20206 83RD AVE W.PDF111111111111
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20206 83RD AVE W
NOTICE:
Nb-warranty - 0 T d- U (-� U.,I..d �' Y.
The Information'shown on the attached
map(s) was compiled for use by the City Of
Edmonds, its Employees and Consultants.
Th,e City of �Edm.qnds does not . wa rra nt the
accuracy of anything set forth on these
map(§-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform-ation shown on
_tFe -map(s), including, but not limited to,
the lociation 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
emp-l-o-yee-s o-r officle.rs -sh-a-1-1 be 11a.b.-I.-e for the
information given on this map(s), nor for
ation provided based
any one represent
upon said map(s).
IVA
APPLICATION
for
The City of Edmonds SIDE SEWER PERYaT
NEW CONSTRUCTION REPAIRS 0 EASEMENT No . ..........................................
:Nd?> L-to 17
OVVNER .... ....... MULLrKN .................................................... CONTRACTOR .... R.4;5�14 ......
............... ...................... PERMIT No.
S54-r
ADDRESS LEGAL DESCRIPTION: LOT No BLOC
----- so
MCIMW40 45b 0 V*4 0 SAC% 12
NAMEOF ADDITION ... ................................................................................................
1�1
ly 0%
v ........ 13EY ---
4 At
APPLICATION
for
The City of Edmonds SIDE SEWER -PERMIT
NEW C40NSTRUCTION —REPAIRS EASEMENT No . ...........................................
PE T No
OVVNER _/9fr -------- .......................... CONTRACTOR IJEV ............
ADDRESS ...............
....... LEGAL DESCRIPTION: LOT No . ........... ---------------------------- BLOCK No . ............. __ ...........................
NAME OF ADDAIIONA ------- 41_,J�r ----------- zvn-0.7
---------- c .......... --- 5-7s -- ----- -----
...............
MAY 2 1 973
Approved:
DATE................................................ By .......................................................................
CA FILE NO.
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
I Site Address[Location: C.):� 0
R & q—
V C.
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet)` 0,01)
4. Is this site currently developed? _yes; no.
If yes; how is site developed? / 5LL
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
Z C
Z, horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
1 0-feet over a horizontal distance of 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 standing water: �J Approx. Depth:
� i-
7. Site contains areas of seasonal standing wpler: Approx. Depth:
What season(s) of the year? _ U
8. Site is in the floodway �J \) floodplain tj 0 of a water course.
9. Site contains a creek or an area where water flows a4ross the grounds Surface? Flows are year-
round? Flows are seasonal? L) (What time of year9 Y",
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: X)o
DETgRMINATION
^ca-chk,doc; Rev 10/03/97
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, 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:
Name
�J
Street Address
9
city State Zip
Telephone
Jx"Oi—L
Signature
1 /2 Jq'--1
Dat6
c:recepdon\jana\cacJ.doc
Applicant Representative:
Name
Street Address
City State Zip
Telephone
Signature
Date
(over)
BARBARA FAHEY
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
April 27, 1999
Charles R. Warner
20206 83rd Ave. West
Edmonds, WA 98026
Subject: Determination regarding Critical Areas Checklist # 99-116
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 CHECKLIS OR CRITICAL AREAS STUDY,
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
mo, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL 40
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Enc: Critical Areas Determination
* Architectural Design Board
Thank you.
Sharla Graham
Planning Secretary
C:ReceptionWana\CRLTR.doc
Incorporated August 11, 1890
Sister City - Hekinan, Japan
CITY OF EDMONDS STREET FILE
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
SEPTIC TANK INSTALLATION PLAN
(Submit in Triplicate)
ADDRESS OF PROPERTY .....
..... . Permit NoJ.8�7 .......
.............. . . ...................... Lot No ..........
Owner- Address �2-0�Z 0 6. .. ............. Phone .... ..................
Builder--.- .......... Address..-. .................... ........................ .................. Phone ...................... _
Designer_ --- --------- ----------------- Address ---------------- ................................................... Phone ........................
Installer--- ;rIVA ---------- Address ........................... ................................... Phone ........................
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 ................
. ....... ... ------- ....... ................ have been complied with.
'd,
........................................... -
Signature of-D, Dat'e
TO BE FILLED IN BY CITY ENGINEER ONLY
Accepted...... ........... . ... ................. ............ ... Date ....... .......................... _ ...
NotAccepted ............. ........... ............... .............. Date ..................................... ..
Signature of Sanitarian ........................................................................................
Remarks: ............................................................. ....................... ........................................... .......................................................
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 liarin the action of the septic tank and
disposal field.