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CRA20010090111111111 critrcal Areas Checklist Site Information (soils/topography/hydrology/vegetation) 1. Site Address/ Location: j& Z E'X C E L S/ to R PL 2. Property Tax Account Number: V3Vwl — poo -- ©Q/ _ O yo.4 3. Approximate Site Size (acres or square feet): %sC7 0 ,t*- / 4. Is this site currently developed? _�' yes; no. If yes; how is site developed? / f/Oy S / 5. Describe the general site topography. Check all that apply. CA File 0_PA 4D69 0 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). y 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: -AZO ___- Approx. Depth: 7. Site contains areas of seasonal standing water: AIQ ; Approx. Depth: What season(s) of the year? 8. 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) X 11. Obvious wetland is present on site: ,.S` A t I- jUit/ V1 Al C_ C, ,Fz5K YE�4 R �a UND 1. Plan Check Number, if applicable? 2. Site is Zoned? 3. SCS mapped soil type(s)? 9 5. For City Staff Use Only _1E Critical Areas inventory or C.A. map ind' ates Critical Area on ite? Pa�st�t,r� WMIA D?/St�PE� \tj 0?_&Z->1oKt PcSTF/U AL - Site within designated earth subsidence landslide hazard DETERMINATION Reviewed Date: 1-3— WAIVER ra Critical Areas Checklist.doc/3.19.2001 ,lie. 1 S911) 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: 11—4 — 62 06 City Receipt #: /'7 954 Critical Areas File #: CA —Oi - q 0 Critical Areas Checklist Fee: $45.00 Date Mailed to Annlicant: 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 DATE 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: G0di2E W. ILZUER Name .1/ /Z CX,CE-LS/©R GG Street Address EOyyoeys ,LVIA 9l?ozo City State Zip Telephone: �L/.2,!J % 6 — ZZ D 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: George Miller Determination #: CA-01-90 Project Name: N/A Permit Number: N/A Site Location: 1112 Excelsior Pl. Property Tax Acct #: 4346 000 091 04 Ol 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 a critical area, including a Erosion Hazard Area and a Wetland/Stream 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 also 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. Wetland/Stream Based on the above findings, a Critical Areas Study is required to determine the hydrology of the area and to delineate the approximate boundaries of any wetland or stream and identify its buffers. 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. All critical areas studies shall be performed as three party agreements with the city selecting the consultant and the property owner or applicant paying the fees. The qualified critical areas consultant shall perform the following: Classification of the stream and/or wetland pursuant to the criteria established in ECDC Section 20.15B.060(A)(4) and (5). 2. Delineate the edge of the stream and/or wetland on the site. 3. State any mitigating measures appropriate to preserving and protecting the stream and/or wetland. After the qualified critical areas consultant has delineated the stream and/or wetland boundary, a surveyor licensed by the State of Washington must perform the following: 1. Physically mark the edge of the wetland. 2. Delineate the required buffer (see ECDC 20.15B.120.A and 20.15B.130.C). 3. Delineate the required building setback from the buffer (required setback is 15 feet). 4. Create a map showing the wetland, the buffer and the building setback. The water from this site flows into Puget Sound, therefore, the applicant must contact the Department of Fish & Wildlife, have them review the site and submit a letter determining the impacts of development on this site and, if necessary, recommend mitigation measures to ensure protection of the habitat/stream. Both the qualified critical areas consultant and the Land Surveyor shall enter into a three party contract with the applicant and the City of Edmonds as required in ECDC 20. 1 5B. 140(D), where the applicant pays for the study. The applicant may suggest qualified professionals for the City's approval. 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.170A and 20.15B.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. Name Signature Date 2