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12474
622 OLYMPIC AVE
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APPLICATION
for
Thb City of Edmonds SEDE SEWER PERMIT EASEMENT No . ...........................................
NEW CONSTRUCTION REPAIRS
...... 3-30
OWNER ........ ......... &.'Ow'% F ........................ ..... CONTRACTOR ......... ........ ; .... ... ............................... PERMIT N4
LEGAL DESCRIPTION: LOT No . ........... / .................................. BLOCK No . ............................................
ADDRESS ... ........ . ........ . . .....
NAME OF ADDITION ....... .............. ...................
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Approved:
DATE......... By -- D;;�p ... �11 .............................................
I I r�' CITY OF EDMONDS Call ]PRospect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT
Is ready for Inspection. (No Inspec-
tions Saturday, Sunday or holidays.) N2 2330
SIDE SEWER PERMIT
ADDRESS............................................ 622 --- OlymRic--Ave - - ---------------------------------- - -----------------------------------------------------------------------------
OMWER .............................................. Mar ---- Mi-c --- Cons_t.r... M.C.W.
....... .... .. .......... .. .. . ........ CONTRACTOR ................................................................................
Permission is grantedJune ... 7 . . ............................. 19 ... 6-7, for ........................ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The .... of the property may obtain a permit to construct sewer Inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion Of sewer before It has been inspected.
NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 Inches inside property line; minimum grade of 2%.
No bends in grade sharper than % will be permitted.
NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work which may develop within one year of completion.
NOTE No. 5—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 appur-
tenances except to insert the pipe into the wye.
7�, ------ 7�
Critical Areas Checklist cA.
--------------------------------------------------------------
Site Inf.ormation (soil s/topo'graphy/hydrology/veg.etation) -
1. Site Address/Location: 622 Olympic Avenue, Edmonds, WA 98020
2. Property Tax Account Number, My 00
3. Approximate Site Size (acres or square feet): 20,000 sq. ft.
4. Is this site currently developed? X yes; _no.
if yes; how is site developed? single residential family home
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
X 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 33 to 66-feet).
Steep: grades of greater than 30 1/* 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. no Approx. Depth:
no
7. Site contains areas of seasonal standing water: Approx. Depth:
What tesson(s) of the year?
B. Site is in the floodway no floodplain no of a water count.
9. Site contains a creek or an area where water flows across the grounds surface? Flows am year-
round? yes Flows am seasonal? (What time of year9
10. SitC, i3primarily; forested meadow.. ;shrubs mixed
urban landscaped (lawn,shrubs etc) yes
11. Obvious wedand is present on site: no
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0 City of Edmonds
Development Servim Department
Planning Division
Phone: 425.77 1.0nO
Fax: 425.771.0221
Critical Areas File #:
Critical Areas Checklist Fee: $45.00
Date Received by Dcv- Serv. Dept: :Z-- 1,,`<:'-26D
City Receipt No:
Date Mailed to -Applicant:
C. I
CRITICAL AREAS CHECKLIST
The Critical Artm Checklist conWned on this form is
to be filled out by any person preparing a
Development Permit Application for the City of
iEdmonds Prior to his/her submittal of a dcvclopment
permit to the City.
ne purpose of the Checklist is to enable City mff to
determine whether any potential Critical Areas art. Or
may be, . pm-scit on the subject property- The
informafion needed to complete the Checklist should
be easily available from observations of the site OF
data available at City Hall (Critical areas inventories,
maps, or soil surveys).
An applicant, or his/her representative, must fill out
the checklist, sign wA 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 staff 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 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).
PLEASE PRINT CLEARLY
mug
Owncr/Applicant:
Name'
Street Address
City State zip
Telephone
Signature
Date
d.T9QWJonqanafCACLHandaPA.doC
Applicant Rtpresentstive:
BUDGET TANK REMOVAL SERVICES, INC.
Name
5600 -.14th Avenue N.W.
Street Address
Seattle, . WA 98107
City State
206-783-6482
Zip
Telephone
signature - Matth6d P. Veeder for Budget TAnk
Date
Rev1ssdW10r20W
City of Edmonds
Critical Areas Deten-nination
Applicant: Matthew Veeder for Budget Determination #:
Tank Removal Services, Inc.
Project Name:
Site Location:
CA-2000-1 11
- I
Permit Number:
622 Olympic Avenue Property Tax Acct #:
Project Description: I non -project specific
A site inspection of the property has revealed a lot developed with a single family . residence. The
site contains and/or is adjacent to wetlands and streams.
Based on the above findings, a Critical Areas Study is required to delineate the boundaries of the
Potential critical areas, buffers and setbacks. A wetland biologist must locate the wetland and
stream, identify the classification of the wetland and stream; then a licensed land surveyor must
create a map of the site which indicates the wetland and stream location and the buffer location.
Since the Possible wetland and stream may be located on adjacent property, the City understands
that the owner of the subject property may not be able to gain legal access to that property.
Adjacent Property owners must grant permission to access, and the City is not implying
consent to access an adjacent property. If applicant is unable to gain access to adjacent
properties, the City will accept a surveyed map with the best estimate of the wetland locations.
At this point, it is unclear what the wetland and stream classifications are — it is likely to be either
Classification 2 or 3. A wetland biologist will make this determination. Any work perfon-ned by
a wetland biologist must be prepared through a three -party contract with the applicant, the City
and the biologist.
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 perinit
will not adversely impact a Critical Areas or its buffers, a conditional waiver may be issued on a
project by project basis.
Chanda Earhnrt
6,2000
Name Signature U
Date