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08-100489-SECITY OF Federal Way Mr. Dale Sweeney Dale Sweeney Design 5715 143d Place SE Bellevue, WA 98006 Re: File #08-100489-00-SE; Determination of Nonsignificance Holiday Inn Express 34839 Pacific Highway South, Federal Way Dear Mr. Sweeney: CITY HALL 33325 8th Avenue South Mailing Address: PO Box 9718 Federal Way, WA 98063-9718 (253) 835-7000 www.cityoffederalway.com August 12, 2009 J This office and other City staff have reviewed the environmental checklist you submitted. We have determined that the proposal will not have a probable significant adverse impact on the environment. Asa result, anenvironmental impact statement (EIS) is not required to comply with the State Environmental Policy Act (SEPA). PAL I- y commen periodis required y e es - - notrce mvrtmg comments v�nll be published in the Federal Way Mirror on August 12, 2009. At the end of the comment period, the department will determine if the DNS should be withdrawn, modified, or issued as proposed. All final determinations maybe appealed within 14 days following the comment deadline. No licenses, permits, or approvals will be issued until completion of the appeal period. Our decision not to require an EIS does not mean that the license, permit, or approval you are seeking from the City has been granted. Approval or denial of the proposal will be made by the appropriate administrative or legislative body vested with that authority. 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 (i.e., after approval has been issued or City Council action taken, as applicable), you may, but are not required to, publish a Notice of Action as set forth 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. A copy of the Notice of Action form and copies of RCW 43.21 C.080 and WAC 197-11-680 providing instructions for giving this notice are available from the Department of Community Development Services. The City is not responsible for publishing the Notice of Action. However, the City is responsible for giving a notice to parties of record (of which there are none) stating the date for commencing a judicial appeal (including the SEPA portion of that appeal) if your proposal is one for which the City's action on it has a specified time period within which any court appeals must be made. If you need further assistance, feel free to call Associate Planner David Lee at 253-835-2622. Sincerely, A&I r "- Greg Fewins, Director Community Development Services enc: DNS & Staff Evaluation Doc I D. 51106 CITY OF FEDERAL WAY NOTICE OF ENVIRONMENTAL DETERMINATION OF NONSIGNIFICANCE Holiday Inn Express Fie No. 0&1aI] nt O-SE Description: Cy :vcict mei+- rA w 51,'=•33 =' l drr; t 7• t -t-_ toi y 41-wia llct I ;`rllh associated site improvements. Proposal also includes intrusion into Category 11 wetland and major stream buffer for the purposes of utility connection. Buffer will be restored to full width and mitigation measures installed. Applicant: Dale Sweeney, 143rd Place SE. Bellevue, WA 98006-5715 Loc tion:34839 Pasift HliJl-r V q 9outiii } - {Parcel 8202104-9044 LeadAgency: Cityof Federal Way Department of Community Development Services Staff Contact: Associate Planner David Lee, 253-835-2E22 The lezW agoinq for th[s, rropc-- l has determined that it does not have a probable significant adverse impact on the environment. An :;[ ilenie:nt {E!5} is not i-quir-d i.F.rlc-r Ri--Yi 13.214..030(2) (c). Ti i iz 11 I" .rt-r IT':ir:w of a conlFdi T,7d n. is _ l i i. l ::Il c•.li; . federal Way C�ml)rPl'i�i?�:r: F' ri, irlr�l::,t.yif :; lualion for Ihir, iCti _ r i r id ,tl-� i i riui if ip,11 F.Dlicies, plan_. rulrE r,n•' r+.nul_itr:iri> d-•:innated as a ba::i-, ftrr ex•Drci_r J; -:Llbs lr]r,sIV _-ruthorlty undo{ rl:r. %VTtrJim,ii:,ii l,lrr Environmental P011Gy`P,r.:f f?Uiv�pLrr:;tl:,ntt:• F;G'.''d-I3.:�1C.060. This inforiTla lix, in ,1WJfalJ1e to ttir..- public on requa- t, This DNS is issued t inder WAG 197-11-340{2}. The lead agency w,l, not L,ct on this proposal tot 14 rlri�!� frr,rn Ihr dal. Lrar,.v. C'r riln9etrl must lb? t:I.:br+litte,l I v Auyusl _' 2009. You may appeal this determination to Greg Fewins, Director of Community Development Services, at the City of Federal Way (33325 8th Avenue South, PO Box 9718, Federal Way, WA 98063.9718) no later than 5:00 p.m. on September 9, 2009. The appeal must be in the form of a written letter stating the r,^ tscErr Ftrr li o np,.peal ri Ilia &1crn11na1lr_,n. Tide -,1FF,eA 1ctrr mu-1 I13'.0 s; r.6T1r. fDuiLr-1I )L")eL tiorlS. R?00 1570 Date of f ublic:�0.1n: Ar.lgurt 12, P-00:. FEDERAL WAY .VIIRROR A SOUND PUBLISHING NEWSPAPER 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 semi -weekly newspaper. That said newspaper is published in the English language continually as a semi -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 Community Development Dept. FWM 1570 as it was published in rei-nilar issues (and not in supplemental form) of said newspaper once each week for a period of one consecutive week(s), commencing on the 12th day of August, 2009 , and ending on the 12th day of August, 2009 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 95-60 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 1st day of September, 2009. Notary Public in and for the State of Washington, Residing at Federal Way NOTARY PUBLIC STATE OF WASHINGTON TERYL A. HELLER My Appointment Expires Sept. 04, 2012 1414 S. 3241h STREET, SUITE B210, FEDERAL WAY, WA 98003 ■ 253-925-5565 ■ f A X: 253-925-5750 DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 8th Avenue South PO Box 9718 Federal Way WA 98063-9718 253-835-7000; Fax 253-835-2609 •ram; rr�u.ri i� ft�d�::�(My:a�.ca DECLARATION OF DISTRIBUTION hereby declare, under penalty of perjury of the laws of the State of Was ington, at a: ❑ Notice of Land Use Application/Action ❑ Notice of Determination of Significance (DS) and Scoping Notice l Notice of Environmental Determination of Nonsignificance (SEPA, DNS) ❑ Notice of Mitigated Environmental Determination of Nonsignificance (SEPA, MDNS) ❑ Notice of Land Use Application & Anticipated DNS/MDNS ❑ FWCC 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 ❑ e-mailed and/or �posted to or at each of the attached addresses on 1--, 2009. Project Name I VE ss File Number(s) 1 ` Signature r Date K:\Intern\Declaration of Distribution with Posting Sites.doc/Last printed 8/12/2009 12:10:23 PM Posting Sites: Federal Way City Hall - 33325 8th Avenue Federal Way 3201h Branch Library - 848 South 320th Street Subject Site - 34839 Pacific Hwy South (Holiday Inn Express) KNntern\Declaration of Distribution with Posting Siles,doc/Last printed 8/12/2009 12:10:23 PM CITY OF Federal Way NOTICE OF ENVIRONMENTAL DETERMINATION OF NONSIGNIFICANCE Holiday Inn Express File No. 08-100489-00-SE Description: Development of a new 51,333 square foot 4-story 91-unit hotel with associated site improvements. Proposal also includes intrusion into Category II wetland and major stream buffer for the purposes of utility connection. Buffer will be restored to full width and mitigation measures installed. Applicant: Dale Sweeney, 143rd Place SE, Bellevue, WA 98006-5715 Location: 34839 Pacific Highway South (Parcel #2021.04-9044) Lead Agency: City of Federal Way Department of Community Development Services Staff Contact: Associate Planner David Lee, 253-835-2622 The lead agency for this proposal has determined that it does not have a probable significant adverse impact on the environment. An environmental impact statement (EIS).is not required under RCW 43.21C.030(2)(c). This decision was made after review of a completed environmental checklist, Federal Way Comprehensive Plan, final staff evaluation for this action, and other municipal policies, plans, rules, and regulations designated as a basis for exercise of substantive authority under the Washington State Environmental Policy Act Rules pursuant to RCW 43.31 C.060. This information is available to the public on request. This DNS is issued under WAC 197-11-340(2). The lead agency will not act on this proposal for 14 days from the date below. Comments must be submitted by August 26, 2009. You may appeal this determination to Greg Fewins, Director of Community Development Services, at the City of Federal Way (33325 8"' Avenue South, PO Box 9718, Federal Way, WA 98063-9718) no later than 5:00 p.m. on September 9, 2009. The appeal must be in the form of a written letter stating the reason for the appeal of the determination. The appeal letter must make specific factual objections. Published in the Federal Way Mirror on August 12, 2009. Doc I D 51107 DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 81h Avenue South PO Box 9718 Federal Way WA 98063-9718 253-835-7000; Fax 253-835-2609 I&IsWj.,I a;f� d::a~AU Y.ccm DECLARATION OF DISTRIBUTION I, hereby declare, under penalty of perjury of the laws of the State of Washington, that ❑ 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) ❑ Notice of Land Use Application & Optional DNS/MDNS ❑ FWCC 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 Xmaiied ❑ faxed ❑ e-mailed and/or ❑ posted to or at each of the attached addresses on 2009. Project Name File Number(s) , - e 26 `-� Signature Date 9 2 K:\CD Administration Files\Declaration of Distribution.doc/Last printed 5/4/2009 1:41:00 PM DEPT OF ECOLOGY ENVIRONMENTAL REVIEW SEC PO BOX 47703 OLYMPIA WA 98504-7703 BRANDON REYNON PUYALLUP TRIBE OF INDIANS HISTORIC PRESERVATION DEPT 3009 E PORTLAND AVE TACOMA WA 98404 MUCKLESHOOT INDIAN TRIBE LAURA MURPHY FISHERIES DIVISION TRIBAL ARCHAEOLOGIST ATTN ENVIRONMENTAL REVIEWER MUCKLESHOOT INDIAN TRIBE 39015 172ND AVE SE 39015 172ND AVE SE AUBURN WA 98002 AUBURN WA 98092 DALE SWEENEY DALE SWEENEY DESIGN 5715 143RD PL SE BELLEVUE WA 98006 CITY OF Federal Way ENVIRONMENTAL DETERMINATION OF NONSIGNIFICANCE Holiday Inn Express File No. 08-100489-00-SE Description: Development of a new 51,333 square foot 4-story 9l-unit hotel with associated site improvements. Proposal also includes intrusion into Category 11 wetland and major stream buffer for the purposes of utility connection. Buffer will be restored to full width and mitigation measures installed. Proponent: Dale Sweeny, 143`d Place SE, Bellevue, WA 9 8006-5715 Location: 34839 Pacific Highway South, Federal Way, WA Lead Agency: City of Federal Way Associated Permit: 08-100487-00-UP (Use Process 4 Approval) Contact: Associate Planner David Lee (253-835-2622) The Responsible Official of the City of Federal Way hereby makes the following decisions based upon impacts identified in the environmental checklist; Federal Way Comprehensive Plan; and other municipal policies, plans, rules, and regulations designated as a basis for exercise of substantive authority under the Washington State Environmental Policy Act (SEPA) Rules pursuant to the Revised Code of Washington (RCW) 43.21C.060. The lead agency for this proposal has determined that the proposed action does not have probable significant adverse impact on the environment. An Environmental Impact Statement (EIS) is not required under RCW 43.2 1 C.030(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 under WAC 197-11-340(2). The 14-day public comment period expires 5:00 p.m. on August 26, 2008. Anyone wishing to appeal this determination may do so up to 14 days after the expiration of the public comment period. Appeals may be made during a 14-day period following the public comment period and ending at 5:00 p.m. on September 9, 2009, by a written letter stating the reason for the appeal of the determination. Responsible Official: Greg Fewins Position/Title: Director of Community Development Services Address: 33325 8"' Avenue South, PO Box 9718, Federal Way, WA 98063-9718 Date Issued: August 12, 2009 Signature:Z44 Doc I D 51105 CITY OF Federal Way DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES Staff Evaluation for Environmental Checklist Holiday Inn Express 34839 Pacific Highway South (Parcel #202104-9044) File No: 08-100489-00-SE, Related File No: 08-100487-00-SU NOTE: The purpose of this staff evaluation is to provide a technical staff evaluation of the proposed action; supplement information contained in the environmental checklist and expanded studies; provide technical information unavailable to the applicant; correct inaccurate information; and recommend measures to the responsible official to mitigate identified environmental impacts. Technical reports and attachments referenced above may not be attached to all copies of this decision. Copies of exhibits, reports, attachments, or other documents may be reviewed and/or obtained by contacting Associate Planner David Lee 33325 S'h Avenue South, PO Box 9718, Federal Way, WA 98063-9718, 253-835-2622 . I. SUMMARY OF PROPOSED ACTION Development of a new 51,333 square foot 4-story 91-unit hotel with associated site improvements. Proposal also includes intrusion into Cateooly Il wetland and mi jor streambuffer for the purposes of utility connections. Buffer will be restored to full width and mitigation measures installed. II. GENERAL INFORMATION Project Name: Holiday Inn Express Applicant: Dale Sweeney, 143rd Place SE, Bellevue, WA 98006-5715 Agent: Dale Sweeney, 143rd Place SE, Bellevue, WA 98006-5715 Location: 34839 Pacific Highway South, Federal Way, WA (Parcel #202104-9044) Zoning: Commercial Enterprise (CE) Comp Plan Designation: Commercial Enterprise The following information was submitted as part of the application: 1. SEPA Checklist 2. Site Plans 3. Title Report 4. Master Land Use Application 5. King County Quarter Section Map Holiday Inn Express File 408-100489-00-SE / Doc. I.D. 51110 Staff Evaluation for Environmental Checklist Page 1 of 3 III. REvmw PROCESS The proposed action is subject to State Environmental Policy Act (SEPA) review because it does not meet the exemptions contained in WAC 197-11-800(27). IV. BACKGROUND/PROPOSAL The application was submitted on January 31, 2008, and deemed complete on April 19, 2008. V. REvIEw OF THE ENwRoNwNTAL CHECKLIST The following lists the elements contained within the environmental checklist submitted for the proposed facility. The numbers in the staff evaluation correspond to the numbers in the environmental checklist. If staff concurs with the applicant's response, this is so stated. If the response to a particular item in the checklist is found to be inadequate or clarification is needed, there is additional staff comment and evaluation. A. BACKGROUND 1-12. Concur with the checklist. B. ENVIRONMENTAL ELEMENTS 1. Earth: a-b. Concur with the checklist. C. HSG C soils / Impermeable glacial till d-h. Concur with the checklist. 2. Air: a-c. Concur with the checklist. Water: a. (1) Category II Wetland on the adjacent parcel northeast of the subject property. The stream located on the western portion of the property is a non -fish bearing seasonal tributary stream to Hylebos Creek. (2) All impervious development occurs outside of both the 100' stream and 100' wetland buffer areas. Intrusion into the wetland/stream buffer is limited to storm water drainage line and sewer line connection. Both connections are temporary intrusions and full buffer widths will be returned to enhance pre-existing conditions. (3) — (6) Concur with the checklist. b. (1) Stormwater will be collected via catch basins around the site, detained, treated, and discharged outside of the stream's ordinary high water mark. (2) Concur with the checklist. C. (1) — (2) Concur with the checklist. d. Concur with the checklist. 4. Plants: a-d. Concur with the checklist. Holiday Inn Express File #08-100489-00-SE / Doc. I.D. 51110 Staff Evaluation for Environmental Checklist Page 2 of 3 5. Animals: a-d. Concur with the checklist. 6. Energy and Natural Resources: a-c. Concur with the checklist. 7. Environmental Health: a. (1) — (2) Concur with the checklist. b. (1) — (3) Concur with the checklist. 8. Land and Shoreline Use: a-1. Concur with the checklist. 9. Housing: a-c. Concur with the checklist. 10. Aesthetics: a-c. Concur with the checklist. 11. Light and Glare: a-d. Concur with the checklist. 12. Recreation: a-c. Concur with the checist. 13. Historic and Cultural Preservation: a-c. Concur with the checklist. 14. Transportation: a-g. Concur with the checklist. 15. Public Services: a b. Concur with the checklist. 16. Utilities: a-b. Concur with the checklist. VI. CONCLUSION The proposal can be found to not have a probable significant adverse impact on the environment pursuant to a Determination of Nonsignificance (DNS). This DNS is based on impacts identified within the environmental checklist, attachments, and the above Staff Evaluation for Environmental Checklist, and is supported by plans, policies, and regulations formally adopted by Federal Way for the exercise of substantive authority under SEPA to approve, condition, or deny proposed actions. The City reserves the right to review any future revisions or alterations to the proposal to determine the environmental significance or nonsignificance of the proposal at that time. Prepared by: Associate Planner David Lee Holiday Inn Express Staff Evaluation for Environmental Checklist Date: August 12, 2009 File #08-100489-00-SE / Doc. I.D. 51110 Page 3 of 3 DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 8th Avenue South PO Box 9718 Federal Way WA 98063-9718 253-835-7000; Fax 253-835-2609 \^r\"rt"r:�:lt' e u'.:•: �l'i.::3'�.f�r3r`i DECLARATION OF DISTRIBUTION hereby declare, under penalty of perjury of the laws of the State of Washington, tha ❑ Notice of Land Use Application/Action ❑ Notice of Determination of Significance (DS) and Scoping Notice ANotice of Environmental Determination of Nonsignificance (SEPA, DNS) ❑ Notice of Mitigated Environmental Determination of Nonsignificance (SEPA, MDNS) ❑ Notice of Land Use Application & Optional DNS/MDNS ❑ FWCC 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 ❑ faxed14 e-mailed and/or ❑ posted to or at each of the attached addresses on l 2009. Project Name File Number(s)777 Signature Date G G K:\CD Administration Files\Declaration of Distribution.doc/Last printed 5/4/2009 1:41:00 PM <- A 4 k CITY or - Federal Way NOTICE OF ENVIRONMENTAL DETERMINATION OF NONSIGNIFICANCE Holiday Inn Express File No. 08-100489-00-SE Description: Development of a new 51,333 square foot 4-story 91-unit hotel with associated site improvements. Proposal also includes intrusion into Category II wetland and major stream buffer for the purposes of utility connection. Buffer will be restored to full width and mitigation measures installed. Applicant: Dale Sweeney, 143rd Place SE, Bellevue, WA 98006-5715 Location: 34839 Pacific Highway South (Parcel #202104-9044) Lead Agency: City of Federal Way Department of Community Development Services Staff Contact: Associate Planner David Lee, 253-835-2622 The lead agency for this proposal has determined that it does not have a probable significant adverse impact on the environment. An environmental impact statement (EIS) is not required under RCW 43.21C.030(2)(c). This decision was made after review of a completed environmental checklist, Federal Way Comprehensive Plan, final staff evaluation for this action, and other municipal policies, plans, rules, and regulations designated as a basis for exercise of substantive authority under the Washington State Environmental Policy Act Rules pursuant to RCW 43.31C.060. This information is available to the public on request. This DNS is issued under WAC 197-11-340(2). The lead agency will not act on this proposal for 14 days from the date below. Comments must be submitted by August 26, 2009. You may appeal this determination to Greg Fewins, Director of Community Development Services, at the City of Federal Way (33325 8`h Avenue South, PO Box 9718, Federal Way, WA 98063-9718) no later than 5:00 p.m. on September 9, 2009. The appeal must be in the form of a written letter stating the reason for the appeal of the determination. The appeal letter must make specific factual objections. Published in the Federal Way Mirror on August 12, 2009. Doc. LD. 51107 Tina Piety From: Tina Piety Sent: Monday, August 10, 2009 10:40 AM To: Te yl Heller Subject: Legal Notice Attachments: Holiday Inn Express DNS.DOC Hi Teryl, ;Please publish the attached legal notice (Holiday Inn Express DNS, 08-100489-00-SE) in Wednesday's (8/12/09) issue. Please furnish an affidavit of publication. Thank you! I hope your summer is going well. Tina Tina Piety From: Teryl Heller [theller@fedwaymirror.com] Sent: Monday, August 10, 2009 11:48 AM To: Tina Piety Subject: Re: Legal Notice Attachments: Holiday Inn Express DNS.DOC; ATT00001.c Tina, No problem. We will get this printed for you. Thanks, Rudi Alcott filling in for Teryl this week. On Aug 10, 2009, at 10:39 AM, Tina Piety wrote: 1 o. Federal Way DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 8"' Avenue South RECEIVED PO Box 9718 Federal Way WA 98063-9718 253-835-2607;Fax 253-835-2609 JAN 31 2008 www.citvoffederalway.co CITY OF FEDERAL WAY CDS 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," and "property or site" should be read as "proposal," "proposer," and "affected geographic area," respectively. Bulletin #050 — December 22, 2005 Page 1 of 18 k:\Handouts\Environmental Checklist A. BACKGROUND 1. Name of proposed project, if applicable: l=e%,Al /I�arid Inn �p�sS 2. Name of applicant: Daly �5Wrle0e-1 3. Address and phone number of applicant and contact person. qVS 143"" PlOre V'1'4 426' 260 yf69 4. Date checklist prepared: 1 Z /Zo/G7 5. Agency requesting checklist: ed-I0e-redrra{sW17Y 6. Proposed timing or schedule (including phasing, if applicable): F3e9lia June / dc,17 ?0(94' 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. N0 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. Vie -i'l4r4 A ! �ee v, A S5 e 55 err eh -' 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. No Bulletin #050 — December 22, 2005 Page 2 of 18 k:\Iandouts\Environmental Checklist 10. List any government approvals or permits that will be needed for your proposal, if known. Sri �q�lhy Fermilt l Pe,,,m �St 11 Federal �iaLl Lam d 115C rDCYtad II on �Cr M T, 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. New cUn jrv,1,, 0 `f S -Z, 5 Z S ��.� �'vvi s 4urAl 51 �P q 104J/04 5t- A 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. '7 c F7 zG I kloy #k 2 0 2/ 6 4 CJ O'f B. ENVIRONMENTAL ELEMENTS 1. EARTH a. General description of the site (circle one): flat, rolling, hilly, steep slo, mountainous, er. Mode-rr�TC SIveo-e vv/ �A 5�retr. �lo�rs q1t 5 rcasn. b. What is the steepest slope on the site (approximate percent slope)? 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. S'ee a f'ac Aed 5col15 ere0.- �. Bulletin #050 — December 22, 2005 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. M; e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. 411 A-11 1 �v� f '1i rMq lerr1 / (Ir'' �e-W c�fish�ol rG�k and hvllc�ing o� I ea J.eivrrl bats-e . f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. A1D g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? 3 . Z -0/0, h. Proposed measures to reduce or control si n, or other impacts to the earth, if any. ��q�,P r P jD �rc ji¢,9 e ;7Z/5 , 5etd i'A7 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. / n Ve6, /r. ie'i�Stld�1S dL�Flr) Cans �rvG7i0ii Q"d Q t �cr Com,7lG�/Oi'f a} 'avr �%�1tS q,-e /'io7 /<,npof r-) b. Are there any off -site sources of emissions or odor that may affect your proposal? If so, generally describe. klane Bulletin #050 - December 22, 2005 Page 4 of 18 kAHandoutsTrivironmental Checklist c. Proposed measures to reduce or control emissions or other impacts to air, if any. PO oc 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 orriver it flows into. 511-tdM �qr -� d -� �% /e %vs Creek, Sre WC f IGnG� �InGI J��i�Am 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. Yr 5 . Rt vr,,n g f /OU Sr& s,�lr p lr"? 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. Nohe 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. /VD 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. Ali Bulletin #050 — December 22, 2005 Page 5 of 18 k:\Handouts\Environmental Checklist 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. No b. Ground. 1) Will ground water be withdrawn, or will water be discharged to groundwater? Give general description, purpose, and approximate quantities if known. Po 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. Yo nC' . 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. 1 / Gave s ► 5 �5 0 -n on S/4e 4rI7 T1o0 4,7el �rro 4,new - c� jfh. d fScAor�q-e 4o Y-11Cd vs creek. 2) Could waste materials enter ground or surface waters? If so, generally describe. No. Bulletin #050 — December 22, 2005 Page 6 of 18 k:\Handouts\Environmental Checklist d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any. IrirRP)Cp��ci �r�a IMe? ��r cir 51a�4� 4. PLANTS a. Check or circle types of vegetation found on the site. deciduous tree: alter, maple, aspen, othe=- Ievergreen tree: fir, cedar, pine, other _✓shrubs �. ✓grass pasture crop or grain _ wet soil 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? NO"" ji 9/450' c. List threatened or endangered species known to be on or near the site. Pan d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any. A, Oaer L4 n,l S e ari r o Fl ah O"d We Pc"" J 4"d S�� eq.,a /.1-s$ a ss.y,<•, Bulletin #050 — December 22, 2005 Page 7 of 18 U14andoutsEnvironmental Checklist 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. N O n c k n o w Yr birds: hawk, heron, eagle, songbirds, other mammals: deer, bear, elk, beaver, other ,fish: bass, salmon, trout, herring, shellfish, other b. List any threatened or endangered species known to be on or near the site. �I ooc known c. Is the site part of a migration route? If so, explain. d. Proposed measures to preserve or enhance wildlife, if any. None 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. ��<<�n f,-ley ��, �►�� ;�, , ��S �. ��f ><;� h� � b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. �o Bulletin #050 — December 22, 2005 Page 8 of 18 k:\Handouts\Environmental Checklist 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. CO!'h'p!0QhcP ce't f A 044C trorrc-OY GGCIc f 7. ENVIRONMENTAL HEALTH a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and exp1llosion, spill, or hazardous waste that could occur as a result of this proposal? If so, describe. C? 1) Describe special emergency services that might be required. porie - Y901mo I (/!5u)e - 2) Proposed measures to reduce or control environmental health hazards, if any. Nano b. Noise. 1) What types of noise exist in the area which may affect your project (for example: traffic, equipinent operation, other)? L � �J Q y , Ol5 P '7Y(1 M V G L ! ' ' C �� 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. ��l�yl Consf��c �imn ef�l'-,r,�nT c/v�li�•� Low s �rvc �ich Bulletin #050 — December 22, 2005 Page 9 of 18 k:\Handouts\Environmental Checklist 3) Proposed measures to reduce or control noise impacts, if any. Nof)e 8. LAND AND SHORELINE USE a. What is the current use of the site and adjacent properties? 140-e I / re �p,,I J o Y,6, e -Q*7d Meal rcq 1 Gq% 4v the Ala, A POrL cth4 11ldc �o 41 e We5l. V o(t an + 1v 1he Sav, A b. Has the site been used for agriculture? If so, describe. Nv c. Describe any struchtrrpes on the site. % //�, � firr7 O �/CC 0-)C( Ct S.rac e 1 &1 /c/ ir90. d. Will any structures be demolished? if so, what? de56"Ih-rd gbave' e. What is the current zoning classification of the site? Gi� f. What is the current comprehensiveplandesignation of the site? Bulletin #050 — December 22, 2005 Page 10 of 18 k:\Handouts\Environmental Checklist g. If applicable, what is the current shoreline master program designation of the site? NA h. Has any part of the site been classified as an environmentally critical area? If so, specify. 0.0 Sre Wellefrd i. Approximately how many people would reside or work in the completed project?/ lip �0 20 emp OG7rrs , P or7 e GauvI G% re5I He OP7 S ;I e- j. Approximately how many people would the completed project displace? por7{ k. Proposed measures to avoid or reduce displacement impacts, if any. Soo 7 f 1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any. j Carr, e I T�f C 6G�rS. 9. HOUSING a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low- income housing. PC) 64in- 9 Bulletin #050 — December 22, 2005 Page 11 of 18 k:\Handouts\Environmental Checklist b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. N0r7C c. Proposed measures to reduce or control housing impacts, if any. No>7e 10. AESTHETICS a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed?1 /� 4q � �U �t°q� d� �Ip)�ItsI cfleMt� ��7tri9t' 71ni5o hr -ftlxrlermr,T b. What views in the immediate vicinity would be altered or obstructed? Noh e c. Proposed measures to reduce or control aesthetic impacts, if any. Ovlf 11. LIGHT AND GLARE a. What type of light or glare will the proposal produce? What time of day would it/mainly occur? / l/0. b 1�ih7 an i[ h��lclir�q��aircihJo dOCUh weird ) 0,W Bulletin #050 — December 22, 2005 Page 12 of 18 k:\Handouts\Environmental Checklist b. Could light or glare from the finished project be a safety hazard or interfere with views? 80 c. What existing off -site sources of light or glare may affect your proposal? �Ont d., Proposed measures to reduce or control light and glare impacts, if any. P oo'e 12. RECREATION a. What designated and informal recreational opportunities are in the immediate vicinity? 6; 1 Uia JW01-9 1 rvh n ;no), b. Would the proposed displace any existing recreational uses? If so, describe. �o- c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any. �Une, Bulletin #050 — December 22, 2005 Page 13 of 18 k:\Handouts\Environmental Checklist 0. 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. �/ v b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. N61h-( c. Proposed measures to reduce or control impacts, if any. None 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. One QccesS ®,Tv �a c i -I i t Pw X 5o,4 i , -5-c 5,V r b. Is the site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? Ae6pe'6f)t, , U5 ml'lc5 c. How many parking spaces would the completed project have? How many would the project eliminate? 9 Z 4CCU, NGnc e �l �l � hg f�Gi Bulletin #050 — December 22, 2005 Page 14 of 18 k:\Handouts\Environmental Checklist 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). IY a. e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. XIO. f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. No+ knvkin. C�,J 1&jll �Oead,'Ce- �Yq#lc g. Proposed measures to reduce or control transportation impacts, if any. NOn e y e-4. 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. h34,5;c At're a.,/ 14a/i�r fro kc�ia�. Bulletin #050 — December 22, 2005 Page 15 of 18 kAHandouts\Environmental Checklist b. Proposed measures to reduce or control direct impacts on public services, if any. None 16. UTILITIES a. Circle utilities currently available at the site: ectrici tural at fuse servic lephone, anitary seweptic system, other er (please list) cqb /e. 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. (,(jgFCr Z- A.✓ly7 C. SIGNATURE The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its decision. SIGNATURE: DATE SUBMITTED: 1 r 1 1-0 5 Bulletin #050 — December 22, 2005 Page 16 of 18 k:\Handouts\Environmental Checklist A SUPPLEMENTAL SHEET FOR NON -PROJECT ACTIONS Because these questions are very general, it may be helpful to read them in conjunction with the list of the elements of the environment. When answering these questions, be aware of the proposal, of the types of activities likely to result from the proposal, and if they are likely to affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1. 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? Nk Proposed measures to avoid or reduce such increases: NA 2. How would the proposal be likely to affect plants, animals, fish, or marine life? /r 4 Proposed measures to protect or conserve plants, animals, fish, or marine life: M14 3. How would the proposal be likely to deplete energy of natural resources? 144 Proposed measures to protect or conserve energy and natural resources: NA Bulletin #050 — December 22, 2005 Page 17 of 18 k:\landouts\Environmental Checklist 4. How would the proposal be likely to use or affect environmentally critical 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? 914 Proposed measures to protect such resources or to avoid or reduce impacts: NA 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. nIA Proposed measures to avoid or reduce shoreline and land use impacts: N�r 6. How would the proposal be likely to increase demands on transportation or public service and utilities? N/Ar Proposed measures to reduce of respond to such demands: N4 7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. 414 Bulletin #050 — December 22, 2005 Page 18 of 18 kAl-landoutsEnvironmental Checklist