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HEIGHT CALCULATION:
97.34'+97.34'+99'+99'=392.68'
392.68/4=98.17'
98.17+25'= 123.17'MAX. HT.
LOWEST FOOTING ELEVATION = 96.17'
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Plot Plan QWNER/CONT-P?��ICTOR IS RESPONSIBLE
Scale: I" = 20 ft FOR EROSION CONTROL AND DRAINACE
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SITE ADDRESS:
APN: 0056110000-0200
date
stuart mcfeely, architect
21432 86TH AVE WEST, 98026
ROWES ASS BLK 000 D-00 LOT 2
PMCM d63 bt.,
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FApplicant shall repair/replace all damage to
-place &
u tilW
Iss or froil. ts
,ao
tilaiss or froji,,age improvements in City
right-of-way pot C;:,,,,i,-,tnndards that is caused
,w orOL1.1 during tho permitted project.
APPLICATION
Jhd City of Edmonds STREET FILE for
SEDE SEWER PEUrMaT
NEW CONSTRUCTION REPAIRS
EASEMENT No . .....
OMrWNER. ..................................... CONTRACTO I R ZY !!�.4.)
..........
LEGAL DESCRIPTION: LOT No. ...............................
ADDRESS .......... .......... . ....
NAME OF ADDITION ... ..........................
NOTICE- NO WARRANTY OF ACCURACY The Information shown on the
afteched map was compiied for use by the City of Edmonds, it,6 employees
Mr - -7-
, "Ttffn'
I=s:—TtTe-CftTWldmorWT4ws-biDtVarrart- t V 01
anything set forth on the map. Any person or entity (eques'17,0 a Copy
shc:':--1 conduct an indepeiident Inquiry regarding the Information shown on
the map, includ',ng, but not limited to, the location of any se%-.cr stub
shmia. Suc!l snvei stubs may ormaynot e)dst and mayormly not cist at
the IoLat*on shown, Neither the City ot Edmonds nor Its employee., ot
officors sh:�,! be liable fo:- the infumation given w this map, noi for any orz!
representation provided based upon said mp
--jxn
000
60
........ PERAUT
BLOCK No. ..4jif . ........
...............................................
Approved:
DATE ... 69b
...... .............. 67 .......... ;By�-
jAj0jP'(t(
.)Veo
d7
City of Edmonds
of rl)-Af
Site Classification Worksheet APR 2 L 2M
Page 1 of 2
CT1
CiTY OFF E00.10NDS
The project's Site Classification will dictate the specific stormwater management
requirements applicable to your site. Completing this worksheet will help determine the amount of
regulated impervious surface and whether your project falls into the classification of a Small Site
(Category I or Category 2), or a Minor Site. Please reference the Glossary (1212. 10-11), Figures Q and
E, (pp. 8-9), and Examples (pp. I I - 12), to assist with completion of this worksheet.
1) Is Permeable Pavement' Proposed For Use on this Site? Yes No
Refer to Stormwater Supplement Chapter 5.1
If YES, the subject area is to be considered impervious for initial site classification purposes. Include total
permeable pavement area in the calculation of Non -Regulated, Replaced and/or New impervious surface
areas in the table below.
2) Determine the Amount and Type of Existing & Proposed Impervious Surface for the Site
Refer to Stormwater Supplement Chapter 2 and Fig. C
Line 1: Identify the Non -Regulated Impervious Surface Area.
Line 2: Identify the Replaced Impervious Surface Area, dividing the total between Exempt and Regulated; either or both
may be zero. Note: For project classification purposes, Replaced Impervious may only be considered exempt
under certain conditions. Refer to the Glossary and Figure D.
Line 3: Identify the New Impervious Surface Area for your project. All impervious areas created post -July 7, 1977 or
after the date of annexation into the City are regulated & should be included in this total unless they can be
categorized separately as a Replaced -Regulated area.
Line 4: Enter the sum of the total Replaced -Regulated plus the total New impervious areas.
Line 5: Identify the total area currently mitigated by an existing city -approved stormwater m anagement system.
Line 6: Enter the sum of the value in Line 4 less the value in Line 5 to identify the total Regulated area in which
stormwater controls have not yet been applied.
Line 7: Identify the total area proposed to be mitigated through the use of Low Impact Development Techniques.
Line 8: Identify the total area proposed to be mitigated through conventional Stormwater Management Techniques.
** Provide a copy of the following table on the drainage plan sheet for the proposed project **
Line
Type
Area (square feet)
1.
Non -Regulated
2170
Exempt
Regulated
2.
Replaced
0
0
3.
4.
.
New (Post 1977) 444 4 4 4
-- - - - - - - --- -
Total Regulated Impervious Area
Mitigation required if in excess of 20 Osf
...............................
+
.
372
372
5.
6.
Total Area Mitigated by Existing Stormwater Management System(s)
--- Regulated Area Not Yet Mitigated
0
1372
7.
Area Proposed to be Mitigated by Low Impact Development Techniques
N/A
8.
H
Area Proposed to be Mitigated through Conventional SWM Techniques
N/A
I (e.g. porous asphalt, porous concrete, paver blocL-,, concrete open celled paving grids, or plastic lattices filled with turf or stone)
Revised on 310512012 E72-SWM—Erosion—Control-03.05.12.doc 7a 7
FREE RHE
OV EL)4f
City of Edmonds
Site Classification Worksheet
APR 2 23 14
Page 2 of 2 �t:L.A-,.; I SE.,V;tES CT11.
Cn. y &: munAlf)(1,
3) Determine the Total Area of Land Disturbing Activity -7
350 sf
Refer to Stormwater Supplement Chapter 8
14) Determine the Quantity of Grading, Fill and/or Excavation 1-2 cy
5) Will the project convert 314 Acre or More of Native Vegetation to Lawn or El Yes El No
Landscaped Area?
6) Identify the Watershed the Existing Site Runoff Discharges to SHELL CREEK
Refer to Stormwater Supplement Chapter 2.3
Based on Site Location and Watershed Map — Figure-C. Check all that qpply.
A. F-1 Direct Discharge B. 0 Creek or Lake Basin
o Edmonds Way Basin
ci Puget Sound Basin
o Puget Sound Piped Basin
DETERMINE PROJECT CLASSIFICATION USING THE INFORMATION ABOVE
AND THE PROJECT CLASSIFICATION CHART (Figure B, pg 4)
El Small Site - Category 1 El Small Site - Category 2 ;/Minor Site
Stormwater Supplement Stormwater Supplement Stormwater Supplement
Chapter 5 Chapter 5 Chapter 6
Revised on 310512012 E72-SWM—Erosion—Control-03.05.12.doc
STREET FILE
Page 6 of 12
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
=FILE
Name:
Date:
Site Address:
Plan Check #: 2o t y 0
Project Description:
Reduced Site Plan Provided: (YES NO)
Zoning:
Map Page;--�—
Corner Lot: (YES 10
Flag Lot: (YES
Critical Areas Determination #:
k aa= IQ C
Study Required
NLwaiver
SEPA Determination:
Exempt
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Required Setbacks
Street:
t5--
S
7�
Side:
Rear:
ActualSetbacks
Street:
Side. -7-
Side:
Rear:
RL Detached Structures: 5-/ke C/V- /'Ja/ calne-
El Rockeries:
R-Z!�Ps/Trellises: uA- 57o L� 3 '1 or -#1 op
El Bay Windows/ Projecting Modulation:
E�-Stairs/Deck: 01�r-
Buildin Height
Datum Point: datect/wy
Datum Elevation: MD
Maximum Height Allowed: -2 -7)
Actual Height:
Other
Parking Required:
Parking Provided: V/1 (c) v-e,,d -,m
,/Cw
Lot Area: 91637
41
Maximum Lot Coverage: 35% Proposed: Z6 - I .
Lot Coverage Calculations: hou �t, Act! 5
S(� + 3 31 z, Z 57q
ADU Created: (YES
Subdivision: I--,. �- Z j g ()
Legal Nonconforming Land Use Determination Issued: (YES
7777-71 Comments
C —1-7-3�
-0 - 17- 3�
Pla . n Review ByA qlP*r (7 // Y
Planning Data Form D4-11-D6.doc
0
Ir-
APPLICATION
STREET FILE for
The City of Edmonds SIDE SEWER PERAM
NEW CONSTRUCTION REPAIRS
OVINER .....................................
ADDRESMS ... .. . ..... .........
F-4SEXPIM No.
CONTRACTOR .. 0.!� ......... .................... PERbUT
LEGAL DESCRIPTION: LOT No. --CL . ................................ BLOCK No.
NAME OF ADDITION --- 0001y
-.1-4a./wAge..�; ......................................................
W-W- NO WARR4M OF ACCURACY The Informatior shnwr on the
Vv�, colnpii��u� to; use by the City of Edmon'.11,
lw.w
b47-011,�,.- of-Edmondt.,
warr2r.
ti- nnap Any persoo or entity
-u
Inquirl regarding the lntujjjjj:�j
limited to, the location of any sevii".
'J,
or ma*v not e)dst and mayor mzy nct e.v—
KVIL'Ii'�, th, Ciiy of Edniolds nol its er-rp!-v
V, this- map, rtu, to, 1,1111 0i
tju4to'j upol Salo Mao
fly., , Zk
A.,
14 ejv/R 0 v
d —
7
Approved:
DATE ..........
ALAIr ......... ...
NOTICE:
N I'n vA/a r-ra n
I
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(s). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the Inform . ati on shown on
tHe'map(s), including, but not Hrn'ted tO,
th-e loc'ation of any sew-er stub shown, Such
sewer stubs may or may- not exist and may
or may not exist at the location shown.
Neither the (1-.-ity of Edmonds nor its
h-a-1.1 be a.b..'Fe for the
emp"fo*yee's o*r office*rs -s I
information given on this map(s), nor for
representation provided based
any one
upon . said map(s).
CITY OF EDMONDS
CIVIC CENTER — WVTER-SEWER DEPARTMENT Call FROSPeCt 6-1107 when work
is ready for Inspeeflon. (No Insper,
SIDE SEWER PERMIT tions Saturday, Sunday or bolidays.) N2 3292
ADDRESS --------- 8-40 --- 15-th ... Ayq�pue .... Squ.th .....................
ORWER ----------_----_--- Garnet ... J)aKjp� -------- .......... ................. CONTRACTOR ... �ood, Sewer
...... �ypa ..........................................................
Permission is granted _Aum_�� ........ ............ 19_69.,
---- for ------------------------ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with aPPHCation on 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 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 he 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-
teriances except to insert the pipe into the wye.
CAFILENO.- '7b—Iq
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
1 Site Address/Location: CA)
2. Property Tax Account Number: 0 K) 0 0 6 0
Approximate Site Size (acres or square feet): 6� 7
4. Is this site currently developed? yes;_ no.
If yes; how is site developed? , � S -e
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 I 0-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 3 ) 0% ( a vertical rise of
10-feet over a horizontal distance of 33 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):
Site contains areas of year-round standing water: I/V —; Approx. Depth:
Site contains areas of seas6nal standing water: ;Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain /qJ of a water course.
Z
Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? �V &) Flows are seasonal? . (What time of year?
10. Site is primarily: forested ; meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc) �.A
11. Obvious wetland is present on site:
----------------- ------------------------------ ----- For City -Staff ;Use Only ---------------------------------------------
i e is Zoned?
SCS mapped sot typ LMis L*Vo MEL:V7
1 V60and inventory or C.A. map indicates wetland present on site?
4. Critical Areas inventory or C.A. map indicates Critical Area on site?
5. Sfte.wfthin.Aesignjated� earth, subsidence. landslide hazard.area? H"o
6. Site -designated on the Envirotimentally Sensitive Areas Map?.
]ATMMINATI[ON
^a_chk.doc; Re� 10/03/97
0�
�L City of Edmonds
' . I I t & 2 1
CRITICAL AREAS CHECKLIS JV16 - -
TP-IAMI COUNTE
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 coiijunction 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:
0 1 /1
Name
2- 11-/ -3 a - 2 (-, L-�-- A LJ
Street Address
city St6e Zip
Telephone
S e
Date
vreception\janakaddoc
Applicant Representative:
Name
Street Address
City State Zip
Telephone
Signature
Date
(over)
It? C. 18,41,
CITY OF EDMONDS BARBARA FAHEY
MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works e Planning/Building e Parks and Recreation e Engineering - Wastewater Treatment Plant
Cecilia Fisher
2143286 th Avenue West
Edmonds, WA 98027
August 3, 1998
Subject: Determination regarding Critical Areas Checklist # 98-196
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.
moo, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Enc: Determination
* Architectural Design Board
C:ReceptionUana\CRLTR.doc
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Thank you.
Sharla Graham
Acting Planning Secretary
Incorporated August 11, 1890 0
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