02318RECEIVED,
FES -1 '�7
CITY OF EDNIONDS
PLANNIi ' DEPT.
EINVIP..0 !' 1T1jTASSE S'1Ei1T
10")
PROJECT NAME Residence
DATE SUB,'1ITTED_!28/77
In order to meet the requirements of the State Environmental Policy Act of 19711,
the responsible official must make a declaration of environmental impact as early
as possible in the process of evaluating a o o' t
The information in n this form �•;i 11 be -used to determine :;�hether it ti' 11 be necess
ary to require an enviror�iiental ic11)ac, satP;;,e,it.
if an impact statement is
not required, a Staten;ent of �legati ve Decl rai on will be in the. file.
placed
If an impact statement is required, a draft statement must be filed with this
offi ce, pub 1 i c noti ce gi ven and a revi e•.i peri od of* 30 days al 1 oi•red. The final
statement and comments rust be filed with the Department of Ecology,Office of
'
the Governor and t;ie Ecological Commission. _
The Edmonds Planning.Staff will assist you in any way vie can in accumulating`'
t!ii s information and
we would appreciate .your cooperation.
1. Land:
r
j.
�r
Area in acres .17 approx. (Lot size: 70 x 110)
Requires engineered
Soils type _ Un-supervised fill Limitations Foundation &"retaining. .
Wail 1
Description of topography (% slope) s lone east to west
See attachment for section thru bluff.
t-
{
Gradin estimated b' 2
9� cubic _ids. 30 NOTE: If grading or- filling
7i 1 exceed 500 cubic yards
Filling: estimated cubic vds. _ 200 a'grading and filling plan
3
must be submitted with the
2. Water: application.
Stream - estimated flow second 4 cFs
(cubicP feet per P ) $ (apro x)
;
;li l l stream be altered? No
To what degree?
Impact on storm drainage (i.ncrease in run-off) Nil (approx 0262 CFS)
Estimated area to be paved. 24o sq. ft. % 3.1%
Es ti mated area in open space 6640 sq. f t. % 85%
.
Shorelines: wi thi n• 200 ft. of Mean hi gher Hi gh Water No
Adjacent to shorelines zone No