19105 OLYMPIC VIEW DR.PDFiiiiiiii iiiiii
12600
19105 OLYMPIC
VIEW DR
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation) ��`
1. Site Address/Location: / /�
2. Property Tax Account Number:.
3. Approximate Site Size (acres or square feet)::
4. Is this site currently developed? Ryes; no.
If yes; how is site developed?i-
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 664eet).
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. A149 Approx. Depth:
7. Site contains areas of seasonal standing water: Aio ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway--,� floodplain 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)
11. Obvious wetland is present on site:
nn For City Staff Use Only
1. Site is Zoned? K-7) - 1 /`
)? I VISA
vil.1 I kaoulklla P. ��,NFA
r map �n �cates wet present on ite?
4.> ;.Critical Areas inventory or C.A. map indicates Critical Area on site? �rl)ssufk o�
5.. Site within designated earth subsidence landslide hazard area? No
6. Site designated on the Environmentally Sensitive Areas Map? N
DETERMINATION
'STUDY REQUIRE
Reviewed bmx,,�
Plann
Ray 01/04/94
CONDITIONAL WAIVER
k4�
Date
City of Edmonds
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 inventories, maps,
or soil surveys).
An applicant, or his/her representative,
must fill out the checklist, sign and date it,
RECEIVED
PERMIT Come, Fm
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.
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). 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 n completing their preliminary
assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
Name
Street Address
Applicant Representative:
Name _
Street Address
�ZSM 7�--z�. a i7e
City, State, ZIP Phone
City, State, ZIP Phone
Signature Date Signature Date
:l •
fnc.18°��
12-8-97
Mr. L. Duff
17806 72nd Ave. West
Edmonds, WA 98026
CITY Y OF ED1 ONDS BARBARA FAHEY
121 5TH AVENUE NORTH • EDMONDS. WA 98020 • (425) 771-0220 • FAX (425) 771.0221 MAYOR
COMMUNITY SERVICES DEPARTMENT
Public Works • Planning/Building • Parks and Recreation • Engineering • Wastewater Treatment Plant
Subject: Determination regarding Critical Areas Checklist #97-230
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 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 copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
cc: M. B. Meyring
Note Attachments: 6 pages
* Architectural Design Board
C: ReceptionUana\C RLTR.doc
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Thank you.
Diane Cunningham
Planning Secretary
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
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