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21812 92ND AVE W
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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 e
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.
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
I . Site AddressiLocation: ? I cl I 'L 'L-
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet): I/ oo(�,
4. Is this site currently developed? 'A, yes; — no.
If yes; how is site developed? HoD.e. CaX12"4 ti.
61
R
7
8
Describe the general site topography. Check all that apply,
0
V/" 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 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 I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
Site contains areas of year-round standing water: 1,7 C, Approx. Depth:
Site contains areas of seasonal standing water: y7o —;Approx. Depth:
What season(s) of the year? 4 >
Site is in the floodway Kc_-� floodplain
of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? Y4, Flows are seasonal? .(What time of year?
10. Site is primarily: forested meadow ;shrubs mixed.
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: tA 0
---------------------------------------------- ------ For City Staff Use Only ----------------- — -- ---------------------------
.:L Site is Zoned?
2.:.: :1.,,Sq..$.mapp.ed. soiLtype(s)?:
:3'. iedand iinventory or C. . A. m . a . p 1. ind . icates w . et . land p'resent*'on
:4. Critical Areas inventory or C.A. ma * indicates Critical Area on site?
p
5.' Site A�ithtn designated earth subsi dence landslide hazard area?
::6,; Sitd-designated on the Enviro'nmenially 8en'sitive Area's M
ap?.
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CONDITIONAL WAIVER
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fta—chk.doc; Re� 10/03/97
'Rr CEI-VED
City of Edmonds FEB 0 81999
PE%'�--"�IIT COUNTER
"'k� CRITICAL AREAS CHECKLIST
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 sp-ecific piece of property described on
this form. In addition, the applicant shall include
other pertinent infor m-ation (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:
)bL K C 6
Name
9 L)
Street Address
L�-J &-t 0 '? � � I "d N !� �) � 76 Lc>
city State Zip
�— —
Date
Applicant Representative:
Name
Street Address
City State
Telephone
Signature
Date
Zip
c:reccpdon\jana\cac1.doc
(over)
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February 21, 1999
John R. Scotfield
2181292 nd Ave. West
Edmonds, WA 98020
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
Subject: Determination regarding Critical Areas Checklist # 99 26
Dear Applicant:
BARBARAFAHEY
MAYOR
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 ENVIRQAMENTAL CHECKLIST OR CRITICAL AREA5 5TUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
wo, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL 4111111111
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
Planning Secretary
C:ReceptionUana\CRLTR.doc
Incorporated August 11, 1890
Sister City - Hekinan, Japan