21714 92ND AVE W.PDF111111111111
8925
21714 92ND AVE W
� 8 9 0 - 19 C� -
EET FILE
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works e Planning * Parks and Recreation * Engineering
February 9, 1993
Dear Resident:
LAURA M. HALL
MAYOR
As you were informed last month, sewers are available for connection in
your area of the ci.ty. Property owners having failed or failing septic
systems should connect as soon as possible. All other owners are.
encouraged to do so as well.
At this time, there is no established deadline to connect to'the sewer
system. However, the City does reserve the right to require hookup
within 60 days if a septic system is failing or if other health hazard
exists.
Following our procedures as described below should simplify the
installation process and minimize inconveniences.
1. Obtain a side sewer connection and inspection permit at the
Community Services Building, 250 Fifth Avenue North.
2. Read all requirements located on the back of the permit.
Flyers will be available from the Permit Coordinator when
your side sewer permit is issued.
3. If you or your contractor have any questions at this time,
please contact Everett Akau at 771-0235, extension 354 or
myself at extension 349. This way we can clarify anything
before the actual installation takes place.
4. Proceed with the installation.
5. Schedule an inspection providing the City 24 hours advance
notice. Make sure that you provide the permit number at this
time and have the permit at the job site.
6. Once an inspection is complete and accepted by our inspector,
you will have two (2) days to break in the top of the
existing septic tank and fill it with sand. Required by the
Uniform Plumbing Code. At this time, our inspector will
finalize your permit.
* Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
Sewer Connection
Page 2
Please feel free to contact this
steps in this process. I will be
you and go through the procedure
simple as possible for you.
Thank you for your cooperation.
Ron Holland
Water/Sewer Supervisor
RH/l k
SEWER/LT/TXTSEWER
department if you are unsure about any
glad to have an inspector meet with
so we can make the entire process as
,% CA FILE NO. 1:2 g
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soil s/topography/hydrology/vegetation)
I - Site Address�Location: Lj
2. Property Tax Account Number: cw-t- looD,
3. Approximate Site Size (acres or square feet): VA ca--q-,
4. Is this site currently developed? _ 2-yes; no.
- �— /77
If yes; how is site developed? �— 0<,_
5. Describe the general site topography. Check all that apply.
F : I
ess 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 30% ( a vertical rise of
I 0-feet over a horizontal distance of 3 3 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).
Other (please describe):
6. Site contains areas of year-round standing water: Approx. Depth:
7. Site contains areas of seasonal standing water: 0 _;Approx. Depth:
What season(s) of the year?
8. Site is in the floodway /k,/t) floodplain R,/0 of a water course.
6
Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? Flows are seasonal? (What time of year?
10. Site is primarily: forested mead shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: L��j C�)
2*;� SCS MappeIJ.spiltne(s)?
I.* "'Weiland inventory or C.A. map indicates wetland present on site?
4�: Cri tical Areas.: inventoryior..C.A�map indicates.Critical. Area: on: site?:..
.
5. �46 W ith'ih designated earth su . b . s . idence *landslide hazard area?
0.: -.sit6 d 'r
6signated otfthe�EnVi oornefttAlty S siti V Area . ap.
jbj.—.-.M . . .. ........ ....
ETER INATION
Aca—chk.doc; Rev 10/03/97
City of Edmonds
RECEIvED
J U N 2 4 1998,
V4TW CRITICAL AREAS CHECKLIST P1 AMMWA MU
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 (CriticalAreas 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:
0 9, M, -0, /v---s V//" L)p
Name
�d
Street Address
q1)rio-s q
city State zip
L--- /) ?
Telephone
Signature
Date
c:reception\janakaddoc
Applicant Representative:
Name
Street Address
City State Zip
Telephone
Signature
Date
(over)
1 — (3
(7c. JS9
July 8, 1998
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 * Plan ning/Building e Parks and Recreation - Engineering e Wastewater Treatment Plant
Charles R. Warner
20021 88 th Ave. West
Edmonds, WA 98026
Subject: Determination regarding Critical Areas Checklist # 98-178
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.
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:
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
Acting Planning Secretary
C:ReceptionUana\CRLTR.doc
9 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
iiiiii 11111111
15495
21714 92ND AVE W
0
NOTICE*
N'o---W-a *r-r a n t�y o t -a. c c-u-r-a
The Information *shown on the attached
Map(s) was com . piled for use by the City Of
Edmonds, its Empl-oyees and Consultants.
Th,..e City ofEdm.onds does. not . warrant the
n these
accuracy of anything set for.th o,
m a p (S). A n . y person or entity -requesting a
copy should c:onduct an independent
Inform'ation shov\/n, or
Inquiry regard'ng the
tHe -map(s), including, but not hrn'ted to,
c ion of any sewer stub shown. SucI
the lo' at*
ewer stubs may or may not e.xist and may
or may not exist at the location shown.
Neit-heir tihe ,ty of Edmon'dAs nor its
hal I be 1..*,l a-b-1--e for the
emp*foyee-s o-r off i-ce-rs -s r
I n on this map(s), nor for
information give'
e representation provided based
any on
upon said map(s).
t
CITY OF EDMONDS SIDE SEWER PERMIT
118 9 0
PERMIT N -0 9132
Address of Construction:
Property Legal Description (include all easements):
oke- i9,-:cA50-- ( Z/.2T) 778 — /8
_k Vr�)
A ve- IAI 1�_
TREATMENT PLANT
Owner and/or Contractor: sou4 coiiiq pl�c\ ( h4
I Q
State License No. "uilding Permit No. - lw_�
2"'I's"Ingle Family
0 Multi -Family (No. of Units—)
El Commercial
El Public
Invasion into City Right -of -Way: 0?"'N'o 11 Yes
RW Construction Permit No.
Cross other Private Property: EVNo E3 Yes
Attach legal des�qripjion and copy of recorded easement
I certify that I have read and shall comply with all city requirements
as indicated on the back of the Permit Card.
&///0,) t
D�e i
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
USE,ONLY
* FOR INSPECTION CALL 771-3ft ",UBLIC WORKS DEPT.
PermitFee: 5-1-00
Issued BY
Trunk Charge: 5- ftvl_�' r;> Date Issued:
Assessment Fee: — fO� Receipt No.:
Lid No.:
Partial Inspection: A eeJ-s Spah-c- Tl k- pi) mpp J
Date Initial
Comments V
Reason Rejected: Date —Initial
Final Inspection Approved: Date kM/00 lnitial('/-�a—?
elo 0
PERMIT MUST BE POSTED ON JOB SITE
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3190
The City of Edmonds
Side Sewer Drawing
EASEMENTNO . .......................................... -
NEW CONSTRUCTION E] REPAIRS (2 LID NO . .................. . ASMT. NO . ..................
OWNER .............................................................................................. CONTRACTOR ... Sq�� .... C��aj-�Y ...... ............ PERMIT NO.
......................... LEGAL DESCRIPTION: LOT NO . .... ................................. BLOCK NO . ....................................
JOB ADDRESS ... ao-jti ....... q.�t .....
cenc;e- - jjur-jA,-% proper--�-Y NAME OF ADDITION ............................................................................................................
kq F
K10
<
how
PWW-0001-11/75(REV.11/78)
X 746 )t kZ �t:06#7k9E k Of0c
9(c k- XA 0
-c
-0,
cr
f
L
V)
4-
0
—><
I 7r
rs
U)
OL
D
L 0
Qj
+
cr
:�
V)
1=0
L
Approved:
DATE....... ...... By ... ......... ......
I
(-6
LT -
I