21-100989-APPROVED NEPA-03-16-2021-V1DOT Form 140-100
Revised 8/2020
NEPA Categorical Exclusion
Documentation Form
Federal Aid Project Number NEPA Start Date Intent of Submittal
Preliminary Final Re-Evaluate
Agency Project Title
County
Beginning terminus: Township(s):
Ending terminus: Range(s):
Miles: Section(s):
Part 1 - Project Description (Attach Vicinity Map)
Part 2 - Categorical Exclusion & STIP
ROW Construction
• Attach a copy of the STIP page to the CE documentation form.
NEPA Approval Signatures
Local Agency Approving Authority Date Local Programs Environmental Engineer Date
Regional Local Programs Engineer Date Federal Highway Administration Date
Telephone (include area code)E-mail Address
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DOT Form 140-100
Revised 8/2020
Part 3 - Permits, Approvals & Right of Way (ROW)
Yes No Permit or Approval Yes No Permit or Approval
Corps of Engineers Sec. 10 Sec. 404 Water Quality Certification - Section 401
Nationwide Type Issued By
Individual Permit No. Tribal Permit(s) (if any)
Coastal Zone Management Certification Other Permits (List)
Critical Areas Ordinance (CAO) Permit Is permanent ROW acquisition needed? If yes,
Forest Practices Act Permit amount needed: (acres/sq. ft.).
Hydraulic Project Approval Is any temporary ROW needed?
Local Building or Site Development Permits Is relocation required?
Local Clearing and Grading Permit Has ROW (property and/or property interests)
National Pollutant Discharge Elimination System been acquired for this project prior to the NEPA
(NPDES) Baseline General for Construction start date? If yes, documentation demonstrating
Shoreline Permit compliance with 23 CFR 710.501 may
State Waste Discharge Permit be required.
Water Rights Permit Is a detour required? If yes, please attach
detour information.
U.S. Coast Guard Permitting
a. Does the project propose any new or modify any existing bridges or culverts crossing a waterway? Yes No
b. If Yes, attach a copy of the jurisdictional determination email or letter from the U.S. Coast Guard.
Other Federal Agencies - Does the project involve any federal properties, approvals or funding from other/additional federal
agencies? Yes No If Yes, please describe.
Part 4 - Environmental Considerations
Will the project involve work in or affect any of the following? Identify proposed mitigation.
Attach additional pages or supplemental information if necessary.
1. Air Quality - Identify any anticipated air quality issues.
Is the project exempt from Air Quality conformity requirements? Yes No
a. If Yes, identify exemption - please refer to Appendix G in the CE Guidebook for a list of exemptions.
b. Is the project included in the Metropolitan Transportation Plan? Yes No
If Yes, date Metropolitan Transportation Plan was adopted
c. Is the project located in an Air Quality Non-Attainment Area or Maintenance Area for carbon monoxide, ozone or PM 10 or
PM 2.5? Yes No
2. Critical and Sensitive Areas
a. Is this project within a sole source aquifer? Yes No
If located within a sole source aquifer, is the project exempt from EPA approval?
If Yes, please list exemption:
If No, date of EPA approval:
b. Will this project impact Species/Habitat other than ESA listed species? Yes No Explain your answer.
c. Is this project within one mile of a Bald Eagle nesting territory, winter concentration area or communal roost?
Yes No If Yes, the local agency must go to the US Fish & Website (http://www.fws.gov/pacific/eagle/) and work
through the Do I Need a Permit? section.
d. Are wetland present within the project area? Yes No If Yes, estimate the impact in acres:
Please attach a copy of the proposed mitigation plan.
40 CFR 93.126 - Bicycle and pedestrian facilities
Dec 2018 (Project #FW-37)
DOT Form 140-100
Revised 8/2020
3.Cultural Resources/Historic Structures - Identify any historic, archaeological or cultural resources present within the project’s
Area of Potential Effects.
Does the project fit into any of the exempt types of projects listed in Appendix J of the CE Guidebook?
Yes No If Yes, note exemptions below.
If No: Date of DAHP concurrence:
Date of Tribal consultation(s) (if applicable):
Adverse effects on cultural/historic resources? Yes No
If Yes, date of approved Section 106 MOA:
4.Floodplains and Floodways
a.Is the project located in a 100-year floodplain? Yes No
b.If Yes, is the project located within a 100-year floodway? Yes No
c.Will the project impact a 100-year floodplain? Yes No If Yes, describe impacts.
5.Hazardous and Problem Waste - Identify potential sources and type(s).
a. Does the project require excavation below the existing ground surface? Yes No
b.Will groundwater be encountered? Yes No
c.Will any properties be acquired as part of this project? Yes No
d.Is this site located in an undeveloped area (i.e. no buildings, parking, storage areas or agriculture)? Yes No
e.Is the project located within a one-mile radius of a known Superfund Site? Yes No
f.Is this project located within a ½-mile radius of a site or sites listed on any of the following Department of Ecology databases?
Yes No If Yes, check the appropriate boxes below.
Voluntary Cleanup Program (VCP), State Cleanup Site (SCS), or Independent Cleanup Program (ICP)
Underground Storage Tank (UST)
Leaking Underground Storage Tank (LUST)
Confirmed and Suspected Contaminated Sites List (CSCSL)
g. Has site reconnaissance (windshield survey) been performed? Yes No (Please identify any properties not
identified in the Ecology or ERS database search as an attachment -- name, address and property use).
h. Based on the information above and project specific activities, is there a potential for the project to generate, acquire or
encounter contaminated soils, groundwater or surface water? Yes No
Please explain:
If you responded Yes to any of these questions above (5A - 5F or 5H), contact your Region LPE for assistance as a “Right-Sized”
HazMat Analysis Report/Memorandum most likely will be required.
There is a small possibility that contaminated soil could be found during excavation. A Special Provision will
be included in the contract documents for proper handling and disposal in the event it is encountered.
The City constructed roadway improvements just north of this project at the intersection of S 312th St
and SW Dash Point Road four years ago. There was extensive excavation and no contaminated soil
was encountered at that time. That project site was much closer to the locations of the underground
tanks and cleanup sites.
A-4, 20. 21 - mv per TD 11/4/2020
DOT Form 140-100
Revised 8/2020
6. Noise
a. Does the project involve constructing a new roadway? Yes No
b. Is there a change in the vertical or horizontal alignment of the existing roadway? Yes No
c. Does the project increase the number of through traffic lanes on an existing roadway? Yes No
d. Is there a change in the topography? Yes No
e. Are there auxiliary lanes extending 1-½ miles or longer being constructed as part of this project? Yes No
f. If you answered Yes to any of the preceding questions, identify and describe any potential noise receptors within the project
area and subsequent impacts to those noise receptors. Please attach a copy of the noise analysis if required.
If impacts are identified, describe proposed mitigation measures.
7. 4(f)/6(f) Resources: parks, recreation areas, wildlife refuges, historic properties, wild & scenic rivers, scenic byways
a. Please identify and 4(f) properties within the project limits and the areas of impacts.
b. Please identify any properties within the project limits that used funds from the Land & Water Conservation Fund Act.
c. Please list any Wild and Scenic Rivers and Scenic Byways within the project limits.
8. Agricultural Lands -
a. Are there agricultural lands within 300 feet of the project limits? Yes No If Yes, describe impacts:
b. Are impacted lands considered to be unique and prime farmland? Yes No
If Yes, date of project review by Natural Resource Conservation Service (NRCS):
9. Rivers, Streams (continuous or intermittent) or Tidal Waters
a. Identify all waterbodies within 300 feet of the project limits or that will otherwise be impacted.
b. Identify stream crossing structures by type.
n/a
n/a
The project is located adjacent to Lakota Park.
None
None
There is an unnamed stream north of SW Dash Point Rd that ends approximately 100' north of the project.
The end of the stream is located on a private parcel and will not be impacted by this project.
none
DOT Form 140-100
Revised 8/2020
10. Tribal Lands - Identify whether the project will occur within any Tribal lands, including reservation, trust and fee lands. Please do
no list usual and accustomed area.
11. Water Quality/Stormwater
a. Will this project’s proposed stormwater treatment facility be consistent with the guidelines provided by either WSDOT’s HRM,
DOE’s stormwater management manual for eastern/western Washington or a local agency equivalent manual?
Yes No
If No, explain proposed water quality/quantity treatment for the new and any existing pollution generating impervious surface
associated with the proposed project.
b. Amount of existing pollution generating impervious surface within the project limits:
c. Net new pollution generating impervious surface to be created as a result of this project:
d. Amount of proposed post-project untreated pollution generating impervious surface:
12. Previous Environmental Commitments
Describe previous environmental commitments that may affect or be affected by the project - if any.
13. Environmental Justice - Does the project meet any of the exemptions noted in Appendix L of the CE Documentation
Guidebook?
If Yes, please note the exemption and appropriate justification in the space below.
If No, attach Appendix M and supporting documentation as required per the decision matrix.This will include at least two
demographic information sources and possibly a description of anticipated project impacts.
Please refer to the CE Guidebook for more information.
Part 5 - Biological Assessments and EFH Evaluations
1. Do any listed species potentially occur in the project’s action area and/or is any designated critical habitat present
within the project’s action area? Yes No Attach species listings.
Affected ESA Listed Species 2. Will any construction work occur within
0.25 mile of any of the following?
3. Does the project involve blasting, pile
driving, concrete sawing, rock-drilling or
rock-scaling activity within one mile of
any of the following?
Oregon Spotted Frog proposed critical
habitat or suitable habitat? Yes No Yes No
Yellow-billed Cuckoo suitable habitat? Yes No Yes No
Spotted Owl management areas,
designated critical habitat or suitable
habitat?
Yes No Yes No
Marbled Murrelet nest or occupied stand,
designated critical habitat or suitable
habitat?
Yes No Yes No
Western Snowy Plover designated critical
habitat? Yes No Yes No
Is the project within 0.25 mile of marine
waters? If Yes explain potential effects on
Killer Whales and on Marbled Murrelet
foraging areas.
Yes No Yes No
The project will not occur within any Tribal lands.
98,030 sf
3,889 sf
3,889 sf
None
Exemptions #2 (new light/signs); #6 (new sidewalk); #7 (new bike lane); #8 (replaced storm & waterline)
DOT Form 140-100
Revised 8/2020
Killer Whale designated critical habitat? Yes No Yes No
Grizzly Bear suitable habitat? Yes No Yes No
Gray Wolf suitable habitat? Yes No Yes No
Canada Lynx habitat? Yes No Yes No
Columbia White-tailed Deer suitable
habitat? Yes No Yes No
Woodland Caribou habitat? Yes No Yes No
Streaked Horned Lark designated critical
habitat or suitable habitat? Yes No Yes No
Taylor’s Checkerspot designated critical
habitat or suitable habitat? Yes No Yes No
Mazama Pocket Gopher designated critical
habitat or suitable habitat? Yes No Yes No
Eulachon designated critical habitat or
suitable habitat? Yes No Yes No
Rockfish proposed critical habitat or
suitable habitat? Yes No Yes No
A mature coniferous or mixed forest stand? Yes No Yes No
4. Will the project involve any in-water work? Yes No
5. Will any construction work occur within 300 feet of any perennial or intermittent waterbody that either
supports or drains to waterbody supporting listed fish? Yes No
6. Will any construction work occur within 300 feet of any wetland, pond or lake that is connected to any
permanent or intermittent waterbody? Yes No
7. Does the action have the potential to directly or indirectly impact designated critical habitat for salmonids
(including adjacent riparian zones)? Yes No
8. Will the project discharge treated or untreated stormwater runoff or utilize water from a waterbody that
supports or drains into a listed-fish supporting waterbody? Yes No
9. Will construction occur outside the existing pavement? If Yes go to 9a. Yes No
9a. Will construction activities occurring outside the existing pavement involve clearing, grading, filling or
modification of vegetation or tree-cutting? Yes No
10. Are there any Federally listed Threatened or Endangered plant species located within the project limits? If
Yes, please attach a list of these plant species within the action area. Yes No
11. Does a mature coniferous or mixed forest stand occur within 200’ of the project site? Yes No
Analysis for No Effects Determination – If there are any Yes answers to questions in Part 5, additional analysis is required. Attach
additional sheets if needed.
The project will occur entirely within the existing ROW of SW Dash Point Road. There will be no in-water
work or impacts to streams.
9a. The project will include clearing/grading/filling outside of the existing pavement to accommodate the
new curb/gutter/sidewalk. This will include removal of existing grass areas, as well as removal of a row of
mature, deciduous trees. These trees will be replaced with street trees that will be located in the planter strip
area.
11. An undeveloped parcel is located across the street (within 200') and is currently filled with a mixture of
coniferous and deciduous trees. The proposed project will have no impact on this parcel.
DOT Form 140-100
Revised 8/2020
Analysis for RRMP ESA 4(d) determination for NMFS – A local agency must be certified by the Regional Road Maintenance Forum
to utilize 4(d).
Maintenance Category (check all that apply)
1. Roadway Surface 6. Stream Crossings 11. Emergency Slide/Washout Repair
2. Enclosed Drainage Systems 7. Gravel Shoulders 12. Concrete
3. Cleaning Enclosed Drainage Systems 8. Street Surface Cleaning 13. Sewer Systems
4. Open Drainage Systems 9. Bridge Maintenance 14. Water Systems
5. Watercourses and Streams 10. Snow and Ice Control 15. Vegetation
Describe how the project fits in the RRMP 4(d) Program:
Effect Determinations for ESA and EFH
If each of the questions in the preceding section resulted in a “No” response or if any of the questions were checked “Yes,” but
adequate justification can be provided to support a “no effect” determination, then check “No Effect” below. If this checklist cannot
be used for Section 7 compliance (i.e., adequate justification cannot be provided or a “may effect” determination is anticipated), a
separate biological assessment document is required.
NMFS USFWS EFH Determination
No Effect No Adverse Effect
NLTAA - Date of Concurrence Adverse Effect - Date of NMFS
concurrence LTAA - Date BO Issued
RRMP 4(d) Not Applicable
Part 6 - FHWA Comments
PROJECT BEGINSPROJECT ENDS PROJECT LOCATION
A B C D E F
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October 02, 2020
United States Department of the Interior
FISH AND WILDLIFE SERVICE
Washington Fish And Wildlife Office
510 Desmond Drive Se, Suite 102
Lacey, WA 98503-1263
Phone: (360) 753-9440 Fax: (360) 753-9405
http://www.fws.gov/wafwo/
In Reply Refer To:
Consultation Code: 01EWFW00-2021-SLI-0004
Event Code: 01EWFW00-2021-E-00012
Project Name: Lakota Middle School Safe Routes to School
Subject: List of threatened and endangered species that may occur in your proposed project
location, and/or may be affected by your proposed project
To Whom It May Concern:
The enclosed species list identifies threatened, endangered, and proposed species, designated and
proposed critical habitat, and candidate species that may occur within the boundary of your
proposed project and/or may be affected by your proposed project. The species list fulfills the
requirements of the U.S. Fish and Wildlife Service (Service) under section 7(c) of the
Endangered Species Act (Act) of 1973, as amended (16 U.S.C. 1531 et seq.).
New information based on updated surveys, changes in the abundance and distribution of
species, changed habitat conditions, or other factors could change this list. The species list is
currently compiled at the county level. Additional information is available from the Washington
Department of Fish and Wildlife, Priority Habitats and Species website: http://wdfw.wa.gov/
mapping/phs/ or at our office website: http://www.fws.gov/wafwo/species_new.html. Please note
that under 50 CFR 402.12(e) of the regulations implementing section 7 of the Act, the accuracy
of this species list should be verified after 90 days. This verification can be completed formally
or informally as desired. The Service recommends that verification be completed by visiting the
ECOS-IPaC website at regular intervals during project planning and implementation for updates
to species lists and information. An updated list may be requested through the ECOS-IPaC
system by completing the same process used to receive the enclosed list.
The purpose of the Act is to provide a means whereby threatened and endangered species and the
ecosystems upon which they depend may be conserved. Under sections 7(a)(1) and 7(a)(2) of the
Act and its implementing regulations (50 CFR 402 et seq.), Federal agencies are required to
utilize their authorities to carry out programs for the conservation of threatened and endangered
species and to determine whether projects may affect threatened and endangered species and/or
designated critical habitat.
10/02/2020 Event Code: 01EWFW00-2021-E-00012 2
Ƒ
A Biological Assessment is required for construction projects (or other undertakings having
similar physical impacts) that are major Federal actions significantly affecting the quality of the
human environment as defined in the National Environmental Policy Act (42 U.S.C. 4332(2)
(c)). For projects other than major construction activities, the Service suggests that a biological
evaluation similar to a Biological Assessment be prepared to determine whether or not the
project may affect listed or proposed species and/or designated or proposed critical habitat.
Recommended contents of a Biological Assessment are described at 50 CFR 402.12.
If a Federal agency determines, based on the Biological Assessment or biological evaluation, that
listed species and/or designated critical habitat may be affected by the proposed project, the
agency is required to consult with the Service pursuant to 50 CFR 402. In addition, the Service
recommends that candidate species, proposed species, and proposed critical habitat be addressed
within the consultation. More information on the regulations and procedures for section 7
consultation, including the role of permit or license applicants, can be found in the "Endangered
Species Consultation Handbook" at:
http://www.fws.gov/endangered/esa-library/pdf/TOC-GLOS.PDF
Please be aware that bald and golden eagles are protected under the Bald and Golden Eagle
Protection Act (16 U.S.C. 668 et seq.). You may visit our website at http://www.fws.gov/pacific/
eagle/for information on disturbance or take of the species and information on how to get a
permit and what current guidelines and regulations are. Some projects affecting these species
may require development of an eagle conservation plan: (http://www.fws.gov/windenergy/
eagle_guidance.html). Additionally, wind energy projects should follow the wind energy
guidelines (http://www.fws.gov/windenergy/) for minimizing impacts to migratory birds and
bats.
Also be aware that all marine mammals are protected under the Marine Mammal Protection Act
(MMPA). The MMPA prohibits, with certain exceptions, the "take" of marine mammals in U.S.
waters and by U.S. citizens on the high seas. The importation of marine mammals and marine
mammal products into the U.S. is also prohibited. More information can be found on the MMPA
website: http://www.nmfs.noaa.gov/pr/laws/mmpa/.
We appreciate your concern for threatened and endangered species. The Service encourages
Federal agencies to include conservation of threatened and endangered species into their project
planning to further the purposes of the Act. Please include the Consultation Tracking Number in
the header of this letter with any request for consultation or correspondence about your project
that you submit to our office.
Related website:
National Marine Fisheries Service: http://www.nwr.noaa.gov/protected_species/species_list/
species_lists.html
Attachment(s):
Official Species List
10/02/2020 Event Code: 01EWFW00-2021-E-00012 1
Official Species List
This list is provided pursuant to Section 7 of the Endangered Species Act, and fulfills the
requirement for Federal agencies to "request of the Secretary of the Interior information whether
any species which is listed or proposed to be listed may be present in the area of a proposed
action".
This species list is provided by:
Washington Fish And Wildlife Office
510 Desmond Drive Se, Suite 102
Lacey, WA 98503-1263
(360) 753-9440
10/02/2020 Event Code: 01EWFW00-2021-E-00012 2
Project Summary
Consultation Code: 01EWFW00-2021-SLI-0004
Event Code: 01EWFW00-2021-E-00012
Project Name: Lakota Middle School Safe Routes to School
Project Type: TRANSPORTATION
Project Description: The Lakota Middle School Safe Routes to School Project will construct
sidewalk, planter strip, bicycle lane, street lights on the south side of SW
Dash Point Road between 21st Ave SW and 100 feet southwest of SW
312th Street. The project will also upgrade existing pedestrian crossing
and curb ramps at 21st Ave SW to current ADA Standards.
Project Location:
Approximate location of the project can be viewed in Google Maps: https://
www.google.com/maps/place/47.32149419718467N122.35824610849392W
Counties: King, WA
10/02/2020 Event Code: 01EWFW00-2021-E-00012 3
1.
Endangered Species Act Species
There is a total of 6 threatened, endangered, or candidate species on this species list.
Species on this list should be considered in an effects analysis for your project and could include
species that exist in another geographic area. For example, certain fish may appear on the species
list because a project could affect downstream species.
IPaC does not display listed species or critical habitats under the sole jurisdiction of NOAA
Fisheries , as USFWS does not have the authority to speak on behalf of NOAA and the
Department of Commerce.
See the "Critical habitats" section below for those critical habitats that lie wholly or partially
within your project area under this office's jurisdiction. Please contact the designated FWS office
if you have questions.
NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
office of the National Oceanic and Atmospheric Administration within the Department of
Commerce.
Mammals
NAME STATUS
Gray Wolf Canis lupus
Population: Western Distinct Population Segment
No critical habitat has been designated for this species.
Proposed
Endangered
North American Wolverine Gulo gulo luscus
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/5123
Proposed
Threatened
1
10/02/2020 Event Code: 01EWFW00-2021-E-00012 4
Birds
NAME STATUS
Marbled Murrelet Brachyramphus marmoratus
Population: U.S.A. (CA, OR, WA)
There is final critical habitat for this species. Your location is outside the critical habitat.
Species profile: https://ecos.fws.gov/ecp/species/4467
Threatened
Streaked Horned Lark Eremophila alpestris strigata
There is final critical habitat for this species. Your location is outside the critical habitat.
Species profile: https://ecos.fws.gov/ecp/species/7268
Threatened
Yellow-billed Cuckoo Coccyzus americanus
Population: Western U.S. DPS
There is proposed critical habitat for this species. Your location is outside the critical habitat.
Species profile: https://ecos.fws.gov/ecp/species/3911
Threatened
Fishes
NAME STATUS
Bull Trout Salvelinus confluentus
Population: U.S.A., conterminous, lower 48 states
There is final critical habitat for this species. Your location is outside the critical habitat.
Species profile: https://ecos.fws.gov/ecp/species/8212
Threatened
Critical habitats
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECT AREA UNDER THIS OFFICE'S
JURISDICTION.
#1#2#3#4#7#6#5#1 - Westfair Cleaners - VSP, SCS, VSP exp 6/14/2006#2 - Chevron - VSP, exp 1/23/2018, LUST, UST#3 - Dash Point ARCO - UST, LUST exp. 6/1/1995#4 - Fire Department - NONE#5 - Exxon - NONE#6 - Lakota Park - NONE#7 - Lakota Middle School - ICP exp. 8/3/2009VCP - Voluntary Cleanup ProgramSCS - State Cleanup ProgramICP - Independent Cleanup ProgramUST - Underground Storage TankLUST - Leaking Underground Storage TankCSCSL - Confirmed and Suspected Sites ListNONE - None of the above shown for site (other types of DOE records are shown such as construction stormwater permit, CSWP)