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Critical Areas Checklist
CA File No:. 05 — 6(0
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: 3 J a 9 1,-� AV E,
2. Property Tax Account Number: t " 0 0 SS-S' 3 o ol e)
3.. Approximate Site Size (aeneswx fq`uaie ATfee 104 e) 0
4. Is this site currently developed? K yes; _ no.
If yes; how is site developed?. 5 01W e- 0,
5. Describe the general site topography. Check all that apply.
Flat less than 5-feet elevation change over =site. k t)
te enerally less than 15% (a vertical rise of 10-feet,over a horizontal
X Rollin
e s- 1, 7 4 v e Iwo C
eeF&-El' Y- t
Hilly: slop present on s ore than 15% and less than 30% (a vertical rise of 10-feet
over a horizontal distance of 33 to 66-feet).
x Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal
distance of less than 33-feet). lv,,,t4
6.
7.
.1
Other (please describe):
Site contains
areas of year-round standing water:
N
Approx. Depth:
Site contains
areas of seasonal standing water:
14
Approx. Depth -
What season(s) of the year? /
Site is in the floodWay NIP
6— - floodplain
of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
— & (What time of year?
Flows are seasonal?
10. Site is primarily: forested meadow shrubs
(mixed
urban landscaped Oawn, shrubs etc) -er
11. Obvious wetland is present on site: PJ
For City Staff Use Only (Ogg)
1. Plan Check Number, if applicable? JzQ 0 5 — 0 4 122 t7a V1 I- W'M oy'l
2. Site is Zoned?. P- 6 — 9;
3. SCS mapped soil type(s)? (9% kjdt&WQi)d Uyloar) laind tDMPjeX 9 —161- �,l apee,
4. Critical Areas inventory or C.A. map indicates Critical Area on site? L_10PrR: tyy6j'6Vn k142,ar-A,,-
ft flOrThey-el pprb'3�1 Of PYDWIY-
5. Site within designated earth subsidence ["ds�ide haz'ard area? NC)4 LoUf j5Uj*j6jjnj2
to w ot vc, f i'vi a I ckl t,4,ryi4'ri a-hjyL_, -
(,�VQ 1;7 oyt vtwl," DETERMINATION
—STUDY REQUIRED WAIVER
Reviewed br. 61 U�14J (ffw,� Date: I I-W457—
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City of Edmonds
Development Services Department
Plarafing Division
Phone: 425.771.0220
Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Appli cation for the City of Edmonds prior to
his/her subn-dttal of the application 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
a ilable f
va rom. observations of the site or data available at
Cit ries, maps, or soil
y Hall (Critical areas invento i
CK-URRENT- BUILDING PERMIT
Date Received: /[)/It
City Receipt #: 0-344 A o -
Critical Areas File #-. 6A - . 2,00 5 - 0 150
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant
A property owner, or his/her authorized representative,
must fill out the checklist, sign and date it, and submit it
to the City. The City will revi ew the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please subrm't a vicinity map, along with the signed copy
of this form to assist City staff in firiding 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 assistant staff
in completing their preliminary assessment of the site.
to release, indernmify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, anismig from any action or infraction based in whole or part upon false, misleading, inaccurate . or.
incomplete information ftirmshed by the applicant, histher/its agents or employees.
By my signature, I cer* that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLIcANT/Aa=
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this application.
> SIGNATURE OF OWNER m
/ I If A-�,
Owner/Applicant: . 0
13 ,1/,/ D. f NO- r-, 6 r I e- k. I e-4 4 4 f-OL ft
Nairne J I
c� 3 a A v -e-
Street Address
17 PC) a- 6>
city State Zip
Telephone:do 4) -5- 1/,?, - -0 F 3 �-
Applicant Representative: .
Name
Street Address
City State Zip
Telephone:
Email address (optional): p e_ j, A tn k Qe-ev�ees-fn el Email Address (optional):
CITY OF EDMONDS
CRITICAL AREAS RECONNAISSANCE REPORT
Site Location: 23229 92 nd Ave W Tax Acct. Number: 00555300100801
Determination: Study Required Determination #: CA-2005-0156
Applicant: Billy D. & Marjorie K. Pendergraft Owner: Same
CRITICAL AREAS RECONNAISSANCE REPORT: STUDY REQUIRED (CA-2005-0166)
During review and inspection of the subject site, it was found that the site may contain or be
adjacent to critical areas, including an Erosion Hazard Area pursuant to Chapter 23.40 of the
Edmonds Community Development Code (ECDC). The LIDAR map indicated a potential for
erosion on the northern most portion of the property (along the property line) and this area was
confirmed through field reconnaissance on October 25, 2005.
GENERAL CRITICAL AREAS REPORT REQUIREMENTS
Critical Areas Reports identify, classify and delineate any areas on or adjacent to the subject
property that may qualify as critical areas. They also assess these areas and identify any
potential impacts resulting from your specific development proposal. If a specific development
proposal results in an alteration to a critical area the critical areas report will also contain a
mitigation plan. You have the option of completing the portion of the study that classifies and
delineates the critical areas and waiting until you have a specific development proposal to
complete the study. You may also choose submit the entire study with your specific
development application.
Please review the minimum report requirements for all types of Critical Areas which are
listed in ECDC 23.40.090.D. There are additional report requirements for different types of
critical areas (see below).
Note that it is important for the report to be prepared by a qualified professional as defined
in the ordinance. There are options on how to complete a critical areas study and an
approved list of consultants that you may choose from. You may contact the Planning
Division for more information.
General Mitigation Requirements for all Critical Areas are discussed in ECDC 23.40.110
through 23.40.140.
STUDY REQUIREMENT — EROSION HAZARD AREA
It appears that this property contains or is adjacent to an Erosion Hazard Area.
Erosion Hazard areas include Alderwood and Everett series soils on slopes of 15 percent or
greater, among others.
0 Landslide Hazard Areas are further defined in ECDC 23.80.020.A.
In addition to the general requirements for Critical Areas reports referenced above, specific
Critical Area report requirements for Erosion Hazard Areas (which are one of the
Geologically Hazardous Areas) are provided in ECDC 23.80.050.
ALLOWED ACTIVITIES
Certain activities are allowed in or near critical area buffers as specified in ECDC 23.40.20. If
you have any questions about whether your proposed development qualifies as an allowed
activity, please contact a Planner for more information.
EXEMPT DEVELOPMENT PROPOSALS
Certain development proposals may be exempt from Critical Areas Requirements (ECDC
23.40.230). If you think that a specific development proposal may be exempt, contact a
Planner for more information.
Gina Coccia, Planner XA4!!L1 W-7/" October 25, 2005
Name, Title U Signature Date
NOTE: Cited sections of the Edmonds Community Development Code (ECDC) can be found on
the City of Edmonds website at www.ci.edmonds.wa.us.
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