21524 98TH AVE W.PDFiiiiiiii lill
9650
21524 98TH AVE W
4,TAN-04-98 SUN 13:21 BIN4-AND*-C-*-C*-AND4-SVCS NW 206-4-935 2965
CA IFILE NO._,
Critical Areas Checklist
Site Informadon (WILS/topop Vege
plylp�d to
4 9 h r?vpd W 1MOV d s , W A 98020
1. Site AddreulLocation.
2. Pwporty Tax A=unt Number., 95 A -1 0 -1 i 0 � a Do 9-6K
3. Approximate Site Sim (acm or square fw)t 1z, 7-115-0
X
4. Is this site currently develcw —&Y
f '—rami
S 1 n g1'e n0fly dwelling
If yes; how is site developed?
5. DwAibe the genetal sk6 toposrapby- Check all thk apply.
Plar. It" than 5-fed elevation Chaw ever e4dm sitt.
Rolling: slopes on site Ser"ly Iess, thin 15% (a vfttk�l 6se of 104440ver a
hoemorat dista= of 664M).
Hilly: $WP" Pruent on ske of i.aore thin 15% AM Is# thin 30% ( a vertical rbe
of 104* ovet a hodwad 4bbum of 33 to %W).
stev:- V4" af seema ftA 30% Presm on site (a *10 rise of 104w over S
horizonW disbna of tea *m.334bet).
0(ber (please discribe):
6. Sit,* conWas aws ofyea-,-round staMins w*tw. Ath 400z. vcp&
7. site conains Arw of S"WO(W stiWins water. _4 Ap��. Depth:
What man($) of tha Y"a
6. Site Is In the ftodway N4 floodpwn Of a wae� 40me.
Sb corains a creek or an uft whom WSW flow 9=0 the 9MMO& tutfift! Flows are year-
Mund? WQ- Flows are osWtW? __� (What dn* of yee.
10. Sitto b priMadly: fortated
MeOdOw _; shrubp Mixod
urban lvW3caped Oawn,zhtubs 4e). _ M-,S.
11. Obvious welland is present on site:
Fat city Shaun
is
_WvAtairy or C.A. nap Indic" wet 'p t an
t "AW W-Uted eaws subild'& a! W491a� 6wTua?
ai
7.
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P. 03
JAN-04-98 SUN 13:20 BIN+AND+C+'C+AND+SVCS �w
City of Edmonds -
Critical Areas
Checklist'
Mle critial A= QWWst Oonwinw on MW submit It ' it' city. lu city %in
this fOM is 10 be fid1W out by any pemn review die =ist, MAO a prwurmy site
PrqWing a Owwopment Para Oumnination of ft
Application fbr tbo City of Edmcods pdor Vw" a MIAME:
to comple. a
to NOW BubmitW of a development &"Wpment It applicsidon.
permit to the city,
206+935 2965 P.02
q4�-,�
I
With a fxped OOOY of this form, the
7he PXPOOO of the Owddist is to amble 8!t thou submit a VMWi
City Off to detemine whdher any !M!!L
ar plot plan ivid-M lots OFN
YU=UIU %-MOM ArM AM or May be
with enough d
Vftt City smff cu'find
PMMt on the subjea Ptoperty, The
information noww to OOMPIM the
MW wdeftatify
Addillm, t6he5o4eftant
S46ject Par*w(s). in
�j
SMU IndU&
Checku ftuld be easily *%%liable fmm
ObwMdOns Of IM Site or dWa avaikble at
other penl
plan, tOPOSM
W1 Onnadon (e.g. *0
b� �"P# etc.) of Xtudles In
CRY LWI (Critical Arari inventories, maps,
11
MWWRfion
th *Is Chftk[6t to anig
.)r IOU surveys).
14
lit their prelkn1raq
An qplicmt, or hlAcr repmsentative,
111 af
out;',
i �Uf,
mud fill out the chwk1istg sip and date it,
I have compleW the atuohed Cri.ticid Arm Chmkiis and attut th4t thi answers providW am
how, to the but of my knowledp (fill out " appropriate C*juffivb�,Ow)
i
Owdo / Applicant:
Applk*nt Repiv*tative:
Nuom Fariz
Harold A.'Roberts
num 1
21524 98th Ave W 5433 40t� Ave S.W.
Sb-w A2WIMS, --
Edmonds, WA 98020
aty. sw* Mi—
�zl �4( -Oh//�7
'18"Iture Dee
SOW Addn=
Seattle
A 98136
Ofia 4?-s S 1151,
cityp stmal zip
Pbw
7.
Harold A. Roberts
5433 40th Avenue S.W.
Seattle, WA 98136
Subject:
Dear Applicant:
CITY OF EDMONDS BARBARA FAHEY
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 MAYOR
COMMUNITY SERVICES DEPARTMENT
Public Works a Planning/Building * Parks and Recreation e Engineering e Wastewater Treatment Plant
January 20, 1998
Determination regarding Critical Areas Checklist# 98-4
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 CHECKLIST OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
xselp, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINA TION WITH ALL _41IIIIIIIIII
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
cc: Nuom Fariz
Enc: Determination
*Architectural Design Board
C:Reception\Jana\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
e Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
APPLICATION
The City of Edmonds for
SEDE SEWER PERMT
NEW CONSTRUCTION [:] REPAIRS 0 EASEMENT No . ..........................................
109-07000
OWNER............ tla.rtan ... A ...... H.oqd ......................................................... .
CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ....... 2152.4 ... !! ... 9fith-Ave.-If . ............................................. LEGAL DESCRIPTION: LOT No . .............................................. BDOCK No . ............................................
11
NAME OF ADDITION
Dye Tested Ori Sevier 1972
Approved:
DATE................................................ By ......................................................................
NOTICE:,
formation an the attached
The in
lied for use by the City 01
map(s) was com ' p
Edrnondsl its Empl.oyees and Consultants.
Th,.e City ofEdrn.onds does ' n ot. wa rra nt the
these
accuracy of anything set for.th on
map(s). An . y person or e.ntity -requesting a
copy should conduct an independent
inquiry regarding the InfOrm'ation shown"c
-m a p (s), including, but not limited to,
c ion of any sew-er stub shown. Su(
the lo' at'
sewer stubs may or may* not e.xist and ma�.
or may not exist at the location shown
Neitheir t1he City of Edmo-nds nor its
e m o-y e e's o,r 0 ff i c e r s -s h. a- I- I b e f c r
i n f o r m a t i o n given On this map(5), nor for
any one representation provided based
upon'sald map(S).