1982, 03-11 County DNS, Environmental Checklist & Partial Project Overview: 3-Story Addition FILL t
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„{ - - •�- :L IF THRESHOLO DETERMINATION
......._..-.-wL..-NM Proposed/Final °EccANArav of
Cproposea/final)
Nonsignificance/Nonsignificance
• (significance/nonsignificanca)
1. Description of Propos l; Major addition to Spokane Valley General Hospital of
a new three •(3) slory, 73,060 sq. ft. facility
z. Proponent: Spokane Valley General Hospital , E. 12606 Mission, Spokane 99216
JTnthony Hernandez 1-206-455-4990
3. Contact Person: Phone:
4. County Action (s) Requested: Zone Change; Preliminary Plat
Approval: Final Plat Apnrovsl: Change of Condition
Osnert Building Permit
S. s.ocation of Proposal: E. 12606 Mission
6. Lead Agency: SPOKANE COUNTY. aASHINGTON
Thififfoposai has been determined tonot have a significant adverse impact on the environment. •n EIS is
required under RCI 43.ZiC.Dr"D l3) (c). This decision was made after review by the County of a com-
pp e�vircnaoental chec*list and other Informeetion of file with the isea agency.
7. Responsible Official:
Proposed Oeclaretion: . Final Declaration:
Nape amen L. Manson NPA James L. Manson/�
Signature 1'� signature I 6 7.
• Title Director Title Director
Oep,r-Jtsusc Building and Safety aaparc�enc Building and Safety
Cate_
3-11-82 Data 1•// 2./St,
6. For Oeclaraclons of Significance Only:
,__f, /,,,_,"_Date of Expected Draft EIS Avaiiaoility (determined by Responsible Gtficial)
/ Date of Issuance
• TO SE COMPLETED SY RESPONSIBLE OFFICIAL:
a. Brief description and listing of those environmental !mutts leading :o such :ecleration:
b. Brief explanation of wnat•Measures. if Any. c:uld :e taken 3y :.:e spoil:Int :3 :recent 3r mitigate t•^•e
environmental impact of the proposal to suc- sn extant :hat tae rssaonssole )fficisl cauls consider s rev':ea
proposal with a Possible resulting aeclarat:on ,:f aonssgniftcance:
, N.p, , -6 D6 V-43-e2_
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SPOKANE COUNTY
DEPARTMENT OF BUILDING & SAFETY
BUILDING-PLUMBING - MECHANICAL - FIRE
811 N. JEFFERSON SPOKANE, WA. 99280-0050
TELEPHONE : 456-3675
"°"""° COUNTY JAMES L. MANSON, DIRECTOR
M '0 'R A*N *D 1U M
TO: Community Services Administration County Planning Department
U. S. Dept. of Energy County Prosecuting Attorney's
U. S. Environmental Protection Agency Air Pollution Control
U. S. Dept. of Health, Education & County Utility Department
Welfare Eastern Washington Health Systems
Commerce & Economic Development Agencies
Dept. of Ecology Fire District #1
State Energy Office
County Engineers
County Health District
FROM: Spokane County Department of Building and Safety
North 811 Jefferson
Spokane, WA 99260
509-456-3675
Attention: Kenneth E. Jeffrey
REFERENCE: Lead Agency Designation, Threshold Determination, Staff Review,
Environmental Checklist, map; all or some of which are attached.
Pursuant to WAC 197-10-203 (3) , the Spokane County Department of Building and
Safety, a division of Spokane County, has determined that the County as an
ACTING AGENCY, is the LEAD AGENCY for the following project:
Major addition to Spokane Valley General Hospital of a new three (3) story
73,000 sq. ft. facility
This determination was made in accordance with WAC 197-10-220.
Information on file concerning this proposed action indicates your agency to be
an AGENCY OF JURISDICTION, WAC 197-10-040 (4) .
Accordingly, if you wish to exercise your option to review and comment as pro-
vided in WAC 197-10-340 (5b a proposed Declaration of Nonsignificance was
issued on March 11, 1982 , Please respond, if appropriate, at your
earliest opportunity.
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fit►:• ,I ENVIRONMENTAL CHECKLIST
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Introduction: The State Environmental Policy Act of 1971, Chapter 43.21C, RCW, requires all state and local governmental
agencies to consider environmental values both for their own actions and when licensing private proposals. The Act also
requires that an Environmentel Iaoact Statement be prepared for all major actions significantly (and "adversely', as per
WAC 197-10) affecting the quality of the physical environment. The purpose of this checklist is to hlep the agencies in-
volved determine wane ther'or not a proposal is such a major action.
- Please answer the following Questions as completely as you can with the information presently available to you. Please answer
Questions as "yes' or "maybe' if, in your opinion, even only slight impacts will result. The reviewers of the checklist will •
be aware of and concern themselves with the de red of impact, asking you for more information, if necessary. ;there explanations
of ydur answers are required, or where you believe an explanation would be helpful to government declsioe-makers, include your
explanation in the space provided, or use additional pages, if necessary. You should include references to any reports or
Studies of wnich you art aware and wnich are relevant to the answers you provide. Complete answers to these Questions now will
. help all agencies involved with your proposal to undertake the required environmental review without unnecessary delay.
The following questions apply to your total proposal, not just to the license for which you are currently applying or the pro-
posal for anion approval is sought. Your answers should incluoe the impacts which will be caused by your pr000sal when it is
' completed. even though completion may not occur until sometime to the future. This will allow all of the agencies which will
be involved to complete their environmental review now. without duplicating paperwork in the future. •
No application shall be processed until the 'checklist has been completed and returned to the appropriate County department.
State law reouires explanations for every 'yes" and may be" answer on the checklist. The person comoleting the form may be
- required to provide explanations for 'no answers. and in some cases. more detailed information to aid in a threshold
deterseinatlon.
NOTE: This is a standard form being used by all state and local agencies in the State of Washington for various types of
proposals. Many of the questions may not apply to your proposal. If a ouestion does not apply, just answer it "no"
and continue on to the next question.
ENVIRONMENTAL CHECKLIST PORN
1.. BACIESROUND
1. Name of Proponent: Spokane Valley General Hospital Ohone N„moer (509) 924-6650
2. Address of Proponent: 12606 Mission Avenue, Spokane, Washington 99216
3. Date Checklist Suomitteo:
4. Agency Reouirinq Checklist: dept. of Building & safety
E. Name of Proposal, if Applicable:
6. Nature and brief Description or the Proposal (including but not limited to its size, general design elements, dna
other factors that will give an accurate understanding of its scope ano nature):
• See attached project overview.
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7. „ocatson of Proposal icescr,be :he onysical setting of the Proposal, as .ell ss :r.e aatenr it the land area af•ec:eo :y
any environmental impacts. •nc:uoing any other information needed to give in accurate 7nOerScanotng or :I:e ±nvirnn-
'rental setting of the 3rcposai,:
See attached site description
3. Estimated Date for Completion of the Proposal: Spring, 1985 •
9. List of all Permits. Licenses or •:overnment Approvals Require° for the Proposal (federal, state and local - inCludinq
rezones): See attached list.
(IF SPACE FOR EXPLANATION IS INADEQUATE. PLEASE ATTACH ADDITIONAL PAGES.)
10e. Do you, or the owner in the event you do not own the sub)cct land, have any plans for future +oat Ions, expansion, or
further activity related to or connected with this proposal? If des, explain:
Not applicable
10b. Do you own or have options on land nearoy or adjacent to this proposal's location? If yes, explain:
No. •
11. Go yoµ knew of any plans by o>;hers including the owner which may affect the property covered by your proposal or lino
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adjacent or nearoy? If yes, explain: " �' _
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No
12. Attach any other application form that nes been completed regarding the proposal; if none has been comoleteo, bi.t 's
expected to De rtleo at some future date, describe the nature of such application form:
.Certificate of Need acknowledges the demand for and finapcial fPacihility
of this major addition to Spokane Valley General .
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II. ENVIROeiENTt, IMPACTS
(Explanations of all "yes' and "maybe" answers are required) A
'et maybe
1. Earth. Will the proposal result •in: X
(a) Unstable earth Conditions or :n Changes in geologic structures? X _
• ,o) Disruptions. ii;placements, CDoaction �r Overcovering of :ne loll?
mi
(c) Change In too•.igrarnv :r around surracr ielisf features' • • • • _ ,nlVal� XA
dl The aestri _t: in. :overinc "r r,..idification if any ,aninue leuiogic X
.ir 7ny1 cal "'secures':
et ir, 'nC7e41e to rinC ,r .•5r' erosion if soul, ,Ithtr in,h'r off She wit!!
fi F
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',iF SPACE FOR•NATION 15 iNADEQUATE. PLEASE ATTACH ADDITI PAGES.)
(f) Changes in deposition or erosion of beach sands, or rhanoes in siltation,
deposition or erosion which may modify the channel of a river or stream X
or the bed of the ocean or any bay, inlet or lake? . . . ---
Explanation:
Explanation: b. foundation excavation and backfill will disturb _wit but
final grade aboutsame as before. No basement contem lated. New
drainfield.will disturb soil , but will be replaced. (0)- KA11,1oe; s'u(4, 6,AmG,ss
'eeQ•ui2.Et
2. Air. Mill the proposal result In: res Mayne No
(a) Air emissions or deterioration of ambient air quality? _
(b) The creation of objectionable odors?
• (c) Alteration of air movement. moisture or temperature, or any change in X
climate, either locally or regionally? _
• Explanation:Q, I WC. S D ISAA.-m
3. Water. 1111 the proposal result in: Maybe No
(a) Change In currents. or the course or direction of water movements. X
in either marine or fresh waters? _
(b) Changes in absorption rates, drainage patters. or the rateage •
�( X
amount of surface water runoff? /
(c) Alterations to the course or flow of flood waters? /// (/ X
(d) Change in the amount of surface water in any water body' X
(a) Discharge into surface water, or in any alteration of surface water
quality. including put not limited to temperature, dissolved X
oxygen or turbidity?
(1) Alteration of the direction or rate of fiow of ground.watens? X
(g) Change in the quantity of gound waters. signer through direct
additions or withdrawals, or through interception of an X
• aquifer by cuts or excavations? _ —
(h) Deterioration in ground water quality, either througn direct
in)ection. or through tne seepage of leachate. phospates.
detergents, waterborne virus or bacteria. or other substances X
into the Bound waters? _ —
(1) Reduction in the amount of water otherwise available for X
public water supe leers"?� i ,, —
Explanation: b, A'S
' (Ai '6 -10 hGG��NA b.c A-r [call Let hrsJE) ?�fn
eck c1,S£� Q,VM A s
a, Flora. Lill the proposal result in: fes wavoe No
(a) Change in the diversity of species, or number of any soec:es of
flora (including trees. snrubs, grass, crops, microflora and X
souatiC plants)'.
i ) Reduction of the numbers of any unique, rare or endangered X
species of flora?
;c) :ntroduction of new species of flora into an area, or X
in a carrier to the normal replenisneient of existing species?
Reduction in acreage of any agricultural crop? • X
Explanation:
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5. raune. will the proposal result in: LEL `iaybe vo
(a) Changes in the diversity of species, or nueioer of any species
of fauna (biros, land animals including rept:les, fish and X
shellfish. benthic organises, insects or microfauna)7
(b) Reduction of the numbers of any unique, rare, or endangered X
species of fauna?
(c) Introduction of new species of fauna into an area, or result X
• in a barrier to the migration or movement of fauna? _ _
(d) Deterioration of existing fish or wildlife habitat? _ X
Explanation:.
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6. 'Wit. — — L "hI
ys ravn rim
(a) N111 the proposal increase existing noise levels? .v, <'
Explanation: During construction seriod only. i OI t toiJ r
4 ;(sod tc.LiYc
7. 1 nt •nd �1�rS. r. ?9 vo
(a) x111 the propo 1 produce new light or glare? Dp/1(� n� / %� X
E,p)anatl�n: L4Cil\T nJ6 !)7. 1 a.asK.l+.�l ori, Lam, —j
rim _
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(IF SPACE FXPLAIMTtOH IS INADEQUATE. PLEASE ATTACH ADP! DHAL PAGES.)
Ln U �
Yes Maybe no_
(a) will the proposal result to the alteration Of the present or X
planned land use of an area? _
ErOlanst1Qn:
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9. Heturcl Resources. Will the proposal result in: ' r . sot 119—
(a)
9_(a) lecrsasb to the race of use of any natural resources? . 41 X
(b) Depletion of any nonrenewable natural resource? -/
• . . gxolaMtion:'C(, nlbueo► .1r' 424 �fY16S(�'d (A)Ac VrctgLu.sae,251,
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10. Rist gf Upset. Does the proposal involve a resk of ae explosion or the Mosta .
release of hazardous substances (including. but not 11■ited to, oil.
pesticidal. tii+luls. or radiation) le tare event of an accident or X
upset conditions? _ ---
�c .lenetion:
11. PQQYietiort. • Z i 2_
will the proposal alter the location. eistribut1on. density. or growth X
. rate of the lumen population of en area? — _
gApltn}tion: Having a new, modern medical. care facility provides
potential Of attracting ancillary business and residential growth
to the surrounding area.
12. Hovstn.
Will the proposal affect assisting housing. or create a demand for X
additional Mousing? _
• vplanation: Potential_ for increased demand for housing as a result
of population relocation or immigration to Valley area because
modern medical facility is available.
13. Transportat1Qn/Circvlat1QP. will the proposal result in: MY" Ho
(a) Generation of additional vehicular movement? X •
(b) Effects on existing parting facilities. or demand for new parting? X _
(c) Impact upon existing transportation systems? _ �g • X
(d) Alterations to present patterns of Circulation or movement X
of people ane/or goods? 1PP
ie) Alterations to .at.eroorna. rail or air traffic?
(f) Increase in traffic hazards to motor vMlClas. X
bicyclists or paoestrtans? _
ffxplanation: Increased utilization (emergency. inpatient and outpatient)
as a result of modern medical facility is very likely occurance.
Cid (2 .ld,1us,-J
14. Puollc Services. 4111 the proposal nave an effect upon, or result !n. l4roe No
in a need for new or altered governmental services to any of
of the following areas:
(a) Fire Protection? • `
X
(b) Police protection? - - X
(c) Schools? • —/ X
(d) Parts or other recreational facilities? ._ X X
(a) Ifaintenanca of public facilities. Indulging roads? • ,y
(f) Other governmental services?
Explanation: Potential for RID for both Sinto and Maxwell AvenuPc,
both of which intersect project site and will most likel be
impacted by site circulation. t . e e grif
(If SPACE, FOR EXPLAIATION IS INADEQUATE. PLEASE ATTACH ADDITIONAL PAGES.)
1$. Energy. will the proposal result in:• raY oe ,"t
(a) Use of substantial ..Hunts of fuel or energy? —
(b) Demand upon *silting sources of anerly. or require • X
the development of new sources of energy? —
Sxptanalion: Exaanded ah sic.1 e . • a - - . -
'
additional ener• cons ma 'a l ' _ 1 i► :.l_ • :•. :c 'al 191121
16. UStltilg1. .1t1l the proposal result in a need for nuew systems. =—
or alterations CO the following utilities: X
cal Power or natural gas? — A
(b) Comm nication systems? _ X
(cl water? . . —
la) S...er or septic tans? . _X-
lei Storm ...attar OraIneye? . IL ;
(IF SP•OR EXPLANATION IS INADEQUATE, PLEASE ATTAC•iTONAL PAGES
(f) Solid waste and disposal?
P.Dlanst,dn: Existing sewer treatment plant will ha PxpanciPrl and replaces �-
Solid waste and disposal will increase marginally as a rPsnit
of increased plant facilities.
yes NayO* No
17. Human Health. Will the proposal result in the creation of any health hazards •
or potential health hazard (excluding mental health)? X
€ Elsnation:
1E, A�thetics. Will the proposal result in the obstruction of any scenic vista or
vier open to the public. or will the proposal result to the creation of an
aesthetically offensive site open to public view? X
. �xplsnatlon: +
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19. Recreation: Will the proposal result to an impact upon the quality or ,i
quantity of existing recreational opportunities? • — x
Explanitlon:
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20. Archgloglcal/Historical. Will the proposal result in an alteration of a Lg. aide ho
significant archeological or historical site. structure, object or building?
Explanation:
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III. SIGNATURE
the undersigned swear under the penalty of perjury that the above responses are made truthfully and to the
best of my knowledge. I also understand that, should there be any willful misrepresentation or willful lack of _
• full disclosure on my part.Spokane County may withdraw any declaration of nonsignificant* that it might issue in
reliance upon this checklist.
/o 8'02
Oats: / - Proponent: _ /L.A, ,/ /
(Please Print or Type)
Proponent: Bristol Messer Aadreas: P. CD.J.Box 288, Spokane, WA 99210
Phone: 509-838-7250 ViOs/A2....Person ccmolettng for■: Anthony Hernandez Phone: 206-455-4990 ate:
Department or Office of County Reviewing C ecklist: ,=� f /4,,! y ' .'. Ate. miwo+.+:mwm,
/1A Staff Namber(s) Reviewing Checklist: -.r►
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#6 PROJECT OVERVIEW
This major addition to Spokane Valley General Hospital will be accomplished
through a westerly expansion of a new three story, 73,000 sq.ft. facility
connecting to the existing hospital while providing a central courtyard
separating existing from new construciton. Upon completion of this
addition, 70 new beds will replace 70 of the existing 123 licensed bed
complement. A different bed mix as well as relocation of some nursing
units will result from the project. Specific components of project
include:
. The first floor will provide a covered drive thru/drop off area for
public, inpatients and outpatients, a Public Lobby area, inpatient
and outpatient Admitting, Gift Shop, Emergency Department having
separate vehicle and walk-in entrances, and the Radiology Department.
There will be a central elevator core for: 1 ) public, staff and
patients; and 2) service needs.
. The second floor will provide a new surgical department, 10 bed
recovery unit, a 10 bed Critical Care nursing unit and a 16 bed
medical/surgical intermediate care unit.
. The third floor will provide a 44 bed surgical/orthopedic nursing unit
having a mix of 24 private rooms and 10 semi-privates.
. The remodel program has several components that are integrally tied
to the completion of the new construction. Elements of this scope of
work include:
- Relocation of E.R. , Radiology, Surgical/Orthopedics, Critical Care,
Surgery and PAR into new facility.
- Relocate existing pediatrics to the vacated surgical floor.
- Relocation of Pharmacy, Medical Records and expansion of Central
Sterile into the vacated Pediatrics and Radiology areas.
- Relocation of Laboratory into the vacated Emergency Room.
- Centralize all administrative functions into the existing Administrative
wing, including personnel , nursing administration, quality assurance,
infection control and shared secretarial pool/reception.
- Provision of shared conference classroom space to be located adjacent
to Administrative wing on the vacated pediatrics floor.
- Housekeeping and Materiels Staging Areas will be relocated to the
existing Purchasing Department.
The balance of Hospital ' s departments will remain as is.
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#6 PROJECT OVERVIEW (Cont'd)
. The present sewage treatment plant will be replaced and relocated to
the southern portion of the 20 acre site. Additional drain field and
storm water capacity will be provided per requirements.
. The parking will be improved from present gravel to black-top for
all on-site parking.
. Site circulation will reorient major access from Mission Avenue to
Houk Road.
. Additional road improvements will be necessary on both Sinto and
Maxwell Streets.
. Existing sewage treatment plant will be replaced with increased capacity
plant to be relocated to southern portion of existing 20 acre site.
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#7 SITE DESCRIPTION
▪ The present 20 acre site is partially utilized (approximately 10 acres)
for the existing hospital , treatment plant, miscellaneous outbuildings
' supportive of various hospital functions, limited paved parking for
inpatient,, visitors, physicians and emergency vehicles use. Graveled
parking is provided for staff. The balance of site (10 acres) is under-
developed, open, level. property. This parcel of land was recently
purchased by the Hospital to provide for future growth and expansion
of existing facilities.
• The northern portion of the site is bordered by Mission Avenue, along
which are located several medical office buildings, medical clinics,
nursing home, apartments and agricultural use land. To the east, the
site -is bordered by Vercler Road, along which is mixed use agricultural
and residential . To the south, the site is bordered by Boone Avenue,
along which is primarily residential use. And to the east, the site.
is bordered by Houk Road, having mixed business and residential use.
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#9 PERMITS/APPROVALS REQUIRED
STATE: Certificate of Need
Construction Drawing Approval
Department of Ecology - Sewer Treatment
COUNTY: EIS Checklist
Building Permit
Storm. Drainage Permit
Sewer Treatment Permit
Road Improvement District (Potential )