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01308• PROJE(O*14AME SAM EWING PLAT 4 G DATE* SUBMITTED EUVIROINMENTAL 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 environmental impact statement. If an impact statement is not required, a Statement of Negative Declaration will be placed in the file. I If an impact statement is required, a draft statement must be filed with this office, public notice given and a revieir period of 30 days allowed. The final 3 statement and comments must be filed with the Department of Ecology, Office of the Governor and Cie Ecological Commission. The Edmonds Planning Staff will assist you in any way we can in accumulating i this information and we would appreciate .your cooperatiop. 5� I. Land: �� lee" yo D ,l°stfi � Area in acres 1.A5 � At f None for support of building Soils type Alderwood Gravell Loam Limitations foundations and roads. Sand and Gravel iU.4 Pilns 13,76no Description of topography (% slope) The property slopes in a northerly direction t + with varying slopes from 10% to 30%. i Grading: estimated cubic yds. 1,000 C.Y. NOTE: If grading or filling t including road and foundation excavation. wwi7T exceed 500 cubic yards Filling: estimated cubic yds. 1,000 c.v. a grading and filling plan including road and foundation backfill. must be submitted with the 2. Water: application. Stream - estimated flow (cubic feEet per second) none existing 3 i is Will stream be altered? N/A To what degree?. N/A + Impact on storm drainage (increase in run-off) Minimal; onsite retention of streets and roof runoff will be provided. i Estimated area to be paved 0.33 Ac. % 16 percent Estimated area in open space 0•97 Ac. 50 percent Shorelines: within 200 ft. of I'lean Higher High Hater No Adjacent to shorelines zone No