CRA19990032IIII�lIII CA FILE NO. ! ct - 3
Critical Areas Checklist Ck'A M9 003a_�
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Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: 1 7 ( 3 ,--) 7 01 A t,,, . u/ F j M 'p� ,Q
2. Property Tax Account Number: h -7 Z 7 V, `F - / - a o S - Z) o o /
3. Approximate Site Size (acres or square feet): 7 3 % o
4. Is this site currently developed? 1/ yes; no.
If yes; how is site developed? �e -, Ka4-f "A-jp- _
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 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: AID ; Approx. Depth:
7. Site contains areas of seasonal standing water: AID ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway W floodplain AI0 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? 1VF 5 Flows are seasonal? (What time of year? ).
10. Site is primarily: forested ; meadow ; shrubs ; mixed
urban landscaped (lawn,shrubs etc) X
11. Obvious wetland is present on site: _)T5 —Free k-
--------------------------------------------- For City :Staff Use Only------ ----------------------- -
L :Site is. Zoned? s /:
2. SCS niapped. �7� soil type(s)? w&0--11'- tij ['os.�c z- ¢ iG S%ac r
3: Wetland inventory or, C.A. map indicates wetland present on site?
4, Critical Areas inventory or C.A., map indicates Critical Area on site?'_� �-�R 4s 2 b �rtrth
5,. Site within. designated earth subsid:ence landslide hazard area? i 0
6; :. Site designated on the Environmentally Sensitive Areas Map?
^ca_chk.doc; Rev 10/03/97
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RECEIVED
FEB 18 1999 R CEIV
City of Edmonds PERMIT COUNTER FEBlass
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:
Name
1-7 1-30- 7�t(Avc. W,
Street Address
City State_. Zip
Lf77g-3q�
Telephone
SignalUe
Date
c:reception\jana\cac1,doc
Applicant Representative:
Name
Street Address
City State Zip
Telephone
Signature
Date
(over)
93 .9391
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City of Edmonds
Critical Areas Determination
Applicant: John Hendrix Determination CA-99-32
Project Name: Permit
Number:
Site Location: 17130 — 76th Ave W. Property Tax Acct 0727-041-005-00
Project
Description:
Determination:
Non -Project Specific
Study Required
During review and inspection of the subject site on February 23,1999 it was found that the
site contains and is adjacent to a Category 2B stream without salmonoids pursuant to
Chapter 20.15B of the Edmonds Community Development Code.
Based on these findings, prior to submission of any development permit, you will be
required to submit the following for review by the Planning Department:
1. Submit a site plan prepared by a Licensed Surveyor showing the location of
the Category 2B stream and delineating the required 25-foot buffer and 15-
foot additional building setback. The 25-foot buffer is measured on each side
of the stream from the top of the bank, with the additional building setback
line measured from the edge of the buffer.
2. If the results of the above survey determine the lot unbuildable or that no
addition/alteration may be done due to the buffer/setback area, any
development which is not identified as an exception per ECDC Chapter
20.15B must receive a Reasonable Use Exception or a Variance pursuant to
ECDC 20.15B.180A and 20.15B.040C).
If you feel that your project will not adversly impact the critical area then you may request
that a conditional waiver be granted for your specific project.
Conditional Waiver Criteria (all criteria must be found to apply):
XXX There will be no alteration of the Critical Area or its required buffers;
XXX The development proposal will not impact the Critical Area in a manner
contrary to the goals, purposes, objectives and requirements of the
Critical Areas ordinance;
XXX The development proposal meets the minimum standards of the Critical
Areas ordinance;
If you choose to request that a conditional waiver be granted for your specific project then
please contact me at (425) 771-0220.
ason Tourtellot
Name
Signature
Date