SPRAGUE E 11624 POLE SIGN
PROJEC NUMBER= 94000973 APPLICATION f DATE= 02/08/94 PAGE= 01
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THIS IS NOT A PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
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SITE STREET= 11624 E SPR.AGUE AVE PARCEL#= 45211.0703
ADDRESS= SPOKANE WA 99206
PERMIT USE= POLE SIGN
PLAT#= 001839 PLAT NAME= OPP.TR. 1-354
BLOCK= 168 LOT= ZOI1E= ,(BQW DIST#= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= fc:,C)
# OF BLDGS= 1 # DWELLINGS= WATER DIST =
OWNER= ABARIOTES, GEORGE PHONE= 509 926 606E
STREET= 11624 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99206 CONTACT NAME= CASEY PHONE NUMBER= 503 684 8400
BUILDING SETBACKS: FRONT= 63 LEFT= 5 R::GHT= UNK REAR= UNK
REVIEW INFORI'IATION
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED ,
COMMENTS: ~
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SEPA REVIE OFF PREMISE SIGN
COMMENTS:
ENGINEER SITE PLAN REVI W QUIRED 47
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COMMENTS: x-
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PLANNING SITE PLAN REVIEW REQUIRED
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COMMENTS: c&jZJ&J&" j
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SIGN PERMIT
CONTRACTOR= OBIE OUTDOOR ADVERTISING INC PHONE= 503 343 2436
STREET= 3322 SHELTON AVE
ADDRESS= EUGENE OR 97405 ,
ZTEM DESCRIPTION QUANTITY FEE AMOUNT
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SIGN 10500 . 157.50
STATE SURCHARGE Y 4.50 COUNTY SURCHARGE Y 28.35
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~ PERMIT CENTER PASSPORT
3ate:
~ Number• /
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Name (is ~ r ~ ~ Phone
Address '
Comments:
CUSTOMER ROUTING
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8U1LD1NG
De artment:~
:~ENGiNEER
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_ Addressing ~ Admin. Exception _ Approach Permit
~ Building Perrnit ~ Arterial Rd Plan Info ! FJood P1ain Permit
~ Code Information Binding Site Plan Info ! Pubiic/Private Roads
_ Commercial Review s Cert of Exemption , Res. Bldg Perroit Rev.
_ Conference , Cornprehensive P1an ~ Site Drainage Info
_ Energy Code Info Cond. Use Permit ! Subdivision Review
_ Fre Safety Review i Nonconforming Use s Utiliry Percnit
, Manufactured Horoe ` Permit Review ` Zone Change Review
Mechanical Permits Shorelines Info !
i Other Permits - i Short Plat Info NO FEE REQUIRED
Reviewer T'une out
i Plurnbing Permits , Subdivision Info ~
- . : ..rl
Private Road Info TemP• Use Permit UT1UTlES D~epartr.rietlt<;;<,*''-".:r~'.:=''`;.
i Residential Review i Variance Appl. ~ APA Payment
~ wer Permits , Zone Check , Cert. of Frxemption
Zone Info ~ Subdivision Review
f UI.ID/5ewer Infa
~ Zone Change Review
_ NO FEE REQUIRED NO FFE REQUIRE D
Reviewer Time out Reviewer Time out Reviewer Time out
~ P-) I~C)`. 3'k-Y
MAS7ERIPASSPORI.C'IR 7/18J43
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SPOKANE EN'YIRONM-ENTAL ORDiNAN~~
ENvIuONMErv~~~~ ~~CKLrsT COMnI'ENT aCcEeTANCE
I3ATE of DNS: February 25, 1994 A-CwCEPTED
PROJECT: Off-premise sign: 2-sideci, 300 s. f. , 45 ft. ouerall height, 33 ft. setback from right-of-way
FILE N[JMBER; 94000973
LdCATION: 11624 E. Sprague
14PPLICANT: Casey R. Gray, 195 W. 2nd, Spokane, WA 99204
RESFDNS7BLE OFFICTAT.. Jarnes L. Manson, Di-rector
cfo Lorne '1.acshas, I.and [dse Planrier ,
Spokane County Bivisiori af Bui1dings
1026 Wesi Brvadway
Spakane, Washington 99260
(509) 456-3675
The following comment(s) corresgonds to the noted sectrvn of the Envirgnmental Checklist subrnitted by the •
applicant and becornes part of the checklist in accvrdanee with Section 11.1(}.160 Qf the Spokane Enviranmenta►1
Orclinance and adoptetI policies:
Dace Signature &~C7~a-A~
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A capy of this Cornment AcceptRnce to the Enviranrnentai Checklist was maiEed to:
Spokane County Engirieer's 4ffice Washirtgton State Departmenk Of Ecology
~Hill I-iemrru'ngs Envgronmental Reviaw Section - Ms. Barbara Ritchle
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SPOKANE ENVIRONMENTAL ORDINANCE
DETERMINATION OF NONSIGNIFICANCE
File No. 94000973
Description of proposal: Off nremise sign: 2-sided, 300 s.f., 45 ft, overall heiehts, 33 ft. setback from riQht-of- waX.
Proponent: Casev R. Grav. 915 W. 2nd, Spokane. WA 99204
Location of proposal: 11624 E. SaraQUe
Spokane County, the lead agency for this proposal has determined that it does not have a probable significant adverse
impact on the environment. An Environmental Impact Statement (EIS) is not required under RCW
43.21C.030(2)(c). This decision was made after review of a completed environmental checklist and other
information on file with the lead agency. The 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 the required 15 day
review period commencing on February 11, 1994. Comments pertaining to this checklist/determination must be
submitted/received no later than 4:00 p.m., February 25, 1994.
Responsible Official: James L. Manson, Director
c/o Lurne Lakshas, Land Use Planner
Spokane County Division of Building and Safety
West 1026 Broadway Avenue
Spokane, Washington 99260 (509)456-3675
Date Februarv 11. 1994 Signature
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You may appeal this determination within 10 calendar days after it becomes final:
The Board of County Commissioners
West 1116 Broadway Avenue
Spokane, Washington 99260
The appeal must be submitted in writing no later than 4:00 p.m., March 7, 1994. You should be prepared to make
specific factual objections.
Contact above responsible official to read or ask about the procedures for SEPA appeals.
A copy of the Determination of Nonsigniftcance was mailed to:
S e County Engineer's Office
rz. Bill Hemmings
Washington State Dept. of Ecology
Enviroment Review Section-Ms. Barbara Ritchie
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SPOKANE ENVIRaKKENTAL OROINNlCE
(YAC 197-11-960) Sectton 11.10.270(1) '
Envtro mental Checklist
F 1) e No R ( cr0
Puryose of Chcckltst:
The State Enviroroental Po11cy Act (SEPA) thapter 43.21C RC11, requtres a11 9overnx ntel eqenctes to conslder the envlroneentel bapncts of s proposal
belore meking Aectsions. An Environaental lmpatt Stttenent (EIS) awst be prepared for all proposals rlth probabie stgnlfltant adverse tmpacts on
the qw llty of the envtronsent. The purpose of thts checklist is to provl4e Infornatton to htlp yau end the a9enty tdentlfy tapacts fram your
proposil (tnd to reduce ar •void impatts froo the proposal, 1f It can be done) and to help the iqency declde whether •n EIS it requlred.
Instrutttons for Applitants:
Th1s environmental checklist asks you to descrlbe saoe bas1t lnforsnatlon •Cout your proposal. Governoental eyencies use thts checklist to deteretne
vhethrr tAe envlronaental iwpacts o1 your proposal are s1qn1(Itant. requlrtng preparatlon of en EIS. Answer the questions brtefly. w1tA the most
precise lnforaation knwn. or give the Eest descrlptlon yau can.
rou wust •nswer eacA Questton accurstety end carefully. to the best of your knowledge. In most cases. yau should Oe able to anzwer the Questions
from your own observatlons or pro3ect plens wlthout the need to hire experts. If you really do not know the ensver, or tf e Questlon does not apply
to yavr proposal, wrtte 'do not knor' or 'does not apply.' Cor.plete answers to the qw stions na+ a►ay avold unneceisary delays lster.
Soae questions •sk •bout qovern.ental requlitlons, such as zoninq. shoreltne. and landa+ark deslqnattons. Answer these Questtons tf you tan. lf you
have problews. the qoverrr.entil •qentles tan •ss1st you•
The checklist questlons apply to aI) parts of yovr proposal. even 1l you D1nn to do thna over • pertod ot tin►e or on dlfferent parcels of land.
Attath any •dEitional ln/oraatton that vlll deiCrlbe your proposal or 1ts envlronnental effects. TAe •genty to rhich yau Subelt this checklist may
•sk you to explaln your answers or provlde eddttlonel lnfonaatton reasorubly related to Eete minlnq 1f there may be stgnlticant adverse imvact.
Use of checklist for nonproject oroposals:
Conplete tAls checklist for nonprojett proDasals, even though Quettlons Ray be answeted 'does not spply'.
lN AOOITION. c wplete tAe SUPPLE?1ENTAL SHEET F6R NONPROJEGT ACTIONS(Pirt 0).
For nonpro,fect actlons. the refen nces in tl►e checklist to tAe wrds 'project.' 'appllcant.' and 'property or slte' should De read •s 'proposai.'
'proposer.' and •effetted qeographlt area.' reipettlvely.
A. euxGRouno
1. '1awe of proposcd project. If eppllCable: 1 E. sQ~
2. r,.e or App lic,nc : P
AAdreSS ♦nd phone number of •pplltant or ContaCt perion: f~4~ 2• ~C'~`? : W~ S 2-' `
e5 e-~,c,
4. O4te checklist prepared: IQ y
S. Aqentr reQuestlnq thetkltst:zkp-~ • ~~r Q~i~dthc. , 5~~~4
6. Proposed ttolnq or scAedule (lntludlnq pAasing. 1f •ppllceDle): 3bO
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7. a. Do you have any plans br future ad4lttons, exptnston. or further atttvtir relateE to or com ected with thls proposal? If yes. explstn.
b. Do you orn or hive optlons on lend near0y or tdjacent to this propoial? If yes. explaln.
8. Ltst •ny envlronmenta1 infonmtton you knov about that Aas been prepared. or will be prepared. dtrectly related to tAis proposal.
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. , ~ !PO[AtiB LRVIxONlRNTAI. ORDIIIANCY C
(VAC 197-11-960) Saccloa 11.10.230(1)
A. EACxG¢OUBD (coaclnued)
4. Do yw taw vhethar apqlicatloas ars peodlag (or govertw ncal •pproval• ol other pcopo"l• dlroeclr •[[actln6 the property eoverad by your
proposal' If yes. arpl&in.
10. Liac •oy goveromot •pproval@ or paru1ts tAat vill be n.eded (or rour proposal. 1f lmovn. ~p ~
11. Clvs • Dcte[. cosplete desertptioe ot your propo"l. including the proposed use• •ad the @!e• ot the project •nd •Lts. 'hete are several
Quescloeu lAcer in chi• t M elcllst tlut aa1c r w to deserlbe cartatn aspeets ol your proposal. Y w do oot aeed to repeat thos• ansver• on chts
pass.
-Z) $ Z644
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1:. l.ocacton of the propomal. Clve aultlclenc tnlorsatton tor • peraon to uoderstand tho p ntto• loeation of rout ptopossd projeet, lneludtng •
•creee •ddrama, Lt •nr. •nd •eeclon. co+n+ahip •nd range. i! knwn. 1l • proposal wwld oceur over • raefge o! •rea. provide the tange or
Oouadarle• of the •lteW. Provlde • leaal deacriptioo, •!te plan. vlclnity sap, and topographlc sap. tt reasotibly •vat L ble. trhlle you
should subolt say plaus «Qulrad Dry the •6eecr, rou •re not reQuired to dupllcats oap• or detailod plaos •uEotttsd vtth sor pecvlc applicatloe
rela ccd to thl• cMcklist.
~'AS4~SS w.o Q Q~ $ l,c7-e Q~1~ a►AA-4CACy►
13. Ooes the proposed actloa 1!• vlthin the Aqulter Sotilclve Are• (ASA)` :'M G neral Sew r Servle• Area2 :M Prtorlty Ssver Serviee Area? The
Clty of Spokane' (See: Spolcant Gounty'• ASA Over L y 2one kt L• loc Aaundartes).
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-0 6C COMFLCLD 6T APPLICAXT
D. DMIRO11!Qfl"..Al, ClZ¢NT$
Cvalwtton For
A;ency Use Only
1. eAP-n
a. Ceneral descciptton of the si[e (cirtlt oae) t L t. rolllna, Ai11r, steep alopea. sountainous,
ocher:
b. =1hat 1a the •tupost •lope oo the sLt• (appro=laate p-oreent •lope)! r--QhQ~
c. 'lTut Qeaeral t7De• ol tot1• •r• tound on the •lte (tor •uopla, clar, ~pdat. suek)!
It rou knov cfu claasiflcatlon o! •gricultural •oils. •pecltr tIvu • c• m taruLo4.
d. Are th4r• aur(ae• ie►dleattoeu or hlstory of ueutablt sotls ln the toadiste vleioltyt L( 00.
deserlbe.
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SPDKJIHE EKYIli6lifiENTl4L QR61Hlk1iCE
(whC 197-1`1-90) Sect4or► 11.10.23019
e, tMvzROrNEh[YJkL ELSKENTStcanxinUe41
E+rdluatlon Far
AqencY Usc On1y
t. DeSCrlbe the purpase. tYQe, ~n4 sPproxlmetr q w ntlCles 0f inY f1111ng 4r grading propOSed.
lnd4tatr 3aurCC af fi11.~
f6~tt%A-1w`+~[
f. Cou1d eroslon accur as a result of tlearing. canstruc#lan. or uat? lf sa, qenerally describe,
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q. Apout whrt psrten# of the slte w111 bs [trverad with 1mpervious #Vrt#BCQS after prajeet tanstruc-
tion (for exernple. isphalt or huildingSh'
CUIAL- ~ cyrN t'-atA-- )M. ~.Q
h., Pfaposed meisures ta rodute or [on[ro1 erosion. or o[her ixpa[ts ta the rarth, 1f iny:
2. AIri
A. what type af exissions to ztne Or Yotrld re4ult frm the proDOSaI (l.a., duxt, autaaobl3e. adars
lndustriol, rpi)d snbte) durinq cnnstru[[ion rnd wnan [rit prc]e[t is cancletcd? 1f anyy generally dtsCrlbt and giv# eppraxtmtte quintltli 1f kriown.
b. Arc there ifly of-f-sita sourcss a6 e+Afssians or ador thit mry af(c[t your prooosali ]f So. qaneraily OxCribe.
C. PrpPOfsd dte3ures t0 red4ce Or COntrpl tmlssl4ns Or pther inppct# t4 air. 1f any:
3. uArEa
e. Surfece:
(1) ls tl+ere sny surfaee water ba4y an ar 1n the iawediate xiclnitp of the s1te Intluding yesr-
raund ind seasanal xtraams, sakt.rater, lblces. panAs, ++rttiinds}? ]f yes, desCri-bo ty!pe and
pravide niLa+es. lf appFqpriatr, sttte Mhrt stream ar river it flows Irito. ,
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;21 W11i the prajeci requfre any xo-rk over. 1n, or id#xcent xo IwIthin 704 f setl the 411scribed
rateps? 3f 3rcs, pltase desCrlbe and ettaCh 9Yi116Dl[ P1ans.
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9rdT.Al2 CNVIRQIQMNSJ1, ORDINANCL
(IAC 197-11-960) S-ectlon 11.10.230(1)
B. CNVIRONlQNTAI, CLQQR:'S (contlnurd) ,
Evaluatlon FoC
Agtntr Use Only
Esclaate the aoount of lill and dradge aatsrlal that vould b+ placed !n or reooved !co• clx
•urtac• vacer or wtlands and lndltat• the aru ot c!ti attt that vould be •ffacteC. Indicace
the •ource o( !!11 oaterial.
horA,
(6) Vlll tho proposal reQulr• •uCfac• yter vlthdraval• or dlversto N! Clv • Yeaer.l deetTip-
tion, purpome, and •ppro:inate QW RCiCiee. if knam.
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(S) Doe• the proposal lle vlthln • 140-year llood p Lia! I( •o. rtot• loutlcn on the site plan.
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(R) Doe• the propoaal lovolve anr EischacZoo of vu t• YCeTSaI/ to •urlac• votecs? if •o,
describ• the trpet o( vasc• •nd •ntlclpated volur ot dlscharse.
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e. croune:
(1) Wtll groundvate[ De vlthdravn, or vtll vattr De dlatharied to g[oundvater! Ctve `eneral
description, purpose, and appro:tw te puantities, i( 1mown.
YN Q
Descrtb• wast• satertal tlut vlll M discfiarpd tnto CM grourtd (roe •epcit tank• or otM r
•anltary vast• cruwot taclllty. D*scrtE* the terteral •!c• of the srsta, tl.s number ot
houscs ta be served (1( applleaDlt) or the numEer of persoe& the mrsces(s) •r• •=pected to
•erve.
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(3) DescriDe any srste.., ocAer tlua thost destgasd for CM Aispo w 1 0( w nitaty vaste.
Inst&lled (or the purpose o( dtscdarglog fluld• M lov clu grouod out(ae• (taelude• •rsta• •ueh
•s those tor the dlmposal o[ •to n vatas ot draloag• froa tloor dralru). Mscrtbe the typ• o[
srstem, the &sount ol aaterial to a disposed o( throuth the srstn •nd tho types o! "tertal•
likely co b-o dlsposad of (lncludLng aaterlal• vhich mar enter t!u •rerw toad w rtencly chrough
opllls ot •s • result of firetlghttag •ctlvtties).
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(G) Vl11 sar chotcals (osp&elallr or`anic •olvents or petroleua !w 1s) be •tored tn aDove-
Qraund or under`rouad storags tanlut II ao, vhac type• aod auantltles ot matertal• vill bo
storad!
ho
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~ STOXAHL UfVIHONfQNZ>l. OLDINAACL
(VAC 197-11-960) S.ction 11.10.230(1)
0. CNV2KON}Q1TTA1, Q.EMMR'S (contlnued) •
tvaluatloa ►or
Agency Use Ottly
(S) Ytuc procectivs ooswres vtil be ta1u n co lnsur• that leaks ot •pllle o[ •ny elH alcals
stored ot used on slte vtll not be &llovtd to parcolats to groucdvater (thi• lacludoe eeasures
to keep cAoaicals out of dtsposal •ystes• deseribed in 3b(2) atu! 7b(3)'
N ~b
c. uatec Runolt (toeludlna storn va[tr):
(1) PeacrlDe tM •oure• o/ rvnolt (ineludins •to n vatet) aod mecbd of collettioa an4 dispo w 1
if •ny (lnclud• Quantitles, t[ known). Vher• vtll thi• urter tlovt 4t11 th1• water tlov loto
ochet vatersS T[ •o, describe.
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(2) Jtll •nr chsaicals be •tored, handled or used on tMw •lte tn a lou tloo vM r• •oplll or
lcak vtll draln to sur(ace or erourtdvater or co ••tocm vater dlspoaal •rscm dlscharetnQ to
•urtac• ot jrovndwcert
(3) Cou1d vaete u&terials snter Sround ot •urlac• wtorst I( go, a.o.r.ttr a..cric..
d. Proposed meiisure• co reduce or eontrol surtsco. grw nd. •nd cvnott water tmpacts, tt .ny (!t
t tAe proposod actlon 11es vLtAln th• Aquifor Sonoitiv• Are& be •spetlallr cl"r oa •xplaaatlons
r relatint to tacllttie• eoeeecniag Sectloa• 3D(4). 3b(5). •nd 3c(2) of thts eM cklist):
4. PIAY'TS
s. rheck or ctrcie cyp• ol vasetetton foued on tM @lc*s
deciduou• trees aldsr, naple, •open, other.
•verareen cree: flr. tedar, ptnt, otMr.
. nti e.. Qr4k W C.~~'.S
~
gr.... . ~`C--~- ~.p oV- P `
puture.
crop or 6rain.
vat sotl plants, cattall. Duttercup, bullrush, •kvak cabba`e, otlu r.
water plants: water lilly, •algrass. ailfotl. othac.
other crpe• of voaotation.
b. vhat kind and uount ot vegetacion vtll be rmoved or •ltsrsd!
C. l.ist thrutened or •ndaagered •petcie• lwovn to be on or near tlu •lte.
d. Proposed 1anQeceping, us• o[ aAtlve plaote, or othor aeaaure• to pceserw ot •nhanc• vegecacioo
on th• slte. il •nyt
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SPOKAMf ENVIROIMENTAL ORDIN1UlCE
(11AC 197-11-960) Sectlon 11.10.230(1)
B. ENVIROKKENTAL EIEMEMTS (contlnueE) EvaluAtlon for
Agenty Use Only
S. AHIMALS
e. C1rtle any birds and aninels vhich heve Deen observed on or near the stte or are known to be on
or near the site:
blyds: hawk, heron. eegle, songDtrds. ather: ~NQ
aemmals: deer. beer. elk. beaver. other:
/1sh: Dass. salnan. trout. herring. shellflsh. other: y~ e~-
other: b. list any thratened or endangered speties knorn to be on or near the stte.
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C. ls the stte part of a mlgretton route? lf so. explaln.
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d. Proposed mcesurei to preservt or enhante rildlife. tf any: N 1~
6. ENERGY ANO NATUaAL RESOUR~'T'Tt1lf
a. Yhet kinds of enerqy (electric natural qas. rood stove. solir) wtll be used to oeet the
the Completed project qy needsl Destrlbe whether tt wtll De used for heating. nNnufac-
turin9. ett. b. Would yaur pro}ett affett the Dotentlal use of solar energy by aQjicent properttes? If so. .
generally descrtbe.
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C. Whet klnds of enerqy tonservatlon features are intluded In the plans of this proposal2 llst
other proposed neasures to reduce or coetrol enerqy 1npacts, 1f eny:
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7. ENYIROHMENTAI HEALTN
A. Are tnere any envlron.enta1 health haiards, tncludlnq exposure to toxlc chemlcals. risk of flrt
and explosion, splll. or haiardous waste. that could occur •s • result o( tnls proposal? tf so.
destrtbe.
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(1) Otscrlbe speclal eeergency servltes that mlght Ee requlred.
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St'Of.AAL Q7VIRO1QRNiL1. OIDINAHCL
(VAC 197-11-960) Sectlon 11.10.230(1)
8. C!fVIROtQ2ltfAi. LLESLNT'4 (tontinwE)
CvalwtLon Por
Aaeacy Use Onlr
EtJVIROtMEtRAL HLAL-fI (coeticwd)
(2) Proposed aeasures to reduce or concrol euvlronmeccal healch hasards. 1t •ny:
n 0• ~
e. Noi..:
(L) Vhat t)pee of aolse •=tst !o the are• wh1ch aar aftacc your projec[ (for •xample: trallle.
•Qulpmnt, oparatioo, otlw[!
!1, Or4--
(2) what type• aod level• of rtotee vould be cc u ted by or • woclateE vith the project oo •
sAort-ters or • 1oeg-t• n Easl• (for exasple: tra([ic. conscruccion, opecscioo, ocf» r)? Ieditac•
vhat hour• eol@* vould cow trou the site.
1''1 C:*~
Proposed oa&sure to rsduce or eoetrol noise lmpacts, 1! •oy:
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8. U1'!D AND SHORELIIIC USE . /
Yhat t• th• cursent ws o[ cl►e •lu and •djacent propercfes!
`("4m*w.\
p. It&• tht slte beon used tor •grtculture' Lt •o, destriDe.
c. Descrtbe any •tructures oe the •lte.
c(ICSc- ~P
d. Vtll •ny structures Ee demolishedT If so, vhlthl n0
e. V`tat 1• the eurrent soaina elassilicatloo ot the sltaf 3
i
f. Vhat lo th* curreat cmprelunsive pLn deslgnatloa of the sice!
~
6. Lf •pp11eaE1e. vhac is the curraat •horollne uster prog[u deslguatioo o( the •!te!
h. IIas •ar part of the @lts Dwa tlasst(tod a• ao 'anvtrocimrnta117 wesitlve' •ru1 Il mo,
•pecl[y.
ro t. ApproYiutely hov uoy peopl• vould cesid• or vork ta t!ti empleted projeett
, `ONCL
7
.
.i
~ !lOrAlIL IIfVI1DfQQRL1. OtDTtI"Ct
(VAC 197-11-960) Seccioa 11.10.230(1)
E. CRVIRONlRRTL1. Q.a¢lITS (eootloueiA) ~
Svaluation Tor
1ltancy Usa Oaly
J. Approxlmatelr hov aaoy peopl• vould the compleced projsct dlsp LceT (1x:i~
k. Proposed .u sur.• to •vold or rodue• dlsplaeemient tmpaecs. t[ •nyf
N
1. lroposed «ssure• to •nsuc• tM proposal L• coupatlble v![h e:istins tod proSeeted land use• and
plane. 1( •nr:
9. HOUSINC
Approxisotelr M1ow manp units vould Qe ptovided. 1! •nyt lodlcat• rlotM c higM .■lddle-. or
lov-lnco" howlnt. .
b. Appro=lmately hov manr unlts. 1[ •nr. vould be alialwtodT Iadlut• vl+etM r high-, aiddle-. or
lov-lncom• 1►ousing.
C. ProposeA susures to rsdute or coetrol houslnj lmpacts. !f •or:
7
10. ALSTIICi1CS
a. Vhat ls Cht tallest he1gAt oI •nr proposed •trueture(e), ooc lacludlat aotemsant Y1ut t• tlfe
principal extertor Dulldlns aate[1a1(s) proposed' .
LIc $4t. <A.Q 4j-~
D. llhat vltvo in the loedtate vltlnlty vould Ee a1Cered or obstcuctedt n onP
c. Proposed Mesu«• co ceduc• or control ..stMtic tspects. 1( •oyt
11. LIClt: AND G1.AAL
'Ru c t7rD• of llsht or t L ro will th4 propo wl produceT tahac c1W ot day vould !t aalaly oceur!
ar d.u r2k -4-tc!, tv.; : h
_NJ
b. Could light or gL r• Irv• tM Ifatshod project Aa •saletr tuaard or taterfec• vitb •tovnf
1 ~
c. vhst •Yiscioa o!t-sit• sources ot llght o< < Lre aap attect your proposalf
d. lroposod •usure• co reduc• or eootrol 11=ht aod gL re tmpacts. Lf aoyi
e
srouJCE ENVIaoM¢xw, onnixWa
(VAC 197-11-960) 9eetion 11.10.230(1)
b. QIVIROIlQ1riA1, CI.L?QtR'g (couclnwd) `
Cvaluatlon Ior
12. RLCALASION A4B.ocr u.. only
Vhat desitnaced •nd tolor+aal secrutlooal apportualcie• •re tn the laaedlate vtclntty'
b. Vould the proposed projeet disp L c• •nr 4:1eciaQ recreatioeal usest (f •o, deacribe.
c. Ptoposed weur*• co reduc• ot coatrol Lspatto oo recceatloo, loeludlni rocru tio w 1 opportuo!-
tie• to be provtded bp the projeet oc &pplicaat, !l aar: _
17. t1IS:'ORIC AND CVLTURAL r1tLSLRVA:I0N
A. Ara tly re •nr place• or object• listed oe or ptoposed (or oaciooal. •cat• or locsl prosorva-
tton regiscers knorn to De o0 or oe:t to t M •ltei I[ •o, gooere11r deacclbs.
hQ .
p. G nerally descr1Le anr land"rt• or •vldene• ol hlstorie •rehaeologlcal. se L etlfle ot cultural
tmportance Imevn to be on or ne:t to the slte.
C. froposed measures to reduc• or control impaecs. !f aar:
ll. TI',At15POR7ATION
a. Idsntify puEllc •trN t• •oE htghver• /eCViRt the s!t• aod daaeriEe proposed aceeu to the
•xlstlaa •treet srsta. Shov-on •ite p L ns. 1( •or.
~~Z~v4 ~dC~ve.vsc~~
~ 14 toZ.~{ ~ _ ~c-~~
b. Io •!t• currentlr secved Dy puDllc ttanstt! Lt not. vfLC 1• the •pproiloac• dletsoc• to the
o u rest tcaosit •topl
c. Aov asn7 parkio.g spues vould the tompleted project haMt Bov auioy vould the pro}ect •lidoate!
d. Vill the proposal hQulc• aoy o4v rwd• or •treets. oc Lmprovesrnt• to nistioa road• ot •crMC•
aot latludini drlvevaya1 I( •o. gew tally doserlEe (lodiute vlti tl+dar pu►lic or private).
~Q .
s. Ytll the pro}eet uss (or oecur lo tM issmadlst• vieinier ot) water, rail. or air tromporeatiouT
If to. lawrally deseribe.
9 ,
,
. . C',
sroxuNE Mvixofmer= oenINAxCE
(wAC 191-11-960) S~eCiao 11,14.230(1)
R -
S. tHY7ROni'JM'',.A5. Q1KXP'[5 (eau[6awd)
Eitlu.riae fQr
Agsoq S7m• oo1y
f• ~v amnr wnicular trlpa par dsy raaid ha gwaaraead th& ;pmplitad projmtt! T[ lmav4,
LedLca[a v1tirn p"k irau4d nr.cuX.
g. Praportd sosiupes to ra4w■ urt cantrot trinmportatinn imp;ct;. i( mpyl
1~. P1InLZC SGRVZCLS
a. "Jould xhm prajqc[ result in ao incsasrr4f v.rsd !pr puhllc rrrvteo} (tov, fsamgli, liYr praCoctioa.
- palic-+ pC4CeCxlon, heslth eer+, ■chpelme atlu s)t It ■o. Son*sall* dea.crLhr,
b. Propored 4e4oYr!■ t6 CiilUC■ 01" #O[IiCdl dii/iC 3mpiC11 41! pLbitC f#1'71iCes. I! apr1
ia. u-tLt-ILS
a, Cirele u[[Li[Sra eurr■ntly •YtSLLLIi *t Che si[es •t~etrleit~ nakM[Ol sas. witrr, h fuse
servkcr, [tlephqn~F a■rt~tap~ savar. sApsie
b. DescEiha [h• utilitie■ tlsaC *ra pY[rQomsd fpt th+e grojscti €Iu utilixy psoriding 0* msr+vic■ snd
tAw s61fEre1 canaCrve[Lon teti+ri[ie■ ou thr si[t or la thr Carsdiatt +r{Clni[y %ohlch eLght 6e
ereded. •
~t~
C. SIGRAl'S7R,E
1. ehe und4rwl6nad, aera4s wader tl►a genaley 4f per}ury thax ths abott respou,raa ar■ .ade trush[u1t7 aed [a thr b■ot ¢l ;y Mqylydge. ! al■o
underrtand tEut, rkquld Chert b; aay viTltY1 ari~r~prai~ntaxt0~ aC i+1L1fLL1 1LGk p( tulI d1MCL09LLi0 an MY pGCL. !1►r ajl&n!!y saX Mirhdrsr rnr
detaraination cf nuniignitieaaz• that i[ aieht 1mauit ia raliane■ upoa this efi.etill■[.
L4 fixnponiat (""7
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(71mui Priar art Typ.~ '
Pinpnflsnt: J4Wre sr~ • ~ F ~
{ lgnsxure} '
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Fer*an coypLssin,s lo~n~ ~~~i ~ '1C`• Bata= 5
Phnfie ~ap)k k~ - ~~y ~
COR STAff DgE 4xLT
5sa!f nambar(s) rrvtevin= ch.ckllrts
Samsd Qn thi■ ■taIT rrriav a[ the anYtT4RS+a[al chrcti2lrS a4,d Qthyr perttaeat inf ae" tiauF th. .t■reI
14. ~ C4nc4udes Chat thart ire na probatl• 41ea.Clicani adv*fse iapaeto and recr++"udr i de[eettoaCi*u cf qp~i;nlfteaacm.
E. Coaclude* ctyz pro-ha'6!■ ■1,p1li¢an[ adwrse inrtloamn[ai Smpocts do axist iar C1w aurraa[ propqsal aod rtCOinsend■ a witTSa[rd d+l[*T-
ginatian o[ ppnsigniftcancs vitM eoud4[lana.
C. Canelud:s that thtrt art pCOUa61e a1aniEic*at ad w ra■ anviro~u[rl iapaet■ *pd c4ec.ereoda 6 44B[araioation af •i[rtiliciipc*.
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