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Home My WebLink AboutTier 2 Review, William CarlisleFROME City of Auburn Community Services - Human Services Division 25 W Main ST Auburn, WA 98001 Site -Specific Environmental Review (Tier 2 Review) I Program: Auburn Housing Repair ��w6uz;y WAIN *40A 4R.t:. N�'FiK�74 Items named in the project description in SECTION A are considered "rehabilitation activities" per Federal Regulations: 24 CFR Part 58.35 (a) (3) and are subject to further environmental determination. In contrast, "routine maintenance" items are categorically excluded from environmental assessment under the National Environmental Policy Act (NEPA) and not subject to compliance requirements of the related federal environmental laws in 24 CFR 50.4 and 24 CFR 58.5, including the National Historic Preservation Act of 1966 (also see the "Environmental Determination" section of the Housing Repair Work Order). Update this document as site -specific reviews are completed. Complete each site -specific review according to the written strategies outlined in the broad -level review, which is maintained in the general environmental review file. Specific Laws and authorities to consider during the site -specific review: • Historic Preservation [36 CFR Part 800] (Section B) • Flood Disaster Protection Act (Section C) • Contamination & Toxic Substances (Section D) ATTACHMENTS CHECKLIST: Attach the following site -specific back-up documentation to this Environmental Review: ❑✓ Copy of work order outlining project description & estimated cost ❑� Documentation of Age of Home: o For Single Family Home and Multi -Family Units: copy of the King County Parcel Viewer property detail report o For Manufactured homes: copy of the vehicle certificate ' 0 For Houses > 45 Years of age: o Copy of Washington State Historic Preservation Office (SHPO) Determination ❑✓ FEMA flood map with approximate location of property marked o For properties where a FEMA flood map has not been printed, attach proof and alternate location map ❑✓ NEPAssist report showing EPA facilities within a 0.5-mile radius of property and EPA inspection reports of nearby hazardous waste sites ❑✓ Signed Toxic Chemicals & Radioactive Materials Site Visual Inspection Checklist SECTION A: PROJECT DESCRIPTION AND SCOPE OF WORK: Client Name: William Carlisle Project ID: Furnace replacement Address: 4040 Auburn Way S, #4 Auburn WA Dwelling Type: Mobile/Manufactured Home Estimated Cost: $ 6,500.00 Project Description: Replace gas furnace Page 1 of 5 Form Updated 10/8/2020 REHABILITATION ACTIVITIES: Check all that apply to project description listed above: (Definitions modified from HUD Guidance Notice CPD-16-02 last updated 2/8/2016) Site Building Exterior: Roof: ❑ Construction of new ❑ Applying new exterior siding ❑ Complete replacement of roof walkways, driveways or with new shingles, tiles, roll parking areas or roofing, membrane or new replacement thereof metal roof Windows and Doors: ❑ Replacement of windows ❑ Replacement of exterior doors ❑ Adding storm windows or storm doors Circulation: ❑ Rebuilding of stair or constructing new stair ❑ Installation of new access ramp ❑ Elevator replacement HVAC: 0 Installation of new furnace or heat distribution system ❑ Installation of central air conditioning Interior Walls & Ceilings: Flooring: Bathroom: ❑ Installation of new drywall or ❑ Installation of new wood floor ❑ Complete or substantial paneling bathroom remodel Life Safety: ❑ Making substantial physical changes to a building to comply with fire and life safety codes Electrical/Lighting: ❑ Major rewiring of building ❑ Installation of new electrical service ❑ Replacing or moving electrical panels SECTION B: HISTORIC PRESERVATION Plumbing: ❑ New water or sewer connection ❑ Installation of new plumbing system Does the project involve a structure that is less than 45 years old with no "new" ground disturbing activities? Actions such as digging up a broken sewer pipe in order to repair or replace it does not require additional review unless new ground is disturbed. "New" ground disturbing activities involve digging that is done deeper or wider than original installation or placement. If deeper, wider or new digging is required, a "No" response would be given and an EZ-I form described below will be required. QYes. Please provide documentation and proceed with the checklist. No. Consultation with the State Historical Preservation Officer is required. This process usually takes two weeks but may take longer than 45 days if the home is determined historic. If the project does not involve ground disturbance, complete form EZ-2. If the project disturbs soil as described above, complete form EZ-1: httr)://www.oaho.wa.gov/Daces/Documents/EnvironmentaIReview.htm Page 2 of 5 SECTION C: FEMA FLOODPLAIN MANAGEMENT & FLOOD INSURANCE FIRM Map information Community Map Name: AUBURN, CITY OF FIRM Map Number 53033C Panel Number: 1266G Year: 2020 Is the project located in a FEMA designated floodway? (Repairs can be funded in floodplains, just not in floodways) FEMA FIRM (Flood Insurance Rate Maps) can be obtained here: http://www.fema.gov/ OYes. Stop here. Federal financial assistance cannot be used in a floodway. Project activity is not eligible. No. Proceed with this checklist. Is project located in a FEMA designated 100-year floodplain? Visit this site for FIRM the Maps: http://www.fema.aov/ 0 Yes. Project will have to maintain flood insurance on the property and contents if Federal Funds are utilized. Please attach a copy of the individual or community (NFIP) flood insurance. ONo. Floodplain insurance is not required. Proceed with this checklist. SECTION D: TOXIC CHEMICALS & RADIOACTIVE MATERIALS Is the property free of hazardous materials, contamination, toxic chemicals and gasses and radioactive substances where a hazard could affect the health and safety of occupants? (Housing Repair Staff conducted site inspection with no issues) Visit httips://nepassistfool.epa.gov/nepassist/nepamap.aspx & attach relevant documentation: O Yes 0 No Number of Hazardous Facilities within a 0.5-mile radius: 2 Page 3 of 5 ADDITIONAL CONSIDERATIONS: City of Auburn Policy and CDBG Regulations require the completion of environmental review before bids are sought or rehabilitation work starts. City of Auburn Housing Repair Program staff certifies that no work on this project will begin until Housing & Human Services/CDBG Program staff sign off on the Tiered Environmental Review for Activity/Project that is Categorically Excluded Subject to Section 58.5 Pursuant to 24 CFR Part 58.35(a) form or a release letter from HUD if the project cannot convert to exempt. If a private contractor is used on this project, a Notice to Proceed shall be issued to the contractor after the ER is completed. If City staff does the work, the start date shall be noted on the Work Order. DETERMINATION: ❑✓ This project converts to Exempt, per Section 58.34(a)(12), because it does not require any mitigation for compliance with any listed statutes or authorities, nor requires any formal permit or license (Status "A" has been determined in the status column for all authorities); This (now) EXEMPT project may now be initiated; OR This project cannot convert to exempt because one or more statutes/authorities require consultation or mitigation. Complete consultation/mitigation requirements, publish NOI/RROF and obtain Authority to Use Grant Funds (HUD 7015.16) per Section 58.70 and 58.71 before initiating the project; OR ❑ The unusual circumstances of this project may result in a significant environmental impact. This project requires preparation of an Environmental Assessment (EA). Prepare the EA according to 24 CFR Part 58 Subpart E. DATE: 3/22/23 PREPA fR SIGNATURE NAME, TITLE: Joel Asbjornsen, Housing Repair Program Coordinator DATE: V4%3§-&k RESPONSIBLE ENTI(COFF VIAL SIGNATURE NAME, TITLE: Nancy Ba-Zris, Mayor RECOMMENDED COURSE OF ACTION: According to 24 CFR 58.35(b), the City does not have to submit an RROF and certifications. Furthermore, 24 CFR 58.35(b) states no further approval from HUD or the State is needed to carry out exempt activities and projects. Therefore, the City will proceed to implement the above described project without any further notification or approval from HUD. If an activity or project cannot convert to exempt, the City will publish NOI/RROF (with a 7 day comment period) and obtain Authority to Use Grant Funds (HUD 7015.16) per Section 58.70 and 58.71 before initiating the project. If the City determines that a project or activity will result in a significant environmental impact, the City will prepare an Environmental Assessment (EA) according to 24 CFR Part 58 Subpart E. Page 4 of 5 TOXIC CHEMICALS & RADIOACTIVE MATERIALS SITE VISUAL INSPECTION CHECKLIST (Submit this form when requesting ER) CLIENT NAME: William Carlisle PROPERTY ADDRESS: 4040 Auburn Way S, #4 Auburn WA Were any of the following items observed on the site? Comments Distressed vegetation Yes No 0 Vents or Fill Pipes Yes No ®' Storage/Oil Tanks or Questionable Containers Yes No 0 Pits, Ponds or Lagoons Yes No 0 Stained Soil or Pavement Yes No 0 Pungent, Foul or Noxious Odors Yes No Dumped Material or Soil Yes No Mounds of Dirt, Rubble, Fill, etc. Yes No 0 e GOB.- A ,�1,111 • /� % 3/22/23 Date Page 5 of 5