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CRA20010054Site Information (soils/ 1. Site Address/ Location: 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. F111-11C - CA—R-e) 17eT Critical Areas Checklist Property Tax Account Number: phy/hydrology/ vegetation) Approximate Site Size (acres or square feet): S ArK ! o 1001 Is this site currently developed? f yes; no. PERMIT COUNTER If yes; how is site developed? �i•�G��iNf �l/4SlLcP 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 157o (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: �/N�,� ; Approx. Depth: Site contains areas of seasonal standing water: ,T ; Approx. Depth: What season(s) of the year? T Site is in the floodway � floodplain of a water course. 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? ), Site is primarily: forested : meadow ; shrubs ; mixed urban landscaped (lawn,shrubs etc) ✓ Obvious wetland is present on site: J� /�- G:\Share\Library\Planning\Forms\Public Handouts\ Critical Areas Checklist Doc/1-16-2001 OF E��1 �y City of Edmonds n Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 DATED RECEIVED: � 0� CITY RECEIPT #: Critical Areas File M <0 Critical Areas Checklist Fee:$45.00 DATE MAILED TO APPLICANT:. . CRITICAL AREAS CHECKLIST The Critical Areas Checklist contained on this form is The City will review the checklist, make a precursory to be filled out by any person preparing a Development site visit, and make a determination of the subsequent Permit Application for the City of Edmonds prior to steps necessary to complete a development permit his/her submittal of a development permit to the City. application. 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. 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: 4 �2rra Y (t LtG- Jcw\ !j1 Mn &1 s00/,Jw& DesleYL Name Name 641Z ©G 044IPI(, Ple-W D&- Street Address 1S!),M074'1S W IR037lr2 City State Zip TelephoneAzs --.7 7 0 95 7d Signature Date: �1Z� IZI �►¢.. �� Street Address City State Zip Telephone: "17, Z ZG --5 7-5 Ignat re Date:__ 4.L� /0 t G:\Share\Library\Planning\Forms\Public Handouts\ Critical Areas Checklist Doc/1-16-2001 City of Edmonds Critical Areas Determination Applicant: Jon Simpson / JWS Design for Determination #: CA-01-54 Steve and Jill Miller (Owners) Project Name: Permit Number: Site Location: 8412 Olympic View Dr. Property Tax Acct #: 4346 000 001 04 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 a critical area, including a 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 a Critical Areas Study consisting of 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 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: 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. 2. If development must occur within the critical area, buffer, and/or buffer setback, and is not identified as an exception per ECDC Chapter 20.1513, a Reasonable Use Exception and Variance must be obtained pursuant to ECDC 20.15B.I70A and 20.1513.040C. 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. Please call me at (425) 771-0220 if you have any questions. Name Signature 1, 2001 Date Cited sections of the Edmonds Community Development Code (ECDC) can be found on the City of Edmonds website at www.ci.edmonds.wa.us. 2 co co '' O 0 O N O Co 85TH PL W co W co -a co cO �O O � C.) -4 00 41%, 00 C(:TN)' -Q N co -f� N co W I N) co W 00 00 � O O � co co co O O O .f� 00 co-'x ,p O .p W � O co N O 0 SITE PLAN I I I Q W \ it I j / / • + r i ilu / } 1 I UI � I r CL EXST'G • ��' iq DECK t POOL /i SCALE: 1"=40'-Cr Mat, NO.092106-9030 MM55: e412 OI.YWIC VEW M- kXISTING GUEST HOUSE STRUCTURE PROPOSED NEW ENTRY AND LIVING RM ADDITION PER \Y PLAN EXISTING RESIDENCE STRUCTURE 'I, A \ V,- RECEIVED APR - 5 2001 DEVELOPMENT SERVICES CTR, CITY OF EDMONDS lu i • i � i � � � XX m 9� \ I r'/ � % I `�� { _►mac- '_-�� a•- � � sA • j 1 / r'r/ r �i-' /'r/ i Aol JZ/V City of Edmonds Critical Areas Determination Applicant: Jon Simpson / JWS Design for Determination #: CA-010 Steve and Jill Miller (Owners) Project Name: Little Remodel/Addition Permit Number: 01-0134 Site Location: 8412 Olympic View Dr. Property Tax Acct #: 4346 000 00104 Project Description: Construction of a new covered rear entry and living room addition within existing footprint of residence as shown on attached site plan Waiver Criteria (all criteria must be found to apply): X There will be no alteration of the Critical Area or its required buffers; X 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; X The development proposal meets the minimum standards of the Critical Areas ordinance; X The above findings are based on the following conditions of approval: 1. This conditional waiver is only for the additions shown in the attached site plan. 2. A building permit is required for all work. Based on the above findings and conditions, the requirement for a Critical Areas Study associated with this development permit is hereby Waived, as authorized by Chapter 20.15B.040 (A)(1) of the Edmonds Community Development Code. Star Campbell C'C--- , "—SL � 4/12/2001 Name Signature Date