SULLIVAN N 3808 VENCO PRODUCTS INT. REMODEL
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NOT .A PERMIT
PEA3ALTIES WILL BE ASSE55ED FUR COMMENCING WORE{ TnTITHC}UT A. PERMIT
SITE S'2'REET= 3808 N SULLIVAN RD #124 PARGEL#= 95015.9070
ADDRESS= SPC]KANE WA 99216
PERMI`I'r USE= INTERIOR REMQDEL FOR VENCO PROD[3CT5
PLAT#= SIY ~PLA"I' NAME= SPC}Y.ANE IN'DUSTFtIAL PARK '
SLC]CK- . LOT= ZON'E= MAiVUF DIST#= ~I
AREA=_ 00flQ050S F/A= A WIDTH= DEP'TH= 1F'~fW=
# OF BLDGS= DWELLINGS-= WA.TER DIST
QWNER= SPOISANE INDUSTRI,AL PARK PHOIiE=
STR.EET= 3808 N SUT,I.IVAN Ri]
ALJIJRES.7'! a7POilAJ.'1E YYA 99L 16 ~ ~ • ~ ' -i ~ ~ o . ~ •a . „ - , rl~ , ~
COA'iACT ilfiL+Lf= MARTiN HIYL L 3JYNE t•Ui4LfER= 509, Vfr 4 495'f+
SUILbTNG SETBACFiS : FR4NT- NA LE FT- NA RIGH~m= NA REAR-- NA
~EVIEW INFORMAT3ON
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DEPARfiMENT REVIEW. REQUIREMENT ,
------_-_____t-_----_:-------
BUILDIN'G REVIEW ~OORDINATC?R J SHATT❑ • ~ , ~ . , . . , , 4'
GQMMENT S ; ' ' ~ ` ~ ' ~ ~ - ~ • ~ -
L7V ILDJ.lYG PLL']J.ik ilEY' ILkli'Y L1EQUILlFJI.+" w ' . . ~'~I . , • ' '
/1OyiFiENT{S•'
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ENGINEER SI'T,E DRAINAGE TC~ SE RE~IIEWED ,L.L-4 ~ct4
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COMN1EN'PS : pt4 Ap-- a iPgpq aL2f 00 o ~~M, AA
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, PT.AN1VIAIG SI'.I'E PLAN REV'IEW REQUIRED
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FIRE DISTR F_ FtE _FLOW TO BE REVIEWED.
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PERMIT
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CC?NTRACT17R=,, I40 FMEHL INC , PIiflNE=,5 09 ' 8 38 ~2 7 49 " ,
STREET= F. 0 BOX ~ 14721
ADDRESS= SPOf{ANE WA 99214.
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. ~ L ENGINEER'S REVIEW SHEET .
BLDG. PERMIT # -or -FILE# B93170.9-1
Related File # ( )
Date to Review CONIlVIENTS Timc #
Date to AA & DR Time
llate Received 11-17-93
Project Name INTERIOR REMODEL VENCO P1tOllUCI'S No. Lots No.Acres
Section - Township - Range
SITE ADDRESS SULLNAN N 3808 #124/SIP PARCEL # 01546-9a~
Applicant's Name MARTIN HILL Phone # 624-4959
Address Work #
Date Conditions mailed
Contact person Phone #
FLOOD GONE J NO W S SCHOOL
Engineer / Surveyor's / Architect's Name
Planning Contact Person Plione # 456-2205
Date Submitted llescription Initials
1 ~ / 7i~7 / R 3 AGREEMENT TO PAY FEES OR PRIORITY FEE COMPLETED & COPY TO ACCOUNTING
I / FINAL PLAT FEES COMPLE-'IED & COPY TO ACCOUNTING
NOTICE TO PUBLIC # 1 3 4 6 COMPLE'TED - OR NEEllS TO I3E SIGNED
DESIGN DEVIATION SUBMI'FMD
A.L'rERATTON TO PLAT - BLOCKS & LOTS
HBARING EXAM _APPROVED DENIFn-_APPEALED BBC / PROJECT _APPROVED _DENIED
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k\p\t\review.tor -
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OFFICE OF THE COUNTY ENGINEER
SPORANE COUYJTY, WASHINGTON
,
Project: Venco Products-Remodel (comments) Date 11-23-93
Address: N. 3808 Sullivan #124 SIP
Parcel No: 01546-9090 Ref No. B93170
The County Engineering Department has completed a review of
the above referenced project. The following information must be
provided in order for us to proceed with our review.
A) For any new hard surface area, for an asphaltic roof, or
a roof containing HVAC machinery, a drainage plan
for the site shall be prepared in compliance with
Spokane County "Guidelines for Stormwater Management". At
a minimum the plan must contain:
1. Drainage calculations for stormwater volumes
generated on site.
2. Calculations for total impervious surfaces
contained within the site.
3. Finished grade elevations for structures to be
constructed on site.
4. Finished grade elevations at the top and bottom of
the 208 swale.
5. A typical cross section of the 208 swale.
6. Calculations to justify the number and type of
drywells proposed.
7. Elevation of drywell inlets where applicable.
8. Copy of the proposed landscape plan.
B) See comments on the attached check print. Please return
the check print to your contact person at County
Engineering.
C) Insufficient information was submitted with the proposal.
We are unable to proceed with our review. We will need
the following before we can proceed:
1. Site Plan.
2. Drainage plan as specified.
3. Other information:
a. A parking and traffic circulation plan shall
be submitted and approved by the Spokane County Engineer. The
design, location and arrangement of parking stalls shall be in
accordance with standard traffic engineering practices. Paving as
required by the County Planning Ordinance, will be required for
any portion of the project which is to be occupied or traveled by
vehicles.
D) Utility Condition: Permittee is responsible for arranging
for all necessary utility adjustments or relocation as
required for completion of the improvement.
Page 2
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E) The owner of the property or the authorized
representative must complete and sign Spokane County
Engineers "Agreement to Pay Fees". This document must be
returned to the County Engineers Office. Plan review will
not be completed until this document is executed. This
document is attached to these comments. Please return
the completed Agreement to your contact person at the
Engineers Department.
Only after all the information and requirements listed above
are supplied or completed and the necessary review has been
accomplished will your building permit be released.
Your contact person at the County Engineering Department is
Robert Turner, 456-3600.
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1993
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S F' O K 1a N E e. C O U N
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OFFICE OF THE COUNTY ENCINEER • A DIVISIQN OF T14E PUBLIC WORKS DEPARTMENT
Ronald C. Hormann, P.E., County Engineer Dennis M. Scott, P.E., Director
AGREEMENT TO PAY FEES
ENGINEER'S AGREEMENT NUMBER
This agreement netween Spokane County and PC ►UT-;,;- k 0 EV E c.0 PA C- Nr COAPOR Arld 0
kname ot person)
whose interest in the project is 41.6. t~ IU ~►Q
owner, agent, etc.)
is entered into this ~rP day of /UQJc-- 19 9~ . This agreement is applicable to the project
known as:
S, 0 r:,4 ti-_luDV4i~tL iOP, A K I L ~J~v~ Z~l ,~.3BO8 s r~ «.lvw~ S~PakA , ~ C
projec a ress o~TiYename i e num er) ~
l,)/3 44Z16
That the inclividuals and parties named herein as having an interest in the above described property or
project agree to the following:
1. Reimburse Spokane County for project review and inspection fees as specified in
Chapter 9.14 of the Spokane County Code. The fees wili bc based on actual salary
costs incurred by Spokane County for project reviews and / or inspections plus a ten
percent administrative charge, and will he billed monthly as accrued. Any final
biliing amounts, to include any late fees or any other expenses incurred in the
collection of an overdue account must be paid prior to the County's acceptance of
the project far filing.
2. The undersigned agrees that these fees are ciue and payable upon receipt of the
billing as specified above.
3. Any invoices not paid within 30 days of the invoice date will be subjectecl to a late
fce charge of 1% per month (12% per year) on the unpaid balance of the account
and any accrued late fee charges. In addition, if any outstanding balance on the
account for this project is not paid within 30 days of the invoice date, no further
reviews of the project documents will be conducted until the entire account halance
is paid. Any balance on the account for this project not paid within 65 days of the
invoice date may result in legal action or the initation of other collection procedures,
including referral to a collection agency. 1fie Sponsor will be liable for any and all
expenses incurred by the County for the collection of overdue accounts.
4. The monthly billing should be sent to the attention of: .
NAME: SC 0 T T" A~ . 4.gA O W~
ADDRESS: 0 • ~8 0F) S u LL I VA NAD, A N- /5
CITY, STATE: 5 P0 K A rV C~LO A '77Z 16
ZiP CODE: q 1FZ1 6
PHONE 03-07~ rf Zy- J~-ZG
~
I understand that failure to pay these fees may result in delay in completion or approval of the project or
other possible sanctions.
❑ If this fee agreement is completed by someone other than the Sponsor (i.e., the
project owner or aprincipal in the firm sponsoring the project), such as the Engineer
designing the project, then written authorization from the Sponsor specifically
authorizing the Agent to execute this Fee Agr ment is attached to this Fee '
Agreement.
SI"GNATURE By:
Sco rT R, 8A, o W u
, (PRINT NAME) ,
RETURIY YELLOW COPY TO SPOXANE COUNTY ENGINEERS
k\pV\agreemen.fee 8/20/93
W. 1026 Broadway Ave. Spokane, WA 99260-0170 (509) 456-3600 FAX (509) 456-4715
ti
NOTICE OF TRANSMITTAL .4
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ADDIZESS: ['RO1 LCT
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BUSINESS NAME: PARCEL NO./LEGAL
. ~ DESCRCPTION:
PROPOSED TE-
CONTACT: PHONE: ,
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REASON FOR TRANSMITTAL
~
PREAPPL[CATION CONFERENCE PRECONS''i'RUCTION CONFERENCE OTHER:
DATE: TIME: _
DOCUMENTS CI1tCULATED
. ;
DISTRIBUTED TO:
Roco DESCRIPTION BUtLDINGS PLANN[NG ENGINEERS HEALTH SCAPCA FQtE DIST # ~ OTHER:
~ ISite Plan (new revise41 x 1 1 x I
. . . ~veyAA• .8.•,, • Z r~..r:,o~t`~ ~i.~7 ✓ . ,
~ ~Cnhcal Matenals List
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lParking Plan. ~
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Date of Transmittal: Review Coordinato`_ .
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Circulatecl by:
- • • ~ ~ * ►n~~ w„~, Rrnnrlivnv AvellUC * Snokane, WA 99260 * (509)456-3675
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DE['AR7MENT OF DU[[.D(NCS jMMES t„ MMISON, CB.O., DIIiECrQR
TO : Reviewing Agenci.es
FROM: Department oF Buildings
~ f~,~ i ~ S~ ~•~.,~sp (Review Coordinator)
DATE :
The following pzoject has been submitted for review:
Address:
Gontact-: . " Phone
Description : • J~~~ Ak I /d. --4 J.s c0/01':~? 'r4
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C1a,.~,-r'P /,I' dse (trd'~' ,p~,//P1/ M,*nJlAc~~r,..i
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A Pre-Application Conference was not scheduled for this proposal.
Accordingly, please review the information subtnitted for compliance
and. forward your comtnents to ouz Department. Should you need
additional inFormation please feel free to contact the ia~dividual
coordinating the review. '
~
NOTICE OF'TRANSMITTAL
ADDRESS: 3 gp g S~ j► c/~~ f Z~- PROJECT
q~ I C~,5 /7 ~-I-
BUSINESS NAME: CO PARCEL NO./LEGAL
(6p,~ DESCRIPTION:
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PROPOSED USE:
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CONTACT: . . PHONE:
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REAS4N FOR TRANSMITTAL
PREAPPLICAT[ON CONFERENCE PRECONSTRUCT[ON CONFERENCE OTHER: -j~
DATE: TIME:
DOCUMENTS CIRCULATED
DISTRIBUTED TO:
RECD DESCRIPTION BUILDINGS PLANNING ENGINEERS HEALTH SCAPCA FIRE DIST # ~ OTHER:
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~ recci ved:
Y .
,
Date of Transmittal: Review Coordinator:I;P _ ! ~J~~
CirculatecJ by:
Snokaiie Coutity Division af Builditrss * 1026 Wc:ct Brntrt/wny Avenue * Spokanc, WA 99260 *(509)456-3675
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SPOKANE COUNTY
1~ C~EAR AIR POLlUTION
p
S P o,< A N r=- CONTROL AUTNORITY
WEST 1101 COLLEGE, SUITE 403 • SPOKANE, WA 99201 •(509) 456A727 Fax (509) 459-6828
SEPA RULES Part Eleven-197-11-970
.
WAC 197-11-970 Determination of Nonsignificance (DNS)
DETERMINATION OF NONSIGNIFICANCE
Description of proposal: INSTALLATION AND OPERATION OF A BAGHOUSE
Proponent: CXT INCORPORATED..
Location of proposal, including street address, if any:
3808 N. SULLIVAN RD. BLDG. #7, SPOKANE. WA 99216
Lead agency: SPOKANE COUNTY AIR POLLUTION CONTROL AUTHORITY.,
The lead agency for this proposal has determined that the aforementioned facility does not have a probable
significant adverse impact on the environment. An environmental impact statement (EIS) is not required
under RCW 43.21 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.
There is no comment period for this DNS.
[X] This DNS is issued under 197-11-340(2); the lead agency will not act on this proposal for 15 days from
the date of signature below. Comments must be submitted by S:OOpm on 7113194. Responsible official: CHARLES E. STUDER.
Position/title: Air Quality EnQineer. Phone: (509) 456-4727 xt. 107.
Address: West 1101 ColleQe Ave., Room 230. Spokane. WA 99201.
Date:06/28/94 Signature:
cc: DOE (1) DOE (2) SCED (8) DOES (21)
CXT Incorporated Source file Studer Correspondence File
i• Printed on Fecycled Paper
l. .
- ` , SPOfGN'E EMYIROINE11TAl. ORDIMAtICE , . .
(YAC 197-11-960) Section 11.10.230(1)
EnviroAental Lhtckllst
Ftle ro.
Rnpose ot C1+ect1lst:
The State• En•iron.encal pollcr AcL (SEPA) cf+aptrr 43.21C RC51. requlres all govertr+e+stal aqentles to consteer the em►tron.ental taoacts of a vrooosal
before mati"q decisions. An Environeerttal InDact Ststeeent (Ei5) must De Oreoared for ail prooosais vtth proDable signtficanc aaverse iwoactz on
tAt Qualltr ot the emriro+went. Tht ourDOSe ot clfii cMCtllst 11 t0 orovlde inforoatton to helD rou +nd the aqencr identitr tsoacts troo Your
propossl (and to reQuce or •vold 1.pacts lrom the proposal. tt St tan bt danel and to hei0 tl+t •9errcr detlde .rhethet u+ EIS is r"ufred.
JR=LTVCt10RS fOT App11CAnLS:
Thfs erwiron.iental d+edclist a:ks you to descrlbt saot Das1c inlormtlon aDat yvur orooosat. Gover+..ental agencles use this Chettlist to deterenlne
ul►ttAlT Lh! MvirOR.n+ta1 tmpatti ot your oroDOSal are siqnffltant, requtrtng Dre9antion ot tn EIS. Ans.Kr cAt Questions briefly, rith the uvst
precise inforsation tnore. or q1ve the Dest•Cescripclon you can.
4ou .rst answer each questlon accurattlr inE cantulir. to tnt best of rour tnw ledgt. In most cases. pou sheuld se ible to ansver the ouesttoni
froo rovr otm o0ser►ations or project oi+ns rttnout the neeE to htn exoerts. If you really do not kno,r tne arrswr. or tf a Questlon das not appir
co your prvoo:at. .rrtte •do noc tna.• or •ews not •polr.• ca.p tcce answers to the• Question: noir wr +vo+a vnnett:sarr detays lacer.
Socs avestlorts ask +bout qovernmental nyvlaclons. sutn +s zoninq. sAOreilnt. 4nd laneaart deitgnations. Jknstier ihsse Questions 1f rou can. If yw
have probless. the gorer*.w++tal •genctes can asstst rou.
the cAeetitst avestlor+s appir to 411 parts vt rour Drv9osal, e.en 1t you o1an to do tl+ew ovir a perSod of c1Ae or on diffrrent oarcels of 1and.
AttacA anr addlttowai tnfor+rtion cnat viil deurlDe rour proaosa) or fts environnental effects. 71+e 4qency to vhicn you subatt cOlis cf+ectitst ary
ast ymm to e m lain your ansMS or proridt adGlttOna) lnforw tlon reasona0ly rtiat M to detero/ninq if Cnere tir be slqnlflCant ♦Cverse imoatt.
use or ch.ct t 1:c ror nor,oro jecs prooesa t::
Camlete t1+ls cnecicifst far nonorojctt Orooosals. eren t*ovqn auestions mar De •nstiered 'does not •oolr'.
1N Aa0ITI0N, ca+elete the SURLE?tf«TAL SMEET FOR NOY►ROJECT ACTIO1tS(Part 01.
FOT' nonprO)eCt •tttOns. the rtftf'tfKes 1n tA! Ct1tCk11tL t0 tRt ro►'0i '9roject.* %Volic1M•' •^d '7ro0Kty oT sit!' Sh0u14 D! ►N4 is 'DrOpOS4I.'
•prooo:er.• ana •iftecte4 geoqriohlc are&.• resoectively. •
A. 6AQOtOt!!tfl -
t. za.e ot vrove:.a vroject. 1r .ool+c,ote: L.T.V. StaUport Blocks
, Z. %ame, of Aov 1 tcant: CXT INC. 3. Address and vhano numDtr ot aop 11eu+t or contaet oKSOn: A. ace cn«tiisc pnw.na: JFr~-94 - .
S. Ayemr req,escir+q checttist: S=kanP C'.mntg Ai r Pnl 1 iiti nn A>>thnri t-v
6. ProposeE ti.inq or st%edule (incluCinq Onastnq. tt aopllcsole):
7• Do rou ha.e anr 91ans for futun aadittons. •soanslon. or fuRner •Ctlvlty related io or Comected rttn tris Oropoui? if res. explain.
NO Thi i c a t-Amnnr-v nnPra fi i nn
e. oo you o.n or n.ve o9clon: on t,na ne+nr or aaj+cenc co cr,ts proposal? if yes. exotatn. NO
8. list •ny environmntal infonaatlon you tnor ►Couc tnat 1+as been prepared. or w111 De prepareQ. dinRly re{ated to sAis 9roposal.
None
acw.2/t/88 t
~
srvc.urt sMRcMCCPczu. oeauAMM .
(vAC 197-12-960) Saccioa 11.10.230(1)
. A. bACXLRL7QM ( c oat i a+aed )
9. Do ya. !aw vhwel+er appliuciees •re peedin= for gowrerasal appro.ali ot ochet propomals dinetiy &tfaccing ctm propstty cowrea b> >vur
proposal' If yet. esplain. 111nn,.a I'nnt m 10. Llac aoy tov+cnmnt approvaL or pasii[• that vtll St n»doE toc yout ptopoul. lf lmow. Tembo_ rarv BaQ House
Permit Spokane Air Pollution
12. Gi.v a Driet. camOlote deacri9c1en o[ ywr pTOpOYl. le+cludlns t!e propowA u+oo aed tw s1se ot cM project anE site. -her• are several
quescioos Lter ln trili clyekliet that ask 70o co deecriDt ttrtal0 upeccs o[ 7orr propo"l. Tw do not nMd to repert thoss aeuwrs on cRls
Dite•
Install portable batch plant which has baa hntj,-,P on rPmrznt -i2Q,
In and near exsistinq buildincr 7 in the =TXokanim _ Tnr1LlSt.r'l81 FaY'-.
1:. locatioa of t1r proVos+l. Cir •ulflclanc lafoesatise lor a persor co uderscaad tM peKiN loution of rour proposed pTO)eCL. includir+g a
strKt &ddtess. t[ aey. •04 »ccloa. toresNip ael rsan. Iwovw. If •proyosrl wuld eccut ow[ a ran=e•oI •rea, pro+tEe ttv san;* or
bouadaciee ot c!K vlce(r). ttovtde • 1ega1 descrlptlo". •it• pLa. vtciaic7 map. •d co}"TapAlc aa9. 11 r...on.eiy avalLble. '+'1+ile you
should suMatt any pLos requlre4 bj_th& _O a9^~' is ~ocate~Tat* tre S~u[1' Wes#11 corner Qt~h11tf+ nr p~nlt appllcstlon
relsted Co CAli ct+rtkllst. t'r 1 C~•
Spokane Industrial Park N, 3808 Sul 1 i van Road, thi S i S a Suhl PasP
from Cd'A Steel Company ,
Doe• c M proposed accion 1!e rtthio tAe Aarifef Sonaitive &[u (ASA)! '1v Gneeal Swse Ssrrice Area'. -ne rtioracr SeveC Servtee Area.' The
C1:± of SpokAne' (See: Spokane Couat7' s ASA Ove[!&r :one ktLs tor ewedsrtgis). Yes
.0 6L Caro'LS:Zfl eT AllLICAlrT
S. aevtaoeOOr_at. asv-r:s
Evaluscion FoC
Agencr c.. onty
' A. Gneral dastription ot s!v ilie (clrtl• en*): LLt. rollln=. Ai117r. st"p slopats. wouncaleous.
other: Fl~t'
b. '.~Va( Lo CAI •rMQosC •lOOt Ot! C1w f1Cf (aQPlOILsCe peReIiL sIOQs)? afi
c. '~fsac ;soetal cype• ot soils are Covnd on ctw s1t• (tor es+syle, cLy, saod, aTawl. peat, ouet)'
If rou lcaov c!►m elaselflueloa of agrieultural •oiL. •peeldy cMa aod rtoe• •nr prleWN laralAed•
Gravel
d. kre there sutfsce lodicatlons or hiscot7 of unscable soi L!o cl+n l="diat• +ltiai:y! If w.
de se ti pe. No
,
~
spaKANE Exriaa.qENTu aROtNUNct
(YAC 197•11-960) Sectto++ 11.10.230(1)
S. QfYIROMIElfTAI ELETSEKTS(continued)
Eraiuatlon For
Aqency Use Only
e. Oescrtbe the purposs. trpe. •nd approztnte pwntltles of anr filltrtq or qn E1ng propased.
tna+cau soyrce of tit,t. NonP
f. Could eroston o¢ur ts a result of cleartng. corrstruction, or use' If so. generalir descrlbe.
No .
g. +tbout +rat oercent ot tne slte w111 De carered vttl+ tapwnious rfaces atter oroject coestruc-
tion (for e:aaqle. •svnalt or eutldings)2 N~~ I12W Sl1':'~aees
1+. ProOOSed aeasurts io reCuct or tontrol eroston. or oc1er {.pacts to the esrth. tf +nr:
rT 11 .
2 . AI R
A. W1+at typ* of emissions io tne a1r vouid nsu1L frem tl+e proposal (1.e.. dust. iutom011e. odor1
industrl+l, woE s.ote) durlnq constrvctlon and •nen tne oroject fs ca.vleted? l! •nr.
9enerallr etstrsbe and qlve aporoxtw t• aw ntites tf knorn.
Dust Bag house is required for cement and is the reason - for this check list D. Are tf+ere any oft•site sources of e,.isstons or oCOr inat aar affets rour OroDOSaI' If so.
gcoersllr acstrlbe.' NQnF: '
c. Proaosee aeasuns :o reduce or control ewlsstoess or otnrtr 1rnpaeLS to •ir. if anr:
Bag HOUSe ~
unTER
A. Surface:
(1) Is thtre anr surface vater podr on or in the im.ediice vtttnity of tne site tnctuatn4 ra r-
round and seasonai streaas. saltw ter. lates, ponds. .ttlinQll'. !f yes. Ctstribe trpt +nd
proride naaes. If aoproDrtate. state •hat strea■ or river 1t flo•s into.
Tinn c
, vill tne project reduire any wort over, in. or sdjacerrt to (w~one00 r~t) the descrlDed
_ .atrrs2 If res, pieese Oestripe anC attacf+ avallapie plans.
. 3
srvcaia arRRawKzrtai. osarcAMx '
(•JAG 191-11-960) SOctiae 11.10.230(1)
E. OfvTROlR@eTAL LLII'm't'S (contirtued)
tvaluacion Fo[
/1gencr O~t OeLLr
(J) Lsclestg CM &-ount of f111 sad Eredte ~acarial cAsc wuld De PLcod ia or c~eoowd ise+ tM
duffaet wcs[ er wtSaeds aad it+dlute cl+e ares of tht siu ttac vonld De aiftcced. Iodluce
tt+e swree of C111 mocecial. None
(i) Vtil tM propowl reaulre surfaee vtar vltldravsL ot diwrslonoi Clve a -tt1tfaL ddKTip-
t1oa. purpoee. aed •ppeotisat• Quaaciti*s. tf knwe.
None
(S) Doe• cl+e pTOpoul 11• vttAin a 100-7wi llaor plalo' Lf so. ++ote loutloa on cr+s •!te pLan•
+yS'
(S) Does the proqorl lnvelw aery dlscl+ar=o• o( vrt• nocerlals te wrtace vecots! it w.
EestTlbe tM c7pe o( wste and antlclpat*4 rolus of dlotlacte.
S. Ctound:
(1) VtSI Sroundvacet be vit M rarn. or vlll votor Ee d1scA+rsed to iroundvattt! C1ve general
descripcloa. purpose, and •ppCOiSI\itf QuanL3tles. lf lmore.
1~1r►
DestTtbe vaatt Ytefl&l tmt vlll Dt 41/!lf4TZ1d lnLO t11e gi0und iTCm oepClt Lafflt• Of oCtfe[
wolsacy w"to truwac ["illty. Oomee1be c!» geeeral sise of the nstem. cl+e oumser o[
housts [o Dr oer►ed (if •ppllcabl*) ot tlr num0er of porwe+o cM rystes(s) at+ •zpeesed to
strre.
N~nP .
(3) DoscrlDe •nr srscees. otM t cl+sa cAoM desijsed tor C1+o Aispoaal o( weicaey vaars,
tnscalled tor ctfe 9ur9os• of d1acA+rsini tlul/s belov tM grwod sucface (Sntlude• srscsa SucA
tlsow for tl+o dlsOoul of ston vater oe d[aleag• [ra tloor drsins). DeKS2E+ Ctr Cipe of
»stes. the anount of ostacl&l to be dlaqeooC o[ thTOusd c!» systes and tl+e Crp+• o[ matetlals
likelr to 9e dispo..d of (lncludio.g aaceri&l• vAScA say •ntei LM srtta lwdwrtantly cl+cougn
spl:ls or as a [osulL of iiretlgncln= •ctivitlse).
Non 3 .
(4) W111 any cheslcala (es9ecSallr oCtaalt wlvenc• or pet:oleut :usls) be scottd tn abo.e-
groued or underground •torate caaiu.' If so. veat cype• +od quancitL s o[ material• vill be
atored!
None
4
c
' srac~xt ama~u. omtn~ - •
(vAC 197-11-960) 5•ccioe 11.10.230(1)
S. E1PLROfQQRTAL II.EP@!:3 (cantinwd)
Lvalwcion Tor
AgencT Use Onlr
(S) vfut pcoteeciw measures vill b+ cakso co lnsurt [!LC lmw or •pilli ot sary clmdcala
scored or used an site vill noc De •llowd co peTeoLce to =roundvacoi (chls Saludes e"oure•
to keep elvalcals ont oI dlsposa1 •>>teas daseriDb le JD(2) aod 3D(7):
No more than 55 oal 1 Qns i nsic3P w» +-h sn; l 1 nan as a '
secondary containment ,
C. Vace[ Rvaeft (includins •tors vacer):
(1) DeoeTiDe tt+o •ouree of rvso[f (lneludie►s stoes vatet) •od mat1od oL eolleeslon wd diopo"l
Sf ae-y (leelude Quaeeities. if kmre+). V1+eie wl11 tRi• %otae Clov' Vlll cAi• watar ilow laco
otMr wcore? It so. descTiDe.
Rain Fall flows into drvwells
1t11 anr cMattals be icored. handled or used an t1r •lt• in • Loutlon vMre • e0111 ot
1eak vlll drain to surtsce or jroundvatai or to •stosv wacei dispoasl •yncom diaehar=in6 to
.urtau oe troundwacer! Nn .
(3) Comid vastt rcerial• •etet jtouaQ o[ •uttue vatore! It •o, aeneraily bescriL+.
Nn d. Iroposed mu sures to nduc• or cowtsol ouriace. dtour+d, ♦nd evno(( vacdr lspacts. tt sny (1f
c C M psopo M1 actloe 11~s wttNln CM Aquifer Senoiti w Ar*a be oapoclallr closC oe esfloostions
t feLaLSt1j co faei11t1o• eoueerniai Soetlon• 3p(4). 7p(5). and k(:) oI tt+l• cl+oetllst):
None-
3. ^.heck of titcl• c7pe o! vogetatlon ta+n0 an t M •ites
decSdwus tree: aldet. rOle. aspert. ocMt.
eversr.en tr.e: [ir. c.dar. pin*. ocl+.r.
snrvo..
;rose.
pastute.
crop or 6rain.
wc soll pLnti. cattall. luttettup. Dullrush. skunk eabbags, oc2+er.
rater plu►cs: watoc lillr, •41traits. lulfoll. oct+et.
ocDe[ typo• of veqetatlon.
b. V1+ac tiod and amouoc o( vetatation vill be raored ot altered'
old exsi,stina Industrial Park no Ueaatation . ,
c. LS&[ tAraacaned or eodsoge«d spetle• kaoref :o jo o0 oe neae tAe aite. None Kn~Two
1. PTOposed landscaplng. use of astlw pLats. ot other meuuns to peeserve or eoAsoco r+tocjclae
on tAo slte. lf any: uwP
5
~
' SPqKAmE a[1fIA01e'PE11T+tL 4'ht4IOJkACE '
[WJtC 157=0-460) S+rctiafi 11.10.2301T1
6. EIIVIROWf1t7JL EiF]°1E1[T'S (CO+stinus4) . EYalui#!or For
+lgenep Use On1p
S. &NIHALS
1. Cfrcle any b#f4# anck inimli +ehicA MxYe belm o6strwe+d 0+4 0r nmr tht site or are krsprn to be or+
or near Cne sitr:
btrls: 7mwk. ntrvn. eu9ie. sanq0irds, other:
mwa*Ts: Eeer. 6ear, clk, bearer, OtW'
flir+: bass. 3il+apn, t+`ouC, herri"¢. Shrllfl5h, fltfie~:
'~SCheT: , • . _
4. List anx thrtatrr+ed 1~r enasn4rred spec+es kna,rn to bv on ar near tl+e sfte.
NOIIe Kt1DWI! ,
C. SS [ht-s#tr par'C of a miqratlam fioWte? If so. exPitkfn. NQ
4. QroP4Sld oetsuret ¢o orearrYe or an*ance vi1d3l1e, Af m,: NO?7E
S. EMU AND I[,411JRAL RESOURCES
vhat kiRds of e++erqy {aiectwic_ ratural gai, ++md SfQ4ls sclarl r11I be usrd Co amx the
trte CDmteted Drv CC`S 4Wgy nerds? 4rfCrihr rtnect+eF 1t ri1T be +ne4 for 1leitireg. mAnvfa£-
tuF;rq, ttf, Efec.trical
~r. woutd pour pro}sa 1f4e[t Che gCtei+itil uf! Of 3Q;4r eftetg,X by idjac"[ proDertltS? If S0,
gttera11 y descrwnt. -
c. Mitat kfnes af e*sergr c0n9crr30on fratvrrs lre fwclubrd in tne p14++3 Of tnis Dr"asiF? L1st
4iner 7raLase4 iwiea~ure3 S17 ~4duCe or ConLr'ol e4~~~~ impicix, 4f anr:
, No ,
7. rYYZR0~~r7,41 yEA~7H
a. Are :fiert inp en+rirorntntal t+etitli naxares} tncludtnq e=asure ta t4stc tl,ereicalst rtsk cf #ire
tno explos3an. spilfF or niktsreous -rasto. [uC [ouid OCCUr is 4 resuat 4# tT+is proposal? If se,
deSCrZhe.
, Fr~ar->osed 'r~rts instal'lation of _baq h.ouse to
~
~1} Gestri4e sOcCio] mr'gency serflces tnaL aiqhi b~e reqaired.
.
~ • -
• 6
• - srowit nMROPPOOrAi. oIWu&PM
(YAC 197-11-960) Sectioe 11.10.230(1)
B. rVvtxoMMUL aIMErs (concin,+.e) Cvaluation for
• lgeae7 Uw Oetly
LISVI1t0lME2f:AL HEALTH (tontiowd)
(2) rT"o"d wsures to reduce or eantrol -=.aro~estal lwlth l+as+rds. !f a+rf:
e. rai..:
(1) w1+a[ types of ooi" cziic 1n the atea vhich sry •ffOct 7wr project (1or •sa"la: csatflt.
•aulDsrnt. opeiatSon. otheT'. ,
(2) Vhac c7pes and lowela o( ooies vould De cruted br or awocLted vltA clie DTDjeCL oe a
shoet-cers ot • loets-cars Daais (for •saspie: tratfic. coercrucsion. oparation, otl+er)' Iodiuce
vt►at routs nofee vauld eow tros cl+e •lct.
Project is in Industrial Park there will be no
impact .
(7) TTOpoNd ssawv[e to r*dute oT tencTOl noiow luOacts. lf •ny:
S. Lk`:fl A11D $1i01CLLI'!L USC
a. V1+at ls tho cutrent uss ot tht •fte and od)&CcnC propersfes' - ~ ,
D. IL • the slte Detn used fot attitultuie' If •o. dese[ipe.
Industrial Prvior to 1940
c. Oe•cribe arir •tructur*• ow the •ita. ,
EXSlstina Rui 1 di ng, hiii 1 f- i n i-hA 1gdn
d, vtll any stsucture• De desollstwd! If •o. rhleD'
a. WSat 1e• the cutssat :oniag cLssiflutloe of c!a •ite?
I-3, Heaw Industria]. ,
i. vhac is the currrnL cmprehrnsiw pLn designation oI c1+e Glts.'
S. It appllcaDle, vnac 1• the tutsent shoceline usacer pcotias desigaacioe ot the eits!
R. Has ao? 9an o( t!g sict be+n cLw1lied u an 'eavisorntally seaalciv+' arul If so.
•p-sc14y. ~s
Sl t"P f~VPY ~r~nkanA ~/al 1 cv nr ~rnii frr
.~~•...r-ecqvs = Gz-~
~ 1. Appro:larcely Aw "a7 Pp91e vwld ttside or vorfc la tl+r tompleted proJAcsr
. • 1
~•t ,
' 4 • .
. ~ 37GLUM anTEM"Mym MMi][Axa
(y1uG 197-11-960) 54ctioa Y1_10.234(I}
1. ~9T~~LJ~L ELZPMM (ceasiopod)
, *_.aluation £er
A4enc7 Qar 8olr
ApptcstIMMtal) hor saay people roYld LI+e completed pro}ocL ~1a~i.ae41 ~ •
Psnpared ismasurwa to a.v#d vIC r"k.CM (UryLcamaL la"cxar !f ad*s
~
„ . .
I. lrop+os.d saa■vr.io• [o easuro [kw pr'mpnsai !a eaeP+t14LA +,iab aximtia.g aai Proyeca•d LM us*i. ao.i
plainr, it aay: .
Prolect will be completed to currerrt an oroDosed
use .
4. HR115I!!C
►pprvx5.yxogtty ho+r SAnI uaita rauld be pr'r+t464. t# ■srt* IddIeARt wha[t+ir higFr. ■iddlr, ar
tartne~~ hatrrlng.
None
a. Apprveius[iIx hwr saay uotte, ff ai1ry, wwald bo alimAiratrdT Indtca[r rFw[hmrr higk+. atddlr. o-r
lp+rlrce+e hawsla*.
~
e. t€Qposod vaamn[+li CO R*du+G■ oC t*"lel lrerming lapaasa# if a"7 ,
LVOn@
to. .~s~~ta . .
a. uhat ir s1s* talleat rkeisltr. a# +TT Fropored 6srwerure(a). eeic iacludis% aaeerans* wlxsc ia c#+*
ppir2--J1pa4 rsteiior buSShcn; mtsria.I(s) gsoyas+rsS?
~ll components lower than exsisting bua.lda.ng
b. 'rhat yiw* iM1 elwe lam.rdl+[e- rteiniT.-T Mwld be si[serd ai ai+CS'ue«d.' None
C. prapered m+■y++•rr• ta raduet or eensrel areti'+etis iimpacir. ll aRf: UaP
en. L.CI►' k*40 4W~
'rluE C7pe 4f Ylgi+r ar ;La■ vtLl ei+n vt6qoral ¢[vd+rca! '+1++C Ctm ai daT ++am1d ic v.ainly actur'-
Non$
5. {auid light ak giare lror s1+4 liaislwd pro}seL bw a&a14t7 fs4sard oir Saterforr rirR +io+wf
. N/A
C, ulsat rsiattni off-stte sa,sres■ aE Ji;31c aC =L[w .ay alfaar yaur prapoa%,L?
~
d. Preperfd srasures tD 1'u+duca vr cQnttol 1i;41C snd 1,1arim ispacLw* it aaTt
NDne
~
• f
STOl1RL IIlVLROMCMI. OtDDWiCZ
(VAC 197-11-960) Section 1I.10.230(1) • l. DWIR01R4MrlJl. **TM"^r (contiaaod)
Lvaluacion 1or
. ApetT UM Only
12. 1tLC1tLAZZ017
' s. Vhac desigtucod aed lnloctil recrucional oppottualtles are ie cl+e la+dlate viclnltT!
N/A
E. Vovld [!+r ptopoNd pcojeec dispLce any asisclat ncreationsl u"*.' If so. dasetibe.
N/A
C. hroposed eusuns to reduce or concrel tapacts on reeTeation, lneludirtg reerutioeal oppertual-
cie• to De pror►tded br cM projecs or •pplicaot. it •err:
rT /a
13. !IIS"ORIC AND C4L:t?1tJ►L P1tLSL1fVA::Olf
a. Are tlure anr plecrs or object■ listed on or propoMd ter national, ssat• or local ycowrva-
tion ngistec• known to be on or Mst to cM •ited LS w, pner&117 deocTiD+.
M/A -
b. Genefally deserlDy •ny l&nd~tt& or •vid*eeo of historlc arefuoologlcal. relencifie or cultural
lepoetance 1move to De oe or neat to cf+e @itt.
N /A .
c. troposed ssav++ec• to redut• or cont=ol iap&etm. lt anr:
N/A
tc. -ratnPOa-~r:oh
A. Identl~fr puElic •trest• u+A A1`i+var• aerring tl+r att• and deserlDe proposed atc*» to tM
41slating •creet •ysces. 5lwren •lce pLna. 1f •ny.
&rrP,c;,-, to Industri al Park off Sul 1 i van Rnarl t-n servral Business Private Road
t). I• stt• cutrent:r s.n•d by publle tfsnslc' II noc. vhat 1o t!r aOCroxL&ce Elstaaee to t!►e
neanst tsaeuit seop!
YES
C. tlov nan7 p&rtins spaee• vould t!r eesploc&d pro}eet fuvs' Hov a&" vouid tl+e ptojeeL •lielnace!
~~rck=i;oq-GL3aGes 0#8-i6t
d. V111 cne proposal t'eQuit• anr new [oads o[ •ttwce. or toyro.emni• Co •:isciat Tead• or sciwci
noc intiudirfg dsivewrsd t •o. jeoeTally Eescrl0e (lodiutt vheclfet pvDltt or pr1•ate).
Ng~
C. 'Jill tM projeet uw (or oeeus lo tha tsagdiate vielnic7 ot) wecor. cail. or aiz Cranaportaclon'
I! so, genoral]r descrlbe.
Ra i 1 1 i nP adja _ n o hui 1 di na
9
a~ ~
. / , '
STOLUr. ERrrZOW-MXTu ORDDEAMQ
` ' .
(vAC 19)-l1-960) S-eccioe 21.10.230(1)
1. EVIMQCO!'.AL LLL'a'1RS (toociaived)
Lrslua[!on Tot
Aa.nq 0.. anlr
~ Rov many .el+iculat crips pet day rauld De =ewratcd by the caeplaced pro}eet' 2f tao.e".
lndicac• w►wn p"k vovld occur.
?M,~Prt mnt7P ; ►,r0 AY~,.; ctir~g-J~uilQ~g
g. tropoerd aeasun• to reducs or eo+►trol tranoportation lupacss. lf •ny:
NMP
13. PVELIC SERVTCT.S
a. 'Jould the projeet result 2n an, incrsseed ead fof paSlic •eevte~s,(for exawple. !i=t proteetfon.
polics protection. heaich c.r.. schoola. otnrW lf •o, tenecsily deser2be.
Tln
b. troposoQ measures to reduee or controi dlreec lmpaets o* publSt ssntces. V any:
No impac.t
16. 6;:LI:ICS
A. C lc ucll cun b1* •t C1v m1te: (eleetrieit L[utsI ~a• ~~terJ refua~ .
•e ttr, e •Oh~e ls41taty oe+rei. septlc system. otheT. •
b. DesctSDe tRe uc! litles chat ar• prepowd tor the prejeci. the utllltr providing tl+~ ~ervtc• •nd clx ;snorsi conocructian acti•ltie• oA cM aicC ot !e the-larmedfacs vicinicy vhlch atgAC b+
nKaee.
' hTr-, n g
C. SIGNA:Q1tL '
1. tho u»dersl6t+«d• NYT undot tl+o peealcp of peejury tl+at cl+e abose f41tpOtY11 •re sod• trvcAlullr and co the bosc o! •r knwLdge. i♦lso
underscand criat. s'+ould chere Dw aey r111fu1 alsreyteNntatioa or vllliul Lck oI full dlielosure oa ry part. tt+e aRCnn my wicAdrav •ny
dsterolnation ot nonsignidicance tAnt SC dgAC issur in cellsaes vpoe thl• e!»eklisc.
Dt C e : 7 TTOpOtMl1! , t'~7 N ~ ♦ C ~ .l
(Plo"• trlnt or Trpe)
Proponent :
& dgkn. Address: D -1/ OL 0 vqi-~ YsiU ~ O.
( ir cure) `
Phone: ~ cez a Q
Person couplatlr6 tors: Date:
PZ10M 2
TOIt 5?Alf OSL ONLT
Staff ambmr(s) ravisvlrtg theckllst:
D•sed on cf►i• •calf rev1ev of the envirooaeocal ehecklist and otAer pseslncot iaforaaeSoo, the sc4lt:
A. Coneludas [!uc there •[e oo pto"ple •Sgn111unt adwrse lapui• aad tecmaeod• a dscsnlnacioo of noessisoificanee.
S. Coaeludes th+t arol4D2* •lgn111eaot adwtss enKronamntal 1aQaets de es• st toT the evrsvnc proposal aed reeoooda • niciasced d-scer-
•lnation ot nonsiseiticaeiee vlth coadltlona.
C. Conciude• cAac ct+sre are 9robable siga.ifluac •dwrss •aviroossntal Sapaet• aod reeaoeods a detetsination ot signillunet.
r
nuM Ta ~ =75. 00
• 10