 Page 10 of 18 k:\Handouts\Environmental Checklist
NONE, THIS IS AN UNSTAFFED WIRELESS TELECOMMUNICATIONS FACILITY.
j. Approximately how many people would the completed project displace?
NONE
k. Proposed measures to avoid or reduce displacement impacts, if any.
NO MEASURES PROPOSED
I. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans,
if any.
None proposed.
9. HOUSING
a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income
housing.
NONE, THIS IS AN UNSTAFFED WIRELESS TELECOMMUNICATIONS FACILITY.
b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-
income housing.
NOT APPLICABLE
c. Proposed measures to reduce or control housing impacts, if any.
10. AESTHETICS
a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal
Bulletin #050 — January 1, 2011 Page 11 of 18
k:\Handouts\Environmental Checklist
exterior building material(s) proposed?
Existing PSE utility pole with AT&T antennas a 50'-0".
b. What views in the immediate vicinity would be altered or obstructed?
NO VIEWS WILL BE IMPACTED
c. Proposed measures to reduce or control aesthetic impacts, if any.
None Proposed , ,f,r i
��-hYlG�S vv 1 �) be pt { N-'f f -0 n Vi i'1f"�
J .�C.
11. LIGHTANDGLARE
a. What type of light or glare will the proposal produce? What time of day would it mainly occur?
NONE
b. Could light or glare from the finished project be a safety hazard or interfere with views?
NO
c. What existing off -site sources of light or glare may affect your proposal?
NO
d. Proposed measures to reduce or control light and glare impacts, if any.
NONE PROPOSED
Bulletin #050 —January 1, 2011 Page 12 of 18
k:\Handouts\Environmental Checklist
12. RECREATION
a. What designated and informal recreational opportunities are in the immediate vicinity?
NONE IDENTIFIED
b. Would the proposed displace any existing recreational uses? If so, describe.
NO
c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be
provided by the project or applicant, if any.
NOT APPLICABLE
13. HISTORIC AND CULTURAL PRESERVATION
a. Are there any places or objects listed on, or proposed for, nation, state, or local preservation registers
known to be on or next to the site? If so, generally describe.
NO
b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural
importance known to be on or next to the site.
NONE
c. Proposed measures to reduce or control impacts, if any.
NONE PROPOSED
Bulletin #050 — January 1, 2011 Page 13 of 18 k:\Handouts\Environmental Checklist
14. TRANSPORTATION
a- Identify public streets and highways serving the site, and describe proposed access to the existing street
system. Show on site plans, if any.
NO PUBLIC TRANSPORTATION WILL BE NEEDED FOR THIS UNMANNED WIRELESS TELECOMMUNICATION
FACILITY.
b. Is the site currently served by public transit? If not, what is the approximate distance to the nearest
transit stop?
NOT APPLICABLE — SITE WILL NOT REQUIRE PUBLIC ACCESS.
c. How many parking spaces would the completed project have? How many would the project eliminate?
THE SITE WILL NOT ELIMINATE ANY PARKING STALLS.
d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not
including driveways? If so, generally describe (indicate whether public or private).
NONE
e- Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so,
generally describe.
NONE
f. How many vehicular trips per day would be generated by the completed project? If known, indicate
when peak volumes would occur.
THE SITE WILL REQUIRE APPROXIMATELY ONE (1) VISIT PER MONTH BY A TECHNICIAN FOR SITE
MAINTENANCE PURPOSES.
Bulletin #050 — January 1, 2011 Page 14 of 18 k:\Handouts\Environmental Checklist
g. Proposed measures to reduce or control transportation impacts, if any.
NONE
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LLL���JJJ ��J
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.
NOT APPLICABLE
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 (please list)
ELECTRICTY & TELEPHONE IS AVAILABLE AT SITE
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.
ELECTRICITY & TELEPHONE WILL BE NEEDED.
Bulletin #050 — January 1, 2011 Page 15 of 18
k:\Handouts\Environmental Checklist
C. SIGNATURE
The above
relying on
SIGNATURE:
DATE SUBMITTED;
mare true and c-*plete to the best of my k wl dge. I understand that the lead agency is
to make its decisio /]
4
J
Bulletin #050 — January 1, 2011 Page 16 of 18
kAHandouWEnvironanental Checklist
RECEIVED
ED
CITY OF - APR 0 6 2012
Federal VVbrF FEDERAL WAY
CDS
MASTER LAND USE APPLICATION
DEPARTAuxt of Cowqu aTy DEVELOPMENT SERVICES
33325 80' Avenue South
PO Box 9718
Federal Way WA 98063-9718
253-8335-2607;Fax 253-835-2609
www.cityg fl'ederal way.tatn
A.PPLICA.TION NO(s) I d. `O(T _v F/,� ^to I5 r [Q'W_SeDste
ProjectName AT&T MOBILITY SS63 ADELAIDE
Property Address/Location
1216 SW DASHPOINT ROAD, FEDERAL WAY, WA 98023
Parcel Number(s) 5153200621
Project Description
rREN 1
AT&T MOBILITY - MODIFICATION TO EXISTING SITE BY UPRGRADING WITH LTE ANTENNAS AND
ADDING ANCILLARY EQUIPMENT PER PLANS
Type of Permit Required
Annexation
Binding Site Plan
Boundary Line Adjustment
Comp Plan/Rezone
Land Surface Modification
Lot Line Elimination
Preapplication Conference
_ Process 1 (Director—s Approval)
_ Process II (Site Plan Review)
X Process III (Project Approval)
Process rV (Hearin: Examiner's Decision)
Process V (Quasi -Judicial Rezone)
_ Process VI
X SEPA wTroject
_ SEPA-Onl_v
Shoreline: Variance/Conditional Use
Short Subdivision
_ Subdivision
Variance: Commercial/Residential
Required Information
[ilI 0 Zoning, Design ation
Comprehensive Plan Designation
Value of Existing Improvements
$15,000 Value of Proposed Improvements
International Building Code (IBC):
3 ^ �— Occupancy Type
itR> Construction Type
Applicant
Name: AT&T MOBILITY
Address: 16221 NE 72ND WAY, RTC 3
City/State: REDMOND, WA
Zip: 98052
Phone:
Fax:
Email:
Signature:
Agent (if different than Applicant)
Name: SUNNY AUSINK/ PTS
Address: Ill S. JACKSON STREET#200
City/State: SEATTLE, WA
Zip:
98104
Phone:
206-446-0448
Fax:
206-903-8513
Email:
SAUSf1�iK�PTSW�'1QM
Signature:
p-� ��
Owner
Name:
(i - a -Cµ1 (jASSE Q
Address:
City/State:
SSs Ito P118 KE
Zip:
3CliZltue.� WA
Phone:
8dog.
Fax:
Email:
20 ` • 61¢1- 0335�
Signature: A%w%.�a I p C*t,,,
Bulletin 4003 — August 18, 2004 Pate 1 of I k:\Handouts\Master Land Use Application
a
CITY OF '�'..`.�.� �.
Federal Way
APPLICATION No(s)
Project Name
AT&T MOBILITY SS63 ADELAIDE
Property Address/Location
Parcel Number(s)
MASTER LAND USE APPLICATION
DEPARTMENT of COMMUNITY DEVELOPMENT SERVICES
33325 8`s Avenue South
PO Box 9718
Federal Way WA 98063-9718
253-835-2607;Fax 253-835-2609
www.cibfo ffederalwa-,,. corn
Date alw9l M 1 Z
1216 SW DASHPOINT ROAD, FEDERAL WAY, WA 98023
5153200621
Project Description
AT&T MOBILITY - MODIFICATION TO EXISTING SITE BY UPRGRADING WITH LTE ANTENNAS AND
ADDING ANCILLARY EQUIPMENT PER PLANS
PLEASE PRINT
Type of Permit Required
Annexation
Binding Site Plan
Boundary Line Adjustment
Comp Plan/Rezone
Land Surface Modification
Lot Line Elimination
Preapplication Conference
Process I (Director=s Approval)
Process H (Site Plan Review)
X Process III (Project Approval)
Process IV (Hearing Examiner's Decision)
Process V (Quasi -Judicial Rezone)
Process VI
_X SEPA w/Project
SEPA Only
Shoreline: Variance/Conditional Use
Short Subdivision
Subdivision
Variance: Commercial/Residential
Required Information
i'S S I �_- 0 Zoning Designation
Comprehensive Plan Designation
Value of Existing Improvements
$15,000 Value of Proposed Improvements
International Building Code (IBC):
t 1 +� — Occupancy Type
! P> Construction Type
Bulletin #003 — August 18, 2004
Applicant
Name: AT&T MOBILITY
Address: 16221 NE 72ND WAY, RTC 3
City/State: REDMOND, WA
Zip: 98052
Phone:
Fax:
Email:
Signature:
Agent (if different than Applicant)
Name: SUNNY AUSINK/ PTS
Address:
111 S. JACKSON STREET#200
City/State:
SEATTLE, WA
Zip:
98104
Phone:
206-446-0448
Fax:
206-903-8513
Email:
SAUSEP4K(�PTSW OM
Signature:
��
Owner
Name:
liW%D-r41 (i"SEr_
Address:
z Ito �h p48 uE
City/State:
Zip:
����Gllae, W A
Phone:
9 800+
Fax:
Email:
20 ` • -%l - 03-15
Signature: �e1 � � e re, Cana,
Page I of 1
k:\Handouts\Master Land Use Application
CITY OF FEDERAL WAY
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
DEVELOPMENT REVIEW COMMITTEE TRANSMITTAL
DATE: April 10, 2012
TO: Ann Dower, Senior Engineering Plans Reviewer
Scott Sproul, Plans Examiner
Brian Asbury, Lakehaven Utility District
Chris Ingham, South King Fire & Rescue
FROM: Becky Chapin
FOR DRC MTG. ON: Completeness Review, No Meeting
Please email any comment
FILE NUMBER (s): 12-101545-00-UP, 12-101546-00-SE
RELATED FILE NOS.: 12-100538-00-PC
PROJECT NAME: AT&T Mobility - SS63 Adelaide
PROJECT ADDRESS: 1216 SW Dash Point Road
ZONING DISTRICT: RS 15.0
PROJECT DESCRIPTION: Modifications to existing PWSF site by upgrading with
LTE antennas and adding ancillary equipment per plans.
LAND USE PERMITS: Process III, SEPA
PROJECT CONTACT: Sunny Ausink, PTS
111 Jackson Street, Suite200
Seattle, WA 98104
MATERIALS SUBMITTED: Project Narrative
Parcel Map
Vicinity Map
Photosimulations
Environmental Checklist
Site Plan
I I 000
II1111IRM
III
1111111101
Q��
ADELAIDE T \\
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SS63
1216 SOUTHWEST DASH POINT ROAD
m
FEDERAL WAY,WA 98023
9
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Federal Way
NOTICE OF LAND USE APPLICATION AND
NOTICE OF OPTIONAL DETERMINATION OF NONSIGNIFICANCE (DNS)
Project Name: AT&T Mobility SS 19 — Adelaide
Project Description: Applicant proposes to upgrade a Personal Wireless Service Facility (PWSF) located on an existing
50-foot Puget Sound Energy (PSE) utility pole, within City owned right-of-way, by adding two new LTE antennas,
increasing the height to 59 feet, 10 inches. Associated upgrades to the existing equipment cabinet within a fenced area are
also included.
Applicant: Sunny Ausink, Pacific Telecom Services, on behalf of AT&T, 111 South Jackson Street #200, Seattle, WA
98104
Project Location: 31617 1s1 Avenue South, Federal Way
Date Application Received: April 6, 2012 Date Determined Complete: April 27, 2012
Date of Notice of Application: May 4, 2012 Comment Due Date: May 21, 2012
Environmental Review: Based upon review of a completed environmental checklist and other information on file with the
City, it is likely that the City of Federal Way will determine that the project will not have a probable significant adverse
impact on the environment and expects to issue a Determination of Nonsignificance (DNS) for this project. The optional
DNS process in WAC 197-11-355 is being used. This may be your only opportunity to comment on the environmental
impacts of the proposed project. The proposal may include mitigation measures under applicable codes, and the review
process may incorporate or require mitigation measures regardless of whether an environmental impact statement (EIS) is
prepared. A copy of the subsequent threshold determination for the specific proposal may be obtained upon request.
Agencies, tribes, and the public are encouraged to review and comment on the proposed project and its probable
environmental impacts. Comments must be submitted by the date noted above.
Permits Required by This Application: Master Land Use Process III (File #12-101545-UP) and State Environmental
Policy Act Threshold Determination (File # 12-101546-SE)
Other Permits Known at this Time and Not Included in This Application: Electrical Permit
Existing Environmental Documents: Environmental Checklist
Relevant Environmental Documents Are Available at the Address Below: Yes
Development Regulations to Be Used for Project Review Known at this Time: Federal Way Revised Code Title 14,
`Environmental Policy' and Titie 19 `Zoning and Development Code.'
Public Comment & Appeals: Any person may submit written comments on the land use application or the environmental
impacts of the proposal to the Director of Community and Economic Development by 5:00 p.m. on May 21, 2012. Only
persons who submit written comments to the Director (address below) or specifically request a copy of the decision, may
appeal the decision. However, any interested party may appeal the environmental threshold determination. Details of appeal
procedures for the requested land use decision will be included with the written decision.
Issuance of Final Environmental Determination: The final Determination of Nonsignificance may be issued without a
second comment period, unless timely comments identify probable significant adverse impacts that were not considered by
the Notice of Optional Determination of Nonsignificance. A copy of the Determination of Nonsignificance may be obtained
upon request_
Availability of File: The official project file is available for public review at the Department of Community and Economic
Development, 33325 8t' Avenue South, Federal Way, WA 98003-6325.
Staff Contact: Becky Chapin, Assistant Planner, 253-835-2641
Published in the Federal Way Mirror on May 4, 2012. Doc I.D. 60965
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GoodmanNetworks at&t
ADELAIDE
1216 SOUTHWEST DASH POINT ROAD
FEDERAL WAY, WA 98023
AT&T Mobility
16221 NE 72nd Way
Redmond, WA 98052
December 16, 2011
The illustration above is a representation or cne p,vy.. ,,—J--• ---- � -
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for any post production design changes. Monotree disclaimer: (In the event that the proposed installation includes s monotree)
actual livingtree. The final installation will have cables, cable ports, and various attachments, such as antennas, nuts, and bolts. While everyeffstalla i n made to disguise these components, [hey will not areadily
or passerby. However, upon close scrutiny, the true nature of the installation will be apparent. Mllllllll""'r
REV:
Prepared by: CJL Pacific T-iecom Services, LLc
3199 C Airp( i Drive, Costa Mesa, CA 92626-3414
Sunny Ausink - Phone 106) 342-6390
SS63
ADELXDE
1216 SOUTHWEST DASH POINT ROAD
FEDERAL WAY, WA 98023
AT&T.Mobility
16221 NE 72nd Way
Redmond, WA 98052
Sunny Ausink - Phon 1206) 342-6390
View #: 2
�GoodmanNetworks at&t
1.::, , .. • , o.i,..,.d
December 16, 2011
The illustration above is a representation of the proposed project based on information provided by the client Actual construction may vary dependent on approved construction plans and therefore PTS (Pacific Telecom Services) is not responsible
for any post production design changes. Monotree disclaimer: (In the event that the proposed installation includes a monotree) The proposed installation is an artistic representation of a tree, and not intended to be an exact reproduction of an
actual living tree. The final installation will have cables, cable ports, and various attachments, such as antennas, nuts, and bolts. While every effort will be made to disguise these components, they will not be readily apparent to the casual observer
or passerby. However, upon close scrutiny, the true nature of the installation will be apparent.
REV:
-- Prepared by: CA Pacific Telecom Services, LLC LA
3199 C Air ' oop Drive, Costa Mesa, CA 92626-3414