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19122 94TH AVE W
� Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/ Location: W,'C v
CA File No:
2. Property Tax Account Number: DO 4 nM('00, —000 — 0& ( os llik'O �`
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? _ yes; no.
If yes; how is site developed?
5. 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°x6 (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 30% ( a vertical rise of 10 -feet
over a horizontal distance of 33 to 66 -feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10 -feet over a horizontal
distance of less than 33 -feet).
Other (please describe):
6. Site contains areas of year-round standing water: • Approx. Depth:
7. Site contains areas `of seasonal standing water: ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site co tains a creek or an area where water flows across the grounds surface? Flows are year-round?
0 Flows are seasonal? (What time of year? ).
10. Site is primarily: forested ; meadow ;shrubs mixed
urban landscaped (lawnshrubs etc)
11. Obvious wetland is present on site: n
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Critical Areas Checklist.doc/3.19.2001
OV ED,yD'�� City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
/off gq0 Fax:. " 425.771.0221
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 the application 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 Checklist should be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
Date Received: Z) - 2® - o 9
City Receipt#: QLcoyo
Critical Areas File #:
Critical. Areas Checklist Fee: $45.00
Date Mailed to Applicant:
A property owner, or his/her authorized representative,
must fill out the checklist, sign and date it, and submit it
to the .City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this. form to assist City staff in finding and locating the
specific piece of property described on this form. In
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, 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
attorney'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.
By my signature, I certify thatthe in rma n and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to fi e t application on the behalf of the owner as listed low
SIGNATURE OF APPLICANT/AGENT DATE
Property Owner's Authorization V
By my signature, I certi that I have authorized the above Applic t/Agent to apply for the subject land use application,
and grant my permission r th public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and os g attendant to this application.
SIGNATURE OF OWNER DATE �� D�"
Owner/Applicant:
lU�U-lA-1�i
Name
Street Address
;ID Aoq �0 -Lo
City State a Zip
Telephone: qlx:�-
Email address (optional):.
Critical Areas Checklist.doc/3.19.2001
Applicant Representative:
Name
Street Address
City State Zip
Telephone:
Email Address (optional):
City of Edmonds
Critical Areas Determination
Applicant: illiam Linton Determination #: CA -02-177
Project Name: Permit Number:
Site Location: 1912294 1h Ave. W Property Tax Acct #: 00 4346 000 06105
Project Description:
Non -Project Specific
Determination: Study Required:
During review and inspection of the subject site, it was found that the site appears- to contain
and/or is adjacent to a number of critical areas, including a possible Steep Slope Hazard Area
pursuant to Chapter 20.15B of the Edmonds Community Development Code (ECDC).
Based onthese findings, prior to submission of any development permit, you will be required
satisfy the requirements of ECDC 20.15B by completing the following:
Steep Slope Hazard Area Delineation Requirements:
To determine if a Steep Slope Hazard Area does exist, a topographic survey prepared by a
Licensed Land Surveyor delineating Steep Slope Hazard Areas must be completed. Any slope of
40% or more with at least 20 feet of rise will be classified as a Steep Slope Hazard Area. A 50 -
foot buffer is required from both the top and toe of the slope. A 15 -foot building setback is
required from the `50 -foot buffer.
For development of any kind which is proposed within the critical area, 50 -foot buffer or 1.5 -foot
buffer setback, it must be shown that the development will not adversely impact the Critical Area
or its buffer, by doing one or possibly both of the following depending on the outcome of the
study:
1. For development proposals which will occur within the 50=foot buffer, but no closer than
10 feet from the top or toe of the slope, the 50 -foot buffer requirement may be reduced to
10 feet if a study is completed by a licensed geologist or -geotechnical engineer which
clearly demonstrates that the proposed buffer alteration will have no adverse impact upon
the site, the public or any private party. All Critical Area -Studies, except those done by a
licensed geotechnical engineer, must. be completed under a: three party contract where the
0
City hires the professional required, and the applicant pays for the study (pursuant to
ECDC Section 20. 15B. 140).
2. If development must occur within the critical area, buffer, and/or buffer setback, and is
not identified as an exception per ECDC Chapter 20.15B, a Reasonable Use Exception
and Variance must be obtained pursuant to ECDC 20.15B. 170A and 20. 1513.040C.
M
If the property owner wishes to apply for a specific development permit which they feel
would not impact the Critical Areas located on the site, they may submit their proposal to
the Planning Department for review. If the Planning Department finds that the proposed
development permit will not adversely impact a Critical Areas.or its buffers, a conditional
waiver may be issued on a project by project basis.
Name
a
Signature
Date
2
tl ot%
Critical
Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/ Location
M
Property Tax Account N
CA File No:
3. Approximate Site Size (acres or square feet):
Z OOo 1Z
4. Is this site currently developed? _ yes; $ no.
If yes; how is site developed?
5. 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 30% ( a vertical rise of 10 -feet
over a horizontal distance of 33 to 66 -feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10 -feet over a horizontal
distance of less than 334eet).
Other .(please descn'be):
6. ' Site contains areas of year-round standingwater. Approx. Depth Z
7. Site contains areas of seasonal standing water: ; Approx. Depth
What season(s) of the year?.
8. Site is in the floodway floodplain of a water course.
9. Siteco tains a creek or an area where water flows across the grounds surface? Flows are year-round?
0 Flows are seasonal? (What time of year? ).
10. Site is primarily: forested : meadow ; shrubs; mixed
urban landscaped (lawnshrubs etc) 6"41
11. Obvious wetland is present on site. D.
Critical Areas Cheddistdod3.19.3001
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
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 the application 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 Checklist should be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
Date Received: 'd - 2-0 - O ? _
City Receipt #: `oLko %
Critical Areas File #:
Critical Areas Checklist Fee: $45.00
Date Mailed to Applicant:
A property owner, or his/her authorized representative,
must fill out the checklist, sign and date it, and submit it
to the City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in finding and locating the
specific piece of property described on this form. In
addition, the applicant shall include other pertinent
information (e.g. site ply topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, 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 .
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information famished by the applicant, his/her/its agents or employees.
By my signature, I certify that the nand exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to fi application on the behalf of the owner as listed tielow,
SIGNATURE OF APPLICANT/AGENT "V 9L--� � DATE 161
Property Owner's Authorizadon �►
By my signature, I cern that I have authorized the above Applic"ttent to apply for the subject land use application,
and grant my permission thpublic officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and osdibe attendant to s application. .
SIGNATURE OF OWNER DATE Ca a�-
Owner/Applicant:
totLA,J"
Name
Street Address
��o��� �4 • Qom
City state Zip
Telephone: ? ` (Y �( Z-- ((`�
Email address (optional):
Crideal Area CheddimdocO.191WI
Applicant Representative:
Name
Street Address
City State Zip
Telephone -
Email Address (optional):
City of Edmonds
Critical Areas Determination.
Applicant: illiam Linton Determination #: CA -02-177
Project Name: Permit Number:
Site Location: 1912294 1h Ave. W Property Tax Acct #: 00 4346 000 06105
Project Description:
Non -Project Specific
Determination: Study Required:
During review and inspection of the subject site, it was found that the site appears to contain
and/or is adjacent to a number of critical areas, including a possible Steep Slope Hazard Area
pursuant to Chapter 20.15B of the Edmonds Community Development Code (ECDC).
Based on. these findings, prior to submission of any development permit, you will be required
satisfy the requirements of ECDC 20.15B by completing the following:
Steen Slope Hazard Area Delineation Requirements:
To determine if a Steep Slope Hazard Area does exist, a topographic survey prepared by a
Licensed Land Surveyor delineating Steep Slope Hazard Areas must be completed. Any slope of
40% or more with at least 20 feet of rise will be classified as a Steep Slope Hazard Area. A 50 -
foot buffer is required from both the top and toe of the slope. A 15 -foot building setback is
required from the 50 -foot buffer.
For development of any kind which is proposed within the critical area, 50 -foot buffer or 15 -foot
buffer setback, it must be shown that the development will not adversely impact the Critical Area
or its buffer, by doing one or possibly both of the following depending on the outcome of the
study:
1. For development proposals which will occur within the 50 -foot buffer, but no closer than
10 feet from the top or toe of the slope, the 50 -foot buffer requirement may be reduced to
10 feet if a study is completed by a licensed geologist or geotechnical engineer which
clearly demonstrates that the proposed buffer alteration will have no adverse impact upon
the site, the public or any private party. All Critical Area Studies, except those done by a
licensed geotechnical engineer, must be completed under a three party contract where the
0
City hires the professional required, and the applicant pays for the study (pursuant to
ECDC Section 20.15B.140).
2. If development must occur within the critical area, buffer, and/or buffer setback, and is.
not identified as an exception per ECDC Chapter 20.15B, a Reasonable Use Exception
and Variance must be obtained pursuant to ECDC 20.15B. 170A and 20.15B.040C.
If the property owner wishes to apply for a specific development permit which they feel
would not impact the Critical Areas located on the site, they may submit their proposal to
the Planning Department for review. If the Planning Department finds that the proposed
development permit will not adversely impact a Critical Areas or its buffers, a conditional
waiver may be issued on a project by project basis.
Name
J
Signature
Date
2