19004 88TH AVE W.PDF111111111111
8377
19004 88TH AVE W
CA FILE No.—i9--N
Critical Areas Checklist
---------------- ---------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
I . Site Address/Location: acm aof ( , 3.
2. Property Tax Account Number: Z1,-3 4 c-) g?
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? yes; no.
If yes; how is site developed? Reetr&4,
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
I 0-feet over a horizontal distance of 3 3 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 3 3 -feet).
..Othe*r (please describe):
6. Site contains areas of year-round standing water: ryo Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway yQ, floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? _Yuc� Flows are seasonal? A (What time of year?
10. Site is primarily: forested Y--b meadow — k.6 ;shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present or! site: ry-1)
--------------------------- — ------------------ — For City Staff Use Only -------------------- ----------- ---------------------- -
1. Site is Zoned!
71
SCS mapped soil type(s)? illo A 6(1,4
- I 7-o
1'. Wetland inventory or C.A. map indicates wetland present on site? ljo)
4. Critical Areas inventory or C.A. map indicates Critical Area on site?
::'S. Site within designated earth* subsidence landslide hazard area?
�6. Site designated on the Environmentally Sensiti ?
ive Areas Map
'0
ul: 0 2
,'V City of Edmonds
CRITICAL AREAS CHEC I KLAST D . EP
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, oir
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 devel'opment
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).
0,wfiir/Applicant:
4e
I Name
Ve
Street Address
CIA
ds 6-)n- 0 GO
City State Zip
7d
Telephone
-.0
Si&atti�e
9 9
Date
Applicant Representative:
Name
Street Address
city State Zip
Telephone
Signature
Date
CreceptionUmmkaddoc -----------
- ------------ - .. ... ....... ..
(over)
41 11 C. 1 B913
December 7, 1999
Larry Steffy
1900488 th Ave. West
Edmonds, WA 98026
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDSi WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
Subject: Determination regarding Critical Areas Checklist# 99-311
BARBARA FAHEY
MAYOR
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.
tmPoRrANriNFoRmATIomToBENorED:
PLEASE EXAMINE THIS" DETERMINATION"FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED To SUBMIT
ADDITIONAL INFORMATION SUCH AS AN EmigoNmENrAL CHECKLIST OR CRITICAL AREAS STUDY,
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
You must submit a covy 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
Vadances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Enc: Cdtical Areas Determination
* Architectural Design Board
Thank you.
Sharla Graham
Planning Secretary
C:ReceptionUana\CRLTR.doc
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NOTICE:
No ... Wa r-ra nt. y ... or.ac-c-
The Information shown on the attached
oiled for use by the City of
map(s) was cOml
Edmonds,; its Employees and Consultants.
The CItY of *Edm.onds does not. warrant the
et forth on these
accuracy of anything s
Map(�-). An I y person or entity -requesting a
copy should conduct an independent
shown on
inquiry regarding the information
t-Fe -map(S)i Including, but not limited to, -h
c ion of any sew-er stub shown. Suc
the io' at
sewer stubs may or may, not exist and may
at the location shown.
or may not exist
,;ty of Edmonds nor its
Neit-heir the k-11 r -he
mp.,.o*yee*s o*r office-rs -shail be Via-b-1--e fo IL
information given on this map(5)� nor for
ntation provided based
any one represe
upon said map(s),
A 0 .-:S:IID�El,,,'�-"S!EWE�R��,�PER-!�MtTi
_4
171TY, VIOM - � M;[.D.S'
WAT-Elt�'§h.WER,�DEPA-PwTMIENT.',,'
PERMIT No
7
insiie6tionii JBEFORE� 'covcring�, any -portion of
can",i-7o�11o7 fov,iide .'dewer, p
-will,,be �provlded within 124 h6ursi,after request No��Sat,,Sun.,�,:�o� !holiaay InspectiomV
(Inspection,
�C;
L., 3
— nup West
ADDRESS'LOCATION OF,CONSq6tU OVION .........................................................................................
................................. ......................... ............
PROPERTY -LEGAL DESCRIPJ70.N ........... ......................... Tjjrqj�.,f_� !7X('
P'r J'j I
.................................... .............................. ............. I .................. ...........
jb"t�. Z_ J 06 thereof..
................................................................. .................. ................... :.: ................................................................................................................ 1 ................ ........
-DER ....... Car +1. rpar5on
L
................................................................ OWNER AND/OR'BUI, ................................................. ................................................... ................. .........
10 M�Ad wda 1 '0
-'ohnwn. Se� Plumb4na. .160 9 N:' Edn' nd*
CONTRACTORISNAMEX ADDRESS.'� . ........ j JC% ii
.... ........... ; ......................... ........................................................ ............... : ...........................
It
Fennission- Is granted .... ....... ....................................... 1'19'1J.?ifoi.repAir and/or connection of,a side, sewer�'to the ckty� sani ary seiver,
,�system, In, accordance w1M_:.CIty -of,Edmonds ordinances..
,ATTENTION, IS �CA-LLED TO THE FOLLOwING:,'
'�,Property may'obtairCa permit -;I
iiside property, line.', Alicen d�� r mLi '.�C-,Cmplo e&-16'cofistruct'
.140TE,:No. 4-m-The owners of th' -to construct �sewer se �Side Sev�er-'Contract�'
side-m6er.ln stree ;a. . rea,. Do,not,cover any -portion�of sewer, before,it, has �been Inspected,
, -of-way requires��ano Inva�slon �of Right -of -Way. Permit obtainable from- the ity'. f,
E No.. 2—All work perfo�mcd`in city,right C Engineems o flce.*,...
I", iE'No. 3-9btain, full, forriiation, rega'xding.Ordinance. 11.16. . 030 ar I fd'-Regulitions governing side sewers. whe'n you . g I et� permit..
NOTE -;No.' 4 - Top �of side sewer, must �have at least 30 inchesneo,�erage iit lir*o�erty ,line and 12 :inches inside property- line; minimuirf-kraile. of 2%'. No'bends:.in grade
sharper than 'A, w illbeipermitted.
NOTE. No. 5--Trenches In, street rn�ust be -water settled and,.surface of :street restored to. origin'ai corfdition'. Contractors,.shall be'reiponsible for failure �due; kto'.Improper.
'work. which may develop within one year of completion:
NOTD.-No. &--It is'unlawful to alter or-do.any other work,than is provided for in.,the permit, or to do.any wo�k on the main- sewer or�its appurtenances..,except to in-
e6rt the pipe into the wye.
.........
DISAPPROVED --,n -Date: .. . ......... ......... ......... �.By ........ ... Date ................................ .... By .................. Date ..... ..... ........ ....... Y....
.7.
APPROVED CEJ, Date— -2 ........................... ......... .....................................
-2— y .. . .... . ......
Reiiiarks: . .................... .......................... ......
.................... : ............. .................... ................................................ ..................... ...... .... ....... .
............................ 4 ............ .............
............................. ............................. I ................... :.: .............. .................... ....... .............. .............. ........
US)�, Be Signed By, Owner.of. Firm 'Performing'Consteu. on
BOTH, ��ie4� Copi cti PR1OR,To',-R6qu6St.For lns�ection_
... . ..... ................ ................. �hereby certify�that,the,side sewer, ins tallatibn construe.ted under this,,permit
ert-6of Ctin
]z on
was.installed'IiIi accorda 6 all, governing ordinaiices� ofJhe;'0ity_. 'of Edmonds.
Baled this _day� ....... ...........
......... . . ..... ',
X X
I . . , 1 11
I � � k ; ", rrLl%o I I%JM
for
The City of Edmondi) nQ& . LE SEDE SEWER PERMIT
NEW CONSTRUCTION EL_ ------REPAIRS
0 -NM .................
W ......... --- ----------
................. ...............
ADDRESS ...
J 1 i�-
two"
EASEMENT .................... �: ...........
CONTRACTOR
� (A ................... ................................. PERMIT No.
LEGAL DESCRIPTION: LOT No . ............................... .............. BLOCK No.... ....................... .................
NAME OF ADDITION../ . . ..... ........... ....................................
0
Approved:
.............. I ........ ......
DATE ... By ... . . .................. .......... .............. I .. ............
March 310 1972
Northwest Bonded Escrows
10314 Aurora Avenue
Seattle, Washington 98133
Attention: Alison Satterlee
Mortgage Processor
Re: 19004 - 88th Avenue West,, Edmonds;
Owned by: Mr. 6 Mrs. Pearson
Gentlemen:
This is to certify that the house at 19004 - 88th Avenue West,
within the City of Edmonds, was connected March IS, 1972, to the City
of Edmonds sewerage system, Subject connection, under permit number44116,
was made in accordance with City of Edmonds standards.
Sincerely,
CITY OF EDMONDS
J. Herb Gilbo
Director of Maintenance
Operation - Public Works
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