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24011 101ST AVE W.PDFiiiiii . lill 110 24011 101 ST AVE W CA FILE NO. q q Critical Areas Checklist ----------------- -------------------------------------------- Site Information (soilshopography/hydrology/v ation) 1. Site Address/Location: 01% 2. Property Tax Account Number: 3. Approximate Site Size (acres or square feet): .0 4. Is this site currently developed? —1� yes; —no. If yes; how is site developed? �A FWIJ- 5. Describe the general site topography. Check all that apply. 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 I 0-feet over a horizontal distance of 3 3 to 66-feet). Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-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: Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a water course. 9. 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 ; meadow ;shrubs mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: -- - -------------- - ---------- - ---------------------- - For City Staff Use Only ------- M - --------------------------- ------------- ...... . . on ed ? Site is 2 1 SCS mapped soil type(s)? 6f&n� Uxi*,,., 16 jj=V,,� -J.f; AA i3. Wetland inventory or C.A. map indicates weitland present on site? ...... ..... .... Critica I A re a s i nv en to ry or C A. map indicates Critical Area on site.9.-IL ........ ... .. �.. ............. ......... . :5. Site within designated earth subsidenc+e landslide hazard area? —No �6 .... Site.designated on the.Environmentall I y .. S I en . s . i . t ive Ar I ea,s . Map? (110- I)ETERMINATION fta_chk.&C Rev 10/03/97 Citv of Fdmnndi-,%--''- 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 sub ect 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 deten-nination of the subsequent steps necessary to complete a devel'opment 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 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). 0 per pplicant: W? Name Street Address OA PAUIJO�) city State Zip Ld-�2-. -- � � Tel9phone ,�- NN* . k / Signature ---------- Date Applicant Representative: Name Street Address city State Zip Telephone Signature Date creceptionyanakad.doc (over) City of Edmonds Critical Areas Determination Applicant: Jennifer R eece Determination CA-99-315 Project Name: Permit Number: Site Location: 1 24011 — 101" Avenue W. Property Tax Acct M 5550 000 027 0002 Project Description: Non -Project Specific Determination: Study Required: During review and inspection of the subject site, it was found that the site appears to contain and/or is adjacent to a Steep Slope Hazard Area pursuant to Chapter 20.15B of the Edmonds Community Development Code (ECDC). To determine if a Steep Slope Hazard Area does exist, a topographic survey prepared by a Licensed Land Surveyor delineating Steep Slope Hazard Areas must be completed. Any slope of 40% or more with at least 20 feet of rise will be classified as a Steep Slope Hazard Area. A 50-foot buffer is required from both the top and toe of the slope. A 15-foot building setback is required from the 50-foot buffer. For development of any kind which is proposed within the critical area, 50-foot buffer or 15-foot buffer setback, it must be shown that the development will not adversely impact the Critical Area or its buffer, by doing one or possibly both of the following depending on the outcome of the study: I . For development proposals which will occur within the 50-foot buffer, but no closer than 25 feet from the top or toe of the slope, the 50-foot buffer requirement may be reduced to 10 feet if a study is completed by a licensed geologist or geotechnical engineer which clearly demonstrates that the proposed buffer alteration will have no adverse impact upon the site, the public or any private party. All Critical Area Studies, except those done by a licensed geotechnical engineer, must be completed under a three -party contract where the City hires the professional required, and the applicant pays for the study (pursuant to ECDC Section 20.15B.150). 2. If development must occur within the critical area, buffer, and/or buffer setback, and is not identified as an exception per ECDC Chapter 20.15B, a Reasonable Use Exception and Variance must be obtained pursuant to ECDC 20.15B. 1 70A and 20.15B.040C. The site is also in an area designated on the Critical Areas inventory as Slopes with Erosion Potential. All proposed development must have an erosion control plan approved by the City of Edmonds Engineering Department. 1 If the property owner wishes to apply for a specific development permit which they feel would not impact the Critical Areas located on the site, they may submit their proposal to the Planning.Department for review. If the Planning Department finds that the proposed development permit will not adversely impact a Critical Areas or its buffers, a conditional waiver may be issued on a project by project basis. Name Signature Date 0) CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering December 17, 1999 Jennifer Reece 22101 93rd Place West Edmonds, WA 98020 Subject: Determination regarding Critical Areas Checklist # 99-315 BARBARA FAHEY MAYOR 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 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. Sharia Graham Planning Secretary C:ReceptionUana\CRLTR.doc Incorporated August 11, 1890 Sister City - Hekinan, Japan