18823 94TH AVE W.PDF111111111111
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18823 94TH AVE W -
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Critical Areas Checklist
CA File No: (kA20M C)Oyl
Site Information (soils/ topography/ hydrology/vegetation)
1. Site Address/ Location: Wf-�) qq444- "C *-;*�'�N &7600o
2. Property TaxAccount Number: WL—It- 12,05�3 Y�,41006 Y&07
3. Approximate Site Size (acres or square feet)
4. Is H-ds site currently developed? V/ yes; _ no.
If yes; how is site developed?. 1-5/" 1 L-V
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 contairLs areas of seasonal standing water: Approx. Depth:
What season(s) of the year? ZA
8. Site is in the floodway floodplain of a water course.
7
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)
11. Obvious wetland is present on site:
For City Staff Use Only
1. Plan Check Number, if applicable?
2. SiteisZoned?
3. SCS mapped soil type(s)? 3— Akde 5 -6 QZo�: sA
4. Critical Areas inventory or C.A. map indicates Cri-*cal Area on site?
--bLr\ Ex--c2alor-A ihnn,-,
5. Site within designated earth. subsidence landslide hazard area? Nn
DETERMINATION
STUDY REQUIRED WA11VER
Reviewedbv- Date:
#P20
'Oc; 10"
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 Appli cation 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: EP11.11,U I
CityReceipt#:- C",toO-100&�r,
Critical Areas File #: . . 9�
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 fitiding 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 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
attorney's fees, Arising from any action or ififmction based in whole or part upon false, misleading, inaccurate or
incomplete information finmished by the applicant, his/her/its agents or employees.
By my signature, I cer* that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to finle tuhup application on the behalf of the owner as listed below.
SIGNATURE OF APPLICANTIAG N DATE
Property Owner's Authoriz tion
I
By my signature, I certify that I h tve orized !the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this application.
SIGNATURE OF OWNE DATE
Owner/Apphcant-. Applicant Representative:
8re?o/-/�/o &&TJE�� - -- . — A,1e!!;5 - —
Name Name I - -
Street Address
!7bO2Z
city State Zip
Telephone: V2::6:: &7f JP07
Email address (optional):
Street Address
City State Zip
Telephone:
Email Address (optional):
NOTICE:
N'O'** Wa'r-r a n ty ... o-rac-c7U.r--a�--
The -information on the attached
map(s) was com ' pli(ed for use by the City Of
Edmonds- Its Empl-oyees and Consultants.
Th,..e City ofEdm.onds does. not. warrant the
set forth on these
accuracy of anything
M a P ('s"). A n . y person or entity -requesting a
copy should conduct an independent
rm'ation shown- or
Inquiry regarding the info
imited to,
---Fe -m a p (s) I n c I u d i n g, but not H
t
the lociation of any sew-er stub shown. SucI
ewer stubs may or may not e.xist and may
or may not exist at the location shown.
Neither the city of E(dmond4S` nor its
empjo-yee-s o-r off rce-rs -sh-a-1.1 be I.-Ja-b-IFe for -111he
this map(5), nor for
information g ven on Ided based
e representation prov
any on
upon said map(S),
APPLICATION
The City of Edmonds FU for
SEDE SEWER PE ' PM EASEMENT No
NEW CONSTRUC71ON REPAIRS o2A0 ......
OWNER .................. CONTRACTOR
PLp
ADDRESS ... ...... .................... 3MM No.(
..2
.3 ir
...... ................................. LEGAL DESCRIPTION: LOT No . .............. .......... .......... — BLOCK No . ............................................
Y
NAME OF ADDITION.W.4 . . ...
6 F 7-RPC?- q /-7) VIVIV5 7,0675-
Approved:
�j
01ft
B� ...
..... ...... ... . . . . ............
CITY OF EDMONDS
Can PRospect 6-1107 when work
.-CIVIC. CENTER — WATER -SEWER DEPARTMENT Is ready for Inspection. (No Inspec-
SIDESEWER PERMIT lions Saturday, Sunday or holidays.) N 0_; 2611
ADDRESS ................................. 18823 - 94th Avenue West - �1�
......................................................................................................................................................................
OWNER ........................ Kerina.th ... W....Killlen ...................... CONTRACTOR ......... Xdrt11W_eS.t ... S.e.Ve.r ..............................
Permission is granted ..Pe.q.em.b.er ... 8 ................ 19 ... §7, for ........................ days to REPAIR or CONNECT a side sewer
.. .. .... .. ..... ..
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been Inspected.
NOTE No. 2—Obtain 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.
NOTE 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 on the main sewer or its appur-
tenances except to insert the pipe Into the wye.
CITY OF EDMONDS
' '*W0
JC
T "' 5ACTI
N9 1778 -
SUSPENSE DATE:
Date: 2/22/83_ Time: 8: 00 M —File #
Attachments: =Yes
SUBJECT: Needs some information on the water )5—UdNo
servin-P fnr the qddress:---.
�19'4
AXY e
He is a contractor putting in an underground
system.
REQUESTOR: NAME' n / a
ADDRESS:
PHONE: 568-7101
REQUEST RECEIVED BY:
TELEPHONE
CONTACT IN OFFICE
OTHER:_ RECORDER
RECEIVED BY:
M. LeVan
ACTION
.01
All Concerned Notified
Action Completed/File