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7109 OLYMPIC VIEW DR.PDF11111111111111 12624 7109 OLYMPIC VIEW DR 0 a ^ f _ r tit 1 ADDRESS: TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS(RECORDED)FOR: CRITICAL AREAS : D�—I� DETERMINATION: ❑ Conditional Waiver ❑ Study Required XWaiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR:_ PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: SHORT PLAT FILE: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: LOT: LID BLOCK: L:\TEMP\DSTs\Forms\Street File Checklist.doc kritical Areas Checklilp CAFile No: GA-"Ml-P2 Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: D !9L /a JIAJ ' , .r 9pez 2. Property Tax Account Number: 3. Approximate Site Size (acres or square feet): , y qD 4. Is this site currently developed? yes; no. If yes; how is site developed? c2 i t', 5. Describe the general site topography. Check all that apply. XFlat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). 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: ��� ; Approx. Depth: 7. Site contains areas of seasonal standing water: ; Approx. Depth:' What season(s) of the year? 8. Site is in the floodway � floodplain J� of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow ;shrubs ;mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: t C For Gty Staff -Use :Only _,,, 1 Plan Check Number, if applicable? - j n 2 Site is'Zoned? 3. SCS mapped sotl type(s)7�ic� `` (�:�xa n 1LA i�� Cn 4. Critical Areas inventory or G:A: map indicates.Cntical"Area orisite? N 5. Site within designated earth sul sidence'landslide hazard areal _ j� .. ... - _ DBTERMIl�iATION ,. ,, ' _... STUDY REQUIRED -,%� ,W ATUER Reviewed b - i n (. . Critical Areas Checklist.doc/3.19.2001 OF ED41 City of dmonds Development Services Department Planning Division Phone: 425.771,0220 r Fax: 425.7,71..0221 The Critical Areas Checklist contained on this form is to be filled out by any person* preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of the application to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are, or may be, present on the subject property. The information needed to complete the Checklist should be easily available from'observations of the site or data available at City Hall (Critical areas inventories, maps, or soil surveys). Date Received: City Receipt#: 1i-735 Critical Areas File #: CA-7col -SL Critical Areas Checklist Fee: $45.00 Date Mailed to Applicant: A property owner, or his/her authorized representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the 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 assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. By my signature, I certify that the information and exhibits herewith submitted are true . and correct to the best of my knowledge and that I am authorized to file his appl' atio n the behalf of the owner as listed below. SIGNATURE OF APPLICANT/AGENT G r DATE Property Owner's Authorization By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting atte9lant A this application. SIGNATURE OF OWNER Owner/Applicant: 14,11 L_/;%M V Y o 15,01q LAIJAJ4 Name `71D 9 OLYZ416 01fLJ A�2- Street Address ��M,e. 9(fC9-V5 City State Zip Telephone: VJ —407-3 —1 %/.,, 7 Email address (optional): DATE — ®% Applicant Representative: Name Street Address City State Zip Telephone: Email Address (optional): Critical Areas Checklist.doc/3.19.2001 1�nc 189, March 8, 2002 s, CITY OF E D M O N D S GARY HAAKENSON MAYOR 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771.0221 DEVELOPMENT SERVICES DEPARTMENT Planning •Building •Engineering STREje CERTIFIED MAIL T F L William Spalding 7109 Olympic View Dri Edmonds, WA 98026 Dear Mr. Spalding: The City of Edmonds has completed the Perrinville Sanitary Sewer project in your neighborhood. This has brought to our attention that your residence is not yet connected to the sewer system that is available to you. The Edmonds Community Development Code (Section 18.10.010) requires that the owner(s) of any house in the City of Edmonds that is within 200 feet of a sewer line must connect to the sewer system within 60 days of it being available. Your residence is within 200 feet of the Edmonds line, but you will not be required to connect because it would be necessary to either acquire an easement across private property, install a grinder pump if the fall for a gravity system is not sufficient, or install a side sewer of significant length in the City of Lynnwood right-of-way. Although we will not require you to connect to the City of Edmonds sewer system, I strongly encourage you to contact the City of Lynnwood and request to connect to their sewer main on Olympic View Drive, as there is a history of septic system failure in the Perrinville area. Because of this, it may be financially advantageous to you to connect before your system fails. This would allow you time to obtain multiple quotes from contractors, instead of being forced into an emergency situation where you may have to hire the first available contractor. If your septic system fails, you will be required to connect to the sewer main at that time. In addition, septic systems create environmental concerns. Septic systems seep into our groundwater, and in your case, feed into the Perrinville Creek. This affects the habitat (aquatic and land) surrounding the tributary, which then flows into Puget Sound. Please don't hesitate to call Pamela Lemcke or me at the City of Edmonds Engineering Division, 425-771-0220, if you have any questions. Sincer , D K. GEBERT, P.E. City Engineer DKG/PUcmc c: Noel Miller, Public Works Director Jeannine Graf, Building Official Jason Tourtellot, Code Enforcement Inspector DAMy DocumentsTngsec\PROJECrS\E8GA.Perrinville LID\s1wckb6{dti'fi ahad A ugust 11, 1890 Sictor i�ittr _ Hokinan .ianan w _ w N _~ W z O U w Z W a F�CI'�IIt�U GR�V�L I I -W, lz:� 9(ZNI-� 040 �� PLOT P L A,N Ff ��p - t��T H • G TA�- !� 1 0 r,,:.:E t... ,li M; a• — :..x,•:>�w,:,,:.yi....• ICJ I i �xI)TI N� � I