19615 81ST PL W.PDF111111111111
7470
19615 81 ST PL W
CA FILE NO.. q5-7-02..,,
Critical Areas Checklist
A
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: cl'46 /5 P/-
2. Property Tax Account Number: A
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed?
yes; _ no.
If yes; how is site developed? ng Lp-
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.oye,r 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 I 0-feetov! er a
horizontal distance of lesi than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: Al Approx.. Depth:.
7. Site contains areas of seasonal stabding water: AJ cO _-Approx. Depth:
What season(s) of the year?
8. Site is in the floodway AJ; floodplain of a water course.'
9. Site contains a creek or an area where water flows across the grounds surface? Flowsareyear-'
round? Flows are seasonal? _ (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped Oawn,sh-,ubs etc)
11. Obvious wetland is present on site: Z6-
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ir.
lot;
.. .. ......
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City of Edmonds
Critical Are""a's'..'Checklist
The Critical Areas Checklist contained on
this form is to be filled out by any �erson
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 thi 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 -
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
math enough detail that City staff can find
and identify the subject parcel(s). In
addition, the appUcant shall include
other pertinent infonination (e.g. Ate
plan, topography map, etc.) or studies in
conjunction Vith this Checklist to assist
staff in completing their preliminary -
assessment of thesite.
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
2Q6%4 to) -c,- . 411JO -17
City, State, ZIP C?"-'�Mone
Signa Date
Applicant Representative:
Narne
Street Address
City, State, ZIP . Phone
Signature
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641-4
CIVIC CENTER
230 FirTH AvE. N.
PRosPECT 6-1107
Office of the City Engineer
Leif R. Larson
Knowles Construction
Gentlemen:
r.".
CITY OF EDMONDS
Snohomish County, Washington
September 14, 1970
Please be advised that permission has been granted to Mr. Loeder
of 19615 81st Place West for fill not to exceed 40 yards, The fill to
be placed at a maximum of 1 1/2 to.1 slope.
C
Le' eR. Larson, City Engineer
-;��ugh, Bu
W'� J �S �la� - ding Official
LRL: cj p
The City of Edmonds shall be held harmless from any and all claims
for damages which may be occasioned to adjacent land or to drainage
systems by reason of this permit to fill.
Mr. Loeder
LZ
Y / Z,
IST ME
A-� 4-
NOTICE:
-N-o--w-arranty 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 forth on these
map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shoWn on
tRe -map(s), including, but not limited to,
th . e 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
empl-oyee-s o-r office-rs -sh-ail be ha-b-11--e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION
for
The 4tity of Edmonds SIDE SEWER PEik_U
NEW CONSTRUCTION REPAIRS El
FILE
OWNER .................
..........
ADDRESS ... ....... ....................
�l
LYNN PLANT
BASEMENT No..-. .......................................
CONTRACTOR ...... LY. F ......... Z7/5.i? ...... I ................... ................... PERMIT NZ�,
LEGAL DESCRIPTION: LOT No . ................................. ........... BLOCK No. 4-Z ......
...................
NAMEOF ITION .......... ....................................................................................................
APPROVED
MAY
IV
t. .. . ........ ........
6_0
L
Approved:
By -, - ----- ........................................................
DATE ... . ........................ 7 ............ _'A
N-
cOMONDS
Call PRo 'pect 6-1107 when work
WATER-SEW1 M DEPARTMENT Is ready for Inspection. (No hispec-
tions Saturday, Sunday' or ho)lda.ys.) 2192
SIDE SEWER' -PERMIT
19615 - 81st Place West
ADDESS ........................................................................................................................................................................................................
Sunset Const. Co. Jake :�ier
OWNER.............................................................................................. CONTRACTOR ................................................................................
Permission is granted U��Y ... 5.., ............................ 1.9 .... �.7for ......................... 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. 1—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 11.16.630 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.
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