22317 96TH AVE W.PDF9464
22317 96TH AVE W
CAFILENO.
Critical Areas Checklist
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Site Information (soils/topography/hydrology/vegetation)
I . Site Address/Location: 60,
2. Property, Tax Account Number:.
0101
3, Aporo`kii "teik -Size cacres, �, W11
ima 4e! 01 SV
4. Is this site currently developed? es; no.
__Zy
If yes; how is site developed?
5.. Describe,the general. site to ography. Check all that �p
p -
V'
Flat-. less thaty.5-feeteldvation ch
j ange over entire site. 4
Rolling: slopei, onsite generally, less than 15% (a verticalrise, of I 0�..B�et over a*
horizon'tal-distan6& of! 66-feq-).
sop f 9ii, s i ie of m,- r than 1�0/`: ��d: le"i*
Hilly: I es presen o e s than 3061 (--,,a,, vertical, riser 6,
I 0-&ef over A�horizontal distance, of 3 3 to 66.fee�)�
&r� es�. 6. (a v
Ste f' greket t �tesent on- site. 'eriical:rise,of--.L.O,,*feet-oy,!�krI
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horjzont�l than 33-feet);
e sc
(vleas de ribe):
.3"
6. Site cloniains airi eia' s dfy e'a-r6dn&*afidi)fij-' ter: X. Depth:
4 ;73 A,,
7. -,Sitec6n-:t:a'm'sa'r-ea'S4! o'f�eagbiial shi'naing water: W*-
Al5gr�x. Depth:
YV�at season(��.,fffie yeap,,
S. Site, is:inthe-fid6dway
of a water course.
9. Site contains Acreekbrhn area- wh wkifflows across the,groun4 surface? - Flows4are yeari-
round? seasonal?' ?
F"s,jare ff�at., fithobf year
ftio
10. Site- is prima forested, �.-'meadow ,'shrubs ix. d
?j", v�
urban landsc (la c
0
11, Obvious wetland is present -on'. site:,. . &2e
e: n
7.
.'S'e 'r#"VP'0 e(
Or I es, W
invent
pat
and,
Wet]
901 P
t
'Od fton s
:4. Critical Area.� Owk
itoj� 0 �mpp�iud Iti
y S
n e%gnate _,SU S1
:.5, Site withi d d ence I avea T;'.
7V
Sitp� designa.ted- onithe-Ebvir*6 sitive ke"a's, 10b,
*e0% 1-y Sen Map
�",TERMJNATION:
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STUDY :C&P. M ONAL WA
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City of Edmonds
Critical Areas Checklist
.(,I C. tgg\,)
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
pen -nit application.
With a signed copy of this form,'the
applicant should also suhmit a vicinity map
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). 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 Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant: Applicant Representative:
Name Name
(1 5 � A')x' C"J
Street Address VLS- Street Addre ss
L44- Zi9
City, State, ZIP Phone
S�Ignaturel Date
City, State, ZIP Phone
Signature Date
R, 5 n" 5 1 V IV 0
D 1*
EC 0 9 1997
CITY OF EDMONDS BARBARA FAHEY
MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 FAX (425) 771-0221
W,J � COMMUNITY SERVICES DEPARTMENT
'Iftionomp— Public Works * Planning/Building - Parks and Recreation e Engineering - Wastewater Treatment Plant
C3
December 10, 1997
Jay McGinnis
22317 96th Avenue West
Edmonds, WA 98020
Subject: Determination regarding Critical Areas Checklist # 97-238
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.
�JMPORTANTINFORMATION TOBE NOTED—'.
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REOUIREMENTS. YOU MAYNEED 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.
no, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINA TION WITH ALL -400
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
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.
Diane Cunningham
Planning Secretary
0 Incorporated August 11, 1890 o
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