project review sheet – ez1 - city of cle...
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PROJECT REVIEW SHEET – EZ1 HISTORIC & CULTURAL RESOURCES REVIEW
PROPERTY / CLIENT NAME: FUNDING AGENCY:Project Applicant:
Contact Person:
Address: County:
Phone:
E-Mail:
FUNDING AGENCY: DAHP will email our response directly to the agency/organization contact listed here. TheProject Applicant will be copied on the response.
Agency/Organization:
Phone:
Email:
PLEASE DESCRIBE THE PROPOSED WORK AND DETAIL ALL GROUND DISTURBING ACTIVITIES AND PROVIDE PHOTOS OF AREAS OF WORK.
If building(s) over 45 years old will be altered or demolished, please complete a DAHP EZ-2 form in Wisaard for each building affected before submitting this form. Please include the Project Number generated by Wisaard for the EZ-2 form here:
Provide a detailed description of the proposed project:
Describe the existing project site conditions (include building age, if applicable):
Describe the proposed ground disturbing activities including the approximate depth:
PLEASE DESCRIBE THE TYPE OF WORK TO BE COMPLETED (Be as detailed as possible to avoid a request for additional information)
Download this form to your computer before filling it out.11/18/2018
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PROJECT LOCATION:
Township: Range: Section: (*Please include TRS if the project is in a rural area where an address is not available or may not help us locate the property.) Please draw a line around the Project area.
Project Address:
eMail this form to:
Robert Whitlam, Ph.D.State Archaeologist, DAHP(360) 586-3080rob.whitlam@dahp.wa.gov
Please be aware that this form may only initiate consultation. For some projects, DAHP may require additional information to complete our review such as plans, specifications, and photographs. An historic property inventory form may need to be completed by a qualified cultural resource professional.
PLEASE ATTACH A MAP of the PROJECT AREA(Use Google Maps to find the location, then capture the image with the Snipping tool or other screen capture method. Click HERE for Snipping Tool Tutorial, if needed.)
NOTE: To save this fillable form you must fill it out in Adobe Acrobat or use the PRINT to PDF function in Acrobat Reader. In Reader choose File>Print and choose Adobe PDF as the printer. The file will save to your computer.
City: County:
CLICK in the box to upload a MAP. FILE must be JPEG format
https://www.capture-screenshot.org/snipping-tool/
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CITY LIMITS
CITY LIMITS
SR903 AND STAFFORD STREET
SIDEWALK IMPROVEMENTS
AREA OF POTENTIAL EFFECT (APE)
CITY OF CLE ELUM
SR903 AND STAFFORD ST. SIDEWALK IMPR.
FIGURE 1 - VICINITY MAP
HLA
Engineering and Land Surveying, Inc.
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WASHINGTON
QUADRANGLE LOCATION
CLE ELUM QUADRANGLEWASHINGTON-KITTITAS CO.
7.5-MINUTE SERIES
CLE ELUM, WA2017
ROAD CLASSIFICATION
Check with local Forest Service unitfor current travel conditions and restrictions.
FS Primary Route FS High Clearance Route
FS PassengerRouteª« - ▬Interstate Route State RouteUS RouteWX ./ H
Expressway Local Connector
Ramp 4WDSecondary Hwy Local Road
U.S. DEPARTMENT OF THE INTERIOR U.S. GEOLOGICAL SURVEY
1 Cle Elum Lake
8 Taneum Canyon
2 Teanaway Butte3 Red Top Mountain4 Ronald5 Teanaway6 Quartz Mountain7 Frost Mountain
ADJOINING QUADRANGLES
1 2 3
4 5
6 7 8
This map was produced to conform with the National Geospatial Program US Topo Product Standard, 2011.
A metadata file associated with this product is draft version 0.6.19
CONTOUR INTERVAL 40 FEETNORTH AMERICAN VERTICAL DATUM OF 1988
SCALE 1:24 000
1000 500 0 METERS 1000 2000
21KILOMETERS00.51
1 0.5 0
MILES
1
1000 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000
FEET
North American Datum of 1983 (NAD83)World Geodetic System of 1984 (WGS84). Projection and1 000-meter grid: Universal Transverse Mercator, Zone 10T
Produced by the United States Geological Survey
10 000-foot ticks: Washington Coordinate System of 1983 (southzone)
This map is not a legal document. Boundaries may begeneralized for this map scale. Private lands within governmentreservations may not be shown. Obtain permission beforeentering private lands.Imagery...........................................NAIP, November 2015Roads................................ U.S. Census Bureau, 2015 - 2016Roads within US Forest Service Lands.............FSTopo Data with limited Forest Service updates, 2012 - 2016Names...............................................................GNIS, 2016Hydrography....................National Hydrography Dataset, 2015Contours............................National Elevation Dataset, 2012Boundaries............Multiple sources; see metadata file 1972 - 2016Public Land Survey System..................................BLM, 2016Wetlands.........FWS National Wetlands Inventory 1977 - 2014
U.S. National Grid100,000-m Square ID
Grid Zone Designation
FT
10T
^
ÙMN
GN
UTM GRID AND 2017 MAGNETIC NORTHDECLINATION AT CENTER OF SHEET
1° 31´27 MILS
15° 29´275 MILS
*7643016401665*
PROJECT AREA
FIGURE 2
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05-05 Photos-toprint.pdfSlide Number 1
PROPERTY CLIENT NAME: Cle ElumFUNDING AGENCY: WSDOTProject Applicant: City of Cle ElumContact Person: Robert OmansAddress: 119 West First Street, Cle Elum, WA 98922County: KittitasPhone: 509-674-2262EMail: Robert@CityofCleElum.comAgencyOrganization: WSDOT, Peggy Allen - Local ProgramsPhone_2: 509-577-1782Email: AllenPS@wsdot.wa.govDAHP EZ2 form for each building affected before submitting this form Please include the: Text1: The project consists of curb and gutter, sidewalk, striping, illumination, signing, and storm drainage improvements at the intersection of Stafford Avenue and SR 903 (2nd Street). The infrastructure improvements will promote pedestrian safety and accessibility to Cle Elum schools. Text2: Currently, the existing site is flat with existing roadway and utility improvements. The project will completed entirely within existing right-of-way and will not impact any buildings or structures within the project limits. Text3: The primary ground disturbance will include excavation for the installation of curb and gutter, sidewalk, storm drainage, and illumination. Stormwater infiltration galleries will be the deepest excavation with a maximum depth of approximately 4.5 feet deep. Most excavation anticipated on the project will not exceed 1 foot in depth. Township: 20Range: 15Section: 27Project Address: SR903/Stafford StreetCity: Cle ElumCounty_2: KittitasImage6_af_image:
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