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23006 A 02ND PL W
CjjX 2E EDMONDS
PUBI.jC WORM EMINEERING
ACTION REPORT
6
STREET FILE" N9 3024
SUSPENSE DATE:
Date: T i me: File
Attachments: Yes
No
SUBJECT:
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REQUESTOR: NAME:
ADDRESS:
PHONE:
REQUEST RECEIVED BY: TELEPHONE
CONTACT IN OFFICE
OTHER:- c=
RECEIVED BY:
OnlITC
ACT
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JvAll Concerned Notified =
Action Completed/File '-,r7j
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STREEr
FLE
CITY
OF EDMONDS
PUBI.JC WOM — EMINEERING
ACTION REPORT
10111190v
SUSPENSE DATE:
Date: Time: File
Attachments: =Yes
REQUESTOR: NAME:
ADDRESS:
PHONE: -7 -7
REQUEST RECEIVED BY:
TELEPHONE
CONTACT IN OFFICE
OTHER:_
RECEIVED BY:
OnlITC Tn-
ACTION:
All Concerned Notified
Action Completed/File
STRE—ET FILE CA FILE NO.
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
-a --- -
1. Site Address/Location: i_&l lora:lcd Lie 1 n d r4c ff ;n e -17e- C_ a-/ .00 6 -
2. Property Tax Account Number: 64 6 7 -,6 0 /-,00 7 -0601% -
3. Approximate Site Size (acres or square feet): 70' ,e J-7,0 4�-06 lef7
4. Is this site currently developed? —yes; &,' no.
If yes; how is site developed? RECEIVED
5. Describe the general site topography. Check all that apply.
N OV 0 4 1993
v- Flat:' ' less than 5-feet elevation change over entire site. PERMIT COUNTER
Rolling: slopes on site 'generally less than 15% (a vertical rise of 10-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 10-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: kr6 Approx. Depth:
7. Site contains areas of seasonal standing water: At6 Approx. Depth:
What season(s) of the year?
8. Site is in the floo ' dway &�t) __ floodplain A�50 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? d/
A 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:
For City Staff Use Only
17 Site is- Zoned?
.2:.* SCS mapped soil type(s)?
5. Wetland inventory or C.A. map indicates wetland present on site? .12"
4.' Critical Areas inventory or C.A. map indicates Critical Area on site? 1)0
5. Site within designated earth subsidence landslide hazard area?
6. Site designated on the Environmentally Sensitive Areas Map?
DETERMINATION
STUDY REQUIRED
VWAIVER
Reviewed by:
Pla
CONDITIONAL WAIVER
Date
Rev W141193
6190 - 199-
City of Edmonds
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 invent9nies, 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.
With a signed copy of this form, the
applicant should also submit 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
coinU unction 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:
/T Y
Name
Applicant Representative:
Name
CM'0101�-10a,11471131a-ee
Street Address Street Address
E-dlnonal::5
State, ZIP
t
�ignaftVe
Phone
Date
City, State, ZIP Phone
Signature
Date