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18105 80TH AVE W.PDF111111111111 7024 18105 80TH AVE W City of Edmonds Wo CRITICAL AREAS CHECKLIST The Critical Areas Checklist contained on this form is to be filled out by any person prepa . ring a Development Pen -nit 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). JUL 2 9 1998 An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it W 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: S L - I ii �, Name �2- 3 6 _?-.�) - R '/ f/, /,+ V e- U1, Street Address 'E4P�� VI'vA. - k"�+ ?g�v -� -,q-P6,0 city State Zip -7 7 J 5- Telephone Signature Date c:recepflon\jana\cac1.doc Applicant Representative: Name Street Address City State Zip Telephone Signature Date (over) CAFILEArO. Critical Areas Checklist -------------------------------------------------------------- Site Information (soil s/topo graphy/hydrolo gy/ve getation) I . Site Address/Location: -.7_3(e /4 1., e 2. Property Tax Account Number: 001 oc�L 61 3. Approximate Site Size (acres or square feet): Sw 4 4. Is this site currently developed? L--' yes; no. If yes; how is site developed? le vt'li L4 �L 4T ce S. e 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 I 0-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 3 0% present on site (a vertical rise of I 0-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: 0 Approx. Depth: 7. Site contains areas of seasonal standing water: ql��_ Approx. Depth: Y;L- -3 What season(s) of the year? Q�4 al-ft� 8. Site is in the floodway q-�o floodplain rhq of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? Flows are seasonal? (What time of year? 10. Site is primarily: forested meadow shrubs mixed urban landscaped (lawn,shrubs etc) e_� 11. Obvious wetland is present on site: ------------------------------------- — -------- -------- For City Staff -Use Only -------- -------------- ------------ ---------- site,1526ned?,. SCS M ap p ed.so i Itype (s)i: 6-1" U), Z 1Z 1 6p—, 1 Wetland inventory or C.A. map indicates wetland present on site? NO 4. ! 'Critical Areasinventory. Qr..�.A..map..indicates.CriticaI Area,on site.?., k1.6. :.5. Site'Withih-designated earth, subsidence landslide. hazard: area?. ..... ..... . .. 6, Sitt.designated on the EnAronmentally. Sensitive Areas.M ? N" 69TERMINATtON 0 , ^m_chk.doc; ftcv 10/03/97 1 - () 1) tic. 19 August 18, 1998 CITY OF EDMONDS BARBARA FAHEY MAYOR 121 STH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works e Planning/Building e Parks and Recreation e Engineering * Wastewater Treatment Plant Ann B. Lee 23622 80 Ave. West Edmonds, WA 98026-8900 Subject: Determination regarding Critical Areas Checklist # 98-200 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 INFORMAtibN tO'bE NOTED: PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRON ECKLIS OR CRITICAL AREAS The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. .00, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL 40M 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. Enc: Critical Areas Determination * Architectural Design Board Thank you. Sharla Graham Acting Planning Secretary C:ReceptionUana\CRLTR.doc Incorporated August 11, 1890 0 Sister Cities International — Hekinan. Japan 15 City of Edmonds RECEIVED JUL 23 1998 COMMUNITYqFRVICES CRITICAL AREAS CHECKLIST 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 invent o*ries, 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: Name r Street Address City State Zip 4Z 7 7 L- 2 ----3q- L-- Telephone �LL2!LC Signa4e Date c:reccpt1on\jana\cac1.doc Applicant Representative: Name Street Address city State Zip Telephone Signature Date (over) CAFILENO. CNO- 119 Critical Areas Checklist - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - -- - - - - - - - -- - - - - - - - - - - - - - - - - -- - Site Information (8oils/topography/hydrology/vegetation) k 1. Site Address/Location: .4 L e.'Vi, c, 2. Property Tax Account Number: 4 C (11 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? _ L,- yes; no, If yes; how is site developed? '_S/ C, 0. 1/ 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 I 0-feet over a horizontal distance of 66-feet). .1 7 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 3 0% present on site (a ver-tical rise of I 0-feet over a horizontal distance of less than 33-feet). Other (please describe): Site contains areas of year-round standing water: Approx. Depth: Site contains areas of seasonal standing water: —;Approx. Depth: What seasion(s) of the year? 8, Site is in the floodway — floodplain -- of a water course. 0 Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? Flows are seasonal? — (What time of year? — 10. Site is primarily: forested ; meadow ;shrubs mixed urban landscaped (lawn,shrubs etc) L- 01 0000,04, 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 a Parks and Recreation - Engineering e Wastewater Treatment Plant 1z, sq,� August 3, 1998 Lynda W. th Hughes 18105 80 Avenue West Edmonds, WA 98026 Subject: Determination regarding Critical Areas Checklist # 98-198 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 CHEMIST OR CRITICAL AREAS STUD The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. 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: Enc: Determination * Architectural Design Board C:ReceptionUana\CRLTR.doc - Building Permits Conditional Use Permits Subdivisions Variances - Applications to the ADB* Land Use Applications Any other development.pen-nit applications.. Thank you. Sharla Graham Acting Planning Secretary 0 Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan APPLICATION for The City of Edmonds RVEE FLE S11DE SEWER PERMIT LYNN PLANT EASEMENT No. T-z' <--- / 0 NEW CONSTRUCTION REPAIRS OWNER ....... ....................................... CONTRACTOR ............................................... . ................... ..... PERMIT No. ................. .................. .......... LEGAL DESCRIPTION: LOT No. ................................... BLOCK N . . .................. ADDRESS IRZ915 ....... 16 L-7-- . . NAME OF ADDITION ....... ....... IFWOI;.tq�� ............................................................................ NOTICE: No warranty of accuracy. The information shown on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of'Edmonds does not warrant the accuracy of anything set for ' th on these map(s). Any person or entity -requesting a copy should conduct an independent inquiry regarding the information shown on the -map(s), including, but not limited to, the location of any sewer stub shown. Such sewer stubs may or may, not exist and may or may not exist at the location shown. Neither the City of Edmonds nor its employees or officers shall be I'laul-fl-e for the information given on this map(s), nor for any one representation provided based upon said map(s). CITY OF EDMONDS G YVIC CENTER — WATER -SEWER DEPARTMENT Call PROsPect 6-11.07 when woft Is ready for inspection. (No Inspec- � 7L- SIDE SEWER PERMIT tlons Saturday, Sunclax or houdays.) N2 1955 ADDRESS ................... 18105 80th Ave. W. ...................... ........ ....... -- ................ ....... : ....................................................................................................... owNER ............. Rich�� D. Ho --------- ---------------------- t�vq ------ I ........ ................... CONTRAcToR .... 14-ch.q-r4 ... D.1 .... H!?wa d Permission is granted ----- Ak�kl ....................... 19 ... A 7 for .. X! ... J—p qr .......... I .................... days, to REPAIR or CONNECT a aid, Sewer with C1tY Sewers in accordance with aPPlication on file and governing ordinances. ATTENTION IS CALLED To THE FOLLOWING: NOTE No. I —The owners . of the obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to cOnstproperty mayr ruct side sewe in street area. Do not cover any portion of sewer before It has been inspected. NOTE No. 2--Obtaln full Information regarding ordinance 11.16.030 and Regulations governing side 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; minimum grade of 2%. No bends in grade sharper than % will be Permitted. "L No. 4—Trenches in street must be water settled and surface of street restored to Original condition. Contractors shall be responsible for failure due to Improper work which may develop within one Year Of completion. 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 o the rn n a r I Purtenances except to insert the pipe into the wye. n al 8 we Or I a ap.