CRA20010086Critical Areas Checklist CA3
Site Information (soils/topography/ hydrolo /ve vegetation)
hydrology/ g )
1. Site Address/ Location: 2Dq C7bCrS cU'
2. Property Tax Account Number: , Z1Z 7CGZ WG,000't
3. Approximate Site Size (acres or square feet): 510j cozy SQ, F ,.
4. Is this site currently developed? _ yes; X no.
If yes; how is site developed?
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: -X- ; Approx. Depth:
7. Site contains areas of seasonal standing water: ► )1/�- ; Approx. Depth:
What season(s) of the year? o lA
8. Site is in the floodway QZL, floodplain r of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
hk'yNeoe. ' 12 � lows 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: N �A
For City Staff Use Only 'z
1. Plan Check Number, if applicable?
2. Site is Zoned? iZs- t ::?._,
3. SCS mapped soil type(s)? ( t 7�-- crr t= ��,a ��x u� lea c k
4. Critical Areas inventory or C.A. map indicates Critical Area on site? 5;Ag - ey_;LC--1= � 0,LAe-
C
5. Site within designated earth subsidence landslide hazard area?
DETERMINATION
STUDY REQUIRED WAIVER
Reviewed bv: (),r � , , O nAfo• -7 1 -7) 1 r,, 1
Critical Areas Checklist.doc/3.19.2001
OF EDP o City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
/nC I g90 Fax: 425.771.0221
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 the application 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).
Date Received: I I-UI U I
City Receipt #:_ (iS( IR
Critical Areas File #: scot -- $6
Critical Areas Checklist Fee: $45.00
Date Mailed to Applicant: '7- 5-0
A property owner, or his/her authorized 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.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLICANT/AGENT / ! f DATE 4�, ' ZCU r V
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this application.
SIGNATURE OF
PLEASE PRINT CLEARLY
Owner/Applicant:
1", _- ilk r -1- , .F , , , r
Name
f�yi r . . , i
Street Address
City State Zip
Telephone: / /7. " ,
Email address (optional):
DATE 6 — -�,b �-) I
Applicant Representative:
Name
Street Address
City State Zip
Telephone:
Email Address (optional): Jo;,W M a So;4,�► L
Critical Areas Checklist.doc/3.19.2001
City of Edmonds
Critical Areas Determination
Applicant: John Mueller for Betty J. Determination #: CA-01-85
Mueller (Owner)
Project Name: Permit Number:
Site Location: 209 Gaspers Property Tax Acct #: 2427 032 146 00
Project Description:
Non -Project Specific
Determination: Study Required:
During review and inspection of the subject site, it was found that the site is adjacent a critical
area including a stream pursuant to Chapter 20.1513 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 the following:
Stream
The site investigation has shown that your property is directly adjacent to Shell Creek, a stream
that runs roughly parallel to the east property line. Based on the above findings, a Critical Areas
Study is required to determine the hydrology of the area and to delineate the boundaries of the
stream and identify its buffers. In addition, the study will determinde whether or not salmonids,
migrating fish, use this reach of Shell Creek. If they do, a 50 foot buffer and a 15 foot building
setback is required from the top of the stream bank. If salmonids do not use this portion of the
stream, a 25 foot buffer and a 15 foot building setback is required from the top of the banks.
The required qualified critical areas consultant needed to perform the study shall be a specialist
in botany, fisheries, wetland biology, and/or hydrology with a minimum of two years' field
experience with wetlands and/or streams in the Pacific Northwest. This part of the required
Critical Areas Study shall be performed as a three party agreement with the city selecting the
consultant and the property owner or applicant paying the fees as required in ECDC
20.15B.140(D). The applicant may suggest qualified professionals for the City's approval.
The qualified critical areas consultant shall perform the following:
1. Classification of the stream pursuant to the criteria established in ECDC Section
20.15B.060(A)(4) and (5).
2. Delineate the edge of the stream on the site.
3. State any mitigating measures appropriate to preserving and protecting the stream.
After the qualified critical areas consultant has delineated the stream boundary, a surveyor
licensed by the State of Washington must perform the following:
1. Delineate the required buffer (see ECDC 20.15B.120.(A) and 20.15B.130.(C)).
2. Delineate the required building setback from the buffer (required setback is 15 feet).
3. Create a map showing the buffer and the building setback.
The Land Surveyor is not required to enter into a three party contract.
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.170(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 Area or its buffers, a conditional
waiver may be issued on a project by project basis.
6
Name
Signature
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
22-MAY-2001 07.53 32
SNOHOMISH TAX PROPERTY PROFILE
TAX ID# :
24270321460009
QSTR: NW 24 27N 03E
STRUCTR $
OWNER :
MUELLER BETTY J
LAND $
CO OWNER :
TOT ASSD$
SITE ADDR:
0
% IMPRVD:
SITE CITY:
0000
LEVY CD :
MAIL ADDR:
209 CASPERS ST
2000 TAX$
MAIL CITY:
EDMONDS
WA 98020-2602
EXCISE #:
TELEPHONE:
425-778-6207
MAIL CAR RT: C018
EXEMPTN
RCDG DATE:
AUDITR FEE#:
SR TAX #
SALEPRICE$
STAMP CODE :
TIMBER $
DEED TYPE:
MULT PARCEL:
ACT USE
ZONING
RS-12000
ZONE REST
PAR TYPE:
LAND USE :
91000 VACANT,UNDEVELOPED,UNUSED
LAND
VOLUME .
LEGAL
RT-73) BEG SW COR
NE1/4 NW1/4 TH W
MAP
1OFT TH N 145FT
TH W 115FT TO TPB
NBRHD CD:
TH W 30OFT TH S
135FT TH W 16FT .••
CENSUS
SUB/PLAT :
BLID#
*****
PROPERTY FEATURES *****
BEDROOMS :
1ST FLR
SF:
BATH -FULL:
2ND FLR
SF:
BATH-3/4 :
3RD FLR
SF:
BATH -HALF:
4TH FLR
SF:
BATH TOT : 0.00
LOFT
SF:
DINING RM:
ABV GRND
SF:
FAMILY RM:
BSMT FIN
SF:
OTHER RMS:
BSMT UNF
SF:
FIREPLACE:
BSMT TOT
SF:
DECK
TOT BLDG
SF:
PATIO
GARAGE TYPE:
PORCH
GARAGE
SF:
POOL -
DECK
SF:
TOT UNITS:
PATIO
SF:
BSMT TYPE:
PORCH
SF:
BSM GRADE:
DEV TYPE :
YEAR BLT :
EFFYR BLT:
*** LAND INFORMATION ***
WTRFT TYP: LOT ACRES:
WTRFT QTY: LOT SQ FT:
WTRFRT FT: LOT SHAPE:
TDE/UPLND: TOPOGRPHY:
LOWLAND TOPO PRBS:
GRND CVR : CLEARED EASEMENT
*** VIEW INFORMATION ***
VIEW PUGET SOUND:
MOUNTAIN LAKE WA/SAM:
CITY/TERR: LAKE/RIVER :
THE INFORMATION PROVIDED IS DEEMED
BLDG COND :
QUAL/CLASS:
BLDG QLTY :
BLDG MATL :
SIDING MAT:
%BRICK
FOUNDATION:
ROOF MATL :
ROOF SHAPE:
WALL MAIL :
FLOOR CVR :
#1
179000
179,000
00210
2,331
T
UNPLATTED
PAGE:
454 GRID: G5
507
BLK:
%STONE:
SEWER TYPE: NONE
WTR SOURCE: PUBLIC
ELCTRC SVC: POLE
HEATSOURCE:
HEAT METHD:
BLDG NAME :
NUISANCE •
STORY
STYLE
*** OTHER INFORMATION ***
STR SURFC: BLKTOP ELEVTR:
56,628 CURB/GTTR: TENNIS:
SIDEWALK :
FIRE SPKR:
STREETLT :
SCHL DIST: EDMONDS _NO015ED
*** SALES HISTORY ***
PRV SALE AM$
PRV RCDG DT:
SELLER
RELIABLE BUT IS NOT GUARANTEED
Yd Street North
C
A
I��
T
1 kOr*