CRA19990011Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: q i O CA-r1
2. Property Tax Account Number: C, jZ5 - U00 - 01 yo
3. Approximate Site Size (acres or square feet): 1 Z, o 00 -f-
4. Is this site currently developed? ✓yes; no.
If yes; how is site developed? 'R' N G U-1-- T �' r' o "LN Ct-
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Q
7.
8
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 33-feet).
Other (please describe):
Site contains areas of year-round standing water:
Site contains areas of seasonal standing water:
What season(s) of the year?
; Approx. Depth:
; Approx. Depth:
Site is in the floodway floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? Flows are seasonal? (What time of year? ).
10. Site is primarily: forested ; meadow ;shrubs ; mixed
urban landscaped (lawn,shrubs etc) ✓
11. Obvious wetland is present on site:
" 0
^ca_chk.doc; Rev 10/03/97
CEIVEU .
City of Edmonds
PERMIT COUNTFA
CRITICAL AREAS CHECKLIST
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 a development
permit 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).
An applicant, or his/her 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 assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
M AR: , N L�J CF+Al i 7'Z
Name
,7q 2 0 -7 14- 5
Street Address
-�-r>,#--- W A 10 3
City State Zip
Iv\AR.T►rJ (7-0(,)546"- 3z31 pAY
1-0lk 3(.,0)Z97-W-q
Tele hone
6�-
Signature
1-19-11
Date
Applicant Representative:
Name
Street Address
City State
Telephone
Signature
Date
Zip
cseception\jana\cad.doc
(over)
City of Edmonds
Critical Areas Determination
Applicant: Martin & Lourdes Schmitz Determination #: CA-99-11
Project Name: Permit Number:
Site Location: 870 Northstream Lane Property Tax Acct #: 5325 000 018 00
Project Description:
Non -Project Specific
Determination: Study Required:
A site inspection revealed that the Northstream runs through the property near the north property
line. The property is developed with a single-family residence. The City of Edmonds identifies
this a Class 2a stream with salmonids on both the City's Critical Areas Map and Environmentally
Sensitive Areas Map.
Based on the above findings, a Critical Areas Study is required for further development of the
site to determine and delineate the boundaries of the critical area, its buffers and setbacks. The
bank of the stream and the stream buffer shall be delineated by a licensed surveyor. The buffer
for a Class 2a stream with salmonid is 50 feet, with an additional 15 foot building setback.
Northstream also flows directly into Puget Sound. The applicant must have the State Department
of Fish & Wildlife review all development proposals for the site, and submit a letter to the City
determining the impacts of development, and if necessary, recommend mitigation measure to
ensure protection of the habitat/stream. Any development proposal within or adjacent to streams
require SEPA review by the State, in addition to review by the City, for permit applications.
If the property owner wishes to apply for a specific development on the site, they may
submit their proposal to the Planning Division for review. If staff finds that the proposed
development permit will not adversely impact a Critical Area or its buffers, a conditional
waiver may be issued on a project
Kate Galloway
Name
cc: CA-99-11 File
1 /21 /99
Date