1415 7TH PL S.PDF1111111111117002
1415 7TH PL S
e99-199
o
City of Edmonds
Critical Areas Checklist
The Critical Areas Checklist contained on
this foam is to be filled out by any person
preparing a Development Permit
Application for the (Sty of Edmonds prior
to hi&% r 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
'JOr-t PrOPI�CtY• The information needed to
complete the C hcMist should be easily
available from observations of the site or
data available at (Sty Hall (Critical Arras
inventories, maps, or soil surveys).
RECE
MAy 0 5 1993
Pl.p►NtoNG DEPT.
An applicant, or his/her representative mast
fill out the cheeldist, sign and date it, and
submit it to the city_ The City will mew
the eheddis4 make a precursory site visit,
and make a damnation of the subsequent
fps necessary to complete a development
permit application_
With a signed copy of this form, the
applicant should also submit a vicinity map
of the parcel with enough debu-1 drat (Sty
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information or studies in conjunction with
this Checklist to assist staff in completing
their preliminary assessment of the site -
I have completed the attached Critical Area Checklist and attest that the answers provided -are
factual, to the best of my knowledge (fill out the appropriate column below) -
Owner / Applicant:
me+ NaG C(ea
—Hornt'owr-2,A/
Title -
Street Address
Applicant Representative:
Name
Title
Street Address
Ldrrno r-d 5 '7g6ZU 77q3ggV.
City, State, ZIP Phone City, State, ZIP
Phone
C4,4,W c �SS3
Signature Date Signature
Date
`
Critical Areas CheckliBTHE ET . FILE
Site Information
Project Name: e_ric� - ��� laC-c-Permit Number.
Site Location: 1 L1 15 - -7 j2i S . Property Tax Account Number. 3 cl o o - O o o - O 15 -
Approximate Site Size (acres or square feet): lot 1715 7 - P-1- ? Oo o
g 3
Have you filled out a Critical Areas Checklist for a project on this site before? M6
General Site Conditions
1. Has the site been cleared or logged? yes Date of most recent action:
Soils I Topography
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)?
3. Describe the general site topography. Chock 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 of horizontal distance.)
Steep: grades of greater than 30% present on site.
Comments
Hydrology/Vegetation.
4. Site contains areas of year-round standing water. o
5. Site contains areas of seasonal standing water_ o Approx. Depth:
6. Site is in the floodway �v floodplain ZOO of a water course.
7. Site contains a creek or an area where water flows across the grounds surface?/<)- �flows
are year-round? Flows are seasonal?
8. Site is primarily: forested ; meadow ; shrubs ; mixed
9. Obvious wetland is present on site:
10. Wetland inventory or map indicates wetland present on site:
11. Critical Areas inventory or map indicates any Critical Area on site:
l=or City,:Use-Only
Rev M7/92
890-194
CITY OF EDMONDS STREET FIB LARRY S. NAUGHTEN
E MAYOP.
250 • =-H AVE. t; • EDMONDS. WA 98020 • (2t,=) 7713202
COMMUNITY SERVICES:
Public Works • Planning • Parks and Recreation • Engineering
APPLICANT: Pkkwebef,
STREET TREE PERMIT
PHONE: % 7 3236
MAILING ADDRESS: ILA �0, _- #*l API, S .
TREE LOCATION: �eh;hdc�►c r�v�c-e,
PERMIT NO.
DATE ISSUED4ZL
PERMIT EXPIRESj&bh-
PETER E. HAHN
DIRECTOR
ACTION: PLANT, SPECIES QUANTITY SIZE
REMOVE, SPECIES F;r QUANTITY I_ SIZE 4 5 /a'' Q►'r.
TRIM, SPECIES QUANTITY SIZE
TRANSPLANT, SPECIES QUANTITY SIZE
OTHER, SPECIES QUANTITY SIZE
REASON: REQUIRED BY CITY DISEASE/DYING
PAVEMENT OR UTILITY DAMAGE, DESCRIBE
OBSTRUCTION, EXPLAIN (�yi\dtwg bats\c drwew��4,=
OTHER, EXPLAIN
* * * * * * * * * * * * * * * * * * * * * * * * *
1. Applicant must comply with Chapter 18.85 of the ECDC.
2. Lighted barricades must be provided to safeguard the public.
Sidewalks must be clear at all times.
3. The applicant is responsible to regrade tree area to original grade.
4. All debris must be cleared from site at the applicant's expense.
5. Work shall be completed within 30 days of issuance of the permit.
PERMIT DEPARTMENT APPROVAL INSPECTION APPROVAL v`- o c&Z9,n�) 6r�f"t1
Superintendent of Public Works Publit Works -
I
'�. 11a✓N
Plan 'ng Department
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
FOR DEPARTMENT USE ONLY
Parkway:
Available Frontage:
Overhead Obstructions:
Corner Property:
Street:
2/90
• Incorporated August 11, 1890 •
Sister Cities International — Hekinan. Japan
APPLICATION
The City of Edmonds STREET FILE SIDE SEVO PERT
OUTSIDE ❑ INSIDE ❑ REPAIRS ❑
CARD No. --
EASEMENT No- ---------------------------
OWNER --•------.... �:....................._�.�./1c--•�--....-.....--•-
- - �� r'U /� " ---••-•----------------------------
CONTRACTOR.----..........................--•-•-•---...........--------.........---....------..........----..-- PERMIT No. ..
/
HOUSE No........... 1 .1 `.........
_ ............. ! 'f
% '
STREET
AVENUE LOT Now�.!!......................... fv......................................
BLOCK No. ........................
NAME ADD. ......+t�.Z_ .. ....•....1. L /J /o /y
.. !!—t�
0
J
Date
Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, ; .............................................
SEWER WORK ORDER ISSUED .......................................... DATE ..
............... By