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00848b- PROJECT NAMEWE.S'i DATE SUBMITTED MA11' So i917 ENVIRO;IMENTAL 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. V, _'die information in this form will be used to determine whether it will be necess- arf-to require an environviental'imnact statement. If an impact statement is not required, a Statement of Piegative 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.review period of 30 days allowed. The final statement and comments rust be filed with the Department of Ecology, Office of the Governor and the Ecological Commission. The Edmonds Planning Staff will assist you in any way we can in accumulating this information and we would appreciate your cooperation. 1. Land: Area in acres Co. Soils type W000 ►.oW 1P_0W SIL'T`�f Limitations St 1 rag'T Description of topography (q slope) 'fi'o 1 "70 oN mw 1 a rep A�Eb.S TO 5��e o N u Ll pEv E L oP E � ,�► IZEAS Grading: estimated cubic yds. 5 0®O rIOTE: If grading or fillino s wig" exceed 500 cubi c yards Filling: estimated cubic yds. Soo a grading and filling. plan must be submitted with the . 2. Water: application. Stream - estimated flow (cubic feet per second) m/A Will stream be altered? N ZA To what degree? Impact on storm drainage (increase in run-off) LNIGKEASEP R-clN-OFF itot r; F4 �1P1<RYI0US SuRFA�.ES, �.sfbKM DRAINIACaE '� MlI•I1MIZ� OFF -SITE 1MrAGT. Estimated area .to be paved 2.0,XomS % 12% h /1.IGL.uDEg �� Estimated area in open space 1 t}.7 A.t�tES 88% Shorelines: within 200 ft. of Mean Higher High Water N LA Adjacent to shorelines zone ►� /�