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APPROVED AS NOTED Ft. 't too' RECEIVED
BY ENGINEERING Vext:zofi covtr 7—rto( A,-Je- JUL 0 8 2014
Dst OWNER/CONTRACTOR IS RESPONSIBLE DEVELOPMENT SERVICES
FROS 0 CONTROL AND -DAMAGE------ COU14TER
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City of Edmonds 'STREET FLE N 17 2014
Site Classification Workshee
CITY
Page. 1 of 2
The project's Site Classification will dictate the specific stormwater management
requirements applicable to your site. Completing this worksheet will help determine the amount of
regulated impervious surface and whether your project falls into the classification of a Small Site
(Category 1 or Category 2), or a Minor Site. Please reference the GlossM (]2p. 10- 11), Figures D and
E, Ov. 8-9), and Examples (pp. 11-12), to assist with completion of this worksheet.
1) Is Permeable Pavement' Proposed For Use on this.Site? Yes E/No
Refer to Stormwater Supplement Chapter 5.1
If YES, the subject area is to be considered impervious for initial site classification purposes. Include total
permeable pavement area in the calculation of Non -Regulated, Replaced and/or New impervious surface
areas in the table below.
2) Determine the Amount and Type of Existing & Proposed Impervious Surface for the Site
Refer to Stormwater Supplement Chapter 2 arul Fig. C
Line 1: Identify the Non -Regulated Impervious Surface Area.
Line 2: Identify the Replaced Impervious Surface Area, dividing the total between Exempt and Regulated; either or both
may be zero. Note: For project classification purposes, Replaced Impervious may only be considered exempt
under certain conditions. Refer to the Glossary. and Figure D.
Line 3: Identify the New Impervious Surface Area for your project. All impervious areas created post -July 7, 1977 or
after the date . of annexation into the City are regulated & should be included in this total unless'they can be
categorized separately as a Replaced -Regulated area.
Line 4: Enter the sum of the total Replaced -Regulated plus the total New impervious areas.
I
Line 5: Identify the total area currently mitigated by an existing city -approved stormwater management system.
Line 6: Enter the sum of the value in Line 4 less the value in Line 5 to identify the total Regulated area in which
stormwater controls. have not. yet been applied.
Line 7: Identify the total area proposed to be mitigated through the use of Low Impact Development Techniques.
Line 8: Identify the total area proposed to be mitigated through conventional Stormwater Management Techniques.
Provide a copy of the following table on the drainage plan sheet for the proposed project
Line
Type
Area (square feet)
1.
Non -Regulated (p&--7-)7
50 �A_Ii' I �11_V._
Exempt
Regulated
2.
Replaced 9JVAYM
3
3.
New (Post 1977) 4 4 44 44 4 4 4 1
+
NPM,
Total Regulated Impervious Area I
4.
� . .....
Mitigation required if in excess of 2000sf
5.
Total Area Mitigated by Existing Stormwater Management System(s)
6.
Regulated Area Not Yet Mitigated
7.
Area, Proposed to be Mitigated by Low Impact Development Techniques
8.
Area Proposed to be Mitigated through Conventional SWM Techniques
(e.g. porous asphalt, porous concrete, paver blocks, concrete open celled paving grids, or plastic lattices filled with turf or stone)
Revised on 31051'2012 E72-SWA1� Erosion Control-03.05.12.doc APPRUVED AS N _Vr 2110f 12
AR V_ PE Pag
V I INEERI
Date:
#P20
-,. 10'
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.371.0221
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 the application to the City.
The purpose of the Checklist is to enable City staff to
determine whether an ,.,potential Critical Areas are, or
may be, present on the subject property. The information
r*ded to completC the-- Checklist -easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
Date Received:
City Receipt #:
Critical Areas File #:- c_9A P D QSo o '76
Critical Areas Checklist Fee: $155.00
Date Mailed to Applicant:
A property owner, or his/her authorized representative,
must fill out.the checklist, sip 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 §ta-ff -in-finding 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 prelilminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in: consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's f6es, arising from any action or infraction based . in whole or part upon false, misleading, inaccurate or
incomplete information furnished,by the applicant, his/her/its agents or employees.
By my signature, I certify tl�at the information a* exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to fi is appl on the behalf of the owner as listed below..
C7:;D
SIGNATURE OF APPLICANVAGENT DATE '2-
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 stiff of the City of Edmonds to enter the subject property for the*
purposes of inspection and posting attendant to this application.
SIGN I ATURE OF IOW'NER- DATE -13
OWner/Applican't:
Name
Applicant Representative:
�4an4e
c�, N3 2-0-vJ S�- 61J
Street Address Street Address
pyVV-C�.- A
city State Zip
Telephone: -2—o
t,'A- 17.9 02L
city State Zip
Telephone: !Lzs- 4 70- - (Z 1/5-
Email address: Address:
Revised on 12118112 P201 -Critical Areas Checklist. doc Page I of 2
#P20 CA File -No: (PA-?-D (S
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/ vegetation)
11 J- F-k., _ka uj A c? 0.
1. Site Address/ Location: 5-10
2. -Property Tax Account Number: 1�1 C>3 -D4 0 D -L-Lk oD
3. Approximate Site Size (acres.or square feet):
4.* Is this site currentjy developed? X yes; no.
If yes; how is site developed? X %5�1 SF
U_
5. Describe the general site topography. Check all that apply.
Flat': less tha-A 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 104eet over a horizontal
distance of 66-feet).
Hilly: slopes present on site of more than 15% and less.than 30% (a vertical rise of 1.0-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: o' ;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 r-� 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 p-resent on site:.
----For City Staff Use. Only
1. Plan Check Number, if a'phcable?
p
2. SiteisZoned? 9,C->-Ca
3. SCS mapped soil type(s)?
4. Critical Areas inventory.or C.A. map indicates Critical Area on site?. 96,
5. Site within designated earth subsidence landslide hazard area? ALO - I
STUDY
SITE DETERMINATION
.4 -WArVER
Reviewed
Revised on 12118112
P20 - Critical Areas Checklist doc
Page 2 of2
r -
CITY OF EDMONDS DAVE EARLING
MAYOR
121 5th AVENUE NORTH - EbMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
www.edrhondswa.gov
DEVELOPMENT SERVICES DEPARTMENT
1,.? C. 1 sg\)
September 13, 2013
Kris & Margaret Browne
510-2 nd Ave. North
Edmonds, WA 98020
Subject: Determination regarding Critical Areas Checklist: CRA20130096
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
"DETERMINATION" FOR YOUR RECORDS.
Please examine this Determination for additional requirements. You may need to submit additional
information such as an Environmental Checklist or Critical Areas Study.
The Determination for the C ' ritical 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 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.
Thank you,
Planning Secretary
C: Ryan Brummitt
*Architectural Design Board
Enclosure
C:\Users\Ross\Dociiments\LINDA\CRITICAL AR AS CHECKLISTAVc
Worporated August 11, 1890
Sister City - Hekinan, Japan
-0
#P20
City of Edmonds
Development Services Department
Planning 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 Application for the City of Edmonds prior to
his/her submittal 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
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
Date Received:
City Receipt #:
Critical Areas File #:
Critical Areas Checklist Fee: $155.00
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 review the che6klist, 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
specific piece of property described on this form. In
addition, - the applicant s ' hall 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.
The undersigned applicant and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished. by the applicant, his/her/its agents or employees.
By MY signature, I certify tl�at the information A exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorizePto s app on on the behalf of the owner as listed below.
SIGNATURE OF APPLiCANT/AGENT DATE_
t
Property Owner's Authorization 0
By my signature, I certify that I have authorized the above ApplicantlAgent 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 ZZ DATE
Owner/AppUcant:
Name
Street Address
city State zip
Telephone: 2-ot. 5VI - 3L'-t 10
Applicant Representative:
r4ame
Street Address
'79 L-ZL
city State zip
Telephone: JZ 5- 79 - t 2 4 S"
Email address: Vy t'--,4X &PEmail Address:
_MP --A C- L-AU4 J� D.4L -e 6,
1J I t,9ft1V-1
Revised on - 12118112 P20 - Critical -4reas Checklist.doc Pagz I cf'2
�/ V, 0
#P20 CA File No:
Critical Areas Checklist
Site Information (soils/ topography/hyd�ology/vegetation)
1. Site Address/ Location: 5-10 t�a L,)A clsoca-g.
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? X yes; — no.
If yes; how is site developed?
U_
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 10-feet over a horizontal
distance of 66-feet).
My: 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: o Approx. Depth:
7. Site contains areas of seasonal standing water: a Approx. Depth:
What season(s) of the year?
8. Site is in the floodway tJ floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
t-.) 0 Flows are seasonal? r�4 o (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
1. *'Plan Check Number, if applicable?
2. Site is Zoned?
3. SCS mapped soil type(s)?
4. Critical Areas inventory or C.A. map indicates Critical Area on site?
5. Site within designated earth subsidence landslide hazard area?
SITE DETERMINATION
—STUDY REQUIRED
Reviewed by- D
WAIVER
Revised on 12118112 P20 - 0itical Areas Checklist doc Page 2 of 2
EXISr IS'SAWMANY sfarrN
PPROXAVArrLy /S'oefp,
Srr
/A
wEsr
125.,55'
_7 7
r M
SANMARY SEWER EASEMEN r
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�r AV
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wEsr
125-42' ,p srr., 0
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o, i.Ap ser 89IP56 50 -E
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CITY OF EDMONDS - SIDE SEWER PERMIT
WATER-SEVVER DEPARTDIENT
PERmiTN0. 3953
Call 716-1107 for side sewer inspections BEFORE cov"ring any portion of the construction.
Inspection will be provided within 24 hours after request. No S&t., Sun., or holiday inspections.)
..........................................
ADDRESS LOCATION OF CONSTRUCTION ------------------------------------------------------- ....... ............. ............... . .. . .........
...........
2", . —, �' � I � , ......
.................. ..... ....
PROPERTY LEGAL DESCRIPTION ................... .................................. ........ ..................... - —
....................... . .......................... ........................ .......................................
............
....... . .................. .................................... OWNER, AND/Ox BUILDER ----------- ...... ................... ...... .. .....................................
CONTRACTOR'S NA3M ADDRESS .................................. ...... ...
sewsr�
j. for repair and/Or connection of & side sewer to the MY s&dt86rY
Worn2ission Is granted ........... . ............................ ......... ...... 19
')&tern In accordance with City of Edmonds ordmancaL
)FNTION IS CAT-IND TO THE FOLLOWING: permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construck',
No. 1—The owners of the property may obtain a
side sewer in street axea. Do not cover any portion of sewer before it has been InsPectQ&
permit obtainable from the City Engin0ee& Oftlft-
MOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -Of -Way
NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. gr*de of 2%- No bends In
JJOTE No. 4—Top of side sewer must have at least 30 inches coverage a;t property line and 12 Inches inside Property line; mialmuln grad"
sharper than % will be permitted. rwp"ble for failure due to inlPrOOi�
NOTE No. 5—Trenches in street must be water settled and surface of street restored to original condition. contractors sWI bC
work which may develop within one year of completion.
NOTE No. 6--It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its aPpUrt0n&nft5 except to 10-�
Bert the pipe into the wye.
DISAPPROVED 0 DaAe ... . ................................... By ---------------- 1311"
APPROVED Da, ------------- By"�-- ........... .
Remisrks: ------- - ------ - -------------------------- - ---------------------------------------------------------- *"---* ----------- ----------
Date--------------- - -- - ------------- - 'By ................
.......... ......... ..................... ... . .. . ...................................................
--- ----- ..........
........ ............ .......... .. --- - ------ .......... . - -- -- ---- --- ----- ------------ ---
.... . .. BOTH Permit - Copies MUST Be S ign ed ]3y owner of Flirm Performing Construction pBIOR To Request For Inspection
'it gtallation constructed under this per t
I --------------------- ---- hereby certify that the side sewer in mi
(Owner of Contracting Firm Performing construction)
,installed in accordance with all governing ordinances of the City of Edmonds
19-7-
Dated this ... oa -day of --- )( ................... ................. . ...
.. . ..........
— E], Sewer[], Other 0 V -1
Check BEFORE you dig for: Water 0, Gas 0, Telephone [], Power
7'
I The City cpf Edmonds
APPLICATION EDMONDS
for I -T' -
I TREA MENT FLANTI
SIDE SEVVER PF�FWUT A= - - . .. .
EASEMENT
NEW CONSTRUCTION REPAIRS 0 . ... . .. T,
OWNER ....... Le-tt . ......
A.DDRESS
. t V'. 'S' A,
No A
CONTRACTOR . ......
. ...... E ft(6---- PERbUT N�.3, ;5� .......
LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ................. (
............. ............
NAME OF ADDITION .......... 4�'5�!�ff .....
... dLa.�_'Kc
S;' 6 d,;; /'s X'. �_
DYE TESTED 6/19/80 - SEWER RUNS INTO
M/H #282 SHEET #8
Approved:
DATE—Z' . .. ....... ...... Y
�j
MAY '14 1! -:?
Date: November 23. 1970
Memo to: Ron Whaley
Assistant Public Works Director
From: Leif R. Larson
City Engineer
Subject: Sewer Connection Charges
Legal Description:
Part of Government Lot 2, Section 24, Township.27 North, -Range 3 EWM,
described as follows:-commenci.ng at a point on the -westerly . line of Third
Avenue*.854.9o.feet north 29018100" east as measured along the said Westerly
line from the northwesterly corner of Third Avenue And -Edmonds Street (said point
bei ' ng the northeast corner of Sunset Addition to the City of Edmonds, as
recorded in Volume 15 of Plats, page 41, records of Snohomish County, Washington;
thence.north 8905615011 west for i25.52 feet, more or less to the easterly m . argin
of Second Avenue; thence along said margin.north 3004814811 east for 188.00 feet;
thence east 125.33 feet; thence south 300461ooll west for 187'.87 feet to the true.
point of b ' eginning EXCEPT the.north 80.00 feet thereof; situated in the County
of Snohomish State of Washington
Commonly known as: Lot E Owner:
Z.F.F. Calculation:
30.00 Z.F.F. x ( 5.50 $ 165.00 Connection Fee
300.00 minimum.charge....
.1 Unit x ($ 25.00) $ .25.00 Trunk Charge
$ 10.00 Permit
335.00 TOTAL
' The north 80'00 feet measured fr and perpendicular to the north boundary
of the- [o||owing dc�crih�d ron/ n ~o�o si�uatcd � the C [
, `` ' n e County o �nnhonish
5tate of Washin�t'`n: 9- -�---`^~ ' ^'' ^ ' ` "
,
� Part of Government Lot.- 2 Section T h/
, » Town p �7 No Rang� � F W. M
described as- / *v� Conn � ` � ''' ` ' ' M.
' � onn/enc ny po�nt on the westerly '�ine of
T|/irJ Ave. 854.9� �cc� north.2g" T" cast as measured along the �a/`
wes(�/}y |i//c from i|�c nor�kwe�i o`~`rn|� Third Ave and E'`'onds ct^ u
—Ts3�id poi�/ being the northeast c"/nu� of 5unseL Add�tiuo t~'�|r City
[
� [d'non,!�. as recorded in Volume 15 o[ Plats, Page 4|,/Rucord" of 5n/|`yonph
County, W��hington; thence north 89^ 56/ 50^ west for |25]� [eo< " n/|/
Tro� Po�oL o/ Bcyinning� thence cont north �g'` ��' ^O-' �`' �e
[o � oo | ' � ^ wes( | 2� �2
� . / re or vs�. �u �h� ras�or|y n�ar 'n F Second - '
' g/' o econ Ave.; thencc a|n/.Y
saih �0' �8/ ��" c�`| /�0/ |H0 0O / C - � ''
' � L Li " ' ' 0� � [`Cnc� c�*\
or � x�oc� souLh �O 46/ 00// we�( 187 87 feet ttheT y � '
A. ^ Bginn�'��� �ituaied in thc Cnonty nf �n'homish, Soaieo['u«�h�i//n(o»[ '
sh»m/ h� sk�dh in [xhihiL nA" and h � [ ` �o "5/ n' a�
T'`\ r�Fe'oncc nede a Part hereof.c/��/na �er attached and by
-/ �
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