18-0092.pdf#P20
GriticalAreas File a
- $50
Date Mailed to Applicant
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
www.edmondswa.gov c. I
CRITICAL AREAS CHECKLTST
The purpose of this checklist is to enable City staff to
determine whether any critical areas and/or buffers are
located on or adjacent to the subject property. Critical
areas, such as wetlands, streams and steep slopes, are
ecologically sensitive or hazardous areas that are
regulated to protect their functions and values. The City's
critical area regulations are contained within Edmonds
Community Development Code (ECDC) Chapters 23.40
through 23.90.
A property owner, or an authorized representative, must
fill out the checklist, sign and date it, and submit it to the
City. Staff will review the checklist, conduct a site visit,
and make a determination of whether there are critical
areas and/or critical area buffers on or near the site. ff a
"Critical Area Present" determination is issued, a report
addressing the applicable critical area requirements of
BCDC Chapters 23.40 through 23.90 may be required
depending on the scope of the proposed activity.
Property Owner's Authorization
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge 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 attendant to this application. The undersigned owner, 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 attomey'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.
SIGNATUREoF ooo 5- t-t-18
PLEASE PRINT CLEARLY
Owner:
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Applicant/Agent:
Name
Street
City State Zip
Telephone:
Email Address:
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Name
Street Address
City State
Telephone , ZÐA-
Email address:
zip
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Revised on 1/4/17
3?Þ sB87
P20 - Critical Areas Checklist Page 1 of2
CA File UnzD
Site Information
'1.. SiteAddress/Location:
Critical Areas Checklist
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#P20
2. Property Tax Account Number:Tto+Zroo+OL1 ıD
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? þYes n No
If yes, how is the site developed??t*,ùbê-¡"ñ .K
5. Describe the general site topography. Check all that apply.
& Hat to Rolling: No slope on/adjacent to the site or slopes generally less than 15% (avertical
rise of LO-feet over a horizontal distance of 66-feet).
! Moderate: Slopes present on/adjacent to site of more than 15% and less than4}% (a vertical
rise of lO-feet over a horizontal distance of 25 to 66-feet).
! Steep: Slopes of greater tJrran40% present on/adjacent to site (a vertical rise of L0-feet over a
horizontal distance of less than 2S-feet).
6. Have there been landslides on or near the site in the past? ! Yes (*o
If yes, please describe:
7. Site contains areas of year-round standing water? n Yes (approx. depth: ) &No
8. Site contains areas of seasonal standing water? ! Yes (approx. depth: ) ÈÑo
If yes, what season(s) of the year?
9. Site is in the floodway or floodplain of a water course? n Floodway n Floodplain
10. Site contains a creek or an area where water flows across the grounds surface? ! Yes ñWo
If yes, are flows year-round or seasonal? n Year-round n Seasonal (time of year: _)
11.. Obvious wetland is present on site? n Yes &f.
Critical Areas inventory or C.A. map indicates Critical Area on site:
Site within designated North Edmonds Earth Subsidence and Landslide Hazard Area (ESHLA)
For City Staff Use Only
WATVERtReviewedz
? NA
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3.
3.
4.
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SCS mapped soil type(s):
Zoning:
DETERMINATION
AREAS PRESENT
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Revised on I/4/17 P20 - Critical Areas Checklist Page 2 of 2
1:564 0
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W City tlf Edmonds cRA20180092
Legend
Creeks
Seismic Hazard Areas
Earth Subsidence and Landslide /
Minimum Buffer Adjacent to Haz
Wetlands
Wetlands Boundary
Wetland Boundaries Not Completel
: Wetland Known Êxtents
Floodplains
Contour Lines
.10; 50
100
Landslide Hazard Area 40%
Severe Erosion Hazard t5%-4O%
Erosion Hazard Areas tSYo-4OYo
ATcSDE.G IS.STREET_CENTERLI NEI
-
<all other values>
1
2
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9:71:7:8
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Notes
0 23.51 47.0 Feet
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WGS_1 984_Web_Mercator_Auxiliary_Sphere
O Cìty of Édmonds
This map is a user generated static output from an lnternet mapping sìte and is for
reference only. Data layers that appear on th¡s map may or may not be accurate,
current, or otherw¡se relìable.
THIS MAP 15 NOI TO BE USED FOR DESIGN OR CONSIRUCTION