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1998, 03-09 Environmental Checklist •I i •! III SPOKANE • • IENVIIRONNIENT A • • • ENVIRONMENTAL SECTION 11.10.230 [U ti • • SPOKANE ENVIRONMENTAL ORDINANCE (WAC 197-11-960) Section 11.10.230(1) Environmental Checklist File Ho. Purpose of Checklist: The State Enviromental Policy Act (SEPA) chipttr 43.210 RCH, 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: T' This environmental checklist asks you to describe some basic information about your proposal. Governmental agencies use this checklist to determine whether the envirommntal 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 endcarefully, to the best of your knowledge. In most cases, you should be able to answer the questions from your own observations or project plans without the need to hire experts. If you really do not know the answer, or If a question does not apply to your proposal, write 'do not know' or 'does=pot apply.' Complete answers to the questions now may avoid unnecessary delays later. Some questions ask about governmental regulations, such as zoning, shoreline, and landmark designations. Answer these questions If you can. If you have problems, the governmental agencies can assist you. The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will'deseribe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional information reasonably related to determining if there may be significant adverse impact. Use of checklist for nonproject proposals: . Complete this checklist for nonproject proposals, even though questions may be answered 'does not apply'. . IN ADDITION, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS(Part D). for nonproject actions, the references in the checklist to the words 'project,' 'applicant,' and 'property or site' should be read as 'proposal,' 'proposer.' and 'affected geographic area,',respectively. A. BACKGROUND _ aC-©aA'�"�`� 81 i_ I_/o Cne�er- 1, name of proposed project, If applicable: . 2. Mame of Applicant: QCId.@evo:R;' bk4c"dftor Adat i v's...a 3. Address and phone number of applicant or Contact person: G. it)15 CCOL+41.�eS.o,_ ,SPak.caa, U,NIA 9ct_1 0. . 4. Date checklist prepared: S. Agency requesting checklist: cQ3alle'74 e Co aJr% 6. Proposed timing or schedule (including Dh!ting, if applicable): 3Q d O►. S 7. a. Do you hay/ any plans for future eddliions, expansion, or further activity related to or connected with this proposal? If yes, explain.___ 1"NQ b. Do you own or have options on land nearby or adjacent to this proposal? If yes, explain. (NC' 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. 1. Rev.2/l/881 T • • SPOKANE ENVIRONMENTAL ORDINANCE (YAC 191-11-960) Section 11.10.230(1) A. 6ACRCIOUND (continued) 9. Do you kow whether application. are peoding.for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. Met 10. List any government approvals or permits tha;,wi11 be needed for your proposal, if known. SQo�ra.n e. C mwny ge_L men 11. Give • brief, complete description of your proposal, including the proposed uses and the este of the project and site. There are several question. Later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this pass. D _>.e - ca --pry.t46t - '12-fse v.4 S 5;CA•71 c - �r, a- f � - Z 4 l eels Pis"" s;V\ €c .A -�6s}�- ki l, FPCte ;gr'N fo.cf --- Jo2Ts. (C u s :opt - Y 6 k 7-Zig t' 0114 l2. Location of the proposal. Give sufficient information for • person to understand the precise location of your proposed project, including • ...� street address, if sny, and section, township and range, if known. If • proposal would occur over a range of ares, provide the range or boundaries of the *lief.). Provide • legal'description, sits plan, vicinity map, and topographic asp, if reasonably available. While you should subsic any plans required by the agenly, you are not required to duplicate nape or detailed plane submitted with any permit application related to this checklist. o�d c -es s -- 59De mad► wa..), ssocsIveLv..e. t)q s'ec (2 6113 II. Does the proposed action lie within the Aquifer Sensitive Ares (ASA)? The General Sewer Service Ares? :he Priority Sewer Service Are.? The • City of Spokane? (Sees Spokane County's ASA`Ovsftay Zone Atlas for boundaries). • Asia -- TO RE COMPLETED NI APPLICANTr' 6. ENVIRONMENTAL ELEMENTS 1 Evaluation For Agency Use Only 1. £AP.:'11 • a. Cenaral description of the site (circle...co rolling, hilly, steep elopes, aountatnous, other: • b. '?hat le the steepest slope on the slIe;.(approxtaate percent slope)? c. What general types of soils era found On the site (for •sample, clay, sand ..( peat, muck)? If you know the claselft f agricultural .oil., specify thea • e • me farmland. d. Are there surface Indications or history of unstable soils in the immediate vicinity? If so, describe. TNCI 2 • SPOKANE ENVIRONMENTAL ORDINANCE •(WAC 197-11-960) Section 11.10.230(1) B. ENVIRONMENTAL ELEMENTS(continued) Evaluation For Agency Use Only e. Describe the purpose, type. and approximate quantities of any filling or grading proposed. • Indicate source of fill. •x.. At 5 poke_ mac- vii.... 4 , c 4rcrci-4. c:\‘ _•::3, K. Could erosion occur as a result of clearing, construction, or use? if so, generally describe. in • ;r • ' g. About what percent of the site will be covered with Impervious surfaces after project construc- tion (for example, asphalt or buildings)? 0 • tir h. Proposed measures to reduce or control erosion, or other impacts to the earth, If any:__ _ .. t'e1f1Q_ . c. 2. AIR �F: a. What type of emissions to the air would result from the proposal (i.e., dust, automobile, odors industrial, wood smoke) during construction and when the project 1s completed? If any, generally describe and give approximate quantites If known. nonQ J. q. !. b. Are there any off-site sources of missions or odor that may affect your proposal? if so. generally describe. : ' rye. is .t_ c. Proposed measures to reduce or contMol emissions or other impacts to air. If any: r'fr r. • 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. • MO (2) Wiil the project require any Work over, in, or adjacent to (within 200 feet) the described waters? If yes. please describe and attach available plans. ..i. ti 3 • i. ' SPUME ENVIRONMENTAL ORDINANCE • (aAC 197-11-960) Section 11.10.230(1) D. ENVIRONMENTAL ELEMENTS (continued) Evaluation For Agency Use Only (3) Estimate the amount of fill and dredge material that would be placed in or removed from the surface water or wetlands and indicate the are. of the alts that would be affected. Indicate the source of fill material. t• (i) Will the proposal require surface *ter vltMravale or diversion) Give a general descrip- • clot., purpose. and approximate quantities, if known. • (5) Does the proposal lie within a 100'ysar flood plain? If so, note location on the site plan. re\ (6) Does the proposal involve any .,discharges of waste materials to surface vaterat If so, . describe the type of waste and anticlpated voluas of discharge. C11a , b. Croundt (1) Nlll ground be withdrawn, ''at will be discharged to groundwater? Ctrs g 1 description. purpose, and approximate.Auentitlea, if known. • lh (2) Describe waste material that vlll:tbe discharged into the ground (tom *optic tanks or other saoltary vast• treatment facility. Altilicribe the general mita of the epitome. the number of • houses to be served (If applicable) +t the number of persons the systum(s) ars expected to , tNbh2 (7) Deserlbs any systems, other than,,,, those designed for the dispose! of sanitary waste. installed for the purpose of discharging fluids below the ground statue (includes eyst.us such as those for the disposal of storm'wtar or drainage frau floor drains). Desertbe, the type of sy.te■, the amount of material to be-dispossd of through the system and the types of materiels • likely to be disposed of (including materials which may enter the system loadvertsntly through `' spill. or as a result of firefightinj;aotivtliea). (4) Will any chemicals ( peciall esy'Organic solvents or petroleum fuels) ba d in above- ground or underground t►chtel If so, what types and quantities of materials will be dI • in CN is ' SPOKANE ENVIRONMENTAL OIDINANCE (UAC 19)-11-960) Section 11.10.230(1) 3'.. DEM . ERVIROMMENTAL ELEMENTS (continued) f; Evaluation for Agency W Only (S) ghat protective measures will be to▪ken to insure that leaks or spills of any chemicals • stored or used on site will not be alloyed to percolate to groundwater (this includes measurss to keep chemicals out of disposal systiia described in 3b(2) and 3b(3)?! rte► t c. Vater Runoff (including storm )t .,- (1) Describe the f runoff (lmoluding storm water) and method of collection end disposal if any (lncluds quantities, if known)?Where will this water flow? Will this water flow into other w if so, describe. . ';' . 1(1Qr.Q., mer • 4 (2) Jill any chemicals be stored, handled or used on the site to a location where a spill or leak will drain to outface or groundwater or to • storm water disposal oyster discharging to Surface or groundwater? •i" .i (3) Could waste materials enter ground or surface eters? if co, generally describe. hc:. . 'f d. Proposed measure• to reduce or control surface, ground, and runoff water impacts, if any (if " t the proposed action lies within the Aguilar Sensitive Area be especially clear on explications r relating to facilities concerning Sasttone 3b(4). lb(S), end 3c(2) of this checklist)t N r. t. PLANTS A a. Check or circle type of vegetation found on the sitar -----deciduous treat alder. aaple,.aspen, ocher. , fir, cedar, p1M.• other. shrubs. ',R gra'/. /) 1, : picture. "�. crop or grain. ) wet soil plants, cattail. buttercup, bullrush, skunk cabbage, other. • 7: water plantar water lilly, se:grees, ailfoll, ocher. _other types of vegetation: b. What kind and amount of vegstatioO i• li be removed or altered? • c. List threatened or endangered specAas ?mown to be on or near the site. d. Proposed landscaping, use of nativi plants, or other measures to preserve or enhance was on the site. if any' ' 5 SPOKANE ENVIRONMENTAL ORDINANCE IWAC 191-11-960) Section 11.10.230(1) . B. ENVIRONMENTAL ELEMENTS (continued) Evaluation For - • Agency Use Only 5. ANIMALS a. Circle any birds and animals which have:been observed on or neaar the site or are known to be on or near the site: birds: hawk, heron. eagle, songbirds, other: C O1R2 mammals: deer, bear, elk. b , other`.: tt 0 fish: bass, salmon, trout, herring, shellfish. other: other: b. List any threatened or endangered specl's known to be on or near the site. htsn8 ,F • . c. is the site part of a migration r0'utet . If so, explain. ; 1'10 d. Proposed measures to preserve or enhance wildlife, if any: Nva► 5. ENERGY AND NATURAL RESOURCES • ,'' wood stove a. what kinds of energy (electric. naturil gas, , solar) will be used to meet the the completed project's energy needs'UL Descrtbe whether it will be used for heating, manufac- turing, etc. • e~\ c.4.'c-:c- ear t k-S. . k'.. Y . • h. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. va Q aA y •s. c. What kinds of energy conservation futures are included in the plans of this proposal? List other proposed measures to reduce or:::control energy impacts. If any: 7. ENVIRONMENTAL HEALTH a. Are there any environmental health hazards. including exposure t0 toxic chemicals, risk of fire and explosion. spill. or hazardous Waste, that Could occur as a result of this proposal? if so. describe. i' (11 Describe special emergency services that might be required. 6 SPOKANE [NVIRONIO1ruL ORDINANCE ' (WAC 191-11-960) Section 11.10.230(1) ' R. ENr1RONIRRTAL EL@O:NTS (continued) ' Evaluation Por • • • Agency Was Only .. ENVIRONMENTAL HEALTH (continued) ' (2) Proposed measures to reduce or:control environmental health haearda, if any: _ NIS . • b. Noise: (I) What types of notes exist in the area which may effect your project (for example: traffic, • equipment, operation, other? (2) What types end levels of nolle Would be created by or associated with the project on a short-tern or a long-term basis (fot atempleu traffic, construction, operation, other)? Indicate what hours noise would come from chi site. • (3) Proposed measure to reduce or,contro1 noise impects, if any: NIS 8. LAID AND SUORELIII1 USE ' a. What is the current use of the site and adjacent properties? b. Use the Cite been used for agriculture! if so, describe. • rIftb • c. Describe any structures on the site. .. ®rye bu.:ldi cl l�g+u,C"Ctfrt' `1-- to.ouan$a , -kV) -tea d. Will any structures be demoiishedt,11 so, which? s. Whet Is the current coning claaettieadion of the site? c T-3 Keno•3--m-nfkks Hca` f. What Is the current cmprehenatve:pia){ designation of the site? . It g. If applicable, whet is the current_shoreline master program designation of the site? • h. Was any pert of the sits bean` classified as an 'envirommantslly s.oattive' area? If so. specify. Imo I. Approximately how many people would'reeide or work in the completed project? r‘Qhe..... • 7 ik • • SPORANIi ENVIRONMENTAL ORDINANCE (RAC 197-11-960) Section 11.10.230(1) • B. ENVIRONMENTAL ELEKINIR (continued) Evaluation Por Agency Use Only j. Approxinately how nany people would the completed project displace? _ 'i tz.r'Q- k. Proposed measures to ovoid or reduce displacomeut impacts. if any: N ( ; 1. Proposed naasurss to ensure the proposal is compatible with existing and projected land uses and plans, if any: (129 9. 9. HOUSING a. Approximately how many units would be provided, if any? Indicate whether high-. middle-, or low-income housing. noh`e_ b. Approximately how many units, if any.would be elialnated? Indicate whether high-, middle-, or low-income housing. 910 til'Q c. Proposed measures to reduce or control housing Impacts, if any: 14 !Pi 10. AESTHETICS a. What is the tallest height of any proposed structure(s), not including antennas? Whet is the principal exterior building naterial(s) proposed? .‘ 40i 4 " Stee\ b. :mat views in the immediate vicinity would be altered or obstructed? c. Proposed meesurse to reduce or control aesthetic impacts, if any: N(q 11. LICHT AND CLARE a. What type of light or glare will the proposal produce? What time of day would it mainly occur? S�cn '€ s. \ 4.4 NN \arm b. Could light or glare fromthe finished project be • safety tasard or interfere with views? [1b c. What existing off-site sources of light or glare nay affect your proposal? t1 oY\e 4. Proposed measures to reduceor control light and glare impacts, if snyt^^ • • • S10IANt ERVIR0?02NTAL ORDIIIANCZ (WAC 197-11-960) Section 11.10.230(1) I. 101VIR0R1¢NTAL IIA¢NTS (continued) tvatuatton For Agency U.. Only 12. RECREATION a. What designated and informal recreational opportunities are In the immediate vicinity? b. Would the proposed project displace any existing recreational uses? If so, describe. n c. Proposed measures to reduce or control 'specie on recreation, including recreational opportuni- ties to be provided by the project or applicant, if any, N 13. IIIS'.ORIC AND CULTURAL PRESERVATION a. Are there any places or objects listed on or proposed for national, state or local preserve- tion re known to be on or next to the site? If so, generally d tbe. R b • b. Generally describe any landmarks or evidence of historic archaeological, scientific or cultural importance known to be on or next to the site. c. Proposed to reduce or control impacts, if any, If; 14. 11. TIAUSPOR:'ATION a. Identify public street, end ng the site and describe proposed access to the existing street system. how-on sits plans f any. b. is site currently served by public transit! If not, what Is the approximate distance to the aurae' transit stop? YNPJ c. Row many parking spaces would the completed project have? Now many would the project eliminate? robe. d. Will the proposal require any new raids or streets, or improvements to existing roads or streets not including driveways? It so, generally describe (indicate whether public or private). rl e. Will the project use (or occur in the Immediate vicinity of) water, rail, or sir trameportat ion? If so. generally describe. • 9 SPOKANE KNVIROWENTAL ORDINANCE (VAC 197-11-960) Section 11.10.230(1) D. ENVIRONMENTAL ELEMENTS (conttoued) • Evaluation For Agency Use Only f. Row .any vehicular trips per day would be g 4 by the completed project? If known. indicate when peak would occur. • 4SYN•P-. • g. Proposed measures to reduce or control transportation !upsets. if any: N 15. PUBLIC SERVICES a. Would the project result in an increased need for public services (for example, fire p loo. police protection. health care, schools, other)? If so. generally describe. C1a b. Proposed ueaeures to reduce or control direct impacts on public servicer, 1! any* 16. UTILITIES �e{�, a. Circle utilities currently available at the sites ��natural gas,Wi+e refuse aervics.(felsphon0 sanitary ,e141111 y of • b. Describe the utilities that are proposed for the project. the utility providing the service and the general construction activities on the sits or in the immediate vicinity which might be needed. e\c c Jnr:c ,S(\ • C. SIGNATURE I, the undersigned. swear under the penalty of perjury that the strove rsepoues are made truthfully and to the best of op knowledge. I also and 4 that, should there be any willful 'Amp rusetetion or willful lack of full disclosure on cry part, chs !esncy say withdrew any deternlnatlonof notµignnniificance that it night issue in reliance upon this checklist. /� -.— Dates 3`(Ci] ‘21tl Proponent Pe?cler.arVe OtJ C`t t 1 ck.t @ s�h f���� (Please Print or Type) �• l Proponents \�"-s" ` Address* E. • �C7 (� �••G`�cAck �y 4..�(SignQatturre) /� p Phone: -t • ``�/•�\-p��'� 5 tc)t: �Q►P�% ��[7 t elad_Q� Q Parson completing forms Qy\ be+�.a.t '�r-ed.. 0 et s ` Dates 3--1- i e Phones 14(K� `4 v ` FOR STAP7 ONE ONLT •• �t241 Staff se■ber(s) reviewing checklists Based on this staff review of the environmental checklist and other pertinent Information. the staffs` A. XJ Concludes that there are no probable eignifleant ad impacts sad recommends a determination of nonsignificance. r• / Concludes that probable significant adverse environmental impacts do exist for tha currant proposal end recommends a mitigated deter- mination of nonsignificance with conditions. c, concludes that there are probable significant adverse enviromaental Impacts and recommends a determination of significance. PILING PQ - $75.00 10