21607 81ST AVE W.PDF111111111111
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21607 81 ST AVE W
NOTICE:
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edmonds does not warrant the
accuracy of anything set forth on these
map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information sho.wn on
�___tfi-e -map(s), including, but not limited to,
th I e location 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
ernpl-o-yee-s o-r officers sh-a-11] be [ia-b-11--e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
e
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT --'
�4 6010
Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.)
0 .07 S
ADDRESS LOCATION OF CONSTRUCTION ....... 95 ......... - 31 t Aven
PROPERTY LEGAL DESCRIPTION ........... I .......................................................
An P
......... j! ...... .......... ...............................................................................................................
.................................................. . ..................................................................................................................................................... ..................................................
................................................................ OWNER AND/OR BUILDER �182 i
................................. . .......................................................
CONTRACTOR'S NAME & ADDRESS ---- 55A�j,5. 09 jir� Rd
�. 1.6-0, - IV,. itleadr-wila,
. .. ............................. . ... .....................
mission Is gTanted ........... .......... * ------------------
� ------- ............. ............ 119 ... for repair and/or connection of a side sewer to the city
?�,istefn In accordance with City of Edmonds ordinances. sanitary sewer
"NTION 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
r
side sewepin street area. Do not cover any portion of sewer before 1 t has been inspected.
NOTE No. 2—All work erformed in city right-of-way requires an Invasion of Right
NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations -of-Way Permit obtainable from the City Engineer's office.
governing side sewers when you get Permit.
NOTE No. 4—Top, of side sewer must have at least 30 inches cove ge at property line a d 12 inches inside property line; minimum grade of 2%. No bends In grade
sharper than �A will be permitted. M n
NOTE No. 5--Trenches in street must be water settled ajid surface of street restored to originaJ condition. Contractors sh . all 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 madn sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED E] Date ... . ...... 4 -------------------------- By
Date. ---------------- Date ....... Z ....... / Date ............... . ................... By ................
APPROVED
Remarks:
.......................... ........... .........
BO P
it pie ST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
I, Ow'ne .... of g'*Fl .... * -------------- .... ........... ... hereby certify that the side sewer installation constructed under this permit
W%L. onstruction)
ed in _cor nc governing ordinances of the City of Edmonds.
==1�4 Dated this ----- T . . .......... day of----
V V Check BEFORE You dig for: Water E], .....................................
Gas [], Telephone E], Power
0-, Sewer El, Other
I
4
APPLICATION
for
F,"l �, L Flw�,
114 The City of Edmonds SIDE SEWER PERNaT EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS E]
FUSS
OWNER... .......................................................................................................... CONTRACTOR .................................................................................................. PERMIT No . ......................
-- - 'r - t�' 'E�7
ADDRESS \NF— � LEGAL DESCRIPTION: LOT No . .......................................... ... BDDCK No . ............................................
........................................................................................................
L't-It-4 p P:-" �-4
NAMEOF ADDITION.. .......................................................................................................................................
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City of Edmonds Of EbAf
Site Classification Worksheet
Page 1 of 2 P 4C, 9
The project's Site Classification will dictate the specific stormwater management
requirements applicable to. your site. Completing this morksheet will help determine the amount of
regulated impervious surface and whether your project falls into the classification of a Small Site
(Category 1 or Category 2), or a Nfinor Site. Please reference the Glossm (pp. 10- 11), Figures D and
E, (pp. 8-9), and Examples (pp. 11- 12), to assist with completion of this worksheet.
1 Is Permeable Pavement' Proposed For Use on this Site? Yes �Fr
Refer to Stormwater Supplement Chapter 5.1 /LN.
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 management 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. D/L,) 1?b
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
Exempt
Regulated
2.
Replaced
3.
4d.
New (Post 1977)
Total Regulated Impervious Area
Mitigation required if in excess of 2000sf
+
-7
6.
Total Area Mitigated by Existing Stortnwater Management System(s)
Regulated Area Not Yet Mitigated
Area Proposed to be Mitigated by Low Impact Development Techniques
d7.
8.
Area Proposed'to be Mitigated through Conventional SWM Techniques
I (e.g. porous asphalt, porous concrete, paver blocks, concrete open celled paving grids, or plastic lattices Fi RECEIVED
Revised on 310512012 E72-SWM—Erosion—Control-03.05.12.doc Page 5 of 12
SEP 10 2013
DEVELOPMENT SERVICES
COUNTER
W,
F
City of Edmonds
Site Classification Worksheet
Page 2 of 2
3) Determine the Total Area of Land Disturbing Activity Sf
Refer to Stormwater Supplement Chapter 8
14) Determine the Quantity of Grading, Fill and/or Excavation ..f:w y I
5) Will the project convert 3/4 Acre or More of Native Vegetation to Lawn or El Yes N
Landscaped Area? 9�
6) Identify the Watershed the Existing Site Runoff Discharges to
Refer to Stormwater Supplement Chapter 2.3
Based on Site Location and Watershed Map — Figure-C. Check all that apply.
A. F1 Direct Discharge B. 0 Creek or Lake Basin
o Edmonds Way Basin
Ei Puget Sound Basin
o Puget Sound Piped Basin
DETERMINE PROJECT CLASSIFICATION USING THE INFORMATION ABOVE
AND THE PROJECT CLASSIFICATION CHART (Figure B, pg 4)
dsmall Site - Category 1 0 Small Site - Category 2 El Minor Site
Stormwater Supplement Stormwater Supplement Stormwater Supplement
Chapter 5 Chapter 5 Chapter 6
Revised on 310512012 E72-SWAI�_Erosion—Control-03.05.12.doc Page 6 of 12
APPLICATION
for
h-a ci#w of Edmonds Dwu7LKwr
EASEMENT No . ........................ ..................
NEW CONSTRUCTION 0 REPAIRS 0
.......... CONTRACTOR ..... ...........
OWNER ... ........................ ............. . ........
. ...... . . ........ z ....... .... PERMIT No.
- -------------
ADDRESS .... ..... ....... ..... ........ LEGAL DESCRIPTION: LOT No. ..................... BLOCK No. .............................................
NAME-UFXD ........ . .......................................................
07 5-x!
Approved:
DATE...................
.............. By .......
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NOV 2 2 2013
BUILDING DEPARTMENT
CITY OF EDMONDS