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19707 81ST PL W.PDF111111111111 7477 19707 81 ST PL W cn, bta t4 'FA 0,06,IJ I MAY 2'2 096 Wml f TCOUNTER_ No y 4j6�_ -4- --- ------ ...... BY -PLANNING 0*46 --- Q Awe_- od% W__ CA FILE NO.L_ Critical Areas Checklist SiWJiXd-h4Aon (soils/topography/hydrol egetation) 02V V Ad 7 lo� site 0 IT — 0 00 Account Number: —h0,TL5-"— 000 -J. 3. Approximate Site Size (acres or square feet): i-�' r 4. Is this site currently developed? —��es; no. o- If yes; h w is site developed? S. 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 I 0-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water. k/ 0 ;Approx. Depth: 7. Site contains areas of seasonal stariding water: AID_- Approx. Depth: What season(s) of the year? S. ' Site is in the floodway Al 0 floodplain of a water course. 9. Site contains or an area where water flows across the grounds surface? Flows are year- round? Flows are seasonal? AID (What time of year? 10. Site is primarily: forested meadow ;shrubs mixed urban landscaped Oawn,shrubs e:ic) VE-C 11. 0 bvious wetiand is present on site: Rew01104094 Jt�.REC.Emr) . . . . . . . . . . . 890 - 19c, 4- City of Edmonds Critical Arda-s-i"Checklist The Critical Arm 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. 7be purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are or my 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. 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 adilition, the applicant shaH include other pextinent information (eg. site Phu, topography map, etc.) or studies in coqjunction with this Checklist to assiist staff in completing their preliminary assessment of the site. I 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: Appricant Representative: -an-ts (n - Nam 91 �*_ PVW." Street Addrem Nam Street Ad&= City State, ZIP Phone City, State, ZIP P . h . one re S, Niatu ignatt!re, Date . . . . . .. . MAY 211996 PERMIT 606 ------------------ C UNTER. A) 0 Lye�T-- )- 10 -4- tide, IW4 "APPROVED BY UK 7-7 0 �.mmmmm" r 0,4 oo )1� 09L 101) /2-0 Wc�j- q ac),�,( w �A r CITY OF EDMONDS USE ZONE Z-; PERMIT NUMBER 36,10415 CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME10F BUSINESS JOB ADDRESS -7c: / C/ S 17 - UITE/APT # S� d, LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. M Lu —ADI M LING DRESS q 0 PUBLIC RIGHT OF WAY PEI; OFFICIAL STREET MAP. TESCP Approved C Y ZIP TLEPHONE NUMBER 26 EXISTING REOUIRED DEDICATION — RW Permit Required C3 Street Us. Permit Req'd (3 PROPOSED' Inspection Required CI NAME �,ro 0 Per^ J Sidewalk Required 0 W METER SIZE LINE SIZE NO, OF FIXTURES PRV 6. REOUIRED ADD SS I YES 13 NO E3 Z ulge 115j'A I ge2�je q 1 REMARKS 6 CITY 1-1 P. TELOPHONE NUMBER W NATAIf ENGINEERING MEMO DATED REVIEWED BY CITY ZIP TELEPHONE NUMBER FIRE MEMO DATED REVIEWED BY TATE LICENSI NUM ENPIRATION DATE V 01 SIGN AREA SEPA REVIEW ADB NO. L al Description of Property - include all easements ALLOWED PROPOSED COMPLETE EXEMPT Z ze 113 116 h I . SHORELINE r _J*&fjf016d — V EXP PLANNING REVIEW;BY DATE VARIANCE OR 9U 7 - 7,1 J S'^ 640 SETBACKS — FEET I/ HEIGHT LOT COVERAG 17c, Z 1% L) I -RUN 1 7 SIDE -7 REAR V/ r 1.2, 5 Z Property Ta Account na Plxrcel No. 0 0 1 Q00 REMARKS Q. < N EW RESIDENTIAL PLUMBING ADDITION COMMERCIAL MECHANICAL APT. BLDG. e V REMODEL SIGN GRADING FENCE CHECKED BY TYPE OF CONSTRUCTION CODE OCCU ANT GROUP REPAIR CYDS. x _FT) DEMOLISH WOODSTOVE SWIMPOOL 1:1 INSERT HOT TUB/SPA SPECIAL INSPECTOR OCCUPANT 11AREA REOUIRED - q YES LOAD EGARAGE,, RETAjNIIqG WALL/ ICARPORT- RENEWAL REMARKS I-_. Z R6CKERY (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER. UBC 305 Z IRE C2 de C1 / 9�1 ar 1) j4 a US NUMBER IUMSER OF� 6RITICA 0 OF ELLING ZN AREAS INUMBER 03 .0. STORIES ITS DESCRIBE WORK TO BE DONE (ATTACH PCOT PLAN) 10K. 0 FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEE HEAT SOURCE: GLAZING BUILDING bill % f PLUMBING Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewolks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permit Limit: I Year - Provided Work Is Started Within ieo Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and ENO. INSPECTION FEE successors in Interest, agrees to indemnify, defend and hold harmless thV. City...W., EOMpri0s, Washington, Its _bftIciaIsj. x employees, and aig'ents from an� and'all claims for damages of S—CA,4 Cr < whatever nature, arising directly or Indirectly from the Issuance of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT /q _5 modify, waive or reduce any requirement of any city ordinance 0 x nor limit In any way the City's ability to enforce any ordinahce TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the information given Is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; and In doing the work authoriz- AUTHORIZES This application Is not a permit until ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa. WORK NOTED Deputy; and fees are paid, and receipt is tion Insurance and RCW 18.27. INSPECTION acknowledged in space provided. S E (OWNER OR AGENT) DATE SIGNED DEPARTMENT A M/on I CITY OF OFFICIA SIGN E DATE I I xM I I./ EDMONDS ATTENTION - I CALL FOR AECIE&) DATE 2� &It-, INSPECTION C-;r 6 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL — FiI6 YELLOW — inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC CHAPTER 3. 1�b 7 le?l- PINK Owner GOLD — Assessor 4� S t . 1 S9, Date: To: Subject: Transmitting CITY OF EDMONDS BARBARA FAHEY MAYOR 250 5TH AVENUE NORTH EDMONDS, WA 98020 - (206) 771-0220 FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works * Planning * Parks and Recreation * Engineering Letter of Transmittal June 11, 1996 Dept. of Ecology Environmental Review Section PO Box 47703 Olympia, WA 98504-7703 19707 81st Pl. W., Edmonds Determination of Nonsignificance & Environmental Checklist For Your Information: As you requested: For your file: Comment: Note attachments: cc: Denis McFadden Sincerely, Diane M. Cunningham, Planning Secretary Incorporated August 11, 1890 Sister Cities International — Hekinan, Japan Of EQA, 250 5TH AVENUE NORTH, EDMONDS, WA 98020 (206) 771-0220 RCW 197-11-970 Determination of Nonsignificance (DNS) DETERMINATION OF NONSIGNIFICANCE Description of proposal: Construct -a 240 square foot garden shedihobby shop in the back yard of a residence (City of Edmonds Building Plan Check No. 96-96). Proponent: Denis M. McFadden Location of proposal, including street address if any: 19707 - 8 1 st -Place W., Edmonds, Washington Lead agency: CITY OF EDMONDS The lead agency for this proposal has determined that it does not have a probable significant adverse impact on the environment. An environmental impact statement is not required under RCW 43.21.030(2)(c). This decision was made after review of a completed. environmental checklist and other information on file with the lead agency. This information is available to the public on request. x There is no comment period for this DNS. This DNS is issued under 197-11-340(2); the lead agency will not act on this proposal for 15 days from the date below. Comments must be submitted by Responsible Official: Jeffrey S. Wilson Position/Title: Current Planning Supervisor, Department of Community Services - Planning Division Phone: (206) 771-0220 Address: City of Edmonds, 250 5th Avenue North, Edmonds, WA 98020 Date: "O'cWte Signature�- xx You may appeal this determination to Robert Chave, Planning Manager, at 250 5th Avenue North, Edmonds, WA 98020, no later than �Jw 199 , by filing a written appeal citing the reasons. You should be prepared to make specific factual objections. Contact Jeffiey S. Wilson to read or ask about the procedures for SEPA appeals. xx Posted on k 1996, at the Edmonds Public Library, Edmonds Community Services Building, and the Edmonds Post Office. xx Distribute to "Checked" Agencies on the reverse side of this form, along with a copy of the Checklist. Page I of 2 PC9696EN.DOC 6/6/96.SEPA Mailed to the following along with the Enviromnental Checklist: XX Environmental Review Section Department of Ecology P.O. Box 47703 Olympia, WA 98504-7703 XX Applicant: Denis M. McFadden 19707 - 81st Place W. Edmonds, WA 98026 pc: File No. PC-96-96 SEPA Notebook Page 2 of 2 PC9696EN.DOC 6/6/96.SEPA OV ED Date: To: From: Via: Subject: MEMORANDUM June 6, 1996 File No. PC-96-96 M.E. Meg Gruwell, Code Enforcement Officer Jeffrey S. Wilson, Responsible Official ENVIRONMENTAL DETERMINATION FOR MCFADDEN GARDEN SHED/HOBBY SHOP; FILE NO. PC-96-96 I have had the opportunity to visit the site and review the environmental checkli�t and the building permit application which have been prepared for the project. A copy of these are' filed in the official file for this permit. Based on. my review of all available information and adopted policies of the City, I have determined that an environmental determination of nonsignificance should be issued for the project. Review by Responsible Official concur: I do not concur: Comments: J ffrey S. Wilso�n' Date Attachments pc: File No. PC-96-96 City of Edmonds CzR Planning Division PC9696CO.DOC 06106/96. , t, 'y go -19 9 Purpose of Checklist: CITY OF EDMONDS ENVIRONMENTAL CHECKLIST MAY 2 2 199s PERANT COUNrER The State Environmental Policy Act (SEPA), chapter 43.21C RCW, requires all governmental agencies to consider the environmental impacts of a proposal before making decisions. An environmental impact statement (EIS).must be prepared for all proposals with probable significant adverse impacts on the quality of the environment. The purpose of this checklist is to provide inf6rmation to help you reduce or avoid impacts from the proposal, if it can be done) and to help the agency decide whether an EIS is required. Instructions for Applicants: This environmental checklist asks you to describe some basic information about your proposal. Governmental agencies use this checklist to determine whether the environmental impacts of your proposal are significant, requiring preparation of an EIS. Answer the questions briefly, with the most precise information known, or give the best description you ca'-n. You must answer each question accurately and carefully, to the best of your knowledge. In most cases, you should be able to answer the questions from your own observations or pro . ject plans without the need to hire experts. If you really do not know the answer, or if a question does not apply to your proposal, write "do not know" or does not apply". complete answers to the questions now may avoid unnecessary delays later. Some questions ask about governmental regulations, such as zoning, shoreline, and landmark designations. Answer these questions C, if you, can. If you have problerns, the governmental agencies can assist you. The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will help describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional infon-nation reasonably related to determining if there may be significant adverse inipact. Use of checklistfor nonproject proposals: Complete this checklist for nonpreject proposals, even though questions may be answered "does not apply." IN ADDITION, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D). For nonproject actions, the references in the checklist to the words "project," "applicant," and "property or site" should be read as .,proposer, " and "affected geographic area," respectively. A. BACKGROUND 1. Name of proposed project, if applicable: (Dard Q 2. Name of applicant: De-f-01K 3. Address and pbone number of applicant and contact person: n " hs' 9 lb 0-7, 6 kl)%, C 4. Date checklist prepared: Page I of 22 CMI.T/10-25-91MASTER 5. Agency requesting checklist: City of Edmonds. .6. Propo ed timing or schedule (including phasing, if applicable): (A] jA C/ a (STAFF COMMENTS) 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. 0 (STAFF COMMENTS) 8. List any environmental infon-nation you know about that has been prepared, or will be prepared, directly related to this proposal. Crt (�C' A" I I )�l (STAFF COMMENTS) 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. (STAFF COMMENTS) 10. List any government approvals or permits that will be needed for your proposal, :'f 7kwn. ell —JM1 �'- Def le, —Y— Cl—f -1 &a (STAFF COMMENTS) Page 2 of 22 CHUT/10-25-91MASTER 11. Give brief, complete description of your proposal, including the proposed uses and size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. — rD ard t? -, 9-� & J ) Ij C) )) b k / —C L-r 1,0 'eqLic. r ;� LM-� (STAFF COMMENTS) 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide range or boundaries of the site(s). Provide legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. )q�-@4- e — I" P)'?Ce ldfh� 1-3 2,0 ZI 1',Lej LA (STAFF COMMENTS) TO BE COMPLETED BY APPLICANT B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site (circle one): Flat, 6�billy, steep slopes, mountainous, other: (STAFF COMMENTS) b. What is the steepest slope on the site (approximate percent slope)? 15-'�Z-J (STAFF COMMENTS) C.* What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. Pa.,,e 3 of 22 CHKU/10-25-91MASTER rMamr," I (STAFF COMMENTS) d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. /V () (STAFF COMMENTS) e. Describe the purpose, type and approximate quantities of any filling or grading proposed. Indicate source of fill. Alo , P- (STAFF COMMENTS) f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. A10 (STAFF COMMENTS) g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? (STAFF COMMENTS) Page 4 of 22 CHICU/10-25-91MASTER h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: AJ o, (STAFF COMMENTS) MEN W.V1 0 a. What types of emissions to the air would result ' from the proposal (i.e., dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally. describe and give approximate quantities if known. 4/(j (STAFF COMMENTS) b. Are there any off -site sources of emissions or odor that may effect your proposal? If so, generally describe. Al a (STAFF COMMENTS) C. Proposed measures to reduce or control emissions or other impacts to the, if any: jV (i 1%.e (STAFF COMMENTS) 3. WATER a. Surface: (1) Is there any surface water body on or in the' immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. (STAFF COMMENTS) ' CHUT/10-25-91MASTER R i g e 5 o f 12 (2) Will the project require any work over, in, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. /V-O (STAFF COMMENTS) (3) Estimate the amount of rill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of rill material. Aic) (STAFF COMATENTS) (4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. /U (STAFF COMMENTS) (5) Does the proposal lie within a 100-year floodplain? If so, note location on, the site plan. 40 (STAFF COMMENTS) (6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. (STAFF COMMENTS) Pag� 6 of 22 CHKLT/10-25-93.MASTER b. Ground: (1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. ;Vo JSTAFF COMMENTS) (2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals ... ; agricultural; etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. 410 (STAFF COMMENTS) C. Water Runoff (including storm water): (1) Describe the source of runoff (including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water flow into other waters'.' Ifso, describe* --DP 00-14U/Z-t I /- U,-\. 6- gd- -16- S� YZ,6�- Of &R,,' 4 :b C 0 U 'd (STAFF COMMENTS) (2) Could waste materials enter ground or surface waters? If so, generally describe. /VO (STAFF COMMENTS) Pige 7 of 22 CHUT/10-25-91MASTER d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: Aid rp, I (STAFF COMMENTS) 4. Plants a. Check or circle types of vegetation found on the site: —1--deciduous tree: alder, maple, aspen, other: --��—evergreen tree: fir, cedar, pine, other: shrubs -�4- grass _ pasture crop or grain wet soil plants: cattail, buttercup, bulrush, skunk cabbage, other: water plants: water lily, eelgrass, miffoil, other: other types of vegetation: (STAFF COMMENTS) b. What kind and amount of vegetation will be removed or altered? ?10 r r (STAFF COMMENTS) C. List threatened or endan ered species known to be on or near the site. (STAFF COMMENTS) d. Proposed landscaping, use of native plants, or other materials to preserve or enhance vegetation on the site, if any: Page 8 or 22 CHKLT/10-25-93MASTER A.)o /,-t (STAFF COMMENTS) 5. Animals a. Check or circle any birds and animals.which have been observed on or near the site or are known to be on or near the site: A )A birds: hawk, heron, eagle, songbirds, other: mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other: (STAFF COMMENTS) b. List any threatened or endangered species known to be on or near, tbe.site. /W /\-, (STAFF COMAIIENTS) C. Is the site part or a migration route? If so, explain. /V '0 (STAFF COMMIENTS) d. Proposed measures to preserve or enhance wildlife, if any: (STAFF COMMENTS) 6. . Energy and Natural Resources Page 9 of 22 CHKLT/10-25-93.MAS'rER a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used to meet the completed project's energy needs? Describe whether it will he used for he fing, manufacturing, et,& F -le c,; �—,, A - ,-a f , T) , rc- I L *1 1-- 1 — , :- - --iffL"41i (STAFF COMMENTS) b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. /J (STAFF COMMENTS) c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: A)d eLx - (STAFF COMMENTS) 7. Environmental Health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hamrdous te, that could occur as a result of this proposal? If so describe. (STAFF COMMENTS) Page 10 of 22 CHKLT/10-25-93.h,IASTER (1) Describe special emergency services that might be required. (STAFF COMMENTS) (2) Proposed measures to reduce or control environmental health hazards, if any: AiA. (STAFF COMMENTS) b. Noise (1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? A)d (STAFF COMMENTS) (2) What types and levels pf noise would be created by or associated with the project on.a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indicate what hours noise would come from the site. Aj,i 1-- -1 41 (STAFF COMMENTS) (3) Proposed measures to reduce or control noise impacts, if any: (STAFF COMMENTS) Page I I of 22 ClIKU110-25-93MASTER 8. Land and Shoreline Use a. What is the current use of the site and ad.jacent properties? (STAFF COMMENTS) b. Has the site been used for agriculture? If so, describe. (STAFF COMMENTS) C. Describe any structures on the site (STAFF COMMENTS) d. Will any structures be demolished? If sq. Nxhat? (STAFF COMMENTS) e. What is the current zoning classification of' site? n (— — �� (STAFF COMMENTS) Page 12 of 22 CtIKLT/10-25-93.MASrER What is the current comprehensive plan designation of the site? (STAFF COMMENTS) g. If applicable, what is the current shoreline master plan designation of the site?, /,U h. (STAFF COMMENTS) Has any part of the site been classified as an "environmentally sensitive" area? If so, specify. (STAFF COMMENTS) 4k 11 Y No eaAmtr 0/ A v4-cr 6m),,e 6eeA Aurj,� (OS� U Approximately how many people would reside or work in the completed project? (STAFF COMMENTS) j. Approximately how many people would the completed project displace? (STAFF COMMENTS) Page 13 of 22 CHKLT11 0-25-93. MASTER k. Proposed measures to avoid or reduce displacenjent impacts, if any: r (STAFF COMMENTS) 1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: I—L "1 4 �'* S-\d,., 4-Lr, C-4 (STAFF COMMENTS) 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing. (STAFF COMMENTS) b. Approximately how many units, if any would be eliminated? Indicate whether high, middle, or low- income housing. A A (STAFF COMMENTS) C. Proposed measures to reduce or control housing impacts, if any: A/ - A� (STAFF COMMENTS) Page 14 of 22 CHKLT/10-25-93.MASrER 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principle exterior building material(s) proposed? 01 ,a U-1 (STAFF COAIAT.ENTS) b. What views in the immediate vicinity would be altered or obstructed? e4c — &i-- j ,e dij;- L/ I -C 1 4' G snr h tj (STAFF COMMENTS) C. Proposed measures to reduce or control aesthetic impacts, if any: (STAFF COAMENTS) Light and Glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? Aid (STAFF COMMENTS) b. Could light or glare from the finished pro * ject be a safety hazard or interfere with views? Aid I (STAFF COMMENTS) Page 15 of 22 CHKLT/10-25-93.MAS'rCR C. What existing off -site sources of light or glare may affect your proposal? (STAFF COMMENTS) d. Proposed measures to reduce or control light and glare impacts, if any: AJA A -IC — (STAFF COMMENTS) 12. - Recreation a. What designated and informal r itional opportunities are in the immediate vicknity? Aue'gE: 77ee-r- Cte-c- -�C f -r-ct — (STAFF COMMENTS) b. Would the proposed pro.ject displace any existi i recreation uses? If so, describe I Veg - — �+ -,jcjLj( a � C, /L-,. L' 6 0 (STAFF COMNIFENTS) C. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the pro.ject or applicant, if my: A. - 1� A --r "Y F. (STAFF COMMENTS) Pige 16 of 22 CIIKLT/10-25-93.MASTER 13. Historic and Cultural Preservation a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers known to be on or next to the site? If so, generally describe. /lj,/ I (STAFF COMMENTS) b. Generally describe any landmarks 6r evidence of historic, archaeological, scientific, or cultura I importance known to be on or next to the site. (STAFF COMMENTS) C. Proposed measures to reduce or control impacts, ifa '4V X (STAFF COMMENTS) 14. Transportation a. Identify public streets and highw'ays,serving the site, and describe proposed access to the existing street, system. Show on site plans, if any. e"N W P1 (STAFF COMMENTS) b. Is site currently served by public transit? If no, what is the approximate distance to the nearest transit stop? Alt) - -), � I o dc N-c 17 of 22 C1 IKLT/10-25-93. MASTER (STAFF COMMENTS) C. How many parking spaces would the completed project have? How many would the project eliminate? Ab" (STAFF COMMENTS) d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). (STAFF COMMENTS) e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. (STAFF COMMENTS) f. How many vehicular trips per day would be generated by the completed project? If knowni indicate when peak volumes would occur. (STAFF COMMENTS) Page 18 of 22 CUIKLT/I 0-25-93. MASTER g. Proposed measures to reduce or control transportation impacts, if any: (STAFF COMMENTS) I 15. Public Services a. Would the pro ' ject result in an increased need for public services (for example: fire protection, police protection, health care, schools, other)? If so, generally describe. -/V A (STAFF COMMENTS) b. Proposed measures to reduce or control direct impacts on public services, if any: (STAFF COMMENTS) 16. Utilities a. Cir utilities urrently availa"the site: e ectricit SG� ephone Litarytsewer sewer septic system er- c. (STAFF COMMENTS) Pa.-e 19 of 22 CHKLT/10-25-93.MASTER b. Describe the utilities that are proposed for the pro ' ject, the utility providing 'the service, and the general construction activities on the site or in the immediate vicinity which might be needed. Flec,j -,,-C,� I - Q�4 V-/ 4- :2. a., 4 � " - - 6,11 — Q*=&Z 0 A) 1� ---/ r (STAFF COMMENTS) C. SIGNATURE The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to m M— -- Signature of Proponent Date Submitted d L/ 6A � TLa gq C/ ('r e- /I, e -,:f d Ojwjj� X/ P rl�\ (S e ,-n k dt—d Yx 64 re j )�rj e)"'- I /in L/- I ('D L F U le /�l A- le 9:54, � 1. Page 20 of 22 CHUT/10-25-91MASTER D. SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (do not use this sheetfor project actions) Because these qu ' estions are very general, it may be helpful to read them -in conjunction with the list of the elements of the environment. When answering these questions, be aware of the extent the proposal, or the types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1. How would the proposal be likely to increase discharge to water; emissions to air; production, storage, or release of toxic or ha7ardous substances; or production of noise? Proposal measures to avoid or reduce such increases are: A 2. How would the proposal be likely to affect plants, animals, fish, or marine life? Proposed measures to protect or conserve plants, animals, fish, or marine life are: e, 3. How would the proposal he likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources are: Pagc 21 of 22 CHKU/10-25-91MASTER 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection� such as parks, wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are: 5. How would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? Proposed measures to avoid or reduce shoreline and land use impacts are: 6. How would the proposal be likely to increase demands on transportation or public services and utilities? :z:;L (�'Jo CAdj Proposed measures to reduce or respond to such demand(s) are: 7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. I . /1 j Page 22 of 22 CHKLT/10-25-93.M ASTER CA FILE NO. Critical Areas Checklist SiWJiifdiiii6on (soils/topography/hydroloi!v/vegetation) Site A on K. Account Number 1 T — C .8 ��T_ 000/ 3. Approximate Site Size (acres or square feet): I I I - . - - Retelvet) 4. Is this site currently developed?. i3yes; no. If yes; how is site developed? ..MA Y R. N., �12 1996 5. Describe the general site topography." Che6k all ihat apply. rER 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 presentonsiteof morethan 15% and lessthan3O% (avertfcal 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). %v Other (please describe): 6. Site contains areas of year-round'standing water: Approx.,Depth:. 7. Site contains areas of seasonal standing water: A10 Approx. Depth: What season(s) of the year? 8. Site is in the floodway AID floodplain /V 0 of a water course. Site, contains 1A.Creek or an area where water flows ross the grounds surface? Flows are year- round? Flows are seasonal. 00 (What time of year?. 10. Site is primarily: forested meadow shrubs mixed urban landscaped (lawn,shrubs etc) 11. 0 bvious wetland is present on site: For City Staff Use Only Site is'Zoned soil type(s)?, 5 - AWL�&-Uam -3..' Wetland inventory or C-A. inap indicates wetland present on site? 6 4�*-*--: Critical Areas inventory or C.A. map indicates Critical Am on site? .5.*::-.- .-Site within designated earth subsideno6 landslide hazard area? AN designated on the Environinentally Sensitive Areas Map? yis - WAkl- Fn,,remyf- �DETERKINATION. SrUDY REQUIRED CONDITIONAL WAIVER' WAIVER - 7. -Reviewed by: Qlanner Date- r Itcv0110094 0190-199 Ci - of Eduon& ty k,.,Critical Are'as . 'f'. c hecklist 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. Ile 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, RECEI 'MAY' 1999- and submit it to the City. IMe City win review the checklist� make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development per�mit 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 (eg. site plan, topography map, etc.) or studies in conjunction with this Cheddist to assist staff in completing their pr,elimmary 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 Wow). Owner / Applicane Do-n-us M - ft��FaJde-, Nam Street Address 0 1)-..) 'n d � City, State, ZIP Phone N�ture Datd:..-. Applicant Representative: &V Nam Street Address City, State, ZIP Phone Signahm, Date A NOTICE: .-------N-o--war-ra--nty--of-a-ccu�ra-cy.---- The information'shown on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of �Edmoncls does not warrant the accuracy of anything set forth on t hese map(�_). Any person or entity -requesting a copy should conduct an independent inquiry regarding the information shown on tf�e -map(s), including, but not limited to, the 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 ernp-l-o-yee-s o-r office-rs -sh-all be Hilab-Ife for tthe information given on this map(s), nor for any one representation provided based upon said map(s). - I* .�The City of Edmonds STREFFfUs S11DE SEWER NEW CONSTRUCTION �A"ZEPAIRS 0 OWNER--- ...... ........ -0 ..... ........................................ LT e ---E 7-- .� >7 ADDRESS ...... .. ......................... 9 LYNN PLANT ...... ... ........ EASEMENT No . ................ CONTRACTOR............. C..) ... .............................................................. PERMIT No. LEGAL DESCRIPTION: LOT No . ................ IIJ ...................... BLOCK No . ............................................ NAME OF ADDITION ........................................... 2 1'e ...... 4 f �� ........ & .... ... ... . ............... 1171--- 1 - 't r? Z21�-6,g tjf-57" Approved: Ga, 9 IVJ 7- 7 -e� DATE ... By ...... 3-'Jo -�.EPMONDS CITY_;!OF whin - work Call. Pllo4ipect 6-1i07 CENTER —MATER-SEWER DEPARTMENT — Is, r",.-!oy Inspection, �:(Tio-jlnspec- :0. N., 1574.' ons Sat -or 11 ."M prday, supo V� ii6lliiai SIDE--- -SEWER-PERMIT ADDRESS.* .......... .......... 1U.Q7 ... .................................. ............... ................................................................. Ji ........................................ :CONTRA OWNER.. arry.3...:..S.te.a.d owi .............. Qwnar ............................................... ....... 'Per"ision is granted,.,. ay Tebmtiary.....6 ............... ighT., for . ....................... d ' s, to REPAIR or CONNECT side Sewer with City.se,wers 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 po,employed to construct side sower in street area. Do not cover any portion of sower. before it has been Inspected. NOTE No. 2-015tain full. Information regarding 'Ordinance 11.1 6.03.0 and Regulations governing sidle sewers when you get permit. NOTE -No.. 3�Top. of side sewermust 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 stre . et 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 with.fn,one year of completion. 'E 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 ap- purtenances except to insert the pipe into the wye. PLANNING DATA SITE ADDRESS: 19 -7 0 -7 - e 1 6-' P1, W. -DATE: ZONING: PLAN CHK#: V6 - 96, PROJECT DESCRIPTION: k_d 12-' - 2,0' A- CORNERLOT Afo -(Yes/No) SETBACKS: .Required Setbacks: -7 ��' Right S . ide: I Front: 25' Left Side: Rear: P�r' Actual Setbacks: -:� Front: - � ?-' Left Side: ",� .50,' Right Side: 7k2- Rear: 25-, Street map checked for additional setback required? g4 Oz- s6rip,,gu) (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED 1`0 (Y/N) LOT COVERAGE: III It, S 4 7-44 96 ?5- 1 19 '7. Maximum Allowed: Actual: BUILDING HEIGHT: PS-1 �-- "te.,55 "I S. Maximum Allowed: 4�� Actuallel ht: I0' Datum Point: No- Wwn (ac,�nl Datum Elevation: 10o' SUBDIVISION: CRITICAL AREAS #: % - 91 - �JA-V,�r SEPA DETERMINATION: DNS - �iW -� 61(o194. I . LOT AREA: 9& 2,5 6 OTHER: Plan Review By: