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712 6TH AVE N
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 Cihcddist should be easily
available from observations of the site or
data available at City Hall (Oitical Areas
inventories, maps, or soil surveys).
An applicant, or his/her representative, must
fill out the cheddist, sign and date it, and
submit it to the City. The City will review
the checldist, make a precursory site visit,
and make 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 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 studies 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 appropriate column below).
Owner / Applicant:
/P161 ('�N MAyLL
Name
M tS i ciz
Title
`_7( 2- -fLr ,q_V ju
Street Address
E� IUI 0
Cit1111, tate, IP Phone
23
Signature
Date
Applicant Representative:
Name
Title
Street Address
City, State, ZIP
Signature
Phone
Date
ST13EET FILE
Critical Areas Checklist' :
Site Information
Project Name: Permit Number.
Site Location: ] 12- (, *k v tj . Property Tax Account Number. Q- 3 C S o 0 0 0 1 1 o O O g'
Approximate Site Size (acres or square feet): • C �> C
Have you filled out a Critical Areas Checklist for a project on this site before? C)
General Site Conditions
1. Has the site been cleared or logged? �� Date of most recent actiony �'
Soils / Topography &, a�
2. In the Snohomish County Soil Survey, what is the.mapped soil type(s)?-d'�►+�
3. Describe the general site topography. Check all that apply.
Flat: less than 5 feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a
horizontal distance of 66 feet.)
Hilly: slopes present on site of more than 15% and less than 301/,p ( a vertical rise
of 10 feet of horizontal distance.)
Steep: grades of greater than 30% present on site.
Comments
Hydrology/Vegetatiort
4. Site contains areas of year-round standing water: ti%
5. Site contains areas of seasonal standing water. IV) el Approx. Depth:
6. Site is in the floodway — floodplain — of a water course_
7. Site contains a creek or an area where water flows across the grounds surface? N C flows
are year-round? Flows are seasonal?
8. Site is primarily: forested : meadow ; shrubs ; mixed \;o
9. Obvious wetland is present on site: ti U
WAIVER Critical areas -study not required
Determinati6n :Number. ( - '" Reviewer
Pldnner Date.
Rev 3/27/92
STREET FILE
CITY OF EDMONDS
200 DAYTON ST. • EDMONDS, WASHINGTON 98020 • (206) 775-2525
DEPARTMENT OF PUBLIC WORKS
December 3, 1980
Mr. George Morgan
712 _6thNAvenue_ North
Edmonds, Washington 98020
Dear Mr. Morgan:
HARVE H. HARRISON
MAYOR
The City.of Edmonds is currently engaging in a program
to improve its sewage wastewater treatment system. One of
the major parts of the program is reducing the volume of flow
into our Treatment Plant. A major item contributing to this
problem is the infiltration of stormwater runoff from roofs,
drains, etc. into our sanitaty sewers.
A series of tests were completed by an independent engi-
neeririg'firm. They pumped smoke into sewerlines and recorded
where it was escaping, thereby locating the stormwater infil-
tration sources.
Your property contains such a source and the City now
requires, by Ordinance No. 1580, that this problem be corrected.
Included with this letter is the "Disconnect Handbook" which
describes 5 possible solutions to this problem as suggested by
the City. These solutions will either direct storm water into
the City,storm water system, or into other parts of your yard.
In either case, the removal of this water from sanitary sewer
system will help to reduce the volume of our often overtaxed
Sewage Treatment Plant.
Please contact Dan Smith or Bob Franklin at 775-2525,
extensions 220 or 252 when you have "disconnected". Your
cooperation will be greatly appreciated.
I
Sincerely,
k,�,S ADAMS, P.E.
CIyEngineer
DS : j ky
Enclosure
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No ...........................................
NEW CONSTRUCTION p REPAIRS
114-o88o0
OWNER ........... Gry-a.....BLll'1_Ce.....................................................................•---. CONTRACTOR .. PERMIT No....
ADDRESS........ 7--2--- 6th... Ave ...... N-...................................................
•
M
•
LEGAL DESCRIPTION: LOT No ............................................... BLOCK No.............................................
NAMEOF ADDITION---.....----•-•-•................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By......-----.............----.........-................................