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7103 156TH ST SW.PDF1111111111. 793 7103 156TH ST SW 890-199 STREET FILE CITY OF EDMONDS 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works . Planning . Parks and Recreation . Engineering June 1, 1993 R. Fairbrook 7103 - 156th Ave. S.W. Edmonds, WA 98026 LAURA M. HALL MAYOR This letter is to inform you that you are served by a city maintained grinder pump system. This system pumps your sanitary waste to city gravity sewer lines as your house was too low to obtain gravity flow when city sewer mains were installed. I hope to inform you of the basics of how these pumps function, who to call should you experience alarms, and what precautions.should be taken to prevent damage to your home. 1. The grinder pump.was originally installed by the homeowner, but the hardware was purchased by the city of Edmonds' Lid Bond that paid for the sewer project in your area in 1985. These pumps are float activated to cycle the one pump to take your sewage up to where gravity flow can be obtained. 2. The following precautions must be adhered to prevent damage to your home: A. Do not dump any nonbiodegradable products down .into the pump tank. VIA your drains in your house. B. Minimize the amount of grease disposed down your drain. This may cause problems with the float operations. C. Do not empty pools into the tanks without a restrictor approved'by the city of Edmonds. D. Do not attempt to access tank or electrical cabinets. Should you have a pump failure from any of the above mentioned items, the homeowner will be held responsible for damage. • Incorporated August 11,.1890 •'' Sister Cities International —. Hekinan, Japan 3. The city of Edmonds Sewer Section will maintain the pumps every three (3) months to ensure the proper operations. We will also clean, operate and check all components to ensure proper working status. A separate log is kept to your pump that will -reflect -any maintenance done. We can track reliability and the need for upgrade or repairs when a chain of failures start to occur. Crews will require the use of your water so the tank can be washed down and we will always try to notify you of their. presence when they arrive on the site. 4. Should you experience any problems with the pump, there are two alarms that will indicate failure. One alarm is located within your home and has a black push button to reset to silence. There is also a visual alarm located on the electrical box outside your home. . When this occurs, please call us at 771-0235 immediately to investigate any problems. Our office hours are 8:00 AM - 5:00 PM Monday Through Friday. Should an alarm occur after hours, weekends, or holiday, contact 911. There is a 24-hour call person on duty to be dispatched. We do carry parts for all of these systems and should be able to correct most problems within a reasonable amount of time. If you have any questions`or concerns, please contact Everett Akau or myself at 771-0235, extension 349. Sincerely, Ron Holland Water/Sewer Supervisor cc: Everett Akau RH/lk CITY OF EDMONDS 4 PUBLIC WORKS DEPARTMENT FOR INSPECTION CALL-5 ALL Permit 77-5-2.5-25 Ext. 2�2=0 Issue Date �.. SIDE SEWER PERMIT PERMIT MUST BE POSTED ON JOB SITE *_ 1. Address of Construction ;,d �� /� �; 3 .•-ra': A,,; f7� LU2. Property Legal Description (include all easements) LXJVNWOOb L1Nt J �3. Single Family Residence`--,9 Multi -Family No. of Units Commercial ID4. Owner and/or Builder S. Contractor & License No.(� QC6. Invasion into City Right -of -Way: Nd`— Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig before excavation) . fl�04Ba�5a 7. Cross other private property: Yes No''`,j Easement required - v attach legal description and county easement number. H a READ THE FOLLOWING AND SIGN: a 4 a. Property owners must obtain a permit to install side sewers on >' their property. A licensed side sewer contractor must be employed to °Q construct side sewers in the public right-of-way. w b. The side sewer contractor assumes full reponsibility for each F' installation for one year. wc. Commercial establishment requires a minimum of a six inch (6") 2: side sewer line. o d. Side sewers may not be installed closer than thirty inches (30") to any structure. e. Side sewer lines must be laid at a minimum grade. of 2% (1.150) and maximum grade of 100% (450). H f. No turn in side sewer greater than 45° (1/8.bend) is0allowed between cleanout. All 90 turns must be constructed of a 45 (1/8 bend) and wye with removable cap. g. No down spouts, footing drains or floor drains can be connected to side sewer system. h. Pea gravel is required for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. j. Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsible for right-of-way failure due to poor compaction of fill. k.. Side sewer must be left uncovered until inspected and approved by the City. 1. Inspection during normal working hours only. Two (,(2) working days notice required. --- DATE: < ' I -certify that I - ave �read�., and shall comply with the above PERMIT FEE: 7 e� U W CONNECTION FEE: oa w ** PERMIT DISAPPROVED By: Date: B Date: APPROVED By �:j. Date: S- 9- P,jr T BE POSTED ON JOB 5 TE * UTILITY EASEMENT IN CONSIDERATION of $1.00 in hand received and other benefits to accrue to the grantors herein, the undersigned, David F. Olmer and Denise E. Olmer , husband and wife, owners of Parcel A, hereby grant to William E. Pielow and Winifred L. Pielow , husband and wife, their successors and assigns, owners of Parcel B, a permanent easement for the installation, operation and maintenance of a side sewer over, across, through, and below the following described property; and the further right to remove trees, bushes, undergrowth and other obstructions interfering with the location, construction and maintenance of said utility or utilities, together with the right of access to the easement at any time for the stated purposes. The easement and right-of-way hereby granted is located at the County of Snohomish, State of Washington, and is more particularly de- cribed as follows: A ten foot strip of land that is 5.00 feet on each side of the side sewer as it now exists, or as located in the future. Within the following described property: Parcel A The West 74.01 feet of the South 300 feet of Tract 55, and the East 53.88 feet of the South 300 feet of Tract 56, all in Lund's Meadowdale Tracts, as per plat recorded in Volume 6 of plats, page 26, records of Snohomish County; EXCEPT the West 110 feet of the South 115 feet thereof; AND EXCEPT the South 5 feet thereof as conveyed to the City of Edmonds by deed recorded under Auditor's File No. 2032945; Parcel B That portion of Tract 55, Lund's Meadowdale Tracts, as per plat recorded in Volume 6 of plats, page 26, records of Snohomish County, Washington, described as follows: Beginning at the Southwest corner of said Tract 55; thence East along the South line thereof 174.75 feet to the true point of beginning; thence North, parallel to the west line of said Tract 55 for 125 feet; thence West parallel to the South line thereof, 100.74 feet; thence North 175 feet; thence East parallel to the South line thereof, 120.74 feet; thence South, parallel to the West line 300 feet to the South line of said Tract 55; thence West along the South line of Tract 55, 20 feet to the true point of beginning; EXCEPT the South 5 feet thereof as conveyed to the City of Edmonds by deed recorded under Auditor's File No. 2027832, records of Snohomish County. TOGETHER WITH A TEMPORARY CONSTRUCTION EASEMENT OVER THE aforementioned property. Said construction easement will end upon the completion of the construction of the side, sewer, or January 1, 1985, whichever comes first. THEGRAKrm agrees to restore to substantially the original condition such improvements as are disturbed during the construction, maintenance and repair of said utility or utilities; provided the grantors, their heirs, or assigns shall not construct any permanent structure over, upon, or within the permanent easement. ACCESS EASEMENT FOR MAINTENANCE AND OPERATION IN CONSIDERATION of benefits to accrue to the grantors herein, the undersigned,. David F. Olmer and Denise E. Olmer, hereby grant to the CITY OF EDMONDS, a Municipal Corporation, a permanent access easement for inspection and maintenance of a sewage pump and pressure line over, across, through and below the following described property, and the further right to remove trees, bushes, undergrowth and obstructions interfering with the inspection and maintenance of said sewage pump and pressure line. The easement hereby granted is located in Snohomish County, Washington, and is more particularly described as follows: A ten foot strip of land that is 5.00 feet on each side of the pressure line and sewage pump as they now exist, or as located in the future. Within: The West 74.01 feet of the South 300 feet of Tract 55, and the East 53.88 feet of the South 300 feet of Tract 56, all in Lund's Meadowdale Tracts, as per plat recorded in Volume 6 of plats, page 26, records of Snohomish County; EXCEPT the West 110 feet of the South 115 feet thereof; AND EXCEPT the South 5 feet thereof as conveyed to the City of Edmonds by deed recorded under Auditor's File No. 2032945; Situate in the County of Snohomish, State of Washington. The CITY agrees to restore to substantially the original condition and inspection of said sewage pump and pressure line, provided the grantors, their heirs, or assigns shall not construct any permanent structure over, upon or within the permanent easement. DATED this ✓� -)--day of 19 T L Hu� nd. ail/ dA, W i =e STATE OF WASHINGTON) ) ss COUNTY OF SNOHOMISH) On this day personally appeared before me Q to me known to be the individual(s) described in and who ex uted the within and foregoing/j ns,trument, and acknowledged that My _ signed the same as LAlf free and voluntary act and deed, for the uses and purposes therein mentioned. UN ER MY HAND AND OFFICIAL SEAL THIS oiv5 DAY i U , 19N AV. NOTARYCPUL C' in and for the State of Washin on, residing at (_,_ L DATED this ,)_-)L— day of 19 cl Y LL 1 , Husband Wife STATE OF WASHINGTON) COUNTY OF SNOHOMISH) On this day personally appeared before me known to be the individual (s) described in and who a ecuted the within and foregoinginstrument, and acknowledged that signed the same as -rj� free and voluntary act and deed, for the uses and purposes therein mentioned. UNDER MY HAND AND OFFICIAL SEAL THISr DAY OF, 19_. NOTARY PUBLIC i" nd for tjhl State o Washington, residing at • West 74.01 ft. of the South 300 ft. of Tract 55 and the East 53.82 ft. of -the South 300 ft of tract 56 all in Lunds Meadowdale record 6th of plats pg. 26 records of Snohomish County except West 110 ft. of the South 115 ft. thereof and except the South 5 ft. thereof as conveyed to the City of Edmonds by deed records under audit file 92032945 The C" I of Edmonds Side Sewer Drawing EASEMENT NO- --------------- ------------------------- KE^Jnl. com". NEW CONSTRUCTION ❑ REPAIRS [:1 LID NO. VO ------ Asm-r. NO_ ----------------- OWNER --- DAV.la ------ OILMER ------------------------------ ------------- CONTRACTOR ---------------------------------------- ................... PERMIT NO. JOB ADDRESS .7-1-0-3 --------- 15 60 ... --------- LEGAL DESCRIPTION: LOT NO- -------------------------------------- BLOCK NO. 1 LYNNW,0,0Q--LlNE ------------------------------------------------------------------------------------------------------------------------------- I ----------------------------------- --W- No klr44 -ow 7103 15 6 Pl. PWWAMl-11175 (REV.11/78) NAME OF ADDITION -- 4"c.*- 14*Tsb OV4 7031 ovMIM16 PWLSSOFM &.1646 ron, 64, PUL.-F �,.-j DR%,4F-vv^,%j DP. N c*NTVk*L Voelv COMOUIT qw- _w-- -71 GN Ir cp Cif DATEazrt.9,,1%5l---.-------------- J NOTICE: No warranty of accuracy. The information shown on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of Edmonds does not warrant the accuracy of anything set forth on these map(s). Any person or entity requesting a copy should conduct an independent inquiry regarding the information shown on the map(s), including, but not limited to, the location of any sewer stub shown. Such sewer stubs may or may not exist and may or may not exist at the location shown. Neither the City of Edmonds nor its employees or officers shall be liable for the information given on map(s), nor for any one representation provided based upon said map(s). CA FILE No. Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) L Site Address/Location: 2. Property Tax Account Number: _ 5 0o , cu o 0.515 O S U 9 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? yes; no. If yes; how .is site developed?_4+r,t"A 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 1.0-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 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. Vl -t�s ; Approx. Depth: 7. Site contains .areas of seasonal standing water: /4 Cj ; Approx. Depth: What season(s) of the year?. 8. Site is in the fioodway VNy floodplain ✓10 of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? h. p 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: Y \, CS For City Staff Use Only — I. Site is Zoned? k -�— 17, 2. SCS mapped soil tyl s)? erei ' �ve--s Y` of `( s-4— foams 2 j^_ 70?e .5 (p,lJe— 3. Wetland inventory or C.A. map indicates wetland present on site? �o 4 -- :-,Critical Areas inventory or C.A. map indicates Critical Area on site? l of ,�5'(oyp� w , 5.. 'Site within designated earth subsidence landslide hazard area? �CS 6. Site designated on the Environmentally Sensitive Areas Map? Yp $ .DETERMINATION -''STUDY REQUIRED CONDITIONAL WAIVER WAIVE - f /' Reviewed by: �L'1� rLl'ti(� � / 7 C; Planner ate xgv 0iroaro4 .ryr f 8 0 90 191 City of Edmonds 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 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). 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 snake a determination of the subsequent steps necessary to complete a development permit application. With a signed copy of this form, the applicant should .also submit a vicinity reap or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant shall include other pertinent information (e.g. site plan, top!?graphyp, etc.) or studies in. conjunction With this Checklist to assist staff in comnpleting their preliminary assessment of the site. l have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: WiiItAyn ` 7, Namer /S6 Street Address 1'�-QVA CIAJs City, State, ZIP " 41 3-1,6 � phone Signature Date Applicant Representative: Name Street Address City, State, ZIP Phone Signature Date pl ea5S4 Ca l t � S � City of Edmonds Critical Areas Determination Applicant: William E. Lund Jr. Determination #: CA-96-195 Project Name: Permit Number: Site Location: 7103 156th St. SW Property Tax Acct #: 5009 000 05 09 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 over 40 % with more than 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: 1. For development proposals which will occur within the 50 foot buffer, but no closer than 10 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 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.180A and 20.15B.040C). All proposed development of the subject lot must meet the requirements of Chapter 19.05 of the Edmonds Community Development Code. 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 Date 2 L Fi`",w4-!"w'"T -, -.•S 1. r�r 1 --anow— O 890-19� City! of�Edmonds ..RIGHT-OF-WAY CONSTRUCTION v.� r ' � ,g� "' PERMIT Permit Number. Issue Date: Address or Vicinity of Construction: _7103 156 St SW (9613670 ) B. Type of Work (be specific): Ina tall Service C. Contractor: Washington- -Natural Gas Mailing Address: 1122 75 St SW Everett State License #: 98203 D. Building Permit # (if applicable): a 0 Contact: Mariamne Kingsbury Phone: 356-7500 ext 7596 Liability Insurance: Bond: $ Side Sewer Permit 11(if applicable): _ E. ❑ Commercial ❑ Subdivision ❑ City Project ® Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: AI i., ; 4 F. Pavement or Concrete Cut 1 ❑ Yes [RNo G. Size of Cut: x H. Charge $ APPLICANT TO READ AND SIGN` t` p INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. '"�N I have read the above statements and understand the permit requirements and the pink copy of the permit will be 'w available on site at all`tl: es for inspection urposes. Signature: Date: ntractor or Agent CALL DIAL--A=DIG PRIOR TO BEGINNING WORK i FOR CITY USE"'ONLY APPROVED BY:, TIME AUTHORIZED: VOID AFTER 1 DAYS SPECIAL CONDITIONS: St C A irk t— (. h C1 <EWE& 19/i4w0V4r - �✓� Vt �+� l'� RIGHT OF WAY DEPOSIT DISRUPTION FEE/FUND III: y RESTORATION FEE: PERMIT FEE: �+o a C) _' TOTALFEE: COM(dENTS: RECEIPT FEE: DATE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) Comments Diagram CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by. P.W.: Work Disapproved By: FINAL APPROVAL BY: ❑ YES Date: Date: ❑ NO w M !ice ,W V M� AV4rj*xjtonErxr9YCcmpcTV Addendum to: City of Edmonds { I Right of Way ly 'Permit Applicaltion Submitted by: Mariamne Kingsbury Engineering Aide- . Washington Natural Gas 1356-7500 X7596 • �3 N �103 IS(o S� SW Jv� �'1Col3co�-v Key: Water Watermain depth ►J o I NDiCCA7tolJ -G- Gas • -SS- Seger a Water hydrant gas main ,11!.,.0 0 i.Water valve Washington Natural Gas Company 1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331 - Side Sewer wing The V6 of Edmonds EASEMENT NO . .......................................... MEAD. Got4m. NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO. VO ...... . ASMT. NO ................... OWNER ....UAVID....... OLMEROLMER ........... CONTRACTOR.QWN.ER........................... ................... .................. PERMIT NO. 6.5.78. JOB ADDRESS .7.10.3.......... .!$W............ LEGAL DESCRIPTION: LOT NO ....................................... BLOCK NO. .................................... I I 7103 15�sT. n PWW0001.11/75 (REV.11178) NAMEOF ADDITION......................................................... ....... ....................................................... %wa a P•o L6 4"c.0. 136T60 ON '►03� t56rM up~%ace Pf+ESSuiiC S'LANE Fop ti. —_ ?OZ- i5r.rM �. 11• — — 9 — ,- - -1✓s•. N� MoL Poly _ _ 1 _ _ _ < / DRIVEWA`? ORtiv�t,. W DP. i J4' 4�x vawE 10.5 i CONTROL _ - 0-.1 co11001T �R — — CONTROL ZaM Pur1P 0 Lqe V) z Approved: I DATEIIJUt..lt. M5 ...... By (...r ... .......... Side Sewer urawing The City of Edmonds EASEMENT NO. .— ......................................... NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO. ZA.0 ..... . AsmT. NO ................... OWNER CONTRACTOR ..FFRED ..... ................................. PERMIT NO. 65�7-5-- JOB ADDRESS .70-2-5 ---------- ..... b- LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO. .................................... ........................................................................... I .................................. ................................................... P40 R NAME OF ADDITION .......................... ...... ...................................................... --------- ----------------- — V -ro SURv 7025 15G C,am-rRaj- PA6MUSU5 V 4rAJM COMPI.. To SuavAce PQA CMEc-K'4ALVC PUMP,, 1=16a L CO *4 a UST A5PH^AjL.T/C.()b4c. PA9tW"G AREA PRESSURE L-INE — — z '7103 Approved: 1"Ressuma uw- PWW-0001-1 1/75 (REV.1 1/78) DATE............................................ By -------------------------------------- --------------------- w M wVcMIMwVwwff§NaftmralGals A w'Kh ngton Energy Comp" C '�Y �oc�U vsZT�C� Watermain depth Qc> 1Np�C»471vIJ _2L_" gas main - Ir 1 i 1 11 Addendum to: City of Edmonds Right of Way PPermit AppliCaltion Submitted by: Mariamne Kingsbury Engineering Aide.. . Washington Natural Gas 1356-7500 X7596 O 3 15� N o cl,-� T S O 3 I S(,o S7 SW �vPD �lco13co�-C� Rey: Water -G- Gas -SS- Sever & Water hydrant rc.1'(1 p .,.Water valve Washington Natural Gas Company 1122 75th Street SSW., Everett, Washington 98203, (206) 355-333.1` Side Sewer ff' wing 01 The 04 ..of Edmonds EASEMENT NO . ............................................ MEAD. CZN". NEW CONSTRUCTION n REPAIRS ❑ LID NO. VO ...... . ASMT. NO ................... OWNER ... 1) AXI 0 ...... OLMER ............................................ CONTRACTOR ..O.WN.F—R ................................................................ PERMIT NO. 65.78. JOB ADDRESS .7710-3 ......... ............ LEGAL DESCRIPTION: LOT NO ....................................... BLOCK NO. .................................... NO f2T�-t 4W H r7103 15 6-r1ST. I 4 PWW-000 1 .11/75 (REV. 11178) —245 114' 10.5 NAME OF ADDITION ........................................................ 4"C-0. 146TOLD 40" p coNrROL AUA�M ............................................... t %wask —Ti —t— ic Ir Ui Approved: 44 DATE ...1t.8dl 85 ...... By., ltaflol. . ................. .......... Q!Ag% Qg%uunr k..rawinn The City of Edmonds EASEMENT NO . ............................................ NEW CONSTRUCTION ❑ REPAIRS F-1 LID NO. QA.0 ..... ASMT. NO ................... OWNER ..................................... CONTRACTOR ..FR--F-JD ..... L ................................. PERMIT NO. G-5-77.9.. JOB ADDRESS .70.2-5 ......... .TH..... 16T LEGAL DESCRIPTION: LOT NO ....................................... BLOCK NO. ..................... .............. ............................. ................................................................................................................................. ... NORr-4-4 NAMEOF ADDITION .............. ........ I ........................................................................... .................... 7025 15co/� ,�o suassu��\`� lit '�� 3: c/) CID 'CABS CONK. To SuavAce 1.5,0P �--� 2 t� t 1E it Pun C"Er-KVALSE PUMP, b i4<<t c�.owNs�o�CoNDu.r 37 Pqqkjw- AREA 26 Vc,0. 00TED 0014 T% DRPVJ - 5.5 0 PRSSSURE UNIE 5,cp; rp C.O.WVE 0- z 7103 ISC6-rK Approved: PWW-0001-1 1175 (REVA 1/78) DATE ............................................ By ...................................... ..................... CITY OF EDMONDS 7110 - 210TH ST. SW • EDMONDS, WA 98026 • (206) 771-0235 • FAX (206) 744-6047 COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION I --ANN— O 890 19oi February 1, 1995 Occupant/Fairbrooke/Samaras 7103 - 156th St. S.W. Edmonds, WA 98026 Dear Resident: LAURA M. HALL MAYOR During our routine maintenance program for your grinder pump, city crews noticed an excess amount of baby wipes creating a potential problem. As you are probably aware, these wipes do not easily break down in water and have a tendency to mass in quantity that could cause the following problems: 1. Floats may fail to work, due to this creating a backup in house or alarm. 2. Pump may activate and burn up, due to floats not being able to deactivate pump when a low level is reached. 3. Pump may become plugged because there is not enough water being pulled through the pump due to large masses of rags or wipes. This could result in excavation of your yard to clear plug on the discharge line. Please take the time to discard these kind of materials in your garbage in the future to ensure proper operation of your pump. Attached is a letter that may help you better understand the system you have. In the event should you have a pump failure, due the items mentioned, you will be responsible for the damages. Sincerely, ll v Lj_,�J Ron Holland Wdter/Sewer Supervisor cc: Street Address File Property Manager wordata\.sewer\7103 • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan ,890.19C' CITY OF EDMONDS 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works • Planning • Parks and Recreation • Engineering October 10, 1994 FirstName» <<LastName» Address l» «City» ,«State» (<PostalCode» Dear Resident: C(071 LAURA M. HALL MAYOR Phone:<<HomePhone» This letter is being sent to you with two purposes; the first being we would like you to check your name, address, and phone number so we may assure our records are correct. If they are not correct, please call or send a notice showing your corrected information. The second is to remind you that you are served by a city maintained grinder pump system. This system pumps your sanitary waste to city gravity sewer lines as your house was too low to obtain gravity flow when city sewer mains were installed. I hope to inform you of the basics of how these pumps function, who to call should you experience alarms, and what precautions should.be taken to prevent damage to your home. 1. The grinder pump was originally installed by the homeowner, but the hardware was purchased by the city of Edmonds' Lid Bond that paid for the sewer project in your area in 1985. These pumps are float activated to cycle the one pump to take your sewage up to where gravity flow can be obtained. 2. The following precautions must be adhered to prevent damage to your home: A) Do not dump any nonbiodegradable products down into the pump tank. VIA your drains to your house. B) Minimize the amount of grease disposed down your drain. This may cause problems with the float operations. C) Do not empty pools into the tanks without a restrictor approved by the city of Edmonds. D) Do not attempt to access tank or electrical cabinets. Should you have a pump failure from any of the above mentioned items, the homeowner will be held responsible for damage. • Incorporated August 11, 1890 • Acwyi 3. The city of Edmonds Sewer Section will maintain the pumps every three (3) months to ensure the proper operations. We will also clean, operate, and check all components tc ensure proper working status. A, separate log is kept to your pump that will reflect any maintenance done. We can track reliability and the need for upgrade or repairs when a chain of failures.start to occur. Crews will require the use of your water so the tank can be washed down and we will always try to notify you of their presence when they arrive on the site. 4. Should you experience any problems with the pump, there are two alarms that will indicate failure. One alarm is located within your home and has a black push button to reset to silence. There is also a visual alarm located on the electrical box outside your home. When this occurs, please call us at 771-0235 immediately to investigate any problems. Our office hours are 8:00 AM-5:00 PM Monday through Friday. Should an alarm occur after hours,. weekends, or holidays, contact 911. There is a 24-hour call person on duty to be dispatched. We do carry parts for all of these systems and should be able to correct most problems within a reasonable amount of time. If you have any questions or concerns, please contact Everett Akau or myself at 771-0235, extension 349. Sincerely, Ron Holland Water/Sewer Supervisor cc: Everett Akau 1UUrfflq wordata\sewer\grinder � STREET FILE` � DATE: 4I l -71a MEMO TO: Building Division Community Development Department FROM: Engineering Division Public Works Departmen SUBJECT: I 0 -15( T14 ST S �Vj After review of the subject building permit application, we have the following comments: (1) Coordination of the location of any structure with respect to utilities, streets, property lines and driveway grades is e responsibility- of the contractor. (2) The contractor is required to keep the abutting streets clean- ed ot dirt and debris caused by the construction.. (3) A "?tight -of -Nay Construction. Permit" is required, from the Engineering Division of Public Works, for any work within the Public Right-of-S,,ay or public easement. _ (4) Driveway slope not' to exceed 14%. •- 31 WONr �,� • 11' = filpj"t [MAT PW 5/77 PUBLIC WORKS DEPARn= CHEacusT BUILDING PERMIT REVIEW '110011-1 IHsr S vV- (address)-:, to Street Right -of -Way Existing REQD� ._ z Access Easements Existing DhV , REQD H x Utility Easement Existing ^l , ` REQD . w lot Per Subdivisions-�-(-->-T`Plat '— Assessor Map w Site Plan Checked for Accuracy z Underground Wiring Reqd. ° 0 Check Accuracy of Legal Description 4- '1 z Review by L; Date 4- g `j w Existing Water Main Size S i�v� DN Water Main Required --"-' Service Line Required Hydrant Size Existing c4 Hydrant Reqd Per Fire Code - — Size w Detector Check Meter Reqd. Cross Connection Inspection0 H Fire Department Comments Water Meter Charge Reqd. 3 S C>o0 Review by' Lis Date 4-101-?$ Septic Tank Design Approved ���j Date 4 -1 Septic Tank Permit Reqd. =-�-- J Permit No. Sanitary Sewer Availability Proj. Drawing No. I File No. Side Sewer Availability w Sanitary Sewer Connection Fee Reqd. 3 Review by WIS Date w .. Open Ditch Existing /f//fr- Regd. Culvert Regd. Size P4 Catch Basin Reqd._ Indicate on Site.Plan O Shoulder drainage maintain collection on swale open runoff 4-- E 4 ..r `n Manhole . re d q �/�- Indicate on Site Plan Soil Conditions and Ground Water Field Checked Review by Date Revised: 1v10-1977 Page 2 Street Paving Reqd. H • Curb and Gutter Reqd. w Sidewalk Regd. w Curb .Cut for Driveway Reqd. f P4 Right -of -Way Construction Permit Reqd. H Bond Reqd. for,Public Improvements Street Name Sign Regd. cn Other Signing^ Regd. ca Pre Permit Site Inspection made on z Y BY: SEWER U - 4 H w w WATER w H z STREET l F-1 PLO ENGINEERING 11 Special Requirements listed in mean to Cone miry Development Department, Building Division BY F5 ) Date o All items filled in on Building Permit Application 41 1-70 94 BY 1 Date a' Drawings Stamped and Notations Made a BY N { Date Approved by Public Works Department � a\ Revised: lv 10-1977 I 1.. 0 STREET FILE • 7103 156th S.W. Edmonds, WA 98020 January 5, 1987 Mr. Archie Brena Water/Sewer Supervisor City of Edmonds 250 5th Ave. N. Edmonds, WA 98020 Dear Mr. Brena I am writing in response to your letter of November 3rd. Believe me, I need no reminder of the fact that I am connected to the sewer via a grinder pump. Everytime I come out my front door and see the ugly gray boxes and the red light and the lid of the missle silo sticking out of the ground, I work the water/sewer department's name in among the expletives that come to mind. The information that was supplied to me with the pump contains no disclaimers of any kind as to the materials and substances I can run through it. That doesn't mean that I put all kinds of waste through it. I am very careful about the cooking residue and other waste that goes down the drain. My wife is a professional home economist. She obviously knows a great deal about the foods and their residue that enter the grinder system. She accepts that fact that you are knowledgable in your field and would like the same professional courtesy from you. In other words, without gathering further evidence, or, at least soliciting our views, don't accuse us of causing problems with the grinder system that you chose for us and forced on us. Enclosed with this letter is one of the jars of grease that we have drained out of pots and pans prior to washing them. In addition to not putting grease into the system, I avoid putting any peelings or foods into the disposal that would have put any kind of strain on it or that had been reported to cause problems with the more than adequate septic system that I enjoyed using for many years. As I see it, there are two possible reasons for your letter and threat regarding billing. One is that you screwed up and bought an Inefficient system and are now trying to have the homeowners pay for your mistake. The second possibility is that you have planned all along to stick those of us on the grinder system with the cost of amintaining It despite your assurances during the city council hearings that you would maintain the system at no cost to the homeowner. Since I have enclosed evidence of the fact that I am not abusing the system; the only other reasons for problems with it are that 0 you made a stupid choice in systems or you have been devious in your dealings with Edmonds homeowners. I, of course, have my own opinion as to which of the above is the cause of your problem with the system. But, please don't assume as your letter indicates that, if my grinder system falls, 1 will pay for the time and materials needed to correct your mistaken, stupid, or devious actions. Sincerely David F. Olmer o STREET F1L� ,ti J !� CITY OF E D M O N D S LARRY S. NAUGHTEN CIVIC CENTER • EDMONDS. WASHINGTON 98020 • (206) 775-2525 MAYOR CITY ATTORNEY September 11, 1984 Mr. David Olmer 7103 156th S.W. Edmonds, WA 98020 Dear Mr. Olmer: First let me apologize for the delay in response to your letter of June 18, 1984. Mark Eames, the City Attorney who had handled the Meadowdale project from its inception left our office last month and I am now handling all of his former matters. In your letter of June 18 you raise a number of issues regarding the benefit assessment against your property as part of the Meadow - dale project. I note from our files that that information has been referred to Chuck McCauley of McCauley and Associates who handled the initial appraisal and establishment of benefit assessment rates. Hopefully you will be getting some response from him through the City regarding the specific issues you have raised. From a legal point of view, however, you still have an opportunity to raise your issues before the City Council. The City Council is the final decision -maker in this regard and will establish the rates of assessment. The issues that you raise should be brought forward to the Council, part of their obliga- tion is the determination of just what benefits if any are assessable against the properties in a local improvement district. I, like you, am curious to see what response Mr. McCauley will have to your inquiry. Very truly yours, OFFICE OF THE CITY ATTORNEY W. Scott Snyder WSS:jt cc: Jerry Hauth, Project Engineer 'mod CITY of EDMONDS BUSINVS LICENSE APPLICATION DATE LICENSE NO. 4- CivictClerk •Edmonds, Washington 98020 STREET FILE ANNUAL FEES I City Clerk Phone 775-2525 � PENALTY AFTER FEB. 15 �>( OME OCCUPATION 3TRUCTIONS: kII items must be completed x application will not be ac- ;epted. Sign and return application Nith fee. Renewals received $10.00 (A) ADDITIONAL $5.00 ❑ ❑ SMALL BUSINESS $15.00 (B) ADDITIONAL $7.50 ❑ ❑ Business with 10 or more employees ADDITIONAL $25.00 ❑ $50.00 (C) after February 15 must pay NEW APPLICATION (LA) )enalty in addition to fee. ❑ RENEWAL (LB) JEW BUSINESSES AFTER ❑ CHANGE (LC) IULY 31, 1/2 FEE. (PLEASE MAKE ANY NECESSARY CHANGES) ❑ DELETE (LD) NAME OF FIRM BUSINESS PHONE NO. OF EMPLOYEES ,�. t�cli"��=r`11Y7 �t1�f_:�tCr'..� _, M&CING ADDRESS NATURE OF BUSINESS o3 /s b y= S`c,�� 1` _J�— �•f V-Y r 1 O BUSINESS ADDRES _ 301 - V 1(I az5 INDIVIDUAL O O (S) OWNERS NAM. HOME ADDRESS _IC1�1 ` t HOME PHONE DATE OF BIRTH PLA OF BI TF L / - EMERGENCY NOTIFICATION: (1) NAME & TELEPHONE (PLEASE LIST TWO) (2) NAME & TELEPHONE WASHINGTON STATE TAX NO. STAFF REVIEW: APPLICANT'S SIGNATURE PARTNERSHIP CORPORATION [It (P) = (C) DO NOT WRITE BELOW THIS LINE v S�FIAL SECURITY NUMBI fF 7V-LILI-7770 n !� FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST. PLANNING DEPARTMENT DATE �� LAND USE CODE ZONING CODE IS APPROVE ❑ DISAPPROVE SIGNATUREz- CONDITIOONNA7L USE PERMIT COMMENTS 0 BUILDING DEPARTMENT DATE 3 ff 7c ?I I � Building ❑ Hotel/Motel (L) C�APPROVE El DISAPPROVE SIGNATURE N I2i'�y�'`� Permit ❑ Apt. Bldg. (A) ❑ Office Bldg. (0) Occupancy ❑ Restaurant (R) COMMENTS: Group ❑ HosplNurs Home (H) CAPACITY: (NO. UNITS, APTS., OFFICES, SEATS, BEDS, STUDENTS) 151 ❑ School (S) FIRE DEPARTMENT DATE U.F.I.R. ❑ APPROVE ❑ DISAPPROVE SIGNATURE 1 I COMMENTS: MAIL-1NL POWCE DEPARTMENT DATE SIGNATURE APPROVE El L� COMMENTS: PUBLIC WORKS DEPARTMENT ❑ APPROVE ❑ DISAPPROVE DATE 1/— -,fI SIGNATURE COMME 0TREET FILE USH IWWII. BUILDING DEPARTMETT Applicant Fill ZONE NUMU[R PERMIT APPLICATION inside Heavy Lines Joe /f`, /��J► NAME (OR NAME OF BUSINESS) ADDRESS 07 t93 IDIVISION NO. PLAT NAM[ ASSESSOR MAP NO. E MAILING ADDRESS (. — �1 7 � W J Z 0 CITY �0 S. � PUBLIC NIGHT 0/ WAY P[R ORDINANCE NO. E LEPHON[ NUMBER 50 EXISTING RIGHT OF WAY FFF... ME / _�/ PROPOSED RIGNT OF WAY 50 Uel Calt^-�� /l% rn DEFICIENCY OF RIGHT OF WAY D W ADDRESS STREET/UTILITY WORK REQUIRED ❑YES 1ffN0 u 51��J� c �% �, PERMIT FOR WORK IN PUBLIC R/W ❑ V [f id NO C CITY TELEPHONE NUMBER UNDERGROUND WIRING REQUIRED ❑V[f MNO CONNECTION TO SANITARY SEWER 0Y[8 ONO NAME SEPTIC TANK PERMIT REQUIRED NYE$ ❑NO [ / �'�' SEPTIC TANK PERMIT NO._ ! 0 ADDRESS Q J /I 'y �I/ --, J (/ / /v / ,,ff�� 1v/' /O SEE MEMO DATED 41 I9I-7� /( E CITY T�Ee-(�LEPH N�E`y((NUM NUMBER REMARKS A U STATE LICENSE NUMBER CITY LICENSE NUMBER CHECKED BY Legal Description of Property (Show Below or Attach Four Copie AddrenS 7/i).3 — /6, 1K7, 60, Z 0 IL N ) , v a . W 0 � J F 'r 3 ' d W f,�I EIUILDING SUPPLY SIZE SIGN AREA ENV. R[VI[W ALLOWED I PROPOSED I COMPLETE I [Xempr REMARKS ADO NO. J o " �' ' ,L 0AIC& /YJ ccvc� VARIANCE OR CU PLANNING REVIEW BY DATE f � F PAO /39 � � ,kRESIDENTIAL c� r i, 9 ., A � S ' dl®FRONT YARDS / / SIDE REANEW LOT COVERAGE ❑GAS ❑ LINE FIRE ZONE TYPE OF CONSTRUCTION CODE HEIGHT ADD NON-RESIDENTIAL ❑ SIGN ❑ DEMOLISH RETAINING WALL SPECIAL INSPECTOR REQUIRED AREA OCCUPANCY OCCUPANT El ❑ EXCAVATE OR FILL FENCE ( X ❑-YES El GROUP LOAD FT) PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. REPAIR PRE -MOVE INSP. SWIM POOL LOCAL SALES TAX SHOULD BE CODED 31.04. NUMBER OF STORIES NUMBER OF REMARKS DWELLING UNITS NATURE OF WORK TO BE DONE J 1 NDICATE BUILDIN ABUTTING STREE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL FENCE SIGN RETAINING WALL SWIMMING POOL VALUATION l FEE N Y [ 0 3 U J m a STREET FILE T -ISPECT101-1 PECORD CTTY OP ED',;OINDS, PUBLIC �-!ORVIS DIll';\IZ'fi-.f-',,,',T PRO] ITT: -- ) -- ---- --------- --tc- CITY OF EDMONDS - - .PU%WORKS DEPARTMENT, ENGI**G D .,APPLICATION FOR GHT=OF`II O�JSTRU TIO' 04- THIS PERMIT -MUST. -BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES Applicant to Complete Parts A and B' A. Permit to be issued to: ti10. Co. I� Vj I. zo � For Work at : (address or vicinity) 0 3 M . w-0C)�M�rz .Type of Work to be done: _T1-EN CH .mil C7ti1 <4 T-- C5F IA/ (attach drawing when applicable) Time Required -- Start: I - A y Finish: Owner: �rvo , 1`�- (A .-E), 9ame21 Mailing Address - I— NNuyDO�� lidN q$03(0 _7-7 4 - Z1 lZ City State Zip Telephone Number Contractor: ,�VF Name State License Number Mailing Address r City State Zip Telephone Number B. INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. Upon issuance of this permit, -the contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the restoration by the Engineering Division. Funds held from the Security Deposit (estimated restoration fee) will be held until ,the final street patch is completed, at which time a debit or credit will be processed for issuance to the applicant. .Work is subject.to inspection and restoration in accordance with City Code. Ar 24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220. I understand that this permit must be available at the job site for inspection purposes at all times. Signature: J ��� Date: Owner or Agent TO BE COMPLETED BY ISSUING AGENCY: Date Issued: Permit No.: 78 - /6`� Fee: %S Security Bond: /f/A Time Authorized: APPROVED BY�` Date r i 0 0 1018 UBLIC UTILITY DISTRICT No.1 of S Amish County c-,c��'1+� -C*' -'^al -AREA Rev2!0177 Location '7 C)3 �--' -� Date s� '' g W.O. No. g 35`} N1W 1/4_S _S?ZT_ R Revision Scale i `� = Reason for work = ►�� s'r: p� Q , EC -) re- Engineer G' a no-o l I:. As Built L✓ U.G. File No. Approvals PERMIT REQUIRED FOREIGN CONTACTS EASEMENT ENVIRONMENTAL ANALYSIS Type C-"T"Y nF 1=UM• Company71EEL- l _ Exempt under District SEPA J.RN.No. % procedures, Section 111•A Date Granted Grantor_"'-r Paragraph—, Item I S Yes® No❑ Fees required 'P D 'isranted_ Date " 2 B y Log Posted Inventor Type AD, t 'F'M T' •� Transf.Cardl I Pole Dept. Date (--/I cl Amount 2)5, Interpretation Referred To: Map Postecl I Circuit Ma Date Released For Construction Date By Date Work Completed By Foreman Circuit Number Substation � I N v i : L- O.H. U.G. Cond V -j� Add f1 PH Tel Remv� Ckt Ft PH INam" Ckt Ft 2C) W >_ �. W L-13a45T water Sewer Gas Backhoe 156.T" ST' S.W• • 3 3 r �. =-7,71SSIZ C--W E)C15T1 N G" ST,'N7�CD;.= F_S . AND TZLA N' "35O MGM U$2-21"D TT--! '710 -P W.O. No. 8 9 35 41 '018 USLIC UTILITY DISTRICT No.1 of S0,00%pmish County >>:L L. ++ C t:,U147 -CAREA Revw10/77 , v Location —7 1 Ua:� j -aae: ;, V1J, i=Urf Date s �� — j' 8 W.O. No. N W -1/4—'___ S = T__�± R Revision — Scale 12 = -' Reason for work 7" N1---?- U y_, F"= Cry Jam. Engineer As Built ` 1D. t , L. M 1F! 1;_W U.G. file No. PERMIT REQUIRED FOREIGN CONTACTS Type c ry nl= Company L='s�_r . 'Tig-L- . J.P.N. No. Date Granted Fees required Yes® No❑ Gran, Log Posted I I Inventor I Date' Pole Dept. I I n...e Approva Is EASEMEN�/ ENVIRONMENTAL ANALYSIS Exempt under District SEPA '--'� procedures, Section I l I -A Paragraph_, Item_ rated Date ay G� Iy, Interpretation Referred To: Date Released For Construction Date Work Completed By Foreman Circuit Number IZ - n' Z Substation =' Z 1 rQ y ✓.. C [ T� r 7103 Ii ! i ,� 5X L - 13o4-ST Date By O.H. U.G. Cond RemvCkt Ft PH Naas '' Ckt Ft Water Sewer Gas Backhoe M1]I A:_ T.,I Gr" (cJ%T � �T r�.W• C/H OA AWED TZLA N 35C) MGM USZID TMj TO W.O. No. ;� 8 -E!S 41 PUBLIC WORKS DEPARUIENT CHECKLIST BUILDING PERMIT REVIEW n- I %]A ST SyV t 1 � (address) Ite) �_�A 5 0 REQD _ Street Right -of -Way Existing z Access Easements Existing N D M V, REQD H C4 Utility Easement Existing } �D ^A 7 REQD w Lot Per Subdivisiori�l.—(�� Plat '— Assessor Map w Site Plan Checked for Accuracy A z Underground Wiring Reqd. H Check Accuracy of Legal Description -1 z Review by Fj KIL, �a, Date 4- 18 `i w Existing Water Main Size 8 �r�ZL CA.)/SG - Water Main Required ---" Service Line Required Hydrant Size Existing _ c4 Hydrant Reqd Per Fire Code - — Size w Detector Check Meter Reqd. �b Cross Connection Inspection H Fire Department Comments d Water Meter Charge qd. 3 S O Review by Date Septic Tank Design Approved ��S Date Septic Tank Permit Reqd. — Permit No. Sanitary Sewer Avail ility Proj. Drawing No. File No. Side Sewer Availab' ity w Sanitary Sewer Connection Fee Reqd. 3 t;J, Review by Date 4 L9(V w Open Ditch Existing /j/j� Regd. Culvert Reqd. � Size r4 Catch Basin Reqd. _�j�— Indicate on Site Plan O Shoulder drainage maintain collection on swale open runoff H s fly s � `n ?,manhole re d. q �/�- Indicate on Site Plan Soil Conditions and Ground Water Field Checked Review by - Date r RUI-LDING DEPARTME Applicant Fill IC ZONE ��� MUCH PERMIT APPLICATION Inside Heavy Lines Joe �. ADORES■ 07103 NAME (OR NAME OF BUSINESS) [ ( SU DIVISION NO, .i '1 'r FLAT NAM[ ASSESSOR MAP NO. W MAILING ADDRESS Z zc �� /// PUSLIC RIGHT OF WAY VCR ORDINANCE NO. 5'O CITY C E LEPNON6 NUMBER FFF... / F7 EXISTING RIGHT O/WAY 6 760 —�/ PROPOSED RIGHT OF WAY_ 5 O ME U I 1° / `l/ • �/ /;% DEFICIENCY OF RIGHT OF WAYLffl D W F ADDRES STREET/UTILITY WORK RCOUIR90 ❑YES Iff No I U C y C. PERMIT FOR WORK IN PUBLIC R/W UNDERGROUND WIRING REQUIRED ❑YES ❑YES a id NO ENO [ CITY Q TELEPHONE NUMBER (�/7o G 4' / CONNECTION TO SANITARY SEWER SEPTIC TANK PERMIT REQUIREDQ ❑Y[s ,YES ENO ❑NO NAME [ rsi y Q SEPTIC TANK PERMIT NO. 7 A 7� 0 U ADDRESS SEE MEMO DATED l 1 I It CITY o ' �,��T��e 9'��� u�' TELEPHONE NUMBER �3��— 19Y REMARKS U STATE LICENSE NUMBER CITY LICENSE NUMBER CHECKED BY 3 �—o /-- a. y993,2 4� Legal Description of Property (Show Below or Attach Four Copies) METER ZE BUILDING SUPPLY SIZE O N Y Ir 0 3 U J m CL a Z Q 0 3 � U a SIGN AREA ENV. REVIEW ADO NO. U _- 71' N �CY� (l ALLOWED PROPOSED COMPLETE [X 6M PT W I `," 3 y a f' IU N113vREMARKS Q ILI W J o F �' ,L0 Ws /Yl (1cQldl VARIANCE OR CU PLANNING REVIEW BY DATE 4dF !J tj /d�L'' '1 l'['✓ I ,�,n� s 'dil YARDS FRONT / LOT COVERAGE NEW RESIDENTIAL ❑ GAS ® SIDE S REA FIRE ZONE TYPE OF CONSTRUCTION COOS HEIGHT LINE ❑ NON-RESIDENTIAL ❑ SIGN ❑ ADD ❑ DEMOLISH ❑ RETAINING SPECIAL INSPECTOR REQUIRED AREA OCCUPANCY OCCUPANT ❑WALL ALTER ❑ EXCAVATE FENCE OR FILL ❑ ( X FT) ❑ YES ❑ NO GROUP LOAD PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. El REPAIR PRE -MOVE SWIM a LOCAL SALES TAX INSP. POOL SHOULD BE CODED 31.04. NUMBER OF STORIES NUMBER OF REMARKS DWELLING UNITS NATURE OF WORK TO BE DONE PLAN CHECK FEE VALUATION FEE '- PROPOSED USE r I PLOT PLAN INDICATE BUILDING SETBACKS, C ABUTTING STREETS) BUILDING _ ,. n PLUMBING - MECHANICAL FENCE SIGN RETAINING WALL SWIMMING POOL F Z W f a a W 0 F Z W F IL 0 J W W H Z 7 i f 0 — U 7iO3 STREET FILE . 7802?7 • FILE # FORA FOR [ PO /FIKAI.] DECLARATION OF [ ,TffMW 0,NSIGNIFICANTCE] . Description of proposal Single residence Proponent Dave Nienhuis Location of Proposal 7103 156th Street S.W. Lead Agency City of Edmonds This proposal has been detennined to e/not have] a significant ad- verse imprct upon Uhe envirori,,,cnt. An EIS [is/is not] required under RO-1 43. 21C.030(2) (c) . This decision was made after review by -0he lead agent y of a completed enviro,,imcntal chec}list and other information on file with the lead agency. Responsible Official Mary Lou Block Position/Title Associate City Planner. Date May 8, 1978 Signa turch JWA,= 7802?7 PROJECT NAME A/e a) Rp S ,' DATE SUBMITTED (_5 -7— %� ENVIRONMENTAL ASSESSMENT In order to meet the requirements of the State Environmental Policy Act of 1971, the responsible official must make a declaration of environmental impact as early as possible in the process of evaluating a project. The information in this form aill be used to determine whether it will be necess- ary to require an environi:iental impact statement. If an impact statement is not required, a Statement of Negative Declaration will be placed in the file. If an impact statement is required, a draft statement must be filed with this office, oublic notice given and a review period of 30 days allowed. The final statement and comments must be filed with the Department of Ecology, Office of the Governor and tale Ecological Commission. (The Edmonds Planning Staff will assist you in any way we can in accumulating this information and .,ie would appreciate your cooperation. 1. Land: Area in acres Pew i Soils type 13 - tati ons Alekt-- Description of topography (% slope) _y Grading: estimated cubic yds. NOTE: If grading or filling wild- exceed 500 cubic yards Filling: estimated cubic yds. a grading and filling plan must be submitted with the 2. Water: application. Stream - estimated flora (cubic feet per second) Will stream be altered? To what degree? /L�p Impact on storm drainage (increase in run-off`) Estimated area.to be paved 'a. Estimated area in open space 7 e Shorelines: within 200 ft. of Mean Higner High Water Adjacent to shorelines zone All I Environmental Assessment, page 2 3. Vegetation: Type of trees /%%r�l� % to be removed Minimum diameter of trees to remain Ground cover % to be removed Proposed landscaping, if any 4. Existing Land Use within 300 ft. radius of proposed development: Vacant Single Family Multi - Family Comm. Other North ✓ South East Vies t 5. Circulation: Estimated increase in auto trips daily Estimated demand for public transportation Degree of. change on adjacent streets f1/p/vim 6. Area of imoact: neighborhood _ city-wide regional 7. Effect on air quality: 41p /y --- 8. thanges in noise generation: e 780237 DATE: A'$25 fee will be collected by the City of Edmonds for analysis of the Environmental Checklist and the preparation of a Threshold Determination. No fee will be charged for proposals which would be categorically exempt if they were not located in an environ- mentally sensitive area. ENVIRONMENTAL CHECKLIST FOP-1-1 I. BACKGROUND 1. Name of Proponent. 2. Address and Phone 3. Date Checklist: Submitted 4. Agency Requiring Checklist, jr 1114411y S. Name of 11ropos 1, if applica e. - cvycC -+Q_' 6. Nature and liriei Description of the Nroposainc ucT- ing but not limited to its size, gencral design ele- ments, and other factors that will Five an accurate understanding of its scope and nature): 7. Eoc.ati.on of Pro osa uescribe t�Fiysical setting of the proposal, as well as the extent of: the land area affected by any environmental impacts: including any other information n.eeded to five an accurate understand- ing of .the environmental setting of the propos 1): ?7Z-63 8. r—timated Date or Completion o tnc Fr6pose —Action: 9. Li -FI'ci-r.iits, Licenses or Governu:ent Approvals Required for the Proposal (federal, state and local-- including"rezones): -31- 1 10. Do you*ve any plans for future additi9. expansion- 2 or further activity related to or connected with this' 3 . . proposal? If yes, explain: 4 S 6 11. Do you know of any p ans-y others which may affect 7 the property covered by your proposal? If yes, explain: 8 9 10 .12. Attach any other application form that has been coin - 11 pleted regarding the proposal; if none has been com- 12 pleted, but is expected to be filed at some future 13 date, describe the nature of such application form: 14 15 16 17 18 II. ENVIRONMENTAL IMPACTS 19 (Explanations of all "yes" and "maybe" answers are 20 required) 21 Yes Mhybe No 22 23 (1) Garth. Will the proposal result in: 24 25 (a) Unstable earth conditions or in 26 changes in geologic substructures? 27 — — 28 (b) Disruptions, displacements, com- V11, 29 paction or overcovering of the soil? 30 — — — 31 (c) Change in topography or ground 32 surface relief features? 33 — -- — 34 (d) The destruction, covering or / 35 modification of'any unique geologic v 36 or physical features? 37 — — 38 (e) Any increase in wind or water 39 erosion of soils, either on or off /1 40 the site? /✓ 41 — — — 42 (f) Changes in deposition or e.ro- 43 sion of beach sands, or changes 44 in siltation, deposition or erosion 45 which may modify the channel of a 46 river or stream or the bed oC the 47 ocean or any bay, inlet or lake?48 �i 9 4 Ex Lana t ion :. _ 50 51 52 (2) Air. Will the proposal result in: 53 — 54 (a) Air emissions or deterioration 55 of ambient air quality? 56 — — — 57 (b) The creation of objectionable 58 odors? f 59 — — — 60 (c) Alteration of air movement, 61 moisture or temperature, or any 62 change in c'imate, either locally 63 or regionally? 64 -- — — 65 Explanation: 66 I -32- _t •' e 1' 2� 3 4; 61 7' 8� 9! 10' lli 12i 13i 141 15 161 17' 181 19 20 21 22 23 24 25 I 26, 27i 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 e Yes Maybe No (3) Water. Will the proposal result in: (a) Changes in currents, or the course or direction of water move- ments, in either marine or fresh / waters? 1/ (b) Changes in absorption rates, / drainage patterns, or the rate and / amount of surface water runoff? (c) Alterations to the course or flow of flood waters? (d) Change in the amount of sur- face water in any water body? (e) Discharge into surface waters, or in any alteration -of surface water quality, including but not limited to temperature, dissolved oxygen or turbidity? (f) Alteration of the direction — or rate of flow of ground waters? — y (g) Change in the quantity of ground waters, either through direct additions or withdrawals, or through interception of an ` aquifer by cuts or excavations? (h) Deterioration in ground water quality. either through direct in- jection, or through the seepage of leachate, phosphates, detergents, waterborne virus or bacteria, or other substances into the ground • waters? (i) Reduction in the amount of water otherwise available for / public water supplies? — — Explana ion: Ni' ,�i ful tt}Ge- /�CJy/Lai &e a;Ii e, (4) flora. Will the proposal result in: (a) Change in the diversity of species, or numbers of any species of flora (including trees, shrubs, grass, crops, microflora and / aquatic plants)? (/ (b) Reduction of the numbers of any unique, rare or endangered species of flora? -33- Y I Yes Maybe No 11 (c) Introduction of new species 2 of floi-a into an area, or in a 3� barrier to the normal replenish- 4 ment of existing species? 5I — — 6 7 (d) Reduction in acreage of any i agricultural crop? t/ 8 -- _ 9 Explanation: J, 10 — 11 12 (5) Fauna. Will the prop osal result in: 13 14 (a) Changes in the diversity of 15 16 species, or numbers of any species of Fauna (birds, land animals 17 including reptiles, fish and shell- 18 fish, benthic organisms, insects or / .19 microfauna)? ✓ 20 -- — — 21 (b) Reduction of the numbers of 22 23 any unique, rare or endangered species of fauna? 24 — — — 25 (c) Introduction of new species 26 27 of fauna into.an area, or result 28 in a barrier to the migration or % movement of fauna? f/ 29 — — — 30 (d) Deterioration to existing / 31 fish or wildlife habitat? r/ 32 — — --- 33 Explanation: 34 35 36 (6) hloise, Will the proposal increase 37 ex— tint; noise levels? ✓ 38 ( — — -- 39 Explanation: 40 41. 42 (7) Light and Glare. lJi.11 the pro- 43 posa pro— uce new light or 44 glare? 45 — — — 46 Explanation: 47 48 49 (8) Land Use. Will the proposal 50 resu t in thu alteration of the 51 present or planned land use of an 52 area? 53 -- - -- -- 54 Explanation: 55 -34- 11 1� 1: 1: L 1� 1' • if li li 1s 2a 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 •50 51 52 53 54 55 56 57 58 Yes No (9) Natural Resources, Will the pro- posa resu-Ii In - (a) Increase in the rate of use of any natural resources? (b) Depletion of any nonrenewable natural resource? Explanation: (10) Izislc of Upset. Does the proposal involve i risk of an explosion or the release of hazardous substances (including, but not limited to, oil, pesticides, chemicals or radiation) in the event of an acci- dent or upset conditions? Explanation: (11) Po ulaL1.on. Will the proposal alter tie location, distribution, density, or growth rate of the human population of an area? Explanation: (12) Housing. Will the proposal ;affect existing housing aIvailabiliLy. or create a demand for additional / housing? +V/ Explanation: (13) Trans�or.t�lion/Cir.culzt:ion. rill Elie proposa resulC 1n: (a) Generation of ;additional vehicular movement? (b) Effects on existing parking facilities, or deriand for new parking,? (c) Impact upon existing trans- portation syst:crns? (d) Alte;:aLions to present patterns of circulation or move- ment of people anti/or goods? (e) AlLeratioris to waterborne, rail or air traffic? -35- Yes Maybe No 2, 3 4� 5 6 7 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 ,34 35 I 36 37 38 39 40 I . 41 i 42 I . 43 i� 44 I 45 46 47 48 49 50 i 51 52 53 54 55 56 j 57 58 59 60 61 q (f) Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? _ Explanation: (14) Puhli.c Services. Will the pYo- posal have an effect upon, or re:;ult in a need for new govern- mental services in any of the following areas: (a) Fire protection? (b) Police protection? (c) Schools? (d) Parks or other recreational facilities? (e) Maintenance of*public facili- ties, including roads? (f) Other governmental services? Explanation: (15) I:ncr y. Will the proposal result in: (a) Use of substantial amounts of fuel or energy? (b) Demand upon existing sources of energy, or require Lhe develop- menL of new sources of energy? Explanation: (16) ULilitiCs. Will the proposal restt L i.n a need for r..•. --Ystems, or alterations to the following utilities: (a) Power or natural gas? (b) Communications systems? (c) Water? (d) Sewer or septic tanks? � =. (e).. Storm water drainage? v f Solid ( ) waste and disposal? S EOn c, l:xplan. -36- ,1 (17) Iluulan Will the pcaposal 2 ' re_u1[ in creation of any 3 health hazy ?r potential health 41 hazard (excluding mental health)? 61- Explanation: 71 101 111. 12; 131 . 14 15 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41. 42 43 44 45 46 47 48 49 50 51 52 .53 54 55 56 57 58 59 Yeas Maw No (18) Aesthetics. Will the proposal result in the obstructi.oll of any .scenic vista or view open to the Public, or will the proposal re- sult ill the creation of an aesthetically offensive site open to :public view? �. Explanation: t/ (19) Recr.e;lLion. Will the proposal resu-it in an impact upon the quali.t:y or qualltlty of existing recreational opportunities? Explanation: (20) . Archcoloaical./Ili.stor i.caI . Will the propo: re.^�ult'i.li anaitcration of a significant archeological or his- torical site, structure, object / or building? / Explanation: ✓✓✓ III. SIGNATURE I, the undersigned, state that to the best of my knocaledge the above information is true and coml.,lcte. It is understood that: the lead af;ency may witllclra;o any declaration of non -signi- ficance that it might issue in reliance upon this chcciclist should there be any misrepresentation or lack of full disclosure on my part. Proponent:. �� WAC 197-3.0-370 WITHDRAUAL OF AFFIRMATI THRES11OLD DETERi I?��'1'1G:V. ^inaL ally time after the entry of a declara- tion of sitilecan so that, i.11n thece, the Proponent modifies t:11e proposal judgment of the Lead agency, al.l sif;lli.ficant adverse cnvironment::ll. ij pact:s resulting tturefrom are elimin- ated, the declaration of sigllificancc ^hall be withJrair11 and a declaration of 11p11^Sll;,ll flcance entered instcj. l The lead :ll;ency sh:,l 1. also revise the registers it its Sj. PA public information center accordingly, If the pro- ponent of a proposal i.s a private applicant, tale proposal shall not: be consi.dercd mocii.fied until 11.1. license al,pli.crl- tions for the proposal are revised to reflect the modification. -37- • STREET FILE 780659 FILE # FORT FOP. [MOMM `MI DLCI UZATION OF [M MANWNONSIGNIFICrWCE] Description of proposal Single family residence Proponent Willard J. Kuper Location of Proposal On 156th Street S.W. between 72nd and 70th Avenue West Lead Agency City of Edmonds ' This proposal has been cict:enni.ned to [hvx/not have] a significant ad- verse ir�puct upon -the envirorr,',ent. Ali E1S N)s/is not] required under 10-1 43.21C.030(2) (c) . This decision ►gas.made after review by the lead aoelI y of a completed enviro;riental chec1dist and. other inforniation on file with the lead agency. Responsible Official Dan Srrrith e' Position/Title Planning Division Technician Date November 28, 1978 Signature_Wv u T Y 0- F 'E D It 0 N D PUBLIC WORKS DEPARTMENT E14GINEERING DIVISION PUBLIC WORKS ENVIROIlMENTAL REVIEW NAME ��T FILE # 780659 LOCATION: SUBDIVISION n PLAT F-1 P.R.D. ❑ MULTIPLE n COMMERCIAL All ENVIRONMENTAL REVIEW OF THE PROPOSAL HAS BEEN COMPLETED AND THE FOLLOWING DETERMINATIONS HAVE BEEN MADE: M _ . r• U . , . -- t-A lit u 1/� a ��� , C---r�► a�.i � � � � s I�L�a�� e��o PREPARED BY:� DATE:__` -780659 PROJECT NAME_ E DATE SUBMITTED Oct. 20, 1978 Revised: December 4, 1978 ENVIRONMENTAL ASSESSMENT In order to meet the requirements of the State Environmental Policy Act of 1971, the responsible official must make a declaration of environmental impact as early as possible in.the process of evaluating a project. The information in this form will be used to determine whether it will be necess- ary to require an environl:lental impact statement. If an impact statement is not required, a Statement of Negative Declaration will be placed in the file. If an impact statement'is required, a draft statement must be:filed with this office, public notice given and a. revi e.,i peri od., of 30 days allowed. The final statement and comments must be filed with the Department of Ecology, Office of the Governor and Vie Ecological'Commission. The Edmonds Planning Staff will assist you in an. -,way vie can in accumulating this information and :qe would appreci ate .your cooperation. 1. Land: Area. in acres 0.28 (1 2,088 scg.ft. ) Soils type .gravelly -sandy laam Limitations Description of topography (% slope) gentle slope (7%) Grading: estimated cubic yds. 498 cu. yds. NOTE: If grading or filling will exceec 500 cubic yards Filling: estimated. cubic, yds . none required a grading and filling i an (All graded soil will remain on site-) must be submitted with the 2. I -later: application. Stream - estimated flow (cubic feet per second) none Will stream be altered? To what degree? - Impact on storm drainage (increase in run-off) - Estimated area .to be paved 1200 10 b Estimated area in open space 9800 85 % RECEIVEI5 Shorelines: within 200 ft. of 'lean Higher high dater - nrr .'78 Adjacent to shorelines zone - CITY OF EDMONDS PLANNING DEPT. O Environmental Assessment, page 2 3. Vegetation: Type of. trees nnI;glss fir��te�stern to be r_emo_ve_d less than 5% hemlock Minimum diameter of trees to remain 2" Ground cover very little —primarily % to be removed 70% .eventually Scotch Broom and blackberries Proposed landscaping, if any on half reintroduce native plants com— mon to hemlock forests of this area. On remaining site, plant lawn, ground cover and ornamentals. 4. Existing Land Use within 300 ft. radius of proposed development: Vacant Single Family Mult.i- Family_ Comm. Other North x South x East x West x 5. Circulation: Estimated increase in auto trips daily ? Estimated demand for public transportation 0 Degree of change on adjacent streets 0 6. Area of impact: neighborhood slight ci ty-wi de none regional none 7. Effect on air quality: none 8. Changes in noise generation: none DATE:_ ontr�hAr 23, 1 UB Revised: December 4, 1978 A $25 fee will be collected by the City of Edmonds for analysis of the Environmental Checklist and the preparation of a Threshold Determination. No -fee will. be charged for proposals which would be categorically exempt if they were not located in an environ- mentally sensitive area. ENVIRON14E.NTAL CHECKLIST FpM I. BACKGROUND • 1. Name of Proponent Willard J. Kuper 2. Address and Phone number of Proponent: 5702 227th gam,, Mountlake Terrace, Wash. 98043 3. Date CTi_eclTist Su miLte 4. Agency Rc-quir inr Checklist UILY 01-CAMBoods 11wavaing Dept. S. game of Proposal, if applicable:+ Residence for Willard Kuper family 6. Nature and Brief iet Uescri))tion of 07 1'roposa inc 0- ing but not limited to its size, general design ele- ments, and other factors that will give_ an accurate understanding of its scope and nature): auilding a new :family residence 1200 s.f.) on a 12,088 S.f. Site. The pau d aren will be leas than 10%; while remaining 7. LoFiT ionr_of Propo_i j uescri e L c, p ly:;icar setting of the proposal, as well as the esLent of the land area affected by any environmental impacts, including any other information needed Lo j;i.ve an accurars undersLand- ing of the environmental settinj• of the proposal): Vacant lot located on 1 56th ST. S.W. between 72nd and 70th in Edmonds.—Allad adjacent lots area 4 contain ai n f JX0..mea. �� — — 8. EStimaLed Date ur Con;,)lCtion o Lnc: Propose T-Action: 9. Li.st 01. al l..rr.ut;;, 1_icci,ppr.ova s Required for Lhe 1'i;oposal (t:ecicral, sLate and local-- includLng rezones): -31- 0'(-EIVED DEC 4'78 CITY OF EDMONO$ PLANNING DEPTi Bih-= • :.. I 2 10. Do you have"any plans for future additions, expansion, or further activity related to or connected with this 3 proposal? If yes, explain: 4 no 5 6 77 11. Do you know Ot any plans [_) [ ers which ►nay at tect the property covered by your proposal? If yes, explain:8 ; no 9 10 11 12. Attach any other app icaLion torn chat has een coin- 12 pleted regarding the proposal; if none has, been coin- 13 pleted, but is expected to be filed at some future date, describe the nature of such application form: 14 • 15 16 .- 17 18 II. EWIRONZIMENTAU IMPACTS 19 2.0 (Explanations of all "yes" and "maybe" answers are required) 21 22 Yes Maybe .No 23 (1) Earth. Will the proposal result ici: 24 25 (a) Unstable earth conditions or in 26 changes in geologic subsLructures?. X 27 — — --- 28 (b) Disruptions, displacements, com- 29 30 paction or overcovering of the soil.? X ---. 31 (c) Change in topography or ground 32 surface relief features? X 33 34 35 (d) The destruction, covering,or 36 modification of'any unique geologic 37 or physical features?.' -- -- - . 38 39 (e) Any increase in wind or water erosion of soils, either on or off 40 the site? X 41 — -- — 42 (f) Changes in deposition o•r ero- 43 sion of beach sands, or changes 44 45 in siltation, deposition or erosion which nkiy modify the channel of a 46 47 river or, stream or the �)ed 'ol the 168 ocean or any bay, inlet or lake? X -- — 49 Explanation:. Soil graded fob, the dayl iszht 50 haaemAnt 11 he ' S1 wi a 3ed on he_�_ita,' 52 (2) Air. Will the proposal result in: 53 — 54 55 (a) Air etnissions or deterioration of ambient air quality? X 56 — — 57 (b) The creation of objectionable 58 odors? X 59 — — 60 61 (c) Alteration of air mov,2►nent, 62 moisture or temperature, or any 63 Change in c'i►nate, either locally or regionally? X 64 — — — 65 66 Explanation:Addition-of heating for in le family _dwAl1ing and hAtuAAn 1-2 auto occupants. -32- Ye.s Maybe No. 1� (3) Watcr, Will the proposal result in: 2; ' 3 46 Changes in currents, or the course or direction of water move- ; 5: 61 ments, in either marine or fresh ' 11 waters? 8! 91 (b) Changes in absorption rates, 'patterns, 10i -- drainage or .the rate and amount of surface water runoff? I; 12i 13 i (c) Alterations to the course or flow of flood waters? a 15I 161 (d) Change .in the amount of sur- face 17' water in any water body? X (` 181 (e) Discharge into surface waters,, 20 or in any alteration 'of surface 21 water quality, including but -not j 22` limited to temperature,.dissolved I, 231 oxygen or turbidity? _... X 241 251 (f) Alteration of the direction 26 , or rate of flow of ground waters? X. 27( 28t (9) Change in the quantity of 29. ground waters, either through 30 direct .additions or withdrawals, or through interception of an C 32 aquifer by cuts or excavations? i. {; 33 34 (h) Deterioration in ground water — — - — 35 quality, either through direct in- 36 jection, or through the seepage of leachate, phosphates, detergents, S 37 38 waterborne virus or bacteria, or* i 39 other substances info the ground s 40 waters? X i 41 42 (i) Reduction in the amount of 43 water otherwise available for 44 public water supplies? 45 EXp1a11.1ti011: — -- it sli htly altered 47 : narii t i I on of hni halt m n m ze V sign. 48 49 (4) flora. Will the proposal result in: 50 51 (a) Change in the diversity of 52 sl',eci.es , or numbers of ally species of flora (including trees, 53 shrubs, grass, crops, mi.croflora and 54 55 aquatic plants)? 56 S7 {b) Reduction of the numbers of r 58 any unique, rare or endangered species of flora? X -33- 4 5 7 8 10 11 12 13 14 15 16 17 18 .19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38I39 40 41 42 43 44 45 46 47 43 49 50 51 52 53 54 55 Yes Maybe No • (c) Introduction of new species of flora into an area, or in a barrier to the normal replenish- mer.t of existing species? XX (d) Reduction in acreage of any agricultural crop? Explanation: Diversity of natural vegetation (5) Fautia. Will the proposal result in: (a) Ganges in the diversity of species, or numbers of any species of fauna (birds, land animals including reptiles, fish and shell= fish, benthic organisms, or. microfauna)?` X (b) Reduction of the numbers of. any unique, rare 'or endangered species of fauna? (c) Introduction of new species of fauna into -an areaor result in a barrier to the migration ' or movement of fauna? X (d) Deterioration to existing fish or wildlife habitat? Explanation: (6) moi.se. tli.11 the proposal increase existing noise levels? X - Explanation: auto noise of 1-2 trips/dai1y (7) 'Lighc ;uill Glare, Will the pro- pose.. pr6c7uce new l.ipht or flare? Explanation: _ _X (8) Land Use', Will the proposal i'esul� in the alteration of the present or planned land use of an area? _ X Explanation: -34- " • Yes Dia bZZ' N 1 ' 2 (9) Natural 1(csources . Will the pro- Pos 3 i n: .. 4 5 (a) Increase in the rate of use 1 6 of any natural resources? _.X_. 7 8 (b) Depletion of any nonrenewable natural resource? X 9 .._ 1 11 Explanation: a electrical consumption 12 �,v nna fermi 1 • 13 14 (10) Risk of Upset. Does Lhe proposal invo risk _ 15 ve a of an explosion or the release of hazardous substances • 16 17 (including, but not liiijited to, 18 oil, Pesticides, chemicals or 19 radiation) in the event of an acci- dent 20 or upset conditions? X 21 Explanation: 22 23 24 25 (11) to ulaLion. Will the proposal 26 after tTc location, distribution, 27 density, or growth rate of the 28 human Population of an area? ---�6 _ 29 Explanation: Redistribute 4 humans from' Mountlake 30 31 32 33 (12) Ile—T'• Will the proposal ;If 34 ex�.stiny, housing; availability or 35 create a demand for additional 36 housing? X 37 Explanation: one house and' decrease 39 eman 40 41 (13) '11'anS'Ortlt.ion/Ci.rcu,lat:ion. Zdill 42 tie proposer result: in: 43 44 00 Generation of additional 45 vehicular movement? 46 47 (b) Effects on existing parkin, 48 facilities, or demand for new 49 parking? 50 51 (c) Impact upon existing trans- 52 portation systems? 53 ---- 54 (d) Alterations to present 55 paLterns of circulation or inove- 56 Went ofpeople and/or goods? X 57 (e) Alterations to waterborne, rail or air traffic? -35- ` Yes Maybe No • 1 (f) Increase in traffic hazards ! 2 to motor vehicles. bicyclists or, 3 pedestrinns? SCxplanacion: Add 1-2 JjutQ ri paZ isiv 1hn thi a 6 area uuta traff4c,71 P - — •, 8 (14) Puhlic Services. Will the pro- 9 posaMZ, ve an effect upon, or 10 result in a need for now govern- 11 mental services in any of the 12 following areas: 13 14 (a) Fire protection? 16 (b) Police protection? . 17 18 (c) schools? d X; � 19 20 (d) Parks or other recreational X 2 facilities? E a 22 23 (e) maintenance ofPublic facili-.' . 24 ties, including roads? _._.._ 25 26 (f) Other governmental services? X 27 28 Explanation: Public services'will have to serve 29 one additional farAly, 30 31 (15) liner . Will the proposal result.in: 32 33 (a) Use of substantial amounts of .34 fuel or energy? _ 35 36 (b) Demand upon existing sources 37i of energy, or require the develop- X 38: nienL of new sources of energy? 39 40 I Explanation: j by that v-cvirsttmed 41 one 42 43 (16) Utilities. Will LIIC proposal 44 re::lilL in 1 n0ed for 1..'•' zysteins, 45 or a1L(!rati0ns to the following 46� utilities: 47 48 (a) Power or natural gas? 49 ' 50 (b) Communications systems? X _ 51 52 (c) Water? X __._ _ 53 54 (d) Sewer or septic tanks? X 55 56 (c).. Storm water drainage? 57 58 (f) •Solid waste and disposal? X .� 59 60 Explanation: , Utilities will be increased to 61 serve one am y ome,, i -36- I i 7 1 2 2 2 2 2 2 2 1 2! 31 31 3, 3: 31 35 36 37 38 39 40 41. 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 3r �51 .4 6 8 9 0 2 3 4 5 ) • Yes Maybe No (17) . iluulan Ile;►1.' Will the ' proposal resu].[ ii► creation of rimy health hazard or potential health hazard (excluding mental health)? X Explanation: ' (18) Aesthetics. Will the proposal resuln the obstructi.on.of any scenic vista or view open to the Public. or will the proposal re- sult in the creation of an aesthetically offensive site open to public view? X Explanation: ___.. (19) Recreation. Will the proposal result in an impact upon the quali.t:y or quantity of existing recreational opportunities? X Explanation: (20) Archeoloni<,al./lli stori.cal . Will the propoe;�11 resuTti.►i an aftcration of a significant archeological or his- tori_cal site, structure, object or building? _ X Explanation: III. SIGNATU10-1 . I, the undersigned, state that to the best of my knowledge the above information is true and complete. It is understood that thc� lead agency may withdraw any declaration of non-sig►li- ficance that it mighlist on my part. t issue in reliance upon this clu:cic should there be any misrepresentation or lack of full disclosure Proponent:. IdAC 197-1.0-370 WITIIDRA11AL OF AFFIRMATIVF. THRE'S110LD By: lI^at clay time after the entry of a declara- li Lion of: significance, the proponent modifies t:he proposal so that, 1.11 the judgment of the lead -I,,cr,cy all si} lli_ficant adverse environmental impacts elimin- resulting therefrom arc. ated, the declaration of significance Shall be withdrawn and a declaration a11011-S1�;11if'Ca11ce entered instead , The lead agency shall. aIso revise the registers at its S};PA public inffoo rmation center accordingly. If the pro- pollent of a proposal is a private applicant, he proposal shall not be considered modific!d until 11.1 lictense applica- tions for the proposal are revised to reflect the modification. -37- William h. HuT'lecrge 1110 N. 1 ?5th V20 Seattle, Wash.9 133 :aa i ENVIRONMENTAL`ASSESSMENT • DESCRIPTION OF PROPOSAL: PROPONENT: �v.G EXISTING USE: �c�•v�- �or ENVIRONMENTAL IMPACTS FROM PROPOSAL: SOILS/TOPOGRAPHY FILE # WATER/DRAINAGE AIR QUALITY 6:niiSsip.✓S Li rTzE rci� c% CIRCULATION - 7�ieEz.— /��L�-ems .167 /f/ .�1/�EJt�,•�Ty S�yz� VEGETATION - SiT �ovc-rzd�✓, r �33vss�� �,eyss �` ,p 1��� 5� � �• asp .✓o d vip6 o e ECONOMIC CITY SERVICES ' � 9vgi G��T" f&-M&,e1_11V6j 0W4144iv7- hWS ,%4��V �2 SL�i'TiC Sysrc ory 1.:�, 40VX .Col / Gf� ENVIRONMENTAL FINDINGS: There will be certain environmental impacts but they do not constitute a signif- icant adverse impact on the environment and no environmental impact statement will be required. There will be significant adverse impacts on the environment and an environmental impact statement will be required. There will be certain impacts.on the environment however it is necessary to obtai more information before a declaration of significance or non -significance is made. CITY PLANNER DA 4 I -