CRA20010020Critical Areas Checklist CAFile No:
Site Information (soils/topography/hydrology/vegetation)
QwH go01 u o -'7-0
1. Site Address/ Location:
2. Property Tax Account Number: r 7 c� 2 oe oc�o
3. Approximate Site Size (acres or square feet): \ 2 , zoo
4. Is this site currently developed? PC yes; no. '
If yes; how is site developed? & o , s, or \ G e 8
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: NO ; Approx. Depth:
7. Site contains areas of seasonal standing water: /,-(O ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway 7Vy floodplain A10 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
A(C�� Flows are seasonal? (What time of year? ),
10. Site is primarily: forested Nb ; meadow ;shrubs ; mixed
urban landscaped (lawn,shrubs etc)
H. Obvious wetland is present on site: O
G:\Share\Library\Planning\Forms\Public Handouts\ Critical Areas Checklist Doc/1-16-2001
"n C. 199"
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
DATED RECEIVED:
CITY RECEIPT #:
Critical Areas File #:
Critical Areas Checklist Fee: $45.00
DATE MAILED TO APPLICANT:.
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/or 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.
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).
PLEASE PRINT CLEARLY
Owner/Applicant: Applicant Representative:
Name Name
Street Address Street Address
City State Zip City State Zip
Telephone: (Di —3 G Telephone:
Signature Date: 6Signature
`Z— 0 (o O ( Date:
G:\Share\Library\Planning\Forms\Public Handouts\ Critical Areas Checklist Doc/1-16-2001
City of Edmonds
Critical Areas Determination
Applicant: Thuesen Custom Homes Determination #: CA-01-20
Project Name: Permit Number:
-]Site Location: 18323 85" Pl. W. Property Tax Acct #: 7762 000 003 0000
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 an Erosion 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:
Erosion Hazard Area
The site is in an area designated on the Critical Areas inventory as Slopes with Erosion Potential.
All proposed development must have an erosion control plan approved by the City of Edmonds
Engineering Department.
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
Signature
Date
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