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1257 8TH AVE S.PDF1111111111118696 1257 8TH AVE S City of Edmonds "'krW CRITICAL AREAS CHECKLI' The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a development permit to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are, or may be, present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys). RECEIVED, FEB o G) 19m An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. Please submit a vicinity map along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g., site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant: Name 1 QJ art= IAA L Street Address &�F-7�IQ � City State Zip Telephone Signature Date c: reception\j ana\cad.doc Applicant Representative: IMF Name Street Address City State Zip Telephone Signature Date ' CA FILE NO. r Critical Areas Checklist -------------------------------------------------------------- Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: 2. Property Tax Account Number: 51.57, 000 Ooy 00 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? jKyes; no. / If yes; how is site developed? �40,/s F4'2ll- I ,.-�_ �' �`j '� iF, 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15 % (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water:_ ; Approx. Depth: 7. Site contains areas of seasonal standing water:; Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a water course. �jb 9. Site contains a creek or an area where water flows across the grounds surface lows are year-round? Floes are seasonal? (What time of year? ). 10. Site is primarily: forested meadow ; shrubs ; mixed ; urban landscaped (lawn,shrubs etc) ,,1\/1 11. Obvious wetland is present on site: % ------ or '-------=------ For City Staff LJse .Only. -- _-::------- 1. Site s:Zoned? � ;:: tI I 2.. SCS inapped soil type(s)? r%� e, Y-1 : 5 �•4M > �, lo:,n 0.. D 3: Wetland inventory.: or C A,;:map indicate§:wetland present on sites 4. Critical Areas inventory or..0 A. reap indicates Critical Area on site? u 5: Site within designated earth sul?Sidenee>landslide hazard areasv 6. Site designated on the Environmentally Sensitive Areas Map?G DETERMINATION Aca chk.doc;Rev02/11/97 14 C. 1 S90 February 6, 1998 Thomas Montoya 1601 Shilling Loop Post Falls, ID 83854 CITY OF EDMONDS BARBARA FAHEY MAYOR 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works - Planning/Building - Parks and Recreation - Engineering - Wastewater Treatment Plant Subject: Determination regarding Critical Areas Checklist # 98-38 Dear Applicant: Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City is located on the reverse side of the form (bottom of page). It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records. IMPORTANT INFORMATION TO BE NOTED: PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY. The 'DETERMINATION'. for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. y You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Eric: Critical Areas Determination * Architectural Design Board C: Reception\Jana\C RLTR.doc Thank you. Sharla Graham Acting Planning Secretary - Incorporated August 11, 1890 - Sister Cities International — Hekinan, Japan City of Edmonds FEB- 6' 1998 CRITICAL AREAS CHECKLIW t —NAW The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a development permit to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are, ' or may be, present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys). An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. Please submit a vicinity map along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g., site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant: Amr Name l aw t4� Z F::" Street Address City State Zip Telephone Signature Date c:receptionljanalcacl.doc Applicant Representative: Name Street Address 9&1Z-,4 i? 0 t M ?96 City State Zip Telephone Signature Date `7�/SSC?blaiZ�{0�7N�(P CA FILE NO. Critical Areas Checklist -------------------------------------------------------------- Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: I Z-57 9 r-1-_ 4, 5 2. Property Tax Account Number: 515Z. DDD © 041 o D 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? jkyes; no. ' If yes; how is site developed? �'/ML Ftwa C) E"%']i 5. Describe the general site topography. Check all. that apply. Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a - -- - horizontal distance of 66=feet)'. Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water:_ ; Approx. Depth: 7. Site contains areas of seasonal standing water: ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a water course. 1� b 9. Site contains a creek or an area where water flows across the grounds surface lows are year-round? Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow ;shrubs ; mixed ; urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: ! DETERMINATION ^ca chk.doc; Rev 02/11/97 s ' APPLICATION CARD No . ...................................... The City of EdmonTREET FILE S for 8IDE sEWER PERMIT OUTSIDE ❑ INSIDE ❑ REPAIRS ❑ EASEMENT No. ................................. -�- %CJ/--6/9DD OWNER ... �!✓.e(4-_....... � v C C7�J S --•------... fe 1--- g..D.._ ----------------------••---..._ CONTRACTOR ._ .... a 12..S.-.---••-----•--- .... PERMIT No .._ _ ...... STREET C MOUSENo..._ .J'7 Q............................................................... / AVENUE LOT No. ........................... BLOCK No. ............................................... .. G � �� NAME ADD. 4:i_f.L�L------p ...................•----..................-••----- ---.--- • . APPROVED N O V 18 1906 xi Date Approved: BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ --------------------------------------------- SEWER WORK ORDER ISSUED DATE ....! �` :.?.................. BY .... ..�... ........ ........... ..........:.. o7, Q CITY OF EDMONDS CIVIC CENTER — WATER -SEWER DEPARTMENT SIDE SEWER PERMIT Call PRosPeet 6-1107 when work Is ready for inspection. (No Insvec- it's 8aturdsy, Sunday or holidays.) NO 1333 AD DRESS..- ...... ath --- Amenup. .............................. .......................................................... OWNER ..... R-ObArt-M.—Jac.ob.sen C ONT"CTOR_ Pe ........................... ------ Re.dford... Permission is granted N & --- Sons .. .................. with CRY Sewers in .... .............. 19.jK.' for ...................... days, ............. accordance with application On file and governing ordinances. ATTENTION IS CALLED TO THE FOLLOWING: to REPAIR or CONNECT a side sewer NOTE No. —The owners of the Property may obtain a permit to construct sewer inside property line. be employed to construct side sewer In street area. NOTE No. 2--Obtafn full information regarding Y Portion Of sewer before It has been inspected. DO not Cover an A licensed Side Sewer Contractor must Ordinance 11-16-030 and Regulations e sewers when you get permit. NOTE No. 3—Top Of side sewer must have at least 30 Inches coverage at Property line and 12 Inches Inside property line; raluimum grade of 2%. No beads In grade sharper than % will be Permitted. g governing Sid NOTE No. 4—Trenches in street must be water settled and surface of street restored to original cond failure due to Improper work which may develop within one Year Of completion. ItIOn- Contractors shall be responsible for NOTE No. 5--It Is unlawful to alter or do any other work than Is Provided for In the Permit, or to do any work on the main sewer or its ap- PUrten&nces except to Insert the Pipe Into the wye. :J!y �-4 It