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1992, 11-14 Rezone: ZE-18-93 Enviornmental Checklist1 101 Oil NO I W'1101311 III irimilmil SPOKANE ENVIRONMENTAL ORDINANCE SECTION 11.10.230 [1] SPOKANE ENVIRONMENTAL ORDINANCE (WAC 197-11-960) Section 11.10.230(1) Environmental Checklist Purpose of Checklist: File No. Z2` The State Environmental Policy Act (SEPA) chapter 43.210 RCN, 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 your 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. von mist 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 really 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 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 .ill 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 infonnation 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, c(xaplete 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 /},r / / (� %%� y1 l ^ r�• 1. `lame of proposed ,�.pproject, if applicable: �10t)5—, y{ cc fa5a�i'(1�ahOn ' m rn U rb -yi !�`II-SIAC i 2. Name of Applicant: �t n t 3. Address and phone number of applicant or contact person: G \� 3 \�-4z-k'-1 ANt- ff I 4. Date checklist prepared: S. Agency requesting checklist: SezD 16"(f ., Op q y a:�1 ` 1 CiV\✓\1) 6. Proposed timing or schedule (including phasing, if applicable): c), 7. a. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain._ b. Do you own or have options on land nearby or adjacent to this proposal? If yes, explain. B. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. X4 n -p - Rev. 2/1/88 i SPOKANE ENVIRONMENTAL ORDINANCE (WAC -197-U-960) Section 11.10.230(1) A. BACKCROOND (continued) 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. D 10. List any government approvals or permits that will be needed for your proposal, if known._V-x,0--k APPrD l i/i 0- t t'y i 11. Give a brief, complete description of p p your proposal, including the proposed uses and the size of the project and site. 'here are several � quenciona Lter in this checklist that ask ou.c describe certain aspects of your propotial. You do not need to r peat chose answer on this Page• 1,9...31�� c",n_"' l.i"� i i C`�—�—i 10-cl d la -AL. 1.. location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, Sncludinc 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, sice.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 application related to this checklist. 13. Does the proposed action lie within the qulfec Sensitive Area (ASA abr,.Ceneral Sever Service Area? a Pr iorl ty Sever Service Area' ;he City of Spokane? (See: Spokane County's ASA Over y cone ntias-roz•-•ceuna tries). ,4-s.9 P--s'sA , rAc, .0 BE COMPLETED BT APPLICANT B. ENVIROICer-AL nmAmrrS 1. EAR -n A. General description of the site (circle one)flat rolling, hilly, steep slopes, mountainous, other: b. 'fiat is the steepeat slope on the site (approximate percent slope)? C. That general types of soils are found on the site (for example, clay, send, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. d. Are there surface indications or history of unstable soils in the immediate vieinicy? If so, describe. 2 Evaluation For Agency Use Only (�;ir' i S 3favv Ltd (03w) SPOKANE ENVIRONMENTAL ORDINANCE (WAC 197-11-960) Section 11.10.230(1) B. ENVIRONMENTAL ELEMENTS(continued) e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate �source of fill. /U Gam. f. Could erosion occur as a result of clearing, construction, or uses?? If so, generally describe. /✓liyint� eo_✓o(io n COiaX rriCCuY t�iiv/.v CGLr.r/� Gc g. About what percent of the site will be covered with impesurfaces after project construc- tion (for example, asphalt or buildings)? jc�lGC> rv�'dious h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: 2. AIR 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 pr�jgct is completed? If any, generally describe and give approximate quantites if know C7.�..��-O`J `fYi V' + , C��Q��'� •-- C 1 � 1L3��.' �.ST�. �. S" -Y- �d'7�CY'�. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. Y-1 l Evaluation for Agency Use Only LJ / SCWA rea u 1� h ods c��stYv��h,a J u oril c. Proposed measures to reduce or control emissions or other impacts to air, if any: k ,A �_kaSi 3. WATER a. Surface: (1) Is there any surface water body on or in the immediate vicinity of the site including year- round andseasonal streams, saltwater, lakes, ponds, wetlands)? if yes, describe type and provide names. If appropriate, state what stream or river it flows into. CNCD (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 pians. r-1 1a spomm zN41R0?iHE mL ORDINANCE (WAC 197-11-960) Section 11.10.230(1) B. ENVIRONMENTAL ELEHEN':S (continued) (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 area of the site that would be affected. Indicate the source of fill material. i ^ (4) Will the proposal require surface water withdrawals or diversions? Give a general descrip- tion, purpose, and approximate quantities, if known. (S) Does the proposal lie within a 100 -year flood plain? If so, note location on the site plan. U (h) Does the proposal involve any discharges of waste materials to surface waters? if so, describe the type of waste and anticipated volume of discharge. b. Ground: (1) Will groundwater be withdrawn, or will water be discharged to groundwater? Give general description, purpose, and approximate quantities, if known. (3) Describe any systems, other than those designed for the disposal of sanitary waste, installed for the purpose of discharging fluids below the ground surface (includes systems such as those for the disposal of storm water or drainage from floor drains). Describe the type of system, the amount of material to be disposed of through the system and the types of materials likely to be disposed of (including materials which may enter the system inadvertently through spills or as a result of firefighting activities). !y (4) Will any chemicals (especially organic solvents or petroleum fuels) be stored in above- ground or underground storage tanks? If so, what types and quantities of materials will be stored? r (2) Describe waste material that will be discharged into the ground from septic tanks or other sanitary waste treatment facility. Describe the general size of the system, the number of houses to be served (if spp lice tale) or [he number of pe none_ the sy stem(a }, jure a ected to serve. `�' -Q.�. i.r- ._ �"C.�--t'1 A.— U�� L�. �QQ \ q,'_ \111 Evaluation For Agency Use Only (WAC 197-11-960) Section 11.10.230(1) B. EwiRONHEIR'AL rim?tEm (continued) SPOKAHE 121VIRONMENTAL ORDINANCE (5) What protective measures will be taken to insure thdt leaks or spills of any chemicals stored or used on site will not be allowed to percolate to groundwater (thi includes measures to keep chemicals out of disposal systems described in 3b(2) and 3b(3)? N I C. Water Runoff (including storm water): (1) Describe the source of runoff (including storm water) 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. i\> `{Z�" (2) ;fill any chemicals be stored, handled or used on the Bite in a location where a $pill or leak will drain to surface or groundwater or to a storm water disposal system discharging to surface or groundwater? C3 -w- St's \ICC ) , C C S I�Cn -���S� S `� � `CU .v_Q'_ tE i 1Q t c i i 3-tl'i flCJ�.� `W ZQa �' �lC'3 fY\O V? (3) Could waste materials enter ground or surface esters? If to, generally describe. P d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any (if C the proposed action lies within the Aquifer Sensitive Area be especially clear on explanations r relating to facilities concerning Sections 3b(4), 3b(5), and 3c(2) of this checklist): 4. PLA -YTS a. Check or circle type of vegetation found on the site: deciduous tree: alder, maple, aspen, other. evergreen tree: fir, cedar, pine, other. shrubs. �graa$. pasture. crop or grain. wet soil planta, cattail, buttercup, bullrush, skunk cabbage, other. water plants: water Lilly, eelgrass, af1fo11, other. other types of vegetation. b. What kind and amount of vegetation will be removed or altered?-wy\q._ Evaluation For Agency Use Only 1 C. List threatened or endangered species known to be on or near the site. d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, it any: r-) j f `,1? Q � �Q_ v U (NAC 197-11-960) Section 11.10.230(1) B. 'ENVIRONMENTAL ELEMENTS (continued) SPOKANE ENVIRONMENTAL ORDINANCE 5. ANIMALS a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: birds: hawk, heron, eagl-!, songbird , other: mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other: other: b. List any threatened or endangered species known to be on or near the site. C. Is the site part of a migration route? If so, explain. Av C3a d. Proposed measures to preserve or enhance wildlife, if any: Q 5. ENERGY AND NATURAL RESOURCES a. What kinds of energy (electric, natural gas, wood stove, solar) will be used to meet the the completed project's energy needs? Oe scribe whe er it will be used for heating, manufac- turing, etc. �'��. C 4-'\ t-t�Q l x� �s ! i4i ' C o \ b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. 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: C cr '04 ENVIRONMENTAL HEALTH a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. Evaluation For Agency Use Only (1) Describe special emergency services that might be required. /y U 6 SPOKANE ENVIROXHENTAL ORDINANCE (WAC 197-11-960) Section 11.10.230(1)" B. ENVIRONHEt1:AL ELERENTS (continued) EtIVIROH:tE11:AL HEAI:.H (continued) (2) Proposed measures to reduce or control '.ironmental heap.. hazards, if any: b. Noise: •� (1) What types of noise exist in the area v ch may affect your project (for example: traff equipment, operation, other?(\C''lT(1f�(�1...AC) o C -2,G Ao Y\� (2) What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffit, cnmtruction operation, otter)? Indicate what hours noise would come from the site.'•ifA I ��L��.�j-C,T�.1-Q (3) Proposed measure to reduce or control noise impacts, if any: L� M S. LA'rD AND SHORELIIIE USE _{ a. What is the current use of the site and adjacent properties?Q'\ b. Has the site been used for agriculture? If so, describe. f)n— Evaluation For Agency Use Only C. Describe any structures on the site. \_')©ne J, -ST— A wc�Itk� R" Gt G GG 8" d. Will any structures be demolished? If no, which? 'n C. What is the current zoning classification of the site? UR f. What is the current comprehensive plan designation of the site?�tS-�f>Q.A'i g. If applicable, what is the current shoreline master program designation of the site?I . h. Has any part of the site been classified as an 'enrironsentslly sensitive' area? If to, specify. 1. Approximately how many people would reside or work in the completed project? C1 SPOKANE ENVIRONNENTAL ORDINANCE (NAC 197-11-960) Section 11.10.230(1) B. Et?VIRONMENIAL ELEMENTS (continued) Evaluation For Agency Use Only V J. Approximately how many people would the completed project displace? _ k. Proposed measures to avoid or reduce displacement impacts, if any: 1. Proposed measures to ensure the proposal is compatible with existing and projected land use and plans, if any'. C - fY't hes �n k a,—� � Ci 9. HOUSING A. Approximately how many units would be provided, if any? Indicate whether high-, middle-, or low-income housing. '_�L_ V',3 A !i O b. Approximately how many units, if any, would be eliminated? Indicate whether high-, middle-, or low-income housing. C. Proposed measures to reduce or control housing impacts, if any: .,,One - 10. AESTHETICS a. What is the tallest height of any proposed structure(s), not inc uding antennas? What is the princi?al exterior building material(&) proposed? '1Q 6 h�"i t sL IQ b. What views in the immediate vicinity would he altered or obstructed?? C 11. LICHT AND CLARE A. 'that type of light or glare will the proposal produce? 'that time of day would it mainly occur? L c Could light or glare from the finished project be a ufety hasaro or interrere vitn views _ What existing off-site sources of light rr gLaaffeet your proposal? d. (Proposed measures to reduce or control light and glare impacts, if any: 8 SPOTANE ENVIRONMENTAL ORDINANCE (WAC 197-11-960) Section 11.10.230(1) D MIRONNENTAL ELLE NTS (continued) 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. 9, Evaluation For Agency Use Only <feYlkk \Jwtf'� SAA-aol vi 1 stn 1v\ )/Z 45�;W11;;;L CS, Aim C. Proposed measures to reduce or control impacts on recreation, including recreational opportuni- ties to be provided by the project or applicant, if any: V 1t— ►` crcd to VV- o t) 0- �T Co, p ✓K -S a (.DY -0- C -t,ry-)1 Off' � +� 13. HIS':ORIC AND CULTURAL PRESERVATION 1 i p T v �• a. Are there any places or objects listed on or proposed for national, state or local preserva- tion registers known to be on or next to the site? If so, generally describe. b. Generally describe any landmarks or evidence of hist gric archaeological, scientific or cultural importance known to be on or next to the site. / C. Proposed measures to reduce or control impacts, if any: 14, ;f.AtiS POR:ATION A. Identify public streets and highways serving the site and describe proposedaccess to the existing street system. Show{--oon site plans, if any.irTtJ i t � b. Is site currently served by public transit? If not, what is the approximate distance to the L �t� (� nearest transit stop? �4Q/�-- C. flow many parking spaces would the completed project have? How many would the project eliminate? i d. Will :. -, spit.'_ rc,uire any new roads or streets, or improvements to existing roads or streets not including driveways? If so, generally describe (indicate whether public or private). j e. Will the project use (or occur_ int the immediate vicinity of) rater, rail, or air transportation? If so, generally. describe. 9 SPOKANE ENVIRONMENTAL ORDINANCE (NAG' 197-11-960) Section 11.10.230(1) B. MVIRONItENTAL ELEMENTS (continued) Evaluation For Agency Use Only f. How many vehicular trips per day would be generated by the completed project? If known, t indicate when peak would occur. g. Proposed measures to reduce or control transportation impacts, if any: /Y O sn.P 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. b. V O`V vt' Ssi�n` Proposed measures to reduce or control direct impacts on public services, 0 any: 16. UTILITIES -- —� a. Circle utilities currently available at site: a ectricit natural gas vote tefuaa- servic tele h sanitary never, a tic s ere oc er. b. Describe the utilities that are proposed for the project, the utility providing the service and the general construction acttvicies on the site or in the immediate vicinity which might be needed. & C. SIGNATURE a 911 'maL fi�dlc, W appay-4 I, 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, the agency may withdraw any determination of nomignificance that it might issue in reliance upon this checklist. Date: t1\ [ l 2S- Q2- Proponent -D4\���i��'��"'\1�,� (Please Print or Type) ,,/ Pzoponen : Address: \���\71 `5X (Sig t Phone :� ��-y C� �lh...C_ �.J^r-r \ `_� - \ v• i� i Person completing form: -�-L�- Date: Phone: TOR STAFF USE ONLY Staff member(s) reviewing checklist: Based on this staff review of the environmental other pertinent information, the staff: A. Ji Concludes that there are no probable significant adverse impacts and recommends a determination of nom ignificance. Concludes that probable significant adverse environmental impacts do exist .for the current proposal and recommends a mitigated deter- mination of nomsigniflcance with conditfom . C. Concludes that there are probable significant adverse environmental impacts and recommends a determination of significance. YlLINc rrx - 175.00 10 SP -850-93 ZE-18-93 PRELIMINARY SHORT PLAT NE Quarter, Section 23, Township 25 North, Range 44 East, W.M., Spokane. County, Washington. Date: Oct., 1992 c 0 InmeR7 3rd Ave rax O. 4.' )i= Legal Description: 970 MIST 6S 7122 Cr THE San 206.72 Irt:T D. 'DE MST 417.22. MICF 22ACr 72, VERA. AS PI2 71AT R[17®1ED TH 1412E 0I 11ATS, PA(L 30.' =ODDS (6 SPOKANE WADY. WASHINGTON, Ito. Ilivan Road Re 1472 ca •04 . 410 B iTi 312. Building Information: Psm mof Building Coverage Building U1c(1) Landscaped Areas Type of Landscaping No. of Perking Spaces Required Percent of Open Space (pelade parts arta) Building Setback: 3 }S 44-h—Awe.-• 6. 7 :7 Ki Wailing East Addition Scale: 1" 50' 5?E LATA N..'. it, of .. t. Typic! L.f Size Typ:s.I L.t r,..1.,• T. 1.1 As,-. Or Platt KC MA RRi Z 151,104 66 Dunmore Land Surveyors, Inc. UCENSED IN WASHINGTON. IDA 1. MONTANA N. HIS Plan Rd. • Spo*nr. WA Mtn WWI 42.4412 • Vicinity Map No Scale W0G CR222TICA220$f, - 2b1e 1.111 Certify that this preliminary plat mem under my direct eon...laic, eoaordino to the redo County and does not reprewut a Complete survey o V. OL Wwrance License Revolved' et the Office of the Spokane County Molnar on by Received at the Office of the Spokane County Health Departaen. on • by Received at the Office of the Spoken. County Utilities Depart. on by 92 ZE 4 .4 vy. M. C IL .1 M Ii k G 4- Q) cO 0 q)l fro J OI Lo it .it 5 "T 1-4 I—J 2 13 "T 54 c .17 ej X L 7'1� ku j N 1N C IL .1 M Ii k G 4- cO q)l fro .it 5 "T 1-4 I—J 2 13 "T 54 c .17 ej X L 7'1� ku j N 1N