CRA20010089ritical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: 569 He M /P t4( [A)12U . FIJW A
2. Property Tax Account
3.
Approximate Site Size
4. Is this site currently developed? )C yes; no.
If yes; how is site developed? S;ngle Famll %1PS�G�EpJ L2
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):
/V/A 6. Site contains areas of year-round standing water: A4 ; Approx. Depth:
Nl54 7. Site contains areas of seasonal standing water: NO ; Approx. Depth:
What season(s) of the year?
A1, A 8. Site is in the floodway floodplain of a water course.
9. Sit cTntains a creek or an area where water flows across the grounds surface. Flows are year-round.
t"�w Flows are seasonal? (What time of year? ).
10. Site is primarily: forested ; meadow ;shrubs ; mixed
urban landscaped (lawn,shrubs etc) !%
N/A 11. Obvious wetland is present on site:
DE'TERIVIINATION
. STUDY REQUIRED WAIVER
Reviewed by ' `
Date• I f� l(S
Critical Areas Check] ist.doc/3.19.2001
")c. 1 g9"
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
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: -7/3/ai
City Receipt #: t -7gff i
Critical Areas File #:
Critical Areas Checklist Fee: $45.00
Date Mailed to ADDlicant:
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 be;h�af o the owner as listed below.
SIGNATURE OF APPLICANT/AGENT DATE 7 �,
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 OWNER DATE
PLEASE PRINT CLEARLY
Owner/Applicant:
DIGIT Van 9,olle bd't
Name
80 NemlDc-k Wqa
Street Address
Ednip,gds, W4 9 �?p2 D
City State Zip
/-i mG
Telepho e: W - 77/ — 7100
Email address (optional):
Applicant Representative:
Name
Street Address
City State Zip
Telephone:
Email Address (optional):
Critical Areas Checklist.doc/3.19.2001
City of Edmonds
Critical Areas Determination
Applicant: Dick Van Hollebeke Determination #: CA-01-89
Project Name: Pending CUP-2001-86 Permit Number:
Site Location: 580 Hemlock Property Tax Acct #: 2527 032 099 00
Project Description
Pending Conditional Use Permit for a Home Occupation
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:
Waiver is only for pending Conditional Use Permit.
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 AC - , "D, , A 7/16/2001
Name Signature Date
City of Edmonds
Critical Areas Determination
Applicant: Dick Van Hollebeke Determination #: CA-01-89
Project Name: I Permit Number:
Site Location: 580 Hemlock Property Tax Acct #: 2527 032 099 00
Project Description:
Non -Project Specific
Determination: Study Required:
During review and inspection of the subject site, it was found that the site contains a critical area
including a stream 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 the following:
Stream
The site investigation has shown that your property is contains Shellaburger Creek, a stream that
runs roughly parallel to the front of the house. 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 Shellaburger 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:
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.
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.
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