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19218 94TH AVE W.PDF111111111111 9153 19218 94TH AVE W NOTICE, -N'0"'W"ar-rant-Y--- 0 T -d- (-A-, U- -1 - -(c;l k- Y The information on the attached Hed for use by the City Of MaP(S) was com - p mpl-oyees and Consultants. Edmonds, its E Th,..e City of "Edm.onds does ' not warrant the or these accuracy of anything set f th on map(s). An . y person or entity -requesting a copy should conduct an independent t'on shown-o inquiry regarding the inf' rma I I ff�e -Map(s), including, but not limited to -er stub shown. Suc the lotation of any sew sewer stubs may or ma'y- not e.xist and maY or may not exist at the location shown. ,�'ty of Edmo'nal-s' nor its Neltheir the ,-,I e m pl- o-y e e-s 0 r o ff i -c e -r s s. h. a i- I b e Vi a- balfe f o r h information given on this map(5), nor for any one representation provided based upon said map(s' 4 F- Ll APPLICATION The C4V of Edmonds for EASEMENT NO - --------------------------------- STPEET FILE SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS,M LI - -------- : -------- ASMT. N OWNER ..... 17�,� - -------- 15- kA - --------------------------------------------- CONTRACTOR .... RO. CQ-.- PERMIT NO. JOB ADDRESS -------- . .............. LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------ NAMEOF ADDITION ---------------------------------------------------------------------- ------------------------------------------------ DATE B The., City of EdmondSTREET FILE OWNER .... ------------- -------- JOB ADDRESS ------------------------ a AMICATICIN for SIDE SEWER PERMff NEW CONSTRUCTION E] REPAIRS E] EASEMENT NO - ------------- ------------------------------ LIDNO. - ---------------- - ASMT. NO - ------------------ ........ CONTRACTOR ..... (�— �-AZ71 -------- PERMIT NO - ------------------ -------- LEGAL DESCRIPTION: LOT NO - ------------------------- ------------ BLOCK NO - ------------------------------------ ...................................... .......................................................................................... -------------------------------- NAMEOF ADDITION ----------------------------------------------------------------------------------------------------------------------- Approved: DATE I BY--------------------------------------------------- w7ye AGNIDS' SIIIUE�,� E ,, WAA Ek ' P E R' MA I T :��CIT,701 OFIVOM WATERSEWER, DEPARTMENT,' 'PER-T A; T& % rV__ T '(jCall- 717.5-25257 for side: sewer inspections BEFORE� coverinc,any -xiortlo�n �tof ithe, constructlowN� ,'Inspection will,.be provIded within, 24� hours,,after re4ust. NO,'SA., !Sun, - or -holidaX inspectlons4' '0 'AMDAE S S L F,��C ONSTRUI CTION­ ........ 10218�:'-',: 9A.th'-Avenue* W;.,,., vOCATION"O ......... ....................................... ................................... ................. ....... ............................... 'PROPERTY XGAM�DESCRIPTION ... ...................... ....................... ...... .............................. ............ ............... ............ .......... .......... ................................ ....................... ................ ......................... 7 ... ................... 7 ............... 7 .................. . ........ ............................ ....... . . ....... S1 . I I " , . , . .1 ..... 73 P ......................... . ................... -.�.OWNEWANWOR BUI-LDER..... ....................................................................... ............. ........ ............ .......... .................. 7 .................. : .................................................................................. : ............... ................ �84,th Av' .11;,:�-_"Londs COj4TR, Olt, & ,s� 14, - L- DRESS ............ J., Roth'.: Cor.-Ist,. Co .23'920 e. Permissilon1s, granted... ............ June ..... 2*1 .......................... 1 19.. 17, for repair and/or �onnectfi)n..of;a side sewer to. the -,city, sanitary sewer ......... .. F" `,,3rn �inq acc6rdanc'e, with, City, of Edmonds ordinances. - 7;' ATTEN-T-roMISI CA,LLED)�TO,.TH49' FOLLOW.1NG',:s NOTE:'No,. �wnJs� df�'th� `�property� may obtain -EL permit -to. co�struct 'sewer ffisidelprDperty',jine. A liceifsed';Side Sewer,,Contmetor %must be', em�i�yed) 1o, -construct, side -sewer;.In:.�streef� area: Do not cover,any portion of' sewer �before it- hasi been, inspected. i NOTR No.: 2—Affli, worlZ performed, In' city right-of-way requires an 'Invasion of FLijht7of-Way'PermIt; o6talnabIe fr , om,the,City Engineer'si . office., NOTE No! 3—Obtalry full' Informdtion-'regard Ing OrAI.n&nce 1.1.16.030 and, Regulationsi govern.ingizide sewers'wheni-you get permit, NOTE No. 4�Top of side' se w-eir muse:have.at least 30 Inches coyerage,,at :Property line­a:nd!'12, inches inslde� propertyAlne; minlmuffi,%rade, of 2 % 'No- bends W gra de, sharper than s; will. �be,pepnitted. NOTE. No. &--Trenches, Inystreet" must be water settled and, surface of street restore& to, original �condition. Contractors shall be -iesponsible, for failure due to: improper. work whichi ma developwithin­one� year of completion. y NOTR N.z 6�—It ls,.unlawful�.fc��al - ter �or do: any .6ther, work than is p�o%;Id'edl for In' the'. permit, or to doany . work on the maArr, sewe . r or its appurtenan I cesf except -to I - n- sert'the,pipeAntoithe;,wye. DISAPPROVED E]; Date, ................ By ........... ..... Date..: ...... .. ... By .... Date ................. .................. By ................ APPROVED Da B te ... ..... ........... &---� ........... :.1 .................................................. ..... �,Remarks':� .......... .............................................. .................................................................. .......................... I .................................. ........ ............ .............. .......................... ................... .............. ........................ ............................ .......................... ............................................... ......... 'BOTH -P—er-mlit,iCopies Owner fof Firm Performing C6nstiuction PRIOR To Request, For InspectiOn ... ... ..... .... ...... ............. ...... 'hereby certify that., the, side sewer installation, constructed underthis; permit 0- '0 ng Fi Perfo mi g Co structio n �ry C5913.ractl r nl)7 CC;� C 1 was, installj'ed,a e1111W,44,,A1l1,governi inances1ofAhe,,City of'Edmonds. 0 ..................... �Date& thl ........ lt_� .......... '1191 day, Check�BEFORE1 you dig, for: Water, E]�'. Gas..'E]p Telephone, 28; ower"Eil,, Sewer El Other:E3 V, ? APPLICATION The City of Edmop#;�,.-t.r SIDE, SEWER PERMT lt-t EASEMENT No . .............................. u. ............ NEW CONSTRUCTION E] REPAIRS 0 307-02530 OWNER........... Har.V.e.Y ................................ ............... CONTRACTOR .................................................................................................. PERMIT No . ...................... ADDRESS ....... ��218 94th Avenue W. . .......................................................................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................ 0( 0 NAMEOF ADDITION ......................................................................................................................................... Dye Tested On Sewer 1972 Approved: DATE................................................ By ...................................................................... STREET FILE CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS Job #1009 250 Fifth Avenue North, Edmonds, Washington SEPTIC TANK INSTALLATION PLAN (Subnat in Triplicate) ADDRESS OF PROPERTY ..... �713497U.%01 .. :r ... 94t.h.A1.._W . ............. ................. Lot No ....................... Permit NoAL. ..... 2.04- Owner----- ... __ ...... ---- ------------------------ .............. Address .... ................. ........... ...... ................... Phone ...... ................. Builder ........... .-.. Address ... 1.9222-94 . ..... 4. R.P.. n..d. ... 3 ............. Phone ... PRt._0_445 ., . Uh.Wk$ E Designer.-R.O.n.-Wha!PY.-4..Assoc - ....... Address...7391----..179.th..ao�Wi.jL.-904��A.. Phone ... 143.. �?.79. Installer. --- NOrthend-Sopki.0 --- Tmk .......... ..... Address. - .19500. .!-n..Aruroa.,.. Seattle .......... Phone ... 11.2.2222 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 .............. ....... .... .. 3445 ........... .... have been complied with. 4= ;Z > 004 . '.0 10-1-65 ........... ­­'* .. ............ ....................... .................................................................. Signature of Designer Date TO BE FILLED IN BY CITY ENGINEER ONLY -.0 .... ............. ................................ I ?� Accepted ........... 4 Date.... 0/ X14 NotAccepted ........ ...................... D te ................... .. .......... _.. .. 4-71-P - - �-. ---------------- ....... Signature of San4sviaa .. *T ................................ Remarks: .... . "_j ......... :>.".. � ............ ........ -" .. . ................ .................. ........................ .................................... INSTRUCTIONS: Use the reverse side of this form for the drawing. Use a scale which will permit the greatest detail and still contain the entire site on one page. 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 harin the action of the septic tank and disposal field. 0 V lea 2 �/ ooe 72:7 7re. Ivell -.�q-r xlzxv 'o";7, 7-c-F Z P,5�? / 0,0 P� - �-Il� -<7i �17 1009 CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Mr. Harvey Sharpe Permit to be issued to: ............. .. ........................................... For installation at: (street address) ..... ----------- ..... _2J,.1 ....... Addition or Subdivision ............... 9Q.Q .. k,.1 n .................. .................. ........................ ................ Lot .............. Block ................ Type of Building: New_ ..... ?�_. Existing ............ Single family residence ... YPP ...... Number of bedrooms ............. 3 .......... Other: (specify type or use). .................................. __ ........................................ ......................................................................... Builder- ................................. --------------_------ Address ...... ��222 94th. Ave. ',7est — td�iionds .......................... ................................ Iton Vlhalley et Assoc. Designer............................................................... ------------- ........ Address ---- ............... Soil Log Hole No. 1 ------- 0-3511 silt — sand — ... ............................................... loam -.with. gravel,,. .35 4 Hard..pan, .. ... ......... . . SoilLog Hole No. 2 ---------- Same., ............ ----------- ­ ............................... .......... ......... I ....................................... I ....... .......... ......................................................................................................... ----------­ .................................................................................. Elevation of Water Table, if encountered. (Distance from ground surface) ............ None ­­ . ......... ............ ............. .............. Corrections to control surface water if needed-.. ..... LaWl'i ... t o ... be ... 1?la.nt.e.d ... i.mmediatl�� ... QY-Q.r ... ......... . .. .... .... .... . .. . ......... .... .. area upon completion of installation. .. ...................................................................................................... ............... ......................................................... ...................... Specify if any removing or grading of topsoil in field area ...... N.one ............................ .......................................................... .................... Percolation: Test Hole No. I —Average Rate .... 6.,-6 .......................... (Fall in inintites/inch-bottom 6" test hole) 10 0 Test Hole No. 2—Average Rate ....... *.. � ............................................. (Fall in lilinutes/inch-bottom 6" test hole) 18.o Test Hole No. 3 —Average Rate ... 1-4 ;i () -------------------- .. .. ...... (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design ..... 12..0 min/inch-... Date Taken --- 37576�5 ...... Septic tank requirements based on present rules and regulations: Septic Tank Size_9_00 .................. gallons. Amount of Square Feet of Disposal Field... esigner ............. Date. 3-8-65 .... . ..... Signature — D i . ...... ----- ----- - DO NOT WRITE BELOW THIS LINE (To be completed by ISSUing Agency) Permit issued (date) ... ........... _�./ . . ........ ....... Permit Number ........ ....................... ,. - 2, Remarks: .................. . . ................................... I .......................... ------------- -------------- ................ .................................................................................................. . ..................................................................................... &7(9 Xl� 170 a SEWAGE DISPOSAL PERMIT No. .......... ...... gals. 'M 0 N. D S:, Septic Tank, CITY F ED -ne artmen't of. Pubfic Works. s." Disp. Field.: ........ :2 sq. ft. Other.......................................... h reby. 4utivor�ize4 to, install/' ...................... is e isposa system., a repair sewage di I t Name .. ............. ................. ............................... .................................... . .................. .. ........ ... .. ...... ..... ... ............ ...... .......... DateAssued on.! ............ Permit expires one yeai, frdm­ me o Assue. R BEFORE APPROVED BY DESIGNER OR SANITARIAN --DO NOT COVE I -he . r eby 'certify this sys - tem was installed under, my supervision and'con I trol and compli69,1with all provisions of the City of Edmonds Resolutions. ................... .............. Date.' Signature of I ristaller ................. ........................... By ........................................................... I .................. Approved Disapproved Date ............ L .......................... ........................ .............. ............ ....................... .......................... ............... ............... Remarks: ................. ...................................................... Date.................................................. I ......... SANITARIAN-OR DESIGNER ... ............................................................................................. place on the job, until inspection has been completed. This. permit shall be'postcd in a reasonably conspicuous CA FILE NO. Critical Areas Checklist -------------------------------------------------------------- Site Information (soils/topography/hydrology/vegetati,on�, 2. 3. 4. 5. Site Address/Location: Property Tax Account N Approximate Site Size (acres or squar eet): AZ I —eo_ Is this site currently developed? _ yes; no. If yes; how is site developed? 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 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 33-feet). Other (please describe): 6. Site contains areas of year-round sta nding water: Approx. Depth: 7. Site contains areas of seasonal standing water: Approx. Depth: i�� /V What season(s) of the year? 8. S'ite is in the floodway IV n floodplain of a water course. 9. Site contains acreek or an area where water flows across the grounds surface?. Flows are year- round? 610 Flows are seasonal? (What time of year? 10. Site is primarily: forested meadow shrubs L1.1" mixed V urban landscaped (lawn,shrubs etc) ve 11. Obvious wetland is present on site: -------------- For: City:Staff:Use:On ------- ------ ite is.ZoneV_ . . ... .... UP, . VL . . ...... .. I SCS mapped.sqil type(s)? 3 W,. t�orisite? ..... .:etland:. inventory or.C.A. map indicates wetland presen Critical Areas. inventory. or.C.A...map.indicatcs.Critical Area, on,site?. 0:-�ar a?. Site within designated earth. subs idencc. landslide. hazar e timentally. Sensitive eas . apl.... Ln:: .6. gite:desi afed:6n:tfieTnV1r.o, Ar M DtURMINATION AC2_Chk.doc; Rev 10/03/97 C 0 ity of Edmonds RECEIVE-D J U L 0 6 1998 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, 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: LI Name q211 Street Address L�W6d� / city State Zip 21,2,� - 7 -71 -5 9 2<� Telephone Signature 71� Date cxeception\janakaddoc Applicant Representative: Name Street Address .City State Zip Telephone Signature Date (over) City of Edmonds Critical Areas Determination Applicant: I Kevin McDonald Determination #: CA-98-183 Project Name: I Non -Project Specific Permit Number: Site Location: 19218 94th Avenue West Property Tax Acct #: 4346-000-060-0804 Project Description: Determination: Study Required: During review and inspection of the above noted site, it was found to contain a Steep Slope Hazard Area pursuant to Chapter 20.15B. of the Edmond Community Development Code (ECDC). The slope is primarily on the east side of the home. A steep slope critical area is defined as any slope of 40% or more with at least 20 feet of rise. The soils information and the aerial photo with topography here at City Hall point to a slope in excess of 45-50%. A 50-foot buffer and 15-foot building setback from the buffer is required from either the top or toe of the slope. A licensed Land Surveyor must confirm the presence of the critical area and identify the buffer and setback as required in the ordinance. For development of any kind within the critical area, the 50 foot buffer or 15 foot building setback, it must be shown that the development will not adversely impact the Critical Area or its buffer. The 50 foot buffer requirement may be reduced to 10 feet if a study is.completed by a licensed geologist or geotechnical engineer which clearly demonstrates that the proposed buffer alteration will have no adverse impact upon the site, the public or any private party. The 15-foot building setback would still apply. 2. If development must occur within the critical area, buffer, and/or building setback from the buffer, and is not identified as an exception per ECDC Chapter 20, 15B, a Reasonable Use Exception and Variance must be obtained pursuant to ECDC 20.15B. 170A and 20.15B.040C. 3. If the property owner wishes to apply for a specific development permit which they feel would not impact the Critical Area location on the sit e, they may submit their proposal to the Planning Department for review. If staff finds that the proposed development permit will not adversely impact a Critical Area or its buffers, a conditional waiver may be issued. Please contact me with any questions you may have regarding this determination. Karissa Kawamoto 7/16/98 Name Signatu�e Date � A� CITY OF EDMONDS BARBARA FAH* EY MAYOR -0221 EDMONDS, WA 98020 (425) 771-0220 FAX (425) 771 Val, �� 1�h 121 5TH AVENUE NORTH COMMUNITY SERVICES DEPARTMENT Public Works e Planning/Building e Parks and Recreation - Engineering 0 Wastewater Treatment Plant July 20, 1998 Kevin McDonald 19218 94t� Avenue West Edmonds, WA 98020 Subject: . Determination regarding Critical Areas Checklist # 98-183 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 NbTED: PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMEA(TAL CHECKLIS 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 coloy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit app'lications include the following: Enc: Determination * Architectural Design Board C:ReceptioMJana\CRLTR.doc Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Thank you. Sharla Graham Acting Planning Secretary Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan