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Page 1 of 2 Office Use Only ACCEPTED Related NOTICE: This form must be completed (clearly printed or typed to a SEPA Checklist). Project Site Parcel Number(s): Shoreline APPLICANT/DEVELOPER INFORMATION APPLICANT OWNER Company Mailing Select Billing Contact: APPLICANT OWNER APPLICANT OWNER OTHER Company Mailing CONTACT INFORMATION (PRIMARY CONTACT REGARDING THIS APPLICATION IF OTHER THAN APPLICANT, AND TO WHOM ALL NOTICES AND REPORTS SHALL BE SENT.) AUTHORIZATION TO FILE SIGNATURE (ALL PERSONS WITH AN OWNERSHIP INTEREST IN PROPERTY) By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge. Property Owner Individual authorized to sign on behalf of property owner Phone: SEPA Application Development Services Center, 15670 NE 85th St, Redmond, WA 98052 I [PHONE REDACTED] NOTE: Contact Lorie Limson Cook (Rice Fergus Miller, Architect) to coordinate online submittals to EPortal. [PHONE REDACTED], [EMAIL REDACTED] 206-419-62 10901 176th Circle NE Julie Lawton [EMAIL REDACTED] Lisa A. Hardy: [EMAIL REDACTED] [PHONE REDACTED] [PHONE REDACTED] 98103 WA 98052 WA Seattle Redmond 2020 N 75th St 10901 176th Circle NE LawtonPMG Eastside Retirement Association Julie Lawton Emerald Heights Owner's PCL 2 OF REDMOND LLA R-6 38 [PHONE REDACTED] 10901 176th Circle NE, Redmond WA 98052 Emerald Heights - Assisted Living and Independent Living Building ---PAGE BREAK--- Page 2 of 2 Development Services Center, 15670 NE 85th St, Redmond, WA 98052 I [PHONE REDACTED] Project name and description: Proposed timing or phasing and estimated completion date: Do you have any plans for future additions, expansions, or further activity related to or connected with this proposal? If yes, explain: Do you know of any plans by others that may affect this site? If yes, explain: List other federal, state, or local permits, licenses, or approval required for this proposal: List any environmental information that has been prepared or will be prepared regarding this proposal: ADDITIONAL PROJECT INFORMATION Critical Areas Report, Critical Aquifer Recharge Are report, soils report Traffic Report Department of Health permit, City of Redmond building permits, NPDES General Stormwatre Permi No allow existing skilled nursing residents in shared rooms to shift to private rooms. the 40 existing assisted living units on the first floor to private skilled nursing rooms. This will living building anticipated. We will be remodeling the interior of the existing Health Center changing There isn't any future expansion of the new Courtyard building or the new assisted to begin 2019-2021. Construction of the proposed buildings expected of subgrade parking on the east structure & an additional subgrade parking level on the west struct. units, 3 story with 1 level of subgrade parking. 42 IL units in two structures, both 3 story with 1 level Emerald Heights Assisted Living Building and Independent Building. 54 AL ---PAGE BREAK--- STATE ENVIRONMENTAL POLICY ACT (SEPA) DETERMINATION OF NON-SIGNIFICANCE For more information about this project visit www.redmond.gov/landuseapps PROJECT INFORMATION IMPORTANT DATES PROJECT NAME: Emerald Heights AL & IL Bldg COMMENT PERIOD Depending upon the proposal, a comment period may not be required. An is placed next to the applicable comment period provision. There is no comment period for this DNS. Please see below for appeal provisions. This DNS is issued under WAC 197-11-340(2), and the lead agency will not make a decision on this proposal for 14 days from the date below. Comments can be submitted to the Project Planner, via phone, fax (425)556-2400, email or in person at the Development Services Center located at 15670 NE 85th Street, Redmond, WA 98052. Comments must be submitted by 08/09/2018. APPEAL PERIOD You may appeal this determination to the City of Redmond Office of the City Clerk, Redmond City Hall, 15670 NE 85th Street, P.O. Box 97010, Redmond, WA 98073-9710, no later than 5:00 p.m. on 08/23/2018, by submitting a completed City of Redmond Appeal Application Form available on the City’s website at www.redmond.gov or at City Hall. You should be prepared to make specific factual objections. DATE OF DNS ISSUANCE: July 26, 2018 For more information about the project or SEPA procedures, please contact the project planner. SEPA FILE NUMBER: SEPA-2018-00640 PROJECT DESCRIPTION: SEPA for LAND-2018-00586 and LAND-2018-00617 PROJECT LOCATION: 10901 176th Circle NE SITE ADDRESS: APPLICANT: Julie Lawton LEAD AGENCY: City of Redmond The lead agency for this proposal has determined that the requirements of environmental analysis, protection, and mitigation measures have been adequately addressed through the City’s regulations and Comprehensive Plan together with applicable State and Federal laws. Additionally, the lead agency has determined that the proposal does not have a probable significant adverse impact on the environment as described under SEPA. 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. This information is available to the public on request. SIGNATURE: Planning Director Erika Vandenbrande RESPONSIBLE OFFICIAL: CITY CONTACT INFORMATION PROJECT PLANNER NAME: PHONE NUMBER: EMAIL: Benjamin Sticka RESPONSIBLE OFFICIAL: SIGNATURE: [PHONE REDACTED] [EMAIL REDACTED] 15670 NE 85th Street Redmond, WA 98052 Address: Martin Pastucha Public Works Director ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- VICINITY MAP Emerald Heights Assisted Living Building Conditional Use Permit, LAND-2016-00586 & Site Plan Entitlement, LAND-2018-00617 Parcel Number(s): [PHONE REDACTED] Project Location