6801 N MEADOWDALE RD.PDF12366
6801 N
MEADOWDALE RD
Critical Areas Checklist*
Site Information
projeetName. -PLAYGROUND MEADOWDALE permit Number
CLUBHOUSE
Site ]Location: 680g N MEADOWDALE ROAD Property Tax Account Number. 5131 000 o84 ol 09
Approximate Site Size (acres or square fcet): 400 SF
Have you filled out a Critical Areas Checklist for a project on this site before? NO
General Site Conditions
1. ilas the site been cleared or logged? YES Date of most recent action: 1982, MINOR CLEARIN
TO IMPORVE PARKING LOT MR—TMALLATION OF
LANDSCAPING
Soils / Topography
2- in the Snohomish.County Soil Survey, what is the mapped soil type(s)? AL DERWOOD URBAN LAND COMPLEX
GRAVELLY, S=LOAM 25-75%
3. Describe the general site topography. Check all that apply.
X 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 fcet.)
�Iilbr- slopes present on site of more than 15% and less thari 300/p ( a vertical rise
of 10 feet of horizontal distance.)
Steep: gradesof gmter than 30% present on site.
Comments
Hydrology/Vegetation
4- Site contains areas of year-round standing water. NO
5. Site contains areas of seasonal standing water. No- --Approx. Depth:
6. Site is in the floodway NO floodplain of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? flows.
are year-round? Flows are seasonal?
8. Site is primarily: forested -. meadow ;shrubs X mixed.
9. Obvious wetland is present on site: NO
Wedand inventory or map indicates wetland present on site:. NO LAA_rZ>l I%TL
11. Cn'tical Areas inventory or map indicates any Cnitical Area on site:
F-or.-Oty Pse Only
a�f6is stu4'As.-'require"d.
City of Edmonds
Critical Areast hecklist
'Me Critical Aseas Checklist contained on
this form is to be filled out by any person
prqmring a Development Permit
Application for the City of Edmonds prior
to his/her Submittal of a development permit
to the city. ,
Ile purpose of the Chccklist is to enable
City staff to determine whether any potential
Critical Areas are or may be present on the
subject property. Tlte information needed to
Complete- the ChOcIdist should be easily
available fromobservations of the site or
data available at City Hall (Critical Areas
inventories, maps, or soil surveys) -
An applicant, or his/hcr representative, must
fill out the ched1dist, sign and date k and
submit it to the City� The City will review
the cherldist, make a precursory site visit�
and make a determination of the subsequent
st4s necessary to complete a development
permit application- .
With a signed copy of this form, the
applicant should also submit a vicinity map
of the parcel with enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information or sttidies in conjunction 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 appropriat,6 column below)..
Owner / Applicant:
CITY OF EDMONDS
Name
OWNER
Title -
505 BELL STREET
Street Address
EDMONDS, WA.98020 775-2525
City. State, zip Phone
Applicant Representative:
ARVILLA OFILDE
Name
PARKS AND RECREATION MANAGER
Title
700 MAIN STREET
Street Address
EDMONDS, WA 98020 771-0230
City, State, ZIP Phone
Signa ire
Date Signature Date
11 V .;
.' City of Edmonds
Critical Areas Determination
Applicant: I City of Edmonds - Parks Determination #: I CA-9.3-53
Project Name: I Meadowdale Club House Permit Number: F
Site Location: 1 6808 N Meadowdale Rd Property Tax Acct #: 1 5131-000-084-01
Project Description:
Installation of a Playground area.
Waiver Criteria (all criteria must be found to apply):
xx There will be no alteration of the Critical Area or its required buffers;
xx The development proposal will not impact the Critical Area in a manner contrary to
the goals, purposes, objectives and requirements of the Critical Areas ordiniance;
xx The development proposal meets the minimum standards of the Critical Areas
ordinance;
xx The above findings are based on the following conditions of approval:
1. That any development, within 50' of the top of the bank located to the
south and west of the property which would require any disturbance of
soil, would require another evaluation of the Critical Areas Checklist for
-steep slopes and unstable soils.
2. The applicant must follow the requirements of the Engineering Division for
erosion control (ECDC title 18).
Based on the above findings and conditions, the requirement for a Critical Areas Study
associated with this development permit is hereby Waived, as authorized by Chapter
20.15B. 150 (B) of the Edmonds Comm Development Code.
Stephen F. Bullock
Name 4S* nature date
The City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRS LID NO . .................. . ASMT. NO . ..................
OWNER .....
QF ...... 6.0M.O.N.O.S ...................................... CONTRACTOR .................................
.. ... ....... . ... .. .. ................................................... PERMIT NO . ....................
JOB ADDRESS ..62DI ...... &-..-MEAP9VPAi4 ..... 2-04.b ........ LEGAL DESCRIPTION: LOT NO . ........................ ............. BLOCK NO. — .................................
PWW-0001 .11/75 (REV. 11178)
NAMEOF ADDITION .............................. — ......................................................................................
pu^,i4 3.d -rA419 N 1/& .11 /'D.P. 'el.- 4
'Paty
Approved:
DATE........ �.710.79-i --------------- By ..... ..................................
Side Sewer Drawing
94k
TL e* I CA J
W ly W firluill .10 EASEMENT NO . ........... ................................
NEW CONSTRUCTION REPAIRS F-1 LID NO - ------------------ ASMT. NO - ------------------
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR ................................................ ................................... PERMIT NO . ....................
JOB ADDRESS --------------------------------------------- - --------------------------------------- LEGAL DESCRIPTION: LOT NO - ----------------------------------- — BLOCK NO . ....................................
r -
Uji
.............. I ..........................................
NAME OF ADDITION --------------
Approved:
PWW-0001 -11/75 (REV. 11 t78) DATE . ............................................ By ............................................. ..............
�J-
I 5(T, 14
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C.ITY of EDMONDS PUIDLIC �40RKS DEPART-MENT
IWATER/SEUER DEPARTNENT DAIILY VEHICLE N(ORK REPORT
'REPORT OF UNIT NUMBER: DATE:
WEVEHER:
jOB ADDRESS
Tlt,!E I N
JIME OUT
TRUCK USED
1,11 LEArE
EMPLOYEES NANEzl�.
WORK ORDER NUMBER
JOB ORDER NU�.-VBEJR
EQUIP!,'ENT USED
MATERIAL USED
DESCRIPTION 'OF
WORK AND REMARKS