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20229 83RD AVE W.PDFiiiiiiiiiiii 7740 20229 83RD AVE W CA File No: Icq Critic a*l.Areas Checklist Site Info* rmation (soils/ topography/ hydrology/ vegetation) 1. Site Address/ Location: =t) 9,3rA AVE (AJ , ed&mds W4- 2. Property Tax Account Number: t3f-L CIDO. an 07--� 3. Approximate Site Size (acres or square feet): Q�Ut, 4.* Is this site currentlydeveloped? I yes; no. if yes; how is site developed? Jib-M' 5. Oescribethe general site topography. Cbeck 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 10-feet over a horizontal distance of less than 33-feet). a7uca-e'ku .,Other (please describe): ri-�t 0 A-d' ov 7 5Z 6. Site contains areas of year-round standing water: Approx. Depth: 7. Site contains areas of seasonal standing water: 140 Approx. Depth:. What season(s) of the year? 8. Site is in the floodway floodplain 140 of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? N 1) Flows are seasonal? (What time of year? 10. Site is primarily: forested meadow ;shrubs n-dxed urban landscaped (lawn, shrubs etc) 11. Obvi us wetland is present on site: For. City Staff Use Only 1. Plan Check Number, ff applicable? 2. Site is Zoned? 3. SCS mapped soil type(s)? TA? .4. Critical Areas inventory or C.A. map indicates Critical Area on site? Site',��il:hin designated earth subsidence landslide hazard area? /yo DETERMINATION WAIVER Reviewed - Critical Areas Checklist.doc/4.22.2003 ,�JWaO_o i UVAVL City of Edmonds Development Services Dep*artment Planning Division Phone: 425.771.0220 Fax: -L;. I b� 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 the application 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). Date Received:� 0�_ q— 0 V City Receipt#:, Z Critical Areas File M Critical Areas Checklist Fee: $135.00 Date Mailed to Applicant:. A property owner, or his/her authorized representative, must fill out the checklist, sign and date it, and submit it to the C ity. 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 assistant staff in completing their preliminary assessment of the.site. The undersigned applicant, and his/her/its heirs, and assigns, in consideration onthe processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's fees, an' sing from any action or infraction based in whole. or part upon false, misleading, inaccurate. or mcomplete information fumished by the applicant, his/her/its agents or employees. By my signature, I certify that the infort-nation and exhibits herewith submitted are true, and correct to the best of my knowledge and that. I am authorized to file this application on the behalf of the owner. as listed below. SIGNATURE OF APPLIcANT/AGENT DATE Property Owner's Authorization. By my signature, I certify that I have au thorized the above Applicant/Agent to apply for the subject land use -application, and grant my permission for the public officials and the staff of the City of Edmonds to enterthe subject property for the purposes of inspection and posting attendantito this application. 9,IGNATURE OF OWNER PLEASE PRINT CLEARLY —A Owner/Applicant: SiLUA- Name 2-0 =C1 Street Address JA rm VJA —196ya City State Zip 4 Applicant Representative: Name Street Address city State zip elephone: V CAI lephone: Email address (optional): Email Address (optional): Critical Areas Checklist.doc/4.22. 2003 /Va r -A i f f, N I V APPLICATION for SEDE SEWER FERMT NEW CONSTRUCTION E] REPAIRS E] OWNER(,..r: . ............ ----------------------------------------- ADDRESS ... . ... ... k3 ..... /Ay --- - ---- w ------------------------------ $C4 4lbs C 9 El EASEMFIqT No . .......................................... k1 CONTRACTOR �/-A/& .. IAZ�0-0 --- C/ ------ . . . ......... PERNUTNo..... LEGAL DESCRIPTION: LOT No . ..... 3-2 .............................. BLOCK No . ............................................ 14! NAME OF ADDITION ....... ............... 11.3.,� ................ . ........................... Approved: -------------- mmwwsl-., ............ -paiaititum to3q slaq uopo;)dsuT jpun qof atil uo 3auld shon:)Ttisitoo Ajquuosr;).i u ui p1sod �)q 11Uqs 111U.1od siq'L ............................................... Qj<[ ------------------------------------------------------------------------------------------------- d'jNf)jSUCj -do NVj-dV'LjNVS ............................................................................ ................ ................... ..................................................................................... .................................................................................. Aq ---------------------- :1.1 .............................. ! ......... 31�(j E] P;)AoiddUT(j P;)AOlddV ............................................................................ j;)jpjsuj jo DinpauRT ............ i ..................... alua -stiotInjosa-a spuowp[g jo A11D aqj jo suo!siAoxd Ilu I.111m saildwoD puv 10.111,103 PUU UOISIAJodns Aw japun pallv1sul sam walsAs spil Ajjjaaz) Aqaaatl I NVIUVIINVS X0 X3NOISHU Aff (IaAO'dddV allOJUH 119AOD JLONI OU ;)nssT jo ;)jup -Luoij ie;)A auo sz).xifto uwi;)d ................................... ................. uo - 3nssi. 31-e( P I .................................................................... ..... ................... I ........ ....... ................... ........ v tu;)isAs jusodsip QBam�)s jiudzu ---------------------------- ....... /jjUjSUI 01 p3ZT.Iotpnu Aqai;)iq si DWEN ......... i�';; ...... ON slioM iiiqnd jo ju9wjit3d9Cj saNOW(13 dO Ail:) 11W�13d IVSOdSIG 30VM3S ........... ...................................... 131410 .1i -bs ...... 0 4 ............ ppij -dsiCI -SIU2 .......... w& ........... 11,1131 oildoS CITY OF EDMONDS Call PRospect 6-1107 when work CIVIC CENTER— WATER -SEWER DEPARTMENT Is ready for Inspection. (No Inspec. tions Saturday, Sunday or holidays.) N -0 3470 SIDE SEWER PERMIT ADDRESS................... 2.0.2.2.9 .... .... Urd..Ayewue ... We.�;.t .................................................... ................................................................ OWNER .............. Grace Wall ................................................................................ CONTRACTOR ..... �ypn.w_oo.d .... S.e.y.e.r..-Con.s.t.r.u.ct.i.on... Pei -mission is granted ....$!�pt ' emb ' er ... 2 ' 2 * ......... 19 .... §.91 f , r ........................ days to REPAIR or CONNECT a side sewer . v.4 th City Sewers in accordance with application oil file and governing ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. I —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 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 3—Top of side sewer must have at least 30 Inches coverage 9.t property line and 12 Inches inside property line; minimum grade of 2%. No bends in grade sharper than 1/8 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. 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. 66-224 STREET FILE CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington SEPTIC TANK INSTALLATION PLAN (Submit in Triplicate) ADDRESS OF PROPERTY ....... .2.0.22.9...-1..8.30 ... W. � ..................... ­ ............. ...... Lot No..NY232 ........... Permit No .... 2.58 ........... . .. .... .. ... .. .... .. .......... .. ..... p9thell " t list Jim Condell t NE I' I 11�; 11:' Wn. Hu Owner ----- -------------------------- ------- ­ ................ , Address .15.51-8­7 P11S ------­------­ ---- ....... ....... Phone ......... O�-70�394 k-.-' Builder- ------------- - ­­. .......................... . ­1 ------ ---- Address ------ ­­ ............. ----------------------------------- .... Phone ........... ............ M.B. Meyring P.O.Box 32 - Lynnwood, Wash PR8-3101 Designer......... ­­ - ------- --- ­ -- ----- --- ---- ------------ ...- Address ------------------------- ......... ............................ Phone-. ...................... Installer. ...Lynnwood Se tic Tank .......... Address.- Lynnwood, Washington ­ --- .................... P ---------- ­ ........... .: ---------------- ­­ ----------------- ................ 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 scwa--c disposal system permit application dated ....... -------- -- ---------------------- ..-have been complied with. .... ...... . ----------------­ ? . �0 . '.1 .1 ............ ........................ ...... Signature of Designer t� TO BE FILLED IN BY CITY ENGINEER ONLY Accepted ------- --------- ----­-------- ... ............ ... Date ........ NotAccepted ................................ .......... .. .... Date. ..... ­ .......... ....... ............ LEIF R. LARSON, P.E. Signature of Saftitwim ..... ---------------------- EDMONDS C�IY ENGINEER Remarks: ---- n- ...... ........ - ------- .. ............. ............... 1-7 k..' . . . ........ ­­ ......................... ........... ............................................ I .................................... 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: I . 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. 3. Deter-ents and bleaches used in normal household quantities will not harin the action of the septic tank and 0 disposal field. As - Built Sketch 'IVA 31'a rA)wrm Owrer: npsifjr�er: Jim rondell tY-,. Lot 32, rast rdriDnds Acres #2 V1, p OL) eyrii.g 15518 - Olst NE P.O. Box 32 Bothell, Wash. F'DliL)r!f)S WAS11. Lynrwood, Wash. OrT. 1966 Installer: perudt No. 2513 Lynnwood Septic Tank Lynt-wood, N'ash. -3 0 0 e�� /V 8',? OD 7- 3 ;,- 3�� to k� z9-4 .00, 6N 1000 PP VE b L VVA/ (lux IV '17, VV :5 04- /8 900 gal. S.T.' '"rench f7l�� 3 ft. 4-00 sq. f t. ".eyring Surveyors. Ii.c. Fdraoi.ds, Wash. P11. $r6O-224 CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permitto be issued to: ............. ...................................... ........... For installation at: (street address)... .... 4�z'z�q ...... e.'� W_ ... /I/ .................... ................................................... Addition or Subdivision ............ East. -Edmonds.. Acres. 42 --- - ------------_------ Rj�F ............. Lot ... 3P - -------- Block ................ Type of Building: New ... X .... ... Existing ......... ... Single family -residence ....... X ...... Number of* bedrooms... .... 3 . ...... . __ Other: (specify type or use) ...................... -----_-_--- __- _ -------------------------------------------------------------------------------------------------------- Builder ... Jjm..rondej.j ............... __ ....... ......... .................. Address .... 15518 ----8.lst--1F_.-Bo.the1l ... ?,SrQ2(( ............ Designer...11.3...-I&y.ring --__----- ...... ------ ......... Address.. � .23)423 Mway ... 99 .. Edmonda ................... ........... ff Soil Log Hole No. 1 ------ 0-148. . sandy -grave 1 - loam SoilLog Hole No. 2 ................... Sarm ------------------------------------------------------------------------------------- ............ ............................... Elevation of Water Table, if encountered. (Distance from ground surface) . ... ... nnne .......... ........ ................ ............. Corrections to control surface water if needed .......... _ &V a. 1. e ... 1<>t ... lines ......................................................................... Specify if any removing or grading of topsoil in field area— ...... No.. f.urt he. r ... grading...allawud...in --- dr-ainf iald ..................................... 4?X-ea'� ........................................................................................................................................................ Percolation: Test Hole No. I —Average Rate. ........ _6 ....... __ ........... .... . (Fall in ininutes/inch-bottom 6" test hole) Test Hole No. 2 —Average Rate ............ 6 ................................... ...... (Fall in iiiinutes/inch-bottom 6" test hole) Test Hole No. 3 —Average Rate_. ....... 6 ................... . ......... .. ....... (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design .... 6 ......... . Date Taken -- Septic tank requirements based on present rules and regulations: Septic Tank Size ... 9QO .................. gallons. Amount of Square Feet of Disposal Field. ........... 4 0_0_ Signature — Designer ......... ----------------------- .... ................ .. ................. Date ....... 8/8/66_.. ­ -­--------------- ............. _ ....... DO NOT WRITE BELOW THIS LINE __ (To 6e/ompleted Iry Issuing Agency) Permit issued (date) ... ........... .......................... Permit Number ------ ?�� "--.0 . .......................... Remarks: .................. . .. ..... ....... ................... ... . ........ ..... ... ...... 'd Of- 8 �J 110,?=O/ :alo-25 I I Ire, z/1 -N .ul/v.tw q -e# luf/,Ulw -� -,-4* 14* C, 0 - 1-n m.L1.68 N IV AVAA311I.N(T 101 -IVY oe I- �01 6 6 /W loeL-� &F Zoo 6Z os Ilm of ML City of Edmo SIMEET FILE City Engineer's Office COMPLAINT REPORT Report No. Referred to for Action. Leif Larson Time Date 5/7 Received By R. French Time Date 5/6 Made ByMiss Grace Wall Address 20229 - 83rd Ave. W. Tel.MA 2-0920 Ex 22 How Received: Letter xx Telephone In Person Nature of Complaint: She lives on a street that: is unimproved & during sewer construction the street has become very muddy, particularly at her property as k she is in a low spot. When the grader goes through, they park all the mud on her place. I referred this complaint to Reinhart to see if the contractor would put the gravel back that was there previously. He said they would take care of it that same afternoon. She further asked about street improvements. She really ian't interested in going to the trouble of getting a petition. She wondered if a little bit of fill couldn't be put in her area to help relieve the problem. (as a matter of interest, she lives next Describe Action Completed: door to Jim Easter's unplatted property). I called Miss Wall and explained to her the problem of drainage and hopes to be able to Me care of the drainage as soon as money is available. She mentioned tFa—t some gravel was �rought in but still not enough in her area and is not sufficient to Time Date Completed By Location Sketch: NOTICE: Nb---Warranty OT acculd�'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.onds does not . warrant the accuracy of anything set for.th on these rnap(�_). Any person or entity -requesting a copy should conduct an independent inquiry regarding the inform"ation shown on -m a p (s), Including, but not limited to, th-e loc'ation 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 empto-yee-s o-r offiCe-rs -shall.l be liab.-Ife for the i n information give on this rnap(s), nor for ion provided based any one representat' upon said map(s).