20131 MAPLEWOOD DR.PDFIII I lill i iiiiiii
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20131 MAPLEWOOD
DR
City of Edmonds
Critical Areas Checklist
The Critical Areas ChedWst contained on
this form is to be filled out by any Person
prq)aring a Development permit
APplication for the CitY OfEdmonds prior
to his&cr submittal of a development perinit
to the city.
1"he PurPO-'1*4,of the Checklist is to enable
City staff to determine *hethcr my potcntial
Critical Areas arc Or May be present on the
subject PrOPCIrtY, 7110 information needed to
cOraPldc the Checklist should be easily
available from Observations of the site or
data available at city IbIl (Critical Areas
inventories, maps, or soil surveys) -
An applicant, or his/her representative, must
fill out the checidist, sign and date it, and
submit it to the City- The city will review
the chccldist, 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 for., the
applicant Should also submit a vicinity map
of the parcel with enough dcWl that City
staff can find and identify the. subject
parcel(s)- In addition. the applicant is
encouraged to include any other pertinent
information or studies in conjunction with
this Chccklist to assist staff in completing
thcir 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 outthe appropriate column below).
Owner / Applicant:
Kent M-
Name
Owner
Title -
201131 Maplewood Drive
Street Address
Edmonds, WA 92029 744-1144
City, State, Zip Phone
LE-,IUna--U9 3
Ignature Date
Applicant Representative:
Name
Title
Street Address
City, State, Zip
Signature
Phone
Date
L
Critical Areas Checklist'
Site Information
ProjectName. N/A Permit Number. N/A
SiteLocation:20131 Maulewood Dr. Property Tax Account Number. 6981-000-005 & 007
Bdingnds, WA
Approximate Site Size (a�res or square feet): 25,700 qq- fl-
Have you filled out a Critical Areas Checklist for a project on this site before?
General Site Conditions
1. Has the site been cleared or logged? Y,- _-, Date of most recent -action: _Unkaawn
Soils / Topography
2. In the Snohomish County Soil SurvM what is the mapped soil type(s)?
3. Describe the general site topography. Check all that apply.
X Fla less than 5 feet elevation change over entire site.
Rolling: slopes on site gencrally less than 15% (a vertical rise of 10 feet over a
horizontal distance of 66 feet.)
)ffilly: slopes present on site of more than 15% and less than 30*/,p a vertical rise
of 10 feet of horizontal distance.)
Steep: grades of greater than 301/a present on site.
Comments-
Hydrology/Vegetation
4. Site contains areas of year-round standing water No
5. Site contains areas of seasonal standing water. Nn —Approx. Depth:
6. Site is in the floodway No floodplain No of a water course.
7. Site contains a creek or an area where water flows across the grounds surface?. —11aflows
are year-round? _XQ__Flows are seasonal? Nn
8. Site is primarily: forested : meadow shrubs _ ;mixed
9. Obvious wetland is present on Site- Nn developed residential
10. Wetland inventory or map indicates wetland present on site: No
11. Critical Areas inventory or map indicates any Critical Area on site: No
Y
eg"U"Ir,
DIT MA Gl_ -a
r
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etermination.: u e Reviei
N
flann
_R,cY'3/2.7n2-
OWNER
ADDRESS
-Ili Pof Ermonds
APPLICATION
for
SIDE SEWER PER3HT
NEW CONSTR-UCTION E]
REPAIRS —D bi�� kA EASEMENT No . ..........................................
--------------------------------------- --------------------------- PERMIT No. :3.1?
LOT No . ..... --------------------------------- --- BLOCK No. ....................
.............. 1_� ... ......... .........................................
---------... ........ -ce .. i_�. .. . ........................
CONTRACTOR ..........
LEGAL DESCRIPTION:
NA /e ik,
ME OF ADDITI ON .... !!� .. . .............................
�,A
........................... ............ .................
-k I
APPROVED
AUG 211969
Approved:
DATE - - ----------
C
ITY OF EDMONDS
-C Call PRospect 6-1107 when work
10�0 T R WATER -SEWER DEPARTMENT
Is ready for Inspection. (No tnspec"
tions Sa.turd&j, Sunday or hoildays.) N2 3398
-�'_SIDE SEWAK PERMIT
k -ADDRESS ......... ...... 20131. Mqp�Kq!�4 ... Drive
................ .... ........................................................................... ..........
.........................................................
V. F.'Edwards
VIVNER ........................................ : .....................................................
CONTRACTOR ....... �cy...Allen
. ...........................................................
[..PerhiiSsion is granted ............... _21 ..........
19.C)9.., for ........................ days to REPAIR or CONNECT a side sewer
With City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO T14E FOLLOWING:
NOTE No. I —The owners of the property may obtain a permit to construct sewer inside Property line. A licensed Side Se . wer Contractor must
be employed to construct side . sewer In street area. Do not cover any portion of sewer before it has been inspected.
N ' OTE No. 2—Obtain full Information regaxding Ordinance 11.16.03D 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 oi 2%.
No bonds 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 devel6p within one year of completion.
NOTE No. 6—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.