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16012 74TH PL W.PDFIIIIIIIIIIII 5951 16012 74TH PL W EFZONE �SUSACK S: cr Sirl r, � OTHER HEIGHT,,�� CITJ —OFEEMORDS &M DEPT. CONZ)MONAL PERM-rr worK. 0PR BY KEEP :-ESE �-,AMFLD pLA,N_. F,)R AU 3 P/C.", r —CIA' UM OF CDmo ,INUNURPIC-11-e. IF 41 20— V STREU FLE FILE # 7 7.7-1 3 FORM FOR [�/FIi�.Uj DLC? J',A ION OF PDU 1 QWK/1'ONSIGN'lF1Cd%NTCE] Description of. proposal Addition of Deck Proporieilt Phyllis H. Wiggins Location of Proposal 16012 - 74th Place West Lead Apciicy City of Edmonds Ili -is proposal_ h�:s beci1 deter:rl].iled to []Y '/riot hw'e] a sly I iflcailt aal- verse upon t11e emr1i'm'_-nt. t111 EELS [ /is riot] required mi-Jer 101yr 43. 21C.030(2) (c) . This decision was made after review by 11)e lead aUency o a conmlt"ted chec}list azid other i.nforinati_on oil file with the le. -id aneiicy. Respolisi_ble Official E. Joseph Wallis Po it.i.c��/'Title Director of Communitv Development t Date_ July 11,�1977 ` Sl.&Ilatur(L —,J %,,A&AW 01 PROJECT'•'' "E_?4 \l L< L l s FF, IN �r ivy DATE SOBMITTED /z—c)� 7 ENVIRONMENTAL ASSESSMENT eC=k673 In order to meet the requirements of the State Environmental Policy Act of 1971, the responsible official must make a declaration of environmental impact as early as possible in the process of evaluating a project. The information in this form will be used to determine whether it will be neces- sary to require an environmental impact statement. If an impact statement is not required, a Statement of Negative Declaration will be placed in the file. If an impact statement is required, a draft statement must be filed with this office, public notice given and a review period of 30 days allowed. The final statement and comments must be filed with the Department of Ecology, Office of the Governor and the Ecological Commission. The Edmonds Planning Staff will assist you in any way we can in accumulating this information and we would appreciate your cooperation. 1. Land: Area in acres 1,P) , x 1 _6, Soils type Limitations Description of topography (slope) IV-T LC— S Lt7�6 1A�,L� Grading: estimated cubic yds. ' Filling: estimated cubic yds. 1--67SS -El*priv yvs 2. Water: Stream - estimated .flow (gallons) per minute N —/ Will stream be altered? W t, To what degree? Impact on storm drainage (increase in run-off) Estimated area to be paved t l (r� Shorelines: within 200 ft. of Mean Higher High Water Adjacent to shorelines zone �� �� s J Environmental Assessment, page 2 3. Vegetation: Type of trees«, % to be removed Minimum diameter. of trees to remain Ground cover g,_Pc2C % to be removed Proposed landscaping, if any 1 ) 41 4. Existing Land Use within 300 ft. radius of proposed development: Vacant Single Family Multi - Famil y Comm. Other North South X East X Wes t 5. Circulation: Estimated increase in auto trips daily ��11 Estimated demand for public transportation Degree of change on adjacent streets 6.. Area of imoact: neighborhood city-wide regional 7. Effect on air quality: ti 8. Changes in noise generation: U C) N �— 1 2 3 4I 5 6 7 8 9 10 11 1.2 13 14 15 16 17 18 19 20 21 22 23 ?4 25 26 27 28 29' 30i 31. 32 33 34 35 36 37 38 39 40 .41 42 431 441 451 46 47 48 49 50 51 52 53I 54 55 56I 57 58 59 60 • -7,C ; if' DATE.: � 7 7 A $25 fee will be collected by the City of Edmonds for analysis of the Environmental Checklist and the preparation of a Threshold Determination: No fee will be charged for proposals which would be categorically exempt if they were not located in an environ- mentally sensitive area. 1:NVIRONhiENTAL CHECKLIST FOR,14 1. BACKGROUND 1 . [Jauue of Propolle11 L.L1 -5— 65-Grr N-S 2. Address and Phone N luN uer of Proponent.: p W� D nvx -Q! v Q 3. 11atc C1�c'c1-1 i :i Su>mi t:tec W z-a 4. Agency Rcqui.ring Checklist 5. [wine of Proposal, if applicno-Ic 6. NaLw=c .in�1 lirl(rr Descri} Lion ol�ti�e iic} as<iI �incliiT- inp, but not )JUdLed to -its si.W, y;eneral dcsi;,n el( — merits, ;Intl other factors ehaL will y;ive an accurate undersLandiri£,. of its scope and nature) : 7.3 ncatoc c,1` 1'rO* o:: �Z(ucscr=i.bc L�fI(' 1) im; of the propos;d, as o:ell as the exaent of the land area affected b.- an environmental impacts, including —any other informaLi.on needed to live an accural--� understand- ing of the environmental seLtiug of the proposal): 744c- PL— W. Mvrri�S_ 8. Lst:iin:lec d uaCclor onih c.ion oT tine Proposed ACt1on ----- 9. t IACerise.s c. GoverilmonL ripprovaT Required for Lhe Proposal (federal, state and local --rezones) 0 /Vn n r[v 5 I L� 0 t -31 1 2 4 5 6 7 9 10 11 12 13 14 15 16 17 18 19 20 21 22 2.3 24 25 26 27 28 29 30 31 32 33 34 35 36' 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 10. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain: fY 0 11. Do you cno:,, or any pans y oL 1crs which may a tect the property covered by your proposal? If yes, explain: 12. Attac 1 any other application form that has been com- pleted regarding the proposal; if none has been com- pleted, but is expected to be filed at sot,:e future date, describe the nature of such application form: II. ENVIROdi•lENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required) Yes Maybe No (1) Earth. Will the proposal result in: (a) Unstable earth conditions or in changes in geologic substructures? (b) Disruptions, displacements, com- paction or overcovering of the soil? _ y (c) Change in topography or- ground surface relief features? (d) The destruction, covering or modification of' any unique geologic or physical features? (e) Any increase in wind or water erosion of soils, either on or off the site? — — (f) Changes in deposition or ero- sion of beach sands, or changes in siltation, deposition or erosion which may modify the channel of a river or stream or the bed of the ocean or any bay, inlet or lake? L—_ T!ON OI.6_q (2) Air. Will the proposal result in: (a) Air emissions or deterioration of ambient air quality? - T (b) The creation of objectionable odors? (c) Alteration of air movement, moisture or temperature, or any change in c'imate, either locally or regionally? — Explanation: -32- Yes No 1' 2 3 4 5: 6 7� 8! 9! 10i 11 12i 13i 141 15 161 17' 18 19 20 21, 22 23 24 25 261 27� 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 0 (3) W,itcr. Will the proposal result in: (a) Changes in currents, or the course or direction of water move- ments, in either marine or fresh waters? (b) Changes in absorption rates, drainage patterns., or the rate and amount of surface water runoff? (c) Alterations to the course or flow of flood waters? (d) Change in the amount of sur- face water in any water body? (e) Discharge into surface waters, or in any alteration -of surface wager quality, including but not limited to temperature, dissolved oxygen or. turbidity? (f) Alteration of the direction or rate of flow of ground waters? (g) Change in the quantity of ground water:;, either through direct additions or withdrawals, or throuy,h interception of an aquifer by cuts or excavations? (h) Dcteri.oration in ground water qual.it:y, either through direct in- jection, or through the seepage of l.eachate, phosphates, detergents, waterborne virus or bacteria, or other substances into the ground waters? (i) Reduction in the amount of water otherwise available for public water supplies? Explanation: (4) Flora. Will the proposal result in: (a) Change in the diversity of species, or nur.,bers of any species of flora (including trees, shrubs, grass, crops, wicroflora and aquatic plants)? (b) Ieduction of the numbers of any unique, rare or endangered species of flora? -33- — -. — _12L — .A A X — . — _IX_ 1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 191 20I 21. 22� 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 (c) Introduction of new species of flora into an area, or in a barrier to the normal replenish - ment of existing species? (d) Reduction in acreage of any agricultural crop? Explanation: _ _ s (5) Fauna. Will the proposal result in: (a) Changes in the diversity of species, or numbers of any species of fauna (birds, land animals including reptiles, fish and shell- fish, benthic organisms, insects or microfauna)? (b) Reduction of the numbers of any unique, rare or endangered species of fauna? (c) Introduction of new species of fauna into an area, or result in a barrier to the- migration or movement of fauna? (d) Dctcri.oration to existing fish or wildlife habitat? Explanation: (6) Noi;e. Will the proposal increase existing noise levels? Explanation: (7) Li - lit rind Glare. Will the pro- posal p::u�uce flew light or glare? Explanation: Yes Maybe ]Vo L_a- ►2 I �=c-V'_ — A — X (8) Land Use. lli.11 the proposal rx.su�in the alteration of the present or planned land use of an area? �( Explanation: -34- 1 Yes Maybe. No (9) Nalural. RL'sources. Will the pro- posa. r.esuTL i11 (a) Increase in the rate of use of any natural resources? (b) Depletion of any nonrenewable natural resource? Explanation: (10) Lij of Upset. Does the proposal involve a ri:;4c of an explosion or the release of hazardous substances (including„ but not limited to, oil, pesticides-, chcuiicals or radiation) ill the event of an acci- dent or upset: condi.cions? T Explanation: (11) Population.. Will the proposal �tel" C�1C locat lull, distribution, density, or j%rowth rate of the human population of an area? �( Explanation: .(12) Ilcnlr:inp. Will the proposal affect exi;:tin,; how-.I.ng '1vailahi l.i-ty, or create a demand for additional. housing;? Explanation: (13) Transl)ortation/Circul.,iti.on. Will Lie proposal rc,;ulE i.11: (a) Cencration of additional vehicular mow-ment? (b) 1••.ffects on existing; parking; facilities, or demand for new parking;? �( (c) l:ulhact. upon existing; trans- portation systems? (d) Alterations to prescltt patterns of circulation or move - went of people, and/or goods? (e) Alterations to waterborne, rail or air traffic? -35- r 1 2 3 4, 5 6 7 8 9 10 11 12 13 14 1.5 16 17 18 19 20 21 22 2.3 24 25 26 27 28 29 30 31 32 33 ,34 35 36 37 38 39 40 41 42 43 ' 44 45 t 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 Yes Maybe No (f) Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? �. Explanation: (14) Public Services. Will the pro- ve areffect upon, or result in a need for -new govern- mental services in any of the following areas: (a) Fire protection? — (b) Police protection? (c) Schools? (d) Parks or other recreational facilities? — (e) Maintenance of public facili- ties, including, roads? — (f) Other governmental services? Explanation: (15) t:ni:r ;L+. Will the proposal result in: (a) Use of substantial amounts of fuel or energy? (b) Demand Upon existing, sources of energy, or require the develop- ment of new sources of energy? Explanation: , (16) Utilities. Will the proposal result, in a need for r.. sti•::tcros , or alterations to the following utilities: (a) Power or natural gas? (b) Communications systems? (c) Water? (d) Sewer or septic tanks? (e)„ Storm water drainage? (f) Solid waste and disposal? Explanation: — -1Y- -- --,X- k u -36- u Yes Maybe No 1 (17) 1luuian lle:clth. Will the proposal 2 result in tic creation of any 3 health hazard or potential health 41 hazard (excluding mental health)? 5 Explanation: xplanation: 71 8 g (18) Aesthetics. Will the proposal 10I result in the obstruction of any 111 scenic vista or view open to the 121 public, or will the proposal re- 131 sult in the creation of an 14 aesthetically offensive site open 15 to public view? 16`- 17 Explanation: 18 19 20 (19) Recreation. l•lill the proposal 21 resort 111 an i.r:;pact upon the 22 quality or quantity of existing 23 recreational opportunities) 24 — 25 Ex1)lanation 26 27 281 (20) Arc);c ol.� ;i-cal/)listori.cal . Will the 29 }ir.opo; result i.n an a tcrati.on of 30 a significant archeological or his- 31 tori.cal site, structure, object 32 or building,? 33 " 341 Explanation:. 35 36 37 III. SIGNATURE. 3 8, 39 I, the undersigned, state that to the best of my knowledge 40 the above inforn-jation is true and complete. It is understood 41 that the lead agency may withdraw any declaration of non-signi- 42 ficance. that it might: issue in reliance upon this checklist 43 should there be any misrepresentation or lack of full disclosure 44 on my part. 45 46 Proponen'4(%' . 47 48 WAC 197-10-370 WITJ1.*DRA1,:AL OIIV T!lRl:SiIOLD 49 bk U 'TLRI.IINATION. IT -at any time after theentry of a decla 50 tion of significance, the proponent modifies the proposal 51 so that, in the judgment of the lead agency, all significant 52 adverse environmental impacts resulting, therefrom are elimin- 53 aced, the declaration of significance ;hall be %,ithdrawn 54 and a declaration of non -significance entered instead. The 55 lead agency shall also revise the registers at its SEYA 56 public i.nformaLion center accordingly. If the pro- 57 ponent of a proposal is a private applicant, the proposal 58 shall not be considered modified until all license applica- 59 tions for the proposal are revised to reflect the modification. -37- i RECEIVEPS .-CITY of EDMONDS IDE SEWER PERMIT r i 26 M4 ForInspectionCall 7Jj11*ET,F ILV JOT PERMIT NO .,-,/7203 PUBLIC WORKS Address of Construction: 1(,ni n — -7(/ ILA IYNNW00D LINE Property Legal Description (Include all easements)'. `Aflk n1&A4:LP,:­ A e-t+ n-12 Owner and/or Builder: Contractor & License No: / C -;L Single Family Residence Multi -Family (No. of Units Commercial (No. of fixture Units Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way -Construction Permit required. Call 'One- Call -Center (1-800-424-5555) before any excavation..) Cross other Private Property: No Yes (If Yes, easement required,., attach legal description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE'BACK I certify,.t'hgat I have read..an s all comply Date with the 'terns listed on the b Permit Fee: �00. 00 issued By: Trunk Charge: 50,oa Date 'Issued: /0 & AV Assessment Fee: Receipt No.: '307 Partial Inspection: Comments Date Initial Final Inspection Approved: J q-25-8� - I WSP. Stf R.1 43LLA.�jj) Date Initial 00 Rejected: C) —1— Reason Date Initial PERMIT MUST BE POSTED'ON JOB SITE White Copy - File Green--Gopy Inspector Buff Copy - Applicant The City of Edmonds Side Sewer Drawing EASEMENT NO_ ------------------------------ fnr= A D. co n ta NEW CONSTRUCTION E] REPAIRS ❑ LID NO. 2J0 ------ ASMT. NO ................... . OWNER ------------ ---- ------------------- .... CONTRACTOR --- ----------------------------------- -------------- ---------------- ............. PERMIT NO. ............. ---- BLOCK NO. -------- ---------- JOB ADDRESS - - - ------ ...... ...... LEGAL DESCRIPTION: LOT NO. ....... ------------ ................................................ : ........................................................................ 14 9 1 0 "llm 7 E) t%% ?\, \VApproved: qw,l PWW-0001-1 1/75 (REV. 11/78) DATE "L .......... 1-I.LI-71, ------- ............................ #P20 Critical Areas Checklist CAFile No: -*1'q Site Information (soils/ topography/ hydrology/ vegetation) L. Site Address/Location / 6 O l0- %L/ f L W Flj M 0",09- i.d A q 0 2. Property Tax Account Number: O c9 67 3 j 0 $' $O©/ p p 3. Approximate Site Size (acres or square feet): 4�R. 6 �/ S 4. Is this site currently developed? es no. If yes; how is site developed?. .S'%ti G L,C /Z-A/4?/ L.S� 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: ft.,' Approx. Depth: 7. Site contains areas of seasonal standing water: 410 Approx. Depth: What season(s) of the year? M �A 8. Site is in the floodway � floodplain VJ 0 of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? V-e5 Flows are seasonal? (What time of year? 10. Site is primarily: forested ; meadow ;shrubs ed urban landscaped (lawn, shrubs etc) 11. Obvious wetland is present on site: N For City Staff Use Only 1. Plan Check Numpber, if apli able? 2. Site is Zoned? (� S 3. SCS mapped soil type(s)? �£ ia.c� ct� A ro�Meyul fv�r� N (o a.M ! I S-2 Flo 4. Cri �6zoyv( al Areas inventory or C.A. map indicates Critical Area on site? mssr e- -v o Sc drl inn Jl i 5. Site 'thin designated arth su ,r �v /� C f 0 st d) 5 ` t S7 Reviewed bv: `/W16 landslide hazard area? DETERMINATION Date: WAIVER #P20 4. `4C. 1 %9" City. of Edmonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 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 the application 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). Date Received: (01 t 10-1 City Receipt #: I Ot Critical Areas File #: UAIW`1 i0-lq Critical Areas Checklist Fee:- $135.00 Date Mailed to Applicant: A property owner, or his/her authorized 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 forma In addition, the applicant shall include other pertinent information .(e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, defend and hold the City.of Edmonds harmless from any and all damages, including reasonable attomey's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to file this application on the behalf of the owner as listed below. SIGNATURE OF APPLICANT/AGENT DATE Property Owner's Authorization By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the public officials and thw staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting attendant to application. SIGNATURE OF PLEASE PRINT CLEARLY DATE 06�0//07' Owner/Applicant: Applicant Representative: Name Name 160 i4Z 7y P L VJ Street Address ��dNbs tiJ� 9802-6 City State Zip Telephone: /3V3-6G31 Email address (optional) Street Address City State Zip Telephone: Email Address (optional): Di _ n n /1 - . i (-i o ('(- Mi I 'r' OF f D M O N Ul CRffICAL AREAS RECONNAMSANCE REPORT 1 Site Location: 16012 - 74T" Place W Tax Acct. Number: 00513105800100 Determination: Study Required Determination #: CRA-2007-0079 Applicant: Mikhail Kitsak Owner: Mikhail Kitsak CRITICAL AREAS RECONNAISSANCE REPORT: STUDY REQUIRED During review and inspection of the subject site, it was found that the site contains and/or is adjacent to critical areas, including a Stream and Geologically Hazardous Areas, pursuant to Chapters 23.40 of the Edmonds Community Development Code (ECDC). GENERAL CRITICAL AREAS REPORT REQUIREMENTS Critical Areas Reports identify, classify, and delineate any areas on or adjacent to the subject property that may qualify as critical areas. They also assess these areas and identify any potential impacts resulting from your specific development proposal. If a specific development proposal results in an alteration to a critical area, the critical areas report will also contain a mitigation plan. You have the option of completing the portion of the study that classifies and delineates the critical areas and waiting until you have a specific development proposal to complete the study. You may also choose to submit the entire study with your specific development application. Please review the minimum report requirements for all types of Critical Areas that are listed in ECDC 23.40.090.D. There are additional report requirements for different types of critical areas (see below). Note that it is important for the report to be prepared by a qualified professional as defined in the ordinance. There are options on how to complete a critical areas study, and there is an approved list of consultants that you may choose from. You may contact the Planning Division for more information. General Mitigation Requirements for all Critical Areas are discussed in ECDC 23.40.110 through 23.40.140. REPORT REQUIREMENTS - STREAMS A small stream is located on the southern portion of the subject property. • Streams are areas where surface waters produce a defined channel or bed which demonstrates clear evidence of the passage of water. Streams need not contain water year-round. o Streams are regulated as types of Fish and Wildlife Habitat Conservation Areas. • Streams are classified according to whether or not they run year round and whether or not they support fish populations according to the classification system listed in ECDC 23.90.010.A.1. • The minimum buffer widths for streams vary depending on the type of stream and are listed in ECDC 23.90.040.D.1. • In addition to the general requirements for Critical Areas reports referenced above, specific Critical Areas report requirements for Fish and Wildlife Habitat Conservation Areas are provided in ECDC 23.90.020.A to C and additional technical information requirements for streams are listed in ECDC 23.90.020.D. DEVELOPMENT PROPOSALS ON A SITE WITH A STREAM Development proposals that encroach into streams or their buffers or building setbacks may be allowed through the approval of certain processes. The width of a stream buffer may be reduced through buffer enhancement through the review of a Stream Buffer Enhancement Plan that meets the specific requirements referenced in ECDC 23.90.040.D.2. The maximum amount that a buffer can be reduced through buffer enhancement is 50%. A buffer may also be modified through a process called buffer averaging. The criteria applied to buffer averaging are listed in 23.90.040.D.2. The maximum amount that the buffer width can be reduced at any single location through buffer averaging is 50%. Development proposals that propose encroachments into buffers beyond what is allowed through the above methods require a Critical Areas Variance or a Reasonable Use Exception. If you think that you have a proposal that may require one of these processes, please contact a Planner for more information. STUDY REQUIREMENT — EROSION HAZARD AREA It appears that this property contains or is adjacent to an Erosion Hazard Area. Erosion Hazard Areas include: • Those areas with Alderwood and Everett series soils on slopes of 15 percent or greater. • Any area with slopes of 15 percent or greater and impermeable soils interbedded with granular soils and springs or ground water seepage. • Areas with significant visible evidence of ground water seepage, and which also include existing landslide deposits regardless of slope. DEVELOPMENT PROPOSALS ASSOCIATED WITH EROSION HAZARD AREAS Development within an Erosion Hazard Area must meet additional criteria. • For erosion hazard areas with suitable slope stability, the only critical area study needed is an erosion and sediment control plan prepared in compliance with the requirements set forth in Chapter 18.30 ECDC as part of the construction documents. This option is at the director's discretion, per Edmonds Community Development Code section 20.80.050.G. • In areas where the slope stability is not suitable, projects within Erosion Hazard Areas will require a report by a licensed Geotechnical Engineer or other qualified professional. Note that it is important for the report to be prepared by a qualified professional as defined in the ordinance. • Report requirements are given in ECDC 23.80.050, and more generally in ECDC 23.40.090. D. • Development standards are given in ECDC 23.80.060 and 23.80.070. STUDY REQUIREMENT — LANDSLIDE HAZARD AREA It appears that this property contains or is adjacent to a Landslide Hazard Area. A Landslide Hazard Area is any area with a slope of forty percent (40%) or steeper and with a vertical relief of ten (10) or more feet (except areas composed of consolidated bedrock). 2 Landslide Hazard Areas are further defined and illustrated in ECDC 23.80.020.B. C In addition to the general requirements for Critical Areas reports referenced above, specific Critical Area report requirements for Landslide Hazard Areas are provided in ECDC 23.80.050. DEVELOPMENT PROPOSALS ASSOCIATED WITH LANDSLIDE HAZARD AREAS Development is restricted within a Landslide Hazard Area and its buffer. C Projects that will intrude into these areas will require a report by a licensed Geotechnical Engineer. The criteria that are applied depend on the amount that the buffer is reduced. The buffer can be reduced to a minimum of ten (10) feet (with an additional 15' building setback per ECDC 23.40.280) if a report is prepared that meets the standards listed in ECDC 23.80.050. The alteration must also meet the requirements listed in ECDC 23.80.060. In addition, proposals to reduce the buffer to less than ten (10) feet must comply with the design standards listed in ECDC 23.80.070.A.3. ALLOWED ACTIVITIES Certain activities are allowed in or near critical area buffers as specified in ECDC 23.40.20. If you have any questions about whether your proposed development qualifies as an allowed activity, please contact a Planner for more information. EXEMPT DEVELOPMENT PROPOSALS Certain development proposals may be exempt from Critical Areas Requirements (ECDC 23.40.230). If you think that a specific development proposal may be exempt, contact a Planner for more information. M Name Signature 11,' Date NOTE: Cited sections of the Edmonds Community Development Code (ECDC) can be found on the City of Edmonds website at www.ci.edmonds.wa.us. 3 M EDMONDS CITY COUNCIL AGENDA MEMO S crintET FLIt Item number: Originator: Robert J. Alberts For Action: x For Information: SUBJECT: ACCEPTANCE OF PEDESTRIAN AND UTILITY EASEMENT FROM PHYLLIS H. WIGGINS, 16012 - 74TH PL. W., FOR THE PROPOSED CONSTRUCTION OF THE NORTH MEADOWDALE ROAD WALKWAY AGENDA TIME: Consent AGENDA DATE: March 17, 1992 EXHIBITS ATTACHED: A - Copy of pedestrian and utility easement B - Drawing Clearances: Dept./Indiv./Initials ----------------------------------- ----------------------------------- ADMIN SVCS/FINANCE CITY ATTORNEY CITY CLERK COMMUNITY SERVICES ENGINEERING �Lq r.-- PARKS & RECREATION PLANNING PUBLIC WORKS FIRE PERSONNEL POLICE COMMITTEE MAYOR COMMENTS: EXPENDITURE AMOUNT APPROPRIATION REQUIRED: $0 BUDGETED: $0 REQUIRED: $0 HISTORY AND SUMMARY STATEMENT: This pedestrian and utility easement is necessary for the proposed construction of the North Meadowdale Road walkway. RECOMMENDED ACTION: Council accept the pedestrian and utility easement from Phyllis H. Wiggins. COUNCIL ACTION: WIGGINS/TXTAGNDA PEDESTRIAN UTILITY EASEMENT IN CONSIDERATION of benefits to accrue to the grantors herein, the undersigned, Phyllis H. Wiggins , hereby grants to the CITY OF EDMONDS, a Municipal Corporation, a permanent easement for the installation, operation and maintenance of a sidewalk and utilities over, across, through and belo the following described property; and the further right to remove- bushes, undergrowth and other obstructions interfering with the location, construction and maintenance of said utility, together with the right of access to the easement at any time for the stated purposes. The easement hereby granted is located in the County of Snohomish, State of Washington, and is more particularly described as follows: The Northerly 10.00 feet of Lot 1, Block 58 of Meadowdale Beach, as recorded in Volume 5 of plats, page 38, records of Snohomish County, Washington; together with that portion of 74th Ave. W. adjacent to said Lot 1, attached by vacation Ordinance No. 2797. THE CITY agrees to restore to substantially the original condition such improvements as are disturbed during the construction, maintenance and repair of said utility or utilities; provided the grantors, their heirs, or assigns shall not construct any permanent structure over, upon, or within the permanent easement. DATED this STATE OF WASHIN( COUNTY OF SNOHOMISH) On this day personally appeared before me - }-.&'a'vyv� and to me known to be the ndividual(s) described in and who xecuted the within and foregoing instrument, and acknowledged that © signed the same as 'xA free and voluntary act and deed, for the uses and purposes therein mentioned. UNDER MY HAND AND OFFICIAL SEAL THIS 2q DAY OF 19 qa'. WIGGINS/TXTFORMS CA cu- 0 11 - � ck lj NOTARY PUBLIC in and for the State of Washington, residing at �Qh . 1i�M-41JAAA;Uy--�J EXHIBIT A - PAGE 1 Q W Q) NORTHERLY 10.00 FEET PEDESTRIAN UTILITY EASEMENT WNE WALKWAY \ EXHIBIT B - PAGE 2 RECE CITY OF EDMONDS Permit No. g�� �a 7 COMMUNITY SERVICES.DEPARTMENT A�� 2 3 1991 RI64T=O7'rWAY CONSTRUCTION PERMIT Issue Date A. • Owner: ZOANQ ANDER.SOtJ B. • Contractor: PU Name Name —1-6-70 N, Mr✓RDowDAlr� R.D. 2►ot8 w�� G�1 Mailing Address Mailing Address' s.�>MouoS wa S—C76•4S45 omo�,n 4soz6 to Zip City State Zip STREET OLE 1-►RT MART► W G70-3767 State License Number Telephone Number C. • Address or Vicinity of Construction: 1601 M 74TIA PL W (VE tPvr,6D) Type of Work to be Done: '%WSMALL U&JQL-A L"MOVMD f:ACULIT1ES OW 5270ST taisa. Pol.� -r�Nc>a iN ✓PtLA'T�D Rlw � R6nnovE alEQtt�Ap i�lACltr�T��S D. • Work in Connection With: ❑ Sub or Plat R ingle Family ❑ City Projects ❑ Commercial ❑ Multifamily O Utility E. • Pavement Cut:. 42rY ❑,N pp�w� F. • Size of Cut:-' X '2 g APPLICANT T&READrANDISIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may be made against the City of .Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court,c'osis, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMAN �II 'IAND C ATERIALS FOR A. PERIOD OF . ONE YEAR FOLLOWING THE FINAL INSPECTION A b'kCC PTANG� OF' HE WORK. Estimated restoration fees will be held until the final street patch is completed by City forces, at which time a debit -or credit, will be . processed for issuance to the applicant. , K • A 24 hour notice is required for inspection; Please call Engineering: 771/ 3202 • Work is to be inspected during progress anAt complet06,: // • Restoration to be in accordance with City Code. • Street to be kept clean at all times. • Traffic Control to be in accordance with City regulations. • All street -cut ditches must be patched with asphalt or City approved material prior to end of working day; NO EXCEPTIONS. I understand the above and that this permit must be available at the job site for inspection purposes at all times Signature: I�-� —�-1 . Date: Owner or Contractor This Permit Must be Posted at the Job Site For Inspection Purposes Call DIAL -A -DIG Prior to Beginning Work �. APPROVED BY:� a Z Time Authorized: Void after ("/ a days. O w S l Conditions: F. p U RELEASED BY. Date) / rx O NO WORK TO BEGIN. PRIOR TO PERMIT ISSUANCE PERMIT FEE: 6� Restoration Fee: Receipt No.: Fund 111 Fee: — Street Cut Dimensions: x = $ INSPECTED BY rr� Date Eng. Div. March 1989. FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) J Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. July 1985 PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY ­?/ 76 CATOd LOI to O% Z 1 ¢T 1-\ PL W S O C.O AREA POLE N3 S W 1/4 S 5 T 21 R DATE W.O. NO. Ig000 B REASON FOR WORK SECONOARTO u (2- ENGINEER MRRTIN OWG. NO. 09101`6 CONy E. aS IOe.\ FOQ SOANIL AN-ER60N DRAFTER U.G. NO. SCALE I"=200' DATE WRK COMPLETED APPROVED DATE PRINTED FOREM17 ' ENVIRO ENT N Y I FEES REQ'D -a YES PRIMARY OVERHE D ❑ RESIDENTIAL ❑ CObMRCIAL LEO# /oE I-$— SECOXDARY OVE HEAD BASIC FEE s _ TF7t CON V E ❑ NO NM AL A AL S S 0 EXEMPT ❑ NOT EXEMPT PARA. 18 ITEM C SUBSTATION MEADOW DALE CIRCUIT NO. 17 IR 4-0 PHASE O.H. U.G. COND. KV ADD CKT. FT. PH REM CKT. FT. _ PH NET CKT. FT. O.H. U.G. COND. _ KV ADD CKT FT PH REM CKT. FT._ PH NET EEJCKT. FT. PERMITS (DATE GRANTED) ❑ TREE TRIM PRIMARY UNDER_GR PRIMARY D UND -.- . _ ❑RESOENT:IAL - ❑ STATE ❑ COe9ERC1AL - O COUNTY BASIC FEE f LEu$ .. O CITY 60".0% SECONDARY UNDI RGROUND EASEMENTS 0 REQUIRED 7 ❑ NOT REOUIRED BASIC FEE f • IDS— .. ig s - TO alw 4-5-9 1 UNDERbROUND--Pl AT _ DATE RELEASI,D - -- - -- BASIC . .. FEE f FOREIGN CONTACTS EFT Ot---- =s 9 GTNW JPN# 11CATV JPN# STREET LIGHTING 'EFT-Of=fI CI JOINT TRENCH GTNW & CATV ❑ JOINT BORE GTNW & CAN WORKIIN RIGHT CF WAY ❑ PRIMARY ❑ POLE STENCTI NG ❑ SECINADARY E Fr. o fa f FROM TO MISCELLANEOUS FEES TAKE OFF POL VAULT f PRE-CONSTR. REOUIREMENTS PERMIT s _ ❑ TREE TRIM O PUD LOCATOR cost ScSTIMaTE f 'Z 21S =0 0 BACKHOE ❑ f ❑ ONE CALL DATE E B TOTAL DUE f Z215 0o INDEX POLES PLAT 1 LOGS I U-AP MMAP DATE PAID 3-IS-91 I XFMR I IC_ RECEIPT/ -QC14-4k LOCATION MAP PAGE SS A-3 NEW Smr APPUCATIONJ I I 9 INSTALL �iI SECO..QARy R-ISEQ ON >c.T<ISTINO GIST POLE , OPEN cu-T ExISTING ASPHALT 0Ruv Ew Ay ",AST FP--" Pot-P2 20 AS MA-RILbD - TRSNGN SOVTN ON EOC C OF ASO/IA�l ORay.E ISo TO iII POLL LVATIo, - PLALE RE��Au V.v LAR SEvIct L XSTNL R SELDIJOAQ,y 'S 6A9- Q60E1,TArL- AT pASE OF POLL O AS�$TILO Rva 210' of 35o McM 0Ow.J IN 00CH Tv f'EOtSTAL- LONNECT £x1ST Ito 5VG To -1-6-70 'AN6 N6uJ '00 "Svi- 70 \Io012 IN NEW PbDE,STPI - (NOTE) VSE '20' 3° PvC o.J ASPNALT 20, OF all St EEL TO CR.o SS CA".6114 G-v LNE&T 1F' (sol N(. ABov(c LV LvERT iar T _ n BUILDING DEPANNENT Applicant Fill USE PERMIT ain&Lwl it LONE p NUMBER /1 PERMIT APPLICATION inside Heavy Lines JOB NAME (OR NAME OF BUSINESS) ADDRESS Ca , ��y P , (ADDRESS LEGAL LOT LOT AREA SUBDIVISION NO. MAILING RYES El NO W -1.q {�1 Io01 Z P W. STREET R/W 0 EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY CITY / TELEPHONE NUMBER �DMOI`I1�S �f{• �µ3-i1!/ COMP. PLAN ST. R/W FT. © FT. NAME REMARKS AA. A�����,z U W F ADDRESS CHECK BY /y� U En TELEPHONE NUMBER STREET AND/OR UTILITY WORK R/W PERMIT REOUIR REQ'D. ❑ YES ❑ YES AND G ^ i� / NO NAME UNDERGROUND ` WIRING REQ'D. P !A ❑ YES ❑ NO E Q ADDRESS TYPE CONNECTION ❑YES VERIFIED BY 1. U SANITARY SEWER A / ❑ NO Q E I'_APPV'D CITY TELEPHONE NUMBER SEPTIC SYSTEM ❑YES PERMIT NUMBER BY CITY ENG. Z [IN.Q U STATE LICENSE NUMBER CITY LICENSE NUMBER REMARKS jEVItwrbFof_PRV owe -FAffLIcn-11o,J Legal Description of Property (Show Below or Attach Four Copies) METER SIZE BUILDING SUPPLY SIZE iri-T_< 1 2- !�. i R sY ��...�..� 1_ A T ND 011,9.J6 I�+� SIGN AREA ENV. REVIEW A' IAWED PROPOSED COMPLETE P / t , REMARKS VARIANCE OR CU YARDS NEW RESIDENTIAL ID GAS LINE _ -FRONT FIRE ZONE TYPE OFF CO ADD 40 ❑ ALTER ❑ NON-RESIDENTIAL SIGN ❑ RETAINING WALL ❑; ENCE -4-Z_r _1 ❑ DEMOLISH F] ORCFILLTE SPECIAL INSPECTOR REQUIRED ❑ YES NO ARE PLAN CHECKE B ❑ REPAIR 11 INSP. RE -MOVE SWIM POOL NUMBER OF STORIES NUMBER OF KS DWELLING UNITS NATURE OF WORK TO BE DONE PROPOSED USE Z Q d PLOT PLAN INDICATE BUILDING ABUTTING STREETS U o m 0 PLAN CHECK NO. BACKS, BUILDING PLUMBING HEAT & GAS LINE FENCE SIGN RETAINING WALL SWIMMING POOL I hereby :acknowledge that I have read this application; that the in- formation -given is correct; and that I am the owner, or the duly author- ized agent of the owner. I agree to comply with city and state laws regu- lating construction; and in doing the work authorized thereby, no person will be employed in violation of the Labor Code of the State of Washington relating to Workmen's Compensation Insurance. NOTE: Permit Limit One YeBr(Except DEMOLITIONS and FILL PERMITS without conditional use permit, which shall be completed in 90 days; MOVED -IN BUILDINGS shall be completed in six months.) . 17ATURE (OWNER OR AGENT) DATE SIGNED II.Q I� N TE: Applicant Subjec( Plan Check Fee PLANNING SIDE C _r REA ADD NO. DATE�/J G- AGE A OCCUPANCY OCCUPA GROUP LOAD THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. VALUATION I FEE Z °=1 7 AL AMOUNT DUE ] G 0 ATTENTION APPLICATION/APPROVAL THIS PERMIT This application is not a permit AUTHORIZES until signed by the Building Official or ONLY THE his Deputy; and fees are paid, and WORK NOTED receipt is acknowledged in space pro - INSPECTION vided. DEPARTMENT DIRECTOR'S SIGNATURE CITY OF EDMONDS DATE 775-2525 This Permit covers work to be done 6h private Property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. ORIGINAL - File YELLOW - Inspector GOLD - Assessor PINK - Owner IQ Permit No O �- Z 6 STREET FLE 0 SNGHJMISR 412ALTH DISMIM.' Division of Sanitation 3011 Rockefeller Ave.-ALpine 9-2061 Everett, Washington Date APPLICATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIES ;Jame.__�`'�� of Address �� D / % Address of Proposed site Legal Description: Lot_Block ,-YAddition . � Type of use4-11No. of bedrooms Lot size Septic tank Capacity ,51 gallons. Disposal field length X5V Sanitarian's Sketch: Remarks: Date Inspected by, Approval Mailed To Lnstaller Date ,.tec . IP s" t • j . 00 i c i Ur *OHOMISH COUNTY HtA;LTH DEPAR 2935 Rockefeller Everette Wash. Phone CEdar 2o61 LOT APPROVAL SHEET. NAME W!-t iL� ,, l�?�P�l v s S ADDRESS` G 4 / "L i ADDRESS OF PROPOSED BUILDING % Co O /4 LEGAL bESCAIP'fION : LOTS BLACK �f� ADDITION PL A M E t or w pm �e Doh c g TYPE OF UtE NO. OF BEDROOMS, SIZE OF LOT SOURCE OF DRINKING WATER: Public Supply►::- Private Well A. SURFACE.DRMNAGE 1. Is disposal field site well drained? 2. Any water course (stream, drainage ditc _etc.) through site? -)go B. TOPO(�APHY 1. Any heavy slopes in field area?. 2. bill.present topsoil in field.area '6e removed or graded before field tiles are installed"? 7�I Will any. fill .material be used iA the :disposal field site? Will yes;, host -mutt:? C. SOIL, MNDITIONS 1. .Has a hole.:,at,least.,4 feet deep been 'dug in the disposal field area to determine 'the. type of soil present? y .. 2. After hgle:is dug record'the soil conditions, at.the follo ng'depths. Record as sand', gravel., clay, packed sandy loam,,etc.) 12 inches 30 inches�Nr:�� 18 inches.. /� 36.inches 1, 24 inches 48 inches J1 4. Any ground water.encountered before reaching a depth of + feet?_ n If so ht what depth? . D. WATER TEST A simple water test will,show how well this.soil will drain or percolate water. To perform this test: 1. Dig hole at.least:36 inches deep. Use a.shovel or post hole digger -size of hole makes no difference --only depth. 2. Fill hole with water. Now let all water run out of hole. This soaks the ground and will give a more accurate reading. 3. ;Again pour water in hole to a height of 12 inches from the bottom. Let ,'water run out until there.is just 6 inches from bottom left in hole. 4. :Note how many minutes it takes for this last 6 inches to seep away. Record this time below. 15, 5�... Number of minutes for last 6 inches to seep away 5. Divide this time by 6 to obtain the rate per inch. 6. Date .water test was performed. " ,h Q— S-1 I hereby certify the above information to be correct and the above tests were per- formed by me as prescribed. Signs t"�—liJ Address (6 / 'Z 7 lU NOTE: .A septic.tank permit is issued on the basis of the a ove informati e, are,any.changes or alterations in the above stated soil conditions it-imay-,result in the -.installation. being -re jected-at the time --- of..inspection. PLOT PLAN A detailed plot plan showing property lines, location of house; and proposed location of septic tank and disposal field lines shall be submitted along with the lot approval sheet. The location of the test, tio.les.'shall be clearly marked on the plan and shall be performed .in the area of theproposed ;proposed disposal field. NUKE SKETCH IN 'SPACE BELOW: Example. 0 Ir Y5 —' -- O --- - - - - -- w 0 O 0 ,. I— - - 150'-tile - -— — o a) -r4 ho U � •rl Si cd b I N 50 Y C 3 •� i - test hole locations 1-1 a STREET FLE 200 DAYTON ST. • EDMONDS. WASHINGTON 98020.(206) 7752525 DEPARTMENT OF PUBLIC WORKS Robert A. Anderson, M.D. 7320 No. Meadowdale Road Edmonds, WA 98020 Dear Bob: May 9, 1979 SUBJECT: CULVERT - 16012 74TH PLACE WEST HARVE H. HARRISON MAYOR The culvert at 16012 74th Place West, which you refer- enced in your letter of April 18, has been unplugged by the Street crews. This drainage problem location will be added to the Public Works inspection and maintenance schedule. However, if you or your neighbors observe a reoccurrence of silting that might cause blockage please call the Public Works Department at 775-2525 extension 250. Thank you for bringing this item to our attention. Yours very truly, I11M LEIF R. LARSON, P.E. Director of Public Works AAB:LRL:kjr IF 4b- A P R 2 J 1979 Dir. Ot Pubhc Works April 189 1979 Leif Larson Director, Public Works Edmonds Civic Center Edmonds, Na., 98020 Dear Leif: I have two requests which you could pass on to your public works people. One., the east west culvert across the right -of way called 74th Place West about 150' south of North Meadowdale Road was silted and plugged by the flooding of late November. We have tried to re-establish the stream flow ourselves but it requires larger equipment than we neighbors have. Since the city declined to abandon this right -of wayseveral years ago it should be maintained by the city. Two.., a street sign is needed at North Meadowdale Road and 74th Place West. There is one address on 74th Place West, 1601.29 from which a complaint was made to 911 last August. The police., responding to this complaint of a fight going on in the driveway., were unable to find the address., even though the complainant saw them drive by twice. They would have found it had there been a street sign. Thanks very much Leif for passing this on. A. Anderson, M.D. 4TER-OFFICE COMM. NICATIONS DATE TO FROM PoRm fox 41 SUBJECT: _ a 1 STREET FILE I�i6MMEMMOMM7CITY a SEPTIC TANK INSTALLATION PLAN Submit in Triplicate Ownen-Rus.se_1.1--- R_._._Brad-l.ey------------------------- Address. .1.6012... 74th... P_1--- W.-..-E- onds..... Phone. .743nKo2---.- ADDRESS OF PROPERTY.1601.2--- 4th-P1---W -----Edmonds-,- Washington------ ----- -- - Permit No....#341 Legal Description- _16Q1.2-._7.4th--- PI ... W ---- --- dmonds.,.--Washingtan---_-9$0.20--------------------------------------------------------------- Designer--C,---R-•---Lyan--Eng-1-n.eerl-Og------------ Address.R....Q...301--- 1.87...... Ly-nnwo.od-,.--WnPhone774-41-6-9------- Installer..North --- End --- Septic._Iank-.Co........ Address_72ZQ..210__5_W ---- ..Edmonds -,-.-Walsh. Phone..776--0658-.--- I hereby certify the accompanying drawing is an accurate representation of the system installed at the listed address. I also certify all recommendations and restrictions (concerning plumbing stub elevations, maintenance of grades, fills, surface drains, etc.) listed by me on m ewage disposal system permit pplication dated ------------ ------- A X,ISUM X_______________have been complied wi May 13, 1969 -- ------------------------ ---- -- - ---- ------ ---- May..2fl,...19-69------------ Signature of Designer Date TO BE FILLED IN BY HEALTH DEPARTMENT ONLY Accepted------------------------------------------- Date---- NotAccepted -------------------------------------------------------- Date----- ---------------- ----------------- Signature of Sanitarian --------- Remarks-------------------------------------------------------•------•----------------------------------------------------------•---•-----•--••---------------------•----------------------- ATTENTION HOME OWNER: Your septic tank has limitations! It was designed and installed to care for an average -size family. Over- loading the septic tank or disturbance of the drain field may seriously impair satisfactory operation. Points to remember: 1. Have your tank checked periodically to see if pumping is necessary (2%2-3 years). 2. Do not channel ground water, surface water, footing drains or downspouts into the tank or drainfield. 3. Do not excavate, fill, place a structure, driveway or patio in, on, or over the drainfield. 4. Limit toilet fixture disposal to sanitary wastes and toilet tissue. 5. Detergents and bleaches used in normal household quantities will not harm the action of the septic tank and disposal field. K&H 35641 f 7, U 16 012-74 p), �✓, ih sr3��' LA ICie - �atic� - �-2d r , C.R. LYON ' ENGINEE RING NI"4-e- ' `T'I-,r_ � s(•a�--1- Ii'he:..�, I� �, vE_ � z'� LYNNW00D� drawn by: WASH. date: 774-4159 job no. - �� �+ r ;.� . I ��V,�P6�, -ti���-;I �, ; SEPTIC TANK INSTALLATION PLAN Submit in Triplicate Owner--JRus.sell... R..--sradley......................... AddressJ.bQ1ZJ.4fA..P1--- N...... E(lmomds..... Phone-.74.1=0602----- ADDRESS OF PROPERTY-16M.-74th... Pl--- W------Edmonds-,- Wa5h1-n9t©n.................. Permit No:.J_341_------- Legal Description.10-1.2--- 74th... P1--- 44-.-- ... Edmonds-a.-Naah:i.tlgton..... 9802.......................................... ....... ...... ......... Designer--E-- ..1yanAn-gin eer1ntg............ Address.2-..-ff --.BOX..187------J yn.nW.00-d.a..WnPhone77.4-.4l 59------- Installer.-florth-- End --- Septi-C-lank--Ca------ Address-12 0---210-- W.--...Edmoads....-Was11 Phone-17knU5$.--. I hereby certify the accompanying drawing is an accurate representation of the system installed at the listed address. I also certify all recommendations and restrictions (concerning plumbing stub elevations, maintenance of grades, fills,, surface drains, etc.) listed by me on m ewage disposal system permit pplication dated -------------------- .AAXUUNANX ..............have been complied wi May 13, 1969 --------------------- MaY..28 ..... Signature of Designer Date TO BE FILLED IN BY HEALTH DEPARTMENT ONLY Accepted----------- ----------------------------------------- Date ---- NotAccepted ................................... -------------------- Date ........................................ Signature of Sanitarian ----------- ---- ----- --- --- -- --- ------------ .................... Remarks: ----------------------------------------------------------------------------------------------------------------------------------- ATTENTION 'HOME OWNER: Your septic tank has limitations! It was designed and installed to care for an average -size family. Over- loading the septic tank or disturbance of the drain field may seriously impair satisfactory operation. Points to remember: 1. Have your tank checked periodically to see if pumping is necessary (2%2-3 years). 2. Do not channel ground water, surface water, footing drains or downspouts into the tank or drainfield. 3. Do not excavate, fill, place a structure, driveway or patio in, on, or over the drainfield. 4. Limit toilet fixture disposal to sanitary wastes and toilet tissue. 5. Detergents and bleaches used in normal household quantities will not harm the action of the septic tank and disposal field. K&H 35641 r OON 47 A4 A,4,4,' g0 ra ele N 10 Y-a L. Lde4z:,k, 74,37060�!, t ff Y6 e-- va Il' e-d 1 in v r & � s k Ott 6y �re -Ilk P-- IJP z 0 4 10 '-3 F, le Cl E-1 v-9 4-1 I C.R. LYON ENGJNEE RING LYNNWOOD, WASH. 774-4159 drawn by: date: job no. S &D WAQ :W SW1'GT ENV4RGN1M"ENTAC--ffM*R=DWfS1ON Cov t Ho'svereft'W►ashiiigtr►.�t8R01 SEPTIC TANK INSTALLATION PLAN Submit in Triplicate Owner__RUBse-11--- L--Aradh------------------------- Address_.1.611�._.74.ti!--P.I--.U.. Phone_143-00 2, ADDRESS OF PROPERTY__,§q 74th P1 C - Edr-pndS_P__l�shingtO�t_-. Legal Description_ 1-60-12___Z40- 1-- - ..... 9802-0------------ ...... Permit No.-__0_341-------- ----------------------------------------------- ----------------------------------------------- ----------------------------------------------- .......................................................................................................................................................................................................... Designer__,`-_.._. ___l.yon_1f l7ax'ftig---------_-- Address--P_•---Q_•---tiaK __).?...-..°I1IA �..y��Phone%74 -41 b9------- Installer__Rclrbi Ind__-Sapti-c__lr3ttk__Co------- Address__ 2-M-210..SW._....Ed_MQP 55t_- asb Phone_17 .-O-558---.- I hereby certify the accompanying drawing is an accurate representation of the system installed at the listed address. I also 'certify all recommendations and restrictions (concerning plumbing. stub elevations, maintenance of grades, fills, surface drains, etc.) listed by me on my/sewage disposal system permit application dated .................... --------------have been complied wish Signature of Designer Date TO BE FILLED IN BY HEALTH DEPARTMENT ONLY Accepted---------- �------------------------------------------ Date--.� ---- --- ..._..----..-- NotAccepted --------------------------------------------------------- Date---- ----------------------------------- Signature of Sanitarian ............ ---- ---- ---- ----- -- -- ------------- .................. Remarks: ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ATTENTION HOME OWNER: Your septic tank has limitations! It was designed and installed to care for an average -size family. Over- loading the septic tank or disturbance of the drain field may seriously impair satisfactory operation. Points to remember: 1. Have your tank checked periodically to see if pumping is necessary (2y2-3 years). 2. Do not channel ground water, surface water, footing drains or downspouts into the tank or drainfield: 3. Do not excavate, fill, place a structure, driveway or patio in, on, or over the drainfield. 4. Limit toilet fixture disposal to sanitary wastes and toilet tissue. 5. Detergents and bleaches used in normal household quantities will not harm the action of the septic tank and disposal field. K&H 35641 7 2- 2- 0 15 tk) K I G I*P_ - 7,41 E'C4 Y"'ll oc�zsk_ D V, o y 6 e Vq Yl rl, 8 7 r ( )L4Af, Jp,�_ by E j , '� _F�+ t'vlo ci r a i o,-5 f-v� i e, e:7 r4fa ore en ka 144k 6 j a+ 4-1 t �` `1J l LT D C.R.LYON ENGINEERING LYNNWOOD, WASH. 774-41'59 drawn by: date: job na Septic Tank '1......gals. .....sq. ft. Disp. Field.... SEWAGE DISPOSAL PERMIT CITY OF EDMONDS Department of Public Works Other. r' (-''.{_,:<:_� e is hereby authorized to install/ Name --../.-., r......................................................---------------- ...... y repair sewage disposal system at � •y c ..:.,� fir/ ' t'� .� s?-,c� � a . ,.:.................................................... Date issued on...,r?":.......... Permit expires one year "m date of issue DO NOT COVER BEFORE APPROVED BY DESIGNER OR SANITARIAN I hereby certify this system was installed under my supervision and control and complies with all provisions of the City of Edmonds Resolutions. V�/r Signature of Installer............................................................................ Date .................................. Approved,� Disapproved Date............................................................... By ------------------------- .............. ........................................... Remarks: ------• •------ •---.......--••............................................ ........................-----------......------......----...----.....----............................................................. SANITARIANOR DESIGNER................................................................................•--•------...... Date .......................................................... This permit shall be posted in a reasonably conspicuous place on the job until inspection has been completed. CITY OF EDMONDS 4 16`+ DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR ..A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permit to be issued to: ... RUSS.eLL---------- _. .:..... ............. .......... ........................ ............ , For installation at: (street address)..1601-2... ---7 .-P1---W_ Edmol1ds,--Wds.h._.--......................................................... Additionor Subdivision----------.................................................... --------------------- - .............. Lot------.......... Block. .......... Type of Building: New............ Existing . Single family residence.. ... X........ Number of bedrooms.-..-4...:............... Other: (specify typeor use)..ReplaC.e--eXl-Sti.ns.Sy-Stem-------------- --------------............................................................... Builder.---- ------•--- ----------------- ---•-----................ --- Address. . --- - - ... ------........ ----- Designer ... C.... R_....Ly.00...E-ngi.ne.e.r.isng.............-.--_--'Address..P..---0.'-..BOX..1.87.:---.-.Lynnwood-,. -Wash., 98036 Soil Log Hole No. 1---- Drai_n... field,.area--- as---b.ee.n:_. llle,& with _apprgyed sand & sandy Loam �. ....................:.............•-•...----------•---------- --- Soil Log Hole No. 2-- -..---------------------------................... ---------- --- ------------------ I. Elevation of -Water Table, if encountered. (Distance from ground surface) .... :............................... : ............................... Corrections to control surface water. if- needed.01-vert..d11...s.urfaCe..lNdter..fr..om.:dral.n..-f1.0d..ared.•-...... -------------------------•---......•--------•----•----•------•----------•----......---------------•--.. -- --- - --- --- -- -•---- •---..................... .......'......... ;............... :....... Specify if any removing or grading of topsoil in field area....Remove..no--soi.l... .f. rom.--field.:area.......................... •--•------------•-----••--••-•---•---•---••----•-•-............. ------------------------- -- ............... ------------------....... -.................. .......-......................................... Percolation: Test Hole No. 1 —Average Rate.. ................................... (Fall in minutes/inch-bottom 6" test hole) Test Hole No. 2—Average Rate ................................ ............................................... ---:-(Fall in' minutes/inch-bottom 6" test hole) Test Hole No. 3—Average Rate........... I ................ ...... -.-----(Fall in. minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design 1.0... to ... 1... min/ ..-- fi11 area Date .Taken ................. . Septic tank requirements based on present rules and regulations: Septic Tank Size..1.000................gallons. Amount of Square Feet of osa �eld.O Signature — Designe..............- --- - - - ---- --- ._..- DateMay...l.��.--19.69.. .......... DO NOT WRITE BELOW THIS LINE (GTo/be completed by Issuing Agency))y Permit issued (date).. �.�.j�... j l/ E�. ..........-Permit Number..... d� 7`.�.- ..................... Remarks: ......:......................................... ........... =------------- . --- -=---- C. R. LYON ENGINEERING CIVIL AND SANITARY ENGINEER 19701 SCRIBER LAKE ROAD LYMMOD, WASHINGTON DETAIL SPECIFICATIONS .SEPTIC TANK SEWAGE DISPOSAL SYS41 TEM 1. Discrepancies between detail apsc3.f'iaations and drawing notes shall be governed by drawing noise; n. 2. Septic Tank shall meet the minimum County Health Dept,"specifications r for construction and sized as noted on the drawings.° , 3. Drain Tile: , a.' 4101 diameter' minimum b. slope: Mina.- 2►r per: 100+ Max. 61e per ,1001 { c.. Open joints: 3/811 and covered with asphalt paper d. „ 61, min. of Washed gravel under the and V 1'din 'of washed gravel over tile. e. Covers Nlin._121r Nix. 24n f. 6�: �.. 0+� mina center to aenter Spacing. 4. Graver: k a. Size 11 .to `3" she b. No graver within 2411 of�septic tank or distribution box c. Gravel shall be covered with light untreated'"paper,before backfilling Trenoh: a a. Min..width:: 241 with flat bottom b. ' Grade boards, securely staked to :trench -bottom,' for all open joint the lines. _ c. ` Septic tank "and distribution boxtshall be connected with at least1 piece of 4" bell tile. d: ' Distribution box shall have 1 piece of,`411 bell the fo11 i for each line of . tile. g 6:, Line from house'shall'be kept as high as possible and laid on 2% grade. 7.Paving: Do not place impervious surfacing over, any part of sewage disposal system. Plant grass and small shrubs only. 8. Tank Cleaning: Check septic tank at least every two years to see'if `sludge and scum need" removing, if solids overflow into trenches the soil will become clogged. r �+ r STREET FIL% i CITY OF EDMONDS (% DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT v (Submit 3 Copies) �raa� Permit to be issued to:---- f ------ For installation at: (street address) ... ............. 7 ,�. ( ... C% G'. ........... ...� Addition or Subdivision-------- --------- . t om .......I.:? "17.......... Lot-/ - Z... Block..... Type of Building: New..... .. Existing Single family residence Number of bedrooms............ Other: (specify type or use 1��;� P.sr9.....D. j�l t,../4� ... //.G.. .. // 5............<GJ................' Builder.--------- �..... j6I;�CC'G.`- ------------------------------Address-.....----74- .,Pl W Designer. ...h/-41.-/!/.` f------------------------------Address..,3,o/- ....t1'.92-•--fir../ 1 ... Soil /Log Hole No. 1--------------- 0- ---- 7Q - ---- C-..... .. �1 �C� .l©d. Soil Log Hole No. 2. a, .............. 1 Elevation of Water Table, if encountered. (Distance from ground surface) ...... / U-l?- -..................................... Corrections to control surface water if needed. ..............aO.W,.:e..................... ............................................................... --------------•--------------------------------------------------••------------....•---•-•••--•--•......--------.........................-----......-•------.............................................. Specify if any removing or grading of topsoil in field area-.................................................................................................. ----------------------------•---------...-----------•--------------------...........----•------------------------....----------------......---......................----................................ Percolation: i �l Test Hole No. 1 —Average Rate..... .-...4T.8.�. (Fall in minutes/inch-bottom 6" test hole) J. Test Hole No. 2—Average Rate........... ~........�r........................ (Fall in minutes/inch-bottom 6" test hole) Test Hole No. 3—Average Rate .................................. (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design .. .......... �..................... . Date Takerr�o-3/��.... Septic tank requirements based on present rules and regulations: Septic Tank Size. ....�00-----....gallons. Amount of Square Feet of Disposal Field ......-T6d....�.Q Signature — Designer...--- ...------- ' ---- -- ----- ---- - Date ..... ........ t .............. DO NOT WRITE BELOW THIS LINE (Tc�b/completed basuing Agency) Permit issued (date).. ...................................................----------Permit Number............................................. Remarks: --- .. ..................... . . .. ........ .......................... . ..................... . .. .. ......-..-.......... ...................... e. 1k o LO.Twz4 23 .5bb OuI 747 o .Exis� /yew /rne, t '66 /07 GXiS/ 16zS - /60/2 74 6!/ G6/ • aVrtff n /�6oi2 � -74 •o/ G{J Edr�ohds, ll/vsh. 4iwivwpdo,' �/muh . AP6cG ews7. 11we Aa -*44- hi1k jnY7� 6lAw ��L /*tee .,9 .SravP P 9.r vcl / z��� �vvsLi givve /7r��hsxee" /ems• �' B /'Ili/!. CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington APPLICATION FORA SEWAGE DISPOSAL SYSTEM PERMIT f (Submit 3 Copies) Permit to be issued to: ........................ ����. -- ...... For installation at: (street address)...Ik........................./-......¢....� . Addition or Subdivision.---- -------• ....... ,4 lye- '1t .�0vi 4—v, - ----- � �... ..... Lot. �... Block..... Type of Building: New..---- Existing..- .. Single family residence ................ Number of bedrooms. ......3........... '........,s Other: (specify type or use)--....- A-410JAP'Ar--el. e,torlf.aw . ..--.......,.- guilder.......... -----..6&7dl1vc�. ------------- -- -----------Address..... ........1 ' � ........................ �. ...' Designer------ e'"- -- ......... .. ... ...Address .1?3 .....41.. ..... ..� /$,... Soil Log Hole No. L.-----... 0---.-. 649 ......... fit . .. .. ...4� .......... -0 ��"...OQv, ii ............................................................ Soil Log Hole No. 2 51......... P` z / ................ -------- Elevation of Water Table, if encountered. (Distance from ground surface) ........................................... Corrections to control surface water if needed ................ orw..a.................................................................................... Specify if any removing or grading of topsoil in field area ....................... ..""'"............................................................ --------------------------•---------.....----------...------------.........---------•---------•---------.....-•-...........---..............---............--•--•------.............•-----....------..... Percolation: B Test Hole No. 1 —Average Rate ..........�f'�. ,..... .. (Fall in inimites/inch-bottom 6" test hole) Test Hole No. 2—Average Rate-...t�.......°_.........................(Fall in ininutes/inch-bottom 6" test hole) Test Hole` No. 3 —Average Rate ..............:........ ................ (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design ............ I&I .................... . Date Take r. //O .... Septic tank requirements based yyon present rules and regulations: Septic Tank Size....,9ll:l..--------- gallons. Amount of Square Feet of Disposal Field ..... .....r 1 .. ma�y® w,✓ Signature — Designer.----- . =---------- ........ ............ Date.... ... -47 DO NOT WRITE BELOW THIS LINE (Tcf b,/completed bVssuing Agency) ude Permit issued (date) ----------- _ .............•---- --•-•- ------....--------------Permit Number--------- ...... Remarks: ---------------. daa� t 6 - sf/ 0' 2 � �sa W,O,b WOW m r-f -�' / aui� W fy6/f I,wv --tzwl N /E /o'gbL a109/ zo/ 99� ;o•.s�� fsi� � f12a9W sa fsirdirrpJ OZ fn4 AO �rf• � �� =,o (79 or-aw 180, 180, 75th Pl. W 74th Pl. W I 4 R I JUG! 16 2014 DEVELOPMENT SERVICES COUNTER