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CRA200100832sM —'. In, City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 DATED RECEIVED: CITY RECEIPT#: Critical Areas File #: 0i - 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: /n%2K" Name "We© c lltld 'Ik f1� Street Address . I . . • 1&0D City //' State Zip Telephone: Vw- 7 2Y- Signature rr Date: c:mydocuments/spellman/forms/CACL Form.doc g:share temMana/formaCACL Form.doc Applicant Representative: Nov/ S s% Name Street Address (�;01*po1 �Pav City State Zip Telepho Signs re Date: 6 / Z r d / CA FILE NO. 6 1 Bla) Critical Areas Checklist ----------------- -------------------------------------------- Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: 9;7,/,/ zot/p "VL 2. Property Tax Account Number: ���'� 4 lee" xw p7 - 3. Approximate Site Size (acres or square feet): 27 1-0 7 4. Is this site currently developed? 0" yes; no. If yes; how is site developed? _ �t-rnh C 140 5. Describe the general site topography. Check all that apply. l/— Flat: less than 5-feet elevation changeover entire site. f5t114�DIA,14' 5 fe G% Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). 6. 7. 8. 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: ----=----------------------=------------- -----=For City Staff .:Use Only ------ -..................... -------- --- 1. Site is Zoned? "' 1.2 2. SCS mapped soil tvoe(s)? Eli ERETT'; . RPcy GI4 SAtiID L-C)A'M 8- I ro 1e, 3. Wetland inventoryor C.A map tndieates wetland.present on site? 4. Critical Areas inventory or. C:A: map: .indreates;Critical Area on site?, �- 5. Site within designated earth::sub00ence landslide hazard area? 6. Site designated on the..Environmentat.K Sensitive Areas Map? 141A " Yet, 4- 1, 'O� Cf, 5F-- PA DETERMINATION STUDY REQUIRED WAIVER . Reviewed by::,SL. Planner..... P — A- Seep 5 (.PC•r S.1-. ^u chk.doc; Rev 10/03/97� CO'NDI.TIONAL WAIVER. Date' City of Edmonds Critical Areas Determination Applicant: Dennis St. Peter (N.S. Design) Determination #: CA-01-83 for Mark & Carolyn Blackbourn Project Name: Permit Number: Site Location: 9711 Lindsay Place Property Tax Acct #: 4984 000 005 00 Project Description: Non -Project Specific Determination: Study Required: During review and inspection of the subject site, it was found that the site is directly adjacent to a what may be a Steep Slope Hazard Area pursuant to Chapter 20.15B of the Edmonds Community Development Code (ECDC). Based on this finding, 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. The top and toe of the slope as well as the buffer and building setbacks should be clearly identified on the survey. 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. 2. If development must occur within the critical area, buffer, and/or buffer setback, and is not identified as exempt per ECDC Chapter 20.1513, a Reasonable Use Exception and Variance must be obtained pursuant to ECDC 20.15B.170A and 20.15B.040C. If the results of the Critical Areas Study determine that the lot may not be developed, the applicant may apply for a Reasonable Use Exception and Variance pursuant to ECDC 20.15B. I 70(A) and 20.15B.040(C)). 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 une Date Cited sections of the Edmonds Community Development Code (ECDC) can be found on the City of Edmonds website at wtivw.ci.edmonds.wa.us. 2 ReidpAiddleton July 3, 2001 File No. 22-01-039-000-00 Mr. Mark Blackburn 21800 Chinook Road Edmonds, WA 98020 Subject: Professional Surveying Services Elevation check for building setback Dear Mr. Blackburn: In response to your request for surveying services to determine the elevation difference from the top of bank to the toe of bank at 9711 Lindsay Pl., Edmonds, WA, Reid Middleton performed the survey on July 2, 2001. A point was picked at the top of bank at the highest elevation and at the toe of bank at the lowest elevation. Differential leveling was used to determine the difference in elevation between these two points. The result of the survey determined the difference in elevation to be 18.6 feet. We hope that this service will meet with your needs. If you have any questions please contact Paul Cornwell or me. 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